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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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“Cooking and Healthy Girls Club” as alternative education for prevention of stunting for adolescents in Serang Regency Radifan, Muhamad Almas
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: This study examines public health problems related to the prevention of stunting and anemia through practical education for young girls, especially with the Cooking and Healthy Girls Club program. Content: Stunting cases in Serang Regency are dominated by middle to lower economic communities who have misunderstandings in the pattern of intake for pregnant women. Problems during adolescence, specifically inadequate nutritional intake and suffering from anemia for a long time will have a negative impact on future mothers. The long-term impact can have a big chance of giving birth to a stunted baby. Young people today like to go on strict diets because they want to have a slim body without thinking about their health. Therefore, the understanding of health for prospective mothers should have been taught a lot and have entered the high school level through the Education Authorities. Early education, especially in the adolescent phase, is the best solution in preventing prolonged stunting. Cooking and Healthy Girls Club can be alternative education that is able to answer problems related to nutrition and health of adolescent girls. In this club program there is collaboration with certain parties who are experts in the fields of culinary, nutrition, and youth health. In this case, it is necessary to involve catering management, foodpreneurs, and KSR PMI (Indonesian Red Cross). The development of health-based youth education programs is not enough with the lecture method alone, but the need for practice and skills, especially in fulfilling nutritious and healthy food. The ability to do business and entrepreneurship is currently a dream for young people. The development of a healthy food business is a potential that needs to be developed by adolescents.
Health services care for adolescents literacy public health for reproductive health at early marriage in North Lampung Regency Purdalistya, Endah
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective : Adolescence is a transition period from childhood to adulthood. Various problems that occur in adolescents are influenced by various dimensions of life in them, both biological, cognitive, moral and psychological dimensions as well as the influence of the surrounding environment. These include adolescent reproductive health, which involves free sex, extramarital or unwanted pregnancy, abortion, and young marriage. The Central Bureau of Statistics and UNICEF in 2016 reported that 85% of girls in Indonesia end their education after they marry at a young age. This paper aims to explore adolescents' understanding of health on reproductive health issues through adolescent care health services (PKPR). Method: The method used is interviewing PKPR responsible officers and some students as well as literature from journals and online media. Monitoring and evaluating pkpr program. Results : All Puskesmas in the North Lampung Regency have been able to PKPR. PKPR activities in puskesmas have been running with the availability of a special room for counseling so as to provide a privacy space. The next activity is counseling to both junior high and high school. Students have received material about reproductive health in science lessons but only outlines are not in detail. Puskesmas officers have trained peer counselors from several students in each school. Peer counsellors mean that students feel the presence of someone who can understand themselves and feel more comfortable if they convey their complaints to their peers. It was also found that there are some students who are no longer in school because they are married so they decided to drop out. Conclusion : With these problems, it is expected that the pkpr program has a very important role for teenagers. Through this PKPR, teenagers can gain knowledge about health, socializing places, and get health services that pay attention to the needs of teenagers. So that the health problems of adolescents can be minimized.
Improving the nutritional status of stunting toddlers through local food nutrition of Javan porridge (Setaria Italica) in Sintang Regency, West Kalimantan Nur Hayati
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: Stunting is one of the health problems in Sintang Regency, West Kalimantan Province, with a prevalence of 44.1% in 2017. Sintang Regency targets a reduction in prevalence stunting 3%annually as stated in the Regent's Regulation Sintang Number 20 of 2018 concerning prevention Stunting. In 2018 when the policy began to be implemented, stunting prevalence dropped significantly by 33.2%, but the trend continued to decline in 2019-2020, from 32.7% (2019) to 31.3% in 2020. This shows that the policy has not worked well. One of the innovations that can be done as a sensitive nutrition intervention related to the family's ability to fulfill food is by utilizing local food, namely jatropha seeds, which are processed into porridge as nutrition for toddlers who suffer from stunting. Contents: Jatropha seeds are an authentic food that is easy to find in Sintang Regency at an affordable price. Research conducted by Kurniati (2020) on the effectiveness of giving Javan porridge in increasing weight and height in toddlers stunting in Kayan Hilir District showed significant results after the intervention of giving Javan porridge. The results of the Paired T-Test test obtained a P-value of 0.001. The local government followed up by creating a movement to consume jatropha seeds processed into porridge for toddlers stunting. The health insurance in Indonesia can accept activities that include (1) the formation of small and medium enterprises (SMEs) to manage and package jatropha seeds so that they become marketable products, (2) create educational content on print media and social media that contain the benefits of the nutritional content of jatropha seeds, and (3) socialize the use and processing of local food seeds. Responsibility to the community carried out during posyandu activities. Affordable local food with high nutritional content has the potential to be developed to help improve the nutritional status of toddlers stunting. Tujuan: Stunting merupakan salah satu permasalahan kesehatan di Kabupaten Sintang Provinsi Kalimantan Barat dengan prevalensi mencapai 44,1% pada Tahun 2017. Kabupaten Sintang menargetkan penurunan prevalensi stunting 3% tiap tahunnya yang tertuang pada Peraturan Bupati Sintang Nomor 20 Tahun 2018 tentang Pencegahan Stunting. Pada tahun 2018 saat kebijakan mulai terimplementasi Prevalensi stunting turun secara signifikan sebesar 33,2%, namun pada tahun 2019-2020 trennya semakin menurun yakni 32,7% (2019) menjadi 31,3% pada 2020. Hal ini menunjukkan kebijakan belum berjalan baik. Salah satu inovasi yang bisa dilakukan sebagai intervensi gizi sensitif yang berhubungan dengan kemampuan keluarga untuk memenuhi pangan adalah dengan memanfaatkan pangan lokal yakni biji jawak yang diolah menjadi bubur sebagai nutrisi bagi balita yang menderita stunting. Isi: Biji jawak merupakan makanan asli yang mudah ditemukan di Kabupaten Sintang dengan harga yang terjangkau. Penelitian yang dilakukan oleh Kurniati (2020) tentang efektivitas pemberian bubur jawak dalam peningkatan berat dan tinggi badan pada balita stunting di Kecamatan Kayan Hilir menunjukkan hasil yang signifikan setelah dilakukan intervensi pemberian bubur jawak hasil uji Paired T-Test diperoleh P-value 0,001. Pemerintah Daerah menindaklanjuti dengan membuat gerakan konsumsi biji jawak yang diolah menjadi bubur bagi balita stunting. Kegiatan yang dilakukan antara lain: pembentukan usaha kecil menengah (UKM) untuk mengelola dan mengemas biji jawak agar menjadi produk yang layak dipasarkan, pembuatan konten edukasi pada media cetak maupun media sosial yang memuat manfaat kandungan gizi biji jawak serta sosialisasi pemanfaatan dan pengolahan pangan lokal biji jawak pada masyarakat yang dilaksanakan pada saat kegiatan posyandu. Program inovatif pemanfaatan pangan lokal yang terjangkau dengan kandungan gizi tinggi sangat berpotensi untuk dikembangkan dalam membantu meningkatkan status gizi balita stunting.
National dental health month in West Sumatera Zola, Febri
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Access to dental care People from West Sumatra who receive dental care from medical personnel around 35.3 percent. More than half of the Sumbar community has not received treatment because of inadequate facilities and access to services. People in rural areas have more difficulty getting dental health services than in cities. National dental health month activities One of the dental health programs are the National Dental Health Month (BKGN), which conducts dental check-ups, tooth fillings, tooth extractions, tartar cleaning, and free dental education. However, this activity is carried out once a year, and the target is only 1,000 people. This program should be followed up with a dental health program held at least once a month or twice a month. The target of this program must also be evenly distributed to remote areas of West Sumatra. Providing free toothbrushes for the less fortunate. Conducting dental health education and providing free toothbrushes and toothpaste to the community so that people can practice oral health in their respective homes. Village heads and cadres The village Head can gather residents to be given information about the dental health program that will be carried out. Apart from the village head, cadres can also be involved in providing dental health training so that these cadres can provide education about dental health to the community. Dental health month, which is followed up with the community dental health program National Dental Health Month (BKGN), held once a year, must be followed up with a monthly healthy teeth program. This program includes education about dental health, free dental examinations, free tartar cleaning, free dental fillings, and free tooth extraction. This puskesmas program also moves to the people's homes, making the program more evenly distributed. The evaluation of this program is carried out once a month through a dental examination and an examination of their toothbrushes at home.
Kesehatan reproduksi: remaja era digital di saat berlangsungnya pandemi Ramadhani, Aulia Rizqi
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Kekerasan seksual pada remaja era digital di saat berlangsungnya pandemi. Rasa penasaran yang sangat tinggi akan hal-hal baru pasti dirasakan oleh remaja. Mereka cenderung mengeksplorasi segala aspek dalam kehidupannya. Pada masa ini juga terjadi banyak perubahan dalam tubuh para remaja. Pubertas salah satunya, fungsi reproduksi seorang individu mulai aktif pada masa ini. Terdapat hal yang melekat seiring dengan terjadinya pubertas pada setiap remaja yaitu, ketertarikan akan lawan jenis. Hal ini secara tidak langsung menjadi gerbang pertama yang dapat mengarah ke pergaulan bebas pada remaja. Untuk mewujudkan perkembangan remaja yang sehat, perlu adanya edukasi dan pendampingan pada mereka. Di era digital ini perkembangan teknologi meningkat dengan cepat. Apalagi dengan terjadinya pandemi covid-19 memaksa banyak orang untuk memaksimalkan penggunaan teknologi dalam melakukan aktivitas sehari-hari dari pekerjaan hingga pendidikan semuanya dilakukan melalui teknologi dengan berbasis online. Semakin majunya teknologi juga semakin mendorong seorang individu semakin apatis dengan keadaan orang sekitarnya. Pergeseran budaya karena adanya globalisasi menjadikan tolak ukur dalam pergaulan remajapun berubah. Adanya celah antara perbedaan segmen sosial pada remaja menyebabkan beberapa perubahan persepsi. Pemakluman dampak negatif dari globalisasi seperti sikap yang individualistik dan tidak memperdulikan orang lain sehingga remaja akan lupa dengan identitas dirinya karena terbiasa mengaplikasikan budaya barat. Puncaknya, kekerasan seksual pada remaja terjadi.
Implementation of management of chronic disease (PROLANIS) national health insurance’s programme in community health centers in Malang Wahyudi, Dicky Dwi; Eko Rahman Setiawan; Anggi Ardhiasti
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Diabetes Mellitus and Hypertension are non-communicable diseases that have increased from year to year, both internationally and nationally. The 2018 East Java Basic Health Research Data explains that Malang City with the 4th highest Hypertension patient, following Malang Regency and Probolinggo Regency with the category of patients age ≥ 18 years. One of the benefits by National Health Insurance participants is a program that supports promotive and preventive services, namely the Chronic Disease Management Program (Prolanis) which is a National Health Insurance program for promotive and preventive services at First Level Health Facilities to overcome this diseases.Objective: To obtain an overview of implementation of the National Health Insurance Chronic Disease Management Program (Prolanis) at Malang Community Health Center. Method: In this study, data and information were collected descriptively through questionnaires filled out by Prolanis officers at 8 Puskesmas in Malang City who were randomly selected by examining Prolanis activities including: medical consultation, group education, SMS gateway reminders, and home visits. Results: Of the 8 Puskesmas studied, there was 1 community health center that did not carry out the Home visit activity. In a series of Prolanis activities (medical consultations, group education, gateway SMS reminders, and home visits) in mid-March 2020. Prolanis activities stopped due to the Covid-19 pandemic. So that Prolanis activities are carried out online via the WhatsApp group and telephone. Conclusions: Prolanis activities (medical consultation, group education, SMS gateway reminder, and home visit) at 8 Puskesmas in Malang City as a whole have been carried out in an orderly and scheduled manner, even though there are Puskesmas that do not carry out any of the home visit activities. During the Covid-19 pandemic, Puskesmas adjusted activities by making online contacts with Prolanis participants Keywords: Prolanis; JKN; Promotif; Preventif
Analysis for policy : the complicated problem of abortion regulations in Indonesia Maulida, Uci Putri
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Objective This paper reviewed analysis for policy the Government Regulations Republic of Indonesia No. 61 of 2014 concerning Reproductive Health that also received a lot of comments because the discussion regarding the purpose of "abortion" was still inadequate. Content Reproductive health problems in adolescence are one of the main focuses in Reproductive Health. According to the ARH report (2017), it is estimated that 19% of adolescents in developing countries have experienced pregnancy. Girls under 15 years even contributed about 2 million of the 7.3 million births in adolescents under 18. In 2014, an estimated 3 million adolescents aged 15-19 years had unsafe abortions. In a study conducted by Utomo in 2011, it was stated that 32% of sexually active adolescents end up in deliberate abortion (Diarsvitri et al in the ARH Report, 2017). The incidence of criminal provocative abortion itself, in Indonesia reaches 2.5 million cases per year, or 43 abortions for every 100 pregnancies, and 30% of them are performed on people aged 15-24 years (Nugroho et al. 2018). Abortion itself contributes to the high incidence of MMR in Indonesia and in other countries, especially in the incidence of unsafe abortion. According to WHO, about 10-50% of deaths are caused by abortion. The policy regarding the issue of abortion has been discussed in the Government Regulations Republic of Indonesia No. 61 of 2014 concerning Reproductive Health, which in its contents also discusses the purpose of medical emergencies. As the policy progressed, this regulation also received a lot of comments. Conclusion Evaluation criteria are more effective in preventive efforts to prevent abortion, namely by preventing unwanted pregnancies through strengthening regulations related to reproductive health and reproductive health education programs since adolescence in all lines.
Factors related with adherence score to iron chelation treatment in thalassemia patient (study at RSUD Tidar Magelang in 2019) Adiratna, Widia
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Objective: This study is to analyze the factors associated with adherence score to iron chelation treatment in thalassemia patients at RSUD Tidar Magelang in 2019. Methods: Quantitative methods are used in this research.An analytical study was carried out with a cross-sectional design with total sampling. Subjects were thalassemia patients who had routine transfusions at RSUD Tidar in 2019.A list of patients was obtained from the transfusion visit book at Thalassemia’s Room, RSUD Tidar. Primary data was collected by interview using a standardized questionnaire. Interview with parents is done for respondents below 16 years old. The statistical test used was Pearson correlation and Independent sample t-test. Results: Of the 90 patients on the list, 84 were successfully interviewed. From that, 54 (64,4%) patients had an adherence score of iron chelation medication below the average. Duration of taking medication from patients was 1-16 years with an average of 7.5 years Results of bivariate analysis show that age (p=0,086;r=-0,189),sex (p=0,737;r=0,190),knowledge about thalassemia (p=0,000;r=0,491-0,554),knowledge about iron chelation (p=0,000;r=0,554), family support (p=0,000;r=0,570), health workers support (p=0,000; r=0,468), duration of taking medicine(p=0,040;r=-0,224),side effects (p=0,000;r=-0,518),access to hospital (p=0,403) and type of iron chelation (p=0,023). Conclusions: It can be concluded that knowledge about thalassemia, knowledge about iron chelation, family support, health workers support, side effects of medicine, type of iron chelation, duration of taking medicine have a significant relationship with adherence score to taking iron chelation in thalassemia patient. Update on knowledge related to thalassemia and iron chelation is needed for patients and their families. Attention and motivation from families and health workers are needed, especially for patients who are bored with treatment.
The Children's dental health program Widiya Ulfa
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Challenge 1: The current problem Dental caries is one of the teeth and mouth diseases that is often found in school-age children which is very disturbing to the health of their teeth. The behavior of not maintaining dental hygiene can lead to pathological conditions in the oral cavity. These problems need special handling and preventive measures so that they don't experience toothaches. Challenge 2: What are the efforts for them to have healthy living practices The reading source explains that they only get education from health center personnel, and it is held within a year. Challenge 3: What are the little things that can help children free from dental caries? Conducting counseling for elementary students about the dangers of dental caries if left unchecked. Home care or preventive measures that children can take at home, such as brushing their teeth regularly and limiting eating cariogenic foods, these home care measures can be given in advance through the counseling process and monitoring is carried out every week. Challenge 4: Community groups that can be involved Public health centers, cadres or students who participate in community service activities can be involved in conducting outreach activities, preventive action to target groups Challenge 5: How can your breakthrough be embedded in an existing A program that has been implemented is carrying out activities counseling in schools, the program is already running but requires other programs, namely preventive action (scaling and fissure sealants), implementation of activities, namely making observations first, then students who are at risk of dental caries are carried out by fissure sealant action and a free scaling program for students with low economics. Challenge 6: News links and social media related to news regarding outreach activities have indeed been done a lot, but for preventive action it is still quite minimal, it is hoped that this program can improve dental health for school children, followed by monitoring to build children's habits to maintain their dental health.
Foodborne outbreak after a village festival — Kulon Progo District, Indonesia, 2019 Laksono, Bima Adi
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Background : On November 16, 2019, Pengasih 1 Public Health Center (PHC) reported three cases of suspected foodborne outbreak after a village festival in Paingan Village, Pengasih Kulon Progo. Investigation was done to ensure outbreak, identify the risk factors and prevention measure. Methods : The design of this study used Case Control 1:1, a sample taken from a population at risk of 109 respondents, the instrument used was an interview with an epidemiological investigation form. Results : of the 300 Rice boxes served, 109 people were successfully interviewed. There were 63 cases (AR=57.8%), with the main symptoms of nausea, vomiting, and dizziness. The incubation period is 4 - 31 hours. Of all the types of food served, Kerik meat is significantly associated with food poisoning (OR = 9.78 95% CI = 2.6-25.37). Meat is cooked 12 hours before serving and stored at room temperature, meat dishes are cooked by some people. Meat samples, positive laboratory results contain Escherchia Coli. Conclusion : Food poisoning outbreak on November 16, 2019 after consuming kerik meat contaminated with Escherchia Coli. Based on the results of epidemiological studies and laboratory examinations on kerik meat samples, the causative agent of food poisoning is Escherchia Coli. Recommendations by conducting health promotion related to food sanitation hygiene because Escherchia Coli enters through the mouth.

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