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Berita Kedokteran Masyarakat

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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 1,542 Documents

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Kontribusi Testimoni dalam Meningkatkan Efektivitas Pendidikan Kesehatan tentang Napza di Kabupaten Sleman Ririn Puspandari, IM Sunarsih, Rendra Widyatama
Berita Kedokteran Masyarakat (BKM) Vol 24, No 3 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Drugs abuse including narcotic, alcohol, psychotropic and other addictive elements (Napza) keep increased. Teenager is a high risky group toward external bad influence including Napza. The increasing tendency of the number of drugs abuse and the age of drug user which tend to be younger, demanded prevention effort and appropriate control. School as education institution is an appropriate place to prevent drugs abuse by giving right information through health education. The appropriate method that needs to be selected should be suitable with situation and condition in the school in order to create an optimum result.Objective: Health education for drugs abuse through speech with audiovisual, speech by presenting former of user (testimony) and group discussion was expected could influenced on the level of knowledge and changed student’s attitude toward drugs abuse prevention. This research was aimed to find out the influence of health education through speech with audiovisual as well as through speech with testimony and group discussion toward knowledge and attitude of students in the prevention of drugs abuse.Method: This was a quasi experimental research that used Solomon four group designs. The research subject was consisted of two treatment groups and two control groups. The data was collected with questioner regarding knowledge and attitude. Data processing and analysis was used student t-test and anova.Result: There was a knowledge improvement on the first treatment group that used interactive speech and audiovisual as well as in the second treatment group that used interactive speech method, testimony and group discussion (p<0,05). There was a significant improvement on attitude toward drugs abuse prevention in the group with interactive speech, testimony, and group discussion. There was a difference on knowledge between both of the methods toward improvement on attitude and yet there was a difference on knowledge toward knowledge improvement.Keywords: health education, testimony, knowledge, attitude and drugs abuse

Estimasi Pengaruh Vaksin DPT pada Kematian Anak: Analisis Diskritif Data Surveilan Demografi dan Kesehatan di Kabupaten Purworejo Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 24, No 3 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Recent controversial reports suggest that recipients of one dose of DTP vaccine have higher mortality than children who have received no DTP vaccine. Those reports were mainly derived from African countries where mortality and malnutrion were higher than Indonesia.Objectives: To describe specific and non-specific effects of DTP vaccination on child mortality age 1-24 months under routine vaccination program in Indonesia.Methods: During period of January 1 1995 to August 31, 2001 our longitudinal surveillance data at Purworejo district provided information on 5647 children below 24 months of age who received DTP and other vaccinations. The main outcome measure was all-cause mortality. Vaccination status on DTP, BCG, and measles were collected every 90 days and recorded its time at vaccination. Confounding factors associated with mortality were also collected. This first report used descriptive analysis and a survival curve (Kaplan-Meier) to examine the differential of mortality according to sex of the children and among vaccinated and non-vaccinated children with DTP, BCG, and measles vaccines. The second report will use survival analysis to estimate specific and non-sprecific effects of DTP by considering time at vaccination and other counfounding factors.Results: There is no sex differential of mortality among children in Purworejo. A probability of dying was lower in the children vaccinated with DTP vaccine compared with those not vaccinated DTP. Simmilarly, vaccinated children with BCG and measles have lower mortality compared to unvaccinated children. There is strong indication that BCG and measles have stronger protected effects to risk of dying than DTP.Conclusion: The study showed lower mortality among children who received DTP, BCG, and measles vaccines compared those unvaccinated. There were not enough evidences to change current vaccination policy because DTP was not associated with any harmful effect among girls.Keywords: non-specific effects, DTP vaccine–child survival- Kaplan Meier’s Curve

Komunikasi dan Hubungan Terapeutik Perawat-Klien terhadap Kecemasan Pra Bedah Mayor Sri Mulyani, Ira Paramastri, Much. Agus Priyanto
Berita Kedokteran Masyarakat (BKM) Vol 24, No 3 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: A patient who will carry a surgical operation has uncertainty feeling, fear, doubt and anxiety. Anxiety can laid to psychological disruption or functional body disruption of a patient that can affect the surgical operation and anesthesia achievement. Based on pre-research study that has been carried by researcher on June 2007 of 40 patients on in-room at surgery and non-surgery room, it is found that 52,5% at the medium rate of anxiety. By so, we need effective way to decrease anxiety rate of patient. This research is aimed to find the effect of communication and nurse-patient therapeutic relation in decreasing anxiety rate of pre-major surgery patient.Method: Type of the research is experimental quasi with pre-test and post-test group design. The samples of the research consist of 30, that we are given communication treatment and nurse-patient therapeutic relation, and of 30, that we are not given the treatment. The sample is chosen used purposive technique. The technique of collecting data is questionnaire. The data analyzing to know the difference of anxiety with paired samples test, whereas to examine the effect of communication and nurse-patient therapeutic relation with independent samples test with significance rate p=0,05.Result and Discussion: The result of research showed that there is no difference at age characteristics, sex, education, ill period, and marriage status of both group (p>0,05). There is significantly difference anxiety (p<0,05) between the groups. Patients of pre-major surgical operation, that were given therapeutic relation and communication treatment by nurse, have anxiety rate much more lowly why were not given. Test result showed therapeutic relation and communication treatment is carried between nurse and patient can decrease anxiety of pre-major surgical operation with p=0,00 (p<0,05).Conclusion: Therapeutic relation and communication of nurse and patient can decrease anxiety of pre-major surgical operation.Keywords: Therapeutic relation and communication, nurse and client, anxiety, premajor surgical operation

Pengaruh Kontrasepsi Hormonal Planibu® Versus Depo Progestin® terhadap Fungsi Hepar dan Profil Lipid Djaswadi Dasuki, Olga Sanger, Flourisa J Sudradjat 3, Enny S Pamuji
Berita Kedokteran Masyarakat (BKM) Vol 24, No 3 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Injectable contraception was used by about 15% of contraceptive users in Indonesia. Safety of injectable contraceptive was necessary to study before Planibu® was marketed in Indonesia. Safety was measured through liver function and lipid profile parameters.Objectives: To compare safety of Planibu® versus Depo Progestin® that was measured with liver function and lipid profile parameters Design of Study: “Double Blind Randomized Controlled Trial (Double Blind RCT)” Planibu® versus Depo Progestin®” nested on longitudinal surveillance and community based study in Purworejo district (LPKGM centre) and Manado municipality (Manado centre)Methods: Study population was childbearing age women, married and wanted to delay or space pregnancy with injectable contraceptive in Purworejo district and Manado municipality. Clinical, gynecological and laboratory examination was done before injectable contraceptive was administered. Laboratory examination included liver function SGOT, SGPT and lipid profile HDL, LDL and total cholesterol. Eligible Subjects who met inclusion and exclusion criteria were 70 women. As many as 35 women received Planibu® injection and 35 women received Depo Progestin® injection every 3 months for 12 months in the same time. Before injection was administered, venous blood sampling was taken from each subject.Results: Before using contraception, there was no statistical difference of liver function and lipid profile parameters between group Planibu® and Depo Progestin® (p>0,05). There was a statistically significant difference in the level of cholesterol, HDL, and SGOT during the 12 month of use Depo Progestin® (p=0,000, p=0,009 and p=0,000), although clinically it wasn’t significantly different. There was a statistically significant difference in the level of cholesterol, SGOT and SGPT during the 12 month of use Planibu® (p =0,038, p=0,000 dan p=0,018), although clinically it wasn’t significantly different. There was a statistically significant difference in the level of cholesterol and LDL during the 12 month of use Planibu® versus Depo Progestin® (p<0,05)Conclusion: There was a statistically significant difference in the level of cholesterol, HDL, and SGOT during the 12 month of use Depo Progestin®, although clinically it wasn’t significantly different. There was a statistically significant difference in the level of cholesterol, SGOT and SGPT during the 12 month of use Planibu®, although clinically it wasn’t significantly different. There was a statistically significant difference in the level of cholesterol and LDL during the 12 month of use Planibu® versus Depo Progestin®, although clinically it wasn’t significantly different. There was no difference clinically in the safety level of Planibu® versus Depo Progestin® shown by measurement result of liver function and lipid profile parameters.Keywords: planibu, depo progestin, liver, lipid

Hubungan Pola Perdarahan Uterus dengan Kadar Estradiol pada Akseptor Kontrasepsi Injeksi DMPA Enny S Pamuji, Djaswadi Dasuki, M. Hakimi
Berita Kedokteran Masyarakat (BKM) Vol 24, No 2 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Bleeding disturbances are the main complaint that cause most DMPA users discontinuing contraceptive use. Mechanism underlying the bleeding disturbances is not clear. It is presumed that the condition is related to fluctuation of estradiol level or to low persistent estradiol level Objective: 1. To evaluate an association between bleeding pattern and estradiol level of DMPA users after 3, 6, 9, 12 months use. 2. To evaluate an association between estradiol level and length of use. 3. To evaluate an association between bleeding pattern and estradiol level, body mass index (BMI), age, parity, total cholesterol level of DMPA users.Design: Observational study, secondary analysis nested on “Randomized Controlled Trial Planibu® and Depo Progestin®”Material and Method: Seventy DMPA users received injection every 3 months for 12 months. Before injection was administered, venous blood was taken and examination of estradiol level was done using Enzyme Imuno Absorbent Assay (ELISA). In addition, in-depth interview was also done on bleeding pattern for the last reference period (90 days). Subject was classified according to their bleeding pattern into groups of amenorrhea, oligomenorrhea, spotting, and bleeding,Results: All research subjects indicated low estradiol concentration with an average concentration less than 150 pg/ml. There was a correlation between length of usage and estradiol level; estradiol level after 12 months of usage was less than 100 pg/ml. There was no different between bleeding pattern and estradiol in month 3, 6, 9,12 using bivariate analysis with t-test with amenorrhea group as reference and p > 0,05. T-test and Chi Square analyses using amenorrhea group as reference stated that there was no association between bleeding pattern and age, BMI, and parity. Using multivariate analysis with Multinomial Logistic Regression, it was stated that correlation between estradiol concentration and bleeding pattern was not affected by age, body mass index, or total cholesterol level. There was an association between bleeding pattern and cholesterol level using bivariate and multivariate analyses.Conclusion: 1. Estradiol level in various bleeding pattern after 3,6,9,12 month of usage was not different. 2. There was correlation between low estradiol level and length of usage. 3. Association between bleeding pattern and estradiol level was not influenced by age, parity and body mass index, and total cholesterol level.Keywords: bleeding pattern, estradiol, DMPA, injectable contraception

Analisis Pelaksanaan Universal Precaution pada Pelayanan Kesehatan Gigi Oktarina Dwi Ratna Soeryandari
Berita Kedokteran Masyarakat (BKM) Vol 24, No 2 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: At Health Centers diseases could be directly or indirectly transmitted because the clinical procedures are not followed or carelessness of health workers. The universal precautions are done to protect patients and health workers from communicable diseases in health facilities, including dental services.Method: This was an observational study with explanatory methods. Data were collected by interview, questionnaires, observation, focus group discussion, and data secondary. The study was conducted in 30 Health Centers in Surabaya City. Subjects were 30 dentists from 30 health centers. The dental services with the universal precaution procedures given by the dentists were observed. Data were analyzed descriptively.Result: Results of the study showed the knowledge of 50% respondents was not good and 80% of the dentists skillfully conducted the universal precaution indicators. Based on organization factors, the majority of the respondents had received training on the universal precaution but supervision had not been done routinely. Eighty three point three percents (83.3%) dentists used gloves every time give service, 80% of the instruments were in sterilized condition, 30% of the centers had medical waste baskets or for needles. Based on work load, it was increasing if the patients increased because of the limited instruments, especially sterilization instruments had not provided in all health centers. The Standard Operational Procedures were hanged just in some Health Centers.Conclusion: The universal precaution in the dental clinics had not been 100% conducted in the Health Centers because of the lack of knowledge and training or continued education and also supervision and evaluation by the District Health Office. Besides there were a higher work load of the dentists in conducting their works and lack of dental instruments so that these risk of infections in the Health Centers and their environments.Keywords: universal precaution, dental personnel

Vitamin E dan Malondialdehid Darah Wanita Hamil di Daerah Endemik Gondok di Jawa Tengah Prasetyastuti Sunarti
Berita Kedokteran Masyarakat (BKM) Vol 24, No 2 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Usually, people who live in goiter areas have iodine deficiency. Iodine deficiency increases thyroid stimulating hormone (TSH) in blood that can promote product of hydrogen peroxide. Hydrogen peroxide can produce free radicals that can promote lipid peroxidation. One of the lipid peroxidation products is MDA (malondialdehyde). Vitamin E is an antioxidant that can trap free radical in cell membrane and plasma lipoprotein so it can protects lipid peroxidation by free radical.Objectives: The aim of this study was to find out whether there is some possibility of differences between vitamin E and MDA concentrations in the blood of pregnant women living in goiter and those of women non goiter areas.Method: A Cross Sectional study was conducted, in which 60 women from goiter endemic and 60 women from non goiter endemic were randomly selected to serve as subjects. The blood sample was taken from venous cubiti. Vitamin E was measured by spectrofluorometer and MDA was measured by spectrophotometer. T test was employed to analyze the data.Results: The vitamin E level of the women living in goiter and non goiter endemic areas, 33.17 + 9.13 ìg/ml versus 32.39 + 11.13 ìg/ml respectively, were not significantly different (p=0.677; CI:-4.455; 2.905), but the MDA level of those, 12.07 + 2.75 nmol/ml versus 8.73 + 3.04 nmol./ml respectively, were significantly different (p=0.000; CI:- 4.386; -2.287). The correlation between vitamin E and MDA levels was not significant (p=0.403; CI:-0.034; 0.085).Conclusion: There is significantly difference of MDA level of the women living in goiter and non goiter endemic areas but the MDA was not correlated with the vitamin E level.Keywords : vitamin E, malondialdehyde, pregnant, goiter

Upaya Penanggulangan Gizi Buruk pada Balita melalui Penjaringan dan Pelacakan Kasus Rahma Edy Pakaya, Istiti Kandarina, Akhmadi
Berita Kedokteran Masyarakat (BKM) Vol 24, No 2 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: A total of 1.506 children in Yogyakarta Special District Province suffered from malnutrition. They resided in Gunung Kidul (531 children), Sleman (287 children), Kotamadya Yogyakarta (225 children) and Kulon Progo (190 children). (Wirobrajan was 6th from 18 sub-districts of most frequent incident of malnutrition in Yogyakarta.)Objective: To assess the implementation of case screening and case finding of the children malnutrition through both of Posyandu (Integreted Care Venue) and Polyclinic at Wirobrajan Community Health Center, Yogyakarta.Methods: A descriptive non-analytic, cross-sectional study was carried out. Data were collected from in-depth interview. As respondents were member of team of poor nutrition prevention program. Research was conducted from December 24th 2007 to January 9th 2008 at Wirobrajan Community Health Center, Yogyakarta.Results: Case screening was conducted trough both of active and passive. Active case screening was conducted every two or three months by all of Posyandu in Wirobrajan area. Pasive case screening was conducted by daily health service setting in Community Health Center and based on health cader report. case screening was performed by collect data of children include name and age, measurement of body weight and height, head circumference, rough and smooth motoric ability. After that, documentation and reporting to goverment was made. WHO-NCHS standard was used as standard of malnutrition measurement. After case screening or case reporting, case finding was performed by home visit. Data collected by using of questioner or direct interview to parent. Anthropometric re-measurement can be performed as needed refer to community health center or to the hospital if there is enclosing desease and make dokumentation. This activity is convenience with Guideline of Malnutrition Management in and Community Health Center Setting.Keywords: case screening, case finding, children, malnutrition.

Perilaku Kesehatan Reproduksi Anak Perempuan Korban Trafficking di Manado Sesca Diana Solang, Ira Paramastri, Budi Wahyuni
Berita Kedokteran Masyarakat (BKM) Vol 24, No 2 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: There were 23 girls who escaped from bar “F” in Timika Province of Papua. In 29 August 2002 during medical examination, it was found that one of the girls suffered from HIV/AIDS, others had sexual diseases, and there were some of them who were pregnant. The government paid attention to them and hence, they were invited to a skill course and will be given an asset; nevertheless, only five girls who attended.Objective: This research was aimed to find out knowledge of girls who were being prostitute regarding the threat of reproductive health disease, role of customer, procuress, health care provider, friend and family in giving support on the unwanted pregnancy, sexual transmitted disease (STD) and HIV/AIDS as well as how is the reproductive health behavior toward prevention of unwanted pregnancy, STD and HIV/AIDS during trafficking in Timika.Method: This research was an explorative qualitative one and it was conducted with focus group discussion toward research subject of girls who were being prostitute in Timika and in-depth interview toward research subject and program manager in the provincial level as informant key. The subjects were chosen with purposive sampling that used selected criteria. Qualitative data analysis was used from data collection until forming an explanation of data validity by using source and method triangulation.Result: In general, AYLA did not experience unwanted pregnancy because they used contraception. Condom can be obtained from health care provider or bought to be offered to their guest when having sexual relationship although most of the guests refused to use it. This condition showed the low bargaining position of girls who were being prostitute in the transaction process. People surrounding girls who were being prostitute has reminded each other to have self protection toward prevention of unwanted pregnancy, STD and HIV/AIDS with contraception. They know the risk if they did not use condom in having sexual relationship. The low bargaining position caused girls who were being prostitute had high risk toward reproductive health disease and could not have safe sex in order to be avoided from the transmission of STD even HIV/AIDS.Conclusion: Most girls who were being prostitute already know unwanted pregnancy, STD and HIV/AIDS, but they still have bad attitude and behavior on the risk of sexual disease when their guests were not using condom because of girls who were being prostitute low bargaining position and behavior on washing reproductive organ with toothpaste after having sexual relationship caused irritation and reproductive system disorder.Keywords: reproductive health behavior, girl, sacrifice trafficking

Area Industri Gamping sebagai Faktor Risiko Gangguan Fungsi Paru A A Subijanto
Berita Kedokteran Masyarakat (BKM) Vol 24, No 2 (2008)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Chronic Obstructive Pulmonary Disease is one the major public health problems in Indonesia. National data in 1992 described that bronchitis and asma was situated at the seventh rank among 10 leading fatal diseases. One of their risk factors is exposure of dust which is produced by industry including chalkpowder industry. In Indonesian country, there were some active chalkpowder industy in the area.Objective: This research was aimed to investigate whether distance between home and chalk powder industry is a risk factor for poor lung function.Material and Method: The study population was men who stayed in nearby the chalk powder industry during at least last 5 years, smoke, and were not employee in the chalkpowder industry. The study design was cross- sectional survey. Sampling method was quota sampling. Lung function was examined by respirometer to measure Vital Capacity (VC) and Forced Expiratory Volume One Second (FEV-1).Results: The findings of this study reveals that distance of home to chalk powder industry is a risk factor to prevalence of obstructive and restrictive lung. The risk of residents living in the radius of less than 500 meter from the industry is 9.75 higher to obstructive lung than residents living within the radius of 500 to 100 meter from the industry. In addition, the risk to suffer restrictive lung is 1.38 higher in residents living within the radius of less than 500 meters from the industry.Keywords: chalkpowder, risk factor, COPD

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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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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Ika Kusumaningtyas

Contact Email tyas.kusuma@ugm.ac.id

Phone +628988833412

Journal Mail Official bkm.fk@ugm.ac.id

Editorial Address Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

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Abstract

Contact Name
Ika Kusumaningtyas

Contact Email
tyas.kusuma@ugm.ac.id

Phone
+628988833412

Journal Mail Official
bkm.fk@ugm.ac.id

Editorial Address
Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA