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All Journal International Journal of Public Health Science (IJPHS) Humaniora Jurnal Kesehatan Reproduksi Jurnal Ilmu Sosial dan Humaniora KOMUNITAS: INTERNATIONAL JOURNAL OF INDONESIAN SOCIETY AND CULTURE Mozaik Humaniora Jurnal Antropologi: Isu-Isu Sosial budaya Mutiara Medika: Jurnal Kedokteran dan Kesehatan Masyarakat, Kebudayaan dan Politik Jurnal Gizi Klinik Indonesia Mimbar Hukum - Fakultas Hukum Universitas Gadjah Mada INDONESIAN JOURNAL OF MEDICAL ANTHROPOLOGY Bakti Budaya: Jurnal Pengabdian kepada Masyarakat BKM Public Health and Community Medicine International Journal of Health Literacy and Science

Atik Triratnawati

Departemen Antropologi, Fakultas Ilmu Budaya, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia

Author-ID : 236416

Religion Arts Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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Merasa aman karena dianggap normal, kemudahan dan kepasrahan sebagai alasan ibu-ibu memilih persalinan rumah di desa: Studi Kualitatif di Kalimantan Tengah Aderi Aderi; Yayi Suryo Prabandari; Atik Triratnawati
Berita Kedokteran Masyarakat (BKM) Vol 32, No 6 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Feeling safe due to normal antenatal care, easier to going to health facility, and compliance to God decision as reasons for home delivery choice among village mothers: a qualitative study in Central KalimantanPurposeThe purpose of this paper was to explore mothers’ perceptions of delivery at home in Kartika Bhakti Village, Province of Central Kalimantan. MethodsA case study was conducted involving observations, in-depth interviews and focus group discussion with 7 maternity women, 1 maternity women’s husbands, 1 village midwife, 1 community leader and 1 midwife of the village health post in Kartika Bhakti village, Province of Central Kalimantan.ResultsThe study found six reasons why mothers tended to choose to do delivery at home: barriers to delivery at health facilities; attitudes and preparedness of the midwife to deliver home deliveries; delivery at home benefits; based on the results of the pregnancy examination; not afraid of the risks of delivery; and ready to accept the dangers and risks of delivery.ConclusionThe reasons will be used as a consideration for choosing the birthplace. When the results of a pregnancy examination is good, mothers will tend to choose a home delivery. Furthermore, obstacles in health facilities such as barriers in health centers, geographical, hospital barriers, no postpartum services, and economic abilities are also some of the main reasons to choose to deliver at home. Health education and approaches related to delivery safety need to be improved to change mothers’ perceptions.

Hubungan kepatuhan antenatal care dengan pemilihan penolong persalinan di Kabupaten Natuna Sri Juana; Detty Siti Nurdiati; Atik Triratnawati
Berita Kedokteran Masyarakat (BKM) Vol 32, No 12 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Compliance of antenatal care and election of birth helpers in NatunaPurposeThis study aimed to determine the association of ANC (Antenatal care) compliance with birth attendant choice in Natuna.MethodsThis study used a cross-sectional method. The subjects of the research were mothers in Natuna regency 2014. The variables were: independent variable (ANC compliance), the dependent variable (the birth attendant choice), and the control variables (age, maternal education, distance to the health facilities, parity). Data collection used questionnaires and interviews. The data analysis used descriptive and inferential analysis. The bivariable analysis used the chi-square test and multivariable analysis used logistic regression test with 95% of confidence interval (CI) and a significance level of p <0.05.ResultsBivariable and multivariable analysis showed significant correlations between ANC compliance with birth attendant choice. Pregnant women who did not comply doing ANC according to the standard that has been set at least four times had a chance two times more likely to give birth with the traditional birth attendant (TBA) than the pregnant women who complied to implement the ANC during pregnancy. Mothers with low education had a chance two times greater of choosing the TBA as birth attendant than women who are highly educated. Mothers with parity of >2 had a chance 1.9 times greater of choosing the TBA as birth attendant than women with parity ≤2.ConclusionsThere needs to be a control program from the health department working with community health workers to socialize awareness of the importance of the ANC. There needs to be the addition of TBA who are trained and partnered especially in remote areas because it cannot be denied there are still many people who choose TBA as a birth helper.

Intensi remaja pergi ke kafe susu di Sleman DIY Hilma Farhani; Susetyowaty Susetyowaty; Atik Triratnawati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 2 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Intention of teenager in consuming milk at milk cafe of Sleman YogyakartaPurposeThis study aimed to explore the intentions of adolescents who come into the cafe milk in Sleman.MethodsThis study used a qualitative method with an exploratory and phenomenological design, with purposive sampling by considering the prescribed criteria. Informants of this study were thirteen informants. They consisted of nine adolescents, one manager of the cafe, two employees cafe and one academic nutritionist. Data collection was done from March-May 2015 by observation and interviews.ResultsResults showed that intention of adolescents who come to the cafe were for refreshments, using the facilities such as wifi (coursework), and for an organization's activities (meetings). Adolescent attitudes were positive and support the cafe milk and milk consumption behavior. Subjective norms included among others that adolescents wanted to socialize, to be recognized, to share information and build closer relationships with their friends.ConclusionThe health aspect is not the main intention of adolescents to come to the cafe milk. Adolescents come to the cafe milk with different intentions. Adolescents consume the milk in milk cafe because it has many benefits. However, the health benefits were only the last intention. The consumer intention was influenced by the positive attitudes of adolescents towards the cafe milk which includes media promotion of health and the subjective norm of adolescents toward the consumption of milk in the milk cafe.

Tabu, hambatan budaya pendidikan seksualitas dini pada anak Ratna Zakiyah; Yayi Suryo Prabandari; Atik Triratnawati
Berita Kedokteran Masyarakat (BKM) Vol 32, No 9 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Taboo, the culture’s barrier of early sexuality education for children in the city of DumaiPurposeThe study aimed to excavate the perception of parents against early sex education for children. It will provide information about the best intervention measures through sex education.MethodThe study used a descriptive exploratory study with a qualitative approach. Selection of research subjects was done by purposive sampling. Data were collected by focus group discussion (FGD) and in-depth interviews. The analysis being used was content analysis.ResultsKnowledge of parents in cases of children sexual abuse (CSA) was still minim. The main barrier factors that prevent parents providing sexuality education in early childhood were an inconvenience-felt, the perception of the child unpreparedness and nescience of how to deliver sexuality education in children. The availability of adequate information about sexuality, good communication and the role of fathers in sexuality education will facilitate the parents in providing sexuality education in early childhood.ConclusionParents need to get more socialization of SVC cases that occurred in the city of Dumai. Health promotor should be able to take advantage of the forums that involve parents, such as posyandu or school committee meeting, to promote early appropriate sexuality education for children.

Perilaku seksual promiskuitas pada remaja laki-laki Wirobrajan Kota Yogyakarta Hernawan Isnugroho; Atik Triratnawati; Supriyati Supriyati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 1 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Promiscuity in sexual behavior in adolescent boys in Wirobrajan, Yogyakarta cityPurposeThis study aimed to obtain a description of the factors that promote promiscuity in sexual behavior and its impact in adolescent boys in Wirobrajan.MethodThis qualitative research used a case study design, using snowball sampling. Data were analyzed by content analysis technique.ResultsThe permissiveness of sexual behavior of teenagers will have an impact, and is easily affected by promiscuity behavior. The influence of peer group or peers is very dominant in the behavior of teen promiscuity. Lack of adolescent awareness about the dangers of promiscuity, the orientation of seeking pleasure and curiosity triggers the behavior of teen promiscuity by exploiting loopholes of rules and lack of control. The confidence and experience of the impact of promiscuity behavior becomes the dominant factor so that teenagers who do not behave with promiscuity do not repeat the behavior. Impact of juvenile promiscuity behavior among others included being ostracized, gonorrhea, syphilis, and genital herpes and other sexually transmitted diseases.ConclusionGreater supervision is needed from various sectors and enforcement of the rules so that the behavior and impact of promiscuity can be minimized. The supervision of teenagers’ association will have an impact on adolescent behavior.

Perilaku penggunaan alat pelindung diri para pengunduh sarang burung walet: studi etnografi perilaku keselamatan kerja di Pantai Karangduwur Kabupaten Kebumen Eka Denis Machfutra; Atik Triratnawati; Nida Ul Hasanat
Berita Kedokteran Masyarakat (BKM) Vol 33, No 8 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

The use of personal protective equipment by swallow nest harvesters: an ethnographic study on safety behavior at Karangduwur BeachPurposeThe purpose of this study was to determine the behavior of traditional self-protection used by the swallow nest harvesters.MethodsThis research is a qualitative study with an ethnographic approach. The researchers participated in observing the behavior of bird swallow nest harvesters. The sample was chosen purposively based on the recommendation of the village head. Primary data were obtained through in-depth interviews and field observations. Secondary data were collected through document search on swiftlet nest download. The study was conducted from August-October 2016 with the instruments of interview guides, observation sheets and documents.ResultsDHarvesters used non-standard personal protective equipment. Downloaders tended to use traditional personal protective equipment, with the reasoning that using too much protection will interrupt the harvesting process. ConclusionThe use of personal protective equipment by harvesters is influenced by an interaction of factors between individuals and the environment and vice versa. The concerned agencies should pay close attention to the use of personal protective equipment used by Swallow's nest harvesters.

Aspek budaya, agama, dan medis dari praktik sunat anak perempuan di desa di Jawa Tengah Siti Muawanah; Menik Sri Daryanti; Atik Triratnawati
Berita Kedokteran Masyarakat (BKM) Vol 34, No 9 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Cultural, religious, and medical practices of female circumcision in a village in Central JavaPurpose: of this study was to find out the reasons for the practice of female circumcision and medical, religious and cultural considerations in maintaining the practice of circumcision of girls in Penanggungan Village, Gabus Subdistrict, Pati, Central Java. Methods: used is a qualitative research method. The research location is located in Penanggungan Village, Gabus District, Pati, Central Java. The subjects of the research were Penanggungan Village people who circumcised their daughters as many as 20 informants. Data collection uses observation, in-depth interviews, and documentation. Data validity using the triangulation technique. Data analysis uses a qualitative data collection phase consisting of data collection, data reduction, data presentation, and conclusion. Results: The practice of female circumcision that is still running in Penanggungan Village until now motivated by the belief that the practice of female circumcision must be obeyed. The practice of female circumcision itself becomes a tradition existing in the village of Penanggungan but is not considered a great tradition such as male circumcision, so in its implementation is celebrated in a limited or simple way. The process of the practice of female circumcision takes place in 3 stages, namely the preparation stage, the implementation stage and the stage after the implementation. The process of conducting female circumcision is performed by a midwife. The community still runs the tradition of female circumcision because it is believed that the community can eliminate the suker (daughters) of the child brought by the child since the mother's womb, besides the practice of female circumcision has been running since their parents. This is already inherited as an ancestral heritage, and if the children and grandchildren do not carry out the circumcision, the children and grandchildren are considered not dutiful and do not appreciate the previous parents, because the activities of this girl's circumcision is usually included if the promise is self-cultivating is a prayer activity together to pray for the future girls who are circumcised and pray for the past parents who have died. Whereas the community who chose the midwife to practice the circumcision of girls because the community has believed that the midwife is more skilled in the implementation of female circumcision with the health sciences that midwife took during school and midwife using modern tools as well as sterility to circumcise girls, and factors causing the survival of female circumcision is the factor of the sacredness of female circumcision, the factor of social obligation to implement female circumcision and functional factors of female circumcision (the function of submission to religious leaders, health function and social functions). Conclusions: For the government, it is better to socialize to the community about more correct female circumcision measures and conduct evaluations sustainably related to female circumcision. As for medical personnel, it is necessary to increase the empowerment of knowledge of families/parents who have daughters through Posyandu activities by providing health-related explanations about the importance of maintaining women's reproductive health

Hambatan Akses Pelayanan Kesehatan Orang Cebol Atik Triratnawati; Yauma Ayu Arista
Berita Kedokteran Masyarakat (BKM) Vol 35, No 4 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Barrier of health services access among dwarfishPurpose: Study describes how people with dwarfism seek access and the barriers of accessing healthcare services.Method: Participatory observation method with in-depth interviews among people with dwarfism, family, healthcare officers, midwives and the head village were used in this study. The location was in Sigedang Village, Kejajar District, Wonosobo Regency, Central Java for 2 months between August-September 2017.Results: The study reveals stigma surrounding dwarfism in Sigedang society that dwarfism was hereditary. According to Sigedang people, abnormality was considered natural. Access to healthcare for people with dwarfism was limited. There were no efforts that has been made by either the village government nor the sub-district government for an increased prevention program for people with dwarfism in Sigedang village. People with dwarfism had limited information about healthcare services available for them. They must travel far to the city or across the regency just to reach the standard health facilities. Therefore, an increase of an integrated health access in Sigedang village is needed, especially for people with dwarfism.In addition, the study shows that health-seeking behavior of the locals was still influenced by the ancestors, where traditional medical practitioners played an important role. The awareness of people suffering from dwarfism and their community towards risk factors should be empowered.Conclusion: The absence of access to health services influenced the poor condition among people with dwarfism. They need empowerment from the local government, public health office and community to support their health service needs.

Mudik during the Covid-19 pandemic, anxiety, and depression among students in Indonesia Metta Rahmadiana; Supra Wimbarti; Ira Paramastri; Atik Triratnawati
Berita Kedokteran Masyarakat (BKM) Vol 37, No 1 (2021)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Purpose: This study explores the occurrence and different levels of anxiety and depression among male and female students who perform or do not perform mudik (homecoming). Investigate the primary source of COVID-19 related information among students. Methods: Online questionnaires consisting of the self-report level of anxiety and depression were delivered to study participants after completing the online informed consent. Quantitative analysis was conducted using the IBM SPSS version 20.0.Results: From a total of 2018 study participants, n=936 were students. Depression (M=8.68; SD= 5.45) was higher among students who did not perform mudik. Meanwhile, the prevalence rate of depression (M=7.18; SD=4.99) was also higher among students who performed mudik. A significant difference [sig (2-tailed) = 0.017; p <0.05)] regarding the level of anxiety was reported higher among female students (M=7.80; SD=4.6) than male students (M=7.03; SD=4.7) and no significant difference [sig (2-tailed) = 0.173; p> 0.05] was reported for the level of depression between male and female students. Instagram was reported as the primary source of COVID-19 related information. Conclusion: This current study supports the notion regarding the occurrence of common mental disorders among students as an impact of the COVID-19 pandemic, regardless of whether homecoming was performed or not. Different levels of anxiety and depression were reported between the male and female student population.

Acculturation in Javanese Traditional Medicine Practice in Yogyakarta Triratnawati, ATIK
Komunitas Vol 8, No 1 (2016): March 2016
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/komunitas.v8i1.4960

The rampant practice of traditional medicine in the big cities in Java can not be separated from the influence of globalization. The practice of traditional medicine advertised through flyers, pamphlets, signage, television and internet. In medical practice, it can not be separated from the mixture of elements of the local culture, external/ foreign as well as modern medical later adopted in order to enhance public interest in their treatment. The purpose of this article is to analyze the practice of acculturation in traditional medicine both related to methods, tools, how to advertise and meaning behind the ways the adoption of other culture into the traditional practice.An intergrative ethnographic study was conducted in Bantul and Sleman, Yogyakarta, on traditional healers such as gurah, bekham, metaphysical/ spiritual, herbal, traditional massage therapy, as well as traditional healers specifically hemorrhoids. Other information was obtained from interviews with their patients.Medical pluralism by wrapping traditional therapy combined with health culture from the outside to attract consumers with a dogmatic way in order to improve the clients made by Javanese traditional healers. They advertise with testimony on local television screen with the aim of introducing methods, tools, disease cure rates, fees, in order made populair so the number of patients increases. Acculturation appears that more and more people believe in business practices and its treatment.

Co-Authors . Serilaila Aderi Aderi Afiani Ika Limananti Aldo Pandega Putra Anis Izdiha Anton Sujarwo Arman Rifat Lette Arsanti Wulandari Daryanti, Menik Sri Detty Siti Nurdiati Dhesi Ari Astuti, Dhesi Ari Eka Denis Machfutra Eka Yuniati Elan Lazuardi Hasnah Hasnah Hernawan Isnugroho Hilma Farhani Idei Khurnia Swasti Ira Paramastri Lutfi Handayani Metta Rahmadiana Nida Ul Hasanat Novyantari, Dewi Pandu Bagas Setyaji Rani Ditya Kristianti Ratna Zakiyah Royani Chairiyah Sita Hidayah Siti Muawanah Sri Juana Supra Wimbarti Supriyati Supriyati Susetyowaty Susetyowaty Tiara Marthias Yanti, Popy Apri Yauma Ayu Arista Yayi Suryo Prabandari Yayi Suryo Prabandari

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