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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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The regent's involvement with the village of peduli TBC (tuberculosis) Widiastuti, Yunita
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v0i0.1616

Abstract

TBC is still a serious problem for the government to date. TBC services are still widely available in urban areas, making it difficult for some people in rural areas to access services. Village-based TB services, if any, are still not optimal for prevention, even if they exist, they are only perfunctory. TB Care Village is expected to be able to accelerate the prevention and control of TB. The service program TB Care Village can be reached by all people, especially TB sufferers, which include : TB sufferers obey medical services, provision of additional TB nutrition and Rewards Service providers face the population directly. A public health service officer called P2M is assisted by a female health cadre, are recruited from local residents who understand the local culture.
Pelecehan seksual : health literacy pada buruh perempuan di perkebunan sawit Yuyun Feriyanti Amandasari
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Buruh perempuan di perkebunan kelapa sawit yang rentan menerima pelecehan seksual. Di hampir setiap perkebunan sawit, laki-laki menjadi pengawas. Hal tersebut membuka pintu untuk pelecehan seksual oleh laki-laki amoral pada buruh perempuan. Setiap mengajukan laporan ke polisi, pengaduan dibatalkan dengan alasan kurangnya bukti. Meskipun bekerja di perkebunan sawit sangat berisiko, namun mereka tidak memiliki pilihan. Ada kondisi dimana mereka mau tidak mau harus melakukan pekerjaan tersebut. Banyak perempuan yang sengaja dipekerjakan oleh subkontraktor dengan upah yang minim dan beban kerja yang tinggi. Pelaku pelecehan seksual terhadap buruh perempuan seringkali adalah seseorang yang memiliki kuasa.Statusnya sebagai buruh harian lepas dan tidak terdaftar di Dinas Tenaga Kerja membuat mereka kesulitan mendapat haknya dan mengalami kendala ketika hendak melaporkan tindak kekerasan yang dialaminya selama bekerja. Indonesia belum memiliki aturan spesifik untuk memberikan perlindungan terhadap buruh sawit perempuan. Buruh perempuan harus bekerja demi memenuhi kebutuhan hidup dan bekerja dalam ketidakberdayaan dari kondisi-kondisi yang tercipta di lingkungannya. Agar buruh perempuan memiliki kesempatan untuk mendapat hak-haknya sebagai pekerja, maka salah satunya yang bisa dilakukan adalah membangun health literacy mengenai hak-hak mereka sebagai pekerja dan sebagai perempuan, termasuk hak untuk mendapat perlindungan dari tindak pelecehan seksual, diskriminatif, dan hak-hak reproduktif. Aksi yang juga penting untuk dilakukan adalah menindak tegas pelaku yang melakukan tindak kekerasan dan pelecehan seksual terhadap buruh perempuan, serta pembuatan kebijakan yang mengatur perlindungan terhadap buruh perempuan di perkebunan sawit secara spesifik.
Stunting toddlers from vulnerable families in Pekanbaru City: findings feasible programs to reduce poverty Atriana, Dinda
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

WHO ARE THE VICTIMS OF THIS INABILITY? Toddlers with stunting conditions in Pekanbaru City WHO AFFECTS THIS POWERFUL CONDITION? Communities with the majority of low family income fulfill their food needs as long as they are full even though they are poor in nutrition (1). WHAT CAUSES THIS CONDITION TO CONTINUE TO HAPPEN? Socio-economic conditions play an essential role in the incidence of stunting under five. In families with low incomes, the likelihood of experiencing nutritional problems such as stunting will be higher (2). Low income causes the most basic needs, namely food, which often cannot be met (1). So this is what triggers mothers to fulfill their food needs "merely" or as long as they are full even though they are poor in nutrition (1). Even with government assistance, the fulfillment of this nutrition is temporary. When the assistance provided has run out, the next food supply will remain "merely" because family income is still low. HOW POWERFUL ARE THE VICTIMS OF THIS CONDITION? The victims of this social condition are toddlers. The low family income impacts the lack of access to family food which results in difficulties to meet the nutritional adequacy of toddlers so that indirectly access to family food can affect the nutritional status of toddlers through the level of nutritional adequacy in toddlers (4). The quality and type of food given to toddlers and the feeding frequency are important factors related to the incidence of stunting in toddlers (3). CAN THIS POWERFULNESS BE OVERCOME? To overcome stunting in toddlers, it can be done by: Empowering families with low incomes (poor families) Expanding the Sustainable Food House Area (KRPL) (5) Creating a Continuity Of Care program that focuses on stunting toddlers Disseminating information about stunting through various media ( 5). Kondisi sosial ekonomi berperan penting terhadap kejadian stunting balita. Pada keluarga dengan pendapatan rendah, kemungkinan untuk mengalami kejadian masalah gizi seperti stunting akan lebih tinggi. Pendapatan rendah menyebabkan kebutuhan paling mendasar, yaitu pangan pun seringkali tidak bisa terpenuhi. Sehingga hal inilah yang memicu ibu-ibu untuk memenuhi kebutuhan pangan dengan “sekadarnya” atau asal kenyang padahal miskin gizi. Rendahnya pendapatan keluarga berdampak pada kurangnya akses pangan keluarga yang berakibat pada kesulitan untuk memenuhi kecukupan zat gizi balita, sehingga secara tidak langsung akses pangan keluarga dapat mempengaruhi status gizi balita melalui tingkat kecukupan zat gizi pada balita. Kualitas dan jenis makanan yang diberikan kepada balita serta frekuensi pemberian makanan merupakan faktor penting yang berkaitan dengan kejadian stunting pada balita.
Maintain oral hygiene for children with special needs Alifailmazurao, Chindy
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Challenge 1: the problem of most children is still neglecting to maintain oral hygiene, especially for children with special needs. Most of the reasons they are lazy, too tired, forgetful, and have limited movement in brushing their teeth. Usually, parents and children come to the health service only when the tooth hurts. For that we need people who drive a good and correct tooth brushing action program, especially for those with special needs according to health recommendations Challenge 2: program action that can be practiced today We can study the success of brushing teeth, especially for children with special needs, there are many methods and media that we can learn from various regions to abroad regarding how to maintain oral hygiene, especially children with special needs. Challenge 3: Little things that can help children with special needs in fulfilling their success in cleaning the oral cavity? education for parents and caregivers who are very active in cleaning the teeth of children with special needs by paying attention to the food consumed by children. Because if you eat sweet foods too often, it's easy to make cavities Challenge 4: community groups that can be involved in this activity Community support such as cadres of posyandu, RT, disability community, activists engaged in providing services for children with special needs, teachers in schools, health professionals can be invited to support this creative idea. Challenge 5: how can your innovation be inserted into the existing program? It is better because if the program already exists we can improve the shortcomings of the program so that the program runs better in accordance with our expectations. Challenge 6: related social media The number of programs from the government is still not fully realized because it still requires active silverware from health professionals in addressing dental and oral health problems, especially for children with special needs.
Epidemiological studies of traffic accident in the resort police of Sleman District, Yogyakarta 2015 – 2017 Cahyaningtyas, Ayu; Wibowo, Trisno Agung
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: In 2010, the number of deaths caused by traffic accidents in Indonesia had reached 31.234 casualties (Lestari, 2012). In 2015, transportation accidents were the highest cause of death with 475 deaths out of 893 all cause deaths (53%). This research aims to determine the proportion and trends of traffic accidents and the relationship between the characteristics of casualties and the risk of deaths in traffic crashes. Method: This research was using observational analytic study design with cross sectional method. The research was conducted in Sleman District Police during April – June 2018. Samples of this research were all of the traffic accidents which collected secondary data from the police register during 2015-2017 in Sleman District Police. This research was using chi-square analysis. Result: There are a total of 3794 casualties from 2015-2017. Characteristic of the person which got the traffic accidents were male (76%), 15 – 24 years old (35%), have the drivers license (55%), entrepreneur (47%), upper secondary school (73%), ride the motorcycle (80%). Almost all the risk factor of the accidents was human factor (99%). Results of chi square analysis based on age : RP = 0.643 & p Value = 0.002, sex: RP = 1.504 & p Value = 0.027, type of vehicle: RP = 2,520 & p Value = 0.000, time of occurrence: RP = 0,741 & p Value = 0,046. Conclusion: Males and who used motorcycles were risk factors of traffic accidents in Sleman District. Supplying safe and comfortable public transportation can improve the used public transportation in the community, so it has reduced the incidence of traffic accidents.
Is West Sumatera local regulation number 6 year 2020 creating compliant community behavior using masks as a preventive effort for Covid-19 in Padang City? Putri, Z.A. Prima
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v0i0.1622

Abstract

Objective: This study was conducted to explain the compliance behavior of the community using masks in Padang city after Local Regulation Number 6 Year 2020 Passed. Method: Qualitative studies were conducted by in-depth interviews with community and public health experts, observation, as well as literature study related journals. Result: Based on the theory of TRA and TPB found factors namely the behavioral intention not to using masks due to the encouragement of attitudes toward behavior, subjective norms, and perceived behavioral control. Attitudes towards the behavior of not using masks are influenced by the formation of false stigma caused by misinformation or believing conspiracy theories. The subjective norm is obtained from the experience when people often do not use masks while out of the house turns out that no sanctions are obtained. It is like being an unwritten agreement of themselves that there is no regulation so binding on the compliance of using a mask. Perception of behavior control that has knowledge and ability to behave using masks but intentions and awareness that does not exist yet. This is due to the belief to control such behavior is low, because people are not used to wearing masks before, indolent, uncomfortable, hard to breathe, do not have the mask itself, and assume that pain is destiny. Conclusion: The policy to control Covid-19 with Local Regulation Number 6 Year 2020 has not been fully influenced people’s behavior. There is still a need for improvement related to the socialization, monitoring and evaluation carried out. Therefore, a reactive attitude from the government, empowerment and community engagement are required. Such as government collaboration with health NGOs, community leaders, and volunteers.
If dukun receive support from village funds, are they more likely to have motivation to find ways to prevent maternal and infant mortality? Brian Sahar Afifah; Fitriana Puspitarani; Arinawati; Hasanbasri, Mubasyisir
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v0i0.1623

Abstract

Objective: This paper explores traditional healers role in developing an indigenous health approach in the context of making pregnancy safer in remote areas, where cultural resources are more accessible as compared to those of professionals. Content: In some remote areas, the half-hearted participation of traditional birth attendants in partnership maternal care programs signifies a lack of government trust in indigenous midwives. Even though the government assumes responsibility to increase access to trained health workers for women who choose traditional midwives to give birth, it is unlikely that the dukuns have the same response. Therefore, local actors need to bring this into their policy agenda. In the presence of the local government's engagement with the indigenous health approach, the bottom-up proposed usage of village funds for birth assistance, cultural ceremony, and referral transport costs help dukuns work confidently with village leaders to assure the child and mother's safety. Under local village leaders cultural support, the traditional birth attendants are more likely to accept the support as credit for their cultural practice and prepare for potential complications of pregnant women who need hospital referral. Not only that, local birth practitioners will use their autonomy to build their indigenous systems as a parallel approach to achieve the common goal both from the government and the local indigenous community. As the Pencerah Nusantara Program alumni working in remote areas in Central Kalimantan, we reexamine the nature of an indigenous health entity, growing from the cultural traditions in responding to reproductive health and maternal care.
Komplikasi persalinan: health literacy pada komunitas adat terpencil Suku Anak Dalam di Jambi Yanti, Windra
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

[Sebut Komunitas atau organisasi yang Mempengaruhi Kondisi Sosial itu] Komunitas adat terpencil merupakan masyarakat atau komunitas yang memiliki adat dan budaya yang berbeda. Komunitas ini setidaknya membentuk 6% dari populasi global, dan 15% mereka mencangkup kondisi yang sangat miskin(1). Masyarakat primitif yang masih menutup diri dari lingkungan luar sehingga sulit dijangkau oleh pelayanan kesehatan. Kelompok ini juga masih mempercayakan persalinannya kepada “dukun beranak” yang mempunyai mantera-mantera dan ilmu tinggi menurut budaya dan adat mereka. Kolompok ini berada di Kabupaten Batang Hari, Provinsi Jambi(2,3,4). [Ceritakan “Kesengajaan” yang Membiarkan Kondisi Sosial Seperti Itu Terus Terjadi] Kelompok primitif ini masih belum mendapatkan pelayanan kesehatan yang optimal, dan belum adanya program-program yang memprioritaskan mereka agar mereka keluar dari zona keprimitifannya. Kebanyakan NGO hanya menjadikan komunitas ini sebagai objek penelitiannya karena memiliki daya tarik dan daya jual tersendiri. Pemerintah dihadapkan pada 2 pilihan yang berat yaitu memilih untuk tetap mempertahankan kearifan lokal, budaya, dan adat mereka agar tidak punah dan menjadi ciri khas bagi wilayahnya. Atau memodernisasikan kominitas ini agar berada pada taraf kehidupan yang lebih baik, namun melunturkan ciri khas mereka(4,5,). [Ceritakan Ketidak-Berdayaan Korban dari Kondisi Sosial itu] Saya memusatkan pada ibu-ibu hamil dan wanita yang ada pada SAD ini karena dalam kasus ini mereka berada dalam posisi yang tidak beruntung, pertama mereka hidup dengan primitif dimana mereka terikat oleh adat dan budaya mereka. Khususnya perlakuan terhadap ibu hamil yang masih belum aman serta layak dari kesehatan dan sangat berisiko tinggi terjadinya kematian terhadap ibu dan bayi. Kedua pelayanan kesehatan yang sulit diakses dan tidak mengakses mereka. Orang yang sudah dalam keadaan primitif dengan budaya dan adat yang mereka miliki tersebut menyumbangkan risiko terhadap ibu hamil ditambah lagi dengan pelayanan kesehatan yang tidak mereka peroleh, perhatian dari pemerintah juga yang belum optimal untuk SAD ini. Situasi ini menggambarkan “sudah jatuh ketimpa tangga”. Ibu hamil pada suku ini akan ditempatkan pada suatu tempat yang disebut “tanah peranokan” yang letaknya berada didalam hutan. Hal inilah yang menjadi risiko tinggi terjadinya komplikasi kehamilan dan persalinan yang menyebabkan tingginya kematian ibu dan anak pada suku(5,6). [Sebutkan Aksi yang bisa Mengurangi atau Melawan Kondisi Sosial itu] Agar komunitas ini dapat berdaya khususnya para ibu hamil, maka dapat dilakukan beberapa upaya seperti: puskesmas dapat mengembangkan upaya pelayanan kesehatan yang mampu diakses oleh SAD dan mengakses SAD. Upaya ini bisa dalam bentuk pengoptimalisasikan kembali program KAT care mobile yang bekerjasama dengan LSM WARSI untuk memberikan pelayanan kesehatan komprehensif sekaligus ambulans untuk transportasi rujukan ke puskesmas. Pemerintah dapat menyediakan posko atau rumah singgah sebagai rumah peranokan agar para ibu hamil mendapatkan pelayanan kesehatan kehamilan, proses persalinan dan pasca persalinan.
Maintenance of children's teeth to prevent dental caries Hamzah, Hayatunnufus
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective : Optimizing dental health programs in schools by working with parents to achieve dental and oral health goals so that children can and are willing to brush their teeth the right way. Content : efforts can be made to instill habits in maintaining children's dental health so that children are expected to be caries-free. As for the challenges faced, namely the difficulty of getting children to want to brush their teeth, besides that parents are sometimes impatient in teaching children and also some do not really care about children's dental health. Lack of parental knowledge of the importance of maintaining children's dental health can also be a factor that can trigger parents not to care about this. whereas, early treatment will minimize the costs incurred if the child has a toothache that requires repeated visits. whereas, early treatment will minimize the costs incurred if the child has a toothache that requires repeated visits. Conclusions: It is hoped that the development of good cooperation between all parties will enable each child to perform their dental care optimally. Making habits such as (brushing teeth) a necessity that will always be done. and children are willing to brush their teeth voluntarily without coercion from their parents and teachers
An evaluation of integrated antenatal care program in Bantul District on 2019 - 2020 Ayu Cahyaningtyas; Aryanto, Samsu; Hidayati, Titiek
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: Maternal mortality has become the second cause of women mortality in reproductive ages after HIV/AIDS (WHO, 2019). Bantul District is one of the districts in Yogyakarta which has the highest maternal mortality rate with 20 cases reported in 2020. Based on the result audit of maternal perinatal in Bantul District, it was found that most of the maternal mortality caused by the lack of early detection by health workers and community, caused the referral management leads. This evaluation purpose to identify the implementation and success of an integrated antenatal care program in Bantul District. Method: This evaluation program was using descriptive study design. The evaluation program was conducted in 17 community health centers and health office Bantul District in December 2020 – February 2021. The respondents were 35 people which consisted of the head of community health centers, coordinating midwife and Bantul District health officer. The data were collected using questionnaires. Result: In 17 community health centers, four of them (23,53%) have integrated antenatal care 100%. Eight of community health centers (47,01 %) stated that lack of cooperation by related health workers and lack of time in integrated antenatal care services. Four of the community health centers (23,53 %) stated that the quantity of health workers were limited especially with a large workload. One of the community health centers stated that ambulance drivers are not ready 24 hours (still on call) at the time of antenatal care services. Conclusion: The most of community health centers were felt constrained by the lack of cooperation by related health workers and lack of time in integrated antenatal care services. Improving the quality of integrated antenatal care and strengthening cooperation with related health workers can improve the integrated antenatal care services and prevent maternal mortality in Bantul District.

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