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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 4 Documents
 1 
Search results for , issue "Vol 40 No 12 (2024)" : 4 Documents clear
Exploration of food risk containing nitrosamine on potential public health implications: A descriptive literature review Andriyani, Ariska Nandia; Fitria, Laila; Susanna, Dewi
BKM Public Health and Community Medicine Vol 40 No 12 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i12.17043

Abstract

Purpose: Nitrosamines, chemical compounds formed from nitrites and amines, are gaining attention due to potential health risks. They are found in processed foods, such as cured meats, smoked fish, and fermented products, prompting a thorough examination of their sources and impact on health. This study aims to explore the nitrosamine content in food and its potential public health implications. Methods: This study employs a descriptive literature review methodology to investigate the impact of nitrosamine content in food on human health. It searches peer-reviewed journals, books, and online databases to identify relevant studies on food risk processing that contain nitrosamines and their impact on public health. Results: The review includes studies published over the past 20 years, focusing on nitrosamine content, nitrosamine formation processes, and health implications. Data from selected studies is systematically extracted and analyzed, focusing on patterns, risk factors, and health impacts, particularly in terms of cancer risk. Conclusion: This review found they pose significant public health risks, especially in meat products. Studies show a strong link between nitrosamine intake and increased risk of gastric and esophageal cancers. The detection and mitigation of nitrosamines are crucial, with more stringent regulations and improved testing techniques being needed in the food and pharmaceutical industries.
Assessing the undergraduate medical students’ acceptance and barriers of community-based education in population and Puskesmas levels: A preliminary study Pradnya, Matilda Stella; Sebong, Perigrinus H
BKM Public Health and Community Medicine Vol 40 No 12 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i12.13169

Abstract

Purpose: This study aims to identify aspects of acceptance and barriers to implementing community-based education (CBE) at the population and Puskesmas levels. Methods: A preliminary study was conducted in the Faculty of Medicine, Soegijapranata Catholic University, Semarang, in April 2024. Data were collected using a Likert-scale questionnaire, which surveyed 95 medical students participating in the CBE program at both the population and Puskesmas settings. Data analysis was carried out descriptively. Results: The distribution of respondents' experiential learning perceptions from the category "good" was a majority in the cycle of concrete experience aspect (100% at the population level and 89,58% at the Puskesmas level) and reflective observation (100% at the population level and 87,5% at the Puskesmas level). However, the percentage of 'disagree' and 'strongly disagree' ratings was found to be more frequent in Puskesmas when it came to accepting CBE benefits for students. Conclusion: Students benefit from the overall implementation of CBE at the population and Puskesmas levels. Further action research is needed to accommodate student learning styles in community-based education programs.
Implementation challenges of community-based total sanitation in wetland areas: a case study from Tanjung Jabung Barat Pratiningsih, Widya Ayu; Supriyati; Hasanbasri, Mubasysyir
BKM Public Health and Community Medicine Vol 40 No 12 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i12.6699

Abstract

Purpose: Community-Based Total Sanitation or STBM is an empowerment-based approach promoting hygienic behavior without subsidies. However, implementation in geographically challenging areas, such as wetlands, remains problematic, with limited research on context-specific adaptations. This study aimed to analyze the implementation of STBM in wetland areas by examining implementation protocols, monitoring mechanisms, and post-Open Defecation Free (ODF) sustainability in Tanjung Jabung Barat Regency, Indonesia. Methods: This qualitative case study employed purposive sampling to select 12 key informants across multiple sectors (health department, public works, primary health centers, village officials, and community members). Data were collected through in-depth interviews (25 to 80 minutes), participant observation, and document review. Thematic analysis, employing open coding, was conducted with source triangulation to ensure validity. Results: STBM implementation remains focused on Pillar 1 (Stop Open Defecation) with uneven achievement across subdistricts (ODF declaration in only 16.4% of villages despite 74.6% being triggered). Key implementation barriers included: (1) absence of village facilitators and formal STBM working groups; (2) weak post-triggering monitoring systems lacking formal community-to-health center reporting mechanisms; and (3) geographic constraints with conventional sanitation technologies proving unsuitable for wetland conditions. Additionally, a subsidy-oriented community culture hindered the adoption of behavior change. Conclusion: Effective CLTS implementation in wetland areas requires context-specific adaptations, including strengthened village-level institutions, locally adapted sanitation technologies, and formal post-ODF regulations. These findings contribute to understanding the geographical determinants of sanitation program effectiveness and highlight the importance of place-based approaches to achieve sustainable sanitation goals.
Underprivileged families and the incidence of stunted at birth in Sleman Regency based on the 2018-2019 Sleman Health and Demographic Surveillance System: a cohort study Khistiyarini, Fifit; Helmyati, Siti; Purwaningrum, Digna Niken
BKM Public Health and Community Medicine Vol 40 No 12 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i12.18088

Abstract

Purpose: The incidence of stunting is a problem that needs to be resolved immediately. Stunting in children contributes to causing significant state losses, because the state must bear the costs of degenerative diseases as a result of the long-term impact of stunting. The family's economic status plays a role in the nutritional status of newborns. The purpose of this study was to determine the risk of stunted babies being born in underprivileged families. Methods: This study utilizes data from the 2019 Sleman Health Demographic Surveillance System (HDSS), employing a cohort method. The data used in this study went through the data-cleaning stage. The analysis carried out consisted of three things: descriptive, bivariate, and multivariable analysis. The number of samples used was 168. Results: The prevalence of stunting was 28.6%, and the prevalence of underprivileged families was 31.5%. The analysis revealed that babies born to disadvantaged families were 1.72 times more likely to be born stunted compared to babies born to prosperous families, as indicated by the multivariable analysis. Conclusion: The birth weight of babies is a significant factor influencing the incidence of stunted babies. Based on multivariable modeling, babies born to underprivileged families have a higher risk of being stunted, but this is not statistically significant. The same model shows that other variables that increase the risk of babies being born stunted are low birth weight (LBW).

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