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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 6 Documents
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Search results for , issue "Vol 20, No 3 (2004)" : 6 Documents clear
Hubungan perilaku Ibu dalam memanfaatkan pelayanan kesehatan selama kehamilan dengan kepatuhan ibu mengimunisasikan anaknya Najma Sofia, Siswanto Agus Wilopo dan Djauhar Ismail
Berita Kedokteran Masyarakat (BKM) Vol 20, No 3 (2004)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3695

Abstract

Background: The report of SDK1 in the year of 2002-2003 stated that the complete immunization coverage in Indonesia was only 51 percent. Incomplete immunization status is one of the causal factors of low health status in children that finally will cause the high rate of morbidity and mortality. in the district of Belu, immunization coverage generally was still relatively low. That was 35,3 percent. The incomplete immunization status still occurred although the Department of Health and the Indonesian Pediatrics Association have arranged a schedule for children immunization considering certain time restrain. Various research showed that Mother's factor had a great influence in bringing the children for immunization. Objective: This research was aimed at finding out the relationship of mother's behavior in making use of modern health service during pregnancy especially antenatal care (ANC) with mother's compliance in bringing the children for immunization. Method: This research used a case control design. The sample was mothers who had children 12 to 59 months of age consisting of 114 samples as case and 114 samples as control. Chi-square test and logistic regression was performed to analyze quantitative data. This research was located in the district of Belu, Nusa Tenggara Timur. The location was selected based on data availability and the immunization coverage that was still relatively low. Result: The bivariable and multivariable analyses with 6 logistic regression models showed that the result was consistent; there was a significant relationship between behaviors of using health service during pregnancy with mother's compliance in bringing the children for immunization. Mother's education level and access to facility of health care also had significant relationship with mother's compliance in bringing her children for immunization. Conclusion: Three factor influenced the mother's compliance in bringing her children for immunization: mother's behavior in using health service during pregnancy, mother's education level, and access to facility of health care. Keywords: behavior, pregnancy, compliance, immunization
Anemia pada ibu hamil dengan profilaksis klorokuin dan hubungannya dengan kejadian malaria Agustina Tanusaputra, Soesanto Tjokrosonto dan Haripurnomo Kushadiwijaya
Berita Kedokteran Masyarakat (BKM) Vol 20, No 3 (2004)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3696

Abstract

Background: Anemia is a risk factor for maternal mortality as many studies have shown. Anemia in pregnancy in Indonesia is high, between 40%-80% with Hb mean concentration of 9,7g%. Anemia caused by iron deficiency is common especially in the developing countries. The relationship between anemia and the susceptibility to malaria infection remains controversial. Researcher, noted that effectiveness of oral iron supplementation had repaired anemia. On the other hand, the others found, that iron supplementation was associated with acute exacerbations of infections, particularly malaria. Objective: The Timor Tengah Utara District in East Nusa Tenggara is a highly endemic malaria area. Maternal death as a result of malaria occurs annually. The prevalence of pregnant mothers with anemia may be similar to the other regions where oral iron supplementation is normally given to pregnant mothers. This study was therefore aimed at studying anemia in pregnant mothers who received prophylaxis and the relationship with malaria infection. Methods: This was a cohort study held from September 2000 until June 2001 in two areas of community health centers, namely Sasi and Noemuti. The subjects were 212 pregnant mothers but 33 of them were lost to follow up. Blood specimens of pregnant mothers were obtained every other week (78) and every month (101). Hemoglobin value was analyzed at the beginning and end of pregnancy. The analysis was done using survival analysis by Kaplan Meier and logistic regression. Results: The survival analysis showed differences when using cut off points under different Hb values were used. Cut off point under Hb value
Struktur keluarga dan perilaku merokok pada remaja: analisis data sakerti 3 tahun 2000 Isnaini Putri; Mubasysyir Hasanbasri; Djaswadi Dasuki
Berita Kedokteran Masyarakat (BKM) Vol 20, No 3 (2004)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3697

Abstract

Backgrounds: Several conditions such as lung cancer, bronchitis, heart disorder, stroke and reproductive health problems are related to smoking. Number of adolescent smokers are increasing. The Indonesia Smoking Survey 2001 reported that about 40% of adolescents were smokers. We study smoking among adolescents in the context of family social control and health behavior. Parents' social control is important in healthy behavior. The absence of parental control provides a greater chance for adolescents to be influenced by their peer and social environment. Family structure is defined in terms of the living arrangement. We assume that adolescents who live with parents have a close control and social support for positive health behavior. Adolescents who do not live with their parents are assumed to have a weak control than those who do, and therefore they are more likely to smoke. Objectives: This study examines the relationship between not-living with parents (vs living with parents) and smoking status among adolescents. Methods: This study uses the 2000 Indonesian Family Life Survey, with the sample of 10136 respondents aged 15-24 in 13 provinces in Indonesia. If a respondent smokes during the survey, we include them as smoker. Others are non-smokers. The main statistical analysis used in this study is logistic regression. Results: Controlling for age, education, working status, rural-urban, parental smoking, there is a significant relationship between not-living with parents and smoking. Adolescents who did not live with their parents are 3.4 times more likely to smoke than those who did. Conclusion: Living or not living with parents had an impact on adolescent smoking. Some efforts to disseminate information about smoking among adolescents and the stronger regulation on smoking among these age groups are suggested as the substitute for their parental control. Keywords: smoking, adolescents, family structure, SAKERTI 3, living with parents
Transmisi infeksi Helicobacter Pylori di antara anggota keluarga Susanna Hilda Hutajulu, Budi Yuli Setianto dan Siti Nurjanah
Berita Kedokteran Masyarakat (BKM) Vol 20, No 3 (2004)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3698

Abstract

Background: The transmission of Helicobacter pylon (H. pylon) infection between family members plays important role in the spreading of infection. Many factors have been known to affect the transmission. Objective: This study aimed at determining whether an existence of infected chronic dyspepsia patient in the family will increase infection prevalence of the other family members, and assessing risk factors well known to increase infection transmission in the family. Methods: This study was cross sectional and was conducted in Yogyakarta. Anti-H. pylon serology was performed to determine the infection status of family members of infected chronic dyspepsia patients compared to family members of uninfected ones. A questionnaire was used to assess the risk factors. Results: There were 118 subjects who met the eligibility criteria. The infection prevalence among all subjects was 38,1%. There were 16 families (76,19%) from infected patients and 13 families (61,90%) from uninfected ones proven seropositivity among the members. The prevalence ratio was 1,23 and the difference was not statistically significant (p= 0,317, 95% Confidence Interval 0,82-1,86). Univariate analysis for the variables suspected to increase seropositivity prevalence in the family was not statistically significant. Conclusion: The infection prevalence of H. pylon was higher among family members of infected chronic dyspepsia patients than among family members of uninfected ones, but it was not statistically different. All of well known risk factors did not seem to affect the prevalence rate. Keywords: Helicobacter pylori, transmission, family members, seropositivity
Pengaruh media ceramah, leaflet dan vcd dalam pencegahan gangguan akibat kekurangan iodium Feby A Metekohy, Toto Sudargo dan Fatwa Sari Tetra Dewi
Berita Kedokteran Masyarakat (BKM) Vol 20, No 3 (2004)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3699

Abstract

Background: Iodine Deficiency Disorder (1DD) is still one among nutritional problems in Indonesia. Primary School teachers are the target group of health promotion for IDD control in the education institution because the general impact of IDD toward the primary school students could cause mental retardation and the declining of intelligence level until 10 points below their abilities. The total of Goiter Rate (TGR) of Maluku Province tends to increased. Objectives: This research was aimed at finding out the influence of speech with media of VCD and leaflet through health promotion toward teacher in the effort of IDD prevention among Primary School's students. Methods: This study was quasi experimental with pretest and posttest control group design. The sample was sport and health education teacher (Penjaskes) in the sub district of Amahai and Teon Nila Serua (TNS). It was chosen purposively. Data was taken by using questionnaire. Crosscheck of student's knowledge was also implemented in order to find out teacher's practice. Analysis was using statistical test of paired t-test and t-test for difference test with significance level of p = 0,05. Results: There was a significant influence of a health promotion regarding 1DD toward the improvement of knowledge, attitude and teacher's practice. There was a more significant improvement in the intervention group than control group. There was also a significant improvement on knowledge of primary school children regarding IDD. Conclusion: Speech method that is supported by leaflet and VCD could improve knowledge, attitude and practice of teacher through health promotion regarding IDD as well as it could improve knowledge of students regarding IDD through teacher's practice.Keywords: IDD, Primary School student, Central Maluku
Informed consent dalam kajian hukum pidana di bagian bedah RS DR Sardjito tahun 1996-1997 Susi Hadidjah dan Suhartini
Berita Kedokteran Masyarakat (BKM) Vol 20, No 3 (2004)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3700

Abstract

Background: Informed consent in medicine is the approval of the patient of a certain medical measure after receiving complete information about the medical measure. In the execution the doctor may find another disease which needs necessarilly prompt measure, giving no opportunity to obtain family's approval. This may result in a patient's or family's suit against the doctor or hospital taking care of the patient. Objectives: This study was carried out to know whether there were any medical treatments conducted without informed consent. Method: This research is retrospective: data were taken from patients in Sardjito Hospital operated in Surgery Department in the years 1996 and 1997. Result and conclusion: The subjects were 200 patients, consisting of 65,5% female and 34,5% male patients. Percentage of patients aged under 20 years was 22,5%, 20 — 40 years 57,5% and older than 40 years 20%. Patient origin: 65,5% from Daerah istimewa Yogyakarta (Special Territory of Yogyakarta) and 34,5% outside of Yogyakarta. Major surgical cases contributed 57% and minor surgical cases 43% to all surgeries. Categories of the surgical measures: emergency 2% and elective 98%. informed consents signed by patient or family numbered 199 (99,5%). Only 1 (0,5%) was not signed because the patient was not hospitalized. Keywords: informed consent, surgical measure, emergency, elective

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