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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 11 Documents
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Search results for , issue "Vol 34, No 1 (2018)" : 11 Documents clear
Model prediksi kejadian demam berdarah dengue di kota yogyakarta bagian utara (zona musim 138) tahun 2010-2016 Dedik Sulistiawan; Lutfan Lazuardi
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (645.709 KB) | DOI: 10.22146/bkm.26250

Abstract

Use of a combined surveillance and meteorological data for predicting dengue hemorrhagic fever in YogyakartaPurposeThis study aimed to predict the incidence of dengue hemorrhagic fever using meteorological data such as rainfall, rainy days, air temperature, humidity, and dengue hemorrhagic fever surveillance data month by month in Northern Yogyakarta Municipality (Climatic Zone 138) through 2010-2016.MethodThis research was a descriptive study with a predictive design with temporal approach. This research processed secondary data of DHF incidence from Yogyakarta Municipality Health Office and climate variables from Meteorology Climatology and Geophysics Agency (BMKG) Yogyakarta from 2010 to 2016. Data were analyzed with univariate tests and presented in frequency distribution, bivariate analysis was performed using  Pearson/ Spearman correlation tests, and multivariate analysis used Poisson regression, negative binomial regression, and generalized poisson regression tests.ResultsDHF incidence in Northern Yogyakarta Municipality (Climatic Zone 138) was associated with meteorological factors in the same month up to 3 months earlier. Predictors of DHF case were dengue incidence of previous month, rainfall 2 months earlier, current temperature, and relative humidity of the previous month.ConclusionThe best prediction model of DHF incidence in Northern Yogyakarta Municipality (Climatic Zone 138) was a combination of surveillance and meteorological data. It is necessary to develop an awareness system of DHF incidence with meteorological database and surveillance in order to control the incidence of DHF in Yogyakarta Municipality.
ANALISIS SPASIAL KEJADIAN PENYAKIT KUSTA DI KABUPATEN BLORA PROVINSI JAWA TENGAH Jati Kurniawan; Sunardi Radiono; Hari Kusnanto
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (866.484 KB) | DOI: 10.22146/bkm.26267

Abstract

Spatial analysis of leprosy in BloraPurposeThis research aimed to discover the existence of leprosy agglomeration and factors causing leprosy.MethodThis research was an epidemiological study conducted in Blora. Data were analyzed using individual approach and spatial analysis.ResultsThere were clusters of leprosy cases at coordinates 7.215035 S and 111.535428 E radius of 10.54 km. Variables related to leprosy incidence were economic status and the distance of reservoir. The economic status obtained coefficient value -0.882169, error standard 0.372429, t-statistic -2.36869 and p-value 0.01881. While the distance of reservoir obtained coefficient value 0.00344507, standard error 0.000965419, t-statistic 3.56847 and p-value 0.00045.ConclusionThere were clusters of leprosy patients. There was a significant correlation between the variable of economic status and the distance of reservoir with the leprosy incidence. Health offices and related sectors need to provide informal skills training to leprosy patients for increasing family income.
Kesiapsiagaan rumah sakit umum kabanjahe dalam menanggulangi bencana alam gempa bumi di kabupaten karo
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.26385

Abstract

Latar Belakang: Kabupaten Karo yang wilayahnya berada di dataran tinggi bukit barisan dinyatakan sebagai daerah yang berisiko tinggi ancaman gempa vulkanik maupun gempa tektonik. Fasilitas kesehatan  terutama rumah sakit memiliki peran vital ketika bencana terjadi, Sehingga Rumah Sakit Umum Kabanjahe sebagai rumah sakit terbesar dan rujukan dari daerah sekitaran Kabupaten Karo perlu dinilai kesiapannya dalam mengantisipasi bencana alam gempa bumi.Tujuan: Penelitian ini menilai kesiapsiagaan RSUD Kabanjahe dalam menanggulangi bencana alam gempa bumi, mendeskripsikan hambatan dan peluang dalam membentuk rumah sakit siaga bencana serta ketersediaan komponen hospital disaster plan.Metode Penelitian: Penelitian ini menggunakan metode penelitian kualitatif dengan rancangan penelitian studi kasus. Penelitian ini mengkaji fenomena kontemporer tentang kesiapsiagaan Rumah Sakit Umum Kabanjahe dalam mengantisipasi bencana alam gempa bumi.Hasil: RSU Kabanjahe belum siap untuk mengantisipasi bencana alam gempa bumi serta belum selesai dalam membuat hospital disaster plan.Kesimpulan: Hambatan untuk membentuk rumah sakit siaga bencana antara lain masih belum tersedianya anggaran untuk penanggulangan bencana, kurangnya personalia rumah sakit yang memahami K3B, belum mengikuti pelatihan penyusunan hospital disaster plan, pelatihan kebencanaan serta rumah sakit belum pernah melaksanakan simulasi kebencanaan. Sedangkan peluangnya adalah RSU Kabanjahe sudah bekerja sama dengan instansi lain dalam pemenuhan fasilitas dan penyusunan rencana. Ketersediaan RSU Kabanjahe untuk komponen kebijakan, analisa risiko bencana, komunikasi, pembiayaan serta monitoring evaluasi belum sesuai dengan standar. Sedangkan untuk komponen organisasi dan fasilitas sudah tersedia secara kuantitas namun belum diorganisir untuk mengantisipasi bencana.
Kepatuhan dan Asertivitas Pegawai Negeri sipil (PNS) Pada Penerapan Peraturan Daerah Kawasan Tanap Rokok (KTR) " Studi Komparasi di Kabupaten Sleman dan Kabupaten Kulon Progo Tahun 2017"
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.26723

Abstract

Purpose: The aim of this research is to determine the difference of compliance and assertiveness of civil servants on the application of no-smoking areas in Sleman and Kulon Progo districts. Method: This research is an analytic survey research with cross sectional approach. The subjects of the research are civil servants in the regional government unit of work (satuan kerja perangkat daerah) of Kulon Progo District as many as 1,072 employees and Sleman as many as 2,300 employees from 26 regional government unit of work in Sleman and 25 regional government unit of work in Kulon Progo. The sampling technique is multistage random sampling technique. The research instrument is measured by questionnaires, and also observations and interviews to support the research. The analysis used is independent t-test and Mann-Whitney, which are to test whether there is a relationship between independent and dependent variables. Results: Independent t-test and Mann-Whitney test results showed that there is a difference of knowledge on the implementation of regional regulation of no-smoking areas with (p=0,000), attitude with (p=0,003)  and difference of socialization on the implementation of regional regulation of no-smoking area with (p=0,000) Logistic regression test results shows that the dominant factor influencing the implementation of the regional regulation of no-smoking area is knowledge with p value=0,000. Conclusion: There is a difference of knowledge, attitude and socialization of civil servants in Kulon progo and Sleman districts. There is no difference in attitude, smoking status, compliance, assertiveness, accessibility and coworkers who smoke of civil servants in Kulon progo and Sleman districts. The dominant factor affecting the compliance and assertiveness of civil servants is knowledge.
Bias Provider Dan Peluang Terjadinya Unmet Need KB Pada Pasangan Usia Subur di Kecamatan Kraton Kota Yogyakarta Asep Novianto; Ova Emilia; Djaswadi Dasuki
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (112.663 KB) | DOI: 10.22146/bkm.26753

Abstract

Latar Belakang: Indonesia merupakan negara dengan jumlah penduduk terbanyak ke-4 di dunia. Jika laju pertumbuhan penduduk tidak dikendalikan maka dimungkinkan akan terjadi ledakan penduduk. Salah satu program untuk menekan laju pertumbuhan penduduk di Indonesia yaitu dengan program Keluarga Berencana (KB). Salah satu masalah dalam pengelolaan program KB yaitu masih tingginya angka unmetneed KB pada pasangan usia subur. Salah satu faktor penyebab unmet need karena takut efek samping KB, hal tersebut dimungkinkan karena masih rendahnya kualitas interaksi provider KB dalam memberikan informasi tentang alat dan obat kontrasepsi yang mengacu pada Method Information Index (MII) dan juga standar elemen pelayanan keluarga berencana lainnya, sehingga banyak pelayanan dan informasi KB dilakukan bias oleh provider (penyedia dan pemberi layanan) KB.Tujuan: Mengetahui hubungan bias provider dengan kejadian unmetneed KB pada pasangan usia subur di Kecamatan Kraton Kota Yogyakarta.Metode: Rancangan penelitian cross sectional, dengan responden pasangan usia subur di Kecamatan Kraton Kota Yogyakarta dan memenuhi kriteria inklusi, dengan subjek penelitian sebanyak 121 orang. Teknik pengambilan data dengan multi stage random sampling. Analisis data dengan univariabel, bivariabel menggunakan uji statistik chi-square dengan tingkat kemaknaan (p<0,05) dan  tingkat kepercayaan 95% CI. Analisis multivariabel menggunakan uji statistik regresi logistic. Penelitian ini  dilakukan pada bulan Mei-Juni 2017.Hasil: Menunjukkan bahwa terdapat hubungan yang bermakna baik secara statistik maupun praktis antara bias provider dengan kejadian unmetneed KB pada pasangan usia subur di Kec.Kraton dengan nilai p<0,05 (p=0,00) OR 3,2 (95%; 1,71-2,63). Hasil analisis bias provider setelah mempertimbangkan dukungan suami, pekerjaan dan jumlah anak berpengaruh sebesar 15% didalam peluang terjadinya unmetneed KB.Kesimpulan: Terdapat hubungan antara bias provider dengan peluang terjadinya unmetneed KB pada pasangan usia subur. Kata Kunci: Bias Provider, Unmet need KB, Pasangan Usia Subur.
Faktor risiko kematian akibat dengue di RSUP Dr. Sardjito Yogyakarta Ruri Trisasri; Eggi Arguni; Riris Andono Ahmad
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (508.072 KB) | DOI: 10.22146/bkm.26801

Abstract

Risk factors of death due to dengue hemorrhagic fever in a tertiary public teaching hospital of YogyakartaPurposeWe examined risk factors of dengue hemorrhagic fever death in Dr. Sardjito Hospital.MethodWe conducted a case control study from patient medical records and interviews with parents.ResultsWe found 29 deaths and 58 patients who survived. The probability of death among obese children was 6 times higher than non obese children and the probability of death in children with prolonged shock was 12 times higher than children without prolonged shock. Other variables were family occupation, family income, residential zones, transportation, treatment financing, accuracy of diagnosis in previous health facilities, and fluid resuscitation before being referred had no significant relationship with dengue mortality.ConclusionObesity and prolonged shock were risk factors of dengue hemorrhagic fever death in children. Improved education to parents about high risk of shock syndrome among patients is needed especially for obese children. Further studies related to social determinants in dengue hemorrhagic fever death are also necessary.
Analisis Spasial Kejadian Malaria Dan Habitat Larva Nyamuk Anopheles spp di Wilayah Kerja Puskesmas Winong Kabupaten Purworejo Resiany Nababan; Sitti Rahmah Umniyati
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (685.253 KB) | DOI: 10.22146/bkm.26941

Abstract

Environmental and behavioral factors affecting malaria cases in high endemic area of Central Java: a geographic information system analysisPurposeThis research aimed to analyze risk factors involved in malaria cases, to map the spatial distribution of malaria cases related to breeding habit to location spacing and to know the habitat of Anopheles sp.  mosquito larvae near the  the public health center of Winong, district of Purworejo.MethodThis research was a case control study using data through the geographic information system.ResultsTemperature, humidity and rainfall variables had no correlation with malaria incidence. There were correlations between malaria incidence with the existence of breeding habitat, house wall condition and nighttime habit, whereas the presence of livestock, breeding site distance, the habit of wearing mosquito nets, the use of wire mesh, the use of mosquito repellent and the habit of visiting endemic areas had no correlation with malaria incidence. Night-outside habits were the highest risk factors associated with malaria incidence.ConclusionThere was no correlation between weather factors and malaria incidence. There was a correlation between the presence of larval breeding habitat, the condition of the wall of the house and the habit of going out at night with the incidence of malaria. There are 3 clusters in the work area of public health center in Winong and most cases are in the buffer zone area 1000 m distance.
Fenomena perokok wanita di wilayah kerja Puskesmas Tes, Kabuapten Lebong, Provinsi Bengkulu Tri Addya Karini; Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (324.29 KB) | DOI: 10.22146/bkm.26942

Abstract

Unique social features of female smokers in Lebong district of Bengkulu IndonesiaPurposeThis study aimed to determine the cause and process of women’s smoking behavior.MethodThis research was a phenomenological study involving 15 women who smoke and live in Tes village, Lebong District of Bengkulu. Data collection was conducted through in-depth interviews and participant observation. The triangulation of data was reached through in-depth interviews on two public health center staff, and four husbands of the participants.ResultsResults showed that imitating friends, having smoking mothers, financial independency, increased sensitivity and desire for cigarette smoke smell when pregnant were the reasons women wanted to smoke. Also, they enjoy cigarette smoking after meals and smoked as part of their culture (smoke on the day received salary and celebrations day “uleak”). If they were not smoking they got headaches, bitter mouth and tongue felt thick, and felt support from husbands towards smoking behavior. The study also found that there was not any education about the impacts of smoking.ConclusionIt is indispensable to do health education about the negative impacts of smoking on health for women which requires a special program to help women smokers to stop smoking and prevent non-smoking women from starting smoking, such as quit smoking counseling services. 
Hubungan Faktor Iklim dan Ketersediaan Air Bersih dengan Kejadian Diare di Kota Kupang Tahun 2011-2015
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.645 KB) | DOI: 10.22146/bkm.27016

Abstract

Purpose: This study aims to determine the relation of climate factors and the availability of clean water with the diarrhea occurrence in Kupang City from the years of 2011-2015. Method: This study used ecological study design by using pearson correlation test with spearman correlation test alternative and uses secondary data consisting of diarrhea case data, water discharge data and climate data of Kupang City from 2011-2015. Results: The results of statistical analysis known that variables that have relationship with diarrhea occurrence in Kupang City are rainfall (p = 0.0001; r = -0.48), humidity lag1-3 (p = 0,000; r = -0, 5), wind speed lag2-3 (p = 0,000; r = 0,5 and clean water supply (p = 0.0002; r = - 0.47) while the air temperature variable has no relation with diarrhea occurrence in Kupang city in 2011 -2015 (p value> 0,05). Conclusion: Based on the research results, it was concluded that variables of rainfall, humidity lag1-3, wind speed lag2-3 and availability of clean water indicate a relationship with the incidence of diarrhea in Kupang City from the years of 2011-2015.
Adolescent pregnant women experiences in three primary health care centers of Yogyakarta: the need of friendly and sensitive support care Dara Ardhia; Budi Wahyuni; Wenny Artanty Nisman
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (396.575 KB) | DOI: 10.22146/bkm.30472

Abstract

Purpose: Explore the meaning of adolescent’s experience and social support needs from health staff in pregnancy.Method: This research was a qualitative research with phenomenology. The study was conducted in three catchment areas of Puskesmas Jetis, Gedongtengen and Umbulharjo 1 from 6 May to 7 July 2017. The selection of participants using the technique of maximal variation and the number of participants adjusted to the varied place of study and the variation of participants and the number of participants was 6. The research data was collected by using in-depth interview technique with semi-structured interview guide. The data were analyzed with Collaizi technique analysis.Results: There are 5 themes in this study that is, the experience of adolescents at the beginning of their pregnancies, differences in the reasons adolescent maintain their pregnancies, the form of support that adolescent have gained during pregnancy, adolescent perspectives on the behavior of health staff during accompanying pregnancy and social support needs of adolescent pregnancy from health staff .Conclusion: Adolescent acceptance of pregnancy occurs as pregnancy progresses, support from optimal health staff increases teen motivation to maintain and run pregnancy well and informational support from health staff is a key requirement for teenage pregnancy.

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