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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 6 Documents
 1 
Search results for , issue "Vol 36, No 8 (2020)" : 6 Documents clear
Direct and indirect costs of patients from Medan who seek health care in Penang Malaysia
Berita Kedokteran Masyarakat (BKM) Vol 36, No 8 (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.55157

Abstract

Background. Medan City was one of the areas close to Malaysia. This closeness makes people visit Penang Island for many reason such as medician, or medical tourism, with an increase 15-18% every year. This medical tourism causes people to spend more cost, both direct and indirect cost, direct costs were related to medician cost, (doctor's fees, medicines, laboratories, administration, and medical support), while indirect costs were unrelated with medician cost, (transportation, residence, supplementary food, patient companion, and lost costs). Purpose. The purpose of study was to analyze the comparison of direct and indirect costs of medical tourism patients to Penang Island, Malaysia. Method. This research was a comparative analytic with cross-sectional design using a questionnaire, conducted with t test for comparison of direct and indirect costs for 96 respondents. Result. The results showed that the expenditure average of medical tourism patient was IDR 10,079,250, with comparison of direct and indirect costs was 55.8%: 44.2% or IDR 5,625,305: IDR 4,453,945. Conclusion. Government makes regulations related to seeking medician abroad, and improve the quality of domestic health services so expenditure for medical treatment abroad can saved.
Pesticide exposure and cholinesterase levels of crop farmers in Tanah Karo District Rio Ferdi Yuandra; Taufik Ashar; Rahayu Lubis
Berita Kedokteran Masyarakat (BKM) Vol 36, No 8 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.944 KB) | DOI: 10.22146/bkm.55926

Abstract

Background. Majority of population in Tanah Karo District, Indonesia are farmers (88.54%), which is always use pesticides to their planting. The use of pesticides with high intensity and continuously will cause a negative impact on health.Purpose. The purpose of this research was to analyze the relationship between pesticide exposure, including the length of work, length of spraying, spraying techniques and Personal Protection Equipment (PPE) with farmers' cholinesterase levels.Method. This research was an observational analytic with a cross sectional approach. Samples were 40 farmers. Data collection through questionnaires and health checks. Data analysis was performed using univariate and bivariate with chi-square test.Result. The result showed that from 40 farmers, 13 farmers had below normal cholinesterase levels, there was relationship between the length of spraying, spraying techniques, and the use of PPE with cholinesterase levels with p<0,05 and there was no relationship between length of work with  level of cholinesterase p>0,05.Conclusion. Farmers who have long been exposed to pesticides can reduce levels of cholinesterase, especially if they don't pay attention to spraying techniques and use PPE, it can cause poisoning. It is recommended to the Department of Agriculture Karo District to monitor and supervise the use of pesticides on farmers, and for farmers to pay attention to the use of PPE, spraying techniques, and monitor their health status regularly at the health center.
KEBERLANJUTAN PROGRAM POS PELAYANAN TERPADU PADA ERA PENERAPAN DANA DESA DI KABUPATEN BANJARNEGARA Sri Budi Utami; Yodi Mahendradhata; Ari Probandari
Berita Kedokteran Masyarakat (BKM) Vol 36, No 8 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.56725

Abstract

Purpose: This study aims to analyze good practices for the sustainability of  Village Fund supported posyandus in Banjarnegara District.Methods: This study used a qualitative approach with a descriptive case study design. The study used purposive sampling with 23 informants. We used in-depth interviews for data collection.Result: Posyandu sustainabilityis supported by the stability of funding sourced from the Village Fund as the main financing strategy. Six Domains of Posyandu Sustainability for political support, funding stability, partnerships, organizational capacity, evaluation, and communication that still need to be strengthened are the organizational capacity of Posyandu. It is necessary to refer to Permendagri No. 18 of 2018. Posyandu sustainability in rural areas is better than in urban areas.Conclusion: It is necessary to strengthen the domain of posyandu organizational stability, with the strengthening of Posyandu institutions that will impact the support policies of villages / sub-districts to Posyandu.
Efek Permainan Edukatif oleh Teman Sebaya Terhadap Pengetahuan Kesehatan Reproduksi, HIV-AIDS, dan NAPZA Intan Farida Yasmin; Dicky Adi Putra; Lia Fristka; Jimmi Lihartanadi; Matt Biondi; Christiani Christiani; Ayu Kartika Sari; Alain Laurent
Berita Kedokteran Masyarakat (BKM) Vol 36, No 8 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (21.811 KB) | DOI: 10.22146/bkm.56839

Abstract

Purpose: Here we intend to analyze the effects of educative games provided by peer groups as method to increase knowledge of reproductive health, HIV-AIDS, drugs abuse among high school students. Method: Twenty students (peer-counselor group) of junior high school in Keruak, East Lombok were educated using boardgames and series of flashcards containing information of reproductive health, HIV-AIDS, and drugs abuse before they educated other students (non-counselor group, n=119) using the same educative game. Pre and post scores analysis was conducted among both groups. Results: The post-game scores of both peer-counselor and non-counselor groups were increased significantly after playing boardgames and flashcards. The non-counselor group gained 1.9-fold, 2.6-fold, and 4.5-fold increase of post-game scores compared to pre-game scores (p < 0.01) in reproductive health, HIV-AIDS, and drug abuse topics respectively. After completing the educative games, the proportion of students who had high level of knowledge about reproductive health, HIV-AIDS, and drug abuse was increased significantly (0% to 26.9% p <0.01, 3.4% to 26.9% p <0.01, 18.5% to 61.3% p <0.01, respectively). Conclusion: Using educative games and peer-group approach as health promotion method were proven to increase knowledge in reproductive health, HIV-AIDS, and drug abuse among adolescent students. In the future, this method could be adapted nationally as part of educational health promotion program.
Development of education and discovery of Tuberculosis case community-based in Tulungagung Regency
Berita Kedokteran Masyarakat (BKM) Vol 36, No 8 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.57294

Abstract

Background: WHO data shows an increase in estimated Tuberculosis cases per year in Indonesia, from 331,703 in 2015 to 563,879 in 2018 (70%). It includes an increase of 121,707 (28%) between 2017 and 2018. In the development of pulmonary TB in Tulungagung Regency, the number of suspected cases of pulmonary TB was 4,122 in 2016 and 4,419 in 2017. The number of BTA+ cases was 323 in 2016 and 478 in 2017. The population in 2016 was 1,026,101 people, while in 2017 the population was 1,030 .790 people. In monitoring and assistance from the community side, there are no applications that can be used to share, including the role of the community in independent detection. Objective: Designing educational applications and discovery of community-based Tuberculosis cases in Tulungagung. Method: Qualitative and quantitative research with action research design. The study subjects were two managers of the tuberculosis program, three people of SIK manager, four sectors, three people of tuberculosis manager, three people of tuberculosis who had recovered, or three people tuberculosis cadre. Results: This research resulted in the design of Community Based Tuberculosis Education and Discovery Application Cases. For education, display in the form of text, images, and videos, while for case finding in input and output. User Experience Questionnaire test results show the results of attractiveness, pragmatic quality, and hedonic quality on a normal scale. Conclusion: Applications can support partnerships, cross-sectoral, community needs a set of systems functioning in monitoring, dissemination, and increasing screening independently by the community or cadres in tuberculosis prevention.Keywords: Edutebe Apps, Health Information System, Public Health, Action Research, Active Case Finding Tuberculose.
Evaluasi Jangkauan dan Efektivitas Program Gerakan Keamanan Pangan Desa (GKPD) di Daerah Istimewa Yogyakarta Rizqi Amalia Rohmah; Lily Arsanti Lestari; Yayi Suryo Prabandari
Berita Kedokteran Masyarakat (BKM) Vol 36, No 8 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.57611

Abstract

Tujuan: melakukan evaluasi program GKPD di DIY menggunakan dimensi Reach dan Effectiveness dengan kerangka kerja RE-AIM. Metode:  Penelitian ini merupakan penelitian dengan metode evaluasi kualitatif dengan rancangan penelitian studi kasus deskriptif, yang dilaksanakan pada 3 desa di DIY yaitu Desa Pandowoharjo, Desa Sendangsari dan Desa Mangunan pada Bulan Januari – Mei 2020. Sebanyak 73 informan dipilih secara purposive yaitu pihak yang mempunyai kekayaan informasi terkait pelaksanakan program GKPD. Pengumpulan data dilakukan dengan 6 kali FGD, 16 wawancara, observasi, dan telaah dokumen. Untuk menjamin kredibilitas data, maka dilakukan triangulasi, member checking dan peer debriefing. Hasil: Reach: program melibatkan perangkat desa, perwakilan masyarakat, penyedia pangan di desa serta instansi kesehatan dengan faktor yang mendorong keterlibatan adalah kondisi keamanan pangan desa dan harapan manfaat program dan faktor penghambat adalah pembatasan jumlah peserta, kondisi kader/komunitas serta kendala teknis. Effectiveness: program GKPD meningkatkan pengetahuan kader/komunitas yang terlibat namun praktik keamanan pangan belum dijalankan secara konsisten dengan faktor yang berkontribusi adalah keterbatasan sarana/prasarana, SDM, adanya kader yang kurang aktif serta paparan keamanan pangan yang singkat. Simpulan: Perlu desain program pelatihan yang lebih efektif sehingga praktik keamanan pangan akan lebih konsisten dan perlu adanya monitoring secara berkala. 

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