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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 36, No 5 (2020)" : 7 Documents clear
Peran Stakeholder terhadap Program Kesehatan Jiwa dalam Penanggulangan Pasung pada Orang dengan Gangguan Jiwa (ODGJ) di Kecamatan Moyudan Kabupaten Sleman
Berita Kedokteran Masyarakat (BKM) Vol 36, No 5 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.47283

Abstract

Purpose: Physical restraint of mental illness (pasung) has been widely documented in Indonesia. However, there is still a lack of studies exploring the role of puskesmas in eliminating pasung. This study aims to document the head of the puskesmas in advocating for and working with local administrators to build a positive climate of involving people with mental illness in productive activities so that they have no reason to be confined at home.Methods: This case study was based on in-depth interviews of 19 community health center workers and community personnel, field observations, and document review.Results: Periodic, regular communication organized in simple meetings and field visits with local stakeholders can open up stakeholders and have the same vision in public health. With hospitable visits of respected local officials and health workers, families and communities, who at first were ashamed and isolated their mentally ill family members, are now becoming open-minded and participating in programs for persons with mental illness.Conclusion: Communication and public health leadership skills from the head of puskesmas are essential skills in inviting local administrators to work together for public health.
PENGARUH METODE BERMAIN ULAR TANGGA DAN CERAMAH DALAM MENINGKATKAN PENGETAHUAN DAN SIKAP SISWA MIN TENTANG BAHAYA MEROKOK DI MIN 12 MEDAN
Berita Kedokteran Masyarakat (BKM) Vol 36, No 5 (2020)
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.51656

Abstract

ABSTRAKSmoking is still a problem in developing countries, including Indonesia. Various attempts have been made to reduce the number of smokers in Indonesia, but in reality the number of smokers increase. The behavior of smoking groups is carried out by various groups including teenagers and children.           The purpose of this study was to analyze the effect of the method of playing snakes and ladders, and lecture methode in improving the knowledge and attitude of primary school students about smoking hazards in “MIN 12 “primary school.This research uses quasi experiment design. Respondents who received intervention in the study were 60 people divided into 30 people playing snakes and 30 people getting lectures. The analysis of this study used wilcoxons and Mann Whitney testHealth promotion using snakes and ladders games and lectures has been proven to increase knowledge and attitudes about the dangers of smoking.  The use of the snakes and ladders game has proved to be more effective than lectures in increasing knowledge and attitudes about the dangers of smokingSnakes and ladders media should be used more often by primary schools in increasing the knowledge and attitudes of primary school students about the dangers of smoking. Elementary school principals must be more active in socializing the dangers of smoking to primary school students to prevent smoking behavior among elementary school students. 
Assessing Implementation Fidelity Following the Mass Drug Administration Programme for Lymphatic Filariasis in South Bangka District, Indonesia: an Implementation Research
Berita Kedokteran Masyarakat (BKM) Vol 36, No 5 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.53638

Abstract

Background: Since the MDA for LF started, a significant progress has been made in Indonesia. However, some challenges have been found in the implementation of MDA. South Bangka District failed post-MDA surveillance and re-implemented MDA in 2018 and 2019. If this failure continue to happen, the elimination goal might be difficult to attain. Therefore there is a need to investigate why there is a persistent transmission of LF despite eight rounds of MDA which has sufficient reported coverage.Objectives: This study aimed to assess implementation fidelity and its potential moderators of the MDA programme for LF in South Bangka District.Method: This was a qualitative study which used case study approach that took place in South Bangka District and Bedengung Village. Data were collected through IDI with six stakeholders from different level of health offices, one village secretary and fourteen community members. Meanwhile, FGD were conducted with eight CHWs and five community members. All participants should have involvement in the previous MDA programme to be recruited in this study.Results: MDA programme were implemented according to its guideline with some changes in terms of timeline, screening process of target population, implementation strategy, and monitoring process. Community leader engagement and DOT-MDA strategy have improved the community compliance. However, noncompliance and low participation in community-based health education were found as main challenges. Training, intersectoral socialization and advocacy, and health education were suboptimal. There was also potential bias on the screening process of eligible population. In addition, policy influenced the resources allocation during MDA implementation.Conclusion: The implementation of MDA can be improved by focusing on community mobilization. The screening process should also be done carefully in order to cover all eligible population. Besides, it is important to optimize the resource allocation by improving the coordination with all potential partners.
Implementing One Health (OH) Guideline for Effective Cross-Sectoral Collaboration: Enablers and Challenges for Neglected Zoonoses and Emerging Infectious Diseases (EIDs) Control in Kulonprogo District, Yogyakarta Province, Indonesia
Berita Kedokteran Masyarakat (BKM) Vol 36, No 5 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.53891

Abstract

Zoonoses are communicable diseases that transmissible between animals to humans, and vice versa. There are approximately 75% of emerging infectious diseases (EIDs) that originated from the animal. It has been an evidence-based practice for decades that One Health (OH) approach which integrates humans, animals and environmental health could provide earlier windows opportunity for better zoonoses control. We used a qualitative method using document review and semi-structured depth interviews to understand the barriers and enablers for implementing OH guidelines from Coordinating Ministry for Human Development and Cultural Affairs for cross-sectoral collaboration in Kulon Progo district, Yogyakarta Province, Indonesia. Totally, 13 participants were interviewed, who came from different backgrounds and expertise, including animal, public and environmental health, social science, governance, and disaster response. The document review shows precedent of cross-sectoral collaboration between public and animal health on national level that was initiated in 1972. Based on the recent trend of the public health problems in Kulon Progo, there are significantly lingering and/or increasing number of infectious diseases, both from public and animal health. Those diseases are leptospirosis, scabies, and helminthiasis (ancylostomiasis and ascariasis). All of those diseases are zoonotic and the last two are neglected, which included in neglected tropical diseases (NTDs) by WHO. There are enablers that emerge for implementing OH, including strong commitment, political will, program flexibility, good governance, system support, and thinking. The challenges/barriers that emerge including silo mentality, lack of cross-sectoral communication and coordination, conflict of interest, regulation, political will, siloed education, and funding. The necessary feasible intervention at the district level is to formalize a working group and/or committee for outbreak preparedness. Cross-sectoral meeting for joint-program and funding allocation are crucial for better planning, execution, and program evaluation to tackle zoonotic diseases (both NTDs and EIDs).
Status Resistensi Larva Aedes sp Sebagai Vektor Dengue Terhadap Insektisida Malation di Kota Bengkulu
Berita Kedokteran Masyarakat (BKM) Vol 36, No 5 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.55285

Abstract

AbstractPurposes: Dengue is emerging as a serious public health problem globally. The primary strategy to control dengue is by reducing the vector population using insecticides. Malathion has been massively used since the 1990s in dengue control programs. As there is no effective dengue drug or safe vaccine available, vector control remains the most effective intervention to reduce incidence and prevent transmission and outbreak. This study determined resistance status to malathion of Aedes sp larvae from Jalan Gedang Village, Bengkulu City (dengue endemic areas). Methods: This study used experimental with post-control only design. Aedes sp eggs were collected by ovitraps and colonized to larvae stage. Susceptibility test of larvae to the malathion was estimated using standard WHO. Results: Mortality of larvae Aedes sp after 24 hours with multiple concentration of malathion indicative of highly resistant (p=0.001). Conclusions: Continued testing to insecticide resistance in dengue vector is important to prevention of increased incidence of dengue. In order to reduce the development of insecticidal resistance, it recommended insecticides of different chemical structures be applied in rotation.
Persepsi Suami dalam Mendukung Pemberian ASI Eksklusif di RSUD R Syamsudin SH Kota Sukabumi Gitta Agustina; Ari Indra Susanti; Sharon Gondodiputro
Berita Kedokteran Masyarakat (BKM) Vol 36, No 5 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.55327

Abstract

Tujuan: Data dari Profi Kesehtan Indonesia tahun 2016 menunjukkan bahwa cakupan ASI Eksklusif di Kabupaten Sukabumi baru mencapai 62,3% masih kurang dari target nasional yaitu sebesar 80%. Banyak faktor yang mempengaruhi mempersembahkan ASI Eksklusif salah dukungan dukungan dukungan. Maka dari itu, tujuan penelitian ini adalah untuk mengungkapkan persepsi mengenai dukungan dalam mempersembahkan ASI Eksklusif di RSUD R Syamsudin SH Kota Sukabumi. Metode: Desain kualitatif dengan menggunakan pendekatan fenomenologi . Dilakukan dari bulan Juni hingga Juli 2019 di RSUD R Syamsudin SH Kota Sukabumi menggunakan data primer, suami yang memiliki anak> 6 bulan dengan kondisi sehat, mampu berkomunikasi dengan baik dan berdomisili di Kabupaten Sukabumi.Sebanyak 11 pasangan yang dipilih menggunakan teknik purposive sampling. Dilakuakn wawancara mendalam sesuai dengan wawancara baru. Hasil: Hasil penelitian terdapat 2 tema persepsi persepsi dalam pengambilan yang dibagi menjadi 3 subtema keputusan keputusan pada istri, keputusan pada kedua orang tua, dan mempersembahkan ASI selama 6 bulan atau tidak dan persepsi dalam dukungan emosional yang dibagi menjadi 5 subtema di antara pemberi makanan bergizi pada ibu, berdiskusi dengan ibu / istri, membantu membantu anak, membantu pekerjaan rumah, dan bangun di malam hari. Kesimpulan: Suami memiliki persepsi bahwa keputusan dalam memberikan ASI Eksklusif pondasi pada istri mereka dan dukungan emosional yang diberikan oleh suami adalah memberikan makanan bergizi pada ibu.
Akses Puskesmas dan Kejadian Drop out Pasien Tuberkulosis Di Kabupaten Bantul Daerah Istimewa Yogyakarta Ira Deseilla Pawa; Lutfan Lazuardi
Berita Kedokteran Masyarakat (BKM) Vol 36, No 5 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.55345

Abstract

      Background: In social perspective everyone have their rights to access health facilities (1) yet it still challenging due to geographical or non-geographical barriers. Inadequate access to health facilities has made the controlling of communicable disease not overly solved, including Tuberculosis. Indonesia have been put as country with the highest burden for TB, MDR TB and also TB/HIV in 2016-2020 (2). One of challenging that faced is the incidence of drug resistant TB due to TB treatment drop out. Bantul regency is the second highest TB cases finding rate after Sleman however, the cure rate below national standard during 2016-2018.Method: This study is observational descriptive research by using primary and secondary data, sample of this study consist of 27 community health centers and 60 auxiliary health centers. ArcGIS were used to analysis the spatial data.Results: The locations of community health centers in Bantul regency is near the collector road, the farthest distance to reach community health center in Bantul is 15 Km and the maximum travel time to community health is 60 minutes, geographical berries in Bantul regency are water body such as rivers and lakes. Human resource in 12 community health centers have been exceed the amount standards and 15 others have not been exceed the amount standards. Number of TB drop out was 22 cases, and Banguntapan village has highest amount of drop out TB cases.Conclusions: Community health distribution in Bantul regency is almost cover all the administrative area in Bantul regency. TB drop out cases is need serious intention to increase cure rate.Key words: Access, community health center, drop out tuberculosis, spatial pattern

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