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INDONESIA
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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Stunting predictors among children aged 6-23 months in the urban area of Garut Kota Subdistrict, Indonesia Yuliasih, Yuneu; Setyaningtyas, Dian Eka; Ipa, Mara
BKM Public Health and Community Medicine Vol 40 No 10 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i10.14675

Abstract

Purpose: Stunting remains a public health and nutrition problem in Indonesia. Stunting is widespread in rural areas, but information on stunting in urban areas is limited. This study aims to determine the risk factors for stunting in children aged 6–23 months in Garut Kota Subdistrict, Garut Regency, West Java, Indonesia. Method: A cross-sectional study was conducted between April and July 2021 on 93 children aged 6–23 months in Garut Kota Subdistrict. Child, parental, and household variables were analyzed, and logistic regression was conducted to assess the predictors of stunting. Results: Of the 93 children examined, 40 (43%) were classified as stunted. The studies revealed predictors of stunting in the Garut Kota Subdistrict urban region among children under two years old. Stunted children were 0.065 times less likely to have fathers with middle-to-upper-class education (AOR = 0.065; 95% CI: 0.005-0.932). Stunting is less common in children whose homes have access to better drinking water (AOR = 0.268, 95% CI: 0.078–0.915). Furthermore, children from smokers' households were 0.012 times more likely to be stunted (AOR = 0.012; 95% CI: 0.001-0.238). Conclusion: Father's education level, access to adequate drinking water, and the presence of family members who smoke are factors that influence the prevalence of stunting in children aged 6-23 months in Garut Kota Subdistrict. A comprehensive, multisectoral program needs to boost family income, provide clean, safe drinking water that is easily accessible, and reduce household smoking to decrease the prevalence of stunting in children.
COVID-19 serological epidemiology study at the IG Supermarket cluster in the Special Region of Yogyakarta Adekayanti, Putri; Subronto, Yanri Wijayanti; Ahmad, Riris Andono
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.v38i03.1787

Abstract

Purpose: IG supermarkets were one of the large clusters of COVID-19 transmission in the Special Region of Yogyakarta. This study aims to determine the risk factors associated with exposure to SARS-COV-2 in the trade sector and to estimate the Secondary Attack Rate (SAR) magnitude of the COVID-19 cluster at IG Supermarkets. Methods: This study used secondary data from the RDT antibody examination results of IG Supermarket employees and notes on epidemiological investigations of close contact tracing of employees confirmed by COVID-19. The research design used descriptive and analytic observational methods with a case-control design (ratio 1:3). Results: Work unit characteristics were significantly associated with exposure to the SARS-COV-2 (p <0.05) exposure and employees who work in units that are directly related to consumers have a higher risk of reactive antibody RDT results than employees who are not directly related to consumers (OR = 3.786; 95% CI = 1.92-7. 69). The total number of close positive employee contacts with COVID-19 was 238 people (35.3% household contacts and 64.7% non-household contacts). The highest SAR was found in the household exposure setting, with an attack rate of 8.3% and a higher transmission potential in the female gender and the age group >60. Conclusion: Working in a unit with direct contact with consumers was a risk factor for exposure to SARS-COV-2 at the IG supermarket cluster in the Special Region of Yogyakarta. SAR COVID-19 was higher in household exposure settings, with a higher transmission potential at> 60 years of age. Therefore, the application of health protocols in supermarkets must be optimized to minimize the transmission of cases at home and home.
Maternal age, parity, and gestational age of pregnancy of hypertensive pregnancy disorders Elizawarda; Khodijah, Dodoh; Sinaga, Maya Handayani
BKM Public Health and Community Medicine Vol 38 No 06 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i06.4685

Abstract

Purpose: This study aims to determine the factors of maternal age, parity, and gestational age contributing to hypertensive pregnancy disorders in Deli Serdang District Hospital. Methods: This type of research is observational analytic with a cross-sectional approach to look at maternal age, parity, and gestational age factors for the occurrence of hypertensive pregnancy disorders in Deli Serdang District Hospital in 2018. The sample was 72 people. Data were analyzed by frequency distribution and Chi-Square test with p≤0.05. Results: Most cases of hypertensive disorders in pregnancy fall within the severe preeclampsia category, with the majority occurring among mothers aged 20-35 years and with a parity range of 2-42. Over three-quarters of these cases manifest during the third trimester. There is a significant correlation between maternal age, parity, and the incidence of preeclampsia. Conclusion: Maternal age and parity have a significant relationship with hypertensive pregnancy disorders. Health workers should always screen for severe preeclampsia even though pregnant women are not at risk.
Evaluation of the functional egg supplement program for pregnant women with chronic energy deficiency Sugiyanto, Nida Alhusna; Arjuna, Tony; Lazuardi, Lutfan
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.v38i05.19885

Abstract

Purpose: This study aims to determine the effect of functional egg administration on changes in nutritional status, protein intake, and babies born. Methods: A study analytical with a cross-sectional design that was seen retrospectively. In-depth interviews were conducted with key informants and supporters to support research data. Results: Analysis found that consumption of functional eggs was not statistically related to nutritional status, weight, and length of the child's body but was descriptively related. Functional egg consumption is associated with increased energy and protein intake with p values ​​0.005 and 0.011 (p <0.05). There was an increase in body weight, MUAC, and nutritional status of chronic energy deficiency (CED) pregnant women becoming NON-CED, thereby reducing the birth of LBW and LBL. Conclusions: Functional eggs are not used as additional food; they become the mother's central protein intake. There is a need to increase commitment among organizers, implementers, and targets in implementing programs to break the stunting chain.
Frequency and quality of antenatal care with low birth weight: analysis of Demographic and Health Survey indonesia 2017 Masdah, Siti; Dasuki, Djaswadi; Wahab, Abdul
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.v38i05.19903

Abstract

Purpose: Efforts to reduce low birth weight (LBW) cases can be made by regularly conducting antenatal care (ANC) during pregnancy. The aim is to improve the quality of ANCs and the quality of mothers, fetuses, and newborns associated with ANC. The World Health Organization (WHO) recommends reducing perinatal mortality and increasing the ability of care of pregnant women to make at least eight visits during pregnancy. This study aims to prove WHO's recommendation of at least 8 times the effect of ANC on LBW events in Indonesia. Methods: This study used a retrospective cohort and observational study design. The sample in this study were all women of childbearing age who were respondents to the 2017 IDHS. Data testing was performed using univariable, bivariable, and multivariable analysis. The analysis was performed by logistic regression. Results: ANC frequency was 8 times proven to reduce LBW risk; the lower the ANC contact, the greater the LBW risk. The incidence of LBW is lower in mothers who get quality ANC services. Exposure to cigarette smoke, the area of ​​residence in Sulawesi, NTT, and NTB, and the distance of pregnancy affect the incidence of LBW without changing the relationship of the ANC frequency with LBW. Conclusions: Mothers who regularly perform pregnancy checks at least 8 times by the standards become protection for LBW.
Implementation of a centralized health quarantine information system at the Pangkalpinang Port Health Office Pratama, Fikry; Ahmad, Riris Andono; Sanjaya, Guardian Yoki
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.v38i05.19976

Abstract

Purpose: This research aims to evaluate and analyze the factors affecting the implementation the health quarantine information system (SINKARKES) in KKP Pangkalpinang. Methods: Quantitative research with cross-sectional design research. The population studied several 65 respondents. Test statistical and data analysis using structural equation model Partial least-square with smartpls 3.0 software. Results: Five factors have significant effects in supporting the success of the implementation of SINKARKES, the quality of the system to the user satisfaction, the quality of information on user satisfaction, the quality of service to user satisfaction, the use of systems against net benefit and management support of net benefit. Conclusions: The implementation of SINKARKES uses a top-down approach with the development and adjustment of a system that runs thoroughly by focusing on meeting the needs of the central unit. This approach model is considered not ideal for the characteristics of the complex health quarantine information system module.
Spatial analysis and risk factors associated with COVID-19 incidence modeling in Sleman Regency Sriadi, Yosua Natanael; Lazuardi, M Lutfan
BKM Public Health and Community Medicine Vol 38 No 06 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i06.19987

Abstract

Purpose: This research aims to identify spatial distribution and risk factors related to the occurrence of COVID-19 in Sleman Regency. Methods: This study used the geographical information system (GIS) software to map the spatial distribution of COVID-19 cases. Pearson correlation and linear regression examined the relationship between the selected variables and COVID-19 incidence. The spatial autocorrelation of the COVID-19 cases was carried out using Moran's I and LISA. Geographically weighted regression (GWR) and multiscale GWR (MGWR) were used to examine the local level. Results: Multivariate analysis results showed that shopping facilities (coeff. =10.02; p-value <0.001) and population density (coeff. =0.0004; p-value <0.001). The spatial autocorrelation test showed a positive and significant spatial autocorrelation between the presence of public facilities (Moran's I=0.600) and population density (Moran's I=0.495) with the incidence of COVID-19 in Sleman Regency. The MGWR model has been proven to be the most appropriate in describing the incidence of COVID-19 in the Sleman Regency (adj R 2 =0.643; AIC c =177.14). Conclusion: The spatial approach has been used to prevent the spread of COVID-19. For example, micro-based social restriction monitoring efforts and COVID-19 vaccination campaigns can focus more on areas with more shopping facilities and densely populated areas.
The use of household biomass and the incidence of acute respiratory infection (ARI) in toddlers in Lampung Regency 2020 Cahyani, Evirusi; Ismail, Djauhar
BKM Public Health and Community Medicine Vol 38 No 06 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i06.19989

Abstract

Purpose: Acute Respiratory Infection (ARI) is a significant cause of illness and mortality in children under five, with those under two years being the most vulnerable. The World Health Organization (WHO) estimated in 2017 that ARI contributed to up to 3 million deaths worldwide, particularly in low-income countries. In Indonesia, the 2018 Basic Health Research reported an ARI prevalence of 12.80%, while Lampung Province recorded a rate of 11.3%. In Central Lampung District, the prevalence of ARI with acute nasopharyngitis was 19.70%. One of the primary risk factors for ARI in toddlers is indoor air pollution, often linked to household cooking fuel. Biomass fuel combustion generates smoke and pollutants that can lead to respiratory infections. This study analyzed the association between household biomass fuel use and the incidence of ARI in toddlers in the Seputih Surabaya Health Center working area, Central Lampung, in 2020. Methods: This was an observational analytic study using a cross-sectional design. One hundred four participants from the Seputih Surabaya Health Center area were included. Univariable analysis was performed using frequency distribution tables, bivariable analysis utilized the Chi-Square test, and multivariable analysis applied logistic regression. Results: The findings indicated a significant relationship between household biomass fuel use and toddler's ARI incidence (p = 0.000). Multivariate logistic regression analysis showed that biomass fuel use contributed 25% to the risk of ARI in toddlers. Conclusion: Several factors, including biomass fuel use, maternal age, maternal education, toddler age, exclusive breastfeeding, exposure to cigarette smoke, and socio-economic status, were found to be associated with ARI incidence in toddlers.
Evaluation of iron-folic acid supplementation in young women in Mataram City Kantari, Eka Suci; Huriyati, Emy; Penggalih, Mirza Hapsari Sakti Titis
BKM Public Health and Community Medicine Vol 38 No 07 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i7.1725

Abstract

Purpose: The government program to prevent iron deficiency anemia in adolescent girls provides iron-folic acid supplementation, usually known as TTD or "Tablet Tambah Darah". The number of adolescent girls who received TTD was 76.2%, whereas 80.9% were given at school, and the rest were from other sources. The obedience of young women to consuming TTD is one factor that affects the effectiveness of the TTD program. Methods: This research was a cross-sectional study of a non-experimental design survey. The study sample was 159 people, 15-to 18-year-old adolescent girls of SMAN 5 Mataram. Results: Bivariate analysis showed that attitudes and obstacles were not statistically related to compliance, as seen from the attitude value p-value = 0.052 and resistance p-value 0.135. Obstacles have a relationship with attitudes with a value of p = 0.01. Conclusion: Attitudes and obstacles have no relationship to obedience in adolescent girls, while obstacles have a relationship with attitudes towards adolescent girls.
Analysis of occupational health and safety management systems implementation in serving COVID-19 patients at the Tanjungpura University Hospital, Pontianak Pratiwi, Roesmiyanti; Surono, Agus; Qaimamunazalla, Hayu
BKM Public Health and Community Medicine Vol 38 No 06 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i06.2044

Abstract

Purpose: This study analyzes the implementation of the Occupational Health and Safety Management System in serving COVID-19 patients at the Tanjungpura University Hospital, Pontianak. Methods: This type of research is a qualitative descriptive study using a case study approach. The research location is Tanjungpura University Hospital, Pontianak. There were 10 informants in the study. Data was collected using in-depth interviews and field observations. Results: Implementation of the occupational safety and health management system program in protecting health workers who serve COVID-19 patients at the Tanjungpura University Hospital such as disinfecting, making cubical rooms, preparing special doffing and donning rooms, distributing PPE according to standards, providing vitamins and drinks or nutritious food and conducting special PCR examinations on health workers has been carried out well. Conclusion: Implementing occupational health and safety management at the Tanjungpura University Hospital's plan to protect health workers when serving COVID-19 patients refers to the K3RS guidelines. However, this has not been fully realized, and other fields mostly carry out the implementation.

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