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Ika Kusumaningtyas
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INDONESIA
Berita Kedokteran Masyarakat
ISSN : 02151936     EISSN : 26148412     DOI : https://doi.org/10.22146/bkm.v37i2.2320
Core Subject : 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
Articles 1,528 Documents
Workplace bullying among doctors in residency training: a scoping review Fatmawati, Lady Farah; Siregar, Kemal Nazaruddin
BKM Public Health and Community Medicine Vol 40 No 11 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i11.16895

Abstract

Purpose: This study aims to determine the prevalence, risk factors, impacts, and response types to workplace bullying among resident doctors. Methods: The study was conducted using the scoping review method. An online search was performed across five databases, MEDLINE [PubMed], Cochrane Library, APA PsycArticles, Scopus, and Science Direct, using keyword developments from Medical Subheadings (MeSH). The selected articles were those published from 2013 to 2024. Results: A total of 1,402 articles that discussed workplace bullying were identified, and after screening based on inclusion and exclusion criteria, 19 articles were selected. The prevalence of workplace bullying ranged from 13% to 89% across various specialties. Additionally, a significant relationship was found between specialization type, residency year, age, gender, skin color, work shifts, organizational climate, and the mental condition of the resident doctors with the incidence of workplace bullying. Resident doctors who were victims of bullying were at risk of experiencing cognitive disorders, fatigue, job dissatisfaction, sleep difficulties, performance decline, weight changes, and even suicidal thoughts. Victims of bullying tended to respond to the behavior by sharing their experiences with family, friends, or close ones. Conclusions: Bullying among resident doctors shows a relatively high prevalence. Future research is expected to develop a confidential bullying reporting system as an initial mechanism for controlling workplace bullying.
Evaluation of Si Kesi Gemes implementation (strengthening system of Kelurahan Siaga in the framework of healthy living community movement) in the City of Yogyakarta Ulfah, Meirina; Supriyati; Nurhadi
BKM Public Health and Community Medicine Vol 39 No 08 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i08.17002

Abstract

Purpose: Kelurahan siaga is a form of community empowerment. The latest data from Pusdatin in 2013 shows that the percentage amount of desa and kelurahan siaga aktif in Indonesia was 65.2%, and in DIY was 94.3%. The percentage of kelurahan siaga in Yogyakarta City in 2016 reached 100% but experienced torpidity. The kelurahan siaga was revitalized by establishing the Si Kesi Gemes network. This study aimed to evaluate the implementation of Si Kesi Gemes in Yogyakarta City. Methods: This research used a qualitative descriptive exploratory study with a single case study design. The selection of informants was carried out by purposive sampling. The selected informants were local officials and non-governmental organizations registered in the Si Kesi Gemes network. Data were collected using Focussed Group Discussion (FGD), in-depth interviews and observations. FGDs were conducted in 2 groups by undertaking in-depth interviews with 21 participants. The data validity was done using triangulation and peer debriefing. Results: The formation of Si KesiGemes was done using a combination of top-down and participatory approaches. The top-down approach means that the network is initiated and formed by the Health Office, while the participatory approach means that Kesi is involved in the regional network formation. Si Kesi Gemes plays a role in activating the coordination of Kesi and extending cooperation with private health service facilities, health colleges, and local employers. The effectiveness of Si Kesi Gemes is indicated through the accommodation of Kesi in the village fund, the liveliness of the village coordination forums, the funding from CSR, the activeness of UKBM Posbindu, and the presence of innovative activities. Public health centers still dominate UKBM coaching, and the training does not meet the needs of participants. Conclusion: The formation of Si Kesi Gemes is indispensable for binding the involvement of the networks in supporting Kelurahan Siaga. Kesi, FKKS, and FKS are expected to schedule regular coordination at the village, sub-district, and city levels.
Hygiene sanitation aspect and drinking water quality of Kerawang Depots, Lampung Winanti, Ganis Ayu; Sarto; Wiranto
BKM Public Health and Community Medicine Vol 38 No 02 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i02.18287

Abstract

Purpose: Healthy and safe refillable drinking water must comply with Permenkes RI No 43 Tahun 2014 and Permenkes RI No 492/MENKES/Per/IV/2010. Increasing drinking water coverage in Lampung Province makes Kerawang water an alternative to meet drinking water needs because it is cheap, easy to access, and practical. This study aims to analyze the hygiene and sanitation of the Kerawang water depot. Methods: This qualitative study used a case study approach. Informants were recruited through the purposive sampling technique. The primary informants are 6, the touchers of the depots. One supporting informant was the Ambarawa Health Center’s environmental health officer. Results: Of the 17 depots observed, 3 (17.64%) water depots did not meet the requirements, and 14 (82.35%) met the criteria. Of the 17 depots that had been checked the quality, 17 (100%) depots were appropriate for the physical requirements, 11 (64,70%) depots were not suitable for the chemical requirements, 2 depots (11.76%) were not appropriate for the biological requirements. Conclusion: The infrastructures were cleaned at different times, and there was some lack of basic sanitation facilities. Equipment for the water treatment process was always replaced before the expiration. Some handlers did not check their health and apply hygiene behaviors. Depot owners must complete basic sanitation facilities such as handwashing stations, trash cans, and closed sewers, facilitate work clothes and health checks, control the hygiene behaviors of handlers, and conduct regular quality checks on drinking water.
Study of odor pollution by x slaughterhouse waste in Central Java 2021 Pangalinan, Gabriella Gitamega; Sarto; Wiranto
BKM Public Health and Community Medicine Vol 38 No 03 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i03.18710

Abstract

Purpose: Bad waste management causes the slaughterhouse's environment to look unsightly and unpleasant. This research aimed to evaluate the factors that cause odor pollution by X Slaughterhouse waste. Methods: This qualitative research used a case study approach. Informants were recruited through purposive sampling. The primary informants were six people who lived or worked around slaughterhouses. The supporting informants were the Head of the Slaughterhouse Division, the slaughterhouse's daily waste officer, and the Environmental Service's Head of Impact Assessment and Waste Management Division. Research conducted in Central Java. Open Code 4.02 was used to analyze the qualitative data. Results: Overall, the slaughterhouse's facilities were not appropriate for the requirements in SNI 01-6159-1999. The odor pollution caused by the waste discharged into the environment without proper management was supported by the results of the BOD level test from the slaughterhouse's sewers, 261,5 mg/L. The most significant discharge in the slaughterhouse's sewer was when the slaughterhouse had been cleaned, 0,137 m3/s, and the most minor discharge was during the slaughter activity, 0,006 m3/s. The slaughterhouse was disinfected after slaughter activity to protect the environment from slaughterhouse waste. Meanwhile, the Environmental Service has not made any specific efforts. Conclusion: Lack of adequate waste management facilities caused the odor pollution. It is necessary to stipulate waste management guidelines, supervise the slaughterhouse's waste management, and coordinate relevant services to monitor and evaluate it. The following researchers can observe using all the requirements in SNI 01-6159-1999.
The effect of education and smoke-free home activity contract on changes in husbands' smoking intensity in the home in North Lombok District, West Nusa Tenggara Noviar, Ainun Hanin; Prabandari, Yayi Suryo; Padmawati, Retna Siwi
BKM Public Health and Community Medicine Vol 38 No 03 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i03.3897

Abstract

Purpose: Home is the place most at risk of exposure to cigarette smoke. Indonesia recorded that 85% of households are exposed to cigarette smoke. Smoke-free homes (SFH) were initially introduced by the Environmental Protection Agency, United States, 2001 to increase awareness of the health hazards of second-hand smoke (SHS) and one's ability to limit cigarette consumption in the home. The success and effectiveness of implementing smoke-free homes (SFH) cannot be separated from the modification of the behavior of each individual. This study aims to determine the effect of education and smoking-free house activity contracts on reducing the smoking intensity of husbands in the house in North Lombok Regency, West Nusa Tenggara. Methods: This study is a retrospective, pre-, and post-intervention cohort study using secondary data from the Peer Health SHS-LBW Intervention Study in North Lombok Regency, West Nusa Tenggara Province. The data used were baseline data and 6-month data on 733 active smoking husbands who lived in the same house with pregnant women aged less than 4 months when they were respondents in the study. The data will be tested using Chi-square and logistic regression to determine the most influencing variables. Results: The results of the chi-square analysis showed that most husbands with total income did not know/low income 66.67% did not experience changes or tended to increase the intensity of smoking in the house. In the comparative analysis, the value of p = 0.01 was obtained, which means a statistically significant relationship exists between the amount of income and the change in the smoking intensity of the husband in the house. Age, type of work, level of education, location of residence, and the respondent's willingness to attend education and smoke-free house activity contracts did not show a statistically significant relationship with changes in the husband's smoking intensity in the house (p-value>0.05). Conclusion: Education and smoke-free house activity contracts (SFH) did not affect the reduction in the intensity of husbands' smoking in the house.
The feeling of fear of families with stroke survivors to the threat of COVID-19 Sari, Lusia Lero Maya; Ratrikaningtyas, Prima Dhewi; Supriyati
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.v38i04.4281

Abstract

Purpose: The purpose of this study was to explore the fear feeling of family and the threat of COVID-19 in stroke survivors. Methods: This study uses a qualitative method with a phenomenological research design. This study is a nested research in the population of HDSS Sleman, so it uses secondary data from stroke survivors' information. The research informants amounted to 8 people. Data collection was carried out in July-August 2021 in Kecamatan Depok Kabupaten Sleman. In-depth interviews and photo documentation were carried out in data collection. Data were analyzed using OpenCode version 4.2. Results: The health status of the stroke survivors at the time of the interview had recovered before the pandemic, died during the pandemic but was not caused by COVID-19, and were still in a state of stroke. All informants or families of stroke survivors showed the same fear response to the threat of COVID-19. Families who care for stroke survivors think that those who are at risk and vulnerable to being exposed to COVID-19 are older people and those who have comorbidities. Fear arises because it is influenced by the perception of oneself and the surrounding environment. There are fears in the form of the assumption that they might be exposed when carrying out examinations and treatment at health facilities, fear of doing swabs, and the financing of COVID-19 testing and the number of positive cases. Conclusion: The fear of the vulnerability of stroke survivors when exposed to the COVID-19 virus is shown by families of stroke survivors by avoiding visits to health facilities, be it puskesmas or hospitals, and choosing to anticipate themselves at home. The fear of the families of stroke survivors must be a concern for the healthcare institutions that protect them so that treatment and health services for stroke survivors with comorbidities during the pandemic can still be achieved.
Google Trends data analysis of hepatitis B and their correlation with hepatitis B early detection program for pregnant women in Indonesia Nugraha, Dwi Adhi; Pramana, Triyanta Yuli
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.v38i04.4413

Abstract

Purpose: Hepatitis B is still a problem in Indonesia. National surveillance project [Basic health survey (Riskesdas)] data in 2013 showed the prevalence of hepatitis B surface antigen (HBsAg) was 7.1%. One effort has been made to reduce the transmission of hepatitis B: the hepatitis B early detection program (DDHB) for pregnant women. Early changes in population health may be reflected in shifts in information and communication patterns on the internet. Changes in information and communication patterns on the internet can be an early "symptom" of changes in population health. This study aimed to know the correlation of hepatitis B relative search volume with HBsAg reactive percentage and coverage of the DDHB program for pregnant women in Indonesia. Methods: The value of relative search volume for hepatitis B in various regions in Indonesia in 2020 based on Google trends correlated with reactive HBsAg percentage and coverage of the DDHB program for pregnant women in 2020. Researchers compared the value of relative search volume for hepatitis B with hepatitis, hepatitis A, and hepatitis C. Spearman correlation analysis test was used to find the relationship between variables. Results: East Nusa Tenggara had the highest hepatitis B relative search volume and reactive HBsAg percentage in the DDHB program for pregnant women in 2020. Hepatitis B relative search volume was correlated with reactive HBsAg percentage (r=0.618; p<0.001) but did not correlate with DDHB coverage (r=-0.65; p=0.374). The popularity of hepatitis B (19.81±6.68) was higher than hepatitis A (8.65±5.79) and hepatitis C (3.90±1.75) but lower than hepatitis alone (54.08±19.02). Conclusion: East Nusa Tenggara had the highest hepatitis B relative search volume and reactive HBsAg percentage. Hepatitis B’s relative search volume in Google Trends data analysis significantly correlated with reactive HBsAg percentage in the DDHB program for pregnant women in Indonesia.
Perception of illness and disease, an overview of a diet of people with type 2 diabetes in the COVID-19 era Nastaina, Hayu Iyaka; Padmawati, Retna Siwi; Purba, Martalena Br
BKM Public Health and Community Medicine Vol 38 No 05 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i5.18220

Abstract

Purpose: One of the management of diabetes mellitus is diet needs special attention, mainly when the pandemic occurred in 2020, which more or less affected people with diabetes in accessing health services. This study aimed to provide an overview of the understanding of type 2 diabetes mellitus and dietary patterns in people with type 2 diabetes (T2DM) with COVID-19. Methods: This is qualitative research with a case study approach. Researchers collected data through in-depth interviews and observations. The case study was conducted in 2 areas of Kampung Tangguh in Malang, a populated village with a lower-middle economic level. Selection of research participants using a purposive sampling method. In this study, a total of 14 participants were diagnosed with diabetes with an age limit of 45-71 years. Results: People with T2DM view diabetes as a disease that must be managed well in terms of medication and diet. The significant role of others, such as family, cadres, and health workers, is needed to support successful diabetes management. Kampung Tangguh, with its health dimension, has not been able to play a role in health resilience in the community. The diet applied is still not adequate. Socio-economic is one of the influencing factors. Conclusions: People with T2DM must anticipate themselves to manage DM and improve their quality of life successfully. The dimension of health resilience in Kampung Tangguh needs to be maximized with the role of cadres as a preventive effort against degenerative diseases in the community.
E-learning situation children with disabilities during the COVID-19 pandemic Monanda, Adelia Pramudita; Padmawati, Retna Siwi; Azizatunnisa', Luthfi
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.v38i04.19515

Abstract

Purpose: Online learning or e-learning is the solution to the COVID-19 pandemic. With this condition, the parents must accompany their children with disabilities in e-learning at home. The research aims to explore the situation of e-learning in children with disabilities. Methods: This qualitative study used a case study approach. Participants were recruited through the purposive sampling technique. There were 11 main participants, parents or learning companions of students with disabilities, and four supporting participants who were the Head of the Kapuas Regency Office, the Principal of the SLB Negeri 2 Kapuas, and one of the teacher representatives in each SLB Negeri 1 and SLB Negeri 2 Kapuas. Results: In the process of e-learning learning activities at SLB Negeri 1 and SLB Negeri 2 Kapuas, very few parents of children with disabilities can provide gadgets and limited internet access in the area where they live. Therefore, learning activities during the COVID-19 pandemic for children with disabilities were implemented using WhatsApp groups and teachers visiting each student's house. Parents must know and maintain their children's learning mood, invite children to do learning activities in a pleasant atmosphere, and parents must be able to divide their time between work and accompanying children to study. Conclusion: In its implementation, the course encounters obstacles; the role of teachers and parents is also very influential, so the e-learning method can run optimally through good cooperation between teachers and parents in educating and motivating disabled students during learning at home.
Student's knowledge, attitude, subjective norms, and perception towards obesity prevention behavior Dangga, Victorianus; Prabandari, Yayi Suryo; Huriyati, Emy
BKM Public Health and Community Medicine Vol 38 No 05 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i05.4339

Abstract

Purpose: Obesity is an excessive accumulation of fat due to an imbalance of nutrient intake with energy used over a long time. One of the factors that can increase the incidence of obesity is a lack of knowledge about obesity prevention. Knowledge about health affects attitudes as a long-term result of exposure to information. The generated attitude can be a positive or negative response to general objects. Behavior is formed because it arises from intentions that were previously influenced by attitudes, subjective norms, and perceptions. This study aims to determine the relationship between knowledge, attitudes, subjective norms, and perceptions of obesity prevention behavior among students in the Special Region of Yogyakarta. Methods: This research was conducted using an observational descriptive cross-sectional design among students in the Special Region of Yogyakarta. The study sample size was 384 respondents. Independent variables are knowledge, attitudes, subjective norms, and perceptions of obesity prevention. The dependent variable is the behavior of obesity prevention. All variables were measured using researchers' questionnaires. Bivariate analysis used chi-square and Mann-Whitney tests. Multivariate analysis used logistic regression. Results: Bivariate analysis of knowledge and behavior showed no relationship (p>0.05), but analysis result of attitudes, subjective norms, and perceptions with behavior of obesity prevention showed a significant relationship (p<0.05). The coefficient of determination in multivariate analysis was 0.086, indicating all variables studied in influence analysis 8.6% behavior of obesity prevention. Conclusions: There is no relationship between knowledge and behavior of obesity, but there is a significant relationship between attitude, subjective norm, and perception of behavior of obesity prevention among students in the Special Region of Yogyakarta.

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