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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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Association between cholesterol and blood pressure examination in Sampangan, Semarang City: a preliminary study Christyana, To Lidwina Prillya Indra; Riwanto, Ignatius; Sebong, Perigrinus H; Sutanto, Eviana Budiartanti; Ernestia, Henrita; Tjitradinata, Cynthia; Kristanti, Alberta Widya
BKM Public Health and Community Medicine Vol 39 No 12 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i12.9841

Abstract

Purpose: This study aims to determine the baseline prevalence and association between blood pressure and cholesterol examination. Method: This preliminary study used a cross-sectional design to analyze the secondary blood pressure and cholesterol levels data in the Sampangan sub-district, Semarang City. The total sampling technique covered those enrolled in the metabolic syndrome screening from January to April 2023. The logistic regression test was used in data analysis. Results: 58 respondents took blood pressure checks, while only 40 had cholesterol checks. The probability of males getting changes in cholesterol levels was higher than that of females (OR = 8.69; p-value = 0.01). However, neither (female nor male) had a significant relationship, and there was no difference in the chances of changes in blood pressure (OR = 1.43; p = 0.72). Respondents above 60 years had a significant association with changes in blood pressure compared to those under 60 years (OR = 0.09; p = 0.007). Conclusion: This study revealed males of a certain age experience higher changes in cholesterol levels compared to females. People over 60 years old tend to have higher blood pressure compared to those under 60 years old. These findings propose an outreach strategy for health screening for patients with limited mobility, transportation access, and finances for routine checkups at public or government healthcare facilities.
Compliance in medication control of hypertension patients during the transition period of the COVID-19 pandemic Priscilla, Hilary; Semiarty, Rima; Masnadi, Nice Rachmawati; Abdiana; Fadrian
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.v39i10.9850

Abstract

Purpose: This study aims to determine the relationship between adherence to medication control and blood pressure in hypertensive patients at the Talawi Public Health Center, Sawahlunto, during the transition period of the COVID-19 pandemic. Methods: This observational analytic study with a cross-sectional design was conducted from May to June 2023 at the Talawi Public Health Center, Sawahlunto, with 83 research subjects. The research instrument used primary data from the MMAS-8 questionnaire with short interviews and secondary data in medical records of hypertension patients at the Talawi Public Health Center, Sawahlunto, in 2021–2023. The research results were analyzed by chi-square test. Results: The results of this study were that the majority of hypertensive patients were not compliant in controlling their medication (65.1%), and the majority of hypertensive patients had uncontrolled blood pressure (61.4%). Conclusion: This study concludes a significant relationship between adherence to medication control and blood pressure in hypertensive patients at the Talawi Public Health Center, Sawahlunto (p=0.041).
Preferred child number as the primary determinant of higher parity in women aged 45-49 in Eastern Indonesia: the 2017 IDHS data analysis Putri, Nur A'isyah Amalia; Hastono, Sutanto Priyo; Besral
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.v39i11.9869

Abstract

Purpose: This research aims to determine the determinants of higher parity in women aged 45-49 years in Eastern Indonesia. Methods: This research uses a quantitative approach and analysis of secondary data from the 2017 IDHS, utilizing a cross-sectional study design. Meanwhile, this research was conducted on 1,055 samples of the 2017 IDHS and analyzed using a complex survey method. Results: The research finds that 72.2% of women aged 45-49 years in Eastern Indonesia have higher parity. Multiple logistic regression analysis indicates that women in this age group who gave birth for the first time before the age of 20 (p-value: 0.005; aOR: 2.04), those who have used a birth control method or device (p-value: 0.001; aOR: 0.30), those with the lowest welfare index (p-value: 0.015; aOR: 1.90), those who have experienced child mortality (p-value: 0.001; aOR: 4.46), and those preferred more than two children (p-value: 0.001; aOR: 5.47) are statistically significant related to higher parity. Conclusion: The research concludes that key determinants of higher parity in women aged 45-49 years in Eastern Indonesia include early age at first birth, previous use of a birth control method or device, lowest welfare index, experience of child mortality, and a preference for having more than two children. Among these, the preferred child number is the most dominant variable related to higher parity.
Effectiveness of the breast self-examination demonstration in improving knowledge, attitudes, and behavior of adolescent girls in senior high school in Samarinda Rahayu, Eka Putri; Tonapa, Emelia; Chifdillah, Nino Adib
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.v39i09.10016

Abstract

Purpose: This research aims to assess the effectiveness of the BSE demonstrations in enhancing the knowledge, attitudes, and behaviors of adolescent girls at SMA 1 Samarinda. Methods: This research employed a pre-experimental design with the One Group pre-post test. There was a population of 208 adolescent girls, with Slovin getting 94 samples. The students were selected by simple random sampling. Results: Knowledge p-value showed value (0,000) < α (0,05) while both attitudes and behavior values showed ρ-value (0,000) < α (0,05). There is an increase in knowledge, attitudes, and behavior before and after the BSE demonstration. Conclusion: The study concludes that BSE demonstrations effectively enhance adolescent girls' knowledge, attitudes, and behaviors.
Strategies for boosting breast milk supply in postpartum women: a scoping review Nazara, Titin Sundari; Ismarwati
BKM Public Health and Community Medicine Vol 40 No 03 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i03.10069

Abstract

Purpose: This scoping review aims to evaluate the evidence base relating to strategies used to increase breast milk supply in postpartum mothers. Methods: This scoping review adopts the PRISMA-ScR guidelines, which consist of five phases, according to Arksey and O'Malley. They reviewed three databases: Pubmed, Research Rabbits, and ScienceDirect. Inclusion requirements can only be met with full-text, original publications published in English and Indonesian between 2018 and 2022. Results: 30 potentially applicable articles and 10 papers matching the inclusion criteria were found among 644 articles. The four main topics are the impact of soy milk intake, oxytocin massage, breast care, mung bean extract, acupressure treatment, and oxytocin massage and acupressure therapy. Conclusion: The most beneficial therapies for increasing breast milk supply are oxytocin massage and breast care.
Analysis of the implementation of the safety and health management system (SMK3) at The Sentani Community Health Center, Jayapura Regency Korwa, Henderjetac Carolina; Surono, Agus; Jaladara, Vena
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.v39i10.10367

Abstract

Purpose: This research aims to analyze the implementation of the occupational safety and health management system at community health centers to determine the achievements of the implementation of occupational safety and health by looking at the indicator system from K3 policy, K3 planning, K3 implementation as well as K3 monitoring and evaluation at the Sentani Community Health Center, Jayapura Regency. Methods: This type of research uses qualitative case study methods. The subjects of this research were health workers at the Sentani Community Health Center, Jayapura Regency, with a sample size of 10 respondents. The data collection technique is a triangulation technique involving observations, in-depth interviews, and documentation studies. The tool used is a questionnaire. Results: The research shows that community health centers must fully implement an occupational safety and health management system. Based on the results of observations and interviews, it was found that the health center still needs to have a written K3 commitment and policy based on the SK—head of Pukesmas. There has been no significant risk research in determining K3 planning. The implementation of K3 at health centers has been implemented through health services, fire control and prevention, and the provision of K3 facilities and infrastructure. Monitoring and evaluation in implementing K3 still need to record and report on planning, implementation, or recording cases of work-related accidents (KAK) and work-related diseases (PAK) at health centers. Conclusion: The safety and health management system must still be fully implemented. The need to review and analyze work risks for workers and the environment and become a benchmark in making K3 policy commitments at health centers in implementing occupational safety and health management systems.
Food accessibility and its influencing factors during early social restriction period of COVID-19 pandemic in Indonesia Dewi, Novianti Tysmala; Gisca, Bernadheta; Rahmasari, Nurulita Aida; Havelaar, Shirleen Gabrielle; Ermayani, Evie; Wangge, Grace
BKM Public Health and Community Medicine Vol 40 No 09 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i09.10414

Abstract

Purpose: This study aims to assess food accessibility and its influencing factors among adults in Indonesia during the early COVID-19 pandemic. Methods: The research was cross-sectional and conducted using an online questionnaire that assessed sociodemographic characteristics, food access, physical access (enabling factors for individuals to reach food physically), financial access, social support, and coping strategies of the respondents. We included 439 adults, 358 females and 81 males, aged 20-62 years. Results: This research found that physical access difficulties (aOR=3.945; CI:1.652-9.421; p=0.002), unemployment status (aOR=3.104; CI:1.436-6.712; p=0.004), and lower education level (aOR=2.819; CI:1.036-7.672; p=0.042) were associated with increased inability to access food. Meanwhile, coping strategies for food insecurity conditions (aOR=0.634; CI:0.536-0.750; p<0.001) were protective of the inability to access food (R2=0.298). Conclusion: People with a high risk of unemployment and low education who will have difficulty accessing food in times of social restrictions should be protected.
A case report of unsuccessful VBAC in primary care: highlighting the lesson learned Ummah, Nafi'atul; Agusfar, Achmad Zani; Musrifah, Siti
BKM Public Health and Community Medicine Vol 40 No 03 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i03.10422

Abstract

Purpose: To delve into the patient’s attempt at vaginal birth after cesarean section (VBAC) in the primary care center and to highlight the importance of the primary care center for women opting for VBAC. Methods: This case report describes a woman with unsuccessful VBAC in primary care. Informed consent was obtained before the study. Results: A woman in her mid-thirties with a history of a prior cesarean section and a failed trial of labor was referred to the hospital at 40 weeks gestational age due to prolonged labor. The patient was referred to the hospital after 14.5 hours of trial labor in primary care. After delivery, the patient had urinary retention caused by pelvic nerve injury. The newborn baby had an APGAR Score of 3/5 and was treated in the Neonatal Intensive Care Unit (NICU) with respiratory distress syndrome and meconium aspiration syndrome. Conclusion: Vaginal birth after cesarean can be done by considering its indications and contraindications. However, it is recommended to perform VBAC in hospitals equipped with emergency cesarean facilities, in which the cesarean section can be done within 30 minutes after the decision has been made. Primary care centers have a role in educating patients, providing guidance, and selecting patients for referral. This case also highlights the importance of a holistic approach to social obstetrics, addressing medical, social, economic, and systemic factors. By doing so, healthcare systems can ensure equitable access to timely and appropriate care, ultimately enhancing the well-being of pregnant women and improving VBAC success rates.
Sustaining polio-free Indonesia through enhanced capacity of primary and secondary target groups: a case study in primary health care services Kusumaratna, Rina; Aureyll, Daffa; Laksmi, Ni Putu; Hastari, Shalsa; Suci, Witriastika
BKM Public Health and Community Medicine Vol 40 No 07 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i07.10463

Abstract

Purpose: Indonesia strives to remain polio-free and eradicate polio globally by 2026, adding two inactivated polio vaccine (IPV) vaccine doses to the 2023 child immunization schedule. IPV2 immunization has been introduced in DKI Jakarta, West Java, and Banten provinces. This initiative aims to enhance public health by protecting against vaccine-preventable diseases. Methods: A mixed-method study was conducted in December 2022 - January 2023 at South Jakarta, Mampang Prapatan district health center, focusing on IPV2's second dose introduction evaluation. Results: Effective health promotion and seamless integration of primary health services are pivotal in implementing vaccination services. Despite ongoing understanding gaps, health cadres and parents showed significant knowledge gains (p<0.05) post-intervention. The health cadres' role in education is crucial. Conclusion: Aligned with the tiered health transformation, which has evolved into a collaborative movement grounded in the life cycle, health cadres' effective deployment and support play a pivotal role in sustaining Indonesia’s polio-free achievement.
Psychosocial impact of acne scarring: correlational study at Euderma Clinic Bali Sari, Ida Ayu Diah Purnama; Purnamayanti, Ni Kadek Diah
BKM Public Health and Community Medicine Vol 39 No 12 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i12.10490

Abstract

Purpose: Acne scars are abnormalities in the contour and color of the skin that occur due to acne vulgaris, caused by increased tissue formation or local tissue damage and loss, which often causes disability, especially on the face. Acne scars often cause aesthetic, psychological, social, and emotional problems. This is a challenge for doctors to carry out comprehensive treatment strategies including primary, secondary, and tertiary prevention efforts. This research aims to determine the correlation between psychosocial impact and acne scars at the Euderma Clinic. Methods: The research method used was descriptive cross-sectional. The sampling technique used consecutive sampling, namely collecting participants who underwent acne scar management at the Euderma Clinic in the period May-July 2023. In this study, data collection was carried out using a questionnaire that included patient characteristics, acne history, and description of acne scars. The data was analyzed descriptively and correlatively for further data interpretation. Results: Descriptive test results on 121 samples, mostly female (77.7%), mature (72.7%), had a history of untreated acne for > 12 months, (46.3%), and had a habit of squeezing. acne (53.7%), and the severity of acne pustules > 20 (51.9%). The appearance of acne scars is mostly mild (40.5%) and moderate (39.7%). The correlation test results show a close relationship between acne scars and psychosocial impacts. Conclusion: The severity of acne scars in adults is mostly at the mild to moderate stage. Prevention efforts that can be taken are to carry out appropriate acne treatment so that inflammation does not prolong. Management of mild moderate acne scars can be done with laser procedures and subcision to increase patient confidence.

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