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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 1,528 Documents

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HUBUNGAN BEBAN KERJA FISIK DAN MENTAL TERHADAP STRES KERJA PERAWAT DI RSUD DR. H. MOHAMAD RABAIN KABUPATEN MUARA ENIM Erdius Erdius; Fatwa Sari Tetra Dewi
Berita Kedokteran Masyarakat (BKM) Vol 33, No 9 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Job stress among nurses in Muara Enim: physical and mental workloads analysisPurposeThis study aimed to determine the description of the level of job stress and identify related factors that include workload, job satisfaction and individual characteristics of nurses in hospital of dr. H. Mohamad Rabain Muara Enim. MethodsThis research was a quantitative study with a cross-sectional design. Research subjects were 63 nurses who were selected using proportional stratified random sampling. Independent variables were physical and mental workload. External variables were job satisfaction, gender, age, years of service as employee, and marital status. The dependent variable was job stress. Job stress due to work measurements used a stress scoring questionnaire as the scoring method. Statistical tests were conducted to determine the correlation of job stress with the job stress factors of respondents using chi-square tests on physical workload variable and Fisher's Exact tests for mental workload with Confidence Interval (CI) 95% and p-value < 0.05. ResultsThere was no correlation between physical workload towards job stress in hospital of dr. H. Mohamad Rabain District of Muara Enim (p = 0.69). There was also no correlation between mental workload towards job stress in hospital of dr. H. Mohamad Rabain of Muara Enim district (p = 0.77). ConclusionFactors affecting the physical and mental workload are the absence of percentage between direct, indirect and non-nursing actions, and the differences between young and capable nurses. The work stress experienced by nurses is more influenced by other job factors.

Faktor risiko kejadian kusta Aprizal Aprizal; Lutfan Lazuardi; Hardyanto Soebono
Berita Kedokteran Masyarakat (BKM) Vol 33, No 9 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Risk factors of leprosy in district of LamonganPurposeThis study aimed to know the risk factors of leprosy incidence in Lamongan district including economic status or family income, BCG vaccination, residential density, floor conditions, source of water, contact history, bathing habit using soap and using footwear. MethodsThe research was a case-control study. The subjects were the people who had clinical or laboratory symptoms, leprosy diagnosed and recorded in the health center register. The samples were 170 people, consisting of 85 cases and 85 controls. The data were analysed using chi-square and logistic regression tests, and the amount of the risk was calculated using odds ratio. ResultsThe risk-factors associated with the incidence of leprosy in Lamongan were the economic status or family income (OR=4.3 and p=0.001), BCG vaccination (OR=4.3 and p=0.050), residential density (OR=3.2 and p=0.001), floor conditions (OR=2.8 and p=0.051), source of water (OR=2.1 and p=0.033), contact history (OR=7.8 and p=0.001), bathing habit using soap (OR=3.1 and p=0.022) and using footwear (OR=3.1 and p=0.004). The dominant risk factor was BCG vaccination (OR = 8.1 and p=0.025). ConclusionThere were correlations between leprosy incidence and the economic status or family income, BCG vaccination, residential density, floor conditions, source of water, contact history, bathing habit using soap and using footwear. The dominant risk factor was BCG vaccination.

Compliance to traditional birth practices and poor perception of formal health facility: exploring actions to social determinants of health and barriers to care access in indigenous “Suku Anak Dalam“ community Inriyani Takesan; Musa Musa; Retna Siwi Padmawati; Mubasysyir Hasanbasri; Mohammad Hakimi
Berita Kedokteran Masyarakat (BKM) Vol 34, No 7 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.25582

People living in isolated communities are vulnerable to suffering from illness because of their lack of access to available known effective treatment in health facilities around them, including in maternal and child issues. The goal of this in-depth interview and one month-direct observation living in the community is to explore the belief and available structure of local health-seeking behavior among the Suku Anak Dalam community. Our findings suggest that the community has its own traditional belief that explains their birth practices. Interpretation of concepts such as anak peranakan, taputangan, pekarom, and delom system are unique and inseparable from the interpretation of their ideal life and their trust in God. In the other side, their poor perception about public health facilities is influenced by their experience dealing with formal health facilities. When a community gets what they perceived as poor services, they will not believe and do not come back to seek help from formal health facilities. Our study confirmed that the cultural explanation of birth and belief related to traditional birth delivery services remain existent and practiced, which limits access to a government health facility. If the community is free to choose alternative care outside their traditional system, people may obtain effective treatments from the surrounding health facilities. SAD women feel comfortable with their cultural practices. They have a negative perception and feel uncomfortable about formal health facilities showed inadequate government efforts to bring services to a specific social group. Health workers in isolated areas with traditional belief should be prepared and paid under a contract basis, different from the regular workers. They need to improve the communication skills that allow them to engage with people from different cultures. They need to work with officers from other sectors, both in formal and informal settings.

HUBUNGAN PENGETAHUAN ERGONOMI DAN SIKAP KERJA PADA PERAWATAN LUKA DENGAN KELUHAN MUSCULOSKELETAL DISORDERS (MSDs) PADA PERAWAT DI RSU dr. H. KOESNADI BONDOWOSO Ishana Balaputra; Adi Heru Sutomo
Berita Kedokteran Masyarakat (BKM) Vol 33, No 9 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Ergonomics knowledge and work posture of nurses on wound care with musculoskeletal disorder in dr. H. Koesnadi BondowosoPurposeThe purpose of this paper was to determine the association between knowledge of ergonomics and work attitude on wound care with complaints of musculoskeletal disorders in hospital nurses. MethodsA cross-sectional study was conducted involving questionnaires distributed to 29 nurses working in the surgical and internal departments who met the inclusion and exclusion criteria. ResultsThere was no significant correlation between sex, age, and education level with musculoskeletal disorder (p> 0.05). Knowledge of ergonomics, work attitude, and length of service were associated with musculoskeletal disorder. ConclusionsEducation and training on proper ergonomics and work posture should be introduced in the workplace to reduce the risk of musculoskeletal disorder among the nurses working in different settings

Lelang jabatan manajer puskesmas dan sistem monitoring berbasis komputer pada pekerja kesehatan: pengalaman reformasi administrasi di Jakarta Eko Sriyanto; Mubasysyir Hasanbasri; Dwi Handono Sulistyo
Berita Kedokteran Masyarakat (BKM) Vol 34, No 8 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Performance monitoring of primary health centers chief internal contracting system in JakartaPurpose: This study aimed to describe internet-based electronic monitoring control mechanisms and problems that occur in policy implementation at the regional public service agency in Jakarta.Methods: A qualitative research with exploratory technique was conducted using semi-structured interviews, observation and document research. The research subjects were 12 people. The informants were chosen by purposive sampling. Data analysis used content analysis methods.Results: Results showed that attendance and performance of staff recorded in the system helped in managerial duties, the items of work have been standardized on the application of e-kinerja together with the points for incentives. While the number of human resources were less, omissions in time limit entry performance which resulted in non-payment of incentives served to encourage officers to report the activities in proper time. There were problems with the community in the form of false complaints of moral hazard but there is no filter mechanism against the false complaints.Conclusion: The results showed it difficult for health centers to prevent the complaints of moral hazard in the presence of a multi-layered monitoring system both internally and externally.

Ketidakhadiran tenaga kesehatan di puskesmas: analisis data IFLS 2012 di Wilayah Indonesia Timur Candra Candra; Lutfan Lazuardi; Mubasysyir Hasanbasri
Berita Kedokteran Masyarakat (BKM) Vol 32, No 12 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Absenteeism among primary health center workers: an analysis of the 2012 IFLS in Eastern IndonesiaPurposeThe study aimed to determine the determinants for absence of health centre employees in urban and rural areas in the eastern Indonesian region using data IFLS East 2012.MethodsThis study was a quantitative research using secondary data analysis of Indonesian family life survey (IFLS) East 2012 with health professionals using a cross-sectional design. The population was all health workers in seven provinces in Eastern Indonesia (Nusa Tenggara Timur, East Kalimantan, South East Sulawesi, Maluku, North Maluku, Papua, West Papua). The research sample totaled 1809 health workers. Analysis used STATA version 12.ResultsThe results of bivariable analysis on the variables gender, type of health worker, tenure, health center locations showed a significant relationship with absenteeism the health center employee. The results showed from the multivariable analysis showed higher odds ratio at rural health centers versus urban locations with absenteeism of health center employee, but there was no significant difference.ConclusionThe absenteeism of health center employees is influenced by various multi-factors especially gender, types of health worker, tenure and health center locations. Increased capacity in the management by health center managers, broader authority to enforce discipline, and monitoring by the community is expected to decrease absenteeism of health center employees.

Faktor manajerial yang mempengaruhi layanan luar gedung puskesmas di desa dan kota: analisis IFLS East
Berita Kedokteran Masyarakat (BKM) Vol 34, No 3 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.25631

Purpose: This study aims to find the managerial factors affecting outside services of public health center in urban and rural.Method: IFLS East 2012 data analysis.Results: Heads of non-physician public health center in the rural often provide outside services rather than the heads of physician's public health center in the urban. Posyandu and counseling 15 times more often performed by heads of non-doctoral public health center in the rural.Conclusion: Heads of physician's public health center often conduct administrative activities and seminars. While the heads of non-physician health center often conduct field visits. Public health center in the rural have more outside services of than in the urban.

KEPUASAN MAHASISWA DALAM MENTORING PENYUSUNAN PROPOSAL KARYA TULIS ILMIAH DI PROGRAM STUDI DIPLOMA III KEPERAWATAN POLTEKKES KEMENKES PONTIANAK Hieronimous Amandus; Dian Mawarni; Christantie Effendy; Mubasysyir Hasanbasri
Berita Kedokteran Masyarakat (BKM) Vol 34, No 6 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

“Difficult to meet supervisor” and “lack of feedbacks”: student’s perception of problems in writing final year project in undergraduate program Objective: This study explores the role of mentoring felt by the students involved in the making. Specifically, we want to disclose what students consider helpful and what is considered to be less helpful for final project preparation. Methods: Respondents were 82 third year nursing students at Poltekkes Kemenkes Pontianak who were writing thesis. The questionnaire consisted of 16 questions consisting of (a) lecturer-student communication and interaction, (b) mentoring roles and responsibilities, and (c) quality of mentorship. The questionnaire consisted of a question following the items in Beck et al.’s research, measured by a Likert scale consisting of good, moderate, and less. Six students were taken for in-depth interviews, selected based on different counselors. Results: Of the 16 themes about mentoring, “pretty good” at most for all items. Item analysis showed support of several concerns that have been predicted. Although “like the guiding figure” and “feel the support of lecturers including two things that stand out in the opinion of students about thesis supervisor figure. Students reported two main issues in their mentoring process: “advisers are difficult to see” and “lack of meaningful input from advisers”. Conclusion: Student satisfaction in mentoring is influenced by the quality of the mentors. Students feel satisfied if the characteristics, roles and responsibilites of the supervisor in accordance with student expectations. This study ensures that there are limitations in the availability and seriousness of the lecturers in thesis coaching. Further studies on mentorship and support capacity are needed. AbstrakTujuan: Penelitian ini mengeksplorasi peran mentoring yang dirasakan oleh mahasiswa terkait dalam pembuatan. Secara spesifik, kami ingin mengungkapkan hal-hal apa yang dianggap mahasiswa membantu dan hal seperti apa yang dianggap kurang membantu penyusunan tugas akhir. Metode: Responden adalah 82 mahasiswa keperawatan tahun ketiga di Poltekkes Kemenkes Pontianak yang sedang menulis skripsi. Kuesioner terdiri dari 16 pertanyaan yang terdiri dari (a) komunikasi dan interaksi dosen-mahasiswa, (b) peran dan tanggung jawab pembimbingan, dan (c) kualitas pembimbingan. Kuesioner terdiri dari pertanyaan mengikuti item dalam penelitian Beck et al., diukur dengan skala Likert terdiri dari baik, cukup, dan kurang. Enam mahasiswa diambil untuk wawancara mendalam, dipilih berdasarkan pembimbing yang berbeda. Hasil: Dari 16 tema tentang pembimbingan, “cukup baik” paling banyak untuk semua item. Analisis perbandingan antar item membuktikan kekhawatiran yang sering mengemuka. Meskipun “menyukai sosok pembimbing” dan “merasa mendapat dukungan dari dosen termasuk dua hal yang menonjol dalam pendapat mahasiswa tentang sosok pembimbing skripsi. Penelitian ini melaporkan dua hal yang paling mencolok terkait dengan proses pembimbingan: dosen tidak mudah ditemui dan mahasiswa tidak merasa mendapat masukan yang berarti dalam proses belajar. Simpulan: Studi ini mengukuhkan keterbatasan dalam kapasitas dari dosen dalam pembimbingan skripsi. Studi lebih lanjut tentang kapasitas pembimbing dan dukungan untuk mereka sangat mendesak.

Peran kepala dinas dalam inovasi program public health lokal di Daerah Istimewa Yogyakarta Febria Rahmi; Yodi Mahendradata; Mubasysyir Hasanbasri
Berita Kedokteran Masyarakat (BKM) Vol 33, No 10 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Role of local health managers in innovating district level public health programs in Yogyakarta ProvincePurpose: The study aimed to describe the strategic decision making by the heads of the DIY health departments concerning the issue of maternal and child health and nutrition.Methods: This qualitative research was an exploratory study.Results: The district health office for Yogyakarta city in the Special Region of Yogyakarta does not have many strategic decisions to solve problems about maternal and child health and nutrition. However, the decisions are always hampered by human resources. Only the Gunung Kidul District Health Office stated that there was no political involvement in decisions by the head of the health department.Conclusions: The decisions made by heads of health department are still limited to the strategic plan and local medium term development plan (RPJMD). Not many innovations are developed to overcome the problems of maternal and child health and nutrition.

Dukungan sosial untuk orang dengan gangguan jiwa di daerah miskin: studi kasus di Gunungkidul Sri Surahmiyati; Bambang Hastha Yoga; Mubasysyir Hasanbasri
Berita Kedokteran Masyarakat (BKM) Vol 33, No 8 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Social support for people with mental disorders in poor areas: a case study in GunungkidulPurposeThe purpose of this study was to describe the role of mental health cadres in the effort of community based mental health service at Wonosari II Health Center Gunungkidul.MethodsQualitative research was done by case study approach. The cadres were chosen purposively with the criteria of: having attended training or socialization of mental health, having at least 2 years work experience related to community mental health service, and still active. Data collection was done through in-depth interviews and document utilization.ResultsCadres play an important role in providing social support. First, the cadre can show empathy to the family of people with mental disorders by building close relationships and facilitating the social acceptance of the community. Secondly, the cadres provide socialization related to mental disorders and mental health services. Third, approaches through home visits, referral assistance to health services, and health insurance and social assistance suggest that cadres facilitate access to care for people with mental disorders.ConclusionThere was a high social awareness of cadres to families with mental disorders in poor neighborhoods. We found that poverty does not limit people to share with others, and social support helps prevent mental illness from getting worse.

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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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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