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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
 1 
Search results for , issue "Vol 40 No 05 (2024)" : 5 Documents clear
Psychoeducational intervention on knowledge and perceptions of families of schizophrenic patients under “pasung” Siregar, Umi Fadilah; Liza, Rini Gusya; Ashal, Taufik; Semiarty, Rima; Abdiana; Handayani, Tuti
BKM Public Health and Community Medicine Vol 40 No 05 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i05.6927

Abstract

Purpose: The number of pasung cases in West Sumatra in 2020 was still relatively high, totaling 122 people. Of the 19 city districts, Padang Pariaman district is the first with the highest prevalence of pasung mental cases, 24 people. In addition to psychopharmaceutical therapy, the management of schizophrenia requires psychosocial interventions such as family psychoeducation. Families have an important role in helping schizophrenia patients to realize the pasung-free program launched by the government. Methods: Pre-experimental study by one-group pre-test and post-test design conducted in September 2021-June 2022 involving 18 families of schizophrenia patients who were shackled in the Padang Pariaman Public Health Center area. Univariate data analysis is presented as a frequency distribution and bivariate analysis using paired sample t-test and Wilcoxon test. Results: The level of knowledge before the family psychoeducation intervention was poor (94.4%), and the level of knowledge after the family psychoeducation intervention was good (55.6%), the perception before the family psychoeducation intervention was poor (88, 9%) and the perception after family psychoeducation intervention is good (50.0%), there is an effect of psychoeducation intervention on the level of knowledge of families of schizophrenia patients who are shackled p=0.001 (<0.05), and there is an effect of psychoeducation intervention on the perception of families of schizophrenia patients who are shackled p=0.001 (<0.05). Conclusion: Family psychoeducation interventions are very helpful in increasing family knowledge and perceptions of schizophrenia disorders, and it is hoped that Puskesmas Agencies will be more proactive in providing family psychoeducation to reduce the number of cases of pasung in the puskesmas working area.
Prevalence and health-seeking behavior of leprosy patients at Universitas Mataram Hospital Krisnanti Putri, Wayan Julita; Hapsari, Yunita; Kusuma, Dinie Ramdhani
BKM Public Health and Community Medicine Vol 40 No 05 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i05.8777

Abstract

Purpose: This study aims to acknowledge leprosy patients' prevalence and health-seeking behavior at the outpatient clinic of UNRAM Hospital. Methods: This study used a retrospective cohort design of leprosy patients from January 2021 to April 2023. Results: There were 40 leprosy patients, including 35 patients (87.5%) with multibacillary type, and five patients (12.5%) were identified as paucibacillary type. This study included 21 men (52.5%) and 19 women (47.5%). Based on age, the most frequent group came from people aged around 26-45 years old (45%). There were 16 unemployed patients (40%) and 14 (35%) senior high school graduates. Mataram had the most leprosy cases (52.2%) in UNRAM hospital. There were 20 cases (50%) of Type 1 reaction and 32 patients (80%) who received multidrug therapy. There were 21 patients (52.5%) who developed a disability. Most patients (45%) came to the clinic several times yearly. They were mostly female (56%), while men went to the clinic at least once yearly (67%). Patients under 45 (67%) and those with lower educational levels (78%) came more frequently than other groups. Conclusion: The prevalence of the study is important for realizing the burden of the disease and establishing a preventive approach towards leprosy. The role of health providers is important in engaging the awareness of leprosy patients’ self-care because it is important to prevent serious disabilities.
The empowerment perspective of implementation one house one jumantik (G1R1J) in sub-urban area Isnani, Tri; Ramadhani, Tri; Ikawati, Bina
BKM Public Health and Community Medicine Vol 40 No 05 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i05.9156

Abstract

Purpose: To examine the effectiveness of one house one larva monitor program as a community empowerment. Methods: The research was conducted using the PAR approach by collecting data by observation, in-depth interviews, and discussions with samples/informants including health workers at the public health center, cadres/jumantik, jumantik rumah, community leaders, and local village and sub-district government figures. The team formed jumantik followed by training and assistance for five months for jumantik. The research location is in an urban village in Mempawah Regency, West Kalimantan Province, with data collected from March to October 2019. Results: The research location is an area with a socio-cultural geographical character that is between rural and urban characters. Knowledge about dengue fever and G1R1J is still lacking. Problems in the implementation of G1R1J are related to participation issues, namely the awareness and acceptance of residents towards activities, replacement of cadres/volunteers, and wrong perceptions. Socialization, which is the first step in empowerment, has not been carried out. Socialization is also a step in growing knowledge and awareness that will influence the growth of community participation. Conclusion: The problems faced include the problem of participation of cadres and community members. The socialization stage as the introduction stage influences knowledge and behavior. The condition of the community as social capital is incredibly supportive in empowerment. Empowerment requires adjustment to each condition. Therefore, mapping of initial conditions and comprehensive mass outreach is needed.
Outbreak investigation of Chikungunya fever in Kapanewon Banguntapan, Bantul, Yogyakarta: a lesson learned Gusrina, Sylvia; Lestari, Nining Puji; Aryanto, Samsu; Wiratama, Bayu Satria
BKM Public Health and Community Medicine Vol 40 No 05 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i05.9777

Abstract

Purpose: The investigation was conducted to confirm the Chikungunya outbreak in Banguntapan. Bantul. from November 2021 to January 2022 and identify the risk factors for control measures. Methods: We conducted a 1:1 case-control study. Cases were residents of the six hamlets in Banguntapan with sudden fever and arthralgia from December 2021 to February 14. 2022. Controls were residents of the same neighborhood with no symptoms. We collected demographics, risk factors, and environmental data using standardized questionnaires through direct interviews and observation. For diagnosis confirmation, we examine the case blood serum for laboratory testing. Logistic regression was used to analyze the risk factors. Results: We identified 151 Chikungunya suspects (Attack-rate/AR 13.6%) of 1111 total population. The highest AR by gender and location were in women (16.3%) and Genengan hamlet in Jambidan village (45.6%), respectively. Fever (92.1%) and muscle pain (81.7%) are the significant symptoms. The latest larval rate average was 13% lower than the national target. More than one-third of the cases were in the acute phase of infection. Multivariate analysis showed close contact of cases (aOR 22.79; 95% CI: 7.01–74.17) and community habit of hanging clothes in the house (aOR 2.42; 95% CI: 1.01–5.82) significantly associated with the Chikungunya outbreak. Conclusion: There was a Chikungunya outbreak in Jambidan and Tamanan Village, Banguntapan, from November 8, 2021, to January 31, 2022. Therefore, we recommend that the DHO strengthen health education related to protective action while having close contact with suspects and the habit of hanging wardrobes in the house as risk factors associated with the outbreak.
Household food security and WASH practices in children with undernutrition: a case study in low middle income area in Semarang, Indonesia Anggraheny, Hema Dewi; Setiawan, M. Riza; Widiasih, Esti; Dewi, Ernanda Candra
BKM Public Health and Community Medicine Vol 40 No 05 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i05.12356

Abstract

Purpose: This study analyzed the correlation between household food security (HFS) and WASH practices toward nutritional status in children with undernutrition. Methods: This type of research was analytically observational with a cross-sectional design. The sample in this study was 55 mothers with children with a history of undernutrition aged 6 to 23 months. The Rank Spearman test was conducted to analyze this study. Results: The prevalence of stunted and severely stunted was 34.55%, respectively; underweight and severely underweight were 36.36%, respectively; and wasted and severely wasted were 30.91 and 16.36% respectively. The percentage of respondents with mild, moderate, and severe food insecurity were 23.6, 7.3, and 12.7% respectively. The average value of WASH practices was rated as good among all respondents. Household food security score was associated with WAZ (p=0.008 and r=0.352) and HAZ (p=0.027 and r=0.299) but was not associated with WHZ (p=0.067; r=0.248). WASH practice was associated with WAZ (p=0.000; r=0.504), HAZ (p=0.000; r=0.455), and WHZ (p=0.000; r=0.334). Conclusion: There were still conditions of severe food insecurity and undernutrition problems that need the focus of attention. There is a need for monitoring by looking at certain aspects, such as HFS and WASH practices in reducing undernutrition.

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