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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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Mengatasi krisis air bersih dengan pembentukan kampung iklim dan model desa konservasi: sebuah studi di Provinsi Jawa Barat Arda Dinata
Berita Kedokteran Masyarakat (BKM) Vol 33, No 11 (2017): Proceedings of the 2nd UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.34997

Abstract

Tujuan: Studi ini bertujuan memberikan berbagai  alternatif dalam memecahkan masalah terkait krisis air bersih di Provinsi Jawa Barat.Metode: Data diperoleh dari studi literatur, wawancara dan laporan ahli. Metode analisis adalah deskriptif.Hasil: Perubahan iklim berdampak pada adanya cuaca ektrem. Sebagai negara kepulauan, Indonesia sangat rentan terhadap dampak ganda perubahan iklim. Ini tantangan baru untuk disinergikan dalam pembangunan nasional. Faktor terkait perubahan iklim pada ketahanan pangan, yaitu: curah hujan, temperatur, produksi beras, serta aspek akses terhadap pangan. Perubahan iklim berpengaruh pada kenaikan temperatur, curah hujan, dan permukaan air laut; ketahanan pangan; kekurangan air bersih; dan meningkatnya penyakit tular vektor.Simpulan: Sebagai solusi mengatasi krisis air di Jawa Barat dapat melalui dua pendekatan, yaitu: (1) Pendekatan kampung iklim, berupa: pengendalian kekeringan, banjir dan longsor; peningkatan ketahanan pangan; penanganan atau antisipasi kenaikan muka air laut; pengendalian penyakit terkait iklim (pengendalian vektor, sistem kewaspadaan dini, sanitasi dan air bersih). (2) Penciptaan desa konservasi, berupa kegiatan: rehabilitasi hutan & lahan partisipatif; pengembangan ekonomi; menyelamatkan lahan untuk mata air; pembentukan desa wisata untuk pengembangan ekonomi; dan penanaman pohon endemik.
Pengaruh Karakteristik Organisasi Terhadap Pemanfaatan Posbindu Penyakit Tidak Menular Di Wilayah Puskesmas Helvetia Riri Astika Indriani; Zulfendri Zulfendri; Surya Utama
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 (315.271 KB) | DOI: 10.22146/bkm.35009

Abstract

Effect of organization characteristics to the utilization of posbindu non communicable disease in Helvetia Public Health Center Purpose: The purpose of this research is to explain the influence of organizational characteristic (behavior of health officer, cadre behavior, service facility, Posbindu PTM activity) to the utilization of POSBINDU PTM in Helvetia Public Health Center.Methods: The type of research is survey research with explanatory research type. Sample amounted to 100 people taken with Proportionate Stratified Random Sampling technique. Primary data was obtained through direct interview using questionnaire. Data were analyzed by multiple linear regression test at the level of real test α = 5%.Results: The results showed that health officer behavior, cadre behavior, service facility influence PT Posbindu utilization, while PTM Posbindu activity utilization Posbindu PTM. It is estimated that the behavior of health workers has the greatest contribution (0.636) to the utilization of POSBINDU PTM. Ability of health officer behavior variable, cadre behavior and service facility to explain the utilization of POSBINDU PTM by 91%. In general, the utilization of POSBINDU PTM will increase if health officer behavior, cadre behavior and service facility are improved.Conclusions: Suggested in increasing prevention effort and overcoming PTM to form Posbindu PTM in every village in Helvetia health center area, health officer expected to be more friendly, alert, attention in serving community in Posbindu PTM, giving training to cadre Posbindu PTM, equip facilities and infrastructure to support implementation Posbindu PTM and implement a five-table system for Posbindu PTM activities can run more regularly and efficiently.
Prospects and problems of implementation research on soil transmitted helminthes (STHs) infection in Bangladesh Tilak Chandra Nath
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 (155.749 KB) | DOI: 10.22146/bkm.35018

Abstract

Soil-transmitted helminths are responsible for diseases that thrive where there is poverty and disadvantage. Although rarely fatal, it is recognized as a leading global cause of lifelong disability. To achieve the target set by World Health Assembly, efforts must be intensified to eliminate STH as a public-health problem. Accumulated scientific knowledge and the availability of safe anthelminthics such as mebendazole and albendazole laid the foundation for a global strategy to control STH. However, there are several foreseeable challenges and risks to the success of an MDA-based transmission interruption strategy for STH. Continued progress toward global STH elimination will require solutions to potential obstacles in the most challenging— that is, the poorest—endemic settings like Bangladesh.
Pemetaan daerah kerawanan penyakit leptospirosis melalui metode geographically weighted zero inflated poisson regression Agus Salim Arsyad; Hari Kusnanto
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 | Full PDF (1089.128 KB) | DOI: 10.22146/bkm.35050

Abstract

Mapping leptospirosis vulnerable areas through a geographically weighted zero-inflated poisson regressionPurpose: Gunung Kidul Health Office reported an increase of leptospirosis cases in 2017. There are many zero values in the data count, so the mean and variance values must not be met. Zero-Inflated Poisson regression is used for modeling data counts that are mostly zero. The study aims to map leptospirosis vulnerable areas.Method: A total of 144 villages were analyzed. The independent variables were percentages in paddy fields, residential land, settlement distance to rivers, population density, soil texture, altitude, and rainfall. The dependent variable was the number of leptospirosis cases in each village from 2011 to 2017.Results: The average of leptospirosis cases was 0.6 and the variance was 3.4. Observation data with value of zero was 81%. The Geographically Weighted Zero-Inflated Poisson Regression test was better than Zero-Inflated Poisson multivariate regression in mapping of leptospirosis vulnerable areas. The model brought up local variables in the percentage of paddy fields, percentage of residential land, percentage of settlement distance to river, place height, and rainfall and global variables in the form of population density and soil texture (R-Square = 55.9%). This vulnerability modeling was appropriate based on disease distribution and level of vulnerability. Only 5.5% of leptospirosis cases in the area were not vulnerable.Conclusion: The sentinel leptospirosis surveillance system should be applied in areas prone to early detection of leptospirosis cases.
Anaerob-aerob biofilter evaluation in general hospital of NTB Nurfitria Hariyani; Sarto Sarto
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 (264.903 KB) | DOI: 10.22146/bkm.35092

Abstract

Evaluating the use of anaerobic-aerobic biofilter to increase the quality of hospital wastewater Purpose: This study aimed to evaluate the anaerobe-aerobic biofilter systems effectiveness to treating parameters that are affected by the existing units. Methods: This study was conducted with quasi-experimental pretest-posttest approach. Sampling was done in peak hour, intermediate, and minimum wastewater discharge The data analysis used a comparison of quality standards and used the effectiveness level of wastewater treatment through the established formula. Results: The results showed that anaerobic-aerobic biofilter was highly effective in treating total coliform at peak discharge (99.9%), intermediate discharge (83.80%), minimum discharge (99.9%) and effective in processing COD parameters 70.13% at intermediate, and 74.60% minimum discharge. The results also showed anaerobic-aerobic biofilter was quite effective in treating BOD (54.59%) and TSS (50%) and less effective phosphate (40.7%). Data analysis showed that the results of wastewater treatment of provincial hospital in West Nusa Tenggara have met the established quality standards. Conclusion: An anaerobic-aerobic biofilter is effective to increase hospital wastewater to reduce environmental pollution. The impact of this processing will reduce environmental pollution.AbstrakTujuan: Penelitian bertujuan untuk mengevaluasi penggunaan sistem biofilter anaerob-aerob terkait efektivitas dalam mengolah parameter yang dipengaruhi oleh unit yang ada. Metode: Penelitian ini merupakan penelitian quasi experimental dengan menggunakan pendekatan pre-test dan post-test. Pengambilan sampel dilakukan pada saat debit puncak, menengah, dan minimum air limbah. Analisis data menggunakan perbandingan baku mutu dan menggunakan tingkat efektivitas IPAL melalui rumus yang telah ditetapkan. Hasil: Hasil penelitian menunjukkan biofilter anaerob-aerob sangat efektif mengolah total koliform pada debit puncak (99,9%), debit menengah (83,80%), debit minimum (99,9%) dan efektif dalam mengolah parameter COD 70,13% pada debit menengah, dan 74,60% debit minimum. Hasil penelitian menunjukkan biofilter anaerob-aerob cukup efektif dalam mengolah BOD (54,59%) dan TSS (50%) dan kurang efektif mengolah fosfat (40,7%). Analisis data menunjukkan bahwa hasil pengolahan air limbah rumah sakit provinsi NTB telah memenuhi baku mutu yang telah ditetapkan. Simpulan: Biofilter anaerob-aerob efektif meningkatkan kualitas air limbah rumah sakit. Dampak dari proses pengolahan ini akan  mengurangi pencemaran lingkungan. 
Usia saat menarche dan usia pertama kali hubungan seksual pranikah wanita dewasa muda di Indonesia: analisis Survei Demografi dan Kesehatan Indonesia 2003-2012
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 (31.645 KB) | DOI: 10.22146/bkm.35115

Abstract

Age of menarche and age of premarital sexual young adults Indonesia (Health Demographic Survey data 2003-2012) Purpose: The aim of this study are knowing and analyzing time at menarche with the time at first sexual intercourse of young adult women in Indonesia.Methods: This is a quantitative study using secondary data from Indonesia Health Demographic Survey Data (SDKI) 2003-2012. The number of samples selected in the SDKI 2003 is 523 people, in 2007 that is 2,627 people, and in 2012 that is 2,663 people. The analysis is a survival analysis.Results: The average menarche of adult women in Indonesia in 2003 was 13.67 years, in 2007 that was 13.64 years, and in 2012 that was 13.64 years. The average time of premarital intercourse is around 19 years from 2003 to 2012. The probability to have premarital sexual intercourse in 2003 is 3%, in 2007 is 4%, and on the year 2012 is 4%. In 2007, only external variables are domicile, education and socioeconomic status that have a significant relationship. In the data of SDKI 2012 there is no data that have significant influence on premarital sexual behavior.Conclusions: Young adult women who live in urban areas have a 1.9 chance of having sex faster than young adult women in rural areas. Young adult women with higher education have a probability of 0.51 times faster sexual intercourse in the lower group. In terms of economic status, adult women with upper middle economic status have a chance of 0.3-0.4 times faster sexual intercourse than low socioeconomic status.
Status Gizi Anak Di Bawah Tiga Tahun (6-35 bulan) dan Pola Pemberian Air Susu Ibu di Kecamatan Purwojati Kabupaten Banyumas Jawa Tengah Titus Priyo Harjatmo; Annas Burhani; Sugeng Wiyono; Triana Astuti; Nils Aria; Zulfianto Zulfianto; Tugiman Tugiman
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 (978.686 KB) | DOI: 10.22146/bkm.35140

Abstract

Nutritional status of children under three years (6-35 months) and breast milk pattern in rural areasPurpose: This study aimed to identify the nutritional status of children under 3 years, nutrient intake, and breastfeeding patterns in Purwojati sub-district, Banyumas. Methods: This survey used 392 toddlers (6-35 months) from 10 villages in Purwojati sub-district. Results: Most aged 12-23 months were 43.4% and the age group 24-35 months was 32.7%. Most of the children under five have junior high school education level or equal. The composite analysis was used to look at nutritional problems significantly. Based on the composite analysis showed that as many as 19.6% of toddlers had normal short nutritional problems. Energy and protein consumption in toddlers in a large category in the less category. Most toddlers did not do initiation of early breastfeeding behavior in infants who were born at 60.7% and most did not exclusively breastfeed by 40.3%. Conclusion: The composite analysis of nutritional status based on the index of height-for-age and weight-for-height shows from the short toddler then 19.6% of toddlers who experience the potential fat. This is slightly lower with the results of 2016 nutrition status monitoring of 27.5% of short children (height-for-age), as many as 23.4% of under-fives have normal body weight (weight-for-height). If stunted children get more feeding treatment than what is expected to increase height, they are potentially obese.AbstrakTujuan: Penelitian ini bertujuan untuk mengidentifikasi status gizi anak usia 6-35 bulan, asupan zat gizi dan pola pemberian ASI. Metode: Survei dilakukan di Kecamatan Purwojati Banyumas melibatkan 392 anak berumur 6-35 bulan. Hasil: Sebagian besar berusia 12-23 bulan sebesar 43,4% dan kelompok usia 24–35 bulan sebesar 32,7%. Sebagian besar ibu balita mempunyai tingkat pendidikan setingkat SMP. Analisis komposit tersebut digunakan untuk melihat masalah gizi secara nyata. Analisis komposit menunjukkan bahwa sebesar 19,6% batita mempunyai masalah gizi pendek normal. Konsumsi energi dan protein pada anak di bawah tiga tahun sebagian besar pada kategori kurang. Sebagian besar ibu batita tidak melakukan perilaku inisiasi menyusui dini pada bayi yang dilahirkan sebesar 60,7% dan sebagian besar memberikan ASI tidak eksklusif sebesar 40,3%. Simpulan: Analisis komposit status gizi berdasarkan indeks TB/U dan BB/TB menunjukkan 19,6% batita pendek, lebih rendah dari angka 27,5% data pantauan status gizi tahun 2016. Sebanyak 23,4% balita mempunyai status BB/TB normal. Jika anak-anak pendek mendapat perlakuan pemberian makanan lebih dari apa yang diharap bisa meningkatkan tinggi badan, mereka justru berpotensi mengalami kegemukan. Tidak terdapat hubungan bermakna antara inisiasi menyusui dini dan pemberian air susu ibu eksklusif terhadap status anak pendek.
Faktor yang Mempengaruhi Perawat tentang Safe Handling Precaution di Pelayanan Kemoterapi RSUD Saiful Anwar
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 | DOI: 10.22146/bkm.35150

Abstract

Tujuan: Mengeksplorasi persepsi faktor yang mempengaruhi safe handling precaution dengan menggunakan teori Health Belief Model (HBM). Metode: Penelitian kualitatif dengan desain studi kasus observasional danlandasan teori health belief model. informan utama 12 perawat di instalasi rawat inap (6 perawat di instalasi penyakit dalam dan 6 di pusat rawat inap pelayanan kemoterapi). Keabsahan data menggunakan triangulasi, observasi ketersediaan alat pelindung diri, peer debriefing dan debriefer. Analisa data menggunakan model colaizzi.Hasil: Persepsi penghambat dari faktor internal dan eksternal. Persepsi faktor pendukung berupa iklim keselamatan kerja dan budaya kerja..Kesimpulan: Kurangnya ketersediaan APD, beban kerja tinggi, tindakan tergesa-gesa, kurangnya pengetahuan bahaya paparan kemoterapi merupakan faktor yang dapat mempengaruhi safe handling precaution. Diperlukan peran institusi kesehatan untuk meningkatkan keselamatan dan kesehatan kerja pada perawat di pelayanan kemoterapi.
Strategi monitoring kepatuhan penggunaan antiretroviral pre-exposure prophilaxis pada pasangan serodiscordant Ni Kadek Diah Purnamayanti; Nurma Yuni Pari Usemahu; Fatih Haris M; Marina Kristi Layun R
Berita Kedokteran Masyarakat (BKM) Vol 35, No 1 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (178.231 KB) | DOI: 10.22146/bkm.35359

Abstract

Monitoring strategy of antiretroviral pre-exposure prophylaxis adherence among serodiscordant couple  Antiretroviral pre-exposure prophylaxis (PrEP) has been recommended as HIV prevention but poor medical adherence can cause suboptimal therapy. This study explored the strategies of monitoring PrEP adherence among the serodiscordant couples. This systematic review based on 4 data bases (Scopus, Pubmed, Ebsco and Sage Journal), included clinical trial studies articles between 2013-2018, in English, and available in full-text. Papers, which not met the inclusion criteria, will be excluded. Keywords used in this study are ‘serodiscordant couple’ AND ‘method’ OR ‘strategy’ OR ‘approach’ AND ‘pre-exposure prophylaxis intention’ OR ‘pre-exposure prophylaxis adherence’. This study discovered various strategies applied based on the type of delivering process, the variance of dose, and variance of preference of the couple. Preference of PrEP dose and type of application related to heterosexual or homosexual orientation and their social commitment. The paper explains the advantage of M-health and biomarker level monitoring. 
Dukungan keluarga dan komunitas sesama penderita: studi pada pasien dengan hemodialisis di rumah sakit Windri Lesmana Rubai; Retna Siwi Padmawati; Yanri Wijayanto Subronto
Berita Kedokteran Masyarakat (BKM) Vol 34, No 8 (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.35384

Abstract

Support from spouse and hospital-based self help group members for hemodialysis patients in public hospitalPurpose: This study aims to document examples of social support given by hemodialysis friends and self-help group to people undergoing hemodialysis in the hospital.Method: This is a qualitative research with phenomenology research design. Subject was selected using purposive sampling based on criteria inclusion and maximum variation. Data were collected by in-depth interview, consisted of 11 informants (6 male and 5 female) with length of hemodialysis experience between 6 months to 2 years. In addition, family were also invited for in-depth interview. The validity of data were assessed through triangulation and peer debriefing.Results: This study documented examples of friendliness among people who undergoing hemodialysis in the hospital. Occasionally they schedule community meetings or just a joint meal between patients and families after the hemodialysis therapy schedule takes place. At such meetings, they can exchange experiences and transfer the information from the old members to the new one. The group involved activities outside the hospital, the group involved new members to work together at local and national events in support of chronic kidney diseases patients.Conclusion: Our findings show that depressed patient who undergoing the hemodialysis gained new perception of their diseases and got a support to continue their treatment through self-help group. This research emphasize the role of hospitals as entry points for sufferers to find groups of fellow sufferers whose social support programs.

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