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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 1,528 Documents
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EFEKTIFITAS EKSTRAK KAKTUS PIR BERDURI (Opuntia ficus Indica) SEBAGAI HAND SANITIZER judul
Berita Kedokteran Masyarakat (BKM) Vol 33, No 8 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.18079

Abstract

Latar Belakang: Telapak tangan merupakan bagian tubuh yang paling sering kontak dengan dunia luar dan digunakan sehari-hari untuk melakukan aktivitas. Hal ini sangat memudahkan terjadinya kontak dengan mikroorganisme dan mentransfernya ke objek lain. Ribuan jenis tanaman yang banyak tersebar di Indonesia diantaranya ada yang dapat untuk dikembangkan sebagai antibakteri, salah satunya adalah tanaman kaktus pir berduri. Tanaman ini dipilih karena diketahui bahwa memiliki kandungan bahan aktif yang berpotensi sebagai antibakteri. Saat ini pemanfaatan tanaman kaktus pir berduri di Indonesia belum terlalu luas dilakukan oleh karena itu peneliti tertarik untuk menggunakan tanaman tersebut sebagai bahan antibakteri dalam pembuatan hand sanitizerTujuan Penelitian: Mengetahui efektivitas hand sanitizer dari ekstrak kaktus pir berduri (Opuntia ficus Indica) terhadap jumlah angka kuman kulit telapak tanganMetode Penelitian: Penelitian ini bersifat eksperimental laboratories dengan rancangan penelitian the post test only control group design. Instrumen yang digunakan adalah peralatan dan bahan laboratorium, alat perekam gambar, dan program uji satistik STATA for windows .Cara analisis data yaitu data dianalisis secara laboratorium dan uji statistik One Way Anova untuk melihat ada atau tidaknya perbedaan yang bermakna, bila terdapat perbedaan maka dilanjutkan dengan uji pos hoc BonferroniHasil Penelitian : Berdasarkan uji KLT menyatakan bahwa ektrak kaktus pir berduri positif mengandung flavonoid. Perlakuan kontrol positif (alkohol 70%) terhadap jumlah angka kuman memiliki nilai mean yaitu 84.2. Perlakuan kontrol negatif (gelling agent) terhadap jumlah angka kuman memiliki nilai mean yaitu 80.4. Perlakuan eksperimen (hand sanitizer dengan ekstrak) terhadap jumlah angka kuman memiliki nilai mean yaitu 52.8. Tidak ada perbedaan antara penggunaan hand sanitizer dari ekstrak kaktus pir berduri, alkohol 70%, maupun gelling agent terhadap jumlah angka kuman telapak tangan.Kesimpulan : Secara analisis statistik tidak memiliki perbedaan yang berarti, namun pemanfaatan ekstrak kaktus pir berduri sebagai hand sanitizer secara teori dapat berpotensi sebagai antibakteri karena adanya kandungan flavonoid
HUBUNGAN TEMU MEDIA DENGAN PROMOSI PEMBERIAN ASI DI MEDIA MASSA Vita Aristyanita; Toto Sudargo; Kuskridho Ambardi
Berita Kedokteran Masyarakat (BKM) Vol 34, No 4 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (403.163 KB) | DOI: 10.22146/bkm.18092

Abstract

Media relations with breastfeeding promotion through mass mediaPurposeThis study aimed to evaluate the publication of coverage of media gatherings on promoting breastfeeding in the mass media organized by Wahana Visi Indonesia (WVI).MethodThe experimental study was conducted using primary data from the ongoing event which was the publication data of WVI media coverage.ResultThere was still inappropriate coverage in using the terminology associated with breastfeeding (30%). The main messages on the media gathering agenda have not been widely used as the main theme in liputan (30%). There was a difference in the quality of content coverage between mass media groups that have a target audience of women or families with mass media that have a general target audience in terms of the main theme, but there is no difference statistically from other facets. There was a strong correlation between the content quality of the coverage with the mass media group in terms of the main theme, but there is no difference from another side. ConclusionMedia gathering on breastfeeding topics can attract mass media to publish coverage. Groups of mass media that have a target audience of women or families and mass media that have a common target audience can be involved in breastfeeding promotion.
Faktor-faktor yang berhubungan dengan pemberian air susu ibu eksklusif di Kabupaten Sleman Safitri Dwicahyani; Yayi Suryo Prabandari
Berita Kedokteran Masyarakat (BKM) Vol 33, No 8 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (357.438 KB) | DOI: 10.22146/bkm.18130

Abstract

Determinants of exclusive breastfeeding in SlemanPurposeThe purpose of this paper was to determine the factors associated with the exclusive provision of breast milk in Sleman.MethodsA cross-sectional study was conducted using secondary data derived from HDSS Sleman Cycles I and II. The sample in this study were 218 mothers with children aged 7 to <24 months.ResultsThe ownership of health insurance and the use of bottles and pacifiers were significantly associated with exclusive breastfeeding. Maternal age, maternal education, and maternal occupation were not significantly associated with exclusive breastfeeding. Mothers with health insurance are 2.14 times more likely to exclusively breastfeed than those without health insurance. Infants who never use bottles, and pacifiers before the age of 6 months are 5.14 times more likely to receive exclusive breastfeeding than those who used bottles / dots before the age of 6 months.ConclusionThe use of bottles, and pacifiers is the most dominant factor associated with exclusive breastfeeding. Coverage of health insurance, especially in pregnant and lactating mothers and effective health promotion programs related to exclusive breastfeeding needs to be improved. HDSS Sleman needs to analyze the data more in-depth on exclusive breast-feeding.
Faktor Risiko Kegagalan Pengobatan Ulang Pasien Tuberkulosis di Daerah Istimewa Yogyakarta Suharna Suharna; Ning Rintiswati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 9 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (381.036 KB) | DOI: 10.22146/bkm.18137

Abstract

Latar Belakang: Prevalensi HIV pada pasien TB di Indonesia sebesar 2,8%, TB MDR diantara kasus TB baru sebesar 2%, dan TB MDR diantara kasus TB ulang sebesar 12%. Prevalensi TB di Daerah Istimewa Yogyakarta (DIY) rendah dan keberhasilan pengobatan terus meningkat setiap tahun. Namun jumlah kasus TB ulang cenderung naik dengan angka keberhasilan pengobatan yang rendah sehingga berpotensi meningkatkan jumlah kasus TB MDR. Penelitian ini bertujuan untuk mengetahui faktor risiko kegagalan pengobatan ulang pasien TB di DIY.Metode: Studi kasus kontrol berdasarkan pada register pasien TB (TB 03) di 5 Kabupaten/Kota se-DIY dan kartu pengobatan (TB 01) di fasilitas pelayanan kesehatan tahun 2008-2014. Kasus adalah pasien TB pengobatan ulang yang mengalami kegagalan pengobatan, sedangkan kontrol adalah pasien TB pengobatan ulang yang sembuh atau pengobatan lengkap. Sampel berjumlah 142 kasus dan 142 kontrol. Data dianalisis menggunakan uji chi square dan uji regresi logistik berganda pada tingkat signifikansi p<0,05 dan tingkat kepercayaan 95%.Hasil: Hasil analisa bivariat menunjukkan bahwa keteraturan minum obat (p=0,000; OR=34,36; 95%CI=13,26-89),status konversi BTA (p=0,000; OR=11,79; 95%CI=5,73-24,28), dan jenis fasilitas pelayanan kesehatan (p=0,016; OR=2,71; 95%CI=1,2-6,1) berhubungan secara statistik dan merupakan faktor risiko kegagalan pengobatan ulang pasien TB. Hasil uji regresi logistik menunjukkan bahwa keteraturan minum obat (p=0,000; OR=29,52;  95%CI=10,97-79,4) merupakan faktor risiko terkuat yang berhubungan dengan kegagalan pengobatan ulang pasien TB.Kesimpulan: Keteraturan minum obat,status konversi BTA, dan jenis fasilitas pelayanan kesehatanberhubungan secara statistik dengan kegagalan pengobatan ulang pasien TB. Keteraturan minum obat merupakan faktor risiko terkuat yang berhubungan dengan kegagalan pengobatan ulang pasien TB.
Determinan sosial kejadian diare akut pada anak usia 0-59 bulan di Purworejo Lucky Radita Alma; Titis Widowati; Trisno Agung Wibowo
Berita Kedokteran Masyarakat (BKM) Vol 33, No 7 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (657.751 KB) | DOI: 10.22146/bkm.18150

Abstract

Latar Belakang Kasus diare di Kabupaten Purworejo tahun 2013 yaitu 9.163 mengalami peningkatan pada tahun 2014 menjadi 9.543 kasus. Pada tahun 2014, 4% kematian bayi dan 13% kematian balita di Kabupaten Purworejo disebabkan oleh diare. Penelitian ini bertujuan untuk mengetahui determinan sosial kejadian diare akut pada anak usia 0-59 di Kabupaten Purworejo. Metode: Penelitian ini menggunakan desain match case control dengan perbandingan 1:1. Kasus adalah anak usia 0-59 bulan yang berobat ke RS Saras Husada yang didiagnosis menderita diare akut, diantar oleh ibunya dan berdomisili di Kabupaten Purworejo. Kontrol adalah anak usia 0-59 bulan yang berobat ke RS Saras Husada, tidak didiagnosis diare akut atau penyakit yang mempunyai gejala diare. Variabel yang diteliti dalam penelitian ini meliputi tingkat pendidikan ibu, status pekerjaan ibu, pengetahuan ibu, sikap ibu, perilaku ibu, status gizi dan wilayah tinggal. Besar sampel penelitian sebanyak 212 anak. Teknik pengambilan sampel menggunakan consecutive sampling. Analisis bivariat dan multivariat dilakukan menggunakan uji conditional logistic regression. Hasil:. Hasil analisis bivariat menunjukkan bahwa variabel yang memiliki hasil signifikan adalah tingkat pendidikan ibu (OR= 0,44; 95%CI= 0,24-0,80; p= 0,008), status pekerjaan ibu (OR= 0,56; 95%CI= 0,33-0,96; p= 0,038) dan perilaku ibu (OR= 1,84; 95%CI= 1,05-3,22; p= 0,032). Hasil analisis multivariat menunjukkan bahwa variabel tingkat pendidikan ibu, status pekerjaan ibu dan perilaku ibu memiliki hubungan yang bermakna terhadap diare akut. Kesimpulan: Determinan sosial kejadian diare akut pada anak usia 0-59 bulan di Kabupaten Purworejo adalah tingkat pendidikan ibu, status pekerjaan ibu dan perilaku ibu. 
Faktor risiko kejadian multi drug resistant tuberculosis di RSUP Dr. Sardjito Erma Nurjanah Widiastuti; Yanri Wijayanti Subronto; Dibyo Promono
Berita Kedokteran Masyarakat (BKM) Vol 33, No 7 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (391.172 KB) | DOI: 10.22146/bkm.18290

Abstract

Determinant of multi-drug resistant tuberculosis events at Dr. Sardjito Hospital Yogyakarta PurposeThe purpose of this study was to identify the determinants of multidrug resistant events in patients with tuberculosis in Dr. Sardjito Hospital in Yogyakarta.MethodsA cross-sectional study was conducted involving 122 patients with suspected MDR TB consisting of 61 cases of MDR TB and 61 non MDR TB cases. The data collected were secondary data from MDR TB.06 registers, medical records, MDR TB.03 registers, and MDR TB patients' baseline data forms at Dr. Sardjito Hospital Yogyakarta from January 2012 until September 2016. Data were analyzed to determine the correlation between independent variables and dependent variable using Chi-Square tests, and to know the most dominant risk factors using multiple logistic regression tests.Results MDR TB patients’ characteristics showed there were more males (63.93%), age >45 years (52.46%), previously TB treatment (96.72%), never smoking (75.41%), no contacts with MDR TB patients (86.89%), and never examined for HIV-AIDS (59.02%). The analysis showed there was no significant association between age, sex, previous TB treatment, smoking, contact with MDR TB patients, and HIV-AIDS status with MDR TB incidence in Dr. Sardjito Hospital Yogyakarta (p value >0.05).Conclusion The variables of age, sex, previous TB treatment, smoking, contacts with MDR TB patients, and HIV-AIDS status were not risk factors for MDR TB incidence in Dr. Sardjito Hospital in Yogyakarta.
Ketahanan hidup 2 tahun pasien tuberkulosis resisten obat di RS. Moewardi Surakarta tahun 2010-2014 Artika Fristi Firnawati; Riris Andono Ahmad; Heni Retnowulan
Berita Kedokteran Masyarakat (BKM) Vol 33, No 8 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (688.662 KB) | DOI: 10.22146/bkm.22462

Abstract

Two year survival of drug resistant tuberculosis patients in Moewardi hospital in Surakarta in 2010-2014PurposeThe purpose of this study was to determine the two year survival rate and predictor factors of mortality in drug resistant tuberculosis patients during treatment at the Moewardi Hospital in Surakarta.MethodsThis research was a retrospective cohort study of 250 drug resistant tuberculosis patients receiving treatment in the Moewardi Hospital in January 2011-September 2014. Data were analyzed using survival analysis to find factors affecting the 2 year survival. Our variables were demographic factors, disease characteristics and treatment history. We used Cox regression test with 5% significance level.Results2-year survival rates of drug resistant patients was 74.82%. age, the type of patient, HIV status, side effects of medications and culture conversion were significant to survival rate in bivariate analysis. Cox regression test showed that aged ≥ 40 years (HR 3.221; 95% CI 1.037 to 10.001) and have HIV-positive status (HR 18.086; 95% CI 1.958 to 167.073) were related with reduction of two year survival rate in drug resistant tuberculosis patient. ConclusionAge above 40 years old and HIV positive status for drug-resistant tuberculosis patients may accelerate their death. The screening of HIV in drug resistant tuberculosis patients is needed in order to increase two year survival rate of patients during treatment.
Dukungan keluarga dan kualitas hidup bagi penderita stroke pada fase pasca akut di Kabupaten Wonogiri Rahman Rahman; Fatwa Sari Tetra Dewi; Ismail Setyopranoto
Berita Kedokteran Masyarakat (BKM) Vol 33, No 8 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (468.786 KB) | DOI: 10.22146/bkm.22599

Abstract

Family support and quality of life for stroke patients in the post-acute phase of WonogiriPurposeThis research aimed to determine the relationship of family support such as emotional, information, instrumental and reward with the quality of stroke patients in the post-acute phase in Wonogiri.MethodsA cross-sectional study was conducted involving interviews and the use of medical record data of 161 post-acute stroke patients in Wonogiri.ResultsThis study showed that there was a significant correlation of information support (p= 0.000), and awareness support (p=0.000) with the quality of life of post-acute stroke patients. ConclusionThe study confirms the importance of family support in terms of information support and awards support to the quality of life of patients with post-acute stroke.
The impact of hormonal contraceptives on breast cancer patients hospital Dr. Sardjito Nuratul Awaliyah; Heru Pradjatmo; Hari Kusnanto
Berita Kedokteran Masyarakat (BKM) Vol 33, No 10 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (558.534 KB) | DOI: 10.22146/bkm.22812

Abstract

The use of hormonal contraceptives relates with the incidence of breast cancer in Dr. Sardjito Yogyakarta Purpose: This study aimed to determine whether women using the contraceptive pill can cause breast cancer.Methods: A case control study was conducted August to October 2016 with 250 patients.Results: Factors that were associated with breast cancer were: type of pill with adjusted OR = 1.66 (95% CI = 1.21 to 2.28; p = 0.001), duration of consumption with adjusted OR = 2.25 (95% CI = 1.04 to 4.84; p = 0.037), and the period of last hormonal contraception with adjusted OR = 2.41 (95% CI = 1. 15 to 5.05; p = 0.020). This study showed that the use of hormonal contraceptives raises the risk of breast cancer.Conclusion: Women should play an active role in breast cancer prevention programs through early detection and treatment. Health services need to explain the potential risks of hormonal contraceptive.
Hubungan dukungan sosial dan ketaatan pengobatan dengan kekambuhan pasien skizofrenia di Rumah Sakit Tjitrowardojo Kabupaten Purworejo Eti Setiati; Sumarni DW; Sri Suryawati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 6 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (509.311 KB) | DOI: 10.22146/bkm.22836

Abstract

Social support and medication obedience with recurrence of schizophrenia patients in PurworejoPurposeThe purpose of this paper was to determine the relationship of social support and medication obedience with recurrence of post-hospitalized schizophrenia patients.MethodsA cross-sectional study was conducted in November-December 2016 involving 126 schizophrenic patients at Tjitrowardojo General Hospital with patients meeting the inclusion and exclusion criteria.ResultsThe recurrence of schizophrenic patients relates to the amount of information support, instrumental support satisfaction and medication obedience, education.ConclusionThis study contributes to the knowledge that social support and medication obedience have an effect on the recurrence of schizophrenic patients. This study suggests health workers to educate the public about the impact of recurrence, the importance of medication and social support for schizophrenic patients.

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