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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 26, No 4 (2010)" : 7 Documents clear

Studi Kohort Kejadian Penyakit Demam Berdarah Dengue Misti Rahayu, Tri Baskoro, Bambang Wahyudi
Berita Kedokteran Masyarakat (BKM) Vol 26, No 4 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Dengue Hemorrhagic Fever (DHF) disease is caused by dengue virus transmitted through the bites of Ae.aegypti. At Surabaya Municipality DHF cases are increasing within the last five years. Risk factors for the prevalence of DHF are among others: 1) occupancy density, 2) availability of water tank, and 3) population behavior such as securing/keeping water tank closed, draining water tank once a week and burrying used items, sleeping in the morning and afternoon, leaving windows open from morning to evening.Objective: To identify association between three risk factors as mentioned above and the prevalence of DHF disease at Subdistrict of Sawahan, Surabaya Municipality.Method: The study was analytic observational with cohort design, involving as many as 1,092 samples of houses and 4,549 respondents from three councils at Subdistrict of Sawahan. To identify the prevalence of DHF disease, interview with respondents and direct examination were made within three subsequent months. To identify distribution of respondents and the prevalence of DHF disease, analysis was made descriptively. Chi square test was made to identify association between exposure and the prevalence of DHF disease and Risk Relative (RR) measurement was made to identify degree of association.Result: Occupancy density statistically had no association with the prevalence of DHF disease p=0.269 and RR=1.242). Availability of waste water sewage with high status of Maya Index Statistically had no association with the prevalence of DHF disease (p=1.000 and RR=1.028). Behavior of the population in keeping water tank closed, draining water once a week and burying used items p= 1.000 and RR=1.003; opening windows from morning to evening p=1.000 and RR=1.003; sleeping in the morning p=0.163 and RR=2.041; sleeping in the afternoon p=1.000 and RR=0.814; and opening windows p=1.000 and RR=1.042 showed no association with the prevalence of DHF disease.Conclusion: Factors of occupancy density, availability of water tank based on Maya Index (MI) and population behavior had no association with the prevalence of DHF disease at Subdistrict of Sawahan, Surabaya Municipality.Keywords: occupancy density, Maya Index, dengue hemorrhagic fever, behavior

Faktor-Faktor Risiko Hipertensi Sistolik Terisolasi pada Lanjut Usia Abdul Farid Lewa, I Dewa Putu Pramantara, Th. Baning Rahayujati
Berita Kedokteran Masyarakat (BKM) Vol 26, No 4 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Elderly period is the final period of development in human life cycle. One reaches elderly period when he or she is >60 years old. US Census Bureau in WHO Report projects that in 2000-2030 world population of >60 years old will increase from 6.9% to 12.0% with the biggest increase in developing countries. Isolated systolic hypertension (ISH) is an important cardiovascular risk factor in the elderly as indicated from systolic blood pressure >140mmHg and diastolic pressure <90mmHg. One of causes of increasing blood pressure in the elderly population is ISH. Its prevalence and incidence increase in line with increasing age and it is estimated that 55% of population will have hypertension at the age of 60 years and 65% at the age of > 70 years. In elderly population with hypertension 65% of them have ISH.Objective: The study aimed to identify risk factors of ISH among the elderly at Kalibawang, District of Kulon Progo, Province of Yogyakarta Special Territory.Method: The study was observational with case control study design. Subject of the study were elderly of >60 years old based on inclusion and exclusion criteria. Subject consisted of 238 people comprising 119 cases and 119 controls. Analysis used chi square test (X2) at significance 95% and multiple logistic regression to identify dominant factors in the prevalence of ISH.Result: Variables of smoking habit, psychosocial stress and physical activity were risk factors for the prevalence of ISH in the elderly at Kalibawang where by smoking habit OR =3.353 (95% CI 1.375-8.172); psychosocial stress OR = 2.449 (95% CI 1,408-4,260) and less physical activity, OR =1.970 (95% CI 1.110-3.495).Conclusion: Smoking habit (OR=3.35), psychosocial stress (OR=2.44) and less physical activity (OR=1.97) where as obesity was not risk factor for the prevalence of ISH.Keywords: Risk factors, isolated systolic hypertension, elderly

Kepercayaan Ibu Rumah Tangga tentang Nyamuk Aedes dan Pencegahan Demam Berdarah Dengue di Kelurahan Endemis Aryani Pujiyanti, Ira Paramastri, Atik Triratnawati
Berita Kedokteran Masyarakat (BKM) Vol 26, No 4 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Active community participation in controlling mosquito breeding sites (Pemberantasan Sarang Nyamuk/PSN) in Semarang especially apart from epidemic situation was difficult to be formed as a habit. It was shown by the high incidence of dengue hemorrhagic fever cases and the larva-free rate that haven’t met the national indicator of 95%. The lack of comprehension about DHF, vector and DHF prevention could be barriers in implementation of DHF prevention. This understanding was connected with local belief and social cultural factors in the community.Objective: To explore housewife’s belief of Aedes mosquitoes that might affect DHF prevention practice in endemic sub district, Tembalang district, Semarang.Method: Research was conducted with qualitative design, using case study. Subject of the study were 17 housewives which selected with purposive sampling. The data collection was carried out through focus group discussions, indepth interviews and observation. The techniques used to test data validity were triangulation and member checking method. Data were analyzed using content analysis approached.Results: Housewives who had small children felt more vulnerable toward DHF. The community would tend to pay attention to the seriousness of the threat when DHF cases were increased in the community. Aedes sp was more perceived as a nuisance rather than disease vectors. Barriers that arise from PSN were the implementation that was not all together and PSN needed specific time and energy.Conclusion: Housewives tend to use a biomedical model for understanding the causes, signs and treatment of critical stage of DHF. Housewives perception of Aedes could be explained by naturalistic model. PSN suggested by health practitioners was not suitable with cultural context. A program that could be suggested was a training of cadres to identify mosquito breeding sites, introduction of mosquito-stage development and the correct practice of 3M plus.Keywords: dengue hemorrhagic fever, belief, housewives, Aedes

Peran Ayah dalam Praktik Menyusui Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 26, No 4 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: In Indonesia the prevalence of exclusive breastfeeding in 2007 was 32%. Although breastfeeding is a common practice, exclusive breastfeeding remains unpracticed optimally due to some influential factors. One factor to be considered here is father’s role. However, until recently studies regarding father’s role in breastfeeding practice have not been fully explored in Indonesia. In Bukittinggi exclusive breastfeeding rate was 63,5% in 2008.Objective: To investigate the relationship between the father’s role and breastfeeding practices in Bukittinggi Municipality.Method: This was an observational study with cross-sectional study design. Subjects were families with babies aged 0 – 6 months using non probability sampling. The independent variable was the father’s role and the dependent variable was breastfeeding practices. Meanwhile, the extraneous variables included knowledge, attitude, mother’s occupation; father’s working hours in a day, and income. The data were analyzed using univariable analysis, bivariable analysis with chi-square test, and multivariable analysis with logistic regression.Results: The result of multivariable analysis showed that there was a significant relationship between the father’s role and breastfeeding practice, by including father’s knowledge, mother’s knowledge, father’s attitude and mother’s attitude that could predict by 12% (RP= 1.93; 95% CI= 1.36 – 2.74).Conclusion: The prevalence of exclusive breastfeeding practices in the supporting father group was greater than in the group that non-supporting father. The recommendations are that fathers should be targeted audience in the breastfeeding promotion.Keywords: father’s role, breastfeeding practices

Analisis Faktor-Faktor yang Berpengaruh terhadap Motivasi Kerja Petugas Pelaksana Manajemen Terpadu Balita Sakit di Puskesmas Faridah Faridah
Berita Kedokteran Masyarakat (BKM) Vol 26, No 4 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Integrated Management of Childhood Illness (IMCI) is one of the strategies to improve quality of services for unhealthy infants and children under five years who visit to a health center. To support that program, in June 2008, training of the program was conducted to 42 health centers in Surabaya City in which 23 health centers had implemented the program. Coverage of infants and children under five years who were handled by the program was equal to 10%. The achievement of the work performance could not be separated from the officer’s work motivation of the Integrated Management of Sick Children under Five Years.Objective: to investigate the factors that influences the officer’s work motivation of the Integrated Management of Childhood Illness in the health centers in Surabaya City in year 2009.Method: This was an observational research with survey method and cross-sectional approach. The research instrument used a structured questionnaire which had been examined in terms of the validity and reliability. Data were analyzed using bivariate analysis (Chi Square Test) and multivariate analysis (Logistic Regression Test). Number of sample was 42 respondents who worked as a doctor, a nurse, and a midwife at the health centers in Surabaya City.Result: The result of this research showed that most of the respondents had poor perceptions to the compensation (54.8%), to the work condition (47.6%), to the policy (50.0%), to the supervision (42.9%), to the job (33.3%), and to the work motivation (54.8%). The result of bivariate analysis showed that variables of perception to the work condition, perception to the policy, and perception to supervision had a significant relationship with the officer’s work motivation at the health centers in Surabaya City (p < 0.05). Based multivariate analysis, it showed that variables of perception to the work condition (p value = 0.034 and Exp B = 5.500) and perception to the policy (p value = 0.003 and Exp B = 11.000) together influence the officer’s work motivation at the health centers in Surabaya City.Conclusion: As a suggestion, in terms of the work condition, there should be provided some logistics (medicines, devices, forms, and KNI) before executing the program at the health centers. In terms of the policy, the head of the health centers should make a planning of activities and an understandable regulation. The head of the health centers and a team should make a standard operating procedure of the program.Keywords: work motivation, Integrated Management of Childhood Illness, officer’s work, health centers

Kepuasan Siswa Slta terhadap Penyuluhan Kesehatan Reproduksi Remaja oleh Badan Koordinasi Keluarga Berencana Nasional Nina Rahmadiliyani; Mubasysyir Hasanbasri; Fitriani Mediastuti
Berita Kedokteran Masyarakat (BKM) Vol 26, No 4 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Adolescent reproductive health program is a description form of the mission of National Family Planning Coordination Body’s Program (BKKBN), which is preparing early qualified human resources in order to create qualified family in 2015. In order to guarantee the rights of sexual and reproductive health youth provision, it is required an integrated and cross-sector effort. Reproductive health education activities that have been conducted in the schools is that health education is integrated into physical education and health lessons and biology.Objectives: This study aims to know the satisfaction of the senior high school students to adolescent reproductive health’s counseling, to know the implementation of adolescent reproductive health counseling and find out the coordination of reproductive health high school adolescents by BKKBN.Method: This research is experimental research with non-analytical with retrospective approach supported quantitative with qualitative methods.Results: Analysis of univariable that students who are not satisfied with adolescent reproductive health’s counseling are important as 30 respondents, the least important of 30 respondents. Bivariable analysis is bivariate relationship between counseling and satisfaction is significantly proven (at 5% error level).Conclusion: Counseling adolescent reproductive health in high school by BKKBN District Klaten not give satisfaction to the students. Implementation counseling adolescent reproductive health by BKKBN District Klaten not meet the needs of students, Espionage activities by BKKBN District Klaten program is still only knowledgeable about the needs of the urgency of adolescent reproduction, School has a new initiative to request assistance from the BKKBN but can not manage the service needs of adolescents. National Family Planning Coordination Body’s Program (BKKBN) is hoping to involve students in implementation strategy program to reach an effective activity.Keywords: satisfaction, implementation, counseling, coordination

Evaluasi Pelayanan Manajemen Terpadu Balita Sakit terhadap Kesembuhan Pneumonia pada Anak Balita Nurhayati Djaswadi Dasuki, Tunjung Wibowo
Berita Kedokteran Masyarakat (BKM) Vol 26, No 4 (2010)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Infant and under-five children mortality remains a major problem in Indonesia, especially caused by infectious diseases such as pneumonia. Based on the 2002-2003 Indonesia’s Demographic and Health Survey, infant and under-five mortality rates are 35 per 1000 live births and 46 per 1000 live births, respectively. Nationally, Health Office has implemented Integrated Management of Childhood Illness (IMCI) in primary health centers (PHCs) since 1997 to improve the coverage of pneumonia finding in under-five children. In 2005, infant mortality rate in Jambi Province was still high, that is, 41 per 1000 live births while infant mortality rate in Bungo District was 93 per 6108 live births 15,2%. Each year, there are 9 babies and 1 under five child that die and for the average there is one under five child (10%) who die because of pneumonia. In other words, there are three under five children who die every year in primary health center due to pneumonia. To avoid the death of infant and under five children, primary health center should implement standard IMCI program, yet in field it has still been facing obstacles and constraints.Objective: To investigate the results of standard IMCI service toward the recovery of under-five pneumonia in primary health centers of Bungo District in 2007.Method: This was a prospective cohort study. Sampling technique was purposive sampling. There were two groups in this study, namely case group which was exposed with the standard IMCI service and group which was exposed with non standard IMCI service. One hundred and twenty-four subjects were under-five children 2 months-5 years of age presenting pneumonia with α = 0.05 and β = 20%. Data were analyzed with univariable, bivariable, and multivariable analyses logistic regression and hypothesis test used was chi-square with p<0.05, CI 95%.Results: There was a significant relationship between the standard IMCI service, the distance to the PHC and the mothers’ education and the recovery of under-five pneumonia (OR=3.14 CI 95%=1.59-6.21 p=0.00; OR=1.68 CI 95%=1.09-2.57 p=0.00; OR=0.57 CI 95%=0.35-0.92 p=0.02, respectively). However, family income had an insignificant relationship with under-five pneumonia.Conclusion: The standard IMCI services have a greater chance toward the recovery of under-five pneumonia compared to non standard IMCI services.Keywords: services, standard, IMCI, recovery, pneumonia, under-five children

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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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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