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Berita Kedokteran Masyarakat

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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 7 Documents

Search results for , issue "Vol 24, No 1 (2008)" : 7 Documents clear

Motivasi dan Kepercayaan Pasien untuk Berobat ke Sinse Abdul Haris Jauhari 1 , Muhana Sofiati U Haris Jauhari, Muhana Sofiati Utami, Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 24, No 1 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Health service may not be obtained only from conventional medication but also traditional medication. The use of traditional medication is getting more popular. This may be supported by local culture and mass media. In Pontianak Municipality with major Chinese ethnic community, the use of Chinese traditional medication is very popular.Objective: The study was aimed at identifying motivation and trust of patients in seeking medication to sinshe.Method: This was a qualitative study using grounded theory approach. Location of the study was Pontianak Municipality. Informants consisted of 12 patients, 6 sinshe(s), 1 staff of health office, 1 doctor, and 1 leader of Chinese ethnic community. Samples were chosen purposively, using maximum variation sampling technique. Research instruments used were observation guide and in depth interview. Triangulation on methods and informants/source were used in examining the trustworthiness of the data. Data analysis was carried out through data transcript, coding, open coding, axial coding, data presentation, and making conclusion.Result: Patients trusted sinshe(s) due to their capabilities of curing chronic diseases. Patients had motivation to go to sinshe(s) because they failed in getting cure from conventional medication, they were worried in using chemical drugs and having operation and they were unsatisfied with conventional medication. According to patients, sinshes’ medication had many advantages, such as comprehensive, cheap and natural. However, there were also disadvantages, such as drugs were impractical, non hygienic, and did not taste good. Triggers which caused patients to go to sinshe were information supporting and culture, affordable cost, and experiences of the informants.Conclusion: Patients turned from conventional medication to sinshe (traditional) medication because of trust, motivation and trigger factors. Improving health service quality and health promotion should be made in order the community could get appropriate medication.Keywords: motivation, trust, patients, traditional medication, sinshe

Pendidikan Kesehatan Lingkungan Melalui Kultum Iswahyudi Haryono, Yayi Suryo Prabandari, Widodo Hariyono
Berita Kedokteran Masyarakat (BKM) Vol 24, No 1 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: The condition of environmental health in Indonesia is still not good. This is noticed with high morbidity rate of Acute Respiratory Infection (ARI), diarrhea, skin and TBC diseases. This condition is occurred in pondok pesantren (moslem school) which is spread out in the District of Bener Meriah Province of Nanggroe Aceh Darussalam (NAD). Therefore, health promotion effort which considered value, norm as well as local resources is necessary. Kultum (kuliah tujuh menit/seven minutes speech) is one of media which could be used to convey da’wah (moslem learning) so that kultum can be used as media to conveys enviromental health message.Objective: The general objective of this research was aimed to find out the improvement knowledge, attitude and behavior related to the health environment through kultum method by ustadz toward pesantren community.Method: This was a quasi experiment research and the population was santri (moslem student in moslem school) and the subject for each group was all santri. The independent variable was health education through kultum and dependent variable were knowledge, attitude and behavior of santri regarding environmental health. The research instrument being used was questionnaire and observation check list. Data analysis was conducted by using independent sample t test and paired sample t test.Result: The result of statistic analysis showed that knowledge, attitude and behavior regarding environmental health of santri who were given health education through kultum with hand out were different with those who were not given kultum intervention. This was showed by the increasing average value score of knowledge, attitude and behavior of santri who were given environmental health education through kultum in post test 1 and 2. The routinity of environmental health message which is obtained by santri through kultum, conveying environmental health message which was implemented in religious situation as well as figure of guru/ustadz that was credible and respected in pesantren effected on the changes of knowledge, attitude and behavior of santri toward positive respond.Conclusion: Knowledge, attitude and behavioral of santri who were given environmental health education through kultum better than santri who were not given intervention kultum. Kultum as da’wah media could be used to conveys health message in pesantren, mosque or praying forum.Keywords: knowledge, attitude and behavior of santri

Estimasi Prevalensi Kecelakaan Lalu Lintas dengan Metode Capture-Recapture Sayekti Udi Utama, Rahadyan Magetsari, Vitalis Pribadi
Berita Kedokteran Masyarakat (BKM) Vol 24, No 1 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Accident is a global health problem. In 2002 the major cause of accident leading to death is road accident (22.8%). In 2003–2005 the number of road accidents in the Province of Yogyakarta Special Territory is decreasing; however the fatality and ratio of road accident and the number of victims are increasing. In Indonesia there are two kinds of reporting made whenever there is a road accident. When the accident is handled by the police, data are kept at the police office and hospital; however, when it is not handled by the police, data are kept only at the hospital, not at the police office. In the Province of Yogyakarta Special Territory data of road accident are based on the report of Traffic Office of Yogyakarta Special Territory Regional Police so that they may not reflect the actual road accidents.Objective: To estimate the prevalence of road accidents by combining data sources from both the police and hospital at the Province of Yogyakarta Special Territory 2006.Method: This was a descriptive study with survey design. It was carried out at the Province of Yogyakarta Special Territory from May to August 2007. Analysis was made using capture-recapture method. Data entry and calculation were carried out using web-based computer program with Personal Home Page language programming and the database was maintained in MySQL.Result: There were as many as 1,721 data from 5 district police office/big city police office and 5,422 data from 22 hospitals and there were as many as 751 similar data. Data from the police office were 100% complete and from hospitals were not as complete as those from the police office. Coverage of data from the police office was 13.9% and from hospitals was 43,7%. The result of the study showed that the prevalence of road accident based on data from the police office was 51 per 100,000 people and from the hospital was 161 per 100,000 people; whereas the prevalence of the result of estimation using capture-recapture method was 369 per 100,000 people (12,417 cases – 95% CI:11.799-13.035) with highest prevalence for male of 16–25 years old, living and having road accidents at Sleman District.Conclusion: The estimation of the prevalence of road accident using capture-recapture method at the Province of Yogyakarta Special Territory in 2006 was 369 per 100,000 people, 2.28 times greater than data of hospitals and 7.2 times greater than data of the police office with under reporting as much as 724% at the police office and 229% at hospitals.Keywords: road accident, capture-recapture method, prevalence

Studi Validasi Autopsi Verbal Kematian Bayi Ernaningsih Siswanto Agus Wilopo, Djauhar Ismail
Berita Kedokteran Masyarakat (BKM) Vol 24, No 1 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Infant mortality is a tragedy which cannot be easily forgotten by mothers and their family. Data on mortality from hospital or hospital-based cause of death was not representative. Community-based cause of death with verbal autopsy approach is a way to provide statistical data on mortality. Personnel of verbal autopsy are medical staff or skilled non-medical staff. Limited number of medical staff and midwifes has made all verbal autopsy processes impossible to be carried out by medical staff. Therefore a method of verbal autopsy needs to be developed by non medical staff. This method should be validated prior to its implementation.Objectives: The objective of the study was to identify verbal autopsy validity viewed from measurement process conducted by different measurement staff to reach final diagnose agreement on cause of infant mortality between medical and non medical staff compared to doctor’s diagnose as gold standard.Methods: The study used a diagnostic test with retrospective cohort research design. Numbers of samples were 110 cases and length of study was 3 months. Cases were taken from infant mortality which occurred in hospitals during the last 3 years with their medical records. Training was given for 1 / day to midwives and statistic officers on how to execute verbal autopsy. Questionnaires used were adapted from World Health Organization which had been translated and tested in on settings. Staff conducted measurement or interview with statistic officers and a week later with midwives.Results: Analysis result of Kappa statistical test showed that value of agreement between doctor’s diagnose and verbal autopsy by statistic officers was 0.57 with p=0.00. This meant that there was good agreement. Result of Kappa statistical test between midwifes and statistic officers was 0.63 with p=0.000. This also showed good agreement between midwife verbal autopsy and statistic officer verbal autopsy. Statistic officers could conduct verbal autopsy.Conclusion: Agreement reached between statistic officers and doctors diagnose was quite good. Statistic officers could conduct verbal autopsy.Keywords: verbal autopsy, validation, infant mortality

Proporsi Ibu Hamil Risiko Tinggi yang Dirujuk pada Daerah Tertinggal M. Lukman Arsyad
Berita Kedokteran Masyarakat (BKM) Vol 24, No 1 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: This study was carried out to know scope primary health care especially for proportion of pregnant with high risk which were reference service. After five years be in effect decentralization include health department, this study was from July to September 2006 in under develop areas as location of study.Method: The study design using secondary data by “data extraction” or observation study with “survey method” and data processing using by Microsoft Excel for Windows and descriptive statistical analysis. This study will be measure for proportion of pregnant with high risk which were reference service in under develops area.Result: This study will be preparation health information about proportion of pregnant with high risk which reference services in were under develop areaConclusion: The means of under develop area were not the target of indicators minimal health service standard yet reached.Keywords: pregnant with high risk reference

Faktor Risiko Penularan Malaria Vivak Lina Handayani, Pebrorizal, Soeyoko
Berita Kedokteran Masyarakat (BKM) Vol 24, No 1 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Malaria in Indonesia is one of the important health cases, in particular outer part of Java-Bali. South Bengkulu Regency is one of the transmigration areas outer Java and Bali which is the endemic area toward malaria disease. From 34 communities’ health centers which exist, 19 community health centre are stated as the endemic are diseases in South Bengkulu Regency during last five years revealed the tendency of increasing the case annually. Up to now the eliminating of malaria in South Bengkulu Regency was emphasized on the medical aspect to cure the parasite and the management of vectors. Meanwhile the behavioral aspect had not got appropriate attention as well.Method and Result: This research was the observational by design of case control. The sample was gained from the Public Hospital Manna, Community Health Centre M.Thaha, and Community Health Centre Kedurang. It comprised from 36 cased and 72 controls. Data analysis was conducted descriptively by using table of frequencies distribution and analytically to know the relation between two variables by cross tabulation then was tested by using 2x2 table by Epi Info Program to know the amount of Odds Ratio (OR) and also see which variable having biggest risk to support the contamination of disease by using logistic linier. The data was analyzed by using SPSS version 10.0.Conclusion: Based on the result of this research, it could concluded that : 1) there was every significant relation between the distance of field to the house toward the incident of malaria (p=000) , 2) there was not present relation between the distance of rice field with the incident of malaria(p=0,133), 3) there was not present very significant relation between the habits to use mosquito net with the incident of malaria (p=0,000), 4) there was not present a relation between the usage of burnt mosquito poison with the incident of malaria (p=0,887), 5) there was not present significant relation between the habit to go outside in the night with the incident of malaria (p=0,002).Keywords: distance of the field, distance ofricefield, mosquito net, burnt mosquito poison, go outside in the night,malaria

Analisis Faktor–Faktor Risiko Kejadian Filariasis Reyke Uloli, Soeyoko, Sumarni
Berita Kedokteran Masyarakat (BKM) Vol 24, No 1 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: According to WHO report 2001 filariasis, commonly known as elephantiasis is one of communicable disease which still becomes a public health problem in Indonesia, particularly in rural areas. Filariasis disease can cause permanent deformity, i.e. swollen legs, arms and genital regardless of sexes. Further impact of such a condition is that the sufferers cannot work normally and depend their lives to others. Filariasis disease brings great social, cultural, economic and psychological impact. Out of five districts in the province of Gorontalo, District of Bonebolango shows the highest endemic. The report shows that out of 326 people whose blood has been examined, 105 turn out to be positive (mf rate=34.4%). They are concentrated at one sub district, i.e. sub district of Boneraya (survey 2002), exceeding endemic borderline of an area with mf rate <1% which becomes a threat to economic stability of the area. WHO declares the Global Goal of Elimination of Lympathic Filariasis as a Public Health Problem by 2020, and Indonesia makes a follow up by determining filariasis elimination as a priority program of communicable disease eradication. Environmental, behavioral and social cultural factors are risk factors which minimize prevalence of filariasis.Objective: To identify risk factors related to cases of filarisis at District of Bonebolango, Province of Gorontalo.Method: The study was observational with case control design. Odds Ratio (OR) was used to find out risk factor estimation of filariasis prevalence. Interview was conducted to respondents with positive microfilaria and equal control. Total samples were as many as 140 respondents. Data analysis used Chi Square and logistic regression.Result: The result of univariable and bivariable analysis showed that risk factors related to filariasis prevalence were behavioral factors, i.e. use of mosquito net (OR=11, 5), use of ventilation wire screen (OR=2.078), use of long sleeves (OR=0, 014), knowledge (OR=2, 004) and environmental (OR=2, 215) However, the result of multivariable analysis showed that the risk factors were behavioral with such as use of mosquito net (OR=9, 568), use of long sleeves (OR=2, 870), knowledge (OR=2, 485) and environmental (OR=3.563)Conclusion: Behavioral (do not used of mosquito net and do not used long sleeves), Social cultural (low knowledge) and environmental factors were risk factors of filariasis.Keywords: behavioral, social cultural, environmental, risk of filariasis, case control

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Ika Kusumaningtyas

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Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

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Daerah istimewa yogyakarta

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Abstract

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Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Ika Kusumaningtyas

Contact Email tyas.kusuma@ugm.ac.id

Phone +628988833412

Journal Mail Official bkm.fk@ugm.ac.id

Editorial Address Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Ika Kusumaningtyas

Contact Email
tyas.kusuma@ugm.ac.id

Phone
+628988833412

Journal Mail Official
bkm.fk@ugm.ac.id

Editorial Address
Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA