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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 39 No 11 (2023)" : 5 Documents clear
Outpatient service tariff determination based on unit cost analysis mixed with community ability and willingness to pay Yuniantika; Hendrartini, Julita; Budiarto, Arif
BKM Public Health and Community Medicine Vol 39 No 11 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i11.6584

Abstract

Purpose: The study aims to calculate the rational outpatient tariff based on unit cost analysis, ability and willingness to pay. Method: The research is an observational study with a qualitative approach. Secondary data are obtained retrospectively to calculate unit costs and tariffs. Primary data is collected through questionnaires to see the ability and willingness to pay (WTP). Result: The calculation using the step-down method obtained the unit cost for general practice IDR 79,337, dental care IDR 151,635, psychologist consultation IDR 115,283, and fitness center IDR 236,555. The respondent's ATP value is IDR 138,808, with an average examination fee of IDR 56,093. When coupled with an improvement in service and facility quality, 58.1% of respondents agreed to a 10% rate increase. With a 20% rate increase, the willingness to pay decreases to 40.6%. In the bivariate analysis using the chi-square test, the variables significantly affecting WTP are patient perceptions of the suitability of service costs (p = 0.000). In contrast, age, gender, occupation, education, income, number of family members, and insurance ownership do not significantly influence WTP. Conclusion: The service rate is lower than the unit cost calculation. By looking at the ability and willingness to pay, it is possible to evaluate the tariff.
Sex, physical activity, obesity, and hypercholesterolemia in millennial workers of X Corp, Jakarta, Indonesia, in 2023 Yusvita, Fierdania; Nandra, Nadya Shinta
BKM Public Health and Community Medicine Vol 39 No 11 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i11.8390

Abstract

Purpose: This study aims to analyze the relationship between sex and sedentary behavior and obesity and its impact on hypercholesterolemia in millennial generation workers at X Corp., Jakarta, Indonesia, in 2023. Methods: This research is an observational analytic study conducted on 269 millennial workers at X Corp. The data collection used was the results of X Corp’s worker's medical check-ups. Data processing using the Chi-square test to see whether there’s a linkage between the research variables. Results: From the tables, there is a correlation found between sex and obesity (p=0.001); there is no correlation found between physical activity (p=0.105) and smoking behavior (p=1.000). There is a correlation between obesity and hypercholesterolemia (p=0.004) in millennial workers at X Corp. Conclusions: Unhealthy life behaviors can be a risk factor for health problems, including degenerative diseases, as millennial workers get older. Male workers are more at risk of being obese and having an impact on the emergence of hypercholesterolemia and the risk of diabetes mellitus if a healthy lifestyle is continuously neglected. It is suggested that the application of occupational health promotion at X Corp., Jakarta, Indonesia, can be further optimized.
Vitamin B6 in anxiety: sleep and immune function Pertiwi, Lintang Mega; Fanani, Mohammad; Hikmayani, Nur Hafidha
BKM Public Health and Community Medicine Vol 39 No 11 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i11.9728

Abstract

Objective: This scoping review aims to explore the role of vitamin B6 in sleep duration and immune function in individuals with anxiety disorders. Methods: A search was conducted on scientific databases such as PubMed, Science Direct, and Google Scholar using the keywords "vitamin B6", "sleep", "immune system," and "anxiety disorders." Only articles published in Indonesian or English between 2017-2023 were included. Result: The findings of this review suggest that individuals with anxiety disorders experience shorter sleep duration and lower immune function compared to those without anxiety disorders. Previous studies have shown that short sleep duration can increase stress and inflammation in adolescents and adults. Vitamin B6 synthesizes neurotransmitters, which significantly regulate sleep and anxiety symptoms. Additionally, previous research has suggested that vitamin B6 plays a vital role in the immune system by reducing cytokine production and inflammation responses in many signaling pathways. Conclusion: This scoping review provides preliminary evidence of the association between vitamin B6, sleep duration, and immune function, particularly in individuals with anxiety disorders. Further research is required to elucidate the mechanisms involved in this relationship. The findings of this review can support further research on the potential benefits of vitamin B6 for sleep duration and immune function.
Preferred child number as the primary determinant of higher parity in women aged 45-49 in Eastern Indonesia: the 2017 IDHS data analysis Putri, Nur A'isyah Amalia; Hastono, Sutanto Priyo; Besral
BKM Public Health and Community Medicine Vol 39 No 11 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i11.9869

Abstract

Purpose: This research aims to determine the determinants of higher parity in women aged 45-49 years in Eastern Indonesia. Methods: This research uses a quantitative approach and analysis of secondary data from the 2017 IDHS, utilizing a cross-sectional study design. Meanwhile, this research was conducted on 1,055 samples of the 2017 IDHS and analyzed using a complex survey method. Results: The research finds that 72.2% of women aged 45-49 years in Eastern Indonesia have higher parity. Multiple logistic regression analysis indicates that women in this age group who gave birth for the first time before the age of 20 (p-value: 0.005; aOR: 2.04), those who have used a birth control method or device (p-value: 0.001; aOR: 0.30), those with the lowest welfare index (p-value: 0.015; aOR: 1.90), those who have experienced child mortality (p-value: 0.001; aOR: 4.46), and those preferred more than two children (p-value: 0.001; aOR: 5.47) are statistically significant related to higher parity. Conclusion: The research concludes that key determinants of higher parity in women aged 45-49 years in Eastern Indonesia include early age at first birth, previous use of a birth control method or device, lowest welfare index, experience of child mortality, and a preference for having more than two children. Among these, the preferred child number is the most dominant variable related to higher parity.
When should DIY have a localized healthcare waste management system? Hasanbasri, Mubasysyir; Sarto; Wiranto; Sutena, Marthinus; Qaimamunazzala, Hayu; Ferdiana, Astri; Ramadona, Aditya Lia; Jaladara, Vena; Nilasari; Meliala, Andreasta; Padmawati, Retna Siwi
BKM Public Health and Community Medicine Vol 39 No 11 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i11.11777

Abstract

Purpose: The 2018 healthcare waste management crisis catalyzed a critical review of the concerns expressed by the Health Office (dinkes) and healthcare facilities regarding healthcare waste management in the Special Region of Yogyakarta (DIY). Due to this crisis, the Ministry of Health hired Universitas Gadjah Mada (UGM) to look into potential solutions and promote DIY government policy responses. This paper examines the management strategy during crisis times and possible alternative solutions. Methods: This paper uses focused group discussions reports involving separate groups of (1) environmental health officials from community health centers, (2) hospitals, (3) environment health officials of district health authorities, and (4) cross-sectoral province officials in the Yogyakarta Special Region. It is part of a project 'A case study of strengthening regional-based medical waste management model', fund from the Environmental Health Directorate, Directorate General of Public Health, Ministry of Health (Project KN 01.03/6.1/0198/2019). Result: A simulation of policy options based on health facility managers suggests that a province-based system is the most profitable in the long term for DIY, with several possible options. The national policy roadmap was considered inadequate to respond to DIY's urgent local needs. Furthermore, the series of meetings succeeded in forming an informal forum between health facilities, provincial health offices, and associations of hospital environmental sanitation experts, monitoring medical waste management. Conclusion: The 2018 medical waste management crisis led to the formulation of policy response choices tailored to the capacity of DIY. These choices considered the expenditures and legal sanctions faced by healthcare facilities and the economic value of a region-based waste system for local government authorities. This comprehensive approach highlights the importance of local capacity. It needs to shape effective and sustainable medical waste management policies, underscoring the necessity of region-specific strategies in the face of national health crises.

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