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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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Implementation of the primary health care system in various countries: a systematic review Setya Budi, Rocky; Adisasmito, Wiku Bakti Bawono
BKM Public Health and Community Medicine Vol 39 No 04 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i04.7168

Abstract

Purpose: Primary health care (PHC) focuses on the community as individuals, families, and communities, which prioritizes health promotion and disease prevention over treatment, rehabilitation, and palliative care. PHC implementation often sacrificed the prevention approach because it was hampered by health medicalization. Methods: This Systematic Review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The author searched five databases: EMBASE, ProQuest, ScienceDirect, Scopus, and PubMed, to discover the primary health care system implementation in various countries. Result: Searches on the EMBASE database included 193 articles, ProQuest 347 articles, PubMed 589 articles, ScienceDirect 294 articles, and Scopus 293 articles. Reports were assessed for eligibility, the remaining 39 full-text articles were reviewed, and the authors chose ten relevant and suitable articles for further review. Conclusions: The medicalization of health, a shortage of skilled health workers, poor services, a weak referral system, treatment that does not meet the needs of the community, a lack of public-private partnerships in the provision of health services, and a lack of stakeholder involvement in policy-making continues to impede PHC implementation. In the future, stakeholders should cover the gap between public health and primary care through integration.
Distress-reducing strategies for enhancing students' ability to cope with psychological challenges associated with online learning Camellia, Vita; Khairunnisa, Khairunnisa; Dhiba, Farah; Zulfendri; Khaddafi, Muhammad Rio; Dalimunthe, Heni Indrawati
BKM Public Health and Community Medicine Vol 40 No 02 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i02.7247

Abstract

Purpose: This workshop aims to enhance students' comprehension of online learning and psychological stress. Additionally, it seeks to expand students' awareness of anxiety and depression symptoms and enable them to overcome these conditions by routinely practicing stress-reducing strategies. Methods: Distress-reducing strategies training was conducted at the Health Institute of Sehat Medan from June to September 2021. The training included a focus group discussion and a preliminary survey distributed among female students through Google Forms. The survey collected demographic data, and online learning feedback, and used the Kessler Psychological Distress (K-10) questionnaire to assess the participants' psychological distress levels. Students also learned techniques to help reduce distress. Results: Of the 51 female students who are currently in semesters 2 to 5 participating in the survey, 70.59% admitted to experiencing signal disturbances, 56.9% complained that the lecturers' assignments were burdensome, and 83.4% of them had insufficient resources to buy internet packages. After one year of online learning, students still prefer the offline aspect. It was also discovered that 11.8% of the respondents experienced psychological disorders, while 88.2% of them did not experience distress. Conclusion: Finally, the students found the workshop helpful in reducing their distress and were satisfied with the training.
Risk factors for neonatal death in Sleman Regency: analysis of Sleman HDSS data for 2015-2020 Yanti, Windra; Wahab, Abdul; Wahdi, Amirah Ellyza
BKM Public Health and Community Medicine Vol 39 No 04 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i04.7286

Abstract

Purpose: This study aims to address the critical issue of neonatal mortality, which remains a significant public health concern, particularly in low and middle-income countries where 75% of neonatal deaths occur within the first week of life, and approximately one million newborns die within the first 24 hours, influenced by various maternal and neonatal risk factors. Methods: This was an observational study that used a longitudinal design. The sample size was 824 respondents born and living in Sleman, DIY. The purpose of this study was to identify risk factors for neonatal death. Data analysis used descriptive analysis, bivariable, and multivariable. Results: Multivariable analysis showed that the risk factors associated with the incidence of neonatal death were the mother's age (OR=143.4; CI: 16.92-1215.36), baby's weight (OR=15.24; CI: 1.8-112.92), and history of abortion (OR=9.27 CI; 1.7-50.33). Conclusion: Based on the results of the study, maternal age is the most influential risk factor for the incidence of neonatal death in Sleman Regency. Mothers who are pregnant and give birth aged <18 years have a risk of 143.4 times higher for neonatal death compared to women who are pregnant and give birth aged 18-34 years. Therefore it is necessary to increase education and empower women to prevent early marriage.
Parenting style trends before and during the COVID-19 pandemic: a bibliographic study Nuraeni; Ayubi, Dian
BKM Public Health and Community Medicine Vol 39 No 09 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i9.7348

Abstract

Purpose: This bibliometric research seeks to find differences in parenting research trends before and during the COVID-19 pandemic, particularly in the distribution of publications by country, author, and publication source. In addition, we analyze the differences in collaboration networks and keywords. Methods: The data comes from the Scopus.com database with the keywords "parenting AND style", the distribution of publications in 2016-2018 represents the pre-pandemic period, and 2020-2022 represents the period when the COVID-19 pandemic occurred. Acquisition data is stored in comma-separated value (CSV) format and analyzed using the VOSviewer application. Results: An increase in publications was found during the COVID-19 pandemic. The United States (US) had the most publications before and during the pandemic, followed by strengthening cooperation with China. Before the COVID-19 pandemic, the Journal of Child and Family Studies dominated publications with three network clusters. Hughes S.O. is the most author and the Pinquart with the most quotes. Meanwhile, the International Journal of Environmental Research and Public Health dominated publications during the pandemic. Garcia O.F. is the author with the most publications and citations. Finally, parenting styles is a keyword that often appears before and during a pandemic. Conclusion: The distribution of parenting style publications before and during the pandemic fluctuated but cumulatively increased. Meanwhile, there has also been a shift based on sources and countries with cooperative networks. In addition, topics related to parenting styles during the COVID-19 pandemic intersect with crisis conditions due to the pandemic, and there has been an increase in mental health topics.
Cold chain evaluation of the immunization program in Primary Health Centers in 2022 Isworo, Adi; Kiswoyo, Pramono Giri; Suharsono
BKM Public Health and Community Medicine Vol 40 No 01 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i01.7841

Abstract

Purpose: The major challenges of vaccination programs are associated with the vaccine cold chain management in primary health centers that must be evaluated. This paper discusses how vaccine cold chain management can address the challenges of vaccination programs in primary health centers. Specifically, it examines how the vaccine chain is managed. Methods: The design of this observational study was cross-sectional. Evaluations assessed in this study include input aspects, output aspects, process aspects, and outcome aspects of vaccine chain management. Observation methods and direct interviews with the evaluated vaccine chain staff collected primary data. Results: Management of the vaccine chain has been carried out properly with the support of human resources or immunization personnel who are in accordance with their competence, based on research results, the management staff are diploma graduates in nursing and midwifery. The defrosting process is carried out for a certain period, as well as using vaccine carriers and ice flasks, which are still good for vaccine distribution. It is very important to pay attention to the supply of the number and type of vaccines for the next month's needs at the public health center. Conclusion: The three key factors that guide the vaccine cold chain are educated vaccine control staff, vaccine storage, and delivery equipment, and efficient vaccine control procedures.
Spatial analysis of diarrhea in toddlers and environmental factors in the East Java Province Indonesia Sakti, Eka Satriani; Makful, Martya Rahmaniati; Tampubolon, Romariana Dewi
BKM Public Health and Community Medicine Vol 39 No 06 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i06.7973

Abstract

Purpose: The objective of this study was to conduct spatial analysis on the incidence of diarrhea in toddlers in East Java and to examine its relationship with environmental factors such as percentage of families with access to proper sanitation (healthy latrines), percentage of ODF (Open Defecation Free) villages, and percentage of drinking water facilities that meet the requirements in each district/city in East Java. Methods: The study utilized a cross-sectional study design with the 2020 East Java Province Health Profile serving as the data source. Moran's Index and the LISA bivariate test were used for the spatial analysis. Results: The findings revealed that there is a spatial autocorrelation in the number of diarrhea cases in toddlers (I value: 0.28, p value: 0.009). Out of the districts/cities studied, only 5 exhibited significant spatial correlation (Gresik, Sidoarjo, Mojokerto, Magetan, and Surabaya City) based on the LISA bivariate test results. Conclusion: Efforts to decrease the incidence of diarrhea cases in toddlers should focus on increasing the scope of environmental health programs, particularly in quadrant 1 (High-High) and 2 (Low-High) areas. Further analysis is required within the sub-district and village scope.
Factors influencing microplastic contamination in bottled drinking water in Indonesia: a systematic review Amir, Rahmi
BKM Public Health and Community Medicine Vol 39 No 10 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i10.7980

Abstract

Purpose: This study aimed to determine the content of microplastics in Indonesia, the factors that influence them, and their impact on the human body. Methods: This study uses a qualitative method with a systematic literature review approach by reviewing eight journals screened using the prism method according to the inclusion criteria with a database derived from Science Direct, PubMed, Google Scholar, and the Invivo application. Results: The results showed that the concentration of microplastics in bottled water was 7,043 - 8,339 particles/L with sizes ranging from small to large (10-5000 µm). The dominant form of microplastics was fibers and fragments, primarily white, with the dominant composition being polypropylene (PP), polyethylene (PE), and polyethylene terephthalate (PET) polymers. Factors affecting microplastics in bottled drinking water include water sources, production processes, exposure to sunlight, and repeated use of bottles. Microplastics can cause hormonal imbalances, heart disease, infertility risk, digestive disorders, and growth inhibition. Ways to reduce MP particles in AMDK include traditional filtering of raw water, electrocoagulation, magnetic extraction, and membrane separation. Conclusion: This systematic literature review found that bottled drinking water in Indonesia contains 7,043 - 8,339 microplastic particles/L, primarily composed of PP, PE, and PET polymers. Factors influencing contamination include untreated waste disposal, high pollution levels, production processes, sunlight exposure, and repeated bottle use. These microplastics pose significant health risks, making it crucial to address these factors to reduce contamination and protect public health.
The relationship of daily income, marital status, nutritional status and anemia with work-related fatigue among wanita tukang suun in the heritage area of Badung Market post the COVID-19 pandemic Dewi, Putu Ratna Suprima; Noviyanti, Ni Putu Ayu Wulan; Putra, I Kadek Agus Dwija
BKM Public Health and Community Medicine Vol 40 No 02 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i02.8021

Abstract

Purpose: The COVID-19 pandemic has affected all aspects of life. The socio-economic aspect is one of the affected aspects. This study aimed to determine the relationship between income, marital status, nutritional status, and anemia status with work fatigue among wanita tukang suun at the Badung Market Heritage area after the COVID-19 pandemic. Methods: The type of research used in this research is observational analytic with a cross-sectional research design. This research was conducted in the Badung Market Heritage area. The sample of this study was taken by total sampling and obtained 107 respondents. The exclusion criteria in this study were wanita tukang suun who were under 18 years of age and had jobs other than as wanita tukang suun. The data in this study were collected using several instruments. Results: Wanita tukang suun mostly earns more than IDR 50.000 per day with a total of 75 respondents (70,1%), is married with a total of 96 respondents (89,7%), has a normal BMI with a total of 56 respondents (52.3%), have mild anemia with a total of 92 respondents (86.0%), experience light fatigue with a total of 92 respondents (86.0%). Conclusion: The results of this study indicate that there is a relationship between anemia status and nutritional status with work fatigue. Variables of daily income and marital status are not related to the incidence of work burnout among wanita tukang suun.
Preventing teenage pregnancy in developing countries: a scoping review Ratnasari, Desi; Sulistyaningsih, Sulistyaningsih
BKM Public Health and Community Medicine Vol 39 No 06 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i06.8053

Abstract

Purpose: This study aimed to determine the most recent attempts to reduce teen pregnancies in low-income nations. Methods: This scoping review used the PRISMA-ScR checklist, PEO framework, and Critical Appraisal for assessment. Data were obtained from Pubmed, Science Direct, Wiley, and Ebsco databases. Results: The researcher discovered 2,536 pertinent articles, but only ten met the inclusion criteria, which included three themes: Teenage pregnancy-related factors, health initiatives to prevent them, and educational media. Conclusion: Local laws, sex education in schools, parenting workshops, evidence-based youth programs, school reproductive health care, and instructional initiatives employing online media are all part of efforts to prevent adolescent pregnancy in developing nations.
Sex, physical activity, obesity, and hypercholesterolemia in millennial workers of X Corp, Jakarta, Indonesia, in 2023 Yusvita, Fierdania; Nandra, Nadya Shinta
BKM Public Health and Community Medicine Vol 39 No 11 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i11.8390

Abstract

Purpose: This study aims to analyze the relationship between sex and sedentary behavior and obesity and its impact on hypercholesterolemia in millennial generation workers at X Corp., Jakarta, Indonesia, in 2023. Methods: This research is an observational analytic study conducted on 269 millennial workers at X Corp. The data collection used was the results of X Corp’s worker's medical check-ups. Data processing using the Chi-square test to see whether there’s a linkage between the research variables. Results: From the tables, there is a correlation found between sex and obesity (p=0.001); there is no correlation found between physical activity (p=0.105) and smoking behavior (p=1.000). There is a correlation between obesity and hypercholesterolemia (p=0.004) in millennial workers at X Corp. Conclusions: Unhealthy life behaviors can be a risk factor for health problems, including degenerative diseases, as millennial workers get older. Male workers are more at risk of being obese and having an impact on the emergence of hypercholesterolemia and the risk of diabetes mellitus if a healthy lifestyle is continuously neglected. It is suggested that the application of occupational health promotion at X Corp., Jakarta, Indonesia, can be further optimized.

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