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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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Solid waste management evaluation in Lantowua final processing place’s work area, Bombana Regency, 2021 rahma, sitti
BKM Public Health and Community Medicine Vol 37 No 10 (2021)
Publisher : Universitas Gadjah Mada

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Abstract

Background: Solid waste is still a problem for health and the environment. The increase of solid waste is in line with the growth in the population, and the community needs to encourage the application of 3R principles. The government has arranged this systematically, thus making the involvement of various stakeholders and communities crucial to implementing these principles. Purpose: This research aimed to evaluate the solid waste management implementation in Lantowua Final Processing Place’s work area, Bombana Regency. Methods: This was a qualitative case study approach in Lantowua Final Processing Place’s work area, including 16 informants. Data collection were through interviews, observation, and document studies. Data analysis used thematic analysis. Results and Discussion: The human resources, funds, and facilities input indicators were insufficient for program needs. The process indicators had no reduce-reuse-recycle principle, no solid waste sorting, and low socialization in the community. The output target indicators for solid waste handling targets had not yet applied the 3R principles at the household and shopping centers level. Environmental services had not involved cross-sector in solid waste management. Lack of contribution to the development of TPS3R and Solid Waste Banks, monitoring and testing of landfill leachate never been done. Conclusion: Solid waste management had been carried out but had not implemented the 3R principles at the household and community level. There was low cross-sectoral cooperation in solid waste handling and no effort to handle leachate at the landfill.
Work posture analysis using ovako working postural analysis system (OWAS) on workers at PT INKA (Persero) Suseno, Wahyu
BKM Public Health and Community Medicine Vol 37 No 10 (2021)
Publisher : Universitas Gadjah Mada

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Background: One of the occupational diseases caused by non-ergonomic work processes is musculoskeletal complaints. It is a disease that occurs in body structures, such as muscles, joints, tendons, ligaments, nerves, bones, and the local circulatory system by occupational factors. PT INKA (Persero) is an industry engaged in inland transportation, especially railways with high potential and danger factors. Even though PT INKA (Persero) Madiun has lifting and transportation equipment, such as strollers, forklifts, cranes, and mines, there are still some manual handling jobs. Effective working days in one week are five working days. Data from the INKA Clinic (Polinka) in 2019 showed 3-4 workshop workers suffering from low back pain every month. The author realized the necessity to study ergonomics and MSDs complaints at PT INKA (Persero) Madiun. Research objectives: This study aimed to determine workshop workers' work posture at PT INKA (Persero) Madiun. Research Methods: This was a quantitative study using a cross-sectional approach that aimed to determine the dynamics of work posture effect on MSDs complaints at one time. Work posture assessment using the Ovako Working Posture Analysis System (OWAS) method, along with other variables such as age, smoking, working period, and duration of work to measure complaints of Musculoskeletal Disorders (MSDs) in 36 workshop workers of the Bogie PMK unit. The research data were analyzed and interpreted using Statistical Stata 13. Bivariate data analysis used Kendall's tautest. Results and Discussion: The workshop workers' Musculoskeletal Disorders (MSDs) complaints in the PMK Bogie Unit resulted from work posture and working period. When the exposure intensity level was high beyond the tolerance of the worker's body ability, it could result in fatigue felt by tired workers. Based on the assessment using the Ovako Working Postural Analysis System (OWAS) method, it is necessary to improve, especially on Macro Reforming, A Drilling, Grinding, and Welding work. This work posture was a risk of ergonomic hazards. The working conditions and work equipment used by workers were not per the worker's body posture, resulting in excessive muscle stretching, which led to complaints of Musculoskeletal Disorders (MSDs). Conclusion: There was a risk of ergonomics hazard due to a mismatch between the equipment used by workers and working conditions with the worker's body size.
Protecting healthcare workers during COVID-19 pandemic through health protocol guidelines in Maluku, Indonesia Frangky Ertanto; Robiana Modjo; Riskiyana Sukandhi Putra
BKM Public Health and Community Medicine Vol 37 No 11 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i11.2732

Abstract

Purpose: This study aims to describe the implementation of two ministerial decrees stipulated by The Ministry of the Health Republic of Indonesia that may serve as Health Protocol Guidelines in Maluku, Indonesia. Method: Cross-sectional with a quantitative and qualitative approach was conducted from March to August 2021. Self-administered questions are sent to respondents and interviews will be conducted where confirmation was found necessary. Result: Implementation of Health Protocol Guidelines in five healthcare providers in Maluku was found to be good and very good as indicated by the total score of the overall implementation. Conclusion: This study revealed that protection measures taken and adopted from Health Protocol Guidelines issued by Indonesian were well implemented. However, future improvement might be necessary to maintain the current implementation even after the pandemic ends.
Implementation of specific interventions for the 1st 1000 days of life to prevent stunting in Padang city during the COVID-19 pandemic Fadhil, Muhammad; Djafri, Defriman; Masnarivan, Yeffi
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

​​Objectives: Covid-19 pandemic affected all sectors, including health. Stunting prevalence in Indonesia by 2019 is 26.67%, above 20% of Indonesia’s target. This study aims to review the implementation of specific interventions for the 1st 1000 days of life to prevent stunting in Padang City during Covid-19 Pandemic. Method: The design in this study uses mixed methods. This study took place in August 2020 – February 2021 at two health centers (Belimbing and Seberang Padang). A systemic approach was made for a qualitative method, and there were 11 informants required in this study determined by purposive sampling. Data collection uses in-depth interviews, observations, and document review, with data source and method triangulation. The quantitative method was analyzed using univariate analysis to observe the differences in 2019 and 2020 specific interventions for stunting. Result: This pandemic affected two study health centers. Most interventions did not reach their targets, such as exclusive breastfeeding, complete basic immunization, health promotion activities, vitamin A and folic acid intake, and pregnancy visits to healthcare facilities. Puskesmas Seberang Padang distinguished Covid-19 task force and stunting interventions team, and in Puskesmas Belimbing add more days for immunization. Diarrheas increased from 92 to 101 cases in 2018 and 2019 at Seberang Padang, while decreased from 101 to 56 cases at the Belimbing. Conclusion: Both health centers have different strategies and priorities for tackling stunting during the Covid-19 pandemic. In short, many interventions did not reach the target. The trend of diarrheal in 2018 and 2019 at Puskesmas Seberang Padang decreased and increased at Puskesmas Belimbing. Both health centers need to maximize the intervention for stunting during the Covid-19 pandemic by sticking to health protocols.
Implementing dengue hemorrhagic fever epidemiological investigation during the COVID-19 pandemic Kamilia, Nadiyah
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: Dengue epidemiological investigation studies dengue transmission, including activities to search for cases or suspected cases of dengue infection as well as inspection of dengue-transmitting mosquito larvae in the patient's residence and surrounding buildings within a radius of at least 100 meters. This study describes the implementation of an epidemiological investigation of Dengue Hemorrhagic Fever during the Covid-19 pandemic. Methods: This study used a descriptive method conducted from field observations during January – September 2021. Data collection was carried out at the Health Office level with one person Dengue data manager and 18 Dengue program holders in Gunungkidul Regency. Results: Sixty confirmed DHF cases were reported by hospitals and clinics, 21 cases (35%) were not investigated for epidemiology, Median age of PE officers was 44 years (range: 31-52) where there are more male officers than female officers (63%). Using PPE during PE (100%), visiting neighbors' houses (42%), NS-1 screening (0%), larva monitoring (100%), ABATE distribution (85%), and counseling (100%). In 2020, there was never a recorded case of Dengue Hemorrhagic Fever that did not carry out an epidemiological investigation. This obstacle also hampered the Dengue surveillance system in the district. Conclusion: The Covid-19 pandemic has hampered the epidemiological investigation of Dengue Hemorrhagic Fever. Workers did not conduct. There is a need for a strategy to continue to carry out epidemiological investigations in this situation. Keywords: Epidemiological Investigations, Covid-19 Pandemic, Dengue Hemorrhagic Fever Objektif : Penyelidikan Epidemiologi (PE) Dengue adalah upaya penyelidikan fokus penularan penyakit Dengue meliputi kegiatan pencarian adanya kasus atau suspek infeksi Dengue serta pemeriksaan jentik nyamuk penular Dengue di tempat tinggal penderita dan bangunan sekitar dalam radius sekurang-kurangnya 100 meter. Penelitian ini bertujuan untuk menggambarkan pelaksanaan penyelidikan epidemiologi Demam Berdarah Dengue yang berlangsung selama pandemi Covid-19 di Kabupaten Gunungkidul. Metode : Penelitian ini menggunakan metode deskriptif yang dilakukan dari pengamatan lapangan selama Januari – September 2021. Pengambilan data dilakukan di level Dinas Kesehatan dengan 1 orang data manager Dengue dan 18 orang pemegang program Dengue di Kabupaten Gunungkidul. Hasil : Sebanyak 60 kasus konfirmasi Demam Berdarah Dengue yang dilaporkan oleh Rumah sakit dan klinik , 21 kasus (35%) tidak dilakukan penyelidikan epidemiologi , Median usia petugas PE adalah 44 tahun (range : 31-52) dimana petugas laki-laki lebih banyak dari petugas perempuan (63%). Menggunakan APD saat PE (100%), kunjungan rumah tetangga ( 42%), Screening NS-1 (0%), pemantauan jentik (100%), pembagian ABATE (85%), dan penyuluhan (100%). Pada tahun 2020 tidak pernah tercatat kasus Demam Berdarah Dengue yang tidak dilakukan penyelidikan epidemiologi sehingga hambatan ini juga menghambat sistem surveilans Dengue di Kabupaten Gunungkidul. Kesimpulan : Pandemi Covid-19 menghambat pelaksanaan penyelidikan epidemiologi Demam Berdarah Dengue di Kabupaten Gunungkidul, adapun pelaksanaan penyelidikan epidemiologi tidak melakukan kunjungan rumah sekitar penderita. Perlu adanya strategi untuk tetap melakukan penyelidikan epidemiologi di situasi ini. Kata Kunci : Penyelidikan Epidemiologi, Pandemi Covid-19, Demam Berdarah Dengue
Analysis of the COVID-19 situation in DIY and the efforts for adjustment of COVID-19 data between the central government and local governments Lestari, Nining Puji
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract Objective: This study describes the COVID-19 situation in DIY and the efforts to adjust COVID-19 data between the local government and the central government. Methods: COVID-19 data was obtained from the Health Office of DIY Province with the main data source coming from the All Record TC-19 application. Results: there was a decrease in COVID-19 cases from the week before PPKM to October 18, 2021 (PPKM level 3), from an average of 272 cases per day to 88 cases per day. The average number of active cases also decreased from 30.93% to 2%. The death rate is still the same, namely 6 deaths per day. The distribution of the most COVID-19 cases was at the age of 21-30 years as much as 18.49%, and the lowest was found at the age of >81 years as much as 1.22%. The proportion of COVID-19 cases in DIY was more found in women by 52% than in men as much as 48%. As of October 20, 2021, the highest positive cases were in Bantul Regency at 31.98% of the total COVID-19 cases in DIY, and the lowest was in Kulon Progo Regency at 10.54%. Meanwhile, the highest recovery rate was in Kulon Progo Regency at 97.43% and the lowest was in Gunung Kidul Regency at 95.08%. The most COVID-19 case fatality rate was in Gunung Kidul Regency at 4.53% and the lowest was in Kulon Progo Regency at 2.18%. COVID-19 daily reporting is not fully real-time because the TC-19 all record application has not yet become a tool for executing COVID-19 reporting in districts in DIY while the central government uses all records as a tool for executing daily COVID-19 reporting. Conclusion: There was a decrease in the number of daily cases and active cases during the PPKM period in DIY, however, reporting was not fully real-time so efforts to create better COVID-19 data management becomes a challenge to be able to make COVID-19 reporting more reliable.
Overview of descriptive epidemiology and types of COVID-19 cluster transmission at Puskesmas Sentolo I in 2020-2021 Susilaningsih, Tutik Inayah
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: The aim of this study was to find out the epidemiological description and types of Covid-19 cluster transmission at Puskesmas Sentolo I until May 2021. Contents: Descriptive of epidemiological analysis was used in this study from the daily data and the report of epidemiological investigation of Covid-19 cases. During the period March 2020 until May 2021, the amount of Covid-19 cases at Puskesmas Sentolo I tend to increase every month. Covid-19 cases were very highest in April 2021 especially at Kalurahan Sentolo up to 40.3%. The higher incidence of case was in the female group than the male (54%). The age group of 46-59 years old has 30.9% as the highest rank and the least cases in the 0-5 years group only 1.7%. Percentage of rapid antibody test comparison to PCR as a gold standar reached 57% especially on IgM examination detected. Case Fatality Rate (CFR) of Covid-19 at Puskesmas Sentolo I was 2.9% with comorbid such as diabetes mellitus, hypertension, stroke, and obesity. Types of cluster transmission was mostly at the family cluster up to 59% of the total cases (31 family clusters). If the cluster transmission of Covid-19 in the family could be prevented and detected early, it was possible that Puskesmas Sentolo I just had 40% of the total Covid-19 cases without any household transmission. This required multi stake holders collaboration.
Nutrition education using eBook as an alternative to severely wasted prevention in underprivileged families during the COVID-19 pandemic at the Bambanglipuro Health Center Johannis, Amanda Jelita Eka Riani
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: This study examines the severely wasted prevention eBook as an alternative to severely wasted prevention in underprivileged families during the COVID-19 pandemic at the Bambanglipuro Health Center. Content: The COVID-19 pandemic has hampered many health facilities, one of which is the Integrated Service Post. Active Integrated Service Post experience reporting problems because door-to-door implementation cannot be carried out in just one day. Meanwhile, the inactive Integrated Service Post makes it difficult to prevent severely wasted. Mothers do not realize that their child's nutritional status is deteriorating and must immediately seek treatment at the Public Health Center. This makes it difficult for mothers to get nutrition education, especially mothers from underprivileged families. Based on the above problems, the preventive steps taken began with online reporting of wasted and severely wasted toddlers using spreadsheets by cadres. Mothers and toddlers who are registered in online reporting must come to the Public Health Center for an integrated examination by doctors, midwives, nutritionists, and psychologists. However not all mothers accept the fact that their children are wasted or severely wasted. It is still a challenge for the Public Health Center to provide nutrition education to mothers. In the nutritionist section, an eBook on the prevention of severely wasted will be given. This eBook is expected to be an alternative so that nutrition education can still be carried out during the pandemic and can prevent severely wasted in underprivileged families. This is expected to help faster reporting and more accurate prevention of severely wasted in underprivileged families at the Bambanglipuro Health Center.
Primagravida usability and user satisfaction as a digital health initiative for pregnancy educational media and remote rural monitoring Sumunar, Dimas; Lismidiati, Wiwin; Kusumawati, Happy Indah; Lazuardi, Lutfan; Purnama, Mia
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
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Background: Nutritional status during pregnancy is one of the critical factors to determine maternal and fetal development status, which impacts birth weight, perinatal mortality, and infant growth. The Special Region of Yogyakarta government sets a target for reducing the number of maternal and child mortality as a health priority. Monitoring pregnant women's health regularly is crucial as preventive measures and promotive approaches for mothers and fetuses. Primagravida, a web-based system, was developed to assist pregnant women in rural areas in monitoring their health, especially during the COVID-19 pandemic. This study evaluate the usability and users' satisfaction in using Primagravida. Methods: This was quantitative descriptive research with a cross-sectional design. We conducted the study in the Kalibawang Primary Health Center (PHC) service area between June - October 2021. One hundred ten pregnant women and five midwives participated in this study. Pregnant women were registered and monitored their pregnancy through a web-based service that was integrated with maternal and child health care delivered by the PHC. Pregnant women reported their health status through the Primagravida system periodically and received feedback from the PHC’s midwives. To evaluate users’ usability, the System Usability Scale (SUS), which was developed by Brooke (1996) was utilized while the researcher developed the users’ satisfaction questionnaire to measure satisfaction. Results and Discussion: Results indicated that most of the participants were satisfied with the benefits, information relevance, content adequacy and clarity, platform availability, and up-to-the-minute curated knowledge provided by the system. The utilization of this system reduced the number of visits to PHC since health monitoring could be assessed online. Regarding system usability, respondents reported a score of 70, and the average score of respondents is 66. Conclusion: Primagravida system is well adopted by pregnant women in Kalibawang District, Kulon Progo, to monitor their health and fetal status. Feature development is required to accommodate the upcoming demands in providing holistic maternal and perinatal.
Epidemiological investigation of COVID-19 transmission at takziah cluster: The case from Gunungkidul Yogyakarta Adiratna, Widia
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
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Objective: Up to 1.5 years of the pandemic, Gunungkidul Regency reported approximately 12 types of clusters, one of which was the Takziah Cluster in Dusun Panggang I, Giriharjo, Panggang. On March 27, 2021, the Gunungkidul Regency Health Office received a report of 6 people from a family who were symptomatic with positive RT-PCR results. It is known that the family head of the family died with probable status. Epidemiological investigations are carried out to determine the magnitude of the problem, contact history with the suspect, and prevent the spread of the case. Method: This research uses a descriptive approach. Cases are people in Dusun Panggang I who have an epidemiological relationship with people who take part in takziah activities with positive RT-PCR results. Data were collected by interview and secondary data obtained from the Puskesmas and the Health Office. Results: Cases started from probable who were buried without a health protocol. A total of 40 confirmed cases were found through mass screening of 630 residents on March 27- April 26, 2021 (Attack Rate=6.50%) with 2 deaths (Case Fatality Rate=4.88%). The majority of cases were women (73.17%) and aged >60 years (41.46%). The most common symptoms experienced were fever (43.34%), cough (34.15%), and fatigue (29.3%). From the interviews, family and neighbors gather to cook and mourn without maintaining distance, and wearing masks are not correct. Conclusions: There has been a transmission of COVID-19 in Dusun Panggang I caused by a takziah event. The lack of proper use of masks and crowding without keeping a distance is one of the risk factors for transmission during takziah. Takziah by following health protocols is mandatory during the COVID-19 pandemic. Education and clear enforcement of regulations from local governments are very much needed.

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