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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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Mengapa asuransi kesehatan perlu dimasukkan ke dalam biaya pendidikan dokter residen Anggita Purnamasari; Dewiyani Indah Widasari; Karl Frizts Pasaribu
Berita Kedokteran Masyarakat (BKM) Vol 35, No 4 (2019): Proceedings the 5th UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (963.702 KB) | DOI: 10.22146/bkm.45292

Abstract

Rumah sakit merupakan salah satu tempat kerja yang paling berbahaya. Ada berbagai jenis cedera yang dapat mengenai pekerja di rumah sakit, seperti terkena darah yang patogen, infeksi pernapasan, cedera muskuloskeleteal, dan penyakit mental akibat perasaan tertekan. Cidera dapat terjadi karena jatuh, memindahkan pasien, kerusakan peralatan, penggunaan peralatan yang tidak benar, needle stick injuries (NSIs) dan kekerasan yang dilakukan oleh pekerja lain atau orang luar. Mahasiswa pendidikan dokter spesialis atau seringkali disebut dokter residen melakukan praktek kerja di rumah sakit. Meski demikian, pelaksanaan program pendidikan dokter spesialis di Indonesia saat ini dilakukan di RS pendidikan dan RS jejaring di bawah koordinasi fakultas kedokteran. Penerapan pendidikan dan pelatihan residen dilakukan berdasarkan UU Pendidikan Nasional sehingga disebut sebagai 'university based', yang berarti status dokter residen adalah peserta didik, bukan pegawai rumah sakit. Namun, dokter residen memiliki risiko kecelakaan kerja yang sama besar dengan pekerja rumah sakit lainnya. Beberapa penelitian justru menyebutkan bahwa dokter residen merupakan salah satu healthcare workers yang paling sering mengalami NSIs setelah perawat. Di Indonesia, kepesertaan asuransi kesehatan bagi dokter residen hanyalah bagi beberapa dokter residen yang sudah memiliki home-based kerja dan mereka yang voluntary mendaftarkan dirinya ke BPJS. Jumlah dokter residen yang terdaftar pada BPJS masih sangat sedikit dibandingkan dengan jumlah total dokter residen. Rumah sakit tempat tidak dapat mendaftarkan dokter residen sebagai peserta BPJS karena mereka tidak terdaftar sebagai pegawai rumah sakit. Dokter residen sebagai peserta didik dalam program university-based, setiap semesternya diharuskan membayar biaya pendidikan. Maka, universitas dapat memasukkan item asuransi kesehatan seperti BPJS dalam biaya pendidikan dokter residen. Manfaat yang akan diperoleh dengan kepesertaan dalam BPJS, khususnya BPJS Ketenagakerjaan, antara lain adanya Jaminan Keselamatan kerja (JKM), Jaminan Pensiun (JP), dan Jaminan Hari Tua (JHT). Melalui jaminan kesehatan ini, diharapkan kecelakaan kerja pada dokter residen dapat lebih tertangani dengan baik.
Manajemen central sterile supply department unit sterilisasi sentral di RSU PKU Muhammadiyah Bantul Yogyakarta Awaludin Awaludin; Ahmad ahid Mudayana
Berita Kedokteran Masyarakat (BKM) Vol 35, No 4 (2019): Proceedings the 5th UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (871.148 KB) | DOI: 10.22146/bkm.45302

Abstract

Latar belakang: Menghadapi era globalisasi dan desentralisasi saat ini berbagai macam tantangan serta perubahan harus disikapi dengan sungguh-sungguh, Angka infeksi nosokomial terus meningkat mencapai sekitar 9% (variasi 3-21%) atau > 1,4 juta pasien rawat inap di rumah sakit seluruh dunia. Hasil survey point prevalensi dari 11 Rumah sakit di DKI Jakarta yang dilakukan oleh Perdalin Jaya dan rumah sakit penyakit infeksi Prof.Dr.Sulianti Saroso Jakarta pada tahun 2003 didapatkan angka infeksi nosocomial untuk ILO (infeksi luka operasi) 18,9 %, ISK (infeksi saluran Kemih) 15,1%, IADP (Infeksi Aliran Darah Primer) 26,4%, pneumonia 24,5% dan infeksi saluran napas lain 15,1% serta infeksi lain 32,1 %. Cara meminimalkan risiko terjadinya infeksi di rumah sakit dan fasilitas pelayanan kesehatan lainnya perlu diterapkan Pencegahan dan Pengendalian Infeksi (PPI), yaitu kegiatan yang meliputi perencanaan, pelaksanaan, pembinaan, pendidikan dan pelatihan, serta monitoring dan. Manajemen CSSD di rumah sakit meliputi perencanaan, pengorganisasian, pelaksanaan, pengawasan, dan evaluasi. Manajemen CSSD  sangat dibutuhkan oleh suatu rumah sakit karena tanpa manajemen pencapaian tujuannya akan lebih sulit. Permasalahan yang terdapat di Unit CSSD yakni kurangnya SDM, Fasilitas CSSD yang belum memadai, serta unit CSSD yang masih gabung dengan kamar operasi.Metode: Jenis Penelitian ini menggunakan deskriptif kualitatif. Teknik pengambilan data dengan menggunakan wawancara, dan observasi. Dimana subjek diambil sebanyak 5 orang.Hasil: Berdasarkan hasil penelitian menunjukkan bahwa perencanaan CSSD sudah terencana dengan baik dan sesuai dengan teori perencanaan, pengorganisasian belum tersusun secara maksimal dan struktur organisasinya masih dibawah Kamar Operasi (OK). pelaksanaan CSSD sudah berjalan dengan baik dan sesuai dengan pedoman CSSD yang dikeluarkan Kemenkes,akan tetapi masih terdapat perangkapan pekerjaan. pengawasan sudah berjalan dengan baik, dan evaluasi sudah berjalan dengan baik sesuai dengan teori evaluasi.Kesimpulan: perencanaan CSSD sudah terencana dengan baik dan sesuai dengan teori perencanaan, Pengorganisasian CSSD di RSU PKU Muhammadiyah Bantul Yogyakarta belum tersusun secara maksimal karna CSSD di RSU PKU Muhammadiyah struktur organisasinya masih dibawah Kamar Operasi (OK). Dan tidak sesuai dengan Struktur organisasi yang dikeluarkan oleh Kemenkes. pelaksanaan CSSD sudah berjalan dengan baik dan sesuai dengan pedoman CSSD yang dikeluarkan Kemenkes, akan tetapi masih terdapat perangkapan pekerjaan. pengawasan sudah berjalan dengan baik, dan evaluasi sudah berjalan dengan baik sesuai dengan Jenis evaluasi Formatif dan Sumatif.
Studi kasus implementasi program pencegahan dan pengendalian infeksi saluran pernafasan akut pneumonia pada kegiatan penemuan kasus pneumonia balita di puskesmas Sri Maya Guswahyuni; Djauhar Ismail; Sri Mujianto
Berita Kedokteran Masyarakat (BKM) Vol 35, No 6 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (527.328 KB) | DOI: 10.22146/bkm.45642

Abstract

Case study of implementation pneumonia prevention and control program: case finding on the children under five years old at puskesmas by IMCI approachPurpose: This study aims to evaluate the Prevention and Control program for ARI Pneumonia through pneumonia case finding activities for toddlers in Kerinci District health centers. Methods: This study is evaluation research used qualitative methods with a case study program implementation plan, located at Sungai Tutung Health Center, Kerinci District, Jambi Province, using a logic model program theory with evaluation steps referring to the program evaluation framework recommended by the Center For Disease Control and Prevention. Interviews were conducted on 15 informants including triangular informants. Key informants are primary health care providers who are associated with ARI pneumonia. Results: The results of the study, the case-findings of pneumonia cases passively was not optimal because it did not meet the standard of cough testing and IMCI approach. Lack of knowledge, low motivation, and weakness, monitoring, and evaluation from the health office are obstacles to ARI pneumonia programs in addition to budget or funding limitations. Conclusions: The recommendation is to allocate a budget for the P2 ISPA program, facilitate the improvement of knowledge and skills for P2 ISPA Primary health care officers, establish cross-program and cross-sector cooperation in expanding the reach of P2 ISPA program in the finding of pneumonia cases in toddlers in health centers.
PENGELOLAAN KESEHATAN REPRODUKSI PENGUNGSI PASCA GEMPA DI KABUPATEN LOMBOK TIMUR Nurhidayati Nurhidayati; Retna Siwi Padmawati; Abdul Wahab
Berita Kedokteran Masyarakat (BKM) Vol 36, No 6 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.45761

Abstract

Background: MISP (minimum initial service package) is a guideline for post-disaster reproductive health services. After the earthquake in East Lombok Regency, reproductive health services, according to the MISP standards, need to be seen. Suppose the condition does not comply with the standard. In that case, it will cause many pregnant and lactating women and infants and toddlers to be threatened with the quality of their health and safety. It will have an impact on increased maternal and infant mortality rates.Purpose: Describe the management of reproductive health in pregnant women, women giving birth / postpartum mothers with newborns among IDP victims of the earthquake disaster in East Lombok Regency.Research Methods: This research is a qualitative study with a case study design. In-depth interviews were conducted with 21 informants consisting of 6 stakeholders from the East Lombok District Health Office, four service providers, nine service recipients, and two cross-sectoral. Secondary data and document studies were also used as data sources.Result: Most informants have never heard of the term MISP, and the management of IDPs' reproductive health after the earthquake was not well organized. The organizational structure for managing the district-level health care program, both during the emergency response and rehabilitation phase, has not yet been formed. However, health workers' types of service activities such as midwives, nurses, and doctors from unaffected puskesmas are still running. These activities include ANC, delivery assistance, high-risk detection, and case referral. Family planning services and contraceptives, and the need for romance tents are not provided. As a result, there was an increase in mothers and neonates' high-risk cases and an increase in pregnant women K1 during the rehabilitation period. Provision of the "Kespro" tent for delivery services, pregnant women, and maternity services is available in collaboration with overseas organizations, but there is only one for the entire district. Apart from limited facilities and logistics and sanitation, officers are also less sensitive to other basic needs.Conclusion: There is a gap between the services provided and the minimum initial service package, which is the standard for reproductive health services in crisis times. Preparation of the local government through the relevant regional apparatus organizations is required to immediately prepare a Disaster Management Plan at all stages, starting from comprehensive mitigation, contingency, emergency response, and rehabilitation plan.  
Determinants of physiotherapy compliance for low back pain patients in Medan Teaching Hospital 2016 Anita Andriany; Erna Mutiara; Halinda Sari Lubis
Berita Kedokteran Masyarakat (BKM) Vol 35, No 7 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (320.61 KB) | DOI: 10.22146/bkm.46146

Abstract

Purpose: The high rate of non-compliance with physiotherapy was 71.7% in LBP patients in Medan Education Hospital in 2016. The purpose of the study was to determine the variables that are related and most related to compliance with physiotherapy.Method: The sample size of the cross-sectional study was 125 people and was chosen by simple random sampling. The type of data used is primary data through direct interviews with LBP patients who do physiotherapy at Medan Teaching Hospital using a questionnaire. Result: The results of data processing obtained the value of RP family income of 0.764 (0.337-1.732), p>0.005 not related to compliance with physiotherapy.  The role of health workers is Rp. 2.453 (1.084-5.550), p<0.005 and accommodation values are Rp. 3,076 (1.159-8161), p<0.005 related to Compliance with physiotherapy. Conclusion: Accommodation is the variable most associated with compliance with physiotherapy so that the estimated number of RP is 1.897 with 95% CI (1.210-2.974) and p <0.050. LBP patients with adequate accommodation are estimated to give an opportunity 1.897 times to obey physiotherapy.
Analisis spasial keterjangkauan retailer rokok terhadap perilaku merokok pada siswa SMA di kecamatan Wangi-Wangi dan kecamatan Wangi-Wangi Selatan kabupaten Wakatobi Muhammad Ihsan Awaluddin; Supriyati Supriyati; Anis Fuad
Berita Kedokteran Masyarakat (BKM) Vol 35, No 7 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (473.42 KB) | DOI: 10.22146/bkm.46187

Abstract

Spatial analysis the affordability of cigarette retailers on smoking behaviour high school students in Wakatobi DistrictPurpose: This study aims to analyze the spatial relationship of the affordability of cigarette retailers to the smoking behavior of high school students in the district. Wangi-Wangi and South district Wangi-Wangi, Wakatobi Regency.Method: This type of research is an analytical survey, using a cross-sectional design. With 94 samples taken randomly using a purposive sampling method.Results: Chi-square statistical tests show affordability of retailers (ρValue = 0.048), and friend smoking behavior (ρValue = 0.010) there is a statistical relationship with smoking behavior of high school students, GeoDa spatial regression test shows that affordability of retailers (p = 0.00922), friend's smoking behavior (p = 0.00204) and parents' smoking behavior (p = 0.03181) there is a spatial relationship with smoking behavior. Moran's Index is in the range of 0 <I ≤ 1 indicating positive spatial autocorrelation.Conclusion: There is a spatial relationship between the affordability of retailers, friend smoking behavior and smoking behavior of parents with smoking habits of high school students in Wangi-Wangi District and WangiWangi South District, Wakatobi Regency.
PERILAKU KADER KESEHATAN DALAM DIGITALISASI PENCATATAN ANTENATAL CARE DI KELURAHAN PALUMBONSARI, KAWASAN TIMUR KARAWANG
Berita Kedokteran Masyarakat (BKM) Vol 35, No 9 (2019)
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.46311

Abstract

Behavior of health volunteer in digitalization of antenatal care recording in Kelurahan Palumbonsari, Timur KarawangPurpose: This study was aimed to determine the behavior of health volunteers in digitizing antenatal records in Palumbonsari Village, Karawang Timur Regency. Method: This research was quantitative research. This research was in July 2018. The technique of collecting data used a questionnaire. The population in this study was health volunteers in the East Karawang Health Center. Palumbonsari. The sampling method was purposive sampling totaling 32 health volunteers. Results: The results of the study of 32 respondents, 75% of respondents had a good level of knowledge about digitizing antenatal care records, 78.12% who had sufficient attitudes and levels of respondent behavior were 75% ready to support the implementation of digitizing antenatal care records. Conclusion: The behavior of health cadres in digitizing antenatal care records in Palumbonsari Village was quite good. It was recommended that all health services be able to carry out digitalization of antenatal care records in an effort to record and store medical records of pregnant women which were more accessible at any time and anywhere.
Pola asuh dan pola makan sebagai faktor risiko stunting balita usia 6-24 bulan suku Papua dan non Papua di wilayah kerja Puskesmas Arso III kabupaten Keerom Fiyanita Nesa Ramadhani; BJ Istiti Kandarina; I Made Alit Gunawan
Berita Kedokteran Masyarakat (BKM) Vol 35, No 5 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.012 KB) | DOI: 10.22146/bkm.46336

Abstract

Parenting and feeding paterns as risk factors for stunting toddlers aged 6-24 months Papuans and Non-PapuansPurpose: Stunting or short is one indicator of chronic nutritional status that has long-term effects. The stunting prevalence in Indonesia in 2013 was 37.2% and in Papua in 2016 amounted to 51.72%. In 2017 there were 527 stunting toddlers in Keerom Regency and 214 toddlers found in Skanto District. This study aims to determine the risk of parenting and feeding patterns to the incidence of stunting of children aged 6-24 months in the Papuan and Non-Papuan tribes in the Arso III Health Center, Keerom. Method: This type of research is observational with a case-control design. A total of 160 toddlers were divided into 40 cases and 40 controls in each tribe. Data collection uses parenting questionnaires and SQ-FFQ. Data analysis used the Independent T-Test, Mann-Whitney, Chi-Square and Multiple Logistic Regression. Results: The results of the bivariate analysis showed that there were differences in energy and protein intake and there were no differences in parenting and types of food in Papua and non-Papuan stunting children. In the Papuan tribe there is a relationship between parenting (OR=5.57), energy intake (OR=16.71), protein intake (OR=13.77), type of food (OR=4.63), and incidence of diarrhea (OR= 3.14) with the incidence of stunting. In the Non-Papuan tribe, there is a relationship between parenting (OR=8.03), energy intake (OR=11.76) and protein intake (OR=26.71) with the incidence of stunting. The results of multivariate analysis showed that the factors that contributed to the incidence of stunting in the Papuan tribe were parenting, energy intake, protein intake, and diarrhea, while in the Non-Papuan tribes were parenting, energy intake and protein intake. Conclusion: Parenting, energy intake and protein intake are risk factors for stunting in Papuans and non-Papuans. Energy intake is the most dominant factor in Papuans, while in Non-Papuans is protein intake. It is hoped that the local government can create special family assistance programs or activities to overcome stunting and use land that can prevent or overcome stunting.
Beban ekonomi yang ditanggung pasien dan keluarga akibat penyakit stroke: studi literatur Honesty Fadhilah; Vetty Yulianty Permanasari
Berita Kedokteran Masyarakat (BKM) Vol 35, No 6 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (316.663 KB) | DOI: 10.22146/bkm.46382

Abstract

Economic burden borne by patients and families due to stroke: literatur reviewPurpose: Stroke to this day is still a disease that carries a high disability, so that in the future it requires very expensive costs, and has an impact on the socio-economic consequences for patients and their families. Therefore, this study aims to estimate the causes of costs that cause economic burden due to stroke. Methods: The method used is content analysis by searching literature review from various sources, both in the form of journals and textbooks from national and international levels.Results: The literature study shows that direct medical costs in the form of rehabilitation costs and nursing care were identified as the main contributors that caused a high economic burden due to stroke.Conclusions: The high cost incurred causes families to experience catastrophic financial disasters, resulting in a decrease in the level of welfare. Social preventive measures are needed to reduce the magnitude of the prevalence of stroke to be able to reduce this cost burden in order to protect every household from the financial threat of a stroke.
Kebijakan kawasan tanpa rokok hubungannya dengan status merokok pada laki-laki di Indonesia: analisis lanjut survei indikator kesehatan Indonesia (Sirkesnas) 2016 Nur Aeni Amaliah
Berita Kedokteran Masyarakat (BKM) Vol 35, No 7 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (467.823 KB) | DOI: 10.22146/bkm.46469

Abstract

Smoke-free area policy and smoking status in men in Indonesia: further analysis of the 2016 Indonesia health indicators survey (Sirkesnas)Purpose: This study was conducted to analyze the Smoke-Free Area (SFA) policy, whether there is a relationship between smoking room restrictions and the smoking status of men in Indonesia. Method: A cross-sectional study design using 2016 National Health Indicator Survey (Sirkesnas) was used to assess the relationship between SFA policy, marital status, age, education level, type of work and residence (rural/urban) and smoking status of male population in Indonesia is ≥10 years old. The analysis uses quadratic analysis to assess the relationship between smoking status and non-smoking area policy, and logistic regression analysis to find out the variables that together influence the smoking status of men in Indonesia. This study did not analyze the implementation of policies in the district/city. Results: There is a relationship between SFA policy (OR: 1.11; 95% CI: 1.06-1.16), marital status (OR: 5.21; 95% CI: 4.95-5.49), age (OR: 11.80; 95% CI 11.02-12.63), education level (OR: 1.96; 95% CI: 1.79-2.15), type of work (OR: 8.94; 95% CI: 8.39-9.53), and residence (OR: 1.14; 95% CI: 1.09-1.20) with smoking status in men in Indonesia. The variables which mostly influence men's smoking status in Indonesia were SFA policy, marital status, age, education level, and type of work. Conclusion: SFA policies in districts/cities in Indonesia were related to smoking status in men in Indonesia. All regencies/cities must have an SFA policy and implement it, as a comprehensive tobacco control effort in Indonesia. The implementation of SFA policies in districts/cities needs to be increased so that the effects of suppressing smoking prevalence can be seen.

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