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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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Scoping Review Kejadian Luar Biasa Hepatittis A di Indonesia Tahun 1998-2018 Rilla Venia Lalu; Hari Kusnanto
Berita Kedokteran Masyarakat (BKM) Vol 35, No 10 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (50.829 KB) | DOI: 10.22146/bkm.47173

Abstract

Scoping review hepatitis a outbreaks in Indonesia: 1998-2018Purpose: The purpose of this study was to determine the distribution of cases and risk factors of outbreaks of hepatitis A in Indonesia during 1998-2018.  Method: Scoping review conducted on electronic data from journal articles as well as published and unpublished reports (grey literature) from 1998-2018. Online databases such as Google Scholar and Pubmed. Grey literature is obtained from the library and from the unpublished report document results obtained from the University of Indonesia (UI) and University of Gadjah Mada (UGM). In the process of select and data extraction aided by 2 reviewers. Results: Outbreaks of hepatitis A were reported to occur in 47 incidents during 1998-2018 with the outbreak area mostly occurring in East Java, West Java and Central Java. Men are more at risk (63.4%) of hepatitis A than women and 15-34 years is the age most at risk of hepatitis A. The hepatitis A outbreak area is the most at school / campus with proportion (41.5%), cottage boarding schools (31.7%) and in residential or community environments (24.4%) The risk factors that most contribute to outbreaks of hepatitis A at school/campus and in the community are the habit of not washing hands with soap before eating and consuming foods that are not hygienic. While in boarding schools is the use of shared eating/drinking tools. Conclusion: School age and young adults are the age groups most at risk for hepatitis A. Unhygienic individual behavior (not washing hands before eating) is a major contributing factor to the transmission of hepatitis A.
HUBUNGAN STATUS KESEHATAN DENGAN KEMATIAN JEMAAH HAJI EMBARKASI SOLO ANALISIS DATA SISKOHATKES TAHUN 2016 – 2018
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.47224

Abstract

Health status with the death of jemaah hajj embarkation Solo: siskohatkes data analysis in 2016-2018Purpose: This study aims to determine the relationship of health status, relationship between sex factors, level of education, occupation and distance of accommodation in Saudi Arabia with the death of HOC pilgrims for 2016-2018 Method: A case-control study without matching (unmatching) using secondary data from the Health Hajj Computerized Integrated Health Sector (Siskohatkes) Ministry of Health of the Republic of Indonesia. The population in this study was the HOC Embarkation pilgrims, when organizing Hajj in 2016-2018. The case group is the hajj pilgrims who died during the 2016-2018 pilgrimage that met the inclusion criteria. The control group is pilgrims who live until the end of the pilgrimage with a case-control ratio of 1: 1. Samples were taken by stratified random sampling method. Bivariable analysis using chi-square test, multivariable analysis using logistic regression test (logistic regression). Results: The health status of haj pilgrims is the most significant variable related to the death of HOC pilgrims Embarkation SOC in 2016-2018, in multivariable analysis, high-risk health status has a value of OR = 7.83 (p-value = 0.001, 95% CI = 2, 99 - 20.49). Other variables also related to the death of the pilgrims are gender (OR = 1.87, p-value = 0.003, 95% CI = 1.24 -2.84), education level (OR = 1.86, p-value = 0.004, 95 % CI = 1.22 - 2.84). Employment variables show protective results against the deaths of pilgrims (OR = 0.63, p-value = 0.039, 95% CI = 0.41 - 0.98). Conclusion: Death of Haj pilgrims Embarkation of SOC in 2016-2018 is related to health status, gender, education level and employment of pilgrims. The development of the health of pilgrims in the waiting period before departure needs to be increased in order to reduce the number of morbidity and mortality of pilgrims during the implementation of the pilgrimage.
HUBUNGAN JENIS BREEDING SITES DAN KEPADATAN LARVA DENGAN KASUS MALARIA DI WILAYAH PT. FREEPORT INDONESIA KABUPATEN MIMIKA TAHUN 2013-2017: PENDEKATAN SPASIAL-TEMPORAL Wafiyyah Rizki Wiariyanti; E. Elsa Herdiana Murhandarwati; Anis Fuad
Berita Kedokteran Masyarakat (BKM) Vol 35, No 10 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (512.551 KB) | DOI: 10.22146/bkm.47232

Abstract

Breeding sites and larvae density with malaria cases in PT. Freeport Indonesia, mimika regency in 2013-2017: spatio-temporal approachPurpose: This study aims to determine the relationship between breeding sites and larval density in malaria cases in the Lowland region of PT. Freeport Indonesia Mimika Regency 2013-2017. Method: This study uses secondary data from PT. Freeport Indonesia in 2013 - 2017. The data used in this study included malaria case data, breeding sites and breeding sites and larval density in the lowland PTFI area from 2013-2017. Data analysis included descriptive analysis to see the distribution picture, bivariate analysis to examine the relationship between variables and spatial analysis to find out the distribution of cases and breeding sites.Results: The number of malaria cases from 2013-2017 in the Lowland PTFI region was 267 (37%) from a total population of 713 people. The highest case occurred in 2014 as many as 70 cases. Distribution of cases based on sex occurs mostly in men, in the age group of 46-50 years, based on the relatively equal employment status between employees and non-employees and based on the location, many occur in Kuala Kencana. Types of breeding sites with larvae density have a significant relationship (p <0.0001), larvae density with malaria cases also have a significant relationship (p 0.0013 and r 0.40) especially density in xpool which has a density of 2.01/dip.Conclusion: Distribution of malaria cases focused on locations where employees live and locations with high mobility. The types of breeding sites are related to larval density. The highest density of larvae is found in breeding sites of the xpool type. Larval density and malaria cases have a significant relationship with larvae density in the xpool breeding site.
Peran Stakeholder terhadap Program Kesehatan Jiwa dalam Penanggulangan Pasung pada Orang dengan Gangguan Jiwa (ODGJ) di Kecamatan Moyudan Kabupaten Sleman
Berita Kedokteran Masyarakat (BKM) Vol 36, No 5 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.47283

Abstract

Purpose: Physical restraint of mental illness (pasung) has been widely documented in Indonesia. However, there is still a lack of studies exploring the role of puskesmas in eliminating pasung. This study aims to document the head of the puskesmas in advocating for and working with local administrators to build a positive climate of involving people with mental illness in productive activities so that they have no reason to be confined at home.Methods: This case study was based on in-depth interviews of 19 community health center workers and community personnel, field observations, and document review.Results: Periodic, regular communication organized in simple meetings and field visits with local stakeholders can open up stakeholders and have the same vision in public health. With hospitable visits of respected local officials and health workers, families and communities, who at first were ashamed and isolated their mentally ill family members, are now becoming open-minded and participating in programs for persons with mental illness.Conclusion: Communication and public health leadership skills from the head of puskesmas are essential skills in inviting local administrators to work together for public health.
Faktor-faktor yang berhubungan dengan kejadian demam tifoid pada penduduk wilayah pinggiran sungai Musi di Seberang Ulu Palembang tahun 2019
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.47653

Abstract

Risk factors of typhoid fever in the residential population of Musi river 2019Purpose: This study aims to determine the factors related to the occurrence of typhoid fever in the residential of the Musi River in Seberang Ulu Palembang. Method: This research is a quantitative study using a case control design with a population of 106 samples using the Musi river suburb of Seberang Ulu using a proportional cluster sampling technique. Data analysis carried out in this study were univariate, bivariate, and multivariate.Results: The results of the study of the incidence of typhoid fever in the population of the Musi River region in Seberang Ulu showed a low socioeconomic (p value = 0.032), low education (p value = 0.015), individual hygiene (pvalue = 0,000), using the toilet (pvalue 0.025), clean water quality (p value = 0.034), garbage storage facility (pvalue = 0.006), fecal leasing facility (pvalue = 0.018) is related to the incidence of typhoid fever, age, gender, occupancy density is not relationship with the incidence of typhoid fever Based on the results of multivariate analysis, the variable waste disposal facility is the most influential variable with the Odds Ratio 3.557; 95% CI 0.951-13,229.Conclusion: It can be concluded that the waste disposal facilities in the Musi River suburb in Seberang Ulu are still not good and become a dominant factor influencing the incidence of typhoid fever so it is advisable to carry out outreach efforts to increase environmental awareness and provide garbage disposal infrastructure to meet the requirements of a healthy environment. and looking for trash transport officers to then be transported to temporary landfills.
Safety climate as a risk factor of occupational accidents in a textile industry Karlina Wirawati; Ardini Raksanagara; Sharon Gondodiputro; Deni K Sunjaya; Hadyana Sukandar; Sri Yusnita Irdasari
Berita Kedokteran Masyarakat (BKM) Vol 36, No 2 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.621 KB) | DOI: 10.22146/bkm.47771

Abstract

Purpose: This study aimed to analyze several risk factors of safety climate e.g. management safety priority and commitment, management safety empowerment, management safety justice, workers’ safety commitment, workers’ safety priority, safety in learning, communication, and innovation, and worker’s trust in the efficacy of safety system with occupational accidents in a spinning.Methods: This case-control study involved 120 workers divided into two groups, the control group (80 subjects) and the case group (40 subjects). The case group consisted of spinning workers who had experienced occupational accidents in the last two years in the textile industry in Bandung. The bivariate analysis uses a chi-squared, while multivariable analysis with multiple logistic regression.Results: The results show that PPE use and management safety empowerment influenced occupational safety, becoming a risk factor for occupational accidents. Management safety empowerment was considered the primary factor of occupational accidents with an adjusted odds ratio of 5.52 (CI 95% 2.26–13.44).Conclusions: Management safety empowerment that influenced occupational safety programs can improve social exchanges and support workplace safety to encourage occupational safety behavior.
Pengalaman keluarga merawat penderita pasca stroke di kota Jambi tahun 2019 Kadarwati Kadarwati; Rahmi Ulfa; Elvi Oktarina
Berita Kedokteran Masyarakat (BKM) Vol 35, No 8 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (25.364 KB) | DOI: 10.22146/bkm.47936

Abstract

Family experience for the first time caring for post-stroke sufferers at homePurpose: Neurological deficits of post-stroke patients have a negative impact on patients and families. To explore in-depth the experiences of families caring for post-stroke sufferers.  Method: Qualitative research method using a descriptive phenomenology approach. Data of nine participants selected using purposive sampling. Data collected by interviews in-depth semi-structured duration of 60-90 minutes. Data analysis using the Colaizzi method.Results: This study found five themes: dependence on daily activities in the family, efforts made by the family to fulfill self-care activities, constraints faced by caregivers, family expectations and limited knowledge and skills of caregivers. Conclusion: Families experienced difficulties in meeting patients' ADLs. They have major changes in physical conditions, rest and sleep pattern, psychological conditions, social activities, and income opportunities. The families are in need of help from others and about how to treat post-stroke patients at home.
Pengalaman ibu menyusui di RSIA X kota Malang Fiella Rachmatika; Harun Al Rasyid; Lilik Zuhriyah
Berita Kedokteran Masyarakat (BKM) Vol 35, No 8 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (115.676 KB) | DOI: 10.22146/bkm.48018

Abstract

The experience of breastfeeding mothers in RSIA X MalangPurpose: Several factors cause a low level of exclusive breastfeeding in Indonesia. One of them is breastfeeding, which is not immediately resolved by health workers in the hospital. Mothers who have just given birth in an MCH hospital expect help and assistance from health professionals to not have difficulty breastfeeding. This study is to uncover the experience of nursing mothers in an MCH hospital. Method: This phenomenology research took place in a hospital in Malang in April-May 2019 with five informants by purposive sampling. Data were from in-depth interviews and analyzed using an interpretive phenomenology analysis. Results: There were seven themes: satisfied and comfortable giving birth, health workers in hospitals did not deliver breastfeeding information and assistance, more comfortable breastfeeding because it was practical and economical, grateful to have struggled to provide breastfeeding so that children were healthy, disappointed and worried about breastfeeding, pain, and tiredness of breastfeeding, the desire to obtain breastfeeding support and information from the hospital. The mother expects to obtain breastfeeding support in the form of information and assisting breastfeeding so that the mother understands how to breastfeed and does not experience breastfeeding problems when returning home. Conclusion: Our study hospital did not consistently serve as a friendly environment for breastfeeding mothers.
Effect of number of posterior occluding pairs of teeth to nutritional status in elderly in Yogyakarta
Berita Kedokteran Masyarakat (BKM) Vol 35, No 8 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.48208

Abstract

Purpose : Decreasing number of posterior occluding pairs (POP) of teeth in elderly can lead them to reduce food intake and impaired nutritional status through food intake mediation. This study was aimed to assess the relationship between POP of teeth and nutritional status through food intake mediation.Method : This study was a cross-sectional study involving 130 elderly subjects. Sampling was done by multistage stratified cluster random sampling method. The number of POP of teeth was calculated using the Eichner Index and ordinally categorized into 9 subgroup of occlusion (A1-C2). Nutritional status was measured using the body mass index (BMI) and food intake was assessed using body weight discrepancy in the last 3 months. Data were analized using test of Somer’s d, chi square and path analysis.Results : Mean age was 65,7 years old. There were only 23% of elderly who had POP of teeth in 4 zones and 3.8% of them still had complete POP of teeth (A1), indicated that the lost of large number of POP of teeth was experienced by 77% of the elderly. There was a significant correlation between number of POP of teeth and nutritional status mediated by food intake. A positive relationship between number of POP of teeth with food intake (p = 0,002; r = 0,095) proved that food intake was a mediator.  Conclusion : There was a relationship between number of POP of teeth and nutritional status mediated by food intake.
Persepsi ibu balita terhadap vaksinasi MR di wilayah kerja Puskesmas Beji: alasan penolakan dan penerimaan Lia Arsyina; Ayu Amalia Rahmi; Ayudhia Rachmawati; Dortua Lince Sidabalok; Nada Amirah; Redi Yudha Irianto; Evi Martha; Bambang Wispriyono
Berita Kedokteran Masyarakat (BKM) Vol 35, No 10 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2163.432 KB) | DOI: 10.22146/bkm.48531

Abstract

Maternal perceptions of MR vaccination in work area of Puskesmas Beji: explanations of reasons for and againts Purpose: Data from the Ministry of Health shows that as of October 2018, the coverage of MR vaccination nationally still has not reached the target. Depok is one of the cities that has not reached the target. This is due to the rejection of the child's parents. Therefore, the purpose of this study was to find out how the mother's perception and find out the reasons for acceptance and rejection of MR vaccination. Method: This research is a qualitative study with 23 informants consisting of mothers of children under five (mothers agree and disagree), cadres, midwives, and heads of Puskesmas uses Focus Group Discusion and In-depth Interview. Results: The results of this study found that for knowledge, mothers who agreed were mostly know about MR vaccination, while most mothers who did not agree admitted that they did not know. Whereas for perceptions, most of the mothers who disagree have a negative perception of MR vaccination, while most mothers who agree have positive perceptions of MR vaccination. There are also various reasons why mothers accept or refuse MR vaccination. Conclusion: Mother's perception of MR vaccination is one of the causes of rejection, resulting in MR vaccination coverage in Depok not yet reaching the national target.

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