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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
Students as Health Promotion Influencers Kurniawan, Firmanda Danang
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: To explore the positive influence of influencers in health campaigns and the potential of students as influencers. Methods: The We Are Social report states that there were 139 million active social media users in Indonesia as of January 2024. In 2023, health-related content was the most frequently visited topic on social media, accounting for 36.96% of the audience's interest. Given the increasing number of social media users, these platforms can be positively utilized as educational tools to provide widespread health awareness. However, social media can also be a source of negative influence, such as the spread of misinformation. During the COVID-19 pandemic, approximately 4%-18% of people encountered and believed in misinformation about the virus over the past three years. Results: The government has addressed misinformation through legal measures, public education, and complaint platforms, but online misinformation continued to rise in 2022. One effective strategy to combat misinformation is engaging influencers in health promotion. Influencers, who wield influence through their attributes and reputations, can come from various backgrounds, including celebrities, politicians, healthcare professionals, and students. Collaborating with influencers can enhance credibility and engagement in health campaigns. Social media influencers can promote healthy behavior changes, positively impacting issues like smoking cessation, diet, and exercise. Students play a crucial role in health promotion interventions. Instagram, a widely used platform in 2024, is especially popular among 18-24-year-olds (the typical student age range). Influencers on Instagram are seen as credible, trustworthy, knowledgeable about the brands they support, and capable of building relationships with their audience. This presents an opportunity to involve students in health promotion through Instagram. Conclusion: Applying Minzberg’s Theory to manage influencer involvement in health organizations can be innovative. The organizational structure should include students as influencers (operating core), a Founder/CEO (strategic apex), managers (middle line), healthcare professionals or academics (technostructure), and support staff such as digital marketers, editors, and copywriters. This approach encourages active student participation in health promotion and allows them to apply classroom knowledge in real-world settings.
Armed Conflict and Health Risks as Long-term Impacts: A Global Humanitarian Issue Purwanti, Sri
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: Armed conflicts are public health emergencies that cause acute and chronic health impacts, including rapidly spreading infectious diseases and long-term non-communicable diseases. This literature review aims to identify health risks associated with conflicts in specific regions. Methods: This article is a literature review based on books, journals, and other references. Results: The study identified a skin leishmaniasis outbreak during the Syrian conflict. Tuberculosis incidence and prevalence doubled in conflict areas. Measles and hepatitis B outbreaks occurred rapidly among refugees in Yemen and Syria. Cholera outbreaks were reported in refugee camps in conflict zones in Yemen and Somalia, with water facility bombings in Yemen leading to a cholera outbreak affecting 500,000 people. Hepatitis B, often linked with refugee camps, caused maternal fatalities in northern Sudan and Ethiopia. Russian military attacks led to the closure of HIV/AIDS clinics in Kharkiv and Mariupol, increasing treatment discontinuation and mortality risks for HIV/AIDS patients. Conflicts weaken disease surveillance and control systems, impacting vaccination, sanitation, and drinking water provision, thus increasing the risk of sanitation-based diseases. Disease eradication efforts, such as for polio, have been successful in several countries except conflict zones like Nigeria, Syria, Congo, and Afghanistan. Geospatial analysis shows that stunting rates among children born near conflict areas are 2-9% higher than average. Prolonged armed conflict diverts more resources from health to warfare. Conclusion: Armed conflict fundamentally poses a health risk, leading to long-term impacts due to systemic failures in control and prevention programs. This necessitates attention as a significant humanitarian issue.
The current update of Indonesian pharmacist challenges in antimicrobial stewardship: a scoping review Sylraini, Mahfira Leily
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: This study explores the current update of Indonesian pharmacist roles and challenges in dealing with antibiotic resistance. Method: PubMed and Scopus were used to search articles on related topics. Articles published within the last 5 years were selected for review. Three articles were found that are relevant to the topic and research question. Result: Hospital pharmacists and community pharmacists have a role in antimicrobial stewardship. In fulfilling their roles, pharmacists face various challenges. Hospital pharmacists face challenges such as lack of authority to provide intervention suggestions to doctors for preventing antibiotic resistance and less likely to have experience caring for a patient with a multidrug-resistant infection. On the other hand, community pharmacists also face challenges including patient demands for antibiotics, pressure to meet revenue targets, pressure from pharmacy owners, and less stringent regulations. Conclusion: Optimizing the role of pharmacists, especially hospital and community pharmacists, is necessary to reduce antibiotic resistance. Management approaches to enhance collaboration among healthcare professionals can be implement to address the challenges faced by hospital pharmacists. Meanwhile, providing regular patient education, engaging with pharmacy owners, and strengthening policies to reduce antimicrobial resistance can be strategies to reduce community pharmacists’ challenges.
Balancing Food Security, Environmental Health, and Political Agendas: A Case Study of Food Estate in Kalimantan Tengah Rovik, Anwar; Khaidir, Said; Ishak, Muhammad
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: To discuss the current condition of food estate in Kalimantan Tengah, the environmental and social costs, and how to balance the competing interests. Results: Food security is a global concern. The food estates in Central Kalimantan represent a strategic initiative of the Indonesian government aimed at bolstering national food security through the establishment of extensive, integrated agricultural zones. However, they also come with significant environmental and social costs. Large-scale deforestation and habitat disruption associated with food estates can force wildlife closer to human populations and livestock. Excessive use of pesticides and fertilizers in food estates can contaminate water sources, impacting aquatic life and harming human health. The relationship is complex and often fraught with tension. Balancing these competing interests requires a multi-pronged approach. The policy should be applied in the open-participatory concept, where all parties involved are involved in formulating, implementing, and evaluating the policy. Thus, the policy becomes the fruit of collective thinking, and there is a sense of ownership of each party to the policy. Not only from the implementation side but also from the evaluation process. In food estates, the use of resources is tied to the emergence of clientelism practices, where social, economic, and political ties form a very hierarchical network in the implementation of food estates. The lack of alignment and sustainable planning in implementing the food estate has also led to failure in maintaining the desired power through the program. Conclusion: Sustainable public policies, community engagement, and a shift towards environmentally friendly agricultural practices are crucial for ensuring food security for the future without compromising public and environmental health.
A Quo Vadis: Competency Resilience of Rural and Border Areas Healthcare Workers. Is It Sufficient? Ningrum, Dwi Asih Kartika; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: This study analyzes the need for competency adjustments among healthcare workers in rural and border areas. The novelty of this research lies in exploring existing education and training curricula and identifying specific needs to enhance healthcare services in rural areas, focusing on improving resilience and retention skills among healthcare workers. Methods: This study employs a literature review to formulate an appropriate education and training curriculum. The primary focus is identifying specific needs to improve healthcare services in rural and border areas. Results: The study found significant health issues related to the high risk of disease transmission, lack of facilities, and low retention of healthcare workers in cross-border health facilities. The National Border Management Agency has identified 222 border-crossing subdistricts requiring strengthened healthcare services. Healthcare workers in rural and border areas face unique challenges requiring specialized knowledge and skills, including health resilience involving readiness to handle disease outbreaks or natural disasters and adaptation to limited conditions. Current health education may not be sufficient to prepare professionals for these challenges. Efforts through rural internships during pre-service education are considered inadequate unless aligned with a specific rural curriculum. The Contextual Learning Model emphasizes learning through real-world situations and is the theoretical framework for curriculum development. This curriculum aims to enhance the understanding and management of health issues in everyday contexts, promoting the principles of social accountability in higher health profession education. Conclusion: Adjusting the competencies of healthcare workers in rural and border areas is crucial to improving healthcare quality. Recommendations are provided to policymakers to develop training programs tailored to the specific needs of healthcare workers in these areas, supported by infrastructure development to facilitate access to education and training. The primary outcome expected is improved community access to and quality of healthcare services in these regions.
The necessity of Introducing the One Health Concept to Health Workforce and Veterinary Workforce in Addressing Zoonotic Threats Thursina, Tanrypada
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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In recent years, zoonoses have continued to pose a threat to global health, including in Indonesia. Avian influenza infections, rabies cases that remain endemic in many regions, and the COVID-19 pandemic are concrete examples of the dangers of zoonoses. These health issues can be prevented and addressed through cross-sectoral collaboration and the implementation of the One Health concept. The One Health concept emphasizes the interconnection between the health sector, animal health, and the environmental sector. One Health concept also promotes essential cross-sectoral collaboration in the prevention and control of zoonoses. As a concept that emphasizes various sectors to address the complex issue of zoonoses, it significantly aids in the rapid and accurate response to case reports and outbreak investigations. However, many health workers and veterinary health workers are still unaware of or do not understand this concept. The lack of knowledge among these workers about the One Health concept can be problematic in managing zoonotic cases in the future, especially given the changing epidemiology of many zoonotic diseases. Despite cross-sectoral collaboration having existed, the absence of the introduction and implementation of the One Health concept results in fragmented and uncoordinated responses to zoonotic case reports and makes the handling less effective and proactive. Therefore, it is necessary to systematically introduce this concept to health and veterinary health workers through integrated and sustainable educational programs. Providing education about One Health not only enhances the skills and capacity of health and veterinary health workers but also strengthens the national health system. Comprehensive introduction and training on One Health must become a priority to ensure that zoonoses do not continue to develop and pose a threat to public health in Indonesia.
Health system perspective of the role of DLH in strengthening household waste management: perception of a local environmental protection agency officers on open landfill systems Purwati, Alvi; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: The final waste disposal management in Indonesia is still largely dominated by open landfills, despite the need to move away from this method. In a health systems framework, any players work in connected with others. The perception of local environmental protection officers (DLH) plays a crucial role in this persistence. Some officers believe landfills are necessary for waste management, making it hard to eliminate their use. This study explores the perspectives of DLH officers on waste management systems, focusing on their views about landfills and the importance of managing waste from the source. Methods: A total of 11 DLH officers were selected as informants in this study, providing information through direct interviews or via email. Data was collected between March and April 2023. Results: The findings indicate that while some DLH officers recognize the need for sustainable waste management practices, their ability to change the existing system is limited by their current understanding and education. Conclusion: It is essential to ensure that DLH officers have the appropriate educational background and a clear understanding of their responsibilities. This will enable them to implement sustainable waste management practices effectively and positively impact the environment.
Climate Change and The Spread Of Dengue Fever : Risk Evaluation and Mitigation Efforts in Sumba Tengah Regency Fitriah, Yunita
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Climate change has become a significant global challenge that can affect public health and increase the risk of vector-borne disease such as dengue fever. Changes in temperature and weather patterns have created more favorable conditions for the Aedes Aegypti mosquitoes, the vectors of dengue fever. Sumba Tengah, like many othe regions has also experienced changes in weather patterns, creating conditions conducive to the breeding of Aedes Aegypti mosquitoes. Risk evaluation shows that climate change accelerates the mosquitoe life cycle and expands their distribution area, increasing the incidence of dengue fever cases in Sumba Tengah Regency. The community of Sumba Tengah faces significant challenges in addressing the rise in dengue fever cases. Limited healthcare systems and low public awareness exacerbate the situation. Therefore, comprehensive mitigation efforts are urgently needed. The first necessary action is to utilize the Early Warning Alert and Response System (EWARS) reporting application for monitoring and predicting outbreaks. This will enable a quick response and more effective control measures. The next step to be taken is to conduct educational campaigns for the community to enhance their understanding of dengue fever prevention and the relationship between climate change and dengue fever incidence. With better knowledge, the community can take more proactive preventive measures such as eradicating mosquito breeding sites. Increasing cross-sector collaboration is the next step that can be taken. The involvement of various stakeholders, including the health sector and village governments, is crucial to creating a coordinated and sustainable approach. Government policies must also support this effort by providing the necessary resources and regulations to mitigate the impact to the continuously rising incidence of dengue fever in the community. Conclusion is climate change has significantly increased the risk of dengue fever spread in Sumba Tengah Regency. Mitigation efforts involving technology, education and cross-sector collaboration are key to reducing the risk.
Evaluating the Effectiveness of a Local Food-Based Supplemental Feeding Program in Addressing Chronic Energy Deficiency Among Pregnant Women in Temanggung District Herlina, Beti
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Background: Chronic Energy Deficiency (CED) in pregnant women is a significant health issue that affects the prevalence of stunting in children. In response, Temanggung District has implemented a Supplemental Feeding Program (SFP) using local food sources to improve the nutritional status of pregnant women and reduce the risk of stunting in children. Objective: This study aims to evaluate the effectiveness and challenges of the Supplemental Feeding Program (SFP) in addressing Chronic Energy Deficiency (CED) among pregnant women in Temanggung District, focusing on the suitability of local food materials and the program's impact on reducing the prevalence of CED. Method: A qualitative descriptive approach was used to assess the implementation of the Supplemental Feeding Program (SFP). Data were collected through in-depth interviews and observations involving health workers, program beneficiaries, and policymakers, utilizing purposive sampling to ensure a comprehensive understanding of the program's implementation and outcomes. Results: The Supplemental Feeding Program (SFP) successfully reached nearly all the targeted pregnant women with Chronic Energy Deficiency (CED) in Temanggung District. However, challenges remain, including issues related to the availability and distribution of quality food materials, limitations in trained human resources, and socio-cultural barriers that affect the acceptance and integration of dietary practices within the community. Conclusion: Recommendations include enhancing inter-agency coordination, refining community education strategies to address negative cultural perceptions towards certain foods, and increasing resource allocation to improve the availability and distribution of food materials. These improvements are expected to enhance the program's effectiveness in reducing the prevalence of Chronic Energy Deficiency (CED) and stunting.
Impact of Water Safety Plans on Health and Water Quality: Scoping Review Lalu, Nur Ayini S
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
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Purpose: The implementation of Water Safety Plans (WSPs) has become a major focus of efforts to improve water quality and its impact on human health in various countries. This scoping review aims to summarize research results related to the implementation of WSPs in reducing the risk of water contamination and its impact on health. Methods: A scoping review was conducted by reviewing several international journals that examined the application of WSPs from 2010 to 2023. Data extracted included publication characteristics, the impact of WSPs on water quality, the impact of WSPs on health, and the number of systems intervened or analyzed. Results: The scoping review showed that the implementation of WSPs has had a positive impact on water quality with significant reductions in microbiological parameters such as E. coli, improved water treatment effectiveness, and reduced risk of contamination by microbial pathogens. Health impacts were also seen through reduced incidence of water-related diseases such as diarrhea and gastroenteritis. Conclusion: The consistent implementation of Water Safety Plans (WSPs) contributes positively to water quality and human health through controlling the risk of microbiological and chemical contamination. However, it is important to pay attention to the completeness and quality of WSPs implementation to maximize their benefits in maintaining safe drinking water for the community.

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