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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 1,548 Documents
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Inequality dimensions of childhood vaccination coverage in Indonesia: a scoping review Pramudita, Bianda Dwida; Haposan, Jonathan Hasian; Niyibitegeka, Fulgence
Berita Kedokteran Masyarakat Vol 42 No 01 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i01.28048

Abstract

Purpose: To map existing evidence on inequalities in childhood immunization coverage in Indonesia using the Social Determinants of Health and PROGRESS-Plus frameworks. Methods: This scoping review included original studies published between 2015 and 2025 that examined inequalities in childhood vaccination coverage in Indonesia. Searches were conducted in PubMed, Scopus, Google Scholar, and Garuda. The review followed PRISMA-ScR with consideration of the PRISMA-Equity extension. Data were charted using a standardized extraction form and synthesized descriptively using narrative and tabular approaches. Results: Of 910 records identified, ten studies met the inclusion criteria. All were cross-sectional, and most used nationally representative data from household surveys or administrative sources (n = 9). Inequalities related to parental socioeconomic characteristics were most frequently examined. No studies assessed disparities related to race, ethnicity, culture, or language, indicating substantial gaps across key equity dimensions. Conclusion: Evidence on childhood vaccination inequalities in Indonesia remains limited in scope and depth. Expanding equity-focused research, particularly on underexplored social and cultural determinants, is essential to support targeted policies and advance equitable immunization coverage in Indonesia.
Weight faltering and its association with wasting and stunting in Indonesian infants Dinari, Rizka; Oktaria, Vicka; Julia, Madarina; Danchin, Margaret
Berita Kedokteran Masyarakat Vol 42 No 02 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i02.28058

Abstract

Purpose: To describe the prevalence of weight faltering, wasting, and stunting in infancy and explore their associations. Methods: This secondary analysis used a 2015-2017 birth-longitudinal cohort study in Yogyakarta, Indonesia. Mean Z-scores for weight-for-age (WAZ), length-for-age (LAZ), and weight-for-length (WLZ) were presented. Weight faltering, wasting, and stunting were assessed. Weight faltering refers to a deceleration in weight that crosses two major percentiles relative to the 2006 WHO Child Growth Standards, evaluated at 0-6 and 6-12 months. Wasting is defined as WLZ<-2 SD, while stunting is LAZ<-2 SD. The association between weight faltering and undernutrition at 6 and 12 months was explored using logistic regression. Results: This study included 294 of 422 participants from the original cohort study. The prevalence of wasting and stunting peaked at 7 months (13%, 6/45) and at 12 months (17%, 25/150), respectively. Weight faltering at 0-6 months (10%, 28/293) was higher than in 6-12 months (4%, 10/250). Bivariate analysis showed that weight faltering at 0-6 months was significantly associated with wasting at 6 months (OR 10.89, 95% CI 3.41-34.80, p-value<0.001) and at 12 months (OR 7.17, 95% CI 1.53-33.49, p-value=0.027), but not with stunting. Conclusion: The prevalence of weight faltering and wasting was higher at 6-7 months of life, whereas stunting was higher at 12 months. Despite showing no significant association with stunting, infants with weight faltering have a higher risk of wasting. Identification of weight faltering is essential to signal the need for further clinical investigation and to enable early intervention to prevent the onset of wasting.
Evaluation of occupational safety and health management system in a hospital related to infection prevention and control program: hand hygiene Hapsari, Maria Saraswati Kinasih; Siwidati, Anggit Wirama; Astutik, Ratna Hafitri; Deismawaranti, Asri
Berita Kedokteran Masyarakat Vol 42 No 01 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i01.21959

Abstract

Purpose: This study evaluates the implementation of the Occupational Safety and Health Management System (OSHMS) through a hand hygiene program at Griya Mahardhika General Hospital, focusing on five elements: policy establishment, planning, implementation, monitoring, and perform- ance improvement. Methods: This study employed a descriptive qualitative approach involving the Infection Prevention and Control (IPC) team and hospital management, with documents, facilities, and procedures related to hand hygiene implementation as the research objects. Data were collected through in-depth interviews with five key informants, direct observations, and document reviews based on hospital regulations and Ministry of Health standards. Results: Griya Mahardhika General Hospital has implemented internal policies aligned with Ministry of Health Regulation No. 27 of 2017 through a Director’s Decree and established an IPC Team with a clear organizational structure. Implementation efforts include sanitation facilities, educational posters, routine training, and collaboration with professional infection control associations. Monitoring of hand hygiene compliance using the “6 steps” and “5 moments” checklists is reported internally and through the mutu fasyankes platform, with support from the local health office. However, compliance varies across departments, and monitoring is conducted only occasionally due to staffing limitations. Conclusion: The hand hygiene program at Griya Mahardhika General Hospital has been implemented in accordance with the five elements of the Occupational Safety and Health Management System. Structured implementation, internal monitoring, and external supervision are crucial for preventing infections. Strengthening staff awareness and maintaining cross-sector collaboration are key to sustaining the Occupational Safety and Health Management System (OSHMS) in hospital settings.
Seroprevalence of syphilis in reproductive-age female blood donors: a cross-sectional study in Surabaya, Indonesia Badrus, Arkha Rosyaria; Khairoh, Miftahul; Kwarta, Cityta Putri; Anggraeni, Novi; Imeldawati, Rakhmalia; Amalia, Yustisia; Pacheco, Cipriano do Rosario
Berita Kedokteran Masyarakat Vol 42 No 02 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i02.26788

Abstract

Purpose: Syphilis remains a global public health concern, particularly in developing countries. This study aims to determine the seroprevalence of syphilis and assess its association with sociodemographic factors among female blood donors of reproductive age in Surabaya, Indonesia. Methods: This cross-sectional study analysed secondary data from 186 female blood donors aged 15–49 years at the Indonesian Red Cross (PMI) in Surabaya. Syphilis status was categorized as reactive or non-reactive based on screening results. Sociodemographic variables included age, marital status, education, and occupation. Descriptive and chi-square bivariate analyses were conducted using JASP 0.95.4, with significance set at p < 0.05. Results: The seroprevalence of syphilis among female donors was 25.3%. Significant associations were found between syphilis status and marital status (p = 0.000), age category (p = 0.001), and education level (p = 0.013). Unmarried women, adolescents aged 15–24, and those with lower levels of education had the highest proportions of reactive results. While occupation was not statistically significant (p = 0.228), students and housewives showed the highest infection rates. Conclusion: The high seroprevalence of syphilis among female reproductive-age donors in Surabaya is significantly associated with specific sociodemographic factors. Strengthening STI prevention programs and routine donor screenings is essential to ensure blood safety and improve reproductive health outcomes.
The impact of the COVID-19 pandemic on maternal healthcare utilization in Ngawi regency, Indonesia: an interrupted time-series analysis Qurniyawati, Eny; Putri, Levi Nadila; Ardanila, Dinda; Ririh; Rahmadani, Yasmin Nuriyah; Astutik, Erni; Adam, Hiba; Andriani, Linda
Berita Kedokteran Masyarakat Vol 42 No 02 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i02.28305

Abstract

Purpose: The burden of COVID-19 threatened the health system and reversed gains in healthcare services. It led to significant disruptions in access and delivery of maternal healthcare. In consequence, the Maternal Mortality Rate (MMR) in Ngawi Regency is 276.9 per 100,000 live births, surpassing the MMR for East Java, and the coverage of maternal health indicators has declined during the pandemic. This study aims to investigate the effect of the COVID-19 pandemic on maternal healthcare in Ngawi Regency, Indonesia. Methods: An Interrupted Time-Series (ITS) design was used to assess the impact of the COVID-19 outbreak on the outcome variable, the number of women who utilized maternal healthcare services. Data were collected from January 1st, 2019, to December 31st, 2021. An interrupted-time series analysis was conducted using an Autoregressive Integrated Moving Average (ARIMA) model. Results: A significant decline of 54 women (95% CI -80.45 to -27.06) in fourth maternal healthcare utilization at pandemic onset. The following reductions were also observed in health-facility delivery and postnatal care utilization: 66 women (95% CI: -112.04 to -20.51) and 106 women (95% CI: -184.60 to -26.49); however, no significant changes in first antenatal care or obstetric-complication treatment at pandemic onset. The statistically significant reductions in fourth antenatal care, health-facility delivery, and postnatal care utilization were 3 (95% CI: -5.14 to -1.67), 7 (95% CI: -11.66 to -1.85), and 11 (95% CI: -15.50 to -5.51) women, respectively. Conclusion: The COVID-19 pandemic has disrupted the fourth antenatal care, health facility delivery, and postpartum care in Ngawi Regency. The disruption due to mobility restrictions, a shift in focus and health resources towards combating COVID-19, and a decrease in the frequency of antenatal care visits.
A comparative study of employee characteristics and retention intentions in two private hospitals in Surabaya Djunawan, Achmad; Rizki, Muhammad Risya; Indahyati, Emilya; Prasetyorini, Anif
Berita Kedokteran Masyarakat Vol 42 No 02 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i02.25641

Abstract

Purpose: Employee characteristics, well-being, and intention to stay influence workforce stability and performance and may vary across hospitals due to differences in management, work environment, and organizational culture. This study aims to compare employee characteristics (conscientiousness), employee well-being, and intention to stay between two private hospitals in Surabaya, Indonesia. Methods: This study employed a quantitative analytic design with a cross-sectional approach using secondary data collected in December 2024 and January 2025. A total of 228 respondents from Hospital X and Hospital Y participated. Conscientiousness was measured using a structured questionnaire based on the Big Five personality framework; employee well-being was assessed using a multidimensional well-being scale; and intention to stay was measured using indicators of work engagement and organizational commitment. Data were analyzed using the Mann–Whitney U test because the assumption of normality was not met. Results: There was a significant difference in employee conscientiousness between Hospital X and Hospital Y (p = 0.010), with Hospital X showing higher levels. A significant difference was also found in intention to stay (p < 0.001), with employees in Hospital Y reporting stronger retention intentions. In contrast, no significant difference in employee well-being was observed between the two hospitals (p = 0.450). Conclusion: These findings indicate that differences in conscientiousness and organizational context influence employees’ intention to stay in private hospitals. Hospital management is encouraged to adopt personality-informed recruitment and development strategies, alongside strengthening employee well-being programs, as part of hospital human resource policies to enhance workforce retention and sustainability.
Effectiveness of oral health education intervention among 9–12-year-old school children Kusumastiwi, Pipiet Okti; Octavia, Alfini
Berita Kedokteran Masyarakat Vol 42 No 01 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i01.26482

Abstract

Purpose: This study evaluated the effectiveness of a school-based oral health education (OHE) program in improving oral hygiene knowledge, attitudes, and practices (KAP), as well as plaque control and gingival health, among elementary school students in Yogyakarta, Indonesia. Methods: A randomized controlled trial was conducted involving 202 students aged 9 to 12 years. The intervention group received a 30-minute OHE session with reinforcements at the third and sixth months, while the control group received no initial education. Outcomes were measured using a validated KAP questionnaire and clinical indices, including the Plaque Index (PI), Gingival Index (GI), and Decayed, Missing, and Filled Teeth (DMFT) scores at baseline, three months, and six months. Results: All participants completed the six-month follow-up. Baseline characteristics between groups were comparable (p > 0.05). The intervention group showed significant improvements in knowledge, attitude, and practice scores at 3 and 6 months compared with the control group (p < 0.001). Significant reductions in plaque and gingival index scores were also observed in the intervention arm, whereas the control group demonstrated minimal changes. DMFT scores remained statistically unchanged in both groups. Conclusion: Changes in DMFT scores were not statistically significant in either group. These findings suggest that a structured, repeated school-based OHE program can effectively promote oral health behavior and improve periodontal status in children. The results support integrating regular oral health education into the primary school curriculum as a sustainable approach to preventing oral disease in developing-country settings.
Perception and smoking status among primary healthcare center staffs as predictors of support for a 100% smoke-free policy in a mixed rural-urban area Harisaputra, Rosalia Kurniawati; Indriani, Citra; Prabandari, Yayi Suryo
Berita Kedokteran Masyarakat Vol 42 No 02 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i02.28877

Abstract

Purpose: Focusing on primary healthcare personnel at the district level in Indonesia and integrating behavioral theory and contextual tobacco-control factors, this study aims to analyze health staff attitudes toward implementing a 100% smoke-free policy in primary healthcare centers (PHCs). Methods: This study utilized secondary data from Quit Tobacco Indonesia. The survey, conducted between 2011 and 2012, focused on staff employed at PHCs in Bantul District, Special Region of Yogyakarta. The study employed a cross-sectional design with 313 participants. The dependent variable in this study was attitude towards a 100% smoke-free policy in PHCs. The independent variables were beliefs regarding the effects of environmental tobacco smoke (ETS) and perceptions of ETS. Covariate variables included staff position, gender, educational level, training on the smoking problem, smoking status, knowledge level about the impacts of ETS, medical staff as role models, age, and length of working. Analysis was conducted using descriptive (proportion) and bivariable (chi-square) approaches, as well as multivariable (multiple logistic regression). Results: Individuals who perceived ETS exposure negatively (OR 16.6; 95%CI: 6.59-42.1), and those with a non-smoking status (OR 20.3; 95%CI: 7.43-55.3) or former smoking status (OR 6.7; 95%CI: 1.73-26.0), were more likely to demonstrate a favorable attitude toward a 100% smoke-free policy in PHCs. Conclusion: Stakeholders such as the district health office and PHC heads can strengthen smoking cessation efforts through education and financial strategies to help current smokers transition to former smokers.
Association between family assessment tools and depression in adolescents: a cross-sectional Putri Rizki Amalia Badri; Resy Asmalia; Dientyah Nur Anggina; Ardi Artanto; Erwin Maulana; Ahmad Ghifari; Puput Nafdyla Murti
Berita Kedokteran Masyarakat Vol 42 No 03 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i03.26249

Abstract

Purpose: Adolescents are very vulnerable to depression because adolescence is a period of psychological development. Research on family function in adolescents experiencing depression is still limited. This study aims to determine the association of family assessment tools with depression in adolescents. Methods: This study was an observational, cross-sectional analysis conducted from October to December 2024. The population of this study was all high school students at SMAN 4 Palembang, and the sample was all 3rd-grade students who met the inclusion and exclusion criteria. A total of 177 respondents were included. The independent variable studied was the family assessment tools, and the dependent variable was depression. The Family function examination is assessed using the APGAR score, which consists of adaptation, partnership, growth, affection, and resolve. In contrast, the SCREEM consists of social, cultural, religious, economic, educational, and medical. Adolescent mental health was measured using the Children's Depression Inventory Questionnaire. The data were then analyzed using the chi-square test, and the Fisher test if the chi-square test did not meet its assumptions. Results: There were significant relationships between APGAR score (p-value=0.000), social (p-value=0.001), culture (p-value=0.003), religion (p-value=0.000), and education (p-value=0.003) and adolescent depression. There is no relationship between the economy (p-value 0.387) and access to health (p-value=0.797) in depression in adolescents. Conclusion: APGAR scores can be integrated into family folders within health services to facilitate practitioners' involvement of families in depression management. Families are expected to play a greater role, especially in the social, cultural, religious, and educational spheres.
The nutrition literacy gap among millennial mothers and its implications for the free nutritious meals program Nabila Ayunisa Fajriani; Cita Lustriane; Aditya Lia Ramadona; Ruki Fanaike; Agus Yudi Prayudana
Berita Kedokteran Masyarakat Vol 42 No 03 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i03.26988

Abstract

Purpose: This study aimed to analyze the nutrition literacy gap among millennial mothers from the housewives’ community participating in the Village Food Safety Movement (VFSM) Program and to explore its relevance to household practices beyond the scope of the Free Nutritious Meals (FNM) program. Methods: A descriptive one-group pre–post test design was conducted in 2024, involving 7,231 housewives (mean age: 35 years; classified as millennials) from 232 villages across 34 Indonesian provinces who were participating in the VFSM program. Participants were selected using purposive sampling with a consecutive approach based on predefined criteria. Data were collected using structured questionnaires, and descriptive analysis was used to assess the percentage of correct responses before and after the intervention. Results: The survey revealed a substantial knowledge gap. Correct responses to “What is stunting” (E1) and “The impacts of stunting” (E4) were moderate, ranging from 48% to 55%, while knowledge of “Types of foods that can prevent stunting” (E3) was very low, with scores below 25%. Descriptively, only limited improvements were observed after the intervention, and overall knowledge levels remained below the “adequate” threshold (>60%). These findings suggest limited improvement following the intervention and highlight the need for sustained educational efforts. Conclusion: The gap in practical nutrition literacy, particularly in identifying stunting-preventive foods, may influence the optimal utilization of the FNM program. As the program provides only 30–35% of daily energy needs, the remaining intake must be met through safe and nutritious foods prepared at home. Without sufficient knowledge of food safety and nutrition, this complementary intake may be inadequate. These findings highlight the necessity of practical, adaptive education—incorporating digital and visual methods—to strengthen household food safety and nutrition practices in support of the FNM program.

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