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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 1,528 Documents
 98   99   100   101   102 
Evaluasi Jangkauan dan Efektivitas Program Gerakan Keamanan Pangan Desa (GKPD) di Daerah Istimewa Yogyakarta Rizqi Amalia Rohmah; Lily Arsanti Lestari; Yayi Suryo Prabandari
Berita Kedokteran Masyarakat (BKM) Vol 36, No 8 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.57611

Abstract

Tujuan: melakukan evaluasi program GKPD di DIY menggunakan dimensi Reach dan Effectiveness dengan kerangka kerja RE-AIM. Metode:  Penelitian ini merupakan penelitian dengan metode evaluasi kualitatif dengan rancangan penelitian studi kasus deskriptif, yang dilaksanakan pada 3 desa di DIY yaitu Desa Pandowoharjo, Desa Sendangsari dan Desa Mangunan pada Bulan Januari – Mei 2020. Sebanyak 73 informan dipilih secara purposive yaitu pihak yang mempunyai kekayaan informasi terkait pelaksanakan program GKPD. Pengumpulan data dilakukan dengan 6 kali FGD, 16 wawancara, observasi, dan telaah dokumen. Untuk menjamin kredibilitas data, maka dilakukan triangulasi, member checking dan peer debriefing. Hasil: Reach: program melibatkan perangkat desa, perwakilan masyarakat, penyedia pangan di desa serta instansi kesehatan dengan faktor yang mendorong keterlibatan adalah kondisi keamanan pangan desa dan harapan manfaat program dan faktor penghambat adalah pembatasan jumlah peserta, kondisi kader/komunitas serta kendala teknis. Effectiveness: program GKPD meningkatkan pengetahuan kader/komunitas yang terlibat namun praktik keamanan pangan belum dijalankan secara konsisten dengan faktor yang berkontribusi adalah keterbatasan sarana/prasarana, SDM, adanya kader yang kurang aktif serta paparan keamanan pangan yang singkat. Simpulan: Perlu desain program pelatihan yang lebih efektif sehingga praktik keamanan pangan akan lebih konsisten dan perlu adanya monitoring secara berkala. 
Hubungan Tingkat Pengetahuan dengan Perilaku Pencegahan Kanker Serviks pada Wanita Usia Subur di Perbatasan Kecamatan Badau Mira Miftahul Jannah; Diana Natalia; Mardhia Mardhia
Berita Kedokteran Masyarakat (BKM) Vol 36, No 9 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4282.745 KB) | DOI: 10.22146/bkm.57630

Abstract

Tujuan: Tujuan dari penelitian ini untuk mengetahui bagaimana hubungan antara tingkat pengetahuan dengan perilaku pencegahan kanker serviks pada wanita usia subur di Perbatasan Kecamatan Badau. Metode: Penelitian ini merupakan studi analitik dengan metode potong lintang. Cara pemilihan sampel dengan menggunakan purposive sampling. Sebanyak 69 wanita berusia 15-49 tahun diwawancarai dengan menggunakan kuesioner dan dianalisa dengan uji Chi-Square. Hasil: Hasil uji Chi-Square menunjukkan bahwa secara statistik tidak terdapat hubungan yang bermakna tingkat pengetahuan dengan perilaku pencegahan kanker serviks (p=0,522). Kesimpulan: Tidak terdapat hubungan tingkat pengetahuan dengan perilaku pencegahan kanker serviks pada wanita usia subur di Perbatasan Kecamatan Badau. 
Physical environments of water containers and Aedes sp larvae in dengue endemic areas of Tanjungpinang Timur District Rinaldi Daswito; Kholilah Samosir
Berita Kedokteran Masyarakat (BKM) Vol 37, No 1 (2021)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (157.543 KB) | DOI: 10.22146/bkm.57738

Abstract

Purpose: This study aimed to determine the relationship of the type and condition of the container environment to the existence of Aedes sp larvae in Tanjungpinang Timur District. Methods: An observational study with a cross-sectional approach involved 401 houses with containers in Tanjungpinang Timur District, Tanjungpinang City. Data on the existence of larvae was performed using the single larvae method. Data on container type and container environmental conditions (water pH, water temperature, air temperature, air humidity) and the presence of larvae were collected by observing and measuring. Results: 863 containers were observed, 138 of them (15.99%) were found larvae of Aedes sp, containers inside the house (65.57%), and not closed (88.53%). The types of containers were controllable sites (95.13%), disposable sites (3.36%), and under controllable sites (1.51%). The results of the measurement of water pH (76.13%) and water temperature (82.73%) of the containers were categorized as good. Container temperature 98.38% showed results with a range of unfavorable conditions (<200C &> 300C) and air humidity of 99.07% with a range (<81.5% &> 89.5%). Type, location, condition of container closure, water pH, water temperature, and air temperature of containers were related to the presence of larvae in Tanjungpinang Timur District (p value <0.05), while the variable humidity was not related to the existence of larvae. Conclusion: Physical environmental factors strongly support the reproduction of DHF vectors in the East Tanjungpinang District. It is necessary to increase public knowledge and routine home eradication of mosquito nests (PSN), especially controllable site containers widely used as water reservoirs.
The roles of hajj and umrah facilitating guides in promoting healthy lifestyles among Indonesian pilgrims Iwan Yulis Setiawan; Supriyati Supriyati; Probosuseno Probosuseno
Berita Kedokteran Masyarakat (BKM) Vol 36, No 9 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.57810

Abstract

 Background: Hajj pilgrimage has the potential to spread acute and rapid infectious respiratory and digestive diseases because of the gathering of over two million people from various countries with different characteristics. Purpose: This study explored the role of KBIHU in promoting the healthy behavior of prospective pilgrims in the Cilacap Regency.Method: Qualitative methods with a case study approach. Data analysis uses the thematic analysis of Miles and Huberman's interactive model. Results: The results showed five themes, six categories, and twenty-five subcategories. 1]. Internal management roles in promoting healthy behavior: (a) institutional perception of authority and its limitation, and networking, (b) guidance, service, assistance, and protection functions, and (c) planning, implementation, and evaluation. 2]. Efforts to promote healthy behavior:  coordination between agencies, coordination with the public health office and community health center, and the role of innovation. 3]. tips on promoting healthy behaviors: maximizing the role of mentors, involving pilgrims and alumni of health workers, involving fellow worshipers, use of social media, AKHI, TKHI, and "karu-karom." 4]. KBIHU support: health policy, the pilgrimage "istithaah," and pilgrims' rights and obligations. 5]. Problems in implementation: the fact of pilgrims and pilgrimage diseases.
External quality assessment of AFB smear microscopy in public health centers Leli Rachmawati; Riris Andono Ahmad
Berita Kedokteran Masyarakat (BKM) Vol 36, No 9 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.58338

Abstract

Purpose: Microscopic examination is the main diagnostic method in countries with a high TB burden. Microscopic examination has an important role in TB case detection. The purpose of this study was to examine the quality of TB microscopic sputum examination at the level of the Public Health Center of Kulon Progo District, Indonesia.  Method: This research was a cross-sectional study with 21 Health Center subjects. A Structured questionnaire is used to record HR and logistical availability. Blinded rechecking was done for nine public health centers; data were analyzed to evaluate smear quality indicators and examine the error.  Results: The majority of laboratory workers were women (88.1%), aged 36-45 years (42.86%). Most laboratory staff had 11-20 years of work of length (42.86%). Logistical availability was good, but there were shortages of stock boxes, filter paper, and lens paper. A total of 762 slides from 9 health centers were rechecked. The positivity was 1.57%, error was 1.57% (FP= 41.7% FN= 58.3% sensitivity= 75% specificity= 98.9%). Major errors found 33.37% and 66.73% minor errors from 12 errors. Quality issues found were thickness (38%), salivary specimens (27%), and size (26%).  Conclusion: The performance of TB microscopic examination at The Health Center level in Kulon Progo was quite good, but it needs efforts to get better quality sputum to improve case detection
Determination of Safe Concentration of Non-Carcinogenic Toluene in Surabaya Printing Ahmad Rido&#039;i Yuda Prayogi; Dr. Abdul Rohim Tualeka; Dr. Ahsan Ahsan; Dr. Pudji Rahmawati; Dr. Syamsiar S Russeng; Indri H Susilowati
Berita Kedokteran Masyarakat (BKM) Vol 36, No 9 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.58654

Abstract

Aims: The research objective is to determine the safe concentration of non-carcinogenic toluene in Surabaya printing. Methods and Material: The research design used was observational analytic, cross sectional research design with a quantitative approach. The research location is a printing press in Surabaya. Total population was 37 workers, the study sample was taken using the accidental sampling method with a total sample of 30 respondents. The formula for determining the concentration of toluene non carcinogen intake is (CxRxtExfExDt): (Wbx30x365). Results:  The concentration value of toluene exposure is greater than the standard set by labor regulations No. 5 of 2018 by 0.2 ppm. A total of 10% of workers falls under normal category, 73% above normal category and 27% below normal category. Conclusions: The concentration of toluene exposure in Surabaya printing area is above normal with a concentration of 0.2 ppm and this is considered normal.
Evaluasi Pelaksanaan Si Kesi Gemes (Sistem Penguatan Kelurahan Siaga dalam rangka Gerakan Masyarakat Hidup Sehat) di Kota Yogyakarta
Berita Kedokteran Masyarakat (BKM) Vol 36, No 11 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.58985

Abstract

Latar belakang: Kelurahan siaga merupakan bentuk pemberdayaan masyarakat. Data terakhir yang diperoleh dari Pusdatin tahun 2013 jumlah desa dan kelurahan siaga aktif di Indonesia sebesar 65,2% dan DIY sebesar 94,3%. Jumlah kelurahan Siaga di Kota Yogyakarta tahun 2016 mencapai 100% namun mengalami mati suri. Revitalisasi kelurahan siaga dilakukan dengan menetapkan jejaring Si Kesi Gemes.Tujuan Penelitian: Mengevaluasi pelaksanaan Si Kesi Gemes di Kota Yogyakarta.Metode Penelitian: Penelitian ini merupakan penelitian kualitatif deskriptif eksploratif dengan rancangan studi kasus tunggal. Pemilihan informan dilakukan secara purposive sampling. Informan yang dipilih adalah perangkat daerah dan lembaga swadaya masyarakat yang terdaftar dalam jejaring Si Kesi Gemes. Pengambilan data dilakukan dengan FGD, wawancara mendalam dan observasi. FGD dilakukan pada 2 kelompok, wawancara mendalam pada 21 orang. Keabsahan data dilakukan dengan cara triangulasi dan peer debriefing.Hasil: Pembentukan Si Kesi Gemes dilakukan dengan kombinasi top down dan partisipatif. Top down karena jejaring diinisiasi dan dibentuk oleh Dinas Kesehatan, sedangkan partisipastif karena melibatkan Kesi dalam pembentukan jejaring wilayah. Si Kesi Gemes berperan dalam mengaktifkan koordinasi Kesi dan memperluas kerja sama dengan fasyankes swasta, perguruan tinggi kesehatan dan pengusaha lokal. Hambatan pelaksanaan peran terutama pada ketidakpahaman peran pembinaan, kompetensi petugas promkes yang tidak sama, komitmen pembinaan yang rendah dan tidak adanya sinergi program kelurahan siaga dan kota sehat. Peran jejaring dipengaruhi persepsi terhadap Si Kesi Gemes, motif keterlibatan yang berbeda dan modal sosial yang kuat. Efektivitas Si Kesi Gemes dilihat melalui akomodasi Kesi dalam dana kelurahan, aktifnya forum koordinasi kelurahan, pendanaan dari CSR, peningkatan keaktifan UKBM posbindu, serta memunculkan inovasi kegiatan. Pembinaan UKBM masih didominasi puskesmas dan pelatihan tidak sesuai kebutuhan.Kesimpulan: Pembentukan Si Kesi Gemes sangat dibutuhkan untuk mengikat keterlibatan jejaring dalam mendukung kelurahan siaga. Kesi, FKKS dan FKS diharapkan mengagendakan koordinasi jejaring secara rutin di tingkat kelurahan, kecamatan dan kota.
Ergonomic Risk Factor Analysis of Musculoskeletal Disorders (MSDs) Complaints of Kurnia Lurik Sewon Bantul Workers Special Region of Yogyakarta (DIY)
Berita Kedokteran Masyarakat (BKM) Vol 36, No 10 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.645 KB) | DOI: 10.22146/bkm.59055

Abstract

ABSTRAKBackground: Occupational safety and health (K3) in medium-sized businesses (UKM) is needed because almost 70% of SMEs in Indonesia do not know occupational safety and health (K3). Occupational diseases (PAK) in weaving workers, namely complaints of musculoskeletal disorders (MSDs) caused by unnatural work postures (clumsy) can result in disruption of skeletal muscles and high workload can affect the occurrence of loading on the muscles so that it can result in fatigue in workers because of the accumulation of lactic acid in the muscles and blood circulation resulting from the contraction process of an ergonomic work that takes place over a long period of time and repeatedly. In the lurik fabric manufacturing industry in the Bantul Special Region of Yogyakarta (DIY), namely Kurnia Lurik through the lurik fabric manufacturing process that takes place in 1.5 to 2 months that still uses non-machine looms (ATBM).Research Objectives: The purpose of this study was to analyze the risk factors for ergonomics of workers in the Kurnia Lurik Sewon Bantul Industry Special Region of Yogyakarta (DIY) against complaints of Musculoskeletal Disorders (MSDs).Research Methods: The method used in this study is a quantitative method. This type of research is a type of observational analytic study using a cross-sectional design. Assessment of work posture using the Rapid Entire Body Assessment (REBA) method, assessment of work fatigue (subjective) using the Nordic Body Map (NBM) method, measurement of lactic acid in the blood is used to measure work fatigue (objective), then reinforced by the presence of controlled variables including variables work period and duration of work in measuring Musculoskeletal Disorders (MSDs) complaints in 30 Kurnia Lurik industrial workers. The research data were analyzed and interpreted using Stata 12 statistics. Bivariate data analysis used the Chi-Square test and multivariate data analysis using the Logistic Regression test.Research Results and Discussion: The results of the study show the work posture of Kurnia Lurik workers is a risk of ergonomic danger that is the working conditions and work equipment used by workers not in accordance with the work posture of workers. Work fatigue (subjective) and work fatigue (objective) of Kurnia Lurik workers constitute risk of work environment hazards, namely the risk of hazards in the form of physical, chemical, biological, psychosocial, and ergonomic factors. Workload of Kurnia Lurik workers is a risk of danger to the worker's body that is derived from the worker's body, such as work capacity and health status of workers. Work period and duration of work of Kurnia Lurik workers constitute a risk of harm to the organization of workers and a work culture that is work risk associated with excessive workload of workers and excessive work time for workers.Conclusion: There is a risk of ergonomic hazards due to mismatch between equipment used by workers as well as working conditions with workers' body measurements. Keywords: Musculoskeletal Disorders (MSDs), Work Posture, Work Fatigue, Workload, Work Length, Work Duration
Covid-19 risk factors and health protocol compliance among mall employees and officers in Yogyakarta Yunita Kemala Dewi; Ari Probandari
Berita Kedokteran Masyarakat (BKM) Vol 37, No 1 (2021)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (220.213 KB) | DOI: 10.22146/bkm.59065

Abstract

Purpose: This study aimed to analyze risk factors, compliance with health protocols, and the COVID-19 screening test among mall employees at Yogyakarta city, Indonesia.Methods: We analyzed secondary data from a cross-sectional study in Yogyakarta City from May-August 2020. The population was all employees at all malls in Yogyakarta City who participated in the screening rapid test zero survey conducted by the Yogyakarta City Government. Results: Bivariate analysis showed a significant relationship between ensuring proper mask install (OR = 6.33, p = 0.023, 95% CI = 1.03-38.81), applying a minimum distance of > 1 meter when outside home (OR = 27.34, p = 0.001, 95% CI = 3.01-248.32) and applying a minimum distance of > 1 meter when at work (OR = 22.25, p = 0.003, 95% CI = 2,45-201.65) with the reactive COVID-19 results. Multivariate analysis showed the most dominant variable associated with the reactive rapid test results is not keeping a minimum distance of > 1 meter when outside the house with a value of (OR=11.91, p=0.047, 95% CI = 1.03-137.37). Conclusion: The risk factor for Covid-19 for employees and mall staff is physical distancing > 1 meter when outside the house.  The city administration should keep working with mall managers to tighten health protocols in malls and other public areas to prevent Covid-19 transmission.
Analisis Program Pemerintah Kota Padang dalam Penurunan Penularan HIV/ AIDS Terkait Perilaku Lelaki Seks Lelaki di Kota Padang tahun 2020
Berita Kedokteran Masyarakat (BKM) Vol 36, No 10 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.59801

Abstract

Latar Belakang : Lelaki seks lelaki (LSL) merupakan salah satu kelompok yang rentan dan beresiko tinggi tertular dan menularkan HIV/AIDS karena berkaitan dengan orientasi seksual mereka yang menyimpang. Tujuan dari penelitian ini untuk melihat bagaimana program penanggulangan yang dilakukan Kota Padang dalam penurunan penularan HIV/AIDS terkait perilaku lelaki seks lelaki.Metode : Penelitian ini merupakan penelitian kualitatif dengan metode purpossive sampling yang dilakukan di Kota Padang pada 15 orang responden. Pengumpulan data pada penelitian dilakukan melalui wawancara mendalam.Hasil : Saat ini belum ada program dan kebijakan khusus terkait perilaku LSL dan upaya yang dilakukan untuk membantu menurunan penularan HIV/AIDS masih berupa konseling VCT, pemberian kondom dan jarum suntik secara gratis, namun hal tersebut belum mampu memaksimalkan penurunan HIV/AIDS terkait perilaku LSL di Kota Padang.Kesimpulan : Program penanggulangan HIV/AIDS pada LSL secara khusus belum ada dan masih tergabung pada program HIV/AIDS secara umum. Kata Kunci : LSL, HIV/AIDS, Program Kota PadangDaftar Pustaka : 71 (1998 - 2019 ) AN ANALYSIS ON GOVERNMENT PROGRAM OF PADANG IN REDUCING THE HIV/AIDS TRANSMISSION BETWEEN MEN-SEX -MEN BEHAVIOR IN PADANG CITY 2020 By : DIAN PARAMITHA ASYARI (1820322017) ( Supervised by : dr. Hardisman, MHID, Dr.PH and Dr. dr. Yuniar Lestari, M.Kes, FISPH, FISCM ) ABSTRACT Background : Man who have sex with men (MSM) are one of the groups whom are vulnerable and at high risk of contracting and transmitting HIV / AIDS due to their deviant sexual orientation. The purpose of this study is to see how the prevention program is carried out by Padang City in reducing the HIV / AIDS transmission of  male sex behavior.Method : This research was a qualitative research design with a purposive sampling conducted in the city of Padang on 15 respondents. The data in this research collected out through in-depth interviews.Result: Currently there are no specific programs and policies related to MSM behavior and the efforts made to help reducing HIV / AIDS transmission are still in the form of VCT counseling, free provision of condoms and syringes, but this has not been able to maximize the reduction of HIV / AIDS related to MSM behavior in the city Padang.Conclusion: The HIV / AIDS program for MSM in particular is yet to be created  and and the existing program only in form of HIV / AIDS program  in general. Keywords: MSM, HIV / AIDS, Padang City ProgramBibliography: 71 (1998 - 2019) 

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