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INDONESIA
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
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PERILAKU IBU DALAM POLA PEMBERIAN GULA, GARAM, LEMAK PADA MAKANAN BALITA DI KECAMATAN CIPAYUNG, JAKARTA TIMUR TAHUN 2019
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.59892

Abstract

ABSTRAK Menurut Data Survei Konsumsi Makanan Individu (SKMI) Provinsi DKI Jakarta tahun 2014, proporsi balita dengan asupan gula, natrium, dan lemak yang melebihi batas yang dianjurkan,yaitu untuk asupan gula sebesar 1,9%, asupan natrium sebesar 15%, dan asupan lemak sebesar 22,2%. Preferensi makanan dan perilaku makan anak-anak dipengaruhi oleh pengalaman masa balita dan erat kaitannya dengan pilihan dan perilaku makan orang tuanya. Preferensi rasa saat usia dini ini akan menjadi kebiasan makan dikemudian hari dan menjadi perilaku negatif.Hal inilah yang menimbulkan timbulnya Penyakit Tidak Menular tidak hanya terjadi pada usia dewasa tetapi juga pada usia anak. Tujuan dari penelitian ini adalah untuk mengetahui perilaku ibu dalam pola pemberian gula, garam, lemak pada makanan balita umur 6-59 bulan di Kecamatan Cipayung, Jakarta Timur. Penelitian ini menggunakan desain studi cross sectional yang dilakukan pada bulan Juli-Agustus 2019 di wilayah Kecamatan Cipayung, Jakarta Timur. Sampel pada penelitian ini berjumlah 200 responden dengan subjek ibu yang memiliki balita umur 6-59 bulan di wilayah Kecamatan Cipayung yang didapat dengan purposive sampling. Hasil penelitian menunjukkan sebesar 53% Ibu memiliki perilaku negatif dalam pola pemberian gula, garam, lemak pada makanan balita. Sebesar 73,5% Ibu memiliki pengetahuan yang rendah dalam pola pemberian gula, garam, lemak pada balita dan sebesar 95,5% responden memiliki sikap negatif dalam pemberian gula, garam, lemak pada makanan balita. Berdasarkan uji multivariat regresi logistik diketahui bahwa perilaku ibu dalam pemberian gula, garam, lemak pada makanan balita memiliki hubungan yang signifikan dengan pengetahuan p-value=0,005 (p<0,05), pemanfaatan media sosial p-value=0,001 (p<0,05) dan dukungan petugas kesehatan p-value= 0,005 (p<0,05). Oleh karena itu diperlukan adanya pengembangan strategi dalam meningkatkan pengetahuan ibu akan penggunaan gula, garam, lemak di dalam konsumsi makanan balita sehari-hari melalui program indonesia sehat pendekatan keluarga.
Hubungan Pengetahuan dan Sikap Kesehatan Gigi Mulut dengan Angka Karies pada Masyarakat Perdesaan (Kajian pada Desa Karangtengah, Kecamatan Baturraden, Kabupaten Banyumas)
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.60517

Abstract

Introduction: The results of Riskesdas (Baseline Health Research) by Indonesian Ministry of Health in 2018 showed that the caries rate in rural areas was higher than in urban areas. However, the number of villagers receiving dental and oral health care was lower in comparison to urban communities. Karangtengah Village was located in the Baturraden District, Banyumas Regency which is a rural area. Purpose: This study aimed to determine the correlation of knowledge and attitude about oral health with caries rate in Karangtengah Village. Method:The study was an observational analytical research. Subjects were chosen using purposive sampling technique. Total subjects were 388 residents. The knowledge and affective data were collected using questionnaire and the caries rate was scored using DMF-T. Data was analyzed using Pearson correlation test (SPSS 22). Results: The results showed that the oral health knowledge and attitude of the majority of Karangtengah Village residents were in moderate category (48.7% and 66.8% respectively), while the average DMF-T score was 13.12 (very high). The statistical analysis showed no significant correlation between knowledge and DMF-T score as well as between attitude of oral health and DMF-T score (p>0.5). Conclusion:The moderate category of oral health knowledge and attitude in rural may have not applied as oral health behaviors therefore contribute to high dental caries rates.
HUBUNGAN KUALITAS BAKTERIOLOGIS SARANA AIR BERSIH (SAB) DAN HYGIENE SANITASI LINGKUNGAN DENGAN KEJADIAN DIARE DI WILAYAH PUSKESMAS TULAKAN KABUPATEN PACITAN Purwanto Purwanto
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.60549

Abstract

HUBUNGAN KUALITAS BAKTERIOLOGIS  SARANA  AIR  BERSIH (SAB)  DAN  HYGIENE  SANITASI  LINGKUNGAN  DENGAN KEJADIAN DIARE DI  WILAYAH PUSKESMAS TULAKAN KABUPATEN PACITAN Purwanto1, Sudarmadji2, Titik Nuryastuti2             AbstractBackground: Diarrhea is the leading cause of death and morbidity in the world, this is due to environmental sanitation, food and beverage sanitary hygiene is not good and contaminated clean water sources. In 2018 Tulakan Public Health Center the highest diarrhea incidence rate in Pacitan Regency, case finding of 848 patients of the target coverage of 1,506 patients with 297 (35%) of the total sufferers were toddlers. Clean water facilities that meet the requirements are among the lowest 3 out of 24 Tulakan Public Health Center in Pacitan Regency with a coverage of 53%. Purpose: To analyze the relationship between Bacteriological Quality of Clean Water Facilities (SAB) and Environmental Sanitation Hygiene is a risk factor for diarrhea in the Tulakan Public Health Center Pacitan Regency. Methods: This type of quantitative analytic study was design Cross Sectional with a sample of mothers who had children under five to seek treatment at the Tulakan Public Health Center Pacitan Regency from March to April 2020 with a total of 50 respondents. Data analysis used Chi Square test and Logistic Regression. Results and Discussion: The variables related to the incidence of diarrhea, namely 1) the bacterial quality of SAB p = 0,0018 PR 2,4 CI95% 2) healthy latrines p = 0,0002 PR value = 3.6 CI95% 3) doing CTPS p = 0,0002 PR = 2,9 CI95% 4) management of SAB p = 0,0016  PR = 2,2 CI95% 5) management of food and beverage 0,0046 PR = 2,3 CI95%. The multivariate result of the highest OR value was the behavior of doing CTPS, namely = 535 CI95% p value = 0,003. Conclusion: The incidence of diarrhea in toddlers is related to the bacteriological quality of clean water facilities and environmental sanitation hygiene, which are risk factors. The most dominant factor related to the incidence of diarrhea in toddlers is washing hands with soap (CTPS). Keywords: Bacteriological Quality of Water, Environmental Sanitation Hygiene, Diarrhea, CROSS SECTIONAL INTISARILatar Belakang : Diare adalah penyebab utama kematian dan morbiditas di dunia, ini disebabkan sanitasi lingkungan, hygiene sanitasi makananan minuman tidak baik dan sumber air bersih yang terkontaminasi. Pada tahun 2018 Puskemas Tulakan angka kejadian diare tertinggi se - Kabupaten Pacitan penemuan kasus 848 penderita dari target cakupan 1.506 penderita dengan jumlah 297 (35%) dari total penderita adalah balita. Sarana Air Bersih yang memenuhi syarat termasuk 3 besar terendah dari 24 Puskesmas di Kabupaten Pacitan dengan cakupan 53%. Tujuan Penelitian : Menganalisa hubungan Kualitas Bakteriologis Sarana Air Bersih (SAB) dan Hygiene Sanitasi Lingkungan merupakan faktor resiko kejadian diare di Wilayah Puskesmas Tulakan Kabupaten Pacitan. Metode Penelitian : Jenis penelitian kuantitatif analitik rancangan Cross Sectional dengan sampel adalah ibu yang memiliki anak balita berobat ke Puskesmas Tulakan Kabupaten Pacitan pada bulan Maret sampai April 2020 dengan jumlah 50 responden. Analisis data menggunakan uji Chi Square dan Regresi Logistik. Hasil Penelitian : Variabel yang berhubungan yang dengan kejadian diare yaitu 1) kualitas bakterilogis SAB p = 0,0018 PR 2,4 CI95%  2) jamban sehat p = 0,0002 nilai PR = 3,6 CI95% 3) melakukan CTPS p = 0,0002  PR = 2,9 CI95%  4) pengelolaan SAB p = 0,0016 PR = 2,2 CI95% 5) pengelolaan makanan minuman 0,0046 PR = 2,3 CI95%. Hasil multivariat nilai OR tertinggi adalah perilaku melakukan CTPS yaitu = 535 CI95% nilai p = 0,003. Kesimpulan : Kejadian diare pada balita berhubungan dengan kualitas bakteriologis sarana air bersih dan hygiene sanitasi lingkungan yang merupakan faktor resiko. Faktor paling dominant berhubungan dengan kejadian diare pada balita adalah melakukan cuci tangan pakai sabun (CTPS).Kata kunci :   Kualitas Bakteriologis Air, Hygiene Sanitasi Lingkungan, Diare, CROSS SECTIONAL
EVALUASI PENGELOLAAN LIMBAH MEDIS PELAYANAN KESEHATAN GIGI PADA RUMAH SAKIT GIGI DAN KLINIK GIGI DITINJAU DARI ASPEK SISTEM MANAJEMEN: A SYSTEMATIC REVIEW Herajeng Styamita Pradani; Sarto Sarto; Wiranto Wiranto
Berita Kedokteran Masyarakat (BKM) Vol 36, No 12 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.60602

Abstract

AbstractBackground: Dentistry is growing rapidly around the world. There is an increasing number of dental health service facilities across the country. The quality of dental health and patient care has improved, but on the other hand, it has produced a large amount of medical waste. The amount of medical waste poses potential health risks and damage to the environment, if doesn't managed properly. Objective: To evaluate the management of medical waste in dental hospitals and dental clinics in terms of management aspects (input, process, output). Methods: This study was done with a systematic review method. Results and Discussion: The result of research data found 348 articles then filtered according to the research criteria so that 25 articles were obtained. The input category for medical waste management in dental hospitals was lack in terms of training for waste management officers and the foundation of infrastructures, especially personal protective equipments. The process category in dental hospitals, namely medical waste, has not all been disaggregated and the storage time exceeded the standard. The output category in dental hospitals showed that not all dental hospitals did the separation according to the category and there was no data on waste reduction. The input category for medical waste management in dental clinics was lack in terms of training, infrastructure advices, POSs and funding. Process categories in dental clinics were not up to standard including reduction, sorting, storage and transportation of medical waste. The output category in the dental clinics showed not all did the separation according to the category and there was no waste reduction. Conclusion: Dental hospitals and dental clinics have not fully implemented the recommendations of WHO (2014) and Regulation of the Minister of Environment and Forestry of the Republic of Indonesia Number 56 of 2015 regarding medical waste management.Keywords: dental waste management, dental hospital, dental clinic. AbstrakLatar Belakang : Kedokteran gigi semakin berkembang pesat diseluruh dunia. Terdapat peningkatan jumlah fasilitas pelayanan kesehatan gigi di seluruh negara. Kualitas kesehatan gigi dan perawatan pasien meningkat namun disisi lain menghasilkan limbah perawatan dalam jumlah besar. Besarnya limbah medis berpotensi menimbulkan dampak kesehatan dan mencemari lingkungan jika tidak dikelola dengan baik. Tujuan : Mengevaluasi pengelolaan limbah medis pada rumah sakit gigi dan klinik gigi ditinjau dari aspek manajemen (input, proses, output). Metode : Penelitian ini menggunakan metode systematic review. Hasil dan Pembahasan : Hasil pencarian data menemukan 348 artikel yang kemudian dilakukan penyaringan sesuai kriteria penelitian sehingga didapatkan  25 artikel. Kategori input dalam pengelolaan limbah medis di rumah sakit gigi terdapat kekurangan dalam hal pelatihan bagi petugas pengelola limbah dan pengadaan sarana prasarana terutama alat pelindung diri (APD). Kategori proses di rumah sakit gigi yaitu limbah medis belum semuanya terpilah sesuai jenisnya dan waktu penyimpanan limbah yang melebihi standar. Kategori output di rumah sakit gigi yaitu belum semua rumah sakit melakukan pemilahan limbah medis sesuai jenisnya dan belum terdapat data penurunan limbah. Kategori input dalam pengelolaan limbah medis di klinik gigi terdapat kekurangan dalam hal pelatihan, saran prasarana, POS dan pembiayaan. Kategori proses di klinik gigi yaitu pengurangan, pemilahan, penyimpanan dan pengangkutan limbah medis yang belum sesuai standar. Kategori output di klinik gigi yaitu belum semua klinik gigi melakukan pemilahan limbah medis sesuai jenisnya dan belum ada penurunan limbah. Kesimpulan : Rumah sakit gigi dan klinik gigi belum sepenuhnya melaksanakan rekomendasi dari WHO (2014) dan Peraturan Menteri Lingkungan Hidup dan Kehutannan nomor 56 tahun 2015 mengenai pengelolaan limbah medis.Keywords : pengelolaan limbah gigi, rumah sakit gigi, klinik gigi.
Global trade and health: an Indonesian perspective on the asean medical device directive policy Nurul Hidayati; Dedy Almasdy; Abdi Setya Putra
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 (230.821 KB) | DOI: 10.22146/bkm.60819

Abstract

Purpose: Health care equipment international trade could serve a new strategic revenue for Indonesia. Since its implementation in 2015, AFTA has been a very strategic issue in creating export opportunities for its member countries. One of the sectors that becomes a priority for ASEAN integration is in the field of medical devices which is regulated in the ASEAN Medical Device Directive (AMDD) policy. Indonesia itself has officially ratified AMDD policy since 2018, but Indonesia will have been facing the problem of quality, innovation and diversification of medical devices. This study examines the competitiveness opportunities for domestic medical devices in ASEAN Free Trade Area. Method: This study used a qualitative method where information was obtained from in-depth interviews and document review. The informants came from policy makers, implementing officers, and stakeholders. Results: Indonesia has harmonized 26 out of 31 standards mandated by AMDD. Conformity assessment bodies in Indonesia that have been certified by the National Accreditation Committee have received international recognition. Indonesia has many potential exporting innovative medical devices to ASEAN countries. Fulfillment of medical devices is carried out through compulsory licensing and parallel import mechanism.
Risk Model for Third Hand Smoke Against Health Problems in Children in Palembang City Amrina Rosyada; Dini Arista Putri; Nurmalia Ermi
Berita Kedokteran Masyarakat (BKM) Vol 36, No 12 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.61086

Abstract

Introduction The cigarette smoke residue left on home furnishings, clothes and on smokers' bodies is known to have an impact on health, especially toddlers and children. In the long term this exposure triggers the incidence of cancer. Purpose This study aims to determine the risk of third hand smoke in children under five to their health problems in Palembang. Method This study used a cross sectional design in Palembang. The sample amounted to 180 toddlers who were selected using the cluster sampling method. The analysis performed was univariate, bivariate and multivariate analysis of risk factor models. Results Based on the analysis, it is known that respondents who are classified as Third Hand Smoke (THS) have a risk of 2.905 (1,341-6,296) times for experiencing health problems than those who are not classified as THS. After controlling for socio-economic variables, smoker status, gender, child's age, father's attitude, the risk of THS against health problems increased from 8,752 (2,656-28,843). Discussion It is necessary to educate the public, especially fathers, about the dangers of exposure to cigarette smoke residues for children's health problems.Keywords : Third Hand Smoke, Smoker Father, smoke residue, Health Problems
ANALISIS KETERLAMBATAN PEMBAYARAN KLAIM BPJS RAWAT INAP DI RSUD PARIAMAN: (STUDI KASUS) Novia Putri; Rima Semiarty; Nur Afrainin Syah
Berita Kedokteran Masyarakat (BKM) Vol 36, No 12 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (140.847 KB) | DOI: 10.22146/bkm.61240

Abstract

Latar Belakang : RSUD Pariaman merupakan rumah sakit tipe B Pemerintah yang wajib melayani peserta BPJS Kesehatan. Dalam pengajuan klaim terjadinya keterlambatan pembayaran klaim akibat ketidaklengkapan persyaratan yang diajukan sehingga terjadinya klaim pending, Tujuan untuk mengetahui apa saja penyebab keterlambatan pembayaran klaim BPJS Kesehatan Rawat Inap di RSUD Pariaman dari segi Input dan Process.Metode :.Penelitian menggunakan metode kualitatif melalui wawancara semi terstruktur, observasi dan telaah dokumenHasil :.Penyebab dari komponen input SDM : masih kurangnya ketelitian koder dalam melakukan pengkodean diagnosa, masih kurangnya pemahaman dan skill tenaga verifikator internal dalam melakukan verifikasi berkas klaim, SPO: tidak adanya pedoman dalam melakukan pekerjaan terkait pengklaiman berkas Klaim BPJS dan  SPO pengkodean penyakit. Faktor penyebab utama adalah Kebijakan; Implementasi kebijakan yang belum berjalan. Hal ini  disebabkan faktor internal dan eksternal. Faktor internal; tidak adanya penanggung jawab bagian casemix sehingga berdampak pada input, proses, dan output yang dihasilkan salah satunya tidak adanya kejelasan uraian tugas atau pembagian tugas, belum adanya monitoring dan evaluasi. Faktor eksternal adalah adanya peraturan presiden nomor 18 tahun 2016 yang menghambat perubahan pembentukan ulang struktur organisasi RSUD Pariaman dari tipe C ke tipe B, karena harus menunggu terbitnya peraturan presiden yang mengatur tentang kelembagaan rumah sakit daerah
Mudik during the Covid-19 pandemic, anxiety, and depression among students in Indonesia Metta Rahmadiana; Supra Wimbarti; Ira Paramastri; Atik Triratnawati
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 (314.011 KB) | DOI: 10.22146/bkm.61744

Abstract

Purpose: This study explores the occurrence and different levels of anxiety and depression among male and female students who perform or do not perform mudik (homecoming). Investigate the primary source of COVID-19 related information among students. Methods: Online questionnaires consisting of the self-report level of anxiety and depression were delivered to study participants after completing the online informed consent. Quantitative analysis was conducted using the IBM SPSS version 20.0.Results: From a total of 2018 study participants, n=936 were students. Depression (M=8.68; SD= 5.45) was higher among students who did not perform mudik. Meanwhile, the prevalence rate of depression (M=7.18; SD=4.99) was also higher among students who performed mudik. A significant difference [sig (2-tailed) = 0.017; p <0.05)] regarding the level of anxiety was reported higher among female students (M=7.80; SD=4.6) than male students (M=7.03; SD=4.7) and no significant difference [sig (2-tailed) = 0.173; p> 0.05] was reported for the level of depression between male and female students. Instagram was reported as the primary source of COVID-19 related information. Conclusion: This current study supports the notion regarding the occurrence of common mental disorders among students as an impact of the COVID-19 pandemic, regardless of whether homecoming was performed or not. Different levels of anxiety and depression were reported between the male and female student population.
Preparing new normal: the health literacy assessment on the Covid-19 Supriyati Supriyati; Dian Kurnia Angraeny; Theodora Monica Carissa; Abicintha Pramesti Sheila; Shiefa Annisa Qisthi; Maulidiannisa Rianti; Tommy Roshan
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 (490.578 KB) | DOI: 10.22146/bkm.63081

Abstract

Purpose: This study was aimed to assess the health literacy of the COVID-19 for both of the knowledge level on the Covid-19 and the health protocol compliance by the medical and the non-medical student. Method: This rapid action research was conducted from July-August 2020. Respondents were Indonesian students who voluntarily fulfilled the online questionnaire. A total 208 respondents participated in this study (104 students for each group). Data analysis was performed by using chi square. Furthermore, an animation video was developed and published through Instagram TV as the follow up assessment. Results: The result showed that the medical students had better knowledge (41.8% vs 33.2%, p-value=0.000) and health protocol compliance (6.3% vs 2.4%, p-value=0.049) than the non-medical students. The lowest compliance towards health protocol of the both groups was the physical distancing. Moreover, the health education regarding physical distancing by using animation video had reached audiences. According to the audiences’ comments, the video made them aware of the importance of physical distancing. Conclusion: It was important to improve health literacy for preparing new normal, and it should be developed based on the need assessment.
Pregnancy Health Literacy with Low Birth Weight Outcome in North Lombok Regency Aulia Zahro Novitasari; Retna Siwi Padmawati; Yayi Suryo Prabandari
Berita Kedokteran Masyarakat (BKM) Vol 35, No 11 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.47164

Abstract

Pregnancy health literacy with low birth weight outcome in North Lombok Regency: secondary data analysis of PEER Health SHS-LBW intervention studyPurpose: To analyze the relationship between pregnancy health literacy with low neonatal birth weight.Method: This study is a secondary data analysis of Peer Health study intervention in North Lombok using a nested case control design. This study was conducted on 289 women. The Case group consists of 73 women with LBW and the control group consists of 216 women with non-LBW. Analysis of bivariate results of the study using chi square.Results: The results of this study indicate an association of pregnancy health literacy with LBW. Lesser exposure to pregnancy health information (OR: 2.76, 95% CI: 1.55-4.95) as well as the lesser exposure to pregnancy care (OR: 2.07, 95% CI: 1.16-3.67) associated with the greater LBW birth.Conclusion: The improvement of pregnancy health literacy through health promotion for pregnant women can improve pregnancy health and prevent LBW.

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