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INDONESIA
Berita Kedokteran Masyarakat
ISSN : 02151936     EISSN : 26148412     DOI : https://doi.org/10.22146/bkm.v37i2.2320
Core Subject : 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
Articles 1,528 Documents
Peningkatan Pengetahuan Tentang Jumantik Mandiri pada Ibu Rumah Tangga di Kelurahan Serdang, Kemayoran, Jakarta Pusat Kholis Ernawati; Yusnita Yusnita; Citra Dewi; Fathul Jannah; Sophianita Sophianita
Berita Kedokteran Masyarakat (BKM) Vol 34, No 5 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (341.011 KB) | DOI: 10.22146/bkm.33104

Abstract

Strategi global pemberantasan vektor DBD salah satunya adalah pengendalian nyamuk secara selektif dan terpadu yang melibatkan partisipasi masyarakat. Laporan cakupan Angka Bebas Jentik (ABJ) yang menjadi indikator pengendalian DBD merupakan output peran serta aktif kader jumantik. Tujuan kegiatan adalah penyuluhan pada ibu-ibu rumah tangga di Serdang daerah Kemayoran tentang jumantik mandiri sebagai upaya meningkatkan pengetahuan warga dan berikutnya diharapkan dapat menjadi jumantik mandiri minimal di rumah tangganya masing-masing.Jumlah sasaran kegiatan sebanyak 28 orang ibu rumah tangga di kelurahan Serdang, Kemayoran. Target kegiatan setelah penyuluhan adalah pengetahuan peserta meningkat di atas 70%. Bahan presentasi disusun menyesuaikan sasaran kegiatan penyuluhan yaitu Ibu Rumah Tangga. Lebih banyak materi disampaikan dalam bentuk gambar. Kegiatan penyuluhan diselingi dengan ice breaking untuk menyegarkan suasana penyuluhan. Sosialisasi dan advokasi dilaksanakan pada tanggal 12 Januari 2018 pelaksanaan penyuluhan pada hari Rabu, 17 Januari 2018 di Sekretariat RPTRA RW 1 kelurahan Serdang. Hasil kegiatan menunjukkan bahwa nilai benar untuk jawaban soal post test penyuluhan yang dibawah 70% ada lima soal dari total 16 soal. Hasil uji T berpasangan terhadap nilai pre dan post tes didapatkan nilai p = 0,087 (> 0,05) artinya tidak terdapat perbendaan signifikan antara nilai sebelum dan sesudah penyuluhan. Saran yang bisa diberikan untuk soal post test masih dibawah 70% yaitu perlu dilakukan evaluasi materi, soal pre post test dan cara menyampaikan materinya.
Usia pubertas dan citra tubuh terhadap perilaku seksual pranikah pada remaja putri di Yogyakarta Rihul Husnul Juliyatmi; Toto Sudargo; Djauhar Ismail
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 | Full PDF (284.674 KB) | DOI: 10.22146/bkm.33801

Abstract

Age of puberty and body image to premarital sexual behavior in female adolescent In Yogyakarta PurposeThe purpose of this study was to identify the relationship between age of puberty and body image with premarital sexual behavior in young women in Yogyakarta.MethodObservational research with cross-sectional design using quantitative and qualitative approach was conducted involving 206 students in Vocational High School Yogyakarta with sampling technique purposive sampling.ResultsAs many as 28.16% of respondents are at risk of sexual pre-marriage. The age of puberty and body image has no significant relationship with premarital sexual behavior in adolescents p>0.05. Media information and peers gives the most influence to age of puberty relationship with premarital sexual behavior. Media information gives the most influence on the relationship of body image with premarital sexual behavior.ConclusionThere is no significant relationship between age of puberty and premarital sexual behavior in adolescents. There is a no significant relationship between body image and premarital sexual behavior in adolescents.
Tuberculosis paru pada anak di Salatiga: pengaruh kondisi rumah dan pendapatan keluarga Namira Wadjir Sangadji; Hari Kusnanto
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 | Full PDF (317.565 KB) | DOI: 10.22146/bkm.33849

Abstract

Children with pulmonary tuberculosis in Salatiga: effect of housing condition and family income  PurposeThis study aimed to analyze the social and environmental determinants associated with cases of childhood tuberculosis in the city of Salatiga 2015-2016.MethodThis study was a case control involving 130 children. Cases were children aged ≤15 years who were diagnosed tubercuosis by a doctor's examination based on the Indonesian pediatric association scoring system. Controls were children aged ≤ 15 years who were not had tuberculosis by a doctor's examination based on the Indonesian pediatric association scoring system. Data were collected through structured interviews and direct measurement of ventilation area, room, humidity and home lighting and coordinate measurements with global positioning system to determine the position of tuberculosis case point. ResultsThe pattern of pulmonary tuberculosis cases in children was spread over densely populated areas. Room density was the biggest risk factor in the incidence of childhood tuberculosis in Salatiga. A social condition that affected pulmonary tuberculosis the most was family income.ConclusionActive case finding is needed in low socioeconomic groups and densely populated areas. Health promotion of healthy house requirements needs to be given to the community.
Determinan beban pengasuh pasien stroke pasca perawatan di rumah sakit di RSUD dr. Soediran Mangun Sumarso, Wonogiri Sri Nurjannah; Setyopranoto Setyopranoto
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 | Full PDF (273.187 KB) | DOI: 10.22146/bkm.33850

Abstract

Determinants caregiver burden of stroke patients after hospitalization in dr. Soediran Mangun Sumarso Hospital, Wonogiri  PurposeThe purpose of this study was to explore the  factors associated with caregiver burden on primary caregivers of stroke patients after treatment in dr. Mangun Soediran Sumarso Wonogiri hospital.MethodObservational research used cross-sectional study approach. The study was conducted in Wonogiri district involving 206 caregivers of stroke patients. Subjects were taken consecutively from those who met the eligibility criteria. Measurement of caregiver burden used Zarit Burden Interview (ZBI). Analysis used Poisson Regression.ResultsThe results showed that there were 40.78% caregivers experiencing caregiver burden. Patients who had a total dependence (PR 1.86; 95% CI 1021-3377), severe (PR 1.77; 95% CI 1026-3068), moderate (PR 2:08; 95% CI 1167-3710) and the duration of care for patients > 6 hours/day were significant factors affecting the caregiver burden on primary caregivers of stroke patients.ConclusionCaregivers burden is influenced by patient's condition and  care duration of patients. Education related to homecare for caregivers before patient was out from the hospital was needed as well as conducted regular consultations for the caregiver.
Toxisitas temephos, minyak atsiri jahe ​(Zingiber officinale Roxb)​, dan ​Bacillus thuringiensis ssp. israelensis​ (Bti) terhadap larva nyamuk ​Ae. aegypti​ dari Sumatra Utara Horas Sihotang; Sitti Umniyati
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 | Full PDF (347.344 KB) | DOI: 10.22146/bkm.33851

Abstract

Toxicities of temephos, essential oil of ginger (Zingiber officinale Roxb), and Bacillus thuringiensis ssp. Israelensis (Bti) against Ae. aegypti larvae from North Sumatra  PurposeThe purpose of this study was to confirm the resistance status and resistance ratio (RR) of  Ae. aegypti larvae to temephos as well as to determine the effectiveness of a liquid solution of Bti H-14 and the essential oil of ginger (Zingiber officinale roxb) against Ae. aegypti larvae from Deli Serdang, North Sumatra.MethodA randomized post-test only control group was con- ducted using 3rd instar larvae of Ae. aegypti as the subjects of this study. Larval mortality was recorded after 24 hours of exposure with diagnostic dose of temephos (0.02ppm) to determine the resistance status. Probit analysis was conducted to determine median lethal time (LT50) and the RR. The concetration of Bti toxicity test was 0.01, 0.013, 0.017, 0.02, 0.03 and 0.04 mL/L and the concentration of toxicity essential oil of ginger test was 66.6, 99.9, 133.2, 166.5, 199.8 and 266.4 ppm.ResultsAe. aegypti larvae were resistant to temephos (0.02ppm) with RR 1.9 < 5. The value of LC50 and LC90 of Bti were 0.014; 0.024 mL/L respectively. The value of LC50 and LC90 of essential oil of ginger solution were 65.6ppm and 129.1ppm respectively.ConclusionLarvae are resistant to temephos with low resistance criteria. Bti and essential oil of ginger are toxic to Ae. aegypti larvae.
Kontribusi agen dan faktor penyebab kejadian luar biasa keracunan pangan di Indonesia: kajian sistematis Risalia Reni Arisanti; Citra Indriani; Siswanto Agus Wilopo
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 | Full PDF (274.197 KB) | DOI: 10.22146/bkm.33852

Abstract

Contribution of agents and factors causing foodborne outbreak in Indonesia: a systematic review PurposeThe purpose of this study is to understand burden of foodborne outbreak in Indonesia during 2000 -2015. MethodSystematic review conducted based on publish and unpublished (grey literature) data during 2000 -2015. Publish data from search engine such as Google scholar, open access, repository online university in Indonesia. Grey literature collected from investigation report from selected university (UGM, UI and UNAIR), Ministry of Health, Food and Drug Administration (BPOM) Indonesia. 2 reviewer will select and extract relevant data. ResultsDuring 2000 – 2015 there was 1.176 foodborne outbreak with West Java Province as the highest event with 61.119 foodborne cases (AR: 8.5%) and 291 deaths (CFR: 0.4%). Women have more risk on foodborne with proportion 58.3%. Daily meal (36.6%) and special celebration (29.7%) as more risk activities with house (48.9%) and school (13.7%) as highest risk area for foodborne outbreak. Homemade food (46.9%) and catering food (18.9%) as highest causes of cases with pathogen bacterial as frequent agent (74.9%) such as E.coli. The most contributing factor was inadequate cooking and storage at inappropriate temperature.ConclusionHigh risk population of foodborne outbreak was women with pathogen bacterial as the highest agent. The most contributing factor was pathogen resistance and growth. It need to increase monitoring and food-handler as food safety standard.
Analisis risiko kesehatan akibat pajanan timbal (Pb) dalam biota laut pada masyarakat sekitar Teluk Kendari Muhamad Syarifuddin; Sarto Sarto
Berita Kedokteran Masyarakat (BKM) Vol 34, No 10 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (255.582 KB) | DOI: 10.22146/bkm.33933

Abstract

Analysis of health risk due to lead (Pb) exposure in marine biota on the community around Kendari BayPurpose: To understand the risk level of health problem because of the lead exposure found on fish and shellfish that was consumed by community around Kendari bay.Methods: This study was an analytical observational through a cross sectional study design by combining Environmental Health Risk Analysis (ARKL) and Environmental Health Epidemiology (EKL) approaches. Population around Kendari bay was taken using proportional sampling criteria. The marine biotas in this study were 30 fish samples of 3 kind of most consumed fish and shellfish from 6 fishponds in Kendari bay. Measurement of lead content on it was made by Atomic Absorption Spectrometry (AAS).Results: The results of the study shows the lead content on fish and shellfish were 0,0027-0,0095 mg/kg and 0,1026-0,1097 mg/kg respectively while intake rapidity of fish and shellfish 0,0051 mg/kg/day and 0,016 mg/kg/day respectively. Health risk level of consuming contaminated fish was 1.29 while the contaminated shellfish was 4.03.Conclusions: The community around Kendari Bay has a risk of health problems (RQ> 1) due to lead exposure, therefore it needs to be controlled.
Persepsi kultural dan bahaya langsung dari tradisi perawatan pasca melahirkan "Mararang": studi di Toba Samosir Indonesia
Berita Kedokteran Masyarakat (BKM) Vol 34, No 9 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.645 KB) | DOI: 10.22146/bkm.33938

Abstract

Cultural perception of mararang tradition and its impact on mother and infant health in Toba Samosir districtPurpose: Toba Samosir residents consider the mararang tradition as a postpartum care that can accelerate time recovery of postpartum condition, strengthen the back spine, make the body warm and sweating, and facilitate the blood flow after postpartum. However, the airing in mararang tradition is dangerous for the respiratory of both postpartum mother and baby. This study explores the perceptions of postpartum mothers about the tradition of mararang and potential hazards to maternal and infant health in Toba Samosir regency. Methods: This qualitative study adopted ethnography approach. Number of sample size is determined by using purposive sampling. The selection of informants was based on inclusion criteria in accordance with the research topic. In total, there are eleven informants which consisted of four postpartum mothers, three husbands/families of postpartum mothers, three midwives and one head of maternal and child health services at the Toba Samosir district health office and focus group discussion for six midwives from public health center. The data were collected through in-depth interviews and observations.Results: Three important points from this study are, (1) postpartum mothers are convinced in practicing mararang due to the strong influence from the elderly who still believe in traditions, since it has been passed down from ancestors,(2) despite the uncomfortable condition and its impact on breathing, people still argue to keep the mararang tradition as they believe that children who are treated mararang will be stronger in the future, (3) the response from health care officer in assessing the dangers of this tradition is still lack, for instance they never carry out specific counseling to avoid the hazards, in facts some of them are still practicing mararang tradition.Conclusions: It was difficult to leave mararang tradition since they believe in its benefit on health. Mararang tradition was not consider as something that can endanger the health of the postpartum mother and baby. Both the wife and husband in this area still strongly support the mararang tradition. Health workers have not provided information and knowledge about the risks and impacts of the mararang tradition on maternal and infant health.
Bacteriological quality of drinking water and public health inspection of refill depots: finding workable strategies to control the quality Ishak Nurlang; Titik Nuryastuti; Mubasysyir Hasanbasri
Berita Kedokteran Masyarakat (BKM) Vol 36, No 1 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (557.937 KB) | DOI: 10.22146/bkm.33939

Abstract

Purpose: Water refill depots have increased in all areas of Indonesia. Many studies have reported concerns about the bacteriological quality of drinking water at refill depots. However, limited studies have focused on ensuring the safety and quality of drinking water in refill depots, particularly for small-scale depots. This paper examines water microbiological quality at the refill depots and their depot production inspections from the local public health authority.Method: This survey used  60% of depots (47 out of 77 depots in the district) from April 4th to May 31st, 2016, in the North Luwu District of Central Sulawesi. Water samples were taken for E. coli and coliform examination. In-depth interviews were conducted with environmental health officers at the local health authority, depot owners, and workers.Results: Almost half of the total depots (49%) failed to meet the hygiene standard. Site observation found that depots were with poor sanitation and poor water handling. Depot owners found the cost of two times a year of the bacteriological examination was too expensive, including the transportation cost of water samples to the available closest laboratory in the provincial capital.Conclusion: Depots with non-standard bacteriological quality were still high. Supervision of the depot by the district health office was very loose. Efforts to advocate the district health office to take a more assertive position are critical. Community organizations and refill water depot associations should be involved so that public health interests get attention from the local government.
Waktu yang dihabiskan oleh kepala puskesmas keluar kantor untuk kegiatan administrasi versus program lapangan: analisis data fasilitas komunitas dari IFLS East 2012 Veronika Suka; Ahmad Watsiq Maula; Dian Mawarni; Retna Siwi Padmawati; Mubasysyir Hasanbasri
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 | Full PDF (299.035 KB) | DOI: 10.22146/bkm.33988

Abstract

Health center manager time spending for outside administrative versus field work in East Indonesian region: an analysis of community facility of 2012 IFLS East PurposeThis study evaluates time spent on administrative and field public health program of physician or non-physician community health center managers in East Indonesian region.  MethodThe study used 85 community health center managers from 7 provinces of East Nusa Tenggara, East Kalimantan, Southeast Sulawesi, Maluku, North Maluku, West Papua, and Papua from which the data was available in the community facility section of Indonesian Family Life Survey East (IFLS East) 2012.ResultsPhysician managers spent more hours than non-physician managers for administrative matters. In addition, non-physician managers had more hours per week for field program activities as compared to physician managers.ConclusionResearch shows that physician managers have potential lost of their time in performing their medical service functions, which they are trained for. Policy should be directed to improve the management skills of non physician health workers so that physicians can maximize their time to solve medical problems in health centers. 

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