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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 5 Documents
 1 
Search results for , issue "Vol 38 No 07 (2022)" : 5 Documents clear
Utilization and expenditure of Indonesia National Health Insurance before and during COVID-19 pandemic in Indonesia: a descriptive study Hafidz, Firdaus; Kusila, Gilbert Renardi; Nadhira, Farrasila; Daniel; Baros, Wan Aisyah; Revelino, Dedy; Dhanalvin, Erzhan; Saut, Benjamin; Jaya, Citra; Oktavia, Ayunda
BKM Public Health and Community Medicine Vol 38 No 07 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i7.4964

Abstract

Purpose: This study describes the utilization of healthcare facilities before and during the COVID-19 pandemic and the expenditure of national health insurance at primary and secondary healthcare facilities. Methods: This is a descriptive study with a cross-sectional design. We utilized claim data from the National Health Insurance from January 2018 to June 2021. The population included in this study were all Indonesian citizens who contracted COVID-19. Both the Ministry of Health and National Health Insurance expenditure for COVID-19 services were captured. The data were analyzed in frequency and proportions. Results: There was a consistent utilization trend across all types of healthcare facilities (primary vs. secondary; public vs. private), with an upward trend before the Covid-19 pandemic, a downward trend in 2020, and a slight increase before June 2021. Primary healthcare utilization jumped by 19% during the 2018-2019 period and dropped by 34% from March to April 2020. A similar trend was observed in the secondary healthcare facilities, with the utilization cost being lower in the 2020 and 2021 periods than in previous years. Hospital visits also showed a decreasing trend during the start of the pandemic (both public and private-owned), which was linear to the expenditure of inpatient and outpatient visits. The total claim for COVID-19 health care increased to IDR 77.8 trillion by August 2021 (inpatient and outpatient), with the highest cost per patient for inpatients with comorbidities. Conclusion: Healthcare utilization decreased significantly during the COVID-19 pandemic period. On the other hand, since COVID-19 increased expenditure, particularly due to inpatient services and comorbidities, National Health Insurance needs to prepare a health financing strategy to anticipate the shift of financing in time of the endemic.
Evaluation of iron-folic acid supplementation in young women in Mataram City Kantari, Eka Suci; Huriyati, Emy; Penggalih, Mirza Hapsari Sakti Titis
BKM Public Health and Community Medicine Vol 38 No 07 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i7.1725

Abstract

Purpose: The government program to prevent iron deficiency anemia in adolescent girls provides iron-folic acid supplementation, usually known as TTD or "Tablet Tambah Darah". The number of adolescent girls who received TTD was 76.2%, whereas 80.9% were given at school, and the rest were from other sources. The obedience of young women to consuming TTD is one factor that affects the effectiveness of the TTD program. Methods: This research was a cross-sectional study of a non-experimental design survey. The study sample was 159 people, 15-to 18-year-old adolescent girls of SMAN 5 Mataram. Results: Bivariate analysis showed that attitudes and obstacles were not statistically related to compliance, as seen from the attitude value p-value = 0.052 and resistance p-value 0.135. Obstacles have a relationship with attitudes with a value of p = 0.01. Conclusion: Attitudes and obstacles have no relationship to obedience in adolescent girls, while obstacles have a relationship with attitudes towards adolescent girls.
Factors related to the occurrence of typhoid fever in the residential population of Musi River, Southern Sumatra Septina, Desy; Ardillah, Yustini
BKM Public Health and Community Medicine Vol 38 No 07 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i7.2125

Abstract

Purpose: This study aims to determine the factors related to typhoid fever occurrence in the Musi River residential area in Seberang Ulu Palembang. Methods: Using a proportional cluster sampling technique, this quantitative study uses a case-control design with a population of 106 samples in the Musi River suburb of Seberang Ulu. Data analysis carried out in this study was univariate, bivariate, and multivariate. Results: The results of the study of the incidence of typhoid fever in the population of the Musi River region in Seberang Ulu showed a low socioeconomic (p-value = 0.032), low education (p-value = 0.015), individual hygiene (p-value = 0,000), using the toilet (p-value 0.025), clean water quality (p-value = 0.034), garbage storage facility (p-value = 0.006), fecal leasing facility (pvalue = 0.018) is related to the incidence of typhoid fever, age, gender, occupancy density is not relationship with the incidence of typhoid fever Based on the results of multivariate analysis, the variable waste disposal facility is the most influential variable with the Odds Ratio 3.557; 95% CI 0.951-13,229. Conclusions: It can be concluded that the waste disposal facilities in the Musi River suburb in Seberang Ulu are still not good and have become a dominant factor influencing the incidence of typhoid fever. Hence, it is advisable to carry out outreach efforts to increase environmental awareness and provide garbage disposal infrastructure to meet the requirements of a healthy environment. We are also looking for trash transport officers to transport to temporary landfills.
Implementation of the use of plastic waste in Ecobricks for elderly school students in Bantul Afrezah; Padmawati, Retna Siwi; Qaimamunazzala, Hayu
BKM Public Health and Community Medicine Vol 38 No 07 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i7.2202

Abstract

Purpose: This study aimed to analyze activities related to using plastic waste in ecobricks for elderly school students. Methods: This type of research is qualitative and has a case study design. The sampling technique used is purposive sampling. The data analysis used is thematic research. Results: The description of implementing plastic waste into eco-bricks, as well as the preparation, implementation, monitoring, and evaluation stages. The results of this eco-brick-making activity are assessed from the quantity, three or four eco-bricks a month; the quality results are the weight of the eco-bricks according to the standard, and they are made in the form of tables, chairs, and decorations, so that they are more valuable. Environmental changes have occurred since the existence of eco-bricks; no plastic waste is thrown carelessly, and no plastic waste is burned. Conclusions: Elderly school students have carried out eco-bricks-making activities so that they impact environmental health for the better.
Evaluation of the occupational safety and health implementation in the informal sector fishermen in South Sumatra Province Erista, Yola; Prabandari, Yayi Suryo; Sutena, Marthinus
BKM Public Health and Community Medicine Vol 38 No 07 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i7.5016

Abstract

Purpose: This study evaluates the implementation of occupational safety and health (K3) in the informal sector of fishermen in Tanjung Kurung Village, Penukal Abab Lematang Ilir (PALI) Regency, South Sumatra Province. Methods: This qualitative research employs a case study approach. The research was conducted in Tanjung Kurung Village, PALI Regency. Informants included 22 individuals: nine fishermen, nine fishermen's wives, the head of the PALI regency health office, the manager of the UKK post program at the Health Office, the manager of the UKK Post Program at the Abab District Health Center, and the head of Tanjung Kurung Village. Data collection involved in-depth interviews, observations, and document reviews. Results: Implementing K3 in the informal sector of fishermen in Tanjung Kurung Village has been inadequate. Factors influencing this include the persistence of unsafe K3 practices among fishermen, lack of support from relevant parties for K3 management, high K3 risks fishermen face, and the pre-prosperous welfare status of fishermen's families. Common accidents include boat collisions, injuries from fish spines and branches, threats from crocodiles and venomous snakes, machete injuries, and boat sinking due to overloading. Occupational diseases among fishermen include wounds on feet and hands, dermatitis, gastritis, fever, acute respiratory infections (ARI), skin fungi, allergies, and skin irritation. Conclusion: The proper implementation of K3 among fishermen is lacking, and occupational health programs in the informal sector are not prioritized. Consequently, related parties have made no special efforts to address occupational health issues for fishermen. Cooperation between fishermen and relevant parties is essential for improving occupational health efforts in the informal fishing sector.

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