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Berita Kedokteran Masyarakat

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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 1,532 Documents

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Hubungan kepatuhan antenatal care dengan pemilihan penolong persalinan di Kabupaten Natuna Sri Juana; Detty Siti Nurdiati; Atik Triratnawati
Berita Kedokteran Masyarakat (BKM) Vol 32, No 12 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Compliance of antenatal care and election of birth helpers in NatunaPurposeThis study aimed to determine the association of ANC (Antenatal care) compliance with birth attendant choice in Natuna.MethodsThis study used a cross-sectional method. The subjects of the research were mothers in Natuna regency 2014. The variables were: independent variable (ANC compliance), the dependent variable (the birth attendant choice), and the control variables (age, maternal education, distance to the health facilities, parity). Data collection used questionnaires and interviews. The data analysis used descriptive and inferential analysis. The bivariable analysis used the chi-square test and multivariable analysis used logistic regression test with 95% of confidence interval (CI) and a significance level of p <0.05.ResultsBivariable and multivariable analysis showed significant correlations between ANC compliance with birth attendant choice. Pregnant women who did not comply doing ANC according to the standard that has been set at least four times had a chance two times more likely to give birth with the traditional birth attendant (TBA) than the pregnant women who complied to implement the ANC during pregnancy. Mothers with low education had a chance two times greater of choosing the TBA as birth attendant than women who are highly educated. Mothers with parity of >2 had a chance 1.9 times greater of choosing the TBA as birth attendant than women with parity ≤2.ConclusionsThere needs to be a control program from the health department working with community health workers to socialize awareness of the importance of the ANC. There needs to be the addition of TBA who are trained and partnered especially in remote areas because it cannot be denied there are still many people who choose TBA as a birth helper.

Analysis of community behavior on garbage disposing in Batang Bakarek-Karek river basin of Padang Panjang Novriza Yulida; Agus Suwarni; Sarto Sarto
Berita Kedokteran Masyarakat (BKM) Vol 32, No 10 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Community behavior in garbage disposal in Batang Bakarek-Karek river basin of Padang PanjangPurposeThe purpose of this study was to analyze the behavior of the people who live around Batang Bakarek-Karek river in disposing of their garbage, which included, knowledge, attitudes, infrastructure, and implementation of government policies of Padang Panjang West Sumatra.MethodsThis research used a cross-sectional survey design. Subjects were breadwinners of the families who live in the watershed of Batang Bakarek-Karek river including 118 people. The independent variables in this study were knowledge, attitude, infrastructures and policy implementation. The dependent variable was waste behavior. Data analysis was performed by using univariate, bivariate analysis with chi-square tests, followed by multivariate analysis using logistic regression tests.ResultsStatistical analysis determined that all the studied variables were significantly related to people's behavior in disposing of their waste, including knowledge, attitude, infrastructure, and policy implementation. The most influential variable on people's behavior in disposing of their waste was their attitude with the value of OR as 7.79. ConclusionAttitude was the most influential variable on people’s behavior in Batang Bakarek-Karek river in disposing of their waste. This research suggests the need for guidance and socialization of waste management policy.

Hubungan kepatuhan bidan puskesmas dalam penerapan antenatal care terpadu berkualitas dengan deteksi komplikasi dan penyakit pada ibu hamil Siti Sholikhah; Heru Pradjatmo; Mohammad Hakimi
Berita Kedokteran Masyarakat (BKM) Vol 32, No 5 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Compliance of midwife primary health center in implementation of the antenatal care integrated quality, disease detection and complications in pregnant womenPurpose This research aimed to determine the relationship of midwife’s compliance in the implementation of the antenatal care (ANC) integrated quality with disease detection and complications in pregnant women.MethodsThis research was an observational study with a retrospective cohort design. The sample was midwives who serve pregnant women in a primary health center, involving 125 midwives. The place of research was in 21 health centers throughout Kulon Progo. Research instruments used a questionnaire, with total sampling. Data analysis used: univariable analysis to determine the distribution of the data, bivariable with chi-square tests, multivariable with linear regression tests with 95% CI and significance of p=0.05, and a qualitative analysis.ResultsMidwives' compliance to the standard operating procedure has a 35% greater chance of detecting complications and illness in pregnant women than the midwife who did not follow standard operating procedure. Not all midwives in primary health care comply with ANC integrated quality.ConclusionThis study contributes to an understanding that compliance of midwives to ANC integrated quality is important as an effort to detect complications in pregnant women. The health office should establish a team for socialization, supervision, and assistance in the implementation of ANC integrated quality.

Efek cadmium pada pekerja las bengkel knalpot di Purbalingga Septiono Bangun Sugiharto; Suwarso Suwarso; Widharto Prawirohardjono
Berita Kedokteran Masyarakat (BKM) Vol 32, No 4 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Latar belakang: Pekerja pembuat knalpot bagian pengelasan perlu mendapat perhatian terhadap potensi gangguan kesehatan. Pekerja las dan Pipefitters (pekerja pada fabrikasi dan mekanik pipa-pipa logam) berpotensi terpapar logam Cadmium (Cd) melalui fume saat proses pengelasan. Cadmium menduduki urutan kedua dalam hal toksisitasnya setelah Hg, kemudian diikuti Ag, Ni, Pb, As, Cr, Sn, Zn. Penelitian ini ingin mengkaji apakah terdapat hubungan antara kandungan kadar cadmium dalam darah terhadap penurunan fungsi ginjal ditinjau dari kadar ureum dan kreatinin pada pekerja las bengkel knalpot.Metode: Penelitian ini menggunakan pendekatan Cross sectional. Penelitian dilakukan dari bulan Mei-Juli 2015. Sampel dihitung menggunakan rumus sampel dan diperoleh sampel 36 orang. Responden yang mengikuti penelitian hingga akhir sebanyak 32 orang.Analisis dilakukan secara univariat dan bivariat.Hasil: Hasil analisis bivariat menggunakan uji korelasi Spearman menunjukkan tidak ada hubungan antara Variabel Luar (umur, kebiasaan merokok, higienitas diri, masa kerja, jumlah jam kerja per minggu, penggunaan masker) dengan variabel bebas (kadar cadmium) dengan nilai Correlation coefficient (r) < 0,349. Kemudian analisis bivariat antara Variabel Bebas (Kadar Cadmium) dengan Variabel Terikat (Kadar Ureum dan Kreatinin) menggunakan uji korelasi Pearson menunjukkan tidak ada hubungan dengan nilai Correlation coefficient (r) < 0,349.Kesimpulan: Tidak terdapat hubungan antara Variabel Luar (umur, kebiasaan merokok, higienitas diri, masa kerja, jumlah jam kerja per minggu, penggunaan masker) dengan variabel bebas (Kadar Cadmium) pada pekerja las bengkel knalpot di Kelurahan Purbalingga Lor. Tidak terdapat hubungan antara Variabel Bebas (Kadar Cadmium) dengan Variabel Terikat (Kadar Ureum dan Kreatinin) pada pekerja las bengkel knalpot di Kelurahan Purbalingga Lor.

Pendidikan seksual berbasis collaborative learning bagi pendidik sebaya di sekolah Ibrahim Amnur; Yayi Suryo Prabandari; Mora Claramita
Berita Kedokteran Masyarakat (BKM) Vol 32, No 5 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Latar belakang: Pendidikan seksual merupakan hal yang penting dalam kehidupan remaja guna meningkatkan pengetahuan remaja dalam konteks biologis, kognitif dan sosial emosional, progresi perkembangan dan isu-isu remaja. Pendidik/tutor sebaya merupakan metode pendidikan yang terbukti dapat meningkatkan pengetahuan, sikap dan tindakan remaja dalam meningkatkan perilaku seksual yang aman di kalangan mahasiswa dalam perilaku seksual. Salah satu metode baru yang dapat diaplikasikan dalam pelatihan pendidik/tutor sebaya dengan tujuan tersebut di atas adalah dengan collaborative learning. Dalam pelaksanaannya, metode collaborative learning perlu dievaluasi. Peneliti akan menggunakan metode evaluasi Kirkpatrick. Penelitian ini bertujuan untuk mengetahui hasil penerapan metode collaborative learning dievaluasi menurut metode Kirkpatrick bagi pendidik sebaya tentang pendidikan seksual di sekolah.Metode: Jenis penelitian yang digunakan adalah jenis penelitian kuantitatif dengan disain quasi experimental. Pendidik/tutor sebaya dari 2 sekolah dikelompokkan menjadi 2 kelompok, yaitu kelompok intervensi dan kelompok kontrol.Hasil: Sebagian besar peserta kelompok intervensi puas dengan hasil pelatihan. Ada peningkatan pengetahuan dan keterampilan pada kelompok kontrol dan intervensi pada saat pretest dan posttest. Peningkatan pengetahuan dan keterampialn peserta dengan pelatihan collaborative learning lebih baik dibanding dengan kelompok kontrol' Kelompok intervensi melakukan kegiatan hasil dari pelatihan collaborative learning yang diberikan.Kesimpulan: Dengan pelatihan metode collaborative learning, peserta bertambah pengetahuan dan keterampilan secara signifikan setelah mendapatkan pelatihan collaborative learning dibandingkan dengan kelompok kontrol, peserta menerapkan hasil pelatihan tentang pendidikan seksual di sekolah seperti melakukan penyuluhan kesehatan dan pembagian brosur tentang pendidikan seksual.

Phenomenological study of primiparous mother's experience of emergency cesarean section in Yogyakarta Ratna Widhiastuti; Detty Siti Nurdiati; Wahyu Ikka setyarini
Berita Kedokteran Masyarakat (BKM) Vol 32, No 1 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

PurposeThe purpose of the study was to explore the experience of primipara mother when the emergency cesarean section was decided at RSUD Wates Kulon Progo Yogyakarta.MethodA phenomenological study was conducted involving indepth interview of 7 post emergency cesarean section mothers at Wates Kulon Progo Yogyakarta hospital in April-July 2014.ResultsThe study found three themes on the mother experience related to emergency cesarean section; the perception of the mother associated with emergency cesarean section, the influence of spirituality on positive perceptions of mothers and support for mothers in the face of emergency cesarean section.ConclusionMothers have a specific strategy in dealing with the emergency cesarean section which they will experience. Support for mothers in facing emergency cesarean section, spirituality influence on mother's positive perception and mother perception related to emergency cesarean section affects mother's readiness to undergo emergency cesaeran section. It is necessary to create a policy focusing on FCMC by involving family counselors when the mother is determined by emergency cesarean section.

Pengaruh pendidikan kesehatan kombinasi metode simulasi dan media audiovisual terhadap pengetahuan dan sikap ibu terkait tatalaksana diare di rumah pada balita Aprilia Choirun Nisa; Akhmadi Akhmadi; Mohammad Juffrie
Berita Kedokteran Masyarakat (BKM) Vol 32, No 3 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

PurposeThis research aimed to determine the effect of health education related to the management of diarrhea at home in toddler. MethodsThis research was a quasi-experimental study using a pre and post test approach with control group. The sample population was all mothers who attended Toddler Posyandu in Tiripan village and Ngepeh village, Nganjuk. Sampling technique used simple random sampling totalling 42 mothers in the intervention group and 49 mothers in the control group. Each group was given health education using audio-visual media while the intervention group was given a simulation after watching video. Simulation content included how to create, mix, and giving oralit, sign of dehydration in toddler, and also how to create, dissolve, and giving zinc tablet or syrup. The measurement instrument of mothers knowledge and attitude was made by the researcher modified from Kapti which had been tested for validity and reliability. Post tests performed 1 week after the health education was given. ResultsIn both groups knowledge and attitude increased significantly after intervention with p=0.001. Changes of mothers knowledge and attitude in control and intervention were p=0.062 and p= 0.658, respectively. This result showed no significant difference in scores of knowledge and attitude of mothers in both groups. ConclusionThere were no significant differences in health education between using combination of simulation method and audiovisual media with increased knowledge and attitude in mothers.

Community mental health nursing (CMHN) training on mental health cadres in Kulonprogo Puji Sutarjo; Yayi Suryo Prabandari; Susi Iravati
Berita Kedokteran Masyarakat (BKM) Vol 32, No 2 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

The effect of community mental health nursing training on the self efficacy and skills of the mental health cadresPurposeThis study aimed to know the effect of community mental health nursing training to self efficacy and skills of mental health cadres in early detection of severe mental illness symptoms in Banyuroto village, Nanggulan district, Kulon Progo. MethodsThis research was a quasi-experimental study using pre-post tests with control group. The treatment group were 32 health cadres who were given community mental health nursing training and the control group were 33 cadres who were not given community mental health nursing. ResultsBased on the pre-post tests, it was shown that there was a significant effect on the self efficacy and skills enhancement. ConclusionThere was an effect of community mental health nursing training using lectures, demonstrations, and role play methods on the self efficacy enhancement and skills of the mental health cadres in performing severe mental illness symptom early detection (psychosis).

Perbandingan metode promosi kesehatan terhadap perubahan persepsi ibu tentang sex education pada anak prasekolah Evi Septiani; Shinta Prawitasari; Ova Emilia
Berita Kedokteran Masyarakat (BKM) Vol 32, No 11 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Latar Belakang: Kasus kekerasan seksual terhadap anak di Indonesia berdasarkan laporan Komisi Nasional Perlindungan Anak semakin meningkat setiap tahun. Hal ini menunjukkan pentingnya pemahaman tentang pengetahuan seksual sejak usia dini. Promosi kesehatan dilakukan untuk meningkatkan pengetahuan ibu sehingga diharapkan dapat merubah persepsi tentang pentingnya sex education pada anak usia prasekolah sebagai salah satu upaya pencegahan kekerasan seksual terhadap anak. Penelitian ini bertujuan membandingkan pengaruh promosi kesehatan melalui metode ceramah dengan audiovisual dan media leaflet terhadap perubahan persepsi ibu tentang sex educationpada anak usia prasekolah. Metode: Penelitian quasi experiment dengan rancangan non-equivalent control group design with pretest and postest. Sampel penelitian adalah ibu yang memiliki anak usia prasekolah berjumlah 64 orang yang bersekolah di TK.ABA Pringwulung dan TK Al-Islam Kecamatan Depok. Pengambilan sampel dilakukan dengan teknik purposive sampling dan analisis menggunakan uji paired t-test dan independent t-test pada tingkat signifikansi p < 0,05.Hasil: Metode ceramah dengan audiovisual memiliki nilai peningkatan rerata persepsi antara pretest dan posttest-1 sebesar 5,3 (CI: 3,01-7,56) dan antara pretest dan posttest-2 sebesar 3,8 (CI: 1,33-6,29), sedangkan pada kelompok dengan media leaflet memiliki nilai peningkatan rerata persepsi antara pretest dan posttest-1 sebesar 0,4 (CI: -1,28-2.15) dan antara pretest dan posttest-2 sebesar 0,1 (CI: -2,17-2,35).Kesimpulan: Promosi kesehatan melalui metode ceramah dengan audiovisual mengalami peningkatan skor persepsi ibu tentang sex education pada anak usia prasekolah lebih tinggi dibandingkan dengan kelompok media leafletKata Kunci: Promosi kesehatan, persepsi, kekerasan seksual pada anak, sex education, anak usia prasekolah.

Peran kepala puskesmas SKM dan non SKM dalam meningkatkan kemampuan manajerial puskesmas di kabupaten Oku Timur Aulawi Aulawi; Riris Andono Ahmad; Mubasysyir Hasanbasri
Berita Kedokteran Masyarakat (BKM) Vol 32, No 9 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Role of the head of public health centers from public health graduates and others on improving managerial skills in East OkuPurposeThis study aimed to understand how public health and non-public health backgrounds affect management skill of primary health care heads, based on ten managerial roles. MethodsThis study was a descriptive study with case-series method, using qualitative methods supported by quantitative data. Eight people were recruited as respondents. They consisted of 4 people that were primary healthcare heads with public health background and 4 people that were primary healthcare heads with non-public health background. Respondents were recruited by purposive sampling. Data collection was performed using in-depth interviews and questionnaire. ResultsPrimary healthcare head with public health background owned more work experience than those with non-public health background. Period of employment in primary health care had an influence on managerial capabilities. There were no significant differences of period of employment in primary health care head positions among the longest with the least to the managerial capabilities. Primary health care heads who had been trained with PIM IV training and other structural positions were known to have better management capabilities, especially compared to the leadership role of those who had not been trained.ConclusionThere was no significant difference in managerial capacity between primary health care heads with public health and those with non-public health background.

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Contact Name Ika Kusumaningtyas

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Editorial Address Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

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Abstract

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Abstract

Abstract

Abstract

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Abstract

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Ika Kusumaningtyas

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tyas.kusuma@ugm.ac.id

Phone
+628988833412

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Sekretariat Bersama Jurnal, Lt. 2 Atas Kantin IKM, FK-KMK UGM Jl. Farmako, Sekip Utara, Yogyakarta 55281

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Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA