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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
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Search results for , issue "Vol 38 No 08 (2022)" : 5 Documents clear
Medical personnels’ well-being and policy adaptations in hospitals during COVID-19 pandemic Kristian, Kevin; Santi, Bryany Titi; Astiarani, Yunisa; Kurniawan, Felicia; Salama, Ngabila
BKM Public Health and Community Medicine Vol 38 No 08 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i8.4996

Abstract

Purpose: To explore many forms of adaptations and alterations that occur in the COVID-19 referral hospitals in Jakarta during the COVID-19 pandemic as a preparation to deal with another pandemic in the future. Method: A qualitative study through focus group discussions (FGD) of seven hospitals in Jakarta, including five public and two private hospitals, with the participation of each structural and medical personnel separately. The discussion identifies four main topics that cover the aim of the study: (a) Medical personnel workload; (b) Occupational health and comfort; (c) Relationships; (d) Hospital policy during the COVID-19 pandemic. Results: This study was participated by 40 informants from the medical personnel group and 37 responders from the structural group from various positions in the hospital. Researchers estimated several factors to contribute to medical personnel’s well-being in providing health services during the pandemic of COVID-19. Rising workloads, an increased number of patients and types of procedures, and the unavailability and discomforts from suitable PPE with a lack of IPC socialization influence a decline in their well-being and increase the risk of counterproductive work behavior. Moreover, conflicts among personnel and poor communication also deteriorate well-being. Nevertheless, several hospital policy adaptations, namely incentives provision, regular mental-health check-ups, no salary reduction for COVID-19-positive workers, and supportive attitudes towards each other in the workplace, may enhance their well-being. Conclusion: Increased workloads, problems in PPE availability, and conflict among personnel are the main contributing factors that need to be addressed to increase the medical personnel's well-being during the pandemic, while several hospital policy adaptations support their well-being.
The assessment of mental health literacy and mental health factors among college students Asidik, Azip Hasbi; Prabandari, Yayi Suryo; Setiyawati, Diana
BKM Public Health and Community Medicine Vol 38 No 08 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i8.3742

Abstract

Purpose: To assess mental health literacy, mental health conditions, and mental health factors among college students to support the implementation of Health Promoting University. Methods: This research utilized Explanatory Sequential Mixed Methods using data collected from 431 college students and interviewed eight college students. The instrument used a self-report online questionnaire and a semi-structured interview guide. Data analysis used logistic regression and thematic analysis. Results: Almost half of the college students (48.96%) had low mental health literacy. In the amount of 61.95% of students had mental health problems. Factors that significantly had relationships with mental health were a child maltreatment history (AOR:2.46; 95%CI:1.62-3.73; p-value<0.001) and poor friends interaction (AOR:1.64; 95%CI:1.02-2.63; p-value=0.039) after adjusting for sex, mental health literacy, physical activity, allowance, habitation, and academic interaction. Mental health literacy in college students qualitatively does not recognize the specific types of mental health problems and mental health services. Qualitatively, mental health factors that were most mentioned were child maltreatment history, poor friend interaction, and environment. Conclusion: Almost half of the college students have low mental health literacy and do not recognize the types of mental health problems and mental health services. Mental health problems were common among college students. Campuses need to improve mental health literacy and an environment that supports mental health.
Evaluation of the dengue surveillance system during the COVID-19 pandemic in Gunungkidul Regency in 2021 Kamilia, Nadiyah; Utarini, Adi; Indriani, Citra
BKM Public Health and Community Medicine Vol 38 No 08 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i8.5006

Abstract

Purpose: The purpose of this study is to pinpoint the gaps in the Gunungkidul Regency's dengue monitoring system's implementation. Methods: Using the descriptive design. In the Gunungkidul Regency, questionnaires were used to collect primary data from the Health Office, 30 Public Health Centers, 3 Hospitals, and 1 Clinic. The d engue surveillance system assessment standard integrates the surveillance system system concept from the 2001 CDC guidelines with the attributes (Simplicity, Data Quality, Data Stability, Representation, System Acceptance, and Timeliness) and d engue surveillance system standards by directives from the Director General of Desease control of the Ministry of Health of the Republic of Indonesia in 2017. Results: Clinical criteria are used in Gunungkidul Regency to define dengue cases, whereas serological tests, such as NS-1, are rarely used there. Up to 4 (14%) of the health facilities had trouble accurately collecting reports of hospital suspicions, such as when the patient's residence was unclear and when they received treatment. According to 21 (70%) of the health centers, suspect reports were frequently collected from patients who had been admitted to hospitals outside the area. Notification letters were given to patients who had completed their treatment. The distribution of cases and the projection of an increase in instances cannot be accurately described using data from data management, as the data is not updated on a daily basis. Up to 15 health centers (50%) reported that hospital reports were frequently delayed. Conclusion: Weaknesses in the dengue surveillance system, particularly in the characteristics of simplicity, quality, data stability, and timeliness, contributed to an increase in the number of dengue cases from 2018 to 2020 in Gunungkidul Regency.
Programmatic management of drug-resistant tuberculosis financing in Lampung Province Utomo, Siti Syamsiyyah Nurmalisa; Hafidz, Firdaus; Dewi, Christa
BKM Public Health and Community Medicine Vol 38 No 08 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i8.5086

Abstract

Purpose: This research aims to get an overview of Programmatic Management of Drug-Resistant Tuberculosis (PMDT) Financing in Lampung in 2021. Methods: This is a mixed-methods research study aimed at determining the amount of financing for PMDT from a payer perspective and assessing the local government's commitment. Financing calculation using Lampung Provincial Health Office, Global Fund, and BPJS Kesehatan financial data. The local government's commitment was evaluated by a focus group discussion with the Lampung Provincial Health Office officer. Results: The total financing for the PMDT in 2021 was Rp 6,072,456,520, with 92.12% of funding sources coming from donors, 6.17% from APBN, 1.71% from JKN, and 0% from the APBD. The activities with the highest costs are the provision of anti-tuberculosis drugs at 35% and additional logistics at 34%. Conclusion: The main challenge in financing PMDT is the high-cost requirement, which the local fiscal capacity doesn't support. It should be an essential concern for local governments to ensure the program's sustainability after the termination of Global Fund funding. The government must enhance local fiscal capacity in the post-pandemic era and promptly develop and implement a national health insurance scheme to finance PMDT.
Family support, diabetes self-management behavior, and HbA1c levels in Manggarai Regency, East Nusa Tenggara Susilo, Leonardus Reynald; Dewi, Fatwa Sari Tetra; Huriyati, Emy
BKM Public Health and Community Medicine Vol 38 No 08 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i8.5073

Abstract

Purpose: This study examines the correlation between family support and diabetes self-management with control of blood sugar levels (HbA1c). Methods: This study employs a sequential mixed-methods approach, combining quantitative analysis with a cross-sectional design and qualitative analysis with a phenomenological design. This research was conducted in clinics and health centers with prolanis groups in Manggarai Regency, East Nusa Tenggara. Results: The average score for diabetes self-management was 4,482 (minimum 0 – maximum 10) and was significantly correlated with the control of blood sugar levels. The dimension of food control in diabetes self-management has a significant relationship with blood sugar control. The average value of family support is 2,433 (minimum 1, maximum 4) and shows no significant correlation with blood sugar control. The emotional dimension of family support significantly correlates with the control of blood sugar levels. Conclusion: Enhancing diabetes self-management behavior can lead to improved blood sugar control in Prolanis participants. This improvement can be facilitated by families who can accompany Prolanis participants at home.

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