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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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Demographic characteristics and the severity of injuries resulting from traffic accidents: a HDDS secondary data analysis 2015 and 2016
Berita Kedokteran Masyarakat (BKM) Vol 34, No 6 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.26623

Purpose: Kejadian cedera akibat kecelakaan sepeda motor lebih tinggi pada responden dengan karakteristik demografi umur < 45 tahun (69,7), berjenis kelamin laki-laki (54,3%), status kawin (51,9%), tingkat pendidikan tinggi (59,3%), bekerja (57,3%), lokasi tinggal di perkotaan (80%) dan dengan status ekonomi menengah ke atas (26,4%). Umur memiliki hubungan yang signifikan dengan p-value 0,04, sedangkan jenis kelamin (p-value 0,27), status perkawinan (p-value 0,27), tingkat pendidikan (p-value 0,35), jenis pekerjaan (p-value 0,52), lokasi tinggal (p-value 0,64 dan status sosial ekonomi (p-value 0,19 – 1,98) tidak memiliki hubungan yang signifikan dengan status cedera. Jadi dapat disimpulkan bahwa terdapat hubungan antara umur dan status cedera dimana kelompok umur ≥ 45 tahun lebih berisiko 1,7 kali dibanding kelompok umur < 45 tahun.Method:Results:Conclusion:

Kepatuhan dan Asertivitas Pegawai Negeri sipil (PNS) Pada Penerapan Peraturan Daerah Kawasan Tanap Rokok (KTR) " Studi Komparasi di Kabupaten Sleman dan Kabupaten Kulon Progo Tahun 2017"
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.26723

Purpose: The aim of this research is to determine the difference of compliance and assertiveness of civil servants on the application of no-smoking areas in Sleman and Kulon Progo districts. Method: This research is an analytic survey research with cross sectional approach. The subjects of the research are civil servants in the regional government unit of work (satuan kerja perangkat daerah) of Kulon Progo District as many as 1,072 employees and Sleman as many as 2,300 employees from 26 regional government unit of work in Sleman and 25 regional government unit of work in Kulon Progo. The sampling technique is multistage random sampling technique. The research instrument is measured by questionnaires, and also observations and interviews to support the research. The analysis used is independent t-test and Mann-Whitney, which are to test whether there is a relationship between independent and dependent variables. Results: Independent t-test and Mann-Whitney test results showed that there is a difference of knowledge on the implementation of regional regulation of no-smoking areas with (p=0,000), attitude with (p=0,003) and difference of socialization on the implementation of regional regulation of no-smoking area with (p=0,000) Logistic regression test results shows that the dominant factor influencing the implementation of the regional regulation of no-smoking area is knowledge with p value=0,000. Conclusion: There is a difference of knowledge, attitude and socialization of civil servants in Kulon progo and Sleman districts. There is no difference in attitude, smoking status, compliance, assertiveness, accessibility and coworkers who smoke of civil servants in Kulon progo and Sleman districts. The dominant factor affecting the compliance and assertiveness of civil servants is knowledge.

Bias Provider Dan Peluang Terjadinya Unmet Need KB Pada Pasangan Usia Subur di Kecamatan Kraton Kota Yogyakarta Asep Novianto; Ova Emilia; Djaswadi Dasuki
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Latar Belakang: Indonesia merupakan negara dengan jumlah penduduk terbanyak ke-4 di dunia. Jika laju pertumbuhan penduduk tidak dikendalikan maka dimungkinkan akan terjadi ledakan penduduk. Salah satu program untuk menekan laju pertumbuhan penduduk di Indonesia yaitu dengan program Keluarga Berencana (KB). Salah satu masalah dalam pengelolaan program KB yaitu masih tingginya angka unmetneed KB pada pasangan usia subur. Salah satu faktor penyebab unmet need karena takut efek samping KB, hal tersebut dimungkinkan karena masih rendahnya kualitas interaksi provider KB dalam memberikan informasi tentang alat dan obat kontrasepsi yang mengacu pada Method Information Index (MII) dan juga standar elemen pelayanan keluarga berencana lainnya, sehingga banyak pelayanan dan informasi KB dilakukan bias oleh provider (penyedia dan pemberi layanan) KB.Tujuan: Mengetahui hubungan bias provider dengan kejadian unmetneed KB pada pasangan usia subur di Kecamatan Kraton Kota Yogyakarta.Metode: Rancangan penelitian cross sectional, dengan responden pasangan usia subur di Kecamatan Kraton Kota Yogyakarta dan memenuhi kriteria inklusi, dengan subjek penelitian sebanyak 121 orang. Teknik pengambilan data dengan multi stage random sampling. Analisis data dengan univariabel, bivariabel menggunakan uji statistik chi-square dengan tingkat kemaknaan (p<0,05) dan tingkat kepercayaan 95% CI. Analisis multivariabel menggunakan uji statistik regresi logistic. Penelitian ini dilakukan pada bulan Mei-Juni 2017.Hasil: Menunjukkan bahwa terdapat hubungan yang bermakna baik secara statistik maupun praktis antara bias provider dengan kejadian unmetneed KB pada pasangan usia subur di Kec.Kraton dengan nilai p<0,05 (p=0,00) OR 3,2 (95%; 1,71-2,63). Hasil analisis bias provider setelah mempertimbangkan dukungan suami, pekerjaan dan jumlah anak berpengaruh sebesar 15% didalam peluang terjadinya unmetneed KB.Kesimpulan: Terdapat hubungan antara bias provider dengan peluang terjadinya unmetneed KB pada pasangan usia subur. Kata Kunci: Bias Provider, Unmet need KB, Pasangan Usia Subur.

Faktor risiko kematian akibat dengue di RSUP Dr. Sardjito Yogyakarta Ruri Trisasri; Eggi Arguni; Riris Andono Ahmad
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Risk factors of death due to dengue hemorrhagic fever in a tertiary public teaching hospital of YogyakartaPurposeWe examined risk factors of dengue hemorrhagic fever death in Dr. Sardjito Hospital.MethodWe conducted a case control study from patient medical records and interviews with parents.ResultsWe found 29 deaths and 58 patients who survived. The probability of death among obese children was 6 times higher than non obese children and the probability of death in children with prolonged shock was 12 times higher than children without prolonged shock. Other variables were family occupation, family income, residential zones, transportation, treatment financing, accuracy of diagnosis in previous health facilities, and fluid resuscitation before being referred had no significant relationship with dengue mortality.ConclusionObesity and prolonged shock were risk factors of dengue hemorrhagic fever death in children. Improved education to parents about high risk of shock syndrome among patients is needed especially for obese children. Further studies related to social determinants in dengue hemorrhagic fever death are also necessary.

Intensitas penggunaan gadget dan obesitas anak prasekolah di Kota Yogyakarta Fajar Sri Tanjung; Emy Huriyati; Djauhar Ismail
Berita Kedokteran Masyarakat (BKM) Vol 33, No 12 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Intensity of gadget use among overweighed preschool children in YogyakartaPurposeThe purpose of this paper was to determine the relationship of the gadgets uses intensity among obesity preschool children in Yogyakarta.MethodsThis cross-sectional study was conducted involving all preschool children in playgroup and kindergarten in Yogyakarta who did not attend the full day school program.ResultsPreschool children with high-intensity use of gadgets are 1.3 times more likely to be obese (p= 0.028, RP = 1.25). Preschool children with high-intensity use of gadgets, high education father, high sedentary behavior, adequate social economy, and poor diet are 2.1 times more likely to be obese.ConclusionThe incidence of obesity in preschool children is more common among children with high-intensity use of gadgets.

Analisis spasial temporal faktor lingkungan fisik dengan kejadian malaria di kabupaten Banjarnegara tahun 2011-2015
Berita Kedokteran Masyarakat (BKM) Vol 34, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.26879

Latar belakang: Malaria merupakan salah satu penyakit menular yang masih menjadimasalah kesehatandi Kabupaten Banjarnegara. Tingginya kasus malaria dan KLB malaria yang berkaitan dengan adanya perubahan lingkungan fisik, seperti suhu, curah hujan, kelembaban, dan kecepatan angin. Dimana faktor-faktor tersebut memiliki peran masing–masing dalam menentukan distribusi dan kejadian malaria.Tujuan: Untukmenjelaskan gambaran faktor lingkungan fisik meliputi: suhu, kelembaban, kecepatan angin dan curah hujan secara statistik, grafik/ time trends dan pasial serta pengaruhnya terhadap kejadian malaria di Kabupaten Banjarnegara tahun 2011-2015.Metode: Penelitian ini menggunakan desain studi ekologi dengan pendekatan spasial-temporal. Data yang digunakan adalah data time seriesbulan kejadian malaria dan faktor lingkungan fisik di Kabupaten Banjarnegara tahun 2011-2015.Hasil: Analisis statistik, grafik/time trend, dan spasial menunjukkan bahwa ada hubungan antara suhu, kelembaban, kecepatan angin dan curah hujan dengan kejadian malaria di Kabupaten Banjarnegara. Model regresi poisson dan binomial negatif digunakan untuk menganalisis pengaruh faktor lingkungan fisik dengan kejadian malaria.berdasrakan hasil pemilihan model terbaik dengan melihat nilai Akaike’s Information Criteria (AIC) dan Bayesian Information Criteria (BIC), diperoleh bahwa model regresi binomial negative merupakan model terbaik sehingga suhu pada tahun yang sama (lag 0), suhu pada dua bulan sebelumnya (lag 2) dan curah hujan pada satu bulan sebelumnya (lag 1) berpengaruh pada kejadian malaria di Kabupaten Banjarnegara Tahun 2011-2015.Kesimpulan: Suhu pada tahun yang sama, dan suhu pada dua bulan sebelumnya memiliki pengaruh yang negatf terhadap kejadian malaria sedangkan curah hujan pada satu bulan sebelumnya memiliki pengaruh yang positif terhadap kejadian malaria di Kabupaten Banjarnegara. Maka, untuk mengatasi masalah kejadian malaria dan melakasanakan program penanggulangannya maka Pemerintah Daerah Kabupaten Banjarnegara perlu mempertimbangan faktor lingkungan fisik.

Pengetahuan ibu nifas tentang tradisi mararang dan dampaknya terhadap kesehatan ibu dan bayi di kabupaten Toba Samosir
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 | DOI: 10.22146/bkm.26885

Purpose: To explore the knowledge of postpartum mother about mararang tradition and its impact on mother and baby health in Toba Samosir Regency.Method: This research uses qualitative design, with focus ethnography approach. Determination of the sample size in this study using purposive sampling. Selection of informants was conducted based on the inclusion criteria according to the research topic. Informant in this research is data collecting done through in-depth interview and observation on 11 informant consisted of 4 maternal mothers, 3 husbands / family of postpartum mother, 3 midwife and 1 head of health service of mother and child in health office of Toba Samosir Regency , and Focus Group Disscussion on 6 midwives of Puskesmas.Results: Mararang tradition is believed to be a post-partum treatment that benefits health, where postpartum feels quick to recover from postpartum pain, strong backbone, warm body and sweating and facilitate puerperal expulsion. Informants know smoke from mararang is dangerous for mother and baby respiration. According to the parents of this mararang tradition should be done by postpartum so that make puerper mothers more confident to do mararang tradition. Specific education to stop the tradition of mararang never done, even there are still health workers who participate in mararang tradition.Conclusion: Mararang tradition is still difficult to be abandoned because it is still believed to be beneficial to health and not yet well understood that the impact of mararang tradition can disrupt the health of mother and baby. Families, especially mothers and husbands still strongly support the tradition of mararang. Health workers have not made efforts to provide information and knowledge about the risks and impacts of mararang tradition on maternal and infant health.

Evaluation of malaria risk factors prevention and control program in Kulon Progo Regency Husni Husni; Th. B Rahayujati; S Supargiyono
Berita Kedokteran Masyarakat (BKM) Vol 33, No 12 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Evaluation of malaria risk factors prevention and control program in Kulon Progo RegencyPurposeThe purpose of this research was to evaluate the program of prevention and control of malaria risk factors in Kulon Progo District in 2016 based on system approach.MethodThis research was evaluation program used mixed methods (sequential explanatory design). Data collected from 7 public health center of active focus malaria and district health office. Respondents were program managers and head of public health center, district program managers, head of control and eradication of communicable diseases, and head of district health offices. The instruments used structured questionnaires and in-depth interview guides. Quantitative data analysis was descriptive and qualitative data used Miles and Huberman model.Results Most of the availability of human resources, funds, facilities, materials, and methods already meet implementation needs except entomologists, allocation of funds activities other than IRS, time of the implementation of larval fish deployment. Most of the processes that started from the planning, implementation, monitoring, and evaluation have gone well except for planning other than IRS, preparation vector control without entomology database, implementation of environmental management, larviciding, and larval fish deployment. Coverage of LLINs, coverage of IRS, control of LLINs efficacy, and test of vector resistance have met the target, except coverage of larviciding and larval fish deployment was not available.ConclusionPrevention and control program of malaria risk factors has implemented but wasn’t based on entomological data. District health offices should recruit entomologist to support vector control activities.

Analisis Spasial Kejadian Malaria Dan Habitat Larva Nyamuk Anopheles spp di Wilayah Kerja Puskesmas Winong Kabupaten Purworejo Resiany Nababan; Sitti Rahmah Umniyati
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Environmental and behavioral factors affecting malaria cases in high endemic area of Central Java: a geographic information system analysisPurposeThis research aimed to analyze risk factors involved in malaria cases, to map the spatial distribution of malaria cases related to breeding habit to location spacing and to know the habitat of Anopheles sp. mosquito larvae near the the public health center of Winong, district of Purworejo.MethodThis research was a case control study using data through the geographic information system.ResultsTemperature, humidity and rainfall variables had no correlation with malaria incidence. There were correlations between malaria incidence with the existence of breeding habitat, house wall condition and nighttime habit, whereas the presence of livestock, breeding site distance, the habit of wearing mosquito nets, the use of wire mesh, the use of mosquito repellent and the habit of visiting endemic areas had no correlation with malaria incidence. Night-outside habits were the highest risk factors associated with malaria incidence.ConclusionThere was no correlation between weather factors and malaria incidence. There was a correlation between the presence of larval breeding habitat, the condition of the wall of the house and the habit of going out at night with the incidence of malaria. There are 3 clusters in the work area of public health center in Winong and most cases are in the buffer zone area 1000 m distance.

Fenomena perokok wanita di wilayah kerja Puskesmas Tes, Kabuapten Lebong, Provinsi Bengkulu Tri Addya Karini; Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Unique social features of female smokers in Lebong district of Bengkulu IndonesiaPurposeThis study aimed to determine the cause and process of women’s smoking behavior.MethodThis research was a phenomenological study involving 15 women who smoke and live in Tes village, Lebong District of Bengkulu. Data collection was conducted through in-depth interviews and participant observation. The triangulation of data was reached through in-depth interviews on two public health center staff, and four husbands of the participants.ResultsResults showed that imitating friends, having smoking mothers, financial independency, increased sensitivity and desire for cigarette smoke smell when pregnant were the reasons women wanted to smoke. Also, they enjoy cigarette smoking after meals and smoked as part of their culture (smoke on the day received salary and celebrations day “uleak”). If they were not smoking they got headaches, bitter mouth and tongue felt thick, and felt support from husbands towards smoking behavior. The study also found that there was not any education about the impacts of smoking.ConclusionIt is indispensable to do health education about the negative impacts of smoking on health for women which requires a special program to help women smokers to stop smoking and prevent non-smoking women from starting smoking, such as quit smoking counseling services.

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Home Page

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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

Abstract

Abstract

Abstract

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Abstract

Abstract

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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