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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 4 Documents
 1 
Search results for , issue "Vol 34, No 12 (2018)" : 4 Documents clear
Exit strategy perempuan dari perkawinan anak : studi kualitatif di Rembang
Berita Kedokteran Masyarakat (BKM) Vol 34, No 12 (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.38808

Abstract

Latar Belakang: Perkawinan anak merupakan masalah kesehatan reproduksi karena memperpanjang masa reproduksi terutama pada perempuan yang berisiko mengakibatkan kematian ibu dan bayi. Kemiskinan, peranan gender dalam keluarga, pemahaman keagamaan dan tradisi perkawinan merupakan faktor terjadinya perkawinan anak di Kabupaten Rembang. Dalam kondisi yang demikian, ternyata sebagian perempuan mengambil keputusan untuk keluar dari perkawinan anak.Tujuan: Tujuan penelitian ini adalah mengeksplorasi strategi pada perempuan yang keluar dari budaya perkawinan anak di Kecamatan Sedan Kabupaten Rembang.Metode: Penelitian ini merupakan studi kualitatif yang menggunakan pendekatan studi kasus eksploratoris. Metode pengumpulan data dengan FGD mengenai konsep perkawinan dan perkawinan anak kepada 9 informan, kemudian mengambil 6 informan untuk wawancara mendalam mengenai alasan dan strategi informan keluar dari perkawinan anak. Pemillihan informan dilakukan dengan purposive sampling strategy, dengan kriteria perempuan yang tidak menikah di usia anak, berusia 18-24 tahun, lahir dan tumbuh di Kecamatan Sedan dan sudah menikah.Hasil: Pernikahan anak merupakan hal yang tidak menyenangkan menjadi alasan perempuan tidak menikah di usia anak, didasari oleh dampak perkawinan anak seperti tidak dapat menyelesaikan sekolah, menikmati masa remaja dan bermain. Strategi perempuan untuk tidak menikah di usia anak adalah cita-cita memiliki pendidikan tinggi dan merencanakan usia menikah. Dengan memiliki pendidikan tinggi yang harapannya dapat mempermudah perempuan mendapatkan pekerjaan. Selain itu, perempuan merencanakan usia menikah ketika sudah siap dan dapat bertanggungjawab terhadap keluarganya. Hambatan dan tantangan yang dialami perempuan adalah menolak perjodohan dari keluarga agar segera menikah. Status ekonomi keluarga dan adanya program/kebijakan tidak menjadi pertimbangan perempuan dalam mengambil keputusan untuk menikah.Kesimpulan: Perempuan memiliki persepsi bahwa perkawinan anak tidak menyenangkan. Persepsi tersebut didukung dengan merencanakan memiliki pendidikan tinggi dan merencanakan usia pernikahan menjadi alasan dan strategi perempuan untuk dapat keluar dari budaya perkawinan anak.
Performance based payment dan kepuasan kompensasi dalam pemberian jasa pelayanan kapitasi jaminan kesehatan nasional bagi tenaga kesehatan Puskesmas di Kabupaten Ende Mariane Erika Pay; Andreasta Meliala; Dwi Handono
Berita Kedokteran Masyarakat (BKM) Vol 34, No 12 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (365.288 KB) | DOI: 10.22146/bkm.38850

Abstract

Performance based payment and compensation satisfaction in the distribution of capitation medical services of national insurance health for primary health care workers in the District of EndePurpose: To evaluate the implementation of the distribution of capitation services using a performance-based payment system in Ende Regency. Methods: This research is qualitative using a case study design. Study subjects 23 people were selected by purposive sampling technique. The research location was in the Health Office and 2 puskesmas. Data collection uses interview guides and document reviews. Qualitative data is presented in the form of narratives, pictures and tables. Respondents' answers will be displayed in the form of quotes. Results: Providing compensation for services still causes dissatisfaction. Health workers are not satisfied with the reduction due to tardiness, are not involved in the calculation of services, doctors feel the tax deduction is too large, the number of health workers is in accordance with the services provided. Puskesmas assessment team has been working based on existing regulations. Conclusions: There is a need for supervision, supervision, monitoring and evaluation from the Ende District Health Office for the distribution of capitation services. Puskesmas leaders and staff must be able to work together and coordinate well in making puskesmas policies and implementing these policies.
Alasan untuk memilih kerja di daerah tertinggal: studi kualitatif terhadap dokter lulusan Universitas Cendana Kupang
Berita Kedokteran Masyarakat (BKM) Vol 34, No 12 (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.41675

Abstract

Medical graduate career choice in the underserved area: a qualitative study in Nusa Tenggara TimurPurpose: Although many government policies have been directed toward rural workforce shortage, little attention was given to meet medical graduates’ needs other than financial. This study explored the internal reasons why medical graduates chose the rural area as a place to work.Methods: Three focussed group discussion (FGD) with phenomenology approach followed by a total of 24 medical graduates recruited purposively and work in three islands and six districts in Nusa Tenggara Timur Province. Interview transcripts were analyzed thematically by two researchers.Results: First, interventions which have been done and proven to support the recruitment of medical graduates to underserved area were: contract bound scholarship; incentives and work load calculation; improvement of facilities, security, and accessibility of underserved areas; and promotion of underserved areas as tourism sites. Second, the process of medical graduates recruitment in Indonesia (internship, PTT, and Nusantara Sehat) has considered several important things: rural origin and has friends/colleagues in destination area (proven by submitting local authority recommendation). Third, new issues added by this study are locations supporting autonomy and providing opportunities and supervisors for further learning, including conducting research, will be given priorities. Half of the respondents (12 out of 24) explicitly stated that they chose a place where they can learn more about the medical specialty of interest. Even four out of those 12 respondents stated further that they chose a place where they can conduct research under specialist supervision for the medical specialty of interest.Conclusions: This study adds that the graduates’ choice of workplace which provides opportunities for further learning and conducting research under specialist supervision needs further attention. Local authorities are suggested to invest in IT facilities to support tele-supervision and collaborate with local medical school to adapt the concept of rural clinical school which has been widely established throughout Australia. Second, the placement areas for Specialist Compulsory Work (Wajib Kerja Dokter Spesialis) Program and other similar programs can be expanded and prioritized for underserved rural hospitals to provide clinical supervisors and support the recruitment of medical graduates to those underserved areas.
Perilaku Seks Aman pada Wanita Pekerja Seksual di Kota Padang
Berita Kedokteran Masyarakat (BKM) Vol 34, No 12 (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.41791

Abstract

Safe sex practices in female sex workers in PadangPurpose: The purpose of this study was to analyze in-depth the behavior of FSW in the HIV/ AIDS prevention in Padang.Methods: This study used a qualitative approach with in-depth interviews with 10 informants consisting of female sex workers, pimps, and related officers. The technique of determining informants using purposive sampling method.Results: The results showed that condoms were available at FSW hotspot locations, both obtained free of charge from KPA in Padang and purchased by FSW. However, not all customers want to use condoms during sexual intercourse. This proves the weak bargaining position or negotiation of FSW to customers in the use of condoms. FSW received strong support from related officers such as KPA and the health office in the HIV/ AIDS prevention, but support from FSW friend’s and pimps was still lacking.

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