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BKM Public Health and Community Medicine

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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 1,012 Documents

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Positive Deviance pada Status Gizi Balita Pepi Hapitria Djaswadi Dasuki Djauhar Ismail
Berita Kedokteran Masyarakat (BKM) Vol 27, No 4 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Positive Deviance (PD) is a ‘power’ based approach having a belief that in each community there are certain individuals as the actors of ‘positive deviance’ that own specific habit and behavior. They might find out better ways to prevent nutritional deficiency compared to their surroundings that possess the same resource and face the same risk as well.Objective: To find out PD behavior in poor family towards under-five children’s nutritional status in Astanajapura Health Center working area of Cirebon District.Method: The study used a case control study design and in-depth interview. Subjects were under-five children 6-59 months of age. Data collection used a questioner and interview. Data analysis used univariate, bivariate, and multivariate analysis with logistic regression to determine OR and 95% CI of the effect of PD behavior towards under-five good nutritional status.Result: Under-five good nutritional status was significantly related to PDbehavior (OR=7.43; 95% CI=1.89–29.17). The other factors affecting under-five good nutritional status were maternal education (OR=6.63; 95%CI=1.63–23.90) and under-five age (OR=4.05; 95% CI=1.16–14.10).Conclusion: Under-five good nutritional status had a significant relationship with PD behavior.Keywords: nutritional status, positive deviance behavior, under-five children

Perbedaan Keakraban Suami-istri Berdasarkan Adanya Anak Dengan Kecenderungan Attention Deficit/Hyperactivity Disorder Sari Dewi A Carla R. Marchira Soewadi
Berita Kedokteran Masyarakat (BKM) Vol 27, No 4 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Prevalence of children with Attention Deficit/ Hyperactivity Disorder (ADHD) tendency often funding at school-age. Children with ADHD often make parent feel stress full. Parent will through some energies and time to control children behavior and to find best treatment for children. As a consequence, spouse feels neglected and its will disturb husband-and-wife relationship and threat marriage stability. Husband-and-wife relationship can influence by another socio-demographic factors.Objective: To analyze the difference of husband-and-wife relationship based on children with ADHD tendency existence and another factor i.e communication, sexual intercourse, spouse personality/ temperament, education, occupation, monthly income, marital-age and number of child those give influence heaviness to husband-and-wife relationship.Method: The type of this study is observational with cross sectional analytic design. The subject is parent of student at elementary school of Karangwuni 1 Yogyakarta representatitively by husband or wife by incidental sampling. ADHD tendency is valued by IOWA Conner’s Rating Scale instrument. The husband-and-wife relationship is valued by Husband-and-Wife Questioner. Hypothesis tests use chi-square and logistic regression.Result: There is no significant difference of husband-and-wife relationship and children with ADHD tendency (X2 = 1,996; p > 0,05). There is significant difference of education factor and husband-and-wife relationship (p < 0,05; OR = 2,79; CI 1,05-7,47).Conclusion: There is no significant difference of husband-and-wife relationship based on children with ADHD tendency existence for parent of student at elementary school of Karangwuni 1 Yogyakarta. Education factor gives significant influence heaviness to husband-and-wife relationship.Keywords: children with tendency attention deficit/ hyperactivity disorder, husband-and-wife relationship

Hubungan Tingkat Kepatuhan Minum Obat Hipoglikemik Oral dengan Kadar Glukosa Darah pada Pasien Diabetes Melitus Tipe 2 Wiwik Salistyaningsih Theresia Puspitawati Dwi Kurniawan Nugroho
Berita Kedokteran Masyarakat (BKM) Vol 27, No 4 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Diabetes mellitus (DM) is a major health problem in the world and predicted a substantial increase of people with DM in the next years. In Public Health Center, the number of type 2 DM patient visits in 2010 increased compared to that in 2009 i.e 2.078 become 2.354 visits. The main goal of treatment of DM is keeping blood glucose contens within normal limits, an effort that can be done is to take oral hypoglycemic drugs (OHO) regularly.Aim: To know the correlation between the level of adherence to take OHO and blood glucose contens in type 2 DM patients in Umbulharjo II Public Health Center Yogyakarta.Method: This study used cross-sectional design with a population of 45 respondents, using a total sampling techniq.Results: The level of adherence to take OHO showed 31.1% proportion of non-adherent and 68.9% of adherent. Blood glucose contens showed 37.8% proportion of high and 62.2% of normal. From the analytical results obtained OR = 8.571 (CI95%: 2.045 to 35.923) meaning that non-adherent patients to take OHO have 8.6 times higher risk of blood increased glucose contens compared with patients who dutifully take OHO.Conclusion: There is a significant relationship between the level of adherence to take OHO and blood glucose contens in patients of type 2 DM.Keywords: the level of adherence to take OHO, blood glucose contens, type 2 DM.

Studi Komparasi Perilaku Masyarakat dalam Upaya Pencegahan Demam Berdarah Dengue terhadap Keberadaan Nyamuk sebagai Vektor Briliana Nur Rohima, Sutami Budi Fitriawan, Puti Neila Kharisma Abbas,; Kusuma Dewi, Hanif, Karttegayen,Nabilah, Rizka Aries Putranti,Laxmiprita Pusparani Rahardjo,; Ayu Wikan Sayekti Agung Prasetyo Wicaksono Wahyudi Istiono
Berita Kedokteran Masyarakat (BKM) Vol 27, No 4 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Dengue Hemorrhagic Fever (DHF) is one of the main public health problems in Indonesia. It canaffect all age groups and may lead to death especially in children. The data shows that DHF cases in KecamatanMantrijeron between January-June 2010 have reached the highest number of cases in past seven years, about94 cases. Kecamatan Mantrijeron has an increasing trend of DHF which make it possible for the occurrence ofan outbreak of DHF when no preventions are done. RW 17 Kelurahan Suryodiningratan and RW 02 KelurahanGedongkiwo are areas with highest prevalence. There are 8 and 9 cases in each area respectively.Objective: To compare community behavior in preventing the existence of mosquitoes that is a DHF vector in theenvironment of Kelurahan Suryodiningratan and Gedongkiwo, Kecamatan Mantrijeron.Method: This research was a descriptive observational study, with cross-sectional retrospective study designin July-August 2010 in RW 17 Kelurahan Suryodiningratan and RW 02 Gedongkiwo, Kecamatan Mantrijeron,Kotamadya Yogyakarta. The research target population was 379 head of family (HF) from RW 17 KelurahanSuryodiningratan and 360 HF from RW 02 Kelurahan Gedongkiwo. Samples used was 60 HF from RW 17Kelurahan Suryodiningratan and 66 HF from RW 02 Kelurahan Gedongkiwo (minimal sampling with P=0.5 were58 HF for RW 17 and 57 HF for RW 02). Sampling was done by random sampling with milestone technique, thebehavior questionnaire, and observational checklist of mosquito existence as the instrument. Independentvariables were six behavioral criteria; dependent variable was the existence of mosquitoes. Data analysis wasdone with bivariate analysis using relative risk (RR) and odds-ratio (OR).Results: Analysis result of correlation between behavior to existence of mosquitoes in RW 17 with RR andOR>1 are: 1. Not routinely inspecting larvae in water reservoir (RR=1.38 and OR=1.89) and 2. Not cleaning thebathtub once a week (RR=1.32 and OR=1.74). Analysis result of correlation between behavior to existence ofmosquitoes in RW 02 with RR and OR>1 are: 1. Not getting rid of bottles and cans (RR=1.66 and OR=3.89); 2. Notclosing all water reservoir (RR=3.21 and OR=17.55); 3. Not routinely inspecting larvae in water reservoir(RR=2.36 and OR=-); 4. The behavior of not cleaning the bathtub once a week (RR=2.07 and OR=-); 5. Thebehavior of not draining-up the bath tub when cleaning (RR=2.03 and OR=-); 6. The behavior of not brushingwater reservoir when cleaning (RR=1.94 and OR=-). The difference between both districts is the characteristicof RW 17 Kelurahan Suryodingratan that is abundant in trees as the rest area for mosquitoes and the riverbanksof RW 02 Kelurahan Gedungkiwo are filled with household wastes.Conclusion: There are differences in behavior in preventing mosquito existence in both RW 17 KelurahanSuryodiningratan and RW 02 Kelurahan Gedongkiwo. The population of Kelurahan Gedongkiwo regularly disposesbottles and cans, drains the bath tub when cleaning, brushes water reservoir when cleaning, closes all waterreservoir, inspects larvae in water reservoir and cleans the bathtub once a week to prevent mosquitoes. Thepopulation of Kelurahan Suryodiningratan inspects larvae in water reservoir and cleans the bathtub once aweek to prevent mosquitoes.Keywords: Dengue Hemorrhagic Fever, behavior, RW 17 Kelurahan Suryodiningratan and RW 02 KelurahanGedongkiwo, Kecamatan Mantrijeron

Persepsi Masyarakat Terhadap Penyakit Rabies I Made Kerta Duana Nida Ul Hasanat Retna Siwi Padmawati
Berita Kedokteran Masyarakat (BKM) Vol 27, No 3 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3398

Background: Rabies is a viral disease that causes acute encephalitis (inflammation of the brain) in warm-blooded animals, and human. The rabies virus infects the central nervous system, ultimately causing disease in the brain and death. Rabies in Bali was firstly discovered in Badung District. Rabies was transferred by dog bite. Bali has enourmous dog population, the number reach approximately 540.000 animals or about 96 animals per square kilometer. Meanwhile, domesticated dog population only about 30 percent, the rest is wild dog that live on the street. Rabies in Bali need to be considered by all parties to change the mindset and the behaviour of keeping dog as pet, also efforts in solving of rabiesObjective: To recognizing the perception of Balinese people regarding rabies, preventing and solving efforts of rabies.Method: This research is a qualitative research using phenomenology approach. The data is collected by conducting deep interview technic and focus discussion group (FGD). The subject of the research consists of community with risk of rabies infection in Bali. The data is analysed by using constant comparative method, consists of four activity process; reduction, chategorisation, sintesisation, and interpretation.Result and Discussion: Dog domestication by Balinese community has been conducted for hundreds of year, passed on from one generation to the next, and no prohibition from religion or tribe regulation. Keeping dog at home then set them free will accelerate rabies infections to other dog and human. The high number of dog bite and victims of rabies has caused unsecurity in the community. This will also affect the changing pattern of medication of dog bites.Conclusion: The misperception about rabies was caused by the lack of information that people can get. The ineffectiveness of government program to combat rabies, such as vaccination, elimination, health promotion and community empowerment stimulate the spread of rabies throughout Bali. Some matters that need to be notified are the lack of people’s participation and ineffective illumination, also promoting effective implementation of vaccination and eliminating dog while still considering the culture value of local community.Keywords: perception, rabies, dog, health promotion

Persepsi Akseptor Suntik Depomedroksi Progesteron Asetat di Puskesmas Giwangan Yogyakarta Perceptions of Acceptors of Depomedroxy Progesterone Acetate Injactable Reni Merta Kusuma
Berita Kedokteran Masyarakat (BKM) Vol 27, No 3 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: KB’s acceptors are more interested to injection contraception. These are indicated by BKKBN statistic from several cities, including the ones in Lampung, West Kalimantan, and Central Java. It is interesting to examine the data in order to know perception of the acceptors of DMPA injection, especially regarding possible side effects caused by the usage of the contraception.Objective: To know perception of the acceptors of DMPA injection during their usage of the contraception.Method: Sampling technique used is accidental sampling. Informants are acceptors of DMPA injection receiving re-injection when data collection is being done. Informants are asked to attend to Directed Group Discussion (Diskusi Kelompok Terarah/DKT). The result of the discussion is transcribed and analyzed. The analysis is done by grouping the data.Result: Many informants have already used the DMPA injection for more than one year. Although it is a relatively long term usage, all of the informants do not know the way the contraception works. Not all informants feel the contraception’s side effects.Conclusion: Perceptions of the acceptors of DMPA injection about the contraception are generally positive. They can accept the DMPA injection. They can also accept the side effects as long as the uncomfortableness is still tolerable.Keywords: perception, acceptor, DMPA injection

Analisis Self Reported Asuhan Persalinan oleh Lulusan DIII Kebidanan dan Medical Error An Analysis of Self Reported of Delivery Care by DIII Midwifery Graduates and Medical Error istri bartini ova emilia adi utarini
Berita Kedokteran Masyarakat (BKM) Vol 27, No 3 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Increased coverage of deliveries by health personnel in Indonesia (82.3%) does not synergize with decreased MMR (228/100.000 live births). The low quality of care at the primary level becomes the main causal factor for the slow achievement of the MDGs. Midwives as providers in the primary care level become the front liners in delivery assistance. Public perception of the low quality of DIII midwifery graduates becomes a concern to the occurrence of medical errors by DIII midwifery graduates. Competence of delivery care is one of midwives’ competences at risk of medical error. In Bantul District, the number of maternal deaths in 2010 was 18 cases with a majority of deaths occurring during childbirth.Objective: To describe compliance to normal delivery care and medical errors that occurred in the delivery care conducted by DIII midwifery graduates.Methods: A quantitative study with a cross-sectional design to the occurrence of medical errors in delivery care by DIII midwifery graduates in Bantul District. Data were collected by questionnaire (self reported) and analyzed by univariate, bivariate and multivariate.Results: The results of the analysis suggested that 41.51% medical error occurred in the delivery care and 24.53% of delivery care by D III midwifery graduates were categorized as not good (n = 53). Self reported about medical errors in the four aspects being studied showed that 14 respondents (26.42%) said that medical error ever occurred in the action aspect of delivery assistance, 10 respondents (18.87%) said that medical errors occurred in the prevention of infection, 8 respondents (15.09%) stated that medical error occurred during the administration of drugs and only 3 respondents (5.66%) said that medical errors occurred at the time of diagnosis establishment. Not good delivery care was significant to the occurrence of medical errors (p = 0.000), and 3.8 times causing a medical error after being controlled by extraneous variables (facilities & SOP) with R² value of 0.16.Conclusion: Delivery care by DIII midwifery graduates in Bantul District 75,5% was categorized good, and 41.51% medical error occurred in the delivery care. The prevalence of not good delivery care increased the incidence of medical errors than that of good delivery care. Medical errors in delivery care expressed through self-reported in this study showed that they were also influenced by the completeness of equipment and standard operating procedures in obstetric care facility.Keywords: medical error, DIII Midwifery Graduates, delivery care

Uji Reliabilitas Instrumen Kualitas Hidup pada Penderita Kanker Payudara Reability Test on The Instrument of Quality of Life For Breast Cancer Patients Djuminten Siswanto Agus Wilopo Kunta Setiaji
Berita Kedokteran Masyarakat (BKM) Vol 27, No 3 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Breast cancer can influence the quality of patient’s life. A measurement of quality of life (QOL) is important to evaluate the health services and the continuity of patient life. The Quality of Life Instrument (Quality of Life Breast Cancer Scale) by Ferrell, et al (1995) which has been translated into Indonesian as The Quality of Life Breast Cancer Instrument has not been tested its reliability.Objective: To know the instrument’s reliability and measuring agreement rating of breast cancer patient’s life quality between two raters.Method: This was an observational study using a cross-sectional study design. The subjects were 50 women with stage II-III of breast cancer at Sardjito Hospital selected using an accidental sampling technique. Data was collected through interviews using the QOL instrument guideline. Each subject was interviewed twice by nurse and midwife with 2-14 days difference between the interviews. The data were analyzed with Univariate, and Bivariate with Coefficient Kappa analysis, Intraclass Coefficient Correlation analysis, and alfa Cronbach Coefficient analysis.Results: The Kappa analysis to 46 items of quality of life questions done by nurse and midwife resulted in “good” and “very good” category. The lowest result was k=0.63 and the highest result was k=1.00. The lowest result of coefficient alpha analysis was r=0.63/0.63 while the highest was r=0.88/0.87. The lowest intraclass coefficient was r=0.93 while the highest was r=0.99.Conclusion: The quality of life breast cancer instrument could likely be adapted for breast cancer patients in Indonesia.Keywords: reliability, instrument, quality of life, breast cancer, Sardjito.

Dukungan Sosial Hubungannya dengan Kejadian Depresi pada Ibu yang Mempunyai Anak Gangguan Hiperkinetik Anisa Renang Yulianti Soewadi Sumarni DW
Berita Kedokteran Masyarakat (BKM) Vol 27, No 3 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Beckground: Depression will be occurred in mothers who have children with hyperkinetic disorder with symptoms of inattention, hyperactivity, impulsivity, and also having difficulty to obey the regulation. Depression makes mothers felt into failure in taking care of their children. Having sadness and hopless in a long time leads them will fall into depression. They will need a physic, spiritual, and emotional rehabilitation. Therefore, a social supports is needed to encounter the problem. The social support can be given emotionally (attention or empa- thy), practically, and financial (money). An informative support can also reduce their problem. In contrast, the lack of support will cause them to be depressed.Objective: The objective of this research is to identify the correlation between social support and depression of mothers having children with hyperkinetic disorder in Arogya Mitra Clinic Klaten.Method: The method used in this research is cross-sectional study using descriptive analytic. The research is conducted in Arogya Mitra Clinic Klaten in March - April 2010. The sample is all of the population that the mothers having children with hiperkinetic disorder. The instruments used in the study are private data questionnaire, Sarason’s Social Support Questionnaire, and Montgomery-Asberg Depression Rating Scale. The data is ana-lyzed by using linier regression analysis.Result and Conclusions: According too the research frequency of depression of mothers having children with hyperkinetic disorder at Arogya Mitra Clinic is 31%. There are significant correlation between social support and depression of mothers having children with hyperkinetic disorder at Arogya Mitra Clinic (p<0,005) is 0,001.Keywords: social support, depression, mother, hyperkinetic disorder

Pemanfaatan Short Message Service Berbasis Seluler dalam Meningkatkan Pengetahuan dan Sikap terhadap Seks Pranikah pada Remaja Yuni Kusmiyati Hari Kusnanto Mohammad Hakimi
Berita Kedokteran Masyarakat (BKM) Vol 27, No 3 (2011)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Many adolescents are involved in early sexual activities and perhaps with multiple partners. Pre-marital behavior can lead to unwanted pregnancy, sexually transmitted infection, abortion, fertility and mortality. Knowledge and less supporting attitude on pre-marital sexual activities as well as less access to information are believed to be the factors on high pre-marital sexual problems among adolescents.Objective: Known effectiveness of Cellular-Based Short Message Service (SMS) in increasing knowledge and attitude on pre-marital sex among adolescents in Yogyakarta Municipality.Method: This study used Randomized Controlled Trials (RCT) with pre-post study design. Samples were 227 students in the 10th grade from SMAN 7 and SMAN 10 of Yogyakarta. Data analysis used Paired t-test, Independent samples T-test, Anova and Linear regression with ρ=<0.05 and 95% CI.Result: The analysis result showed that pre-marital SMS at 7 pm-9 pm resulted in knowledge mean difference of 1.33 (ρ=0.00<0.05) with 95% CI (0.46-2.19) and attitude mean difference of 3.47 (ρ=0.00<0.05) with 95% CI (1.39-5.43) while pre-marital SMS at 9 am-11 am resulted in knowledge mean difference of 1.47 (ρ=0.00<0.05) with 95% CI (0.79-2.15) and attitude mean difference of 4.22 (ρ=0.00<0.05) with 95% CI (2.91-5.54). Control group 1 presented knowledge mean difference of -0.16 (ρ=0.66>0.05) with 95% CI (-0.89-0.58) attitude mean difference of -0.41 (ρ=0.75>0.05) with 95% CI (-1.61-0.80) while control group 2 presented knowledge mean difference of 0.09 (ρ=0.9>0.05) with 95% CI (-0,25-0.45) and attitude mean difference of -0.46 (ρ=0.85>0.05) with 95% CI (-1.27-0.34).Conclusion: SMS is effective in increasing adolescents’ knowledge and attitude on pre-marital sex in Yogyakarta Municipality. There is no effectiveness difference of giving an SMS at the different times to increase adolescents’ knowledge and attitude on pre-marital sex.Keywords: SMS, seluler, knowledge, attitude, pre-marital sex, adolescent

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Ika Kusumaningtyas

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