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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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Whatsapp based education in pandemic COVID-19 situation: Evaluating video and handbook's effect on knowledge of village community health-volunteers Puspita Mardika Sari
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective : Scope of iron supplementation in area of Puskesmas Mlati 2 have been reach targeted of RENSTRA of Sleman distric 2020. However, cases of anemia in pregnant woman still become a serious problem in this area. Based on “Root Caused Analysis” method, it was suggested that this problem was due to lack of knowledge about anemia and lack of precise instruction in consumption of iron suplement in pregnant woman. Therefore, program to increase knowledge about anemia and instruction of iron suplement consumption for pregnant woman was needed. However, in covid-19 pandemic situation, limitation of information accessed mainly in offline program become one of problem in community. Therefore, online program was needed. One of platform that can be used to organized these education was by using whatsapp group. It aslso completed with video and online handbook as media of education. Content : This article was report study of education program with video and online handbook media by using whatsapp group platform. This activity was implemented on 10 persons of community health-volunteers in Tlogoadi village as pilot project. Event was implemented on 2021, 8th June. Whatsapp group was named “Tlogoadi Cegah Stunting”. Program was evaluated by using pre test and post test method. Result was found that there were increasing of knowledge about anemia and precise instruction of iron supplement consumption on community health-volunteers after participated on this program. Conclusion: Education program by using whatsapp group platform, with video and online handboook were recommended as solution of education program in covid-19 pandemic situation. For the next target, community health-volunteers were recomended to convey the information as well as video and online handbook from this education program to public community in their area mainly to pregnant woman. This program also recommended to be implemented to other village of Puskesmas Mlati 2 area during covid-19 pandemic situation.
Association of body mass index pre-pregnancy with hypertension disorders of pregnancy in Bantul District Special Region of Yogyakarta Cahyaningtyas, Ayu; Hakimi, Mohammad
BKM Public Health and Community Medicine Vol 38 No 04 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i4.3292

Abstract

Purpose: This research was to identify the relationship between body mass index pre-pregnancy and the incidence of hypertension in pregnancy in Bantul District in 2020. Methods: This research used a retrospective cohort design based on secondary data from an online maternal cohort with SIPIA Bantul in the Bantul district in 2020. The effect size was calculated using Relative Risk (RR) from bivariate chi-square, multivariate binomial regression, and stratification by Mantel-Haenszel. The total sample of this research was 670 pregnant women. Results: Bivariate analysis results showed that there was body mass index pre-pregnancy (RR: 1.45; CI 95%: 1.220 – 1.730; p-value=0,00), mother age (RR: 1.47; CI 95%: 1.243 – 1.745; p-value=0,00), upper arm circumference (RR: 1.45; CI 95%; 1.194 – 1.761; p-value=0,001), and gestational weight gain (RR: 1,34; CI 95%: 1.123 – 1.598; p-value=0,002) have significant association with hypertension in pregnancy in Bantul District 2020. The multivariate analysis showed that body mass index pre-pregnancy and mother's age were the most significant variables with hypertension in Bantul District 2020. The stratification analysis showed that maternal age, upper arm circumference, gestational weight gain, and parity were not confounding. Still, there were modifying effects between body mass index pre-pregnancy and the incidence of hypertension in pregnancy in Bantul District in 2020. Conclusion: Pregnant women who are overweight and obese can increase the incidence of hypertension in pregnancy in Bantul District 2020. Collaboration with nutritionist workers needs to be done to reduce the incidence of hypertension in pregnancy in Bantul District.
Promoting exercise prescription among community health centers physiotherapists Wibowo, Tri
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v0i0.3293

Abstract

Background: Based on Riskesdas 2018, the number of Non-Communicable Diseases in Indonesia continues to increase nationally, Heart Disease-Stroke 10.9%, Cancer at 1.8%, Diabetes at 8.5%, Hypertension at 34% (Ministry of Health, 2018). Objective: Looking for a model of appropriate and efficient health services to prevent and control the number of Non-Communicable Diseases (NCDs) in primary care. Result: Prevention-based Physiotherapy services with prescription Physical activity/Sport is a modern preventive-based medical concept that is effective and efficient in preventing several non-infectious diseases.
Applying the health belief model and theory of planned behaviour to nutrition counselling in malnourished pregnant women in Seyegan, Sleman Nabilla Ersya Audina
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This program was established to improve the performance of the nutritionists of Puskesmas Seyegan in providing nutrition counselling for malnourished pregnant women. This program initiated the arrangement of a nutrition counselling guidebook based on the combination of the health belief model (HBM) dan the theory of planned behaviour (TPB) and its application in nutrition practice. Content: The program was started in September 2020 by arranging a nutrition counselling guidebook based on HBM and TPB to provide clear guidance to the nutritionists in performing counselling. The guidebook was complemented by a nutrition care documentation form and a leaflet referring to the approaches applied. This program targeted the system of the pre-existing program at Puskesmas Seyegan in managing malnourished pregnant women. By strengthening the system, we expected that this program could be sustainable. Within the first month of implementation, 12 malnourished pregnant women were exposed to this program. During the implementation, the nutritionists found that the guidebook was very useful in assisting them to perform nutrition counselling. The nutritionists of Puskesmas Seyegan were very open to new knowledge making it easy to introducing some approaches of counselling that were relatively new for them. However, the lack of collaboration with doctors/midwives caused it a lot more challenging to confirm the women’s attendance to the whole counselling series (3 sessions). Inability to monitor any nutritional status changes was the main issue. Considering the increased risk of low birth weight in neonates born from malnourished pregnant women, we collected the data and found that 7 women (58%) born babies with normal birth weight. In conclusion, the application of HBM and TPB to nutrition counselling could be a potential alternative to strengthen the system of Puskesmas Seyegan in managing malnutrition among pregnant women, if it was supported by a good interprofessional collaboration.
Interventions to reduce the stunting prevalence in children under five through nutrition education: A systematic review Amanto, Adibah Rasikhah
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: To determine the effectiveness of nutrition education in increasing child growth and development and reducing the stunting prevalence in children under five years old. Method: The study used Cochrane Collaboration Methodology and Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA). The literature search used three electronic bibliographic databases, the Wiley Online Library, Public Health, or gray literature Electronic Thesis/Dissertation Universitas Gadjah Mada. Researchers independently did the abstract screening process, data extraction, and bias assessment. Some of the keywords used in the literature search were nutrition training/education, Infant and Child Feeding (PMBA), cadres, and growth. Results: We analyzed the effectiveness of nutrition education in three studies that met the inclusion criteria from 39 collected papers using external factors, such as changes in children's intake and growth and development. We found several strategy methods in nutrition education that could improve the implementation of stunting prevention programs, such as routine home visits by cadres, regular monitoring and evaluation, and PMBA practices. In several studies, nutrition education classes can increase the intake of children under five and reduce the prevalence of stunting. Several studies still need to be added to see the effectiveness of nutrition education in areas with different population characteristics. Conclusion: Interventions in the form of nutrition education, either in lecture, practice, or discussion, can increase the nutritional intake of children under five, as seen in the improvement in nutritional status, behavioral development, or reduced number of malnutrition and stunting prevalence. However, it is still necessary to use targeted methods and materials according to the needs of educational targets to achieve maximum results.
Making anemia education media through the “getaran garpu tala” program for junior high school students at the Tempel I Community Health Center in catchment areas during the COVID-19 pandemic Diana Citrasari
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objectives: This activity aims to provide anemia education media through the Getar Thala program (Gerakan Tanggulangan Anemia and Thalassemia) during the pandemic, increasing the knowledge of junior high school (SMP) students in Turi about anemia and improving adherence to taking blood-supplementing tablets (TTD). Contents: the media that has been created are videos and educational leaflets used during the Covid-19 pandemic and delivered online. This educational media will facilitate online education for Puskesmas officers in introducing the Getar Thala program, which has been prepared by the Sleman District Health Office in 2019. Educational services can be delivered through the school’s WhatsApp group social media, the Zoom Meeting application, or the Google Meet application. Through these media, we hope it can increase the knowledge of high school students in the working area of ​​the Tempel I Health Center about anemia and increase the compliance of adolescent girls in consuming blood-added tablets.
Validity and reliability of Traditional Chinese Medicine Constitution (TCMC) In Indonesian language Nurjannah, Intansari; Japaries, Willie; Khiong, Tjhia Khie
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Abstract Objectives: There are several methods to measure the condition of human health. In the field of complementary medicine, and which has the oldest history is Traditional Chinese medicine. One of the instruments to measure the level of a person's health condition is by using the Traditional Chinese Medicine Constitution (TCMC) in the form of questions with Likert scale and this instrument is divided into 9 dimensions. There are no publications regarding the validity and reliability of this tool in Indonesian. This study is to assess the construct validity and reliability of the TCMC in Indonesian. Method: TCMC Indonesian’s translation was checked by Indonesian’s expert of traditional Chinese medicine, then it was tested on 50 people to find out whether the items in the questionnaire were understood or not. In the next step, TCMC was used for data collection in community service activities and as many as 391 TCMC filling data collected. After checking the completeness of the data, there were 377 data for analysis. Pearson correlation was used for measuring construct validity. Reliability analysis of this instrument was performed using Cronbach's alpha. Results: Complaints experienced by 377 respondents can be divided into several groups, namely headache (77), pain in extremities (75), digestive system (65), respiratory system (29), back pain (28), circulation system (13), hip pain (15), neck pain (12), problem in face (11), fever (7), eye problem (8), urinary system (8), toothache (5) and other complaints (24). All items from TCMC were valid with Sig value. (2-tailed) < 0.05. As for reliability, the value of Cronbach Alpha on Qi-Deficiency was 0.608 (moderate); Yang-deficiency was 0.728 (high); Yin-deficiency was 0.769 (high); Phleghm-dampness was 0.672 (moderate); Damp-heat was 0,501 (moderate); Blood Stasis was 0.531 (moderate); Qi-stagnation was 0.777 (high); Inherited special was 0.719 (high) and Balanced was 0.727 (high). Conclusions: TCMC in Indonesian is valid and reliable and can be used to measure human health from the perspective of Traditional Chinese Medicine. Key words: Validity, Reliability, Traditional Chinese Medicine Constitution
Food poisoning due to mushroom consumption during the COVID-19 pandemic in Bantul Regency, October 2021 Puspitarani, Fitriana
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This study aims to determine the magnitude of the problem of extraordinary events (KLB) of food poisoning due to mushroom consumption, including the factors that influence the occurrence of these outbreaks, so that recommendations can be made to avoid similar events in the future. Method: Epidemiological descriptive study with definitions Cases were all people who experienced symptoms of vomiting, headache, and diarrhea after consuming wild mushrooms in their home environment in October 2021. Interviews were conducted using a structured questionnaire to the population at risk. Environmental observations are also carried out to see the environmental risks in which wild mushrooms grow. Vomit samples were collected for laboratory examination, but food samples were not obtained. Results: Eight people consumed mushrooms in 14 days in Bambanglipuro and Bantul districts with an attack rate of 100%. Symptoms that can be identified are vomiting (100%), nausea (75%), cold sweats (37.5%), and dizziness (37.5%). The incubation period ranged from 1 hour 30 minutes to 4 hours with a median of 2 hours 45 minutes. Consumption of mushrooms is very risky for the incidence of illness with suspicion leading to mushroom toxin based on the incubation period, symptoms, and food characteristics. Suspicion leads to the features of the mushrooms consumed containing toxins because they grow on the ground close to livestock or manure. It is necessary to carry out socialization and health promotion related to how to identify poisonous mushrooms and monitor the local area for some time to come.
Accuracy of the Kato-Katz and direct examination in the diagnosis of worms in preserved feces Gunasari, Lala Foresta Valentine; Triana, Dessy; Reyudo Suringgar, Sadid
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Purposes: Soil-transmitted helminth (STH) causes helminthiasis with an incidence of 24% in the world's population. Children aged 2-14 years are the population most susceptible to helminthiasis. In Indonesia, there are 60.4 million children who have worms. Worms can cause delays in the growth and development of children. Worms can be diagnosed through a qualitative (direct examination) and quantitative (Kato-Katz) stool examination. This study aimed to analyze the accuracy of stool examination results using the Kato-Katz method and the Direct Examination method on 10% formalin-preserved feces. Methods: The research design used an observational study with diagnostic tests. The research subject amounted to 140 samples of 10% formalin preserved feces for 13 months. Examination of preserved stool specimens used the Kato-Katz and Direct Examination methods and was observed using a light microscope. Results: The results showed that 45,71% were infected with STH using the Kato-Katz method and direct examination of 35.71%. The accuracy test showed that the sensitivity and specificity values of the Kato-Katz method were 86.79% and 79.31%, respectively. The direct examination was obtained by 64.15% and 81.60%. Conclusions:The Kato-Katz method is more sensitive than the direct examination method in diagnosing helminthiasis in preserved feces, but the direct examination method has a higher specificity value than the Kato-Katz method.
Health belief and breast self-examination behavior among women with family history of breast cancer Febri Arif Stiawan
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: To determine the relationship between health belief and breast self-examination practice in women with a family history of breast cancer. Method: A cross-sectional study was conducted on 100 women with a family history of breast cancer, who were already menstruating, domiciled in Sleman and Yogyakarta City, selected using convenience sampling. The instrument used was Champion's Health Belief Model Scale in the Bahasa Indonesia version. Spearman Rank test was used to analyze data. Result: 79% of respondents had performed BSE, but 62% did not routinely do BSE. The domain of health belief including perceived susceptibility (P = 0.039, r = 0.177), the perceived benefits (P = 0.000, r = 0.465), perceived barriers (p = 0.000, r =-0609), and self-efficacy (P = 0.000, r = 0.593) significantly associated with BSE practice. While the domain of health belief including perceived severity (p = 0.151, r =-0.104) and cues to action (P = 0.208, r = 0.082) were not associated with BSE practice. Conclusion: The majority of respondents did not do BSE routinely. The higher the perceived susceptibility, perceived benefits, and self-efficacy will increase BSE practice, otherwise the lower perceived barriers will increase BSE practice. While perceived severity and cues to action have no connection with the BSE practice.

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