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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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BARRIERS OF COMMUNITY-BASED TUBERCULOSIS ACTIVE CASE FINDING ACTIVITIES AT HEALTH VOLUNTEER LEVEL IN BANTUL DISTRICT, INDONESIA; AN IMPLEMENTATION RESEARCH
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.53841

Abstract

Tuberculosis (TB) incidence still quite high over the world and Indonesia ranks third highest in the world. Bantul district the TB case finding in 2017 was 39.64%, under the national target in 70% rate. Along with the WHO End TB goal by 2035 encouraging more massive findings of TB cases, Active Case Finding (ACF) is increasingly recognized as a complement to Passive Case Finding (PCF). Involvement of Community Health Volunteers (CHVs) in the TB case finding has proven as one of an effective strategy to capture the presumptive TB cases. Meanwhile, CHVs performance has not been optimal, reflected from the low TB detection rate. Little is known about contextual factors that influence their implementation and perceptions regarding the involvement of CHVs in TB ACF. This study aims to explore the barriers of community-based TB ACF at health volunteer level. The study design was qualitative study. The research sample was taken by purposive sampling. Data collected by conduct IDI for health provider and FGD for CHVs. The results show there are several factors that influence implementation outcomes formulated in multilevel framework. The barriers in structural factors including lack of stake holder commitment following with lack of funding. From PHC factors the barriers are unclear organization of TB team, lack of communication with CHVs, over workload in PHC staff, and not every PHC have monitoring and evaluation for CHVs. While from CHV factors the barrier comes from different knowledge level and lack of confidence due to the gap of CHV training in every PHC, also they still facing stigma in community and lack of coordination with health provider. Then from the program factors there is different guidelines for community-based TB ACF that affected to unequally program delivery, this result in not optimal in conducted the TB ACF. Strong collaboration between CHVs and PHC is needed in the handling of TB cases but it still needs to pay attention to the local context and the resources. Although it is recognized the importance of CHV in TB case finding, barriers are still found in every factors and need appropriate intervention to enhance CHV performance in supporting community-based TB ACF.
Food poisoning outbreak caused by diarrhoeal Bacillus Cereus: a retrospective study Kornelius Langga Son; Andri SD Nugroho; Baning Rahayujati; La K Gozali
Berita Kedokteran Masyarakat (BKM) Vol 36, No 3 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (36.566 KB) | DOI: 10.22146/bkm.53889

Abstract

Purpose: This study aimed to investigate the causative agents, source of food poisoning, and mode of food poisoning transmission in Tegalkenongo Village.Method: A retrospective cohort study was used in the epidemiological investigation for one week from 13 May 2019 – 20 May 2019. Results: Based on the investigation, Of the 303 villagers involved in the event, 188 villagers were ill with the median age of cases was 38 years old, the average incubation period was 8 hours, and the predominant symptoms were diarrhea (93.62%), nausea (84.57%), and abdominal cramps (64.89%). The contaminated chicken satay was determined as the source of contamination with an adjusted Risk Ratio (aRR) was 4.36; 95% CI 1.1538, 16.5285. Initial epidemiological features and cultures from food items served in the event and stool sample of one patient suggested that the causative agent was Bacillus Cereus which was supported by Klebsiella Pneumoniae. Conclusion: Based on the field investigation result related to symptoms and incubation period and laboratory identification, we conclude that the causative agent was diarrhoeal B. cereus.
Implementing One Health (OH) Guideline for Effective Cross-Sectoral Collaboration: Enablers and Challenges for Neglected Zoonoses and Emerging Infectious Diseases (EIDs) Control in Kulonprogo District, Yogyakarta Province, Indonesia
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.53891

Abstract

Zoonoses are communicable diseases that transmissible between animals to humans, and vice versa. There are approximately 75% of emerging infectious diseases (EIDs) that originated from the animal. It has been an evidence-based practice for decades that One Health (OH) approach which integrates humans, animals and environmental health could provide earlier windows opportunity for better zoonoses control. We used a qualitative method using document review and semi-structured depth interviews to understand the barriers and enablers for implementing OH guidelines from Coordinating Ministry for Human Development and Cultural Affairs for cross-sectoral collaboration in Kulon Progo district, Yogyakarta Province, Indonesia. Totally, 13 participants were interviewed, who came from different backgrounds and expertise, including animal, public and environmental health, social science, governance, and disaster response. The document review shows precedent of cross-sectoral collaboration between public and animal health on national level that was initiated in 1972. Based on the recent trend of the public health problems in Kulon Progo, there are significantly lingering and/or increasing number of infectious diseases, both from public and animal health. Those diseases are leptospirosis, scabies, and helminthiasis (ancylostomiasis and ascariasis). All of those diseases are zoonotic and the last two are neglected, which included in neglected tropical diseases (NTDs) by WHO. There are enablers that emerge for implementing OH, including strong commitment, political will, program flexibility, good governance, system support, and thinking. The challenges/barriers that emerge including silo mentality, lack of cross-sectoral communication and coordination, conflict of interest, regulation, political will, siloed education, and funding. The necessary feasible intervention at the district level is to formalize a working group and/or committee for outbreak preparedness. Cross-sectoral meeting for joint-program and funding allocation are crucial for better planning, execution, and program evaluation to tackle zoonotic diseases (both NTDs and EIDs).
FAKTOR RISIKO KEJADIAN DIABETES MELLITUS DI PUSKESMAS DASAN TAPEN KABUPATEN LOMBOK BARAT
Berita Kedokteran Masyarakat (BKM) Vol 36, No 4 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.53923

Abstract

Latar Belakang: Para ahli kesehatan juga menyebutkan diabetes mellitus merupakan penyakit yang terpaut kromosom sex atau kelamin. Biasanya kaum laki-laki menjadi penderita sesungguhnya sedangkan kaum perempuan sebagai pihak yang membawa gen untuk diwariskan kepada anak-anaknya. Banyaknya penderita diabetes mellitus dipengaruhi oleh beberapa faktor diantaranya adalah faktor usia, keturunan (genetika), obesitas dan kebiasaan merokok. Tujuan: untuk mengetahui hubungan faktor risiko (usia, keturunan, obesitas, kebiasaan merokok) dengan kejadian diabetes mellitus di Puskesmas Dasan Tapen Kabupaten Lombok Barat. Metode: desain penelitian adalah penelelitian survey dengan pendekatan cross sectional. Instrumen yang digunakan dalam penelitian ini adalah kuesioner. Tekhnik pengambilan sample yang digunakan yakni  accidental sampling dengan jumlah sampel sebanyak 52 orang. Analisa data yang digunakan adalah univariat dalam bentuk narasi, tabel distribusi frekuensi dan persentase, serta bivariat menggunakan tabulasi silang dan Uji Cochran's the Mantel-Haenszel statistic. Hasil: penelitian ini menunjukkan bahwa dari  52 responden pada faktor risiko umur diperoleh nilai p = 0,047 < α 0,05 sedangkan pada faktor risiko yang lain diperoleh nilai p= 0,000 < α 0,05, umur memiliki nilai odd ratio = 8.889 yang artinya seseorang yang berumur lebih dari 40 tahun memiliki risiko 8 kali, genetika memiliki nilai odd ratio = 21.538 yang artinya seseorang yang memiliki riwayat keturunan memiliki risiko 21 kali, obesitas memiliki nilai odd ratio = 92.500 yang artinya seseorang yang mengalami obesitas memiliki risiko 92 kali, dan merokok memiliki nilai odd ratio = 23.400 yang artinya perokok memiliki risiko 23 kali. Kesimpulan: faktor usia, keturunan, obesitas, kebiasaan merokok memiliki hubungan dengan kejadian diabetes mellitus. 
DAMPAK KONSELING TERHADAP TINGKAT KECEMASAN KLIEN DENGAN RISIKO TINGGI HIV AIDS DI DAERAH PARIWISATA SENGGIGI LOMBOK BARAT
Berita Kedokteran Masyarakat (BKM) Vol 36, No 3 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.53961

Abstract

Latar Belakang: Individu dengan risiko tinggi HIV dan AIDS yang datang ke pusat pelayanan VCT (Voluntary Counseling and Testing) merasa khawatir atau cemas dirinya tertular HIV sehingga ingin tahu tentang keadaan dirinya. Mereka biasanya khawatir atau cemas terhadap implikasi AIDS itu sendiri baik secara fisik, psikologi, spiritual maupun sosial yaitu stigma dan diskriminasi masyarakat. Tujuan: Mengetahui pengaruh pemberian  konseling terhadap perubahan tingkat kecemasan klien risiko tinggi HIV dan AIDS. Metode: Penelitian ini adalah pra eksperiment dengan pendekatan  one group pre post-test designe karena sebelum diberikan perlakuan, klien dikaji terlebih dahulu tingkat kecemasannya, kemudian setelah diberi perlakuan dikaji kembali tingkat kecemasannya, apakah mengalami penurunan tingkat kecemasan atau tidak. Instrumen yang digunakan dalam penelitian ini adalah kuesioner HARS. Tekhnik pengambilan sample yang digunakan yakni  purposive sampling dengan jumlah sampel sebanyak 21 orang. Analisa data univariat yang digunakan adalah dalam bentuk narasi, tabel distribusi frekuensi dan persentase, serta analisa bivariat menggunakan teknik analisa data parametrik yaitu t-test dependent. Hasil: Penelitian ini menunjukkan bahwa dari  21 responden sebelum dan sesudah dilakukan konseling, mempunyai perbedaan nilai sebesar 6,19 dengan standar deviasi 4,98. Nilai p value 0,000 menunjukkan bahwa nilai tersebut lebih kecil bila bandingkan nilai alpha 5% (0,05), artinya terdapat perbedaan kecemasan sebelum dan sesudah konseling, sehingga dapat disimpulkan ada pengaruh konseling spiritual terhadap tingkat kecemasan pada klien risiko tinggi hiv dan aids di daerah pariwisata medical center Senggigi. Kesimpulan: pemberian konseling yang sudah berjalan dengan baik agar tetap dipertahankan dan ditingkatkan dengan mengadakan pelatihan konselor professional secara rutin dan berkesinambungan. 
Korelasi panjang dan lebar tangan dengan tinggi badan berdasarkan jenis kelamin pada ras mongoloid usia 18-45 tahun di Provinsi
Berita Kedokteran Masyarakat (BKM) Vol 36, No 3 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.54254

Abstract

Purpose: This study aimed to determine the correlation and linear regression formula of hand length and breadth with body height. Method: This research was an analytic study with a cross-sectional research design and used the purposive sampling method to take the subject result with a total sample of 236 people (114 men and 122 women) 18-45 age. The study took place from July-December 2019. Results: The result showed a strong correlation between hand length with height and a moderate correlation between handbreadth and height. The highest correlation was on hand length (r=0,89 in male, r= 0,88 in female). Conclusion:  There is a positive relationship between body height, hand length, and handbreadth based on sex in mongoloid race at 18-45 years age in Riau Province. 
Breastfeeding Practice of Students and Workers Women in The University Noviana Nur Sari; Citra Widya Kusuma; Mubasysyir Hasanbasri
Berita Kedokteran Masyarakat (BKM) Vol 36, No 7 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.54532

Abstract

Praktik Perilaku Pemberian ASI Bagi Wanita Studiatau Bekerja Di UniversitasBreastfeeding Practice of Students and Workers Women in The UniversityNoviana Nur Sari1, Mubasysyir Hasanbasri2, Citra Widya Kusuma3          AbstractIntroduction: Breast milk plays a role in the growth and development of infants and prevent stunting. Mothers who work or study have support and obstacles in the breastfeeding process.Purpose: This research aims to explore practical experience resistance strategies to keep giving breastfeeding for working or studying mothers in the university.Method: This research is a qualitative case study design study. The subjects are working or studying mothers who have breastfeeding experience while working or studying for a maximum duration last two years including lecturers, employees, and students.Results: Working or studying mothers have various resistance strategies such as keep milk stock during three months leave, pumping before going to work and come home and pumping in the office. The various strategies are used by students moms to continue breastfeeding such as go home every breaking time of lectures to express milk, find the empty private spaces to express milk, and choose courses that have breaking time, pumping in the car when women go back to home. Working mothers feel a lot of support and there are no obstacles compared to student moms. They have strong self-efficacy due to the mother's determination to continue breastfeeding even though returning to work or study and the mothers want to give the best rights of the children successfully.Conclusion: Self-efficacy working or studying mothers is caused by a strong determination to succeed give breast milk and provide the best rights for their children. It is a motivating factor for mothers to carry out various resistance strategies successfully despite several obstacles.Keywords: breastfeeding, strategies, student mom, university, working women.
Penerapan Food Traffic Light sebagai Panduan Pemilihan Makanan Sehat di Kantin Fakultas Farmasi Universitas Gadjah Mada
Berita Kedokteran Masyarakat (BKM) Vol 36, No 4 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.54903

Abstract

Purpose: Unhealthy eating patterns affect health status, even increasing the risk of non-communicable diseases. Health Promoting University is a holistic and comprehensive form of health intervention, such as policies implementation to supports healthy campus. This study aimed to know the changed of students attitudes towards healthy eating patterns with food traffic light to reduce the risk of non-communicable diseases. Method: This study used a quasi-experimental method with pre and post test group designed. Total sample in this study amounted 42 students that were given education with banners, leaflets, x-banner and food traffic light stickers in the canteen. Data onto attitudes towards eating patternss were obtained through filling out questionnaires before and after the intervention was carried out. Statistical tests used paired t-test. Result: Characteristics of respondents were mostly female (76%) and 20 years old (77%). P-value of the paired t-test 0.12 (p> 0.05) showed unsignificant results, with an average reduction from 55.7 to 54.7. The increase in post test scores occurred only 35.7% of respondents. There were no increase in attitude towards healthy eating patterns in college students. This happened because the distance between the spread of the media and the measurement was too close. The construction of the building caused some changed of the lecture activities and location, there by affecting the reach of media. Conclusion: There were no increased in attitude towards healthy eating patterns students after intervention. The spread of digital media through official accounts of student organizations are expected to broaden the range of given interventions
KEPARAHAN MELASMA DAN LAMA PEMAKAIAN KONTRASEPSI HORMONAL JENIS SUNTIK Tjatur Sembodo; Hesti Wahyuningsih Karyadini; Nurul Elvira Thamrin
Berita Kedokteran Masyarakat (BKM) Vol 36, No 4 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (197.211 KB) | DOI: 10.22146/bkm.55033

Abstract

Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan lama pemakaian kontrasepsi hormonal jenis suntik terhadap keparahan melasma. Metode : Penelitian ini merupakan penelitian observasional dengan desain Cross-Sectional. Jumlah sampel 60 peserta pemakai kontrasepsi suntik 1 bulan dan 3 bulan menggunakan metode consecutive sampling. Penentuan keparahan melasma menggunakan perhitungan skor MASI (Melasma Area and Severity Index). Data didapat dari BKIA Puskesmas Bangetayu Semarang periode Januari-September 2019, yang dilakukan dengan wawancara terstruktur. Uji statistik menggunakan uji Korelasi Spearman, Korelasi Parsial dan Mann-Whitney. Hasil : uji Korelasi Spearmen pada lama pemakaian kontrasepsi suntik 1 bulan dengan keparahan melasma diperoleh nilai p=0,357.Untuk lama pemakaian kontrasepsi suntik 3 bulan didapatkan nilai p=0,795 (p>0,05). Sedangkan, pada lama pemakaian kontrasepsi suntik tanpa melihat jenis didapatkan nilai p=0,006 (p<0,05). Uji Korelasi Parsial digunakan untuk mencari hubungan lama pemakaian kontrasepsi suntik terhadap keparahan melasma dengan kontrol jenis KB didapatkan nilai p=0,587 (p>0,05). Pada uji Mann-Whitney untuk melihat perbedaan keparahan melasma di peroleh nilai p=0,000 (p<0,05). Kesimpulan : lama pemakaian kontrasepsi suntik 1 bulan maupun 3 bulan tidak didapatkan hubungan yang bermakna, lama pemakaian kontrasepsi suntik yang dianalisa secara bersamaan didapatkan adanya hubungan yang bermakna. Pada lama pemakaian kontrasepsi suntik dengan kontrol jenis KB didapatkan tidak terdapat hubungan yang bermakna. Didapatkan ada perbedaan yang bermakna antara keparahan kontrasepsi 1 bulan dan 3 bulan.
PENGETAHUAN IBU MERUPAKAN FAKTOR RISIKO GIZI BURUK PADA ANAK USIA 6-59 BULAN DI DAERAH PESISIR KOTA KENDARI Juminten Saimin; Ahmad Fahmi Nugraha; Ashaeryanto Ashaeryanto; Asmarani Asmarani
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.55092

Abstract

Objective: To determine the effect of mother’s knowledge on the incidence of malnutrition in children aged 6-59 months in the coastal areas of Kendari.Method: This was a case control study conducted in the coastal area of Kendari in November to December 2018. Cases were children aged 6-59 months with malnutrition, while controls were children with good nutrition. The data was obtained from the medical records of Abeli, Mata and Benu-Benua Health Center from January to October 2018. Malnutrition was determined by Z-score (body weight/age). A total of 16 cases were taken with total sampling and 48 controls were taken with purposive sampling with non-matching method according to the inclusion and exclusion criteria. Mother's knowledge was determined using the modification questionnaire. Data analysis with statistical tests assessing Odd Ratio (OR), with a 2x2 contingency table and a 95% confidence level with a significance level of α = 0.05. This study was approved by the Medical and Health Research Ethics Commission of Halu Oleo University.Results: Most cases of malnutrition were aged 25-48 months. The majority of respondents aged 20-35 years old, consisting of cases (50,0%) and controls (64,6%). The majority of maternal education levels were primary education in the case group (75,0%) and secondary education in the control group (47.9%). The majority of the case groups had less knowledge (81.3%) while the control group had good knowledge (68.7%). Statistical test results obtained OR = 9.533 (CI=95%) with Lower Limit (2.361) and Upper Limit (38.501). Conclusion: Mother’s knowledge is a risk factor for malnutrition in children aged 6-59 months in the coastal areas of Kendari. Mothers with less nutritional knowledge are at 9 times the risk of having children with poor nutrition. A counseling program is needed to improve maternal nutrition knowledge.Keywords: children, coastal areas, malnutrition, mother’s knowledge

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