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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 1,532 Documents
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Intervensi pada perilaku bidan tentang pelaksanaan inisiasi menyusu dini dengan menggunakan layanan pesan singkat Widya Lionita; Ova Emilia; Trisasi Lestari
Berita Kedokteran Masyarakat (BKM) Vol 33, No 2 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1005.796 KB) | DOI: 10.22146/bkm.11653

Abstract

Intervention on midwife behavior about early initiation of breastfeeding practice using short message servicePurposeThis research examined the effects of an intervention by delivering short message service towards midwife behavior.MethodsThis research was a quasi-experimental study with pre and post test design using control group. A total of 64 midwives in Palembang participated until data extraction. About 18 themes of short messages were delivered through participants’ mobile phone. Data were analyzed by univariate, bivariate, and linear regression tests.ResultsResults showed that the intervention improved early breastfeeding perceptions by about 7.3% (p= 0.0308). Participants’ knowledge was increased after intervention although there was no significant mean difference between groups. Almost all participants (over 80%) practiced imperfect early breastfeeding, especially in giving information since antenatal care, short-duration, and directing baby for sucking mother’s nipple.ConclusionNot all of participants facilitated early breastfeeding in every birth because of other factors such as unsupported mother and infant’s condition. Early initiation of breastfeeding is not easily implemented by health staff. It is better that midwives could motivate mothers to breastfeed within 1 hour since antenatal care. The important keys are having high commitment and confidence which contribute to midwives’ belief for practicing every step in every birth. We concluded that this research should be continued for long-term-analysis to give more significant results.
Perilaku merokok pasien jantung koroner: studi di rumah sakit Saras Husada Debsy Vonneke Pattilima; Anggoro Budi Hartono; Trisno Agung Wibowo
Berita Kedokteran Masyarakat (BKM) Vol 33, No 1 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (396.404 KB) | DOI: 10.22146/bkm.11661

Abstract

Smoking behavior of patients with coronary heart diseases: a study in the Saras Husada hospitalPurposeThis study aimed to examine the determinants of smoking behavior in patients with coronary heart disease (CHD) in Saras Husada hospital Purworejo.Methods A cross sectional study was conducted involving 205 respondents. Dependent variable was smoking behavior in patients with coronary heart diseases, while independent variables were knowledge about dangers of smoking, exposure to cigarette advertising and smoking behavior of family members with confounding variables: age, sex, and education. Data were collected through interviews using a structured questionnaire and analyzed using bivariate and multivariate tests.ResultsThis study found no correlation of cigarette advertisement exposure, smoking behavior of family members, gender, and education with smoking behavior in CHD patients. Multivariate analysis showed that gender variables influence the determinant of smoking behavior in CHD patients.ConclusionThis study provides knowledge that gender is the strongest determinant affecting smoking behavior in CHD patients. It is necessary to apply the local regulation ban on smoking, especially for men in public places, workplaces and schools.
Kualitas relasi dan resiliensi orang tua anak dengan disabilitas intelektual Amalia Senja; Soewadi Soewadi; Intansari Nurjannah
Berita Kedokteran Masyarakat (BKM) Vol 33, No 4 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (401.674 KB) | DOI: 10.22146/bkm.11708

Abstract

The quality of parent-children relationship and resilience among parents with children with intellectual disabilityPurposehis study was conducted to know the relation between quality of parent-child relationship and resilience among parents of children with intellectual disability.MethodsThis cross-sectional study was conducted from June - July 2015 at SLB N 1 Bantul Yogyakarta city while the instrument test was conducted on 20 parents who had children with intellectual disability in SLB Darma Bhakti Piyungan, Yogyakarta. The population in this study were all parents with children with intellectual disability in SLB N 1 Bantul from TKLB level to SMALB. The samples were 60 respondents.ResultsThis study found no association between the quality of parent-child relationships with parental resilience with intellectual disability children. ConclusionThe authors suggest that resilience variables are not directly linked to the variable quality of relations but there are also other variables that influence it such as social support and others.
Implementasi peraturan daerah kawasan tanpa rokok Kota Padang Panjang Radian Ilmaskal; Yayi Suryo Prabandari; Trisno Agung Wibowo
Berita Kedokteran Masyarakat (BKM) Vol 33, No 5 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (610.724 KB) | DOI: 10.22146/bkm.11716

Abstract

Evaluation of the implementation of the regional regulation of smoke free areas in Padang Panjang cityPurposeThis study aimed to evaluate the implementation of the regional regulation of smoke free areas (SFAs) in Padang Panjang city.MethodsThis research was a mixed method study with a sequential explanatory design. Accidental sampling was used to select the respondents. Respondents were smokers and non-smokers between 15-50 years of age living in Padang Panjang city since 2009. Informants for the qualitative data were district government authorities, community leaders and non-governmental organizations selected by purposive random sampling. Quantitative data were analyzed descriptively, while qualitative data were analyzed by content analysis. The study was conducted in April-June 2015.ResultsCompared to previous surveys in 2007, 2011 and 2013, smoking prevalence did not decrease in Padang Panjang city. Key informants suggested commitment to SFAs regulation decreased when the mayor changed, since the new mayor is a smoker. The majority of respondents (94%) supported the SFAs regulation, about 90% had not smoked in SFAs and more than 50% of smokers had not smoked in the smoking rooms such as in market (82%) and bus station (78%).ConclusionIt is suggested for the government improve promotion of SFAs regulation, raise awareness of dangers of smoking in markets, public transportation and other public spaces and improve the regulation so its qualification is everyone who wants to be a leader has to be a non smoker.
Pola sebaran tingkat infeksi bersama serotipe virus dengue di wilayah kajian RT-PCR Balai Besar Teknik Kesehatan Lingkungan dan Pengendalian Penyakit Yogyakarta: analisis data 2013-2015 Fitria Wakano; Lutfan Lazuardi; Eggi Arguni; Hari Kusnanto
Berita Kedokteran Masyarakat (BKM) Vol 32, No 11 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1364.278 KB) | DOI: 10.22146/bkm.11778

Abstract

Pattern of concurrent infection of dengue virus serotype in the regional study areas of Yogyakarta Center for Environmental Health and Diseases Control: an analysis of  2013-2015 dataPurposeThis study aimed to determine the pattern in the spread of infection rates with dengue viral serotypes.MethodsThe study was a descriptive research with spatial mapping methods. Data of 132 respondents were collected based on RT-PCR in 2013-2015. The complete address of the village-level patient from the dengue arbovirosis surveillance data of the Center for Environmental Health and Diseases Control Yogyakarta were used to determine the coordinate points with utilization of RBI and Google Earth maps in searching addresses for distribution of case coordinate points. ResultsThere were similarities with the most complex quadruple joint infection rates of DEN in Semarang and Yogjakarta, while Kebumen obtained double DEN level. Three patterns of infection with DEN-1 and DEN-3 have p-value < 0.05 in Semarang in 2014, Sragen in 2015 and Semarang 2013 and 2 patterns in Gunung Kidul 2014 and Kulon Progo 2015. The patterns of infection with DEN-1, DEN-2 and DEN-3 in 2015 were covering Sragen and Semarang in 2013.ConclusionThe most complex areas of infection were Semarang and Yogyakarta. The pattern of most likely cluster infection with DEN-1 and DEN-3 and DEN-1, DEN-2 and DEN-3 allegedly was a result of two infected patients, different serotypes of different mosquitoes or infection of more than one serotype of Ae. aegypti or Ae. albopictus as the main vector.
Analisis Beban Ekonomi Kejadian Luar Biasa (KLB) Campak di Daerah Istimewa Yogyakarta Tahun 2015
Berita Kedokteran Masyarakat (BKM) Vol 32, No 4 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.11793

Abstract

Latarbelakang: Jumlah kasus campak di DIY  tahun 2014 mencapai 1.222 kasus (Kemenkes 2014). Jumlah ini menempatkan DIY menjadi provinsi dengan jumlah kasus campak terbanyak ketiga setelah DKI Jakarta dan Aceh. Kejadian luar biasa campak di 2014 sebanyak 10 kali dengan 262 kasus, 2014 1 kali dengan 14 kasus. Penelitian ini bertujuan untuk menganalisis beban ekonomi akibat KLB campak pada sektor rumah tangga.Metode: Penelitian deskriptif dengan desain survei, data yang dikumpulkan  berupa biaya langsung dan tidak langsung yang terjadi selama pasien terkena campak, dilakukan wawancara menggunakan kuesioner. Data sekunder berupa kejadian luar biasa campak tahun 2014 dan 2015. Penelitian pada Februari -  Maret 2016.Hasil: Jumlah responden sebanyak 177, yang merupakan pasien  KLB campak di DIY, 163 pasien (92,09%) mengunjungi fasilitas kesehatan. Total biaya medis adalah Rp 17.982.000,- biaya langsung non medis Rp 7.804.900,- sehingga total biaya langsung Rp 25.786.900,-  (Rp 145.700,- per kasus). Sedangkan total biaya tidak langsung Rp 11.720.000,-(Rp 160.500,-). Estimasi beban ekonomi KLB campak Rp 37.506.900,- (Rp. 211.900,- perkasus). Setara dengan  9,20% dari  pendapatan rumah tangga. Secara umum biaya yang di keluarkan tunai (Out Of Pocket) sebesar 6,32% dari pendapatan rumah tangga, belum sampai  katastropik. Komponen yang  dominan  adalah biaya langsung. Estimasi beban ekonomi KLB campak Rp 211.900,- perkasus, beban ini secara umum masih bisa di atasi oleh rumah tangga. Namun ada 6 pasien (35,29%) dari total pasien rawat inap yang melakukan strategi copyng (meminjam uang, menjual aset dan menggadai barang).Kesimpulan: Perlu advokasi kepada masyarkat terkait pencegahan campak yaitu dengan cara imunisasi campak. 
Komitmen manajemen, pengetahuan K3, perilaku K3, dan kecelakaan kerja pada perawat di RS PKU Muhammadiyah Yogyakarta Anggit Pratiwi; Widodo Hariyono; Adi Heru Sutomo
Berita Kedokteran Masyarakat (BKM) Vol 32, No 11 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (382.383 KB) | DOI: 10.22146/bkm.11907

Abstract

Management commitment, occupational safety and health knowledge and behavior, and work accidents among nurses in a private hospital in YogyakartaPurposeThis study aimed to determine the relationship between management commitment, knowledge and behavior of occupational safety and health on nursing work accidents in RS PKU Muhammadiyah. MethodsThis cross-sectional study involved 73 nurses as research subjects. Data were analyzed using simple and multiple linear regression tests. ResultsThere was a significant negative relationship between each variable of management commitment, safety and health knowledge, safety and health behavior, and occupational accidents. When analyzed collectively there was a strong relationship between management commitment, knowledge and behavior of occupational safety and health and occupational accidents. ConclusionThis study suggests that the management of PKU Muhammadiyah Yogyakarta hospital can maintain the results achieved in the prevention of occupational accidents, increase supervision of hazard factors that may occur in the workplace, incorporate aspects of occupational safety and health in each Standard Operating Procedure, and post written rules of occupational safety and health in each work area. Management is recommended to provide health and safety training to nurses and socialization of occupational safety and health on a regular basis.
Peran kader posyandu dalam memberdayakan masyarakat Bintan Fino Susanto; Mora Claramita; Sri Handayani
Berita Kedokteran Masyarakat (BKM) Vol 33, No 1 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (335.858 KB) | DOI: 10.22146/bkm.11911

Abstract

Role of posyandu cadres in empowering the community of BintanPurposeThis study aimed to determine the role of posyandu cadres in empowering the community in Kawal village, Gunung Kijang district, Bintan regency.MethodsThis study used a qualitative method with a case study design and purposive sampling technique, with the cadres of posyandu. Data collection was done by in-depth interviews and focus group discussion (FGD), with triangulation of sources and methods.ResultsThe role of cadres are as a health motivator, with the extension officers of the health and medical services as well as cadres being able to identify the needs, barriers and help to coordinate in providing health services.ConclusionPosyandu cadres have high social spirit created by the combination of internal and external motivation, resources and potential as well as experience developing ability, with the social spirit capable of inspiring, activating, stimulating, mobilizing and motivating people. 
Prediktor Kekambuhan Tuberkulosis di Kabupaten Bantul Yogyakarta 2014 Nooria Sukmaningtyas; Ning Rintiswati; Riris Andono Ahmad
Berita Kedokteran Masyarakat (BKM) Vol 32, No 9 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (454.938 KB) | DOI: 10.22146/bkm.12125

Abstract

Predictors of tuberculosis recurrence in the district of Bantul PurposeThe purpose of this research was to identify associated factors of TB recurrence. MethodsThe study design was a retrospective cohort. We  used TB cases registered in Bantul regency data in 2003-2014 that consisted of 3418 patients. Sampling was conducted by non-random methods with purposive sampling based on inclusion criteria of 904 samples. The variables measured were: age, sex, drug swallowing supervisor, health service facility, socioeconomic and sputum conversion. We used the Cox proportional hazard model for data analysis to determine the rate of occurrence and timing of the occurrence of an event. ResultsMale sex (HR = 0.91; p-value = 0.17) age> 40 years (HR = 1.03; p-value = 0.59), low income (HR = 0.89; p-value = 0.11) were not predictors of TB recurrence, while hospital treatment (HR = 0.81; p-value = 0.00), no sputum conversion (HR = 0.58; p-value = 0.00), treatment failure (HR = 0.49; 95% CI: 0.37-0.64), and treatment of less than 6 months (HR = 0.008; 95% CI: 0.00-0.07) were predictors of TB recurrence. There were 56 (6.18%) of 904 patients who experienced relapse after cured or failed treatment. The average patient relapsed after 17 months of completion of the first treatment. ConclusionHealth facilities, sputum conversion, end-of-treatment status and duration of treatment are pulmonary TB recurrence factors, and as a result can be used to predict TB recurrence in the district of Bantul.
Paparan kromium dan kerusakan ginjal pada pekerja pelapisan logam Fahrul Islam; Budi Hatono
Berita Kedokteran Masyarakat (BKM) Vol 32, No 8 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (441.748 KB) | DOI: 10.22146/bkm.12130

Abstract

Tujuan: Penelitian ini dilakukan untuk mengetahui risiko kerusakan ginjal akibat paparan kromium di tempat kerja.Metode: 33 pekerja pelapisan logam dan 33 subyek kontrol yang tidak memiliki riwayat paparan kromium di Makassar dilibatkan. Kadar kromium dalam urin dihitung dengan spektrometri serapan atom.Hasil: Urin dari pekerja yang terpapar mengandung kadar kromium yang lebih tinggi, apabila dibandingkan dengan yang diperoleh pada kelompok kontrol. Selanjutnya, ada hubungan langsung yang didapat antara jumlah kromiun dan kerusakan ginjal. Kerusakan ginjal dikaitkan dengan keberadaan kadar kromium dalam urin. Lingkungan kerja pelapisan logam meningkatkan risiko paparan kromium yang tinggi. Temuan dari penelitian ini menunjukkan bahwa terdapat paparan kromium yang lebih tinggi pada pekerja pelapisan logam dengan kerusakan ginjal. Pekerja yang terpapar dalam jangka waktu lama mengakibatkan tingkat akumulasi paparan lebih besar di dalam tubuh.Kesimpulan: Penelitian ini menyarankan dinas tenaga kerja untuk mengawasi secara ketat kadar emisi kromium di industri yang berisiko tinggi. Sementara, bagi pemilik industri perlu memastikan agar setiap pekerja menggunakan alat pelindung diri untuk mengurangi risiko.

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