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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 5 Documents
 1 
Search results for , issue "Vol 34, No 7 (2018)" : 5 Documents clear
Compliance to traditional birth practices and poor perception of formal health facility: exploring actions to social determinants of health and barriers to care access in indigenous “Suku Anak Dalam“ community Inriyani Takesan; Musa Musa; Retna Siwi Padmawati; Mubasysyir Hasanbasri; Mohammad Hakimi
Berita Kedokteran Masyarakat (BKM) Vol 34, No 7 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.25582

Abstract

People living in isolated communities are vulnerable to suffering from illness because of their lack of access to available known effective treatment in health facilities around them, including in maternal and child issues. The goal of this in-depth interview and one month-direct observation living in the community is to explore the belief and available structure of local health-seeking behavior among the Suku Anak Dalam community. Our findings suggest that the community has its own traditional belief that explains their birth practices. Interpretation of concepts such as anak peranakan, taputangan, pekarom, and delom system are unique and inseparable from the interpretation of their ideal life and their trust in God. In the other side, their poor perception about public health facilities is influenced by their experience dealing with formal health facilities. When a community gets what they perceived as poor services, they will not believe and do not come back to seek help from formal health facilities. Our study confirmed that the cultural explanation of birth and belief related to traditional birth delivery services remain existent and practiced, which limits access to a government health facility. If the community is free to choose alternative care outside their traditional system, people may obtain effective treatments from the surrounding health facilities. SAD women feel comfortable with their cultural practices. They have a negative perception and feel uncomfortable about formal health facilities showed inadequate government efforts to bring services to a specific social group. Health workers in isolated areas with traditional belief should be prepared and paid under a contract basis, different from the regular workers. They need to improve the communication skills that allow them to engage with people from different cultures. They need to work with officers from other sectors, both in formal and informal settings.
Risiko kebakaran dan ledakan di depot bahan bakar minyak yang sudah lama berdiri: implikasi komunikasi risiko bagi pekerja dan penduduk sekitar untuk mengantisipasi kedaruratan Arifin Jati Sukma; Rochim Bakti Cahyono
Berita Kedokteran Masyarakat (BKM) Vol 34, No 7 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.25780

Abstract

Risks of fire and explosion in long-standing fuel oil depots: risk communication implications for workers and local residents to anticipate emergenciesPurpose: Fires and explosions in oil depots remain occur even though large oil companies have set up occupational health and safety system. Negligence of monitoring and no re-evaluation of conditions and situations from the plants are among common explanations. This study evaluates the potential for explosions and fires from a long-standing oil depot, including the potential impact on workers and residents around the site.Method: The study was conducted at the Pertamina Rewulu depot in Kulon Progo. Data were analyzed using the Dow's Fire and Explosion Index method, Point Source Radiation Model, and Gaussian Dispersion. In-depth interviews were conducted with respondents from contract workers and local resident closed to the plant.Result: Calculations from the data indicate that there are potential hazards that were not anticipated before the research was planned. All tanks from the Class A category have a 'medium' danger level. Based on the simulation, if there is a large fire at this depot, CO levels are estimated not to give danger when smoke reaches the neighborhood. The study also found that although the depot has been established for more than 40 years, residents who now live in the vicinity of the depot have not received fire risk information and communication about emergency preparedness from the management.Conclusion: Recurrent evaluations of the risk of explosion and fire in long-standing fuel depots show previously unanticipated findings Regular risk communication to contract workers and surrounding residents who change is needed so that they have preparedness to respond to the dangers of smoke from explosions and fires. 
Psychosocial problems of adolescents living in slum riverbank area Ulfa Azizah; Budi Wahyuni; Fitri Haryanti
Berita Kedokteran Masyarakat (BKM) Vol 34, No 7 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (57.896 KB) | DOI: 10.22146/bkm.31612

Abstract

Factors associated with adolescents psychosocial problems in the Code riverbank in YogyakartaPurpose: To identify factors related to adolescent psychosocial problems in the watershed of the Code River in Yogyakarta.Method: The samples are 173 adolescents aged 12-19 years who were selected by consecutive sampling technique based on predetermined inclusion and exclusion criteria. The research instruments used were questionnaire of respondent characteristics, Pediatric Symptom Checklist-Youth Report questionnaire, Child And Adolescent Social Support Scale questionnaire, and residence environment questionnaire. This study used univariate analysis, Chi square test, Fisher test and logistic regression test.Results: A total of 11.6% of adolescents in the Code riverbank area experienced psychosocial problems. Level of education, parental support and the fairness of residence are associated with adolescent psychosocial problems, with level of education as the greatest factor.Conclusion: Adolescent psychosocial problems that occur in the watershed of the Code River in Yogyakarta are related to educational level, parental support and the fairness of adolescent residence.
Pemetaan daerah kerawanan penyakit leptospirosis melalui metode geographically weighted zero inflated poisson regression Agus Salim Arsyad; Hari Kusnanto
Berita Kedokteran Masyarakat (BKM) Vol 34, No 7 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1089.128 KB) | DOI: 10.22146/bkm.35050

Abstract

Mapping leptospirosis vulnerable areas through a geographically weighted zero-inflated poisson regressionPurpose: Gunung Kidul Health Office reported an increase of leptospirosis cases in 2017. There are many zero values in the data count, so the mean and variance values must not be met. Zero-Inflated Poisson regression is used for modeling data counts that are mostly zero. The study aims to map leptospirosis vulnerable areas.Method: A total of 144 villages were analyzed. The independent variables were percentages in paddy fields, residential land, settlement distance to rivers, population density, soil texture, altitude, and rainfall. The dependent variable was the number of leptospirosis cases in each village from 2011 to 2017.Results: The average of leptospirosis cases was 0.6 and the variance was 3.4. Observation data with value of zero was 81%. The Geographically Weighted Zero-Inflated Poisson Regression test was better than Zero-Inflated Poisson multivariate regression in mapping of leptospirosis vulnerable areas. The model brought up local variables in the percentage of paddy fields, percentage of residential land, percentage of settlement distance to river, place height, and rainfall and global variables in the form of population density and soil texture (R-Square = 55.9%). This vulnerability modeling was appropriate based on disease distribution and level of vulnerability. Only 5.5% of leptospirosis cases in the area were not vulnerable.Conclusion: The sentinel leptospirosis surveillance system should be applied in areas prone to early detection of leptospirosis cases.
“Merasa malu” dan “kurang kesadaran berpartisipasi”: tantangan wanita usia subur dalam screening kanker serviks melalui tes inspeksi visual dengan asam asetat Sarah Asifa; Endang Sutisna Sulaeman; Heni Hastuti; Ari Natalia Probandari
Berita Kedokteran Masyarakat (BKM) Vol 34, No 7 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (254.079 KB) | DOI: 10.22146/bkm.35584

Abstract

“Embarrassment” and “lack of awareness”: challenges for reproductive women in cervical cancer screening through visual inspection with acetic acid testPurpose: This study aims to explore the challenges for reproductive women in cervical cancer screening through visual inspection with acetic test in Surakarta.Method: A survey was conducted involving distribution of questionnaires to 382 women aged 16-49 years from 5 public health centers.Results: Most respondents were 21-30 years old (40,1%), married (97,1%), as a housewife (59,2%), and had higher school education (60,5%). Had no sex education (OR: 2,00; 95%CI: 1,04-3,86) and low awareness (OR: 3,07; 95%CI: 1,25-7,49) were significantly associated with the low coverage of VIA Test. On the other hand, had no embarrassment (OR: 0,63; 95%CI: 0,41-0,99) was negatively associated with the low coverage of VIA Test.Conclusion: Awareness, sex education, and embarrassment were associated with the VIA Test Coverage at community health center in Surakarta. Specific strategies and programs that addresses these factors are needed to increase the coverage of VIA Test.

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