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INDONESIA
Berita Kedokteran Masyarakat
Published by Universitas Gadjah Mada
ISSN : 02151936     EISSN : 26148412     DOI : https://doi.org/10.22146/bkm.v37i2.2320
Core Subject : Health,
Nursing Public Health
Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope related to aspects of: - Epidemiology - Infectious diseases control - Clinical Epidemiology - Environmental Health - Occupational Health - Healthy City - Public Health and Primary Health Care - School of Health Promotion - Healthy lifestyles - Health promotion - Health and Social Behavior - Tobacco and smoking - Adolescent Health - Public Health Nutrition - Maternal and Child Health - Reproductive Health - Population Health - Health of Vulnerable People - Social Determinants of Health - Water, Sanitation and Hygiene - Human Resource Management
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 98 Documents
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Search results for , issue "The 12th UGM Public Health Symposium" : 98 Documents clear
Spatial Analysis of Regional Vulnerability to Dengue Fever in Yogyakarta City Purba, Maya; Feroza, Erisca
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: This study was to conduct a spatial analysis of regional vulnerability to dengue hemorrhagic fever incidence in 14 districts of Yogyakarta City. Method: The method used was spatial geographic data analysis. Data on dengue incidence and potential risk factors were collected from the Yogyakarta City Health Office and the Central Bureau of Statistics, and GIS (Geographic Information System) techniques were integrated into Rstudio software to identify spatial patterns of dengue incidence and assess regional vulnerability. Results: Significant spatial patterns were observed in the distribution of DHF incidence in Yogyakarta City. Geographically close areas tend to have high Incidence Rate (IR) and Standardized Mortality Ratio (SMR) values, indicating incidence clusters. Mergangsan sub-district has the highest IR of 8 per 10,000 population with an SMR of 1.92, followed by Umbulharjo sub-district located east of Mergangsan with an IR of 6 per 10,000 population with an SMR of 1.33, and Mantrijeron and Kraton sub-districts located west of Mergangsan with an IR of 5 per 10,000 population and an SMR of 1.2. The analysis also revealed that males had a higher IR (24%) than females (19%), highlighting the difference in risk between these two groups. These differences include behaviors that influence the level of exposure to vectors, as well as possible biological differences in the response to dengue infection. Other factors, such as population density, vegetation density, vector susceptibility, and weather and sanitation conditions, also influence the incidence and spread of dengue cases in certain areas of Yogyakarta. Conclusion: Spatial analysis can be an effective tool to identify areas' vulnerability to DHF incidence. The findings show that there are clusters of incidence that require special attention in disease control and prevention efforts, especially in the Mergangsan area with the highest risk. Analysis of IR differences by gender showed that males are more susceptible to DHF than females. By understanding the spatial patterns and risk factors, public intervention strategies can be designed and implemented more effectively to reduce the burden of DHF in Yogyakarta City.
Increasing the Frequency of Posbindu Implementation for FK-KMK UGM Students as Support for Accelerating HPU UGM Lainatus Shifa, Hilda Fauziah
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: Research on the health conditions of the academic community at UGM indicates that approximately 33.2% of UGM students have poor nutritional status. Additionally, some students who are about to intern and UGM alumni applying for jobs do not meet the health test requirements. The Posbindu program is already implemented through HPU FK-KMK UGM, but it is not routinely conducted for students. Therefore, advocacy for the policy to regularly implement Posbindu for FK-KMK UGM students is necessary as a preventive measure for modifiable non-communicable disease (NCD) risk factors and to accelerate the HPU UGM initiative promoting a healthy campus. This paper aims to outline the advocacy steps for increasing the frequency of regular Posbindu implementation for FK-KMK UGM students. Methods: Non-communicable diseases are a major health issue that increases annually and contributes significantly to global mortality. The 2018 Basic Health Research (Riskesdas) in Indonesia shows that NCD incidence tends to rise from the age of 15-18, suggesting early control is essential. Posbindu is a community-based health effort (UKBM) aimed at early detection, monitoring, and follow-up of NCD risk factors. UGM declared itself a Health Promoting University in July 2019. The HPU FK-KMK UGM runs the "Posbindu Sehati" for faculty, staff, and students. However, the Posbindu for students is not conducted monthly. Advocacy steps include formal and informal collaborations with BEM FK-KMK UGM, HPU FK-KMK UGM Brand Ambassadors, and the HPU FK-KMK UGM team. These stakeholders will then formally advocate to the FK-KMK UGM Dean to consider and issue a policy to increase the frequency of Posbindu implementation for FK-KMK UGM students. Results: The advocacy process is expected to lead to routine Posbindu sessions, improving student health by early detection and management of NCD risk factors. Conclusion: Regular implementation of Posbindu can significantly enhance student health and align with UGM's Health Promoting University goals.
Impact of Long Working Hours on Office Workers Wicaksono, Muhammad Yusuf Adityas
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: This study analyzes the factors and impacts of long working hours on office workers. The focus is on understanding how prolonged working hours influence mental health and overall well-being. Methods: A literature review was conducted using scientific articles published between 2019 and 2024, with keywords "impact of overworking" and "psychosocial of office workers." Six articles that met the criteria were thoroughly analyzed. Results: The analysis revealed that overworking or work fatigue caused by long working hours has several negative effects on office workers' mental health. Although extended working hours can lead to a sense of accomplishment for some workers, they are often accompanied by mental fatigue and a loss of individual traits. The interconnectedness of these risk factors exacerbates the mental health issues and reduces the productivity of office workers. Conclusion: Long working hours negatively impact the mental health of office workers. Therefore, it is crucial to manage working hours effectively within the work environment to maintain the health and productivity of employees.
Behavior of PPE Use Among Employees at PT. X (Oil and Gas Sector) Hariyono, Anelka Bugihadinata
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: This study aims to explore the behavior of employees at PT. X regarding the use of personal protective equipment (PPE) and identify barriers and support factors for PPE implementation. Methods: A qualitative study using a case study approach was conducted, with participants selected through purposive sampling. In-depth interviews were carried out with employees of PT. X, and data were analyzed using inductive analysis techniques. Results: The participants were male employees of PT. X. The in-depth interviews revealed that the compliance level of PT. X employees in using PPE is still low. Barriers to PPE implementation at PT. X include low self-awareness among employees and some PPE being unfit for use. Support for PPE implementation at PT. X includes company regulations that align with the Ministry of Manpower's guidelines, such as the establishment of Standard Operating Procedures (SOPs) and regular inspections within PT. X. Conclusion: The implementation of PPE use among employees at PT. X is considered inadequate, and the enforcement of existing regulations needs improvement. Strategies to enhance employee compliance with PPE use at PT. X include: 1) Increasing employee awareness about the importance of PPE through safety work socialization and Occupational Health and Safety (OHS) training, 2) Imposing sanctions and implementing an incentive system, 3) Replacing damaged PPE with new equipment, 4) Enhancing coordination among employees, and 5) Utilizing technology, such as an Indoor Positioning System, to monitor PPE use.
Optimizing Environmental Policy: Bioremediation as an Eco-friendly Solution for Wastewater Treatment in the Yogyakarta Batik Industry Dewi, Gayatri Rahma; Lestari, Ani Dwi; Jaladara, Vena
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: This abstract aims to describe the non-optimal management practices of batik industry liquid waste in the Yogyakarta area and present eco-friendly solutions for managing batik wastewater. Content: Daerah Istimewa Yogyakarta is one of the leading batik industries in Indonesia, and it has a high-level dyeing production process. Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), and the heavy metal Cr(VI) have the potential to threaten public health and environmental sustainability. There needs to be more commitment by batik industry businesses to comply with Perda D.I Yogyakarta No. 7 Tahun 2016 concerning Waste Water Quality Standards. Additionally, insufficient regulatory enforcement by the local government presents a significant obstacle. Limited funds and the high costs of building and operating Wastewater Treatment Plants (IPAL) hamper the management of liquid waste in the batik industry so that it exceeds the standard limits for wastewater quality. A combination of natural filtration (charcoal, gravel, and sand) and bioremediation uses Saccharomyces cerevisiae, which is eco-friendly, affordable, and efficient in reducing BOD, COD, and Cr(VI) levels, effectively separating hazardous substances from batik wastewater. Implementing this solution helps sustain environmental conservation and protect workers from hazards, creating a safe and healthy work environment that enhances the productivity of batik industry workers. There is a cross-sector collaboration between Regional Governments as regulators, rewards, and subsidies for those who implement eco-friendly liquid waste management. DLHK and Disperindagkop play a role in regular monitoring, technical guidance, and providing access to funds for waste management operations, the Association of Indonesian Batik Craftsmen and Entrepreneurs (APPBI) as a mediator between the government and the batik industry, and NGOs as controllers and reporting if violations occur.
The Relationship Between Health Insurance Ownership and Health Service Utilization, Out-of-Pocket Expenses, and Catastrophic Health Expenditure in the Special Region of Yogyakarta in 2023 Arviana, Mestika Elok; Hafidz, Firdaus
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: Mengetahui hubungan kepemilikan asuransi kesehatan pada rumah tangga di Provinsi Daerah Istimewa Yogyakarta terhadap utilisasi layanan kesehatan, beban biaya out of pocket dan pengeluaran kesehatan katastropik. Method: Penelitian kuantitatif menggunakan rancangan penelitian cross-sectional dengan model secondary data analysis menggunakan data sekunder Survei Sosial Ekonomi Nasional (KOR) dan Survei Sosial Ekonomi Nasional (Modul Konsumsi dan Pengeluaran) pada Maret 2023. Analisis statistik menggunakan distribusi frekuensi, uji chi-square, dan regresi logistik untuk mengidentifikasi hubungan antar variabel. Results: Kepemilikan asuransi kesehatan tidak berhubungan dengan peningkatan utilisasi layanan kesehatan rawat jalan dibandingkan dengan anggota rumah tangga yang tidak memiliki asuransi kesehatan (OR) 1,04 (95% CI 0,93 1,1). Kepemilikan Asuransi Kesehatan juga berhubungan dengan kemungkinan lebih kecil mengalami pengeluaran kesehatan katastropik di seluruh threshold yang digunakan yaitu 10% total pengeluaran (OR) 0,69 (95% CI 0,58 0,82), 25% total pengeluaran (OR) 0,47 (95% CI 0,37 0,59), dan 40% pengeluaran non food rumah tangga (OR) 0,55 (95% CI 0,44 0,68). Variabel lain yang mempengaruhi kejadian pengeluaran kesehatan katastropik adalah usia, pendidikan, pekerjaan, tingkat ekonomi, keluhan kesehatan dan adanya gangguan aktivitas. Conclusion: Kepemilikan Asuransi Kesehatan terbukti berpengaruh bagi anggota rumah tangga di Provinsi Daerah Istimewa Yogyakarta terhadap peningkatan utilisasi rawat inap maupun rawat jalan. Kepemilikan Asuransi Kesehatan memberikan perlindungan finansial berupa dengan mencegah terjadinya pengeluaran kesehatan katastropik. Penting mengoptimalisasikan dan melakukan perluasan program Jaminan Kesehatan Nasional (JKN) agar tercapai Universal Health Coverage untuk memberikan perlindungan finansial dan mengurangi beban keuangan bagi rumah tangga di Indonesia akibat belanja kesehatan katastropik.
Struggling for Smoke-Free Zones in Schools Against Kretek Culture Amini, Azimatul; Kasih, Bintang; Saputri, Iga Ayu; Leily Sylraini, Mahfira
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: Tobacco smoke contains thousands of harmful chemicals that can disrupt lung development in children and increase the risk of diseases such as cancer, heart disease, and stroke. Implementing Smoke-Free Zones (SFZ) in schools is crucial to protect the health of the entire school community, especially students who are still growing. Kudus City, known for its kretek culture, had 166 tobacco companies in 2024. The issuance of Kudus Regent Regulation No. 18 of 2015 concerning SFZ and Limited Smoking Areas (LSA) in Kudus, which includes school environments, provides an opportunity to implement SFZ in schools. This study discusses the importance of SFZ implementation in schools, particularly in Kudus. Methods: Data from the 2019 Global Youth Tobacco Survey (GYTS) indicated that one in five teenagers aged 15-19 smoke. The 2023 Indonesian Health Survey (SKI) showed that 18.4% of smokers first smoked at the age of 10-14 years. This data underscores the need for health promotion strategies to reduce teenage smoking rates in Indonesia. According to the Centers for Disease Control and Prevention (CDC) guidelines, smoke-free schools can protect students, teachers, and staff from the dangers of tobacco smoke, creating a healthier and more conducive learning environment. Results: Studies have shown a significant relationship between the presence of SFZ policies in schools and smoking behavior. Adolescents in schools with SFZ policies are 3.2 times more likely to have a positive attitude towards non-smoking and 2.6 times more likely to quit smoking compared to those in schools without SFZ policies. The challenge of implementing SFZ in Kudus lies in potential opposition from the tobacco industry, farmers, workers, and other stakeholders, which may impact their economic sector. Conclusion: Despite potential opposition, there is still a potential for advocacy support for implementing SFZ policies in schools to protect student health.
Epidemiological Analysis Person, Time, and Place Dengue Fever Cases in Magelang City During 2019-2023 Trisnawati, Erica Yunita; Indriani, Citra; Isworo, Adi; Wahyudi, Safaat
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: This study aims to explore epidemiological characteristics of dengue fever cases in Magelang City during 2019-2023. Methods: Monthly dengue fever cases from 2019-2023 were extracted from the dengue passive surveillance database at the City Health Office. Data was analyzed descriptively based on time, person, and place. Results: There were 992 dengue cases with a mean incidence rate (IR) of 158 per 100,000 population, and the highest IR was observed in 2019 with 359 per 100.000. The annual case fatality rate was 0.5%, ranging from 0% to 1.3%. Males (52,2%) were observed higher than females (47.8%), and most cases were aged 12-25 years old (36.9%), with elderly (>= 60 years old) only counted for 14 (1.4%) cases. Dengue was reported throughout the year across the village within the city, with the peak of dengue season observed in January and February. Most notifications came from private hospitals (21%), and primary health care contributes about 0.5% of case notifications. Conclusion: The dengue case in Magelang City has characteristics similar to other areas in which the most affected were children and has a seasonal pattern, with the peak number of cases found in January to February and all areas within the city being endemic.
Analysis of the Implementation of Active Fire Protection Systems in Disaster Mitigation at Regional General Hospital (RSUD) X Fadhli, Muhammad
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: This study aims to analyze the implementation of active fire protection systems at Regional General Hospital (RSUD) X. It focuses on the effectiveness of active protection systems, the factors influencing their implementation, and the challenges faced during implementation. Methods: This research employs a descriptive quantitative approach with a case study design to describe, explain, and summarize various conditions, situations, and phenomena. Respondents included the head of the Hospital Facilities Maintenance Installation (IPSRS). Data were collected through interviews, observations, and document reviews. The collected data were then analyzed descriptively. Results: Based on interviews and observations, the implementation rates of various fire protection measures were as follows: fire extinguishers (APAR) at 89.4%, sprinklers at 66.6%, hydrants at 63.6%, and fire alarms at 100%. Issues identified include broken and unreplaced sprinklers, inadequate spacing between sprinklers, hydrant boxes lacking equipment due to theft, and insufficient numbers of fire extinguishers. Conclusion: The active fire protection system at RSUD X faces several issues, such as broken and improperly spaced sprinklers and hydrant boxes, and missing equipment due to theft. There is also a shortage of fire extinguishers (APAR). Strategies to address these issues include identifying existing problems, prioritizing replacements in high-risk or critical areas such as public areas and easily flammable zones, and regularly maintaining and inspecting equipment according to a set schedule.
Gender Differences in Dengue Fever Incidence in Semarang City: Data Analysis from 2019-2021 Fedhilla, Fiona Syahri; Ariska, Moudy Bella
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: Dengue virus infection is a major health issue in tropical countries, commonly transmitted by Aedes aegypti mosquitoes. It can cause asymptomatic or symptomatic infections, with symptoms ranging from mild to severe. This study aims to describe the incidence of Dengue Hemorrhagic Fever (DHF) by gender in Semarang City, using data from 2019 to 2021. Methods: A descriptive study was conducted using secondary data obtained from the Semarang City Health Department and the Ministry of Health of the Republic of Indonesia. Results: The study revealed significant fluctuations in DHF incidence in Semarang City over the study period. There was an increase in cases each year, peaking in 2021. Despite this, the mortality rate from DHF remained relatively low and fluctuated over the years. Risk factors influencing DHF incidence included gender, with higher incidence rates observed in males compared to females. Activity patterns and environmental exposure were critical factors affecting gender DHF transmission risk. Preventive behaviors also played a significant role, where public education on effective preventive measures could help reduce transmission risk. Conclusion: This study indicates that the fluctuating incidence of DHF in Semarang City requires more effective and targeted preventive measures. Strengthening prevention programs, vector control, and public education are essential to reducing the burden of this disease. Further research is needed to understand the factors influencing the fluctuation in DHF cases between males and females to formulate more effective and focused prevention strategies. Thus, it is hoped that the negative impact of DHF on the Semarang community can be reduced, improving their well-being and quality of life.

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