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Contact Name
Ika Kusumaningtyas
Contact Email
tyas.kusuma@ugm.ac.id
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+628988833412
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bkm.fk@ugm.ac.id
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Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281
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Kab. sleman,
Daerah istimewa yogyakarta
INDONESIA
Berita Kedokteran Masyarakat
ISSN : 02151936     EISSN : 26148412     DOI : https://doi.org/10.22146/bkm.v37i2.2320
Core Subject : 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
Articles 1,528 Documents
Investigation of Covid-19 transmission at a digital service company, Sleman Distric, 2020 - a case report study Sriadi, Yosua Natanael
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: On 08 October 2020 the Sleman District Health Office received a report from a hospital of positive PCR results from 19 employees from “X” company. Epidemiological investigations were conducted to see the magnitude of the problem, the risk factors that affected it and to give recommendations for future prevention. Method: This study is a descriptive epidemiological study. The case are employees who tested positive Covid-19 used RT-PCR test. Data collection was carried out by interviewed employees and reviewed relevant documents. Epidemiological investigations were carried out to learn the history of close contact with the suspect, symptoms and other risk factors. Direct observations were conducted to see the conditions and situations of the employee's workplace. Results: The first case was found to have come to work in a sick condition before finally tested positive on September 30, 2020. A total of 109 out of 1138 employees tested positive from September 28 to November 30, 2020 (AR = 9.31%). The cases were predominantly female (74.5%), most of the cases are asymptomatic (78.3%), Others experienced fever (8.5%) and cough (8.5%). The largest age groups were 20-24 years (48.1%) and 25-30 years (43.4%). Direct observation found that a small indoor poor ventilation room had at 118 people worked in the same shift. The interview with company showed that they could not ensure that their employees could practice health protocol properly, even they had made regulation about mask wearing and provided hand sanitizer. Conclusions: There was a Covid-19 cluster transmission at “X” company. The cramped working space and the high volume of workers were likely to be the risk factors for Covid-19 transmission. We suggested reducing the number of employees working together in a room by adding more working shift.
Influenza like illness (ILI) outbreak in Kulon Progo District, Yogyakarta – November 2019 Meutia Fildzah Sharfina
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: The case started with 10 students in one of Kulon Progo District junior high school, Yogyakarta who felt sick on November, 20th 2019 morning. The total cases up to school hours increased to 30 students. Epidemiology investigation was held to find other additional cases. Method: This research was using descriptive study design. The case definition in this outbreak is a student in one of Kulon Progo District junior high schools who felt one of ILI clinical symptoms such as headache, shortness of breath, muscle aches, diarrhea, nausea or vomiting November, 3rd 2019 until December, 8th 2019. Clinical symptoms of ILI are fever, cough, cold, muscle aches, or sore throat. The data were collected using questionnaires filled out by the students. Results: The ILI epidemiological curve has shown one peak or common source. The highest case was found on November, 19-20th 2019 with 70 cases. Total population at risk is 392 students and 159 of them are ill. The Attack Rate (AR) in this outbreak is 40.56%. The case distribution was 50,94% for male and 49.06% for female. The most cases which occurred in students was at the age of 14 years (47.24%). The dominant symptoms were headache (35.71%), cough (32.40%), and fever (26.53%). An identifiable risk factor of the ILI outbreak is contact with other ILI cases. Based on the results of the questionnaire, 24.53% of cases of direct contact with family members who had a history of illness with ILI symptoms. Conclusion: An ILI outbreak occurred at one of the junior high schools in Kulon Progo District from November, 3rd until December, 8th 2019. Local health authorities should improve the early detection system of ILI outbreak by improving cooperation between health officials and local health cadres.
An evaluation for anthrax disease control program in Gunungkidul District 2020 Asmi Rizal Abdillah
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: Anthrax disease is one of the infectious diseases that can cause outbreaks and spread throughout the world, including Indonesia. Gunungkidul is one of the districts in Yogyakarta Province whose status is endemic to anthrax disease. The largest anthrax in humans ever in Gunungkidul District were anthrax cases in December 2019 with 111 people (probable and confirmed cases). The evaluation program to identify the implementation of the anthrax disease control program on input, process, and output aspects in the Gunungkidul district in 2020. Method: The evaluation design used descriptive study. Evaluation of the program was conducted in January-March 2021 at 30 community health centers and one health office. The evaluated subjects were zoonotic program holder officers in each community health center and health office. We use a checklist and questioner to collect data. Results: The weakness of input aspect: only (70%) community health centers that have Guidelines for the management of anthrax cases and only (36.7%) Standard Operating Procedure (SPO). Process aspect: recording and reporting of anthrax cases only done if the case is a case of confirmation, the implementation of disease socialization activities that have not maximized (73.33%), the absence of slaughterhouse as one form of supervision of livestock slaughter, feedback given by the health service to the health center (81.25%). Output aspect: The overall strengthening of human resources that has been conducted is a cross-sector and cross-program meeting post-anthrax event in 2019. The zoonotic training program holder officers have participated in is only (10%) of the total community health centers. Conclusion: Strengthening human resources across sectors and programs. Create a slaughterhouse for surveillance measures against the slaughter of livestock. Hopefully, the programs can improve the early detection of anthrax disease.
A Bacillus cereus outbreak in Kulon Progo Hospital, November 2020 Meutia Fildzah Sharfina
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: On November 4th, 2020 RSUD Wates and RST COVID-19 reported to the Kulon Progo District Health Office a suspected food poisoning outbreak on health workers after a served lunch menu on November 3rd, 2020. This study aimed to investigate to confirm the outbreak, source of food poisoning and to develop the recommendation. Method: A retrospective case control study was used with active case finding. Case is people who have diarrhea and one or more symptoms of vomiting, headache, fever, nausea, abdominal pain or other symptoms after consuming the lunch menu from the catering during the lunch hour on November 3, 2020 at RSUD Wates and RST COVID-19 Kulon Progo. Results: A total 85 workers, 28 workers (AR=32,9%) were ill. The incubation period was around 2-32.5 hours. The predominant symptoms were diarrhea (21,2%) and fever (17,6%). The statistical test results showed rice (p value= 0.027; CI 1.4876) and sambal (p value= 0.014; CI 1,6741) are related to the event (p value < 0.05). Based on the incubation period, symptom and type of food, the investigation team suspected Bacillus cereus as a causal factor of the food poisoning outbreak. Conclusion: The food poisoning outbreak most likely was caused by Bacillus cereus. Therefore we recommend to strengthen the intervention community health education about safe food processes.
Food poisoning outbreak in Islamic Boarding School, Bantul, Yogyakarta, 2019 Hafizha Muliani
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: On May 18, 2019, Kasihan I Primary Health Center reported to the Bantul District Health Office that there was a suspected food poisoning among students at Islamic Boarding School, Bantul. Investigation aims to confirm the outbreak, identify the source, and provide recommendations as preventive measures. Method: We conducted a retrospective cohort study. Case definition used during active case finding was a person of the Islamic Boarding School who experienced one of the symptoms of nausea, vomiting, diarrhea, abdominal pain with or without other symptoms in the period May 17-19, 2019. Data was collected through interviews using standardized questionnaires. Environmental investigations were carried out by interviewing food handlers and observing the kitchen environment. Food and fecal samples were sent to Yogyakarta Laboratory for testing. Data analysis using Chi Square test. Results: Of the 208 population at risk, there were 111 cases (AR = 53.4%). Main symptoms were nausea (76.6%), abdominal pain (60.4%), vomiting (39.6%), and diarrhea (39.6%). Epidemic curve was that of a common source with incubation periods of 1-47 hours 30 minutes (average 17.37 hours). Food suspected as the cause of this outbreak was sahur menu, chicken fried with sauce (RR = 2.50; p-value = 0.0023; 95% CI = 1.148-5.473). Potential risk factors was food had been cooked in large quantities and stored at room temperature for long periods of time. Laboratory results found Klebsiella pneumoniae bacteria in food and fecal samples. Conclusion: A food poisoning outbreak in Islamic Boarding School after consumption chicken fried with sauce. Improper food processing and storage were a potential risk factor for food contamination. We recommended the Bantul District Health Office to educate and monitor food handlers on food safety at Islamic boarding schools in Bantul.
Affecting factors of youth health reproductive information access in health Faculty of University in Surakarta – 2018 Meutia Fildzah Sharfina
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: Reproductive health in adolescents is important to be a better future provision knowledge. This is supported by the existence of information access. Information access reproductive health is affected by several factors, including the barriers. The purpose of this research is to analyze the factors that are associated with access to information on youth health reproductive information access in one University of Surakarta. Method: This research is using observational with cross-sectional. The data analysis used was Chi Square. Independent variable were discussion with parents, economic barriers, cognitive barriers, and psychosocial barriers. Dependent variable was discussion with parents, economic barriers, cognitive barriers, and psychosocial barriers. The technique of data collection is done by a questionnaire filled out by respondents related discussion with parents, economic barriers, cognitive barriers, and psychosocial barriers affecting to youth health reproductive information access.. Results: The results has shown that factors which related were cognitive barriers (p=0.022) whereas 44.34% of respondents experienced cognition aspect barriers in the form of respondent knowledge related to where to get reproductive health services and information. In the data collection, 111 respondents knew the existence of health care places that provide reliable information about reproductive health and many of them stated that puskesmas is a place that provides such services although there are many other sources such as LSM, PIKM, PKPR, GenRe, and others. Conclusion: The university is expected to add more informations related to the reproductive health through the development of education by activating a program in collaboration with BKKBN namely PIKM so that students who want to get more in-depth reproductive health information become easier and helped.
Investigation of food poisoning at syukuran event in Krapyak, Bantul, Yogyakarta 2018 Gojali, La Karman
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: On December 3, 2018, Bantul District Health Office received a report from Banguntapan III Primary Health Center that there was suspected food poisoning at a child birth ceremony in Krapyak, Bantul which was held on December 1, 2018. Epidemiological investigations aim to identify the source of the cause, the way of transmission, and provide recommendations for prevention efforts. Method: This study uses retrospective cohort. The definition of a case is a person who experience symptoms of diarrhea, nausea, abdominal pain, fever and headache, either accompanied or without accompanied by other symptoms after obtaining food packages from a Syukuran event in Krapyak, Bantul. Data Collected through case discovery interviews are actively conducted using standardized Questionnaire. Environmental observation and delivery of food samples for bacteriological test have also been conducted at Yogyakarta Health Laboratory . Result: A total of 43 populations are at risk, there are 35 cases with AR= 81.40%. The main symptoms were diarrhea (79.09%), nausea (51.16%) and abdominal pain (27.91%). the pattern of transmission comes from one common source with an average incubation period of 9 hours, the shortest incubation period hours and the longest of 22 hours. The type of food suspected to be the cause of food poisoning is grilled chicken (RR=4.60;p-value=0.01;cl 95%= 1.387-15.277. The result of bacteriological examination are known to have mold/yeast fungi in food samples. Conclusion: The cause of food poisoning is suspected to be sourced from mold/khamir in grilled chicken. improper cooking processes is a risk factor for potential contamination of food. Education on food safety principles in accordance with the minister of health number 1096 needs to be done by Bantul District Health Office and Primary Health Center.
How important is health literacy influencing husband’s actions in women’s health? Asy Syafa Mahfuzhah
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This study aims to explore the involvement of the husband's role based on the level of health literacy towards women's health and the fulfillment of basic family health needs. Content: Currently, there are limited health programs that involve the role of husbands, especially health education regarding maternal and child health. Health education relating to women's health is not a priority for Primary Health Care. Several factors influence the low level of health literacy, such as rural residence, education level, and family network that influence women's decision making to visit health services. So the importance of peer and community networks through antenatal care groups, for example, in collaboration with village midwives or health workers. In addition, the community leaders, cadres, religious leaders are some source who are close to the community and could potentially improve health literacy and husband's knowledge. There are potential obstacles that can occur, there are the lack of motivation for husbands to attend health education held by PHC, and the lack of health education programs regarding women's health that specifically involve husbands. Conclusion: The importance of health literacy among husband to reduce the risk of negative health outcomes for women by increasing understanding among key families and community members. Husbands who are highly educated will have more empathy for women's health than those with low or no knowledge. Husbands play an important role in maintaining women's health, especially in relation to the health treatment in the health service, such as in prevention and early detection of maternal and child health problems.
Strengthening self-efficacy in the application of health protocols to increase work productivity during pandemic in manufacturing industry Sifai, Izzatul Alifah
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: The International Labor Organization (ILO) assesses that manufacture is one of the sectors that has a high risk of operating during a pandemic. The characteristics of manufacturing, namely the production process that cannot be done remotely and the relatively low quality of human resources, makes manufacturing at high risk when operating during this pandemic. Working in stressful situations such as the threat of termination of employment and the threat of COVID-19 itself causes disruption to labor productivity. Content: One aspect of increasing work productivity during this pandemic is by increasing self-efficacy in implementing health protocols. Several recommendations based on previous research formulate that management needs to review the implementation of several interventions to increase self-efficacy, including the provision of health protocol infrastructure, health promotion, dissemination of reliable information, designing mental health and stress management programs, and providing full support to workers. These efforts are expected to be able to increase labor productivity and maintain a safe work environment.
Quality of mother and child health services in remote areas in Indonesia Dewi, Ayustina
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Kurangnya pemeratan fasilitas kesehatan, akses ke tempat pelayanan kesehatan yang jauh dan petugas kesehatan yang kurang sering didapatkan di daerah terpencil. Hal ini menjadi faktor yang dapat menimbulkan masalah kesehatan seperti penangan ibu hamil dan bersalin yang mengalami keadaan darurat yang harus membutuhkan tindakan yang cepat dengan keadaan yang kurang memadai dapat menimbulkan komplikasi hingga kematian pada ibu bila tidak segera mendapatkan pelayanan kesehatan yang baik. Kurangnya pengetahuan dan faktor budaya di daerah terpencil juga menjadi faktor kurangnya mutu pelayanan kesehatan di daerah terpencil. Dalam meningkatkan mutu pelayanan kesehatan di daerah terpencil harus dilakukan pemerataan fasilitas kesehatan yang memadai, akses ke tempat pelayanan kesehatan dan pemerataan tenaga kesehatan dan peningkatan kualitas tenaga kesehatan

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