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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 7 Documents
 1 
Search results for , issue "Vol 32, No 4 (2016)" : 7 Documents clear
The effectiveness of exclusive breastfeeding counseling in expectants in Kutai Kartanegara Ismi Mufiddah; Ira Paramastri; Trisno Agung Wibowo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 4 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.472 KB) | DOI: 10.22146/bkm.6708

Abstract

Effectiveness of counseling to increase exclusive breastfeeding practice among pregnant women in Tenggarong, Kutai KartanegaraPurposeThis research aimed to examine the effectiveness of breastfeeding counseling, to increase knowledge, attitudes, perception for behavioral control, intention and behavior of mothers in exclusive breastfeeding (EBF).MethodsA quasi-experiment study was conducted by comparing an experimental group (29 participants) and a control group (29 participants). The research was conducted in two public health center at different districts at Kutai Kartanegara. Respondents were pregnant women attending antenatal care. The independent variable was breastfeeding counseling, while dependent variables included knowledge, attitudes, perceived behavioral control, intention and behavior of mother on exclusive breastfeeding.ResultsBreastfeeding counseling during pregnancy increased knowledge about EBF. Counselling increased intentions to EBF as well. However, statistical analyses showed that counseling did not make changes to pregnant women’s attitude, perceived behavioral control, and intention to provide EBF. Similarly, there was no difference regarding the behavioral control and attitude towards EBF.ConclusionCounseling increased knowledge and intention to EBF. However, knowledge and intention were not necessarily improved with behavior in terms of EBF. Further research is needed to improve educational techniques. 
Intensi Ketua Rukun Tangga Mengendalikan Rokok: efek dari penyuluhan dengan leaflet dan video di Kabupaten Kutai Kartanegara Rumhanik Yuli Utami; Rendra Widyatama; Fatwa Sari Tetra Dewi
Berita Kedokteran Masyarakat (BKM) Vol 32, No 4 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (599.991 KB) | DOI: 10.22146/bkm.6830

Abstract

Neighborhood head intention in tobacco control: the effect of leaflet and video-based health education in Kutai Kartanegara DistrictPurposeThe purpose of this paper was to determine the effect of health education through counseling with leaflets and video in improving knowledge, attitude, and intention in smoking control by the heads of Kutai Kartanegara. MethodsA quasi-experimental study was conducted involving 68 heads of a neighborhood who were divided into an experimental group and a control group with equal people in each group in Kutai Kartanegara. Leaflets-based counseling was given to the experimental group, while video-based counseling was given to the control group. ResultsThe study found that there was an increase in knowledge, attitudes, and intentions in both groups. Results showed the health education using leaflets had better influence compared to the video method. ConclusionHealth education and counseling using leaflet and video media provided a significant influence in increasing knowledge, attitude and intention to control the smoking of the heads of the neighborhood. The method of health education through counseling with leaflets was more effective than video in improving the heads of neighborhood’s knowledge and intention of smoking control. The use of leaflet media and video playback in health education activities needs to be improved for better effectiveness of cigarette control.
The influence of smoke haze on the incidence of pneumonia in under-five children in Pontianak Ika Muthya Anggraini; Adi Heru Sutomo; Sukandarrumidi Sukandarrumidi
Berita Kedokteran Masyarakat (BKM) Vol 32, No 4 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (546.2 KB) | DOI: 10.22146/bkm.6910

Abstract

Smog effects on pneumonia in under-five children in Pontianak CityPurposeThe purpose of this study was to discover the influence of smoke haze on the incidence of pneumonia in under-five children in Pontianak.MethodsAn ecological study was conducted using time trend analysis, with correlation and multiple linear regression analysis on data of under-five children diagnosed with pneumonia following primary health care diagnosis meeting WHO criteria in Integrated Management of Childhood Illness (MTBS) in Pontianak from January 2010 to January 2014. ResultsThe study found that smoke haze had no direct effects on the incidence of pneumonia in under-five children in Pontianak. Instead, pneumonia in under-five children is influenced by seasons, while smoke haze is also affected by the season, especially during the dry season.ConclusionPneumonia disease in under-five children was influenced by seasons. In the dry season, NO2 content in the air undergoes photochemical reactions that increase O3 levels, while in the rainy season, pneumonia is affected by rainfall and wind velocity that causes air to become moist. The smoke haze generated by forest and land fires in the form of gases and particles has no direct effects on pneumonia in under-five children. Further research to decrease O3 levels in the air, especially in the dry season needs to be done. In addition, policies related to the reduction of hotspots in the dry season also need to be done by the government to minimize the risk factors of pneumonia events.Pneumonia disease in under-five children was influenced by seasons. In the dry season, NO2 content in the air undergoes photochemical reactions that increase O3 levels, while in the rainy season, pneumonia is affected by rainfall and wind velocity that causes air to become moist. The smoke haze generated by forest and land fires in the form of gases and particles has no direct effects on pneumonia in under-five children. Further research to decrease O3 levels in the air, especially in the dry season needs to be done. In addition, policies related to the reduction of hotspots in the dry season also need to be done by the government to minimize the risk factors of pneumonia events.
Efek cadmium pada pekerja las bengkel knalpot di Purbalingga Septiono Bangun Sugiharto; Suwarso Suwarso; Widharto Prawirohardjono
Berita Kedokteran Masyarakat (BKM) Vol 32, No 4 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (415.598 KB) | DOI: 10.22146/bkm.7326

Abstract

Latar belakang: Pekerja pembuat knalpot bagian pengelasan perlu mendapat perhatian terhadap potensi gangguan kesehatan. Pekerja las dan Pipefitters (pekerja pada fabrikasi dan mekanik pipa-pipa logam) berpotensi terpapar logam Cadmium (Cd) melalui fume saat proses pengelasan. Cadmium menduduki urutan kedua dalam hal toksisitasnya setelah Hg, kemudian diikuti Ag, Ni, Pb, As, Cr, Sn, Zn. Penelitian ini ingin mengkaji apakah terdapat hubungan antara kandungan kadar cadmium dalam darah terhadap penurunan fungsi ginjal ditinjau dari kadar ureum dan kreatinin pada pekerja las bengkel knalpot.Metode: Penelitian ini menggunakan pendekatan Cross sectional. Penelitian dilakukan dari bulan Mei-Juli 2015. Sampel dihitung menggunakan rumus sampel dan diperoleh sampel 36 orang. Responden yang mengikuti penelitian hingga akhir sebanyak 32 orang.Analisis dilakukan secara univariat dan bivariat.Hasil: Hasil analisis bivariat menggunakan uji korelasi Spearman menunjukkan tidak ada hubungan antara Variabel Luar (umur, kebiasaan merokok, higienitas diri, masa kerja, jumlah jam kerja per minggu, penggunaan masker) dengan variabel bebas (kadar cadmium) dengan nilai Correlation coefficient (r) < 0,349. Kemudian analisis bivariat antara Variabel Bebas (Kadar Cadmium) dengan Variabel Terikat (Kadar Ureum dan Kreatinin) menggunakan uji korelasi Pearson menunjukkan tidak ada hubungan dengan nilai Correlation coefficient (r) < 0,349.Kesimpulan: Tidak terdapat hubungan antara Variabel Luar (umur, kebiasaan merokok, higienitas diri, masa kerja, jumlah jam kerja per minggu, penggunaan masker) dengan variabel bebas (Kadar Cadmium) pada pekerja las bengkel knalpot di Kelurahan Purbalingga Lor. Tidak terdapat hubungan antara Variabel Bebas (Kadar Cadmium) dengan Variabel Terikat (Kadar Ureum dan Kreatinin) pada pekerja las bengkel knalpot di Kelurahan Purbalingga Lor.
Lifestyle of hypertension patients who is participated in Jaminan Kesehatan Nasional (JKN) in Batang Mutmainah Bahrun; Yayi Suryo Prabandari; Yulita Hendrartini
Berita Kedokteran Masyarakat (BKM) Vol 32, No 4 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.445 KB) | DOI: 10.22146/bkm.8501

Abstract

PurposeThe purpose of this paper was to explore the behavior of hypertension patients who was participated in Jaminan Kesehatan Nasional (JKN) that form a lifestyle in the prevention of complications due to hypertension.MethodA qualitative-case study was conducted involving observations and depth interview to 13 hypertension patients who was participated in Jaminan Kesehatan Nasional (JKN), 2 wives and 1 husband of patients with hypertension, also 3 doctors who were BPJS partners in Batang.ResultsThe study found that first, hypertension patients in Batang knew that they were potentially affected by complications due to hypertension. Second, there was a difference in experience and behavior between hypertension patients of prolanis (program pengelolaan penyakit kronis) members and non-prolanis (program pengelolaan penyakit kronis) members. The behavior of hypertension patients of prolanis members tends to be better than non-prolanis. Third, consumption of antihypertensive drugs was preferred in the prevention of complications due to hypertension rather than improving or modifying the behavior of hypertension patients.ConclusionThe positive experience of hypertension patients during being a JKN participant of prolanis  and non-prolanis members formed a different lifestyle, also a different prevention efforts. This is due to information about hypertension that prolanis members got is better than non prolanis. JKN participants are suggested to become members of prolanis so that family doctors partner BPJS as the providers  of JKN can be more active in conveying information specifically related to hypertension and its complications. Innovative, adaptive and accessible information delivery needs to be considered in an effort to improve the lifestyle behavior of hypertension patients. 
ANALISIS BEBAN EKONOMI KEJADIAN LUAR BIASA (KLB) CAMPAK DI DAERAH ISTIMEWA YOGYAKART A TAHUN 2015
Berita Kedokteran Masyarakat (BKM) Vol 32, No 4 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.10781

Abstract

ABSTRAK  Latar Belakang: Jumlah kasus campak di DIY  tahun 2014 mencapai 1.222 kasus (Kemenkes 2014). Jumlah ini menempatkan DIY menjadi provinsi dengan jumlah kasus campak terbanyak ketiga setelah DKI Jakarta dan Aceh. Kejadian luar biasa campak di 2014 sebanyak 10 kali dengan 262 kasus, 2014 1 kali dengan 14 kasus. Penelitian ini bertujuan untuk menganalisis beban ekonomi akibat KLB campak pada sektor rumah tangga.Metode: Penelitian deskriptif dengan desain survei, data yang dikumpulkan  berupa biaya langsung dan tidak langsung yang terjadi selama pasien terkena campak, dilakukan wawancara menggunakan kuesioner. Data skunder berupa kejadian luar biasa campak tahun 2014 dan 2015. Penelitian pada Februari -  Maret 2016. Hasil: Jumlah respondensebanyak 177, yang merupakan pasien  KLB campak di DIY, 163 pasien (92,09%) mengunjungi fasilitas kesehatan. Total biaya medis adalah Rp 17.982.000,- biaya langsung non medis Rp 7.804.900,- sehingga total biaya langsung Rp 25.786.900,-  (Rp 145.700,- per kasus). Sedangkan total biaya tidak langsung Rp 11.720.000,-(Rp 160.500,-). Estimasi beban ekonomi KLB campak Rp 37.506.900,- (Rp. 211.900,- perkasus). Setara dengan  9,20% dari  pendapatan rumah tangga. Secara umum biaya yang di keluarkan tunai (Out Of Pocket) sebesar 6,32% dari pendapatan rumah tangga, belum sampai  katastropik. Komponen yang  dominan  adalah biaya langsung. Kesimpulan: Estimasi beban ekonomi KLB campak Rp 211.900,- perkasus, beban ini secara umum masih bisa di atasi oleh rumah tangga. Namun ada 6 pasien (35,29%) dari total pasien rawat inap yang melakukan strategi copyng (meminjam uang, menjual aset dan menggadai barang). Perlu advokasi kepada masyarkat terkait pencegahan campak yaitu dengan cara imunisasi campak.  Kata kunci : Biaya, Beban ekonomi, KLB Campak 
Analisis Beban Ekonomi Kejadian Luar Biasa (KLB) Campak di Daerah Istimewa Yogyakarta Tahun 2015
Berita Kedokteran Masyarakat (BKM) Vol 32, No 4 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.11793

Abstract

Latarbelakang: Jumlah kasus campak di DIY  tahun 2014 mencapai 1.222 kasus (Kemenkes 2014). Jumlah ini menempatkan DIY menjadi provinsi dengan jumlah kasus campak terbanyak ketiga setelah DKI Jakarta dan Aceh. Kejadian luar biasa campak di 2014 sebanyak 10 kali dengan 262 kasus, 2014 1 kali dengan 14 kasus. Penelitian ini bertujuan untuk menganalisis beban ekonomi akibat KLB campak pada sektor rumah tangga.Metode: Penelitian deskriptif dengan desain survei, data yang dikumpulkan  berupa biaya langsung dan tidak langsung yang terjadi selama pasien terkena campak, dilakukan wawancara menggunakan kuesioner. Data sekunder berupa kejadian luar biasa campak tahun 2014 dan 2015. Penelitian pada Februari -  Maret 2016.Hasil: Jumlah responden sebanyak 177, yang merupakan pasien  KLB campak di DIY, 163 pasien (92,09%) mengunjungi fasilitas kesehatan. Total biaya medis adalah Rp 17.982.000,- biaya langsung non medis Rp 7.804.900,- sehingga total biaya langsung Rp 25.786.900,-  (Rp 145.700,- per kasus). Sedangkan total biaya tidak langsung Rp 11.720.000,-(Rp 160.500,-). Estimasi beban ekonomi KLB campak Rp 37.506.900,- (Rp. 211.900,- perkasus). Setara dengan  9,20% dari  pendapatan rumah tangga. Secara umum biaya yang di keluarkan tunai (Out Of Pocket) sebesar 6,32% dari pendapatan rumah tangga, belum sampai  katastropik. Komponen yang  dominan  adalah biaya langsung. Estimasi beban ekonomi KLB campak Rp 211.900,- perkasus, beban ini secara umum masih bisa di atasi oleh rumah tangga. Namun ada 6 pasien (35,29%) dari total pasien rawat inap yang melakukan strategi copyng (meminjam uang, menjual aset dan menggadai barang).Kesimpulan: Perlu advokasi kepada masyarkat terkait pencegahan campak yaitu dengan cara imunisasi campak. 

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