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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 effect of adolescent empowerment on changes in knowledge and attitudes about pramarital sexual behavior Arisjulyanto, Dedy; Ika Puspitas, Nanik; Hendry, Zul; Alwi Andi, Muhammad
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Purpose: Youth is the future generation of the nation. However, currently, a lot is happening to adolescents, such as premarital sexual behavior which ultimately has an impact on early marriage and the spread of sexually transmitted diseases. Many factors influence both internal and external factors causing juvenile delinquency that need attention. To overcome this, a good environment can be decisive for the development of these adolescents. And currently, the number of Indonesian adolescents aged 10-24 years in 2017 was 67.36 million or around 25% of Indonesia's population, the rate of early marriage in NTB is above the national figure, namely 31.12%. And the case of early marriage in NTB is very high, namely 58.1% of the total marriages in NTB. Method: This study used a "Pre Experimental Design". The population in this study were adolescents in the Karang Luah neighborhood, Bertais Village, Mataram City, and the samples in this study were 32 people who were taken using the total sampling technique. Result: The results of this study indicate the difference in the average value of the knowledge level of adolescents before and after the empowerment of adolescents, the p-value = 0.000 < α = 0.05. And experiencing changes in attitudes towards premarital sexual behavior for the better after being given empowerment of adolescents with a p-value = 0.000< α = 0.05. Conclusion: This research can conclude that there are differences in the value of the level of knowledge and attitudes of adolescents about sexual behavior after being empowered by adolescents in Karang Luah, Bertais Village.
Policy in practice: mengakhiri polemik puskesmas 24 jam dengan mereplikasi dan mengembangkan program Sistem Jemput Bola Brigade Siaga Bencana (SIJEMPOL BSB) dalam sistem pelayanan kesehatan Indonesia Ramadhani, Andi Febryan
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective : Artikel ini mengeksplorasi dampak besar implementasi SIJEMPOL BSB sebagai kebijakan inovatif dalam menurunkan kasus Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) di Kabupaten Bantaeng serta kemungkinan program ini direplikasi dan dikembangkan dalam sistem pelayanan kesehatan di Indonesia. Content : SIJEMPOL BSB (Sistem Jemput Bola Brigade Siaga Bencana) merupakan sebuah inovasi program pelayanan kesehatan yang tercantum dalam Keputusan Bupati Bantaeng Nomor: No.430/595/XII/2009 tentang Pembentukan Tim Emergency Service. Program ini menjawab permasalahan sulitnya akses masyarakat desa dan pelosok terhadap pelayanan kesehatan karena topografi daerah yang bergunung-gunung dan berbukit sehingga seringkali menyebabkan keterlambatan penanganan terutama bagi ibu yang membutuhkan bantuan persalinan. Setidaknya pada 2013-2016, SIJEMPOL BSB berhasil menihilkan kasus AKI dan AKB di Kabupaten Bantaeng. Layanan SIJEMPOL BSB ini bisa diakses oleh masyarakat secara gratis selama 24 jam dengan menghubungi call center 119. Satgas BSB akan tiba di lokasi masyarakat yang membutuhkan pelayanan kesehatan dalam durasi 10-15 menit setelah laporan masuk. Hingga tahun 2017 Kabupaten Bantaeng memiliki 5 posko BSB dengan 20 dokter umum, 49 perawat dan 12 unit ambulance yang memiliki fasilitas medis cukup lengkap. BSB juga melakukan tindakan triase pra rujukan dimana penyakit pasien dengan kategori “ringan” cukup diobservasi di rumah dan difollow up oleh puskesmas terdekat. Sementara itu penyakit pasien yang masuk kategori “sedang” langsung ditangani di puskesmas rawat inap atau ruang observasi BSB sedangkan yang masuk kategori “berat” langsung dirujuk ke RSUD. Belajar dari keberhasilan program ini di Kabupaten Bantaeng, tidak berlebihan jika mengatakan program ini layak untuk dicoba direplikasi dan dikembangkan dalam sistem pelayanan kesehatan Indonesia. Sekaligus juga mengakhiri polemik tarik ulur keberadaan Puskesmas 24 Jam yang selama ini dianggap tidak efektif dan efisien. Puskesmas 24 Jam yang bersifat pasif karena hanya “menunggu” pasien bisa saja digantikan oleh sebuah model layanan kesehatan yang lebih progresif.
Immunization care movement efforts towards 100% achievements in UCI Village, Sabu Liae District, Sabu Raijua Districts, 2018 - 2020 Lino, Marianus; Ha'e, Lisias; Radja, Isak
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

The dynamics of health and illness are two sides of the controversy that never stop and end forever. The high frequency of incidence of infectious and degenerative diseases in society is currently a (double burden) that has not been resolved, especially the spread of infectious diseases that do not recognize age and administrative boundaries so that it requires various countermeasures periodically, integrated and across sectors. In Law No. 36 of 2009 concerning Health, Immunization is one of the efforts to prevent infectious diseases and is a priority activity of the Ministry of Health in order to achieve SDGs, especially to reduce mortality in children. This scientific work aims to encourage community participation as a driving force towards the movement for healthy living (GERMAS) communities and to increase the independence and active participation of all Natural Leaders and village stakeholders in Sabu Liae District in the health sector, especially in the immunization program. The research design in scientific papers is analytic observation. The results that the UCI achievement at Eilogo Health Center was still low where in 2019 (90%), 2020 (70.50%), so that in order to answer the above problems, strategic programs and innovations carried out are community empowerment using the IMMUNIZATION CARE FORUM (FPI) movement approach, considering Eilogo Public Health Center as one of the spearheads of integrated and foremost health services in Sabu Raijua Regency has the responsibility of implementing health services. Immunization services are routinely carried out every month at 40 Immunization points spread across 40 posyandu throughout Sabu Liae District. To support innovation work on community empowerment through the Immunization Care Forum, it is hoped that the support of the Government will become the pioneer UKBM for the formation of new FPI in all sub-districts throughout Sabu Raijua Regency.
Social media and internet use for anti-tobacco health promotion toward adolescent and youth in Asia : a systematic review Agung Anugerah; Ashandi Triyoga Prawira
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This study explores the strategy of social media and internet use for anti-tobacco health promotion targeted for adolescent and youth in Asia Method: We performed a literature search of articles in the last 10 years using PubMed with keyword as follows : (social media OR internet) AND (tobacco OR smoking) AND (teen* OR youth OR adolescent OR children OR school age) AND (asia). Critical appraisal was done using PRISMA-P 2015 checklist. Results: A total of 209 articles were screened and 7 studies included, 5 studies focused on social media/internet effectiveness on anti-tobacco promotion and 2 studies focused on the demographic feature. The Effectiveness of social media is shown positively correlated with anti-tobacco knowledge and attitude throughout all 5 studies with various results. Social media and the internet is an effective means as adolescents and youth in Asia tend to use these media rather than a more conventional media for health information, tobacco prevention included. The adolescent and youth are less likely to find anti-tobacco messages in their social media or internet use because these messages tend to be more concentrated in conventional media. In contrast to that, tobacco companies advertising is more commonly found on social media and the internet, therefore its exposure becomes a significant factor in influencing adolescent smoking initiation. Conclusion: Taken together, these evidence show consistent benefit of social media and internet use in promoting anti-tobacco messages among adolescents and youth in Asia. Holistic framework (including family support, smoke free school, etc) to gain tobacco prevention or cessation among adolescents must incorporate social media and internet use for campaigns to raise awareness and attitude. An understanding of the adolescent smoking initiation is compulsory in creating a tailor made message that fits their context.
“NUTRI EMO” game-based nutrition education: innovation of mother's knowledge improvement program to overcome children's nutrition problems in Buleleng, Bali Kuswandari, Luh Shanti; Andani, Dian Puteri
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: Mother’s lack of nutrition knowledge is one of the risk factors that cause child malnutrition in Bali. Existing nutrition education program is not sufficient due to a lack of awareness, and the attendance only becomes a formality without understanding information and the desire to apply. This program innovation aims to improve mothers' understanding of the materials delivered, and it is expected that mothers can apply them into daily life. Content: Nutrition education programs have been conducted. Nevertheless, it needs innovations in order to run more effectively. Game-based nutrition education is one of the innovations to make the delivery of education more engaging. "Nutri Emo" is one of the game innovations that combines game methods and demonstrations to increase the interest and attention of mothers in Buleleng Regency to be active and participative when receiving the materials delivered. Each point earned from the game will be replaced by a beam. The beams are arranged and illustrated as child growth. It aims to show the mother that if she nourished the child well, the growth of the child will also be good. At the end of the program, we play the game "Ibu Pintar" to evaluate the mother's understanding of education. This program potentially increases the mother's understanding of the material presented and motivated her to make changes. Meanwhile, attractive program is also needs support from the community leader to be succed. Involving the head of the village's wife is the best option, as they are one of the figure close to the mothers in the village. Advocacy to the Village Head's Wife has great potential for the sustainability of the program. The village head's wife's support for this activity can increase community participation in this education program.
Program for prevention of food poisoning in South Timor Tengah Regency with the kitchens of healthy small and medium enterprises Johannis, Amanda Jelita Eka Riani
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: This study examines the food poisoning prevention program through the kitchens of healthy small and medium enterprises in South Timor Tengah Regency. Content: Food poisoning has occurred in most parts of South Timor Tengah Regency during the last two years. The Public Health Office of South Timor Tengah Regency has collaborated with food and drug control agencies, as well as across sectors to prevent expired foodstuffs that are still circulating in the market. This has not stopped the cases of food poisoning because food poisoning also occurs due to the lack of knowledge of food vendors and handlers regarding the requirements for good hygiene and sanitation. Food poisoning prevention can be done by approaching people who have direct contact with the community, namely food vendors and handlers. Initial cooperation was carried out with the village head by sending a letter of cooperation agreement related to the implementation of the program that will be implemented. Then through this letter, the village head and village apparatus are tasked with gathering food vendors and handlers selling in the market to participate in counseling activities and cooking demonstrations. The implementation of this activity will be carried out at the village office every month and the preparation of tools and cooking materials will be prepared by the program implementer. If there are not enough cooking utensils, a collaboration can be made by renting cooking utensils belonging to the community. This program is expected to be able to solve the problem of food poisoning in South Central Timor Regency.
Herbal medicine fosters community creativity in preserving traditional plants Harahap, Junardi
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Background: Traditional medicine is a form of treatment that has been culturally tested for hundreds of years globally to provide good health for the community, which is an essential business in the form of creative efforts made by the community to achieve good for the health of by preserving the archipelago's herbal plants. Objective: To fully describe the efforts made by the Sundanese people as a creative endeavor to develop traditional herbal medicine, especially in improving public health in the Cimenyan area, West Java. Methods: The method used is a qualitative method by conducting interviews and observing the community in the Cimenyan District, West Java. Results: Creative efforts made by the community in institutions and efforts made by the community in the Cimenyan District Area, West Java in carrying out maintenance of herbal medicines that exist in the community, which provide an essential meaning for health so that people are healthy and also obtain essential health for the low-income communities and provide usefulness for the community concerned with a fit body by eating herbal medicinal plants. Latar belakang: Pengobatan tradisional merupakan sebuah bentuk pengobatan yang telah teruji secara budaya selama ratusan tahun, dalam rangka memberikan kesehatan yang baik bagi masyarakat, yang merupakan sebuah usaha yang sangat penting dalam bentuk usaha kreatif yang dilakukan masyarakat untuk mencapai kebaikan bagi kesehatan masyarakat yang ada dengan melakukan pelestarian tanaman herbal nusantara. Tujuan: Untuk menggambarkan secara utuh mengenai bagaimana usaha yang dilakukan oleh masyarakat Sunda sebagai sebuah usaha kreatif dalam rangka membangun pengobatan tradisional herbal, khususnya dalam meningkatkan kesehatan masyarakat di daerah Cimenyan, Jawa Barat. Metode: Metode yang dilakukan adalah metode kualitatif dengan melakukan wawancara dan juga dengan melakukan observasi kepada masyarakat yang dilakukan di daerah Kecamatan Cimenyan, Jawa Barat. Hasil: Usaha kreatif yang dilakukan masyarakat dalam lembaga-lembaga dan usaha-usaha yang dilakukan masyarakat di Kawasan Kecamatan Cimenyan, Jawa Barat dalam melakukan pemeliharaan terhadap obat-obat herbal yang ada di dalam masyarakat, yang memberikan arti yang penting bagi kesehatan sehingga masyarakat sehat dan juga diperolehnya kesehatan yang hakiki bagi masyarakat dan memberikan daya guna bagi masyarakat yang bersangkutan dengan tubuh yang bugar dengan makan tanaman obat herbal.
How to make herbal medicine available in health facilities in Indonesia? Destiwati, Rita
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Health facilities are the government’s responsibility in Indonesia following the law number 36 of 2009. This aims to improve the highest health status for the public. Herbal alternative medicine is not a new treatment globally, but this plant-based medicine has existed for centuries, including in Indonesia. The habit of drinking herbal medicine to maintain health or cure disease is usually carried out by people in Indonesia, both rural and urban. The purpose of this study was to find out whether it is possible for health insurance in Indonesia to accept alternative herbal treatments in primary care facilities. This study uses qualitative research methods by conducting interviews, observations, and literature studies. Informants in this study were patients who had undergone medical surgery and patients who had consumed and performed alternative herbal treatments: health facility policymakers and doctors. The results showed differences in the acceptance of services for the healers (doctors and therapists). Health communication, in this case, can provide alternative solutions so that the comfort of patients is free to choose who they seek treatment with mild side effects. The patients prefer to go to alternative herbal medicine, not because of the medicine, but because the established communication is very intense and cooperative between the two. So the government health facility regulations should have started reviewing policies so that alternative herbal treatments can be included in government-owned health facilities or health insurance that has received permission from the government. Fasilitas kesehatan merupakan tanggung jawab pemerintah di Indonesia, ini sudah diatur secara undang-undang nomor 36 tahun 2009. Ini bertujuan untuk meningkatkan derajat kesehatan yang setinggi-tinggi bagi masyarakat. Pengobatan alternative herbal bukan pengobatan baru di dunia, tapi pengobatan yang berbahan dasar tumbuh-tumbuhan ini sudah ada berabad-abad yang lalu termasuk di Indonesia. Kebiasaan minum jamu untuk menjaga kesehatan atau penyembuhan penyakit biasa dilakukan oleh masyarakat di Indonesia baik desa atau kota. Tujuan dari penelitian ini untuk mengetahui mungkinkah jaminan kesehatan di Indonesia bisa menerima pengobatan alternative herbal masuk dalam fasilitas layanan primer. Penelitian ini menggunakan metode penelitian kualitatif dengan melakukan wawancara, observasi dan studi literature. Informan pada penelitian ini para pasien yang pernah melakukan tindakan operasi secara medis juga para pasien yang sudah mengkonsumsi dan melakukan pengobatan alternative herbal. Para pembuat kebijakan fasilitas kesehatan dan dokter. Hasil penelitian menunjukkan kalau adanya perbedaan dalam penerimaan layanan bagi para pengobat (dokter dan Therapist). Komunikasi kesehatan dalam hal ini bisa memberikan solusi alternative sehingga kenyamanan para pasien bebas untuk memilih pada siapa mereka berobat dengan efek samping yang ringan. Para pasien lebih senang berobat ke pengobatan alternative herbal bukan karena obatnya tapi komunikasi yang terjalin sangat intens dan kooperatif diantara keduanya. Jadi seharusnya dalam aturan fasilitas kesehatan pemerintah sudah mulai mengkaji kebijakan agar pengobatan alternative herbal bisa masuk dalam fasilitas kesehatan milik pemerintah ataupun Asuransi kesehatan yang sudah dapat izin dari pemerintah.
The meaning of adolescent reproductive health promotion through traditional arts: a community perspective Ni Putu Widarini; Fatwa Sari Tetradewi; Ova Emilia
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
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Objective: Knowing the perspective of the community watching reproductive health promotion activities through traditional art performances. Adolescent reproductive health promotion activities are carried out through the use of local wisdom in Bali, namely through the performance of traditional arts. The information conveyed through this promotional media contains informative messages about adolescent reproductive health so that it is no longer taboo to talk about and is easily accepted by the community. Methods: Qualitative research using an exploratory approach. The research location is in Tegallalang Village, Gianyar Regency, Bali. The informants were the people who watched the performance activities as many as 9 people. Retrieval of data through focus group discussions. Thematic data analysis. Result: The community's perspective on the performance and the message conveyed in the performance. The benefits of staging traditional arts according to the community watching are that socialization through art is easier to accept, traditional art performances can preserve culture and art, can be useful for society, namely reminding adolescents not to have premarital sexual behavior. The message received by the community is that there are limitations in dating, how to choose friends, carry out parental advice, anticipation of teenagers not having premarital sex and the impact of premarital sex. Acceptance of message content by the community, namely that the language is easy to understand, easily accepted by the community and becomes an example so that it is not imitated. Conclusion: Good interpretation of reproductive health promotion activities through the performance of traditional arts is related to the benefits and messages received by the community. The implication of the research results in the form of traditional art media as a health promotion media has the potential to educate the public in a positive way.
Village fund for the community of Central Java free of stunting Liya Desriyana
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective : The purpose of this paper is to provide suggestions for activities using village funds to combat stunting Content : The problem of stunting if not handled properly will affect the economy of a nation because it produces a generation with low productivity. However, in reality the absorption of village funds for stunting prevention is still not optimal due to a lack of socialization and understanding of stunting programs in the regions. Human Development Cadres (KPM) under the supervision of regional apparatus are given an understanding of the task of increasing public awareness of stunting, identifying 1000 HPK household targets through social maps, facilitating villages to optimize stunting interventions using village funds, and receiving and reporting the results of monitoring growth and development. toddler babies.

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