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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
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KARAKTERISTIK PILIHAN MAKANAN DAN INFORMASI KANDUNGAN ZAT GIZI MAKANAN; STUDI MELALUI MEDIA SOSIAL INSTAGRAM Valendra Haamiim; R Dwi Budiningsari; Abdul Wahab
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.47379

Abstract

Characterizing food choices and nutritional information: study through social media instagramPurpose: Instagram is one of the popular social media platform that provide users to capture and share photos and videos. Instagram serves as an attractive choices to individuals intending to share photos of food they are consuming. Due to the popularity of Instagram, the availability of rich data can be analyzed and produce information. Using Instagram as a food photos database, researcher wants to identify characteristics dietary choices and nutritional information of food based on Instagram.Method: this study presents both qualitative and quantitative data. Qualitative data collection was conducted by semi structured interviews with 11 participants and qualitative data collection was taken from food photos database on Instagram with 400 samples.Results: Food items more extensively mentioned (n=291) 72,75% in Instagram post is high calorie food (554 calories). Instagram manifest consumption is characterized by high carbohydrate (154 grams) 54,25% (n=217), high fat (31 grams) 45,5% (n=182), high sodium (810 mg) 82% (n=328), low protein (16 grams) 65,75% (n=263), and low fiber (7 grams) 70% (n=280) food. There were no differences in food characteristics posts between male and female users (p=7,61).Conclusion: Characteristics of food posts on Instagram are classified as high calorie foods. The nutritional information of food posts on Instagram contains high carbohydrate, high fat, high sodium, low protein, and low fiber. Our participants choose to use Instagram because it provided an easier and more fun for food tracking and journaling. Participants can receive emotional support by finding others similar interested and social interaction between users and also gave them a way to self express through food photos.
Sistem informasi geografis untuk pemetaan sebaran kasus tuberkulosis di wilayah kota Manado Meityn Disye Kasaluhe; Anis Fuad; Riris Andono Ahmad
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.47590

Abstract

Geographic information systems for mapping the distribution of tuberculosis cases in the City of ManadoPurpose: To describe the distribution of TB cases using spatial analysis such as overlay, buffer and cluster in Manado region 2018. Method: This study used survey research with cross sectional approach and Geographic Information System was used in Tuberculosis spreading cases mapping. Spatial clustering by SaTScan 9.6 and mapping by ArcMap 10.4.1.Results: In this study, the number of identifiable TB cases was 475 cases and spread in 10 sub-districts in the Manado region. The area with the highest number of TB cases was Wanea District, which was 112 (23.58%) and the area with few cases was Paal Dua District which was 23 (4.84%). Buffer analysis between the distance of the TB cases and the city center showed that the TB cases mostly had a residence with a distance of 2 km from the city center was 152 (32%). There are 6 clusters of TB cases in the city of Manado. 1st cluster was in Wanea district, 2nd cluster was in Singkil district, 3th cluster was between Malalayang district and Sario district, 4th cluster was located between Tuminting district and Bunaken district, 5th cluster was between Mapanget district and Singkil district,  6th cluster was between Wanea district, Wenang district, Sario district and Paal Dua district. Conclusion: Tuberculosis is a multifactorial disease. Geographical information systems for mapping the distribution of TB cases can be identified in areas that have special characteristics that can support transmission of TB. Mapping of Tuberculosis was expected to help in planning a program to restraint Tuberculosis in the Manado region.
Gambaran umum lokalisasi pasar Kembang sebagai pengembangan komunitas perempuan pekerja seks Agatha Astri Ratnasari; Fitrina Mahardani Kusumaningrum; Yanri Wijayanti
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.48479

Abstract

General description of Pasar Kembang localization as a community development of female sex workersPurpose: To find out a general description of the localization of Pasar Kembang as a community development for female sex workers. Method:This research is a qualitative descriptive study. The research informants were 7 female sex workers who were selected by purposive sampling. Results:The Community of Bunga Seroja as a community of female sex workers in Pasar Kembang localization strives to develop this community in an effort to fulfill the health and welfare of female sex workers. The organization of this community is not optimal because of the lack of resources in community management. Empowerment activities and sustainability program are important elements on the development of a community of female sex workers. Conclusion:The Community of Bunga Seroja is a place for female sex workers in organization; the implementation of community development not optimal due to limited resources; participation, empowerment, and sustainability are important elements in the development of female sex workers group by the Community of Bunga Seroja.
Comparative study of breastfeeding attitudes in rural and urban areas of Sleman Regency, Special Region of Yogyakarta, Indonesia Ratnasari, Evi; Nisman, Wenny Artanty; Lismidiati, Wiwin
BKM Public Health and Community Medicine Vol 38 No 03 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i03.1523

Abstract

Purpose: This study determines the comparison of mothers' attitudes about breastfeeding in rural and urban areas of Sleman Regency. Methods: This quantitative research uses a comparative descriptive type and cross-sectional design. This research was conducted in January-March 2020 in 10 public health centers in Sleman Regency, selected by cluster random sampling. This research sample is breastfeeding mothers with children aged 1-7 months. Sampling was done using purposive, random, and consecutive sampling, obtaining 420 respondents. Data was collected using the Iowa Infant Feeding Attitude Scale (IIFAS) questionnaire, consisting of 17 statement items. Research analysis using Mann Whitney test, Spearman test, and Eta test. Results: The breastfeeding attitude score for mothers in rural areas was 60 (min-max 49-72), and in urban areas, the median value was 60 (min-max 45-77). There was no significant difference in the attitude of breastfeeding to mothers in rural areas and urban areas (p=0.769). External variables, maternal age (p=0.026) and education (p<0.001) had a significant relationship with breastfeeding attitudes (p<0.05). At the same time, parity status (p=0.261), work status (p=0.283), and experience received information on breastfeeding (F=0.345) showed no significant relationship with breastfeeding attitudes. Conclusion: The attitude of breastfeeding mothers in rural and urban areas is almost the same. There is no significant difference between the areas where they live, rural and urban areas, with breastfeeding attitudes.
Mean the levels of 25(OH) D in the II trimester of pregnant women at Sleman, Indonesia Susilani, Amalina Tri; Subagio, Hertanto Wahyu; Pramono, Noor; Kartasurya, Martha Irene
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: Pregnant women possess a high risk of suffering from a deficiency of vitamin D3. A deficiency of Vitamin D3 is associated with pregnancy-related complications, such as preterm birth, preeclampsia, gestational diabetes, and babies born small for gestational age. Furthermore, it creates a risk of infection and breathing problems when the baby is born, and affects the life of the child. Methods: A descriptive study was done and consisted of participants who met the following criteria: 20 - 35 years of age, BMI between 18.5-24.9, had a record of their last day of menstruation (HPHT). Informed consent was also obtained and signed by all the participants. Women who had histories of preeclampsia and eclampsia, bleeding, premature rupture of membranes, gemelli pregnancy, abortion, and immature births, and mothers with comorbidities such as heart, lung, liver, intestinal, bone, kidney, thyroid, and immunology diseases were excluded from the study. Examination of 25 (OH) D was done using Enzyme-Linked Immuno Sorbant Assay (ELISA) method with 1.5 ml of the sample which had been centrifuged and had its serum extracted. Results: The study began in July 2020 with a total of 80 pregnant women in their second trimester (TM II). The participants had an average height of 154.5 cm and body weight before pregnancy of 51.8 kg. The results obtained showed insufficient levels of 25 (OH) D levels in 72 (90%) participants and sufficient/normal levels in 8 (10%) participants. Conclusion: Most pregnant women at Sleman Indonesia had insufficient levels of 25 (OH) D.
Model development of factors affecting the effectiveness of puskesmas services Sarifudin, Diding; Hadisaputro, Soeharyo; Suwandono, Agus
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Aim: The study uses all the puskesmas in Cirebon to develop a direct and indirect effect model on health center services' effectiveness.Methods. A mixed-methods design use questionnaire cross-sectional survey and an in-depth qualitative interview. The population is all puskesmas in Cirebon Regency. A sample of 212 respondents was drawn from all puskesmas with inclusion criteria (1) health effort implementer, (2) minimum 1-year working period, (3) continuous health officers at least one year, and a minimum education of D3 health. As the dependent variable, the effectiveness of health center services is measured by [...]. The independent variables include leadership commitment, intermediate variables: strengthening basic health programs and confounding: gender, age, education, years of service. Analysis using Structural Equation Modeling (SEM) and qualitatively based on relevant themes. Conclusion: Puskesmas service effectiveness is influenced by (1) direct effects of (a) leadership commitment, policy governance, and strengthening basic health programs; and (2) indirect effect of (b) commitment to leadership and policy governance through strengthening basic health programs and (c) commitment to leadership, policy governance and strengthening basic health efforts disrupted by gender and education.
Development and implementation of Mental Health Posyandu Program in Adipala Village of Cilacap Regency Setiawan, Iwan Yulis
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: The paper reviewed the Mental Health Posyandu's development and implementation, its effectiveness and affordability from the sufferers and their families' perspective in Adipala Village, Adipala District, Cilacap Regency. Results: This analysis used the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to measure the benefits of solving health problems in the community, especially mental health. According to BPS (2019), the Cilacap Regency population is 1,937,427 individuals, the target of people with mental disorders (ODGJ) reaches 2,906 sufferers, while Adipala Village in 2021 has a population of 13,549 people with 30 ODGJ sufferers from previously only 12 ODGJ in 2018. ODGJ creates complex problems for the environment and families. Chronic illness, unproductive, unsettling, stressful, shunned by friends and neighbors, negative stigma, families running out of financial resources, decreased interest in caring for / treating, remote access to referral health services, or unavailability of drugs in primary health care facilities. The mental health Posyandu provides empowering services to sufferers and their families, using the "four service tables" approach: Registration. Physical examination. Screening to monitor disease conditions. Discharge planning and group activity therapy (gymnastics and games) by trained health personnel. In collaboration with Puskesmas Adipa 1 and the local village administration, the program is affordable and closely accessible in a flexible time. It allows professionals to speak in the session and do a community needs assessment to build cadres' knowledge and psycho-social support capacity. Conclusion: The key to this program development is the collaboration among the community, local village administration, and the puskesmas. Relevant stakeholders should discuss the program's sustainability.
Analysis for policy: articles related to integrated ANC services in regulation of Health Minister Republic Indonesia No. 97 year 2014 Inge Ayu Wardani Sakinah
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Indonesia's volatile maternal mortality rate has led the government introduce the Integrated ANC program (the Minister of Health Regulation No. 97/2014). However, in its implementation, many need to be improved. Failing to achieve the targeted four antenatal care visits in several regions, the maldistribution of health personnel and the sub-optimal contribution of regional funding deserve a review. It is necessary to establish a program with perpetual evaluation and improvement, with a more effective policy in health workers' deployment to reach all Indonesian regions. The MMR's expected decrease becomes the goal if integrated antenatal care works. My paper discusses challenges in making integrated antenatal care work in less disadvantaged regions.
Costs of food and meal leftover from modified meal program in the Sanglah Hospital Triwini, Ida Ayu Nyoman
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This study describes the cost of meals and the cost of leftovers from the modified feeding program at RSUP Sanglah Denpasar. Methods: This cross-sectional study is based on 76 adult inpatients who received modified meals using the non-randomized purposive sampling technique in three months in RSUP Sanglah Denpasar. Statistical analysis used statistical version 14 with the Shapiro Wilk data normality test, non-parametric tests, namely the chi-square test and the Spearman rank correlation test. Results: The average cost of modified food is IDR 93.917, while the standard price of hospital meals is IDR 47.564. The average amount of food leftovers was 27,94%, with the cost of missing from food scraps of IDR 9.637, while the standard of leftovers was ≤20%, and the cost of leftovers was IDR 9,513. Food and leftovers' cost has a significant relationship with the value of p 0.000 (p <0.05), has a positive correlation, and has a strong relationship with a value of r (+) 0.4944 (r> 0.40). If the cost of food increases, the cost of leftovers will increase as well. Conclusions: The modified feeding program at RSUP Sanglah Denpasar is less effective. Leftovers' cost is greater than the hospital's standard costs. Tujuan: Penelitian ini dilakukan untuk mengetahui gambaran biaya makan dan biaya sisa makanan dari program pemberian makanan modifikasi di RSUP Sanglah Denpasar. Metode: Penelitian ini menggunakan rancangan observasional dengan desain cross sectional dilakukan selama 3 bulan di RSUP Sanglah Denpasar. Subjek penelitian adalah 76 pasien dewasa rawat inap mendapatkan makanan modifikasi dengan teknik nonrandomized purposive sampling. Analisis statistik menggunakan stata versi 14 dengan uji normalitas data shapiro wilk, uji non parametrik, yaitu uji chi-square dan uji korelasi spearman rank. Hasil: Biaya makanan modifikasi rerata sebesar Rp93.917,- sedangkan standar biaya makan rumah sakit sebesar Rp47.564,-. Jumlah sisa makanan modifikasi rerata sebesar 27,94% dengan biaya yang hilang dari sisa makanan modifikasi sebesar Rp9.637,- sedangkan standar sisa makanan ≤20% dengan biaya sisa makanan sebesar Rp9.513,-. Biaya makan dengan biaya sisa makanan modifikasi memiliki hubungan yang signifikan dengan nilai p 0,000 (p<0,05), sifat korelasi positif dan memiliki keeratan kuat dengan nilai r(+)0,4944 (r>0,40) artinya jika biaya makan mengalami kenaikan maka biaya sisa makanan juga akan mengalami kenaikan. Simpulan: Program pemberian makanan modifikasi di RSUP Sanglah Denpasar berjalan kurang efektif dan efisien, terlihat dari nilai biaya makan dan biaya sisa makanan modifikasi lebih besar dibandingkan standar biaya yang ditetapkan rumah sakit.
Evaluation of modified feeding at Sanglah General Hospital Denpasar Hariani, Gusti Ayu Nyoman
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This study determines the intake of food and changes in modified food's nutritional status at Sanglah General Hospital Denpasar. Methods: This cross-sectional study used design and non-randomized purposive sampling technique in 76 inpatients in the first, second, and third classes for three months. Food intake, including energy, protein, fat, and carbohydrate intake, was calculated from measuring leftovers using the visual Comstock method. Nutritional status was determined by Body Mass Index (BMI) indicator by dividing body weight in kilograms by height in square meters. Statistical analysis used the Shapiro Wilk data normality test, the non-parametric test chi-square test, and the spearman rank correlation test. Results: There were significant relationship between modified food intake and nutritional status with the value of (p<0.05), including energy intake (p=0.000; r=0,4583), protein intake (p=0.0002; r=0,4126), and carbohydrates (p=0.000; r=0,4552) and also positive correlation with strong relationship (r>0.40), except in fat intake had an insignificant relationship of modified food with nutritional status (p=0.0824; r=0,2005;). Patients with lack intake of modified food would experience a decrease in nutritional status. Conclusions: The modified food intake is related to the nutritional status of hospitalized patients.

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