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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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Peer educator as a method to increasing the knowledge and attitude of HIV/AIDS prevention among nursing students in Samarinda
Berita Kedokteran Masyarakat (BKM) Vol 32, No 8 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

PurposeThe purpose of this paper was to analyze the effect of health education through peer educator to increase of knowledge and attitude in HIV/AIDS prevention of nursing students in Samarinda.MethodA quasi experiment study was conducted involving 65 subject of the experiment group and control group. Data analysis used statistical paired t-test to identify difference in the two groups and independent t-test to compare knowledge and attitude of each group.ResultsThe study found that there was a significant statistic difference of p < 0,05 in both of the groups. A significant increasing on knowledge and attitude average value in treatment group with peer educator method than the control group with a modules.ConclusionThis paper contributes to our understanding effectiveness of health education through peer educator increased knowledge and attitude of the HIV/AIDS prevention among nursing students in Samarinda. It is expected that other universities can use this peer educator method to form groups of student mediators in conducting prevention activities of HIV / AIDS.

Role and motivation of mental health nurses in the implementation of ‘restraint free’ program in Mataram primary health care of West Nusa Tenggara Arif Rahman; Carla Raymondalexas Marchira; Ibrahim Rahmat
Berita Kedokteran Masyarakat (BKM) Vol 32, No 8 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Role and motivation of mental health nurse in “restraint free” program: a case study from MataramPurposeThis study aimed to describe the mental health nurse’s role and motivation of the implementation of a ‘restraint free’ program (program bebas pasung) at community health centers, Mataram, West Nusa Tenggara.MethodsThis was a qualitative research with case study design. The subjects were ten nurses of mental health programs, three persons from families of sufferers, two employees of community health service and one person who was a former sufferer of a mental disorder. Data collection used focus group discussions (FDG), in-depth interviews and observations. ResultsThe nurses had been carrying out their role as executors of nursing care policy, as the direct nursing caregivers, and were giving the nursing to sufferers and their families as well as continuing therapy for sufferers, and as educators also educated the family. Mental health information provided guidance to intern students doing mapping of cases of mental disorders and empowering the sufferer. The form of the work involves motivation of nurses while working conditions were a factor that cannot support nurses for giving the nursing care to suffers and family. ConclusionNurses have been implementing a ‘restraint free’ program. however, it has not been always well received in the working conditions experienced. So, it is recommended that mental health nurses be given help and support partners or stakeholders to enhance preventive efforts, in their promotive, curative and rehabilitative programmes.

Contaceptive use spacing after childbirth with contraception failure: IDHS 2012 analysis Chamy Rahmatiqa; Shinta Prawitasari; Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 8 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Contraceptive use after childbirth and contraception failure: an analysis of Indonesia Demographic Health Survey 2012PurposeThis research aimed to evaluate the use of contraception after childbirth with contraception failure. MethodsThis research was an observational study using IDHS 2012 with a retrospective cohort design. Married women who got pregnant while using contraceptives were the unit of analysis. Statistical analysis used survival analysis with stratified Cox Regression methods.ResultsAnalysis showed a higher failure rate in the traditional contraceptive methods such as coitus interruptus and periodic abstinence. The failure rate of the contraceptive method implant in Indonesia was higher by 10 times the global failure rate. Women who had used contraceptive for 33-48 weeks and >48 weeks after childbirth had higher risk of pregnancy with contraceptive failure (respectively HR=1.25; 95% CI: 0.63-2.47 and 1.91; 95% CI: 1-3.67), respectively. Other factors influencing the contraceptive failure were age and met or unmet needs.ConclusionContraceptive use after childbirth is associated with contraceptive failure among woman of childbearing age in Indonesia. Providers of contraceptive implants may introduce additional variations of implantable contraceptives in Indonesia and are supported by qualified health personnel.

Peran Sumber Pelayanan dan Jenis Provider Terhadap Diskontinuitas Kontrasepsi: Analisis Data SDKI 2012 Izzatul Arifah; Sukamdi Sukamdi; Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 11 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Effects of health facility ownership and type of providers on contraception discontinuation: an analysis of 2012 Indonesian demographic health surveyPurposeThis study aimed to examine the role of source of family planning services and types of providers on the discontinuity pattern of modern contraceptive use in women of childbearing age.MethodsThis study analyzed the longitudinal data using secondary data of the IDHS 2012. The sample criteria were: women ever married, aged 15-49, who have ever used modern contraception (pills, injections, IUDs and implants). Stratified Cox models were used to assess the effect of predictors toward contraceptive discontinuation.ResultsKaplan-Meier curves showed higher discontinuity in the short-term contraceptive methods such as injections and pills. Multivariable analysis showed the influence of method source to discontinuation after controlling for other factors, namely age, number of children, education level and place of residence. The risk of discontinuation was greater in government source than private, with HR 1.14 95% CI (1.06 to 1.23). Sub-sample analysis of private services showed a greater chance of discontinuity in physician, with HR 1.28 95% CI (1.06 to 1.54).ConclusionContraceptive discontinuation rate was lower among women using private source and midwives. Women with older age had greater number of children, and the factor of low education levels also was associated with longer duration of contraceptive use.

PENERAPAN SISTEM MANAJEMEN KESELAMATAN DAN KESEHATAN KERJA TERHADAP KECELAKAAN AKIBAT KERJA
Berita Kedokteran Masyarakat (BKM) Vol 32, No 3 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Latar belakang: Sistem Manajemen Keselamatan dan Kesehatan Kerja (SMK3) merupakan bagian penting untuk perlindungan tenaga kerja agar pekerja tetap selamat, sehat, dan aman. Penerapan SMK3 di perusahaan akan menghindarkan dari risiko kerugian moral maupun material, kehilangan jam kerja, maupun keselamatan manusia, yang diakibatkan oleh kecelakaan. Setiap tahunnya di PT Mega Andalan Kalasan, Sleman, Daerah Istimewa Yogyakarta, terdapat kecelakaan kerja yang mengakibatkan kerugian bagi perusahaan dan harus dibawa ke rumah sakit. Kecelakaan yang terjadi seperti jari putus, jari terjepit, mata terkena percikan api gerinda, dan sebagainya. Berdasarkan uraian di atas maka ingin mengetahui penerapan SMK3 terhadap terjadinya kecelakaan akibat kerja.Metode Penelitian: Jenis penelitian ini adalah kualitatif, rancangan penelitian dalam bentuk studi kasus yang bertujuan mendiskripsikan keadaan, menilai, dan mengetahui penerapan SMK3. Penelitian ini dilaksanakan di bagian produksi Divisi Hospital Equipment (HE) Unit Pre Treatment dan Painting PT Mega Andalan Kalasan. Instrumen penelitian menggunakan kriteria daftar periksa audit SMK3 yang terdapat pada lampiran 2, Peraturan Pemerintah Nomor 50, Tahun 2012, yang terdiri dari 5 prinsip, 12 kriteria, dan 166 item. Rentang hasil dari capaian auditnya 0 – 100%.Hasil: Hasil capaian penerapan SMK3 di perusahaan sebesar 76,5%, dalam kategori penerapan baik, yaitu untuk tingkat pencapain 60 – 84%. Jumlah temuan 39 kriteria, dengan kategori ketidaksesuaian mayor 0 kriteria, dan minor 39 kriteria.Kesimpulan: Hasil penerapan SMK3 di perusahaan sebesar 76,5%, dan penerapan SMK3 secara signifikan dapat menurunkan kecelakaan akibat kerja. Kata Kunci: kecelakaan, SMK3, keselamatan dan kesehatan kerja.

Causes of musculoskeletal complaint on carving crafters in Bantul Rahmat Hidayat; Widodo Hariyono; Adi Heru Sutomo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 8 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Causes of musculoskeletal complaint on carving crafters in BantulPurposeThe purpose of this study was to determine the factors causing musculoskeletal disorders in furniture carvers in Bantul. These factors are age, length of service, work stress and smoking habit.MethodsA cross-sectional study was conducted by distributing questionnaires to 56 respondents in a furniture carving business in Bantul. The independent variables were age, years of service, work stress, and smoking habits, while the dependent variable was a musculoskeletal disorder. Measurement of musculoskeletal disorder used a questionnaire, and Nordic Body Map while work stress measurement used a work stress indicator questionnaire.ResultsThe study found that there was a significant correlation between age and work stress with musculoskeletal complaints in furniture craftsmen in Bantul, while the working period and smoking habit did not significantly influence the musculoskeletal disorder in furniture crafters in Bantul.ConclusionAge and occupational stress are factors that affect musculoskeletal complaints, while the habit of work and smoking habit did not have a significant effect on the occurrence of musculoskeletal complaints in furniture crafters in Bantul. Work rotation and workspace design need to be done properly to minimize the risk of musculoskeletal problems in furniture crafters in Bantul.

Determinan ketidakpatuhan terapi antiretroviral pada orang dengan HIV/AIDS dewasa Zulpahmi Harahap; Eggi Arguni; Theodola Baning Rahayujati
Berita Kedokteran Masyarakat (BKM) Vol 32, No 6 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Determinants of non-adherence to antiretroviral therapy in adults with HIV/AIDSPurposeThis study aimed to determine the factors of non-adherence ARV therapy in adult PLWHA.MethodsA case-control study was conducted using secondary data of the Cilacap VCT clinic with consecutive sampling technique. The total sample was 204, consisting of 102 cases and 102 controls (1:1). The cases were adult PLWHA who did not adhere to ARV therapy and the controls were adult PLWHA who adhere to ARV therapy. The bivariate analysis used Chi-square and Fisher's exact tests and multivariate analysis used logistic regression tests. ResultsThe variables that were shown to jointly affect non-adherence to ARV therapy in adult PLWHA were the level of education, CD4 count, PMO and opportunistic infections.ConclusionsThe risk factors of non-adherence to ARV therapy in adult PLWHA were the level of education, PMO, CD4 count and opportunistic infections. There needs to be a special assistance and counseling program on a regular basis to PLWHA adults with low education, obligating all PLWHA adults that start ARV therapy to have a PMO, continue HIV screening programs to entire population at risk and advocate the local governments to facilitate PLWHA who can not afford to obtain CD4 test .

Sumber daya kesehatan dan unmet need: analisis tingkat provinsi Lilik Ariyanti; Djaswadi Dasuki; Siswanto Agus Wilopo
Berita Kedokteran Masyarakat (BKM) Vol 33, No 1 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Availability of health resources and unmet needs: a provincial level analysisPurposeThis study aimed to analyze the association between the availability of health and percentage of unmet needs in every province in Indonesia.MethodsThis study used secondary data of the Indonesian demographic and health survey 2012, health facilities research report 2011, Board of Population and Family Planning contraceptive services report 2012 and reports from Indonesian Central Bureau of Statistics 2012. The sample was all provinces in Indonesia. Linear regression tests were used to examine the correlation between the availability of health resources and unmet needs.ResultsStatistically, there was no association between the ratio of health resources by 10,000 population with unmet needs for family planning. But, there was an association between the ratio of health resources based on the area with unmet needs for family planning. The higher ratio of health resources by 1000 km2, the lower unmet need percentage for family planning.ConclusionsAvailability (quantity and distribution) of health resources based on the area plays an important role in family planning programs especially unmet needs for family planning. Planning of health resources provision should not be only based on the ratio by 10,000 population, but also consider the area of services.

Determinan sosial kejadian dengue shock syndrome di Semarang Yudi Pradipta; Ida Safitri Laksanawati; Dibyo Pramono
Berita Kedokteran Masyarakat (BKM) Vol 32, No 5 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Social determinants of dengue shock syndrome in SemarangPurpose This study aimed to know the social determinants related to dengue shock syndrome.Methods This study used a case control design in Semarang. Cases were dengue patients with shock syndrome diagnosed by a clinician in the hospital, and controls were dengue patients without shock syndrome. Participants were recruited using purposive sampling, and completed written informed consent to be interviewed using a questionnaire.ResultsResults showed that children aged <18 years have the highest risk of having DSS compared to other age groups. Referral system was also correlated to dengue shock syndrome.Conclusion This study recommends the clinicians to undertake appropriate diagnosis and prompt decision making to reduce the risk of more severe DHF events. The community should improve the awareness of shock syndrome by taking their children immediately to health services for examination if they have dengue symptoms in order to get the adequate treatment.

Ketahanan hidup 5 tahun pada pasien kanker payudara Evi Susanti Sinaga; Riris Andono Ahmad; Susanna Hilda Hutajulu
Berita Kedokteran Masyarakat (BKM) Vol 33, No 2 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Analysis of 5-year survival of patients treated for breast cancer at Sardjito Hospital in Yogyakarta province, IndonesiaPurposeThis study aimed to assess the length of life of breast cancer patients as well as factors related to the prognosis of survival of patients.MethodsThis research was a retrospective study. Samples in this study were patients with breast cancer who were first diagnosed with breast cancer from January 1, 2009 until December 31, 2009 at the Dr. Sardjito Hospital, Yogyakarta. The Kaplan Meier method was used for the data analysis, and final factors were reviewed and those that showed significant association were entered in a Cox regression model. Calculations were performed in Stata 12.0.ResultsResults showed the 5 year survival rate was 51.07%. In bivariate analysis, there was a correlation between the age of diagnosis, education, clinical stage, tumor size and tumor location on 5-year survival in patients with breast cancer. For multivariate analysis, age of diagnosis had the most powerful correlation (HR = 3.73; 95% CI = 1.0 to 13.6) on survival (p = 0.046).ConclusionSurvival rates of women with breast cancer aged less than 50 years were lower. Young women with breast cancer tended to have more aggressive breast cancer growth and recurrence risks were greater. Efforts are needed for early detection of breast cancer to improve survival in breast cancer patients.

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Ika Kusumaningtyas

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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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Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Ika Kusumaningtyas

Contact Email tyas.kusuma@ugm.ac.id

Phone +628988833412

Journal Mail Official bkm.fk@ugm.ac.id

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

Location Kab. sleman, Daerah istimewa yogyakarta INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Ika Kusumaningtyas

Contact Email
tyas.kusuma@ugm.ac.id

Phone
+628988833412

Journal Mail Official
bkm.fk@ugm.ac.id

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

Location
Kab. sleman,

Daerah istimewa yogyakarta

INDONESIA