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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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KESIAPAN INTEGRASI LAYANAN TB-HIV PUSKESMAS DI KABUPATEN KULON PROGO Titi Supriati; Yodi Mahendradhata; Ari Probandari
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.56822

Abstract

Latar belakang: Indonesia menjadi salah satu negara dengan beban tuberkulosis (TB) dan Human Immunodeficiency Virus (HIV) tinggi. Sebagai respons, negara yang mendukung kampanye TB-HIV, WHO menyediakan layanan yang disediakan termasuk skrining diagnostik dan perawatan untuk pasien TB-HIV. Kulon Progo menyetujui peningkatan layanan di bawah sumber daya sistem kesehatan yang ada, sangat penting untuk memfasilitasi kemampuannya menyediakan layanan TB-HIV yang lengkap.Tujuan: Penelitian ini bertujuan menilai kesiapan integrasi layanan TB-HIV di Puskesmas untuk sistem kesehatan di Kabupaten Kulon Progo.Metode: Metode penelitian menggunakan mixed methods explanatory sequential design. Unit analisis adalah Puskesmas. Observasi ketersediaan dan kesiapan layanan TB dan layanan HIV cross sectional menggunakan kuesioner modifikasi SARA dilanjutkan wawancara mendalam mengekplorasi hambatan dan peluang  integrasi layanan TB-HIV di Puskesmas.Hasil: kesiapan layanan Puskesmas, 93,3% (CI 95%; 92,7%-93,9) Puskemas memiliki kesiapan memberikan layanan kesehatan dasar, 63,8% (CI 95%, 60,7–66,8) Puskesmas kesiapan layanan TB, 80,9% ( 95% CI: 73.6–88.2) kesiapan layanan konseling tes HIV, hanya 1 Puskesmas (4,7%) memiliki kesiapan baik untuk kedua layanan. Berdasarkan penilaian domain, 40,4% Puskesmas memiliki petugas terlatih diagnose dan pengobatan TB, 61,9% memiliki petugas terlatih dan pedoman konseling tes HIV. Tema utama diidentifikasi sistem kepegawaian tidak mendukung, kapasitas sumber daya manusia belum optimal, koordinasi dan kerjasama tim masih lemah dan sistem monitoring dan supervisi belum komprehensif. Dukungan pimpinan dan kebijakan yang baik memobilisasi pendanaan, ketersediaan sarana menjadi peluang layanan TB-HIV terintegrasi dijalankan.Kesimpulan: Menuju kesiapan mengintegrasikan layanan TB-HIV di bawah persetujuan kolaborasi TB-HIV, dukungan kebutuhan jumlah tenaga kesehatan dan membekali petugas dengan pengetahuan dan ketrampilan sebagai peningkatan kapasitas mengelola perawatan terintegrasi. Terkait dengan dukungan faktor penentu kesesuaian untuk penyediaan dukungan, suplai dan obat-obatan sebagai keberlanjutan implementasi. 
Hubungan Kualitas Pelayanan Kunjungan Neonatal Pertama (KN1) dengan Kematian Neonatal: Analisis Data SDKI 2017 Rizka Aziza Darwis; Abdul Wahab; Mohamad Hakimi
Berita Kedokteran Masyarakat (BKM) Vol 36, No 10 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.56832

Abstract

AbstrakTujuan: Mengkaji hubungan kualitas pelayanan KN1 dengan kematian neonatal di Indonesia. Metode: Penelitian menggunakan data sekunder Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2017 dengan desain kohort retrospektif. Sampel penelitian adalah kelahiran hidup 2 tahun sebelum survei dari wanita 15-49 tahun yang memenuhi kriteria inklusi dan eksklusi sebanyak 6.561 bayi lahir hidup. Hubungan karakteristik pelayanan KIA, neonatal dan ibu dengan kematian neonatal dianalisis dengan uji chi square dan regresi logistik berganda. Hasil: Bayi yang mendapatkan KN1 berkualitas berisiko 98% lebih rendah untuk mengalami kematian neonatal (aOR=0,02; 95%CI=0,00-0,44) sedangkan bayi yang mendapatkan pelayanan KN1 tidak berkualitas berisiko 52% lebih rendah untuk mengalami kematian neonatal (aOR=0,48; 95%CI=0,26-0,9) dibandingkan dengan bayi yang tidak mendapatkan pelayanan KN1 setelah mengontrol variabel berat badan lahir dan jenis kelamin bayi. Kesimpulan: Bayi yang menerima pelayanan KN1 yang berkualitas, bayi dengan berat badan lahir ≥2500 gram dan bayi perempuan berisiko lebih rendah untuk mengalami kematian neonatal. Upaya pencegahan kematian neonatal hendaknya difokuskan pada upaya peningkatan kualitas pelayanan KN1 serta pencegahan dan perawatan bayi berat badan lahir rendah (BBLR). 
Efek Permainan Edukatif oleh Teman Sebaya Terhadap Pengetahuan Kesehatan Reproduksi, HIV-AIDS, dan NAPZA Intan Farida Yasmin; Dicky Adi Putra; Lia Fristka; Jimmi Lihartanadi; Matt Biondi; Christiani Christiani; Ayu Kartika Sari; Alain Laurent
Berita Kedokteran Masyarakat (BKM) Vol 36, No 8 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (21.811 KB) | DOI: 10.22146/bkm.56839

Abstract

Purpose: Here we intend to analyze the effects of educative games provided by peer groups as method to increase knowledge of reproductive health, HIV-AIDS, drugs abuse among high school students. Method: Twenty students (peer-counselor group) of junior high school in Keruak, East Lombok were educated using boardgames and series of flashcards containing information of reproductive health, HIV-AIDS, and drugs abuse before they educated other students (non-counselor group, n=119) using the same educative game. Pre and post scores analysis was conducted among both groups. Results: The post-game scores of both peer-counselor and non-counselor groups were increased significantly after playing boardgames and flashcards. The non-counselor group gained 1.9-fold, 2.6-fold, and 4.5-fold increase of post-game scores compared to pre-game scores (p < 0.01) in reproductive health, HIV-AIDS, and drug abuse topics respectively. After completing the educative games, the proportion of students who had high level of knowledge about reproductive health, HIV-AIDS, and drug abuse was increased significantly (0% to 26.9% p <0.01, 3.4% to 26.9% p <0.01, 18.5% to 61.3% p <0.01, respectively). Conclusion: Using educative games and peer-group approach as health promotion method were proven to increase knowledge in reproductive health, HIV-AIDS, and drug abuse among adolescent students. In the future, this method could be adapted nationally as part of educational health promotion program.
Hubungan Usia, Pemakaian APD, dan Personal Higiene dengan Fungsi Kognitif pada Petani di Kabupaten Deli Serdang Yutia Hafwenny; Nurmaini Nurmaini; Irnawati Marsaulina
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.56972

Abstract

Background: Horticultural farming is a source of income for the Beringin District, Deli Serdang Regency community. Increasing agricultural yields requires the completeness of agricultural facilities, including pesticides. A preliminary survey was conducted through interviews obtained from the ten farmers interviewed. Four of them experienced signs of impaired cognitive function, such as difficulty concentrating and easy to forget. Purpose: This study aims to analyze the relationship of age, use of PPE, and personal hygiene with the cognitive function of farmers in Deli Serdang Regency.Method: This study was an observational study with a cross-sectional design. The number of samples in this study was 83 people. Data collection through interviews and observations. Methods of data analysis using the Chi-Square test with a significance level of 0.05. Results: Of 83 farmers, 36 of them experienced a disorder of cognitive function. Statistical analysis showed a relationship between age, use of PPE, and personal hygiene with cognitive function in farmers with a value (p <0.05). Conclusion: Age, PPE usage, and personal hygiene are risk factors for cognitive impairment in farmers in Beringin District, Deli Serdang Regency.  
Evaluasi Program Pemberian Makanan Tambahan Telur Fungsional Pada Ibu Hamil Kekurangan Energi Kronis (KEK) di Wilayah Kabupaten Sleman
Berita Kedokteran Masyarakat (BKM) Vol 36, No 9 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.57061

Abstract

Objective: To determine the effect of functional egg administration on changes in nutritional status, protein intake, and babies born. Methods: A study analytical with cross sectional design that was seen retrospectively. To support research data, in-depth interviews were conducted with key informants and research supporters. Results: Analysis found that consumption of functional eggs was not statistically related to nutritional status, weight and length of the child's body but was related descriptively. Functional egg consumption is associated with an increase in energy and protein intake with p values 0.005 and 0, 011 (p <0.05).Conclusion: There was an increase in body weight, MUAC and nutritional status of CED pregnant women became NON CED, thereby reducing the birth of LBW and LBL. Functional eggs have not been used as additional food, but instead become the main protein intake of the mother. There is a need to increase commitment among organizers, implementers and targets in implementing programs to break the stunting chain.Keywords: CED, Functional Egg Supplementary Feeding Program, Stunting
Differences between Demographic Proportions, Socio-economic, and Health Status of the Elderly in West Java and Indonesia Niken Firdaus; Ari Susanti; Sharon Gondodiputro
Berita Kedokteran Masyarakat (BKM) Vol 36, No 12 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (28.162 KB) | DOI: 10.22146/bkm.57195

Abstract

Purpose: This study aims to analyze differences between demographic proportion, socio-economic, and health status of the elderly in West Java and IndonesiaMethod: This study used a comparative analytic method with a retrospective approach. Furthermore, in this study, there was a unit of analysis, which was secondary data on demography, socio-economic, and health status of the elderly in 2014-2018 in West Java and Indonesia which was taken from the Indonesian Central Statistics Agency (Badan Pusat Statistik Indonesia).Result: The results of the study show that there is no difference in the demographic proportion in West Java and Indonesia in the age group, the status of living with the elderly, the marital status- married and divorced not remarried, and household membership status- head of household and other household membership status; However, there are differences in proportions the marital status-never married, widowed not remarried, the household membership status- wife/ husband and parents-in-law. Meanwhile, there is no difference in the socio-economic proportion in West Java and Indonesia in the status of residence ownership, residence eligibility, and household economic status.  Furthermore, there is no difference in the health status proportion in West Java and Indonesia in the morbidity rate, duration of illness, outpatient care and inpatient care.Conclusion: there is no difference in the socio-economic proportion and health status of the elderly in West Java and in Indonesia. Meanwhile, there are differences in proportions demographics in West Java and Indonesia.
HUBUNGAN AKTIVITAS FISIK DENGAN KEJADIAN DISMENORE PRIMER PADA REMAJA PUTRI DI PONDOK PESANTREN AL-FALAH GORONTALO Mursyidah Khairiyah; Abdul Wahab; Ova Emilia
Berita Kedokteran Masyarakat (BKM) Vol 36, No 11 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.57244

Abstract

AbstrakTujuan : Untuk membuktikan apakah terdapat hubungan antara aktivitas fisik dengan kejadian dismenore pada remaja putri. Metode : Penelitian ini merupakan penelitian observasional analitik dengan menggunakan studi desain cross-sectional. analisis inferensial menggunakan uji Chi square serta dilanjutkan dengan analisis regresi logistik. Hasil : analisis multivariabel menunjukkan adanya hubungan yang bermakna antara aktivitas fisik dengan dismenore primer dilihat dari nilai P-value 0,023 dan 0,0003 nilai PR = 3,48 dan 3,6. Variabel luar yang memiliki hubungan yang bermakna dengan dismenore primer adalah IMT/U dengan kategori gemuk nilai P-value 0,011 dan nilai PR 0,30, KEK dengan dengan nilai P-value 0,001 PR 3,20, menarche dengan nilai P-value  0,005 dan 0,025, nilai PR 2,92 dan 10,6. Kesimpulan : Aktivitas fisik rendah dan sedang berisiko lebih tinggi untuk mengalami dismenore primer dibandingkan dengan yang memiliki aktivitas fisik tinggi. Faktor yang berhubungan dengan kejadian dismenore primer adalah IMT/U dengan gemuk, Status KEK dengan LILA <23,5, Usia menarche <12 tahun dan >13 tahunKata kunci : Aktivitas Fisik, Dismenore, Remaja
Analisis Risiko Kesehatan Lingkungan Konsentrasi Mangan dalam Sayuran dan Air terhadap Kesehatan Masyarakat Ukik Agustina; Yudi Iskandar; Fajar Nugraha; Puteri Inandin Nabiha; Sadono Setyoko; Dortua Lince Sidabalok; Anggun Emelia; Astrid Salome Evelina; Endang Krisnawaty; Devina Lenggo Putri; Fathimi Fathimi; Abdul Rahman
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.57264

Abstract

Purpose: The research aimed to analyze the environmental health risks of manganese concentration in vegetables and water on public health.Methods: The research used cross sectional study with 138 households. Water analysis using spectrophotometric methods and for vegetable samples using the wet destruction method. The environmental sample consisted of 3 vegetables (spinach, kale and mustard greens), 3 river water and 13 resident ground water.  Results: The Mangan concentration on 3 vegetable samples (spinach, kale and mustard greens) had the same result, 0.1 mg / L. The results of manganese measurements concentration in river water were 0.2 mg / L, 0.4 mg / L and 0.4 mg / L. The average manganese concentration in 13 groundwaters were 0.32 mg/L, 0 mg/L- 1.1 mg/L.Conclusion: The RQ calculation result for vegetables and drinking water was <1 which meant that the community's manganese intake from vegetables (spinach, kale, mustard greens) and drinking water were still within safe limits.
Development of education and discovery of Tuberculosis case community-based in Tulungagung Regency
Berita Kedokteran Masyarakat (BKM) Vol 36, No 8 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.57294

Abstract

Background: WHO data shows an increase in estimated Tuberculosis cases per year in Indonesia, from 331,703 in 2015 to 563,879 in 2018 (70%). It includes an increase of 121,707 (28%) between 2017 and 2018. In the development of pulmonary TB in Tulungagung Regency, the number of suspected cases of pulmonary TB was 4,122 in 2016 and 4,419 in 2017. The number of BTA+ cases was 323 in 2016 and 478 in 2017. The population in 2016 was 1,026,101 people, while in 2017 the population was 1,030 .790 people. In monitoring and assistance from the community side, there are no applications that can be used to share, including the role of the community in independent detection. Objective: Designing educational applications and discovery of community-based Tuberculosis cases in Tulungagung. Method: Qualitative and quantitative research with action research design. The study subjects were two managers of the tuberculosis program, three people of SIK manager, four sectors, three people of tuberculosis manager, three people of tuberculosis who had recovered, or three people tuberculosis cadre. Results: This research resulted in the design of Community Based Tuberculosis Education and Discovery Application Cases. For education, display in the form of text, images, and videos, while for case finding in input and output. User Experience Questionnaire test results show the results of attractiveness, pragmatic quality, and hedonic quality on a normal scale. Conclusion: Applications can support partnerships, cross-sectoral, community needs a set of systems functioning in monitoring, dissemination, and increasing screening independently by the community or cadres in tuberculosis prevention.Keywords: Edutebe Apps, Health Information System, Public Health, Action Research, Active Case Finding Tuberculose.
Hubungan Kualitas Pelayanan ASI saat Kunjungan Neonatal Pertama (KN1) dengan Pemberian ASI Eksklusif (Analisis Data SDKI Tahun 2017)
Berita Kedokteran Masyarakat (BKM) Vol 36, No 9 (2020)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.57564

Abstract

Tujuan: Penelitian ini bertujuan untuk melihat hubungan kualitas pelayanan ASI eksklusif saat kunjungan neonatal pertama dengan pemberian ASI eksklusif di Indonesia.Metode: Penelitian ini menggunakan data Survei Demografi Kesehatan Indonesia (SDKI) tahun 2017 dengan pendekatan kohort retrospektif. Sampel yang digunakan adalah bayi berusia 0-5 bulan yang disesuaikan dengan kriteria inklusi dan eksklusi. Hubungan kualitas pelayanan ASI eksklusif saat kunjungan neonatal pertama dengan pemberian ASI eksklusif akan dianalisis dengan uji statistik chi-square dan menghitung nilai risk ratio (RR) dengan interval kepercayaan 95%.Hasil: Persentase bayi 0-5 bulan yang mendapatkan ASI eksklusif adalah 54,6% dan ibu yang mendapatkan pelayanan ASI yang berkualitas sebesar 75,7%. Pada penelitian ini tidak terdapat hubungan antara kualitas pelayanan ASI saat KN1 dengan pemberian ASI eksklusif (p>0,05). Ada hubungan antara pendidikan ibu, status ekonomi, status bekerja ibu, serta jenis persalinan terhadap pemberian ASI eksklusif.Kesimpulan: Cakupan ibu yang mendapatkan pelayanan ASI berkualitas saat KN1 sudah cukup tinggi, namun tidak ditemukan adanya hubungan antara kualitas pelayanan ASI saat KN1 dengan pemberian ASI eksklusif. Sehingga diperlukan evaluasi terkait pelaksanaan pelayanan ASI saat KN1.

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