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Berita Kedokteran Masyarakat
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Core Subject : Health,
Jurnal Berita Kedokteran Masyarakat adalah Jurnal Ilmiah di bidang Kesehatan Masyarakat yang diterbitkan oleh Program Pendidikan Kedokteran Komunitas (PPKK) Fakultas Kedokteran Universitas Gadjah Mada yang bekerja sama dengan Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI) dengan STT SK.
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Articles 1,168 Documents
Village based family planning program and use of contraceptive in Kuningan district in 2018 Nurjannah, Siti Nunung; Susanti, Euis; Rana, Sohel
Berita Kedokteran Masyarakat (BKM) Open Review Articles
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (265.431 KB) | DOI: 10.22146/bkm.43098

Abstract

Village Family Planning (FP) program was launched in 2016 evaluation has not been done, so the results of the effectiveness of this program are not yet known for increasing the coverage of contraceptive use. The purpose of this study was to determine the optimization of the village FP program to increase contraceptive use coverage in Kuningan District in 2018. Pre-experimental research design a pre and post test was applied for this research. The intervention is the village FP program and the measured variables are the coverage of contraceptive use before and after were being determined as a village FP program with a sample of 32 villages in Kuningan District where FP program is implementing. This study was conducted in February-September 2018 with univariate and bivariate analysis with paired t-test statistical tests. Results showing that the analysis of the mean value between before and after the intervention was determined to be village FP -8.33 and the results of the statistical test obtained p = 0.000 and 95% CI (-12.31 - (- 4,350)). Finally, the village FP program intervention increases the coverage of contraceptive use.  Recommendation for Kuningan district authority should expand the central government designed villages FP program
Paparan benzena di udara ambien dan kadar transtrans muconic acid urin pada pekerja industri percetakan di Kota Medan Siregar, Annisa Febriana; Ashar, Taufik; Nurmaini, Nurmaini
Berita Kedokteran Masyarakat (BKM) Vol 35, No 3 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (843.167 KB) | DOI: 10.22146/bkm.43021

Abstract

Purpose: Printing industry use chemicals containing benzene in the process of production. Accumulation of benzene concentration in human body can cause health problem. Low-level exposure can cause dizzy, nausea, and central nervous system disorders and high level of benzene can lead to death. The purpose of this research is to analyze benzene exposure in the acid trans-trans muconic in worker urine.Method: The design of this research was quantitative with cross-sectional design. A sample of 50 printing workers were selected for this was based on technique consecutive.Results: The result showed that, there is a correlation between benzene and time of exposure and trans-trans muconic acid level with p < 0,05 mg/m3 with time of exposure more than eight hours/day. There are some 9 people with a trans-trans muconic acid urine level more than referral value (>500/ μg/g creatinine). There are 38 man (76%) and 12 person woman (24%), workers exposed to benzene &gt; 8 hours 35 person (70%) workers with years of service ≥ 2 years 36 person (72%), workers not smoking 33 person (66%) and workers not using (respiratory mask N95) Personal Protective Equipment 43 person (86%).Conclusion: There are correlation benzene levels with trans-trans Muconic Acid urine. It is suggested to the owner of printing industry may provide personal protective equipment (respiratory mask N95 and gloves). Department of Labor should make policies and monitoring related printing industry problems. 
Analisis kepatuhan pekerja dalam penggunaan alat pelindung diri pada pekerja stage builder di stadion Mandala Krida Yogyakarta Imanuddin, Ahmad; Surono, Agus
Berita Kedokteran Masyarakat (BKM) Open Review Articles
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.42982

Abstract

Tujuan: Menganalisis kepatuhan pekerja stage builder dalam penggunaan APD, tingkat pengetahuan dan perilaku penggunaan APD pada saat bekerja, serta ketersediaan fasilitas APD di tempat kerja pada proyek konstruksi industri musik. Metode: Penelitian ini merupakan penelitian kualitatif dengan menggunakan pendekatan studi kasus. Lokasi penelitian dilakukan di Stadion Mandala Krida, Yogyakarta. Informan penelitian adalah pekerja stage builder, mandor/supervisor di lapangan, dan pemilik vendor rigging panggung musik. Pengumpulan data dilakukan dengan wawancara mendalam dan observasi di lapangan terhadap pekerja stage builder yang bekerja pada vendor x. Hasil: Tiga faktor yang mempengaruhi kepatuhan pekerja stage builder dalam menggunakan APD, yaitu faktor pengetahuan, faktor perilaku, dan faktor fasilitas. Tingkat pengetahuan pekerja masih belum memadai terkait penggunaan APD dan K3 ditempat kerja, tidak adanya aturan tegas membuat pekerja terbiasa bekerja tanpa APD, fasilitas APD yang tersedia hanya sarung tangan dan sepatu dengan kondisi yang kurang baik dan pemimpin/pemilik vendor belum dapat memotivasi serta menjadi role model dalam penerapan penggunaan APD pada saat bekerja. Simpulan: Pekerja stage builder belum mengetahui bagaimana cara menggunakan APD yang baik dan benar, tidak adanya aturan yang tegas dari perusahaan, serta fasilitas APD yang tidak memadai menyebabkan ketidakpatuhan para pekerja stage builder dalam menggunakan APD di tempat kerja.
Hubungan antara intensitas kebisingan dan stres kerja dengan tekanan darah tinggi tenaga kerja ground handling PT. Gapura Angkasa di bandara Sultan Thaha Jambi Agustina, Lia; Surono, Agus
Berita Kedokteran Masyarakat (BKM) Open Review Articles
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.42957

Abstract

Tujuan: Jenis potensi bahaya di Bandara diantaranya adalah kebisingan dan stres kerja yang dalam jangka waktu yang lama berpotensi menimbulkan penyakit akibat kerja salah satunya adalah tekanan darah tinggi (hipertensi). Berdasarkan data pengukuran tekanan darah tenaga kerja ground handling PT. Gapura Angkasa di Bandara Sultan Thaha Jambi pada bulan desember 2017 dari 44 orang tenaga kerja yang diperiksa 16 orang dengan hipertensi. Penelitian ini bertujuan untuk menganalisis hubungan antara intensitas kebisingan dan stres kerja dengan tekanan darah tinggi serta faktor yang paling berhubungan dengan tekanan darah tinggi pada tenaga kerja ground handling PT. Gapura Angkasa di Bandara Sultan Thaha Jambi. Metode: Jenis Penelitian yang digunakan dalam penelitian ini adalah kuantitatif yang bersifat observasional analitik dengan rancangan penelitian cross sectional. Sampel penelitian ini diambil dengan metode total sampling sebanyak 65 responden. Data dianalisis menggunakan univariat dan bivariat dengan analisis Chi Square serta multivariat dengan analisis regresi logistik. Hasil: Hasil analisis menggunakan Chi-Square menunjukkan bahwa terdapat hubungan antara intensitas kebisingan dengan tekanan darah tinggi nilai p=0.016 (p<0,05) dan variabel perancu suhu lingkungan menunjukkan terdapat hubungan dengan tekanan darah tinggi nilai p=0,016 (p<0.0,5). Hasil uji regresi logistik menunjukkan intensitas kebisingan adalah faktor yang paling berhubungan dengan nilai p=0.019. Simpulan : Terdapat hubungan intensitas kebisingan dan suhu lingkungan dengan tekanan darah tinggi (hipertensi). Intensitas kebisingan adalah faktor yang paling berhubungan dengan tekanan darah tinggi.
Energy Intake as Dominant Factor of Stunting in Children Age 13-23 Months in Working Region of Puskesmas Bojong Kamal Kabupaten Tangerang 2018 Suharningsih, Kustri
Berita Kedokteran Masyarakat (BKM) Open Review Articles
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.42845

Abstract

Background: The effect of stunting is cognitive disfunction. The first 1000 days period of life is a critical time for child's growth. The number of stunting condition in children in Indonesia and around the world are still high. The prevalence of stunting in children under 2 years old on Bojong Kamal have been increased from 18.3% in 2017 to 30.9% in 2018. This study is a quantitative research and with cross sectional design. Purpose: The purpose of this study is to find out the most dominant factor in stunting cases in children age 13-23 month. Method: Samples of the study about 89 children were choosen by systematic random sampling. Datas collected from the samples are from antopometry examination, questionnaire to collect the history of breast feeding, history of infection disease, education level of the parents, income of the parents, visit to Posyandu, and questionnaire of food recall 24 hours for food consumption. Statistical analysis was performed by using chi square and multiple logistic regression. Result: Percentage of stunting in children age 13-23 months is 32.6%. Energy intake is the dominant factor which differentiate the stunting cases in children age 13-23 months controlled by history of infection disease, protein intake and mother's education.
Konsistensi Implementasi Kebijakan Kawasan Tanpa Rokok (KTR) Dalam Promosi Kesehatan di SMPK 5 Penabur dan SMPN 255 Jakarta Timur Tahun 2018 Gultom, Mauliate Duarta
Berita Kedokteran Masyarakat (BKM) Open Review Articles
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (130.58 KB) | DOI: 10.22146/bkm.42830

Abstract

Epidemi tembakau adalah salah satu ancaman besar kesehatan masyarakat yang dihadapi dunia, Selain merokok, asap rokok orang lain juga berbahaya bagi kesehatan. Dilaporkan bahwa tiga dari lima orang  pelajar usia 13- 15 tahun terpapar asap rokok orang lain di rumah dan tempat-tempat umum. Prevalensi merokok  pada penduduk umur 10-18 mengalami peningkatan dari 7,2% pada tahun 2013 menjadi 9,1% pada tahun 2018. Provinsi DKI Jakarta sudah memiliki peraturan tentang Kawasan Dilarang Merokok. Kebijakan Kawasan Tanpa Rokok (KTR) disekolah bertujuan untuk menciptakan lingkungan sekolah yang bersih dan sehat, mencegah siswa untuk mulai merokok dan menurunkan angka perokok.Penelitiandilakukanuntukmenggaliinformasiapakahterdapat kesesuaian antara pelaksanaan dengan kebijakan KTR di sekolah.Penelitian ini menggunakan metode kualitatif dengan teknik WM, Observasi dan telaah dokumen. KesimpulandidapatkanbahwaSMPK 5 Penabur dan SMPN 255 inkonsisten dalam implementasi kebijakan KTR dalam promosi kesehatan di sekolah dan merekomendasikan mendorong disposisi yang mendukung implementasi kebijakan KTR, Pembentukan struktur birokrasi, Mengalokasikan sumber daya sesuai yang dibutuhkan dan Meningkatkan komunikasi yang efektif.Kata kunci: Implementasi kebijakan, Kawasan Tanpa Rokok, pengendalian tembakau, Sekolah
Apakah penggunaan kontrasepsi hormonal mempercepat penyapihan? analisis data performance monitoring and accountability 2020 Husnawati, Husnawati; Pinandari, Anggriyani W.; Dasuki, Djaswadi; Wilopo, Siswanto Agus
Berita Kedokteran Masyarakat (BKM) Open Review Articles
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.42814

Abstract

Purpose: Women's needs for contraception during breastfeeding is a contraceptive that is safe to use during breastfeeding. The use of contraception in Indonesia in 2016 is dominated by hormonal contraceptives. Combined hormonal contraception, especially those containing estrogen and progesterone, is one of the causes that interferes with the breastfeeding process by inhibiting prolactin, thereby reducing the production of breast milk and impacting breastfeeding coverage. This study aims to know the description of the effect of using hormonal contraception on weaning time. Method: This study used cross sectional design by using secondary data of Performance Monitoring and Accountability (PMA2020) Indonesia 2016, and analyzed by retrospective cohort. The study was conducted on women who had the last child born 5 years before the survey and breastfed, using contraception after giving birth with sample size 982 respondents. Kaplan-meier curve is used to see the probability of survival in the length of breastfeeding, statistical test log-rank to determine the relationship between each variable with the dependent variable. Multivariable analysis using cox regression. Results: There was a significant correlation between the use of hormonal contraception and breastfeeding status. Early weaning was found in women who used 1-month injectable hormonal contraception, HR  2.50 [1,31-4,76]. Education level, economic status and area of residence were associated with weaning  pvalue<0.05. Women who have a higher education level of 2.53 are faster to wean early. Rich economic status 1.50 times faster to wean earlier. The area of residence has a significant relationship to breastfeeding status p value<0.05 with CI95% (0.37-0.73). Conclusion: Women who used hormonal contraception with 1-month injections weaned their children earlier. The level of education, economic status and the area of residence are related to weaning.
Hubungan antara lama kerja dan paparan debu lingkungan kerja dengan kapasitas vital paru pekerja pengolah batu kapur di Sidorejo Ponjong Gunungkidul Yogyakarta Astuti, Dwi; Sofiana, Liena
Berita Kedokteran Masyarakat (BKM) Vol 35, No 4 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.42759

Abstract

Background: The limestone industry was one of the activities in its contribution to the air. The limestone industry has polluted the air with dust, caused by processing limestone will be at risk in the work environment, this will result in a workforce exposed limestone dust and gases – gases at concentrations as well as be different sizes. This research aims to know the relationship between the old work and exposure to dust lung vital capacity with chalk on the limestone processing workers. Method: This type of research using quantitative research analytic observational design draft of cross sectional. The population in this study as many as 60 respondents. The sample in this research is the entire limestone milling workers there are in the hamlet of Turi and Nongko Sepet. Sampling technique was purposive sampling, i.e. with the sampling based on the criteria defined so that samples obtained amounted to 50 people. Spirometer research tool, Dust Sampler, and instrument research observation sheets.  Results: The results of research work time by using test chi square is obtained there is relationship between the working period (p value 0.001) with vital lung capacity while the total dust exposure research using fisher test is obtained there is no relationship between exposure to dust (p value 0.677) with a capacity of vital lung workers processing limestone in Sidorejo Gunungkidul Ponjong Yogyakarta. Conclusion: Long working period had a higher risk of interference the vital lung capacity compared to the period of the new work. Workers should use Personal Protective Equipment (PPE) masks to protect themselves from exposure to the limestone dust every day.
Hubungan paparan benzena dengan anemia pada pekerja industri percetakan di kota Medan tahun 2018 Parinduri, Anggi Isnani; Ashar, Taufik; Nurmaini, Nurmaini
Berita Kedokteran Masyarakat (BKM) Open Review Articles
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.42711

Abstract

Industri percetakan menggunakan bahan kimia yang berbahaya bagi lingkungan dan manusia, salah satunya adalah senyawa organik yang mudah menguap yaitu benzena, digunakan sebagai solven (pelarut) tinta. Target utama pajanan benzena pada manusia adalah sumsum tulang belakang, yaitu tempat pembentukan sel darah. Efek terhadap kesehatan pekerja yaitu kerusakan pada sistem pembentukan darah (sumsum tulang) yang dapat menimbulkan risiko terjadinya penurunan jumlah elemen sel darah secara progresif yang meliputi penurunan kadar hemoglobin dan menyebabkan terjadinya anemia. Tujuan penelitian ini adalah untuk menganalisis hubungan paparan benzena dengan anemia pada pekerja industri percetakan. Metode penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain cross sectional. Populasi sebanyak 50 orang dengan pengambilan sampel teknik consecutive sampling. Analisis bivariat dengan menggunakan uji Chi Square dan analisis multivariat menggunakan uji regresi logistik berganda. Hasil penelitian menunjukkan bahwa dari 50 orang pekerja yang mengalami anemia berjumlah 17 orang. Hasil uji chi square menunjukkan adanya hubungan antara lama paparan dengan anemia (p=0,001) dan adanya hubungan antara kadar benzena dengan anemia (p=0,016). Hasil uji regresi logistik berganda menunjukkan bahwa kadar benzena paling berpengaruh terhadap anemia, kadar benzena berpeluang untuk terkena anemia sebesar 74,6%. Saran untuk pekerja di industri percetakan hendaknya memiliki kesadaran untuk menjaga kesehatan dengan menggunakan APD selama proses produksi. Bagi pemilik percetakan hendaknya menyediakan APD yang sesuai dengan potensi bahaya di tempat kerja dan melakukan sistem rotasi kerja. Bagi pembuat kebijakan khususnya Dinas Ketenagakerjaan hendaknya membuat kebijakan dan pengawasan terkait permasalahan di industri percetakan.
Kualitas lingkungan pelayanan keluarga berencana dan penggunaan metode kontrasepsi modern di kabupaten: Data PMA2020 Harahap, Yanna Wari; Willopo, Siswanto Agus; Hakimi, Mohammad
Berita Kedokteran Masyarakat (BKM) Open Review Articles
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.42691

Abstract

Purpose: Modern contraceptive use is high in short-term contraception, and skewed method mix in one method. Skewed method is influenced by quality of program. The aim of study is to analyze service environment of family planning quality and modern contraceptive use in district. Method: A cross-sectional study using PMA 2020 survey data conducted from May to October 2015 in Indonesia. The sample of woman sexual active respondents and health care was chosen using two stages stratified random sampling. Infertile woman, menopause and post hysterectomy were excluded from analysis. Modern contraceptive use are categorized into 2 groups (not skewed method and skewed method) and linked to service environment family planning. Multivariable analyze was used regression logistic to consider availability contraceptive, health provider (midwife), individual factors (parity, knowledge, visited by health worker), and contextual factors (education, socio-economic). Results: Percentage of modern contraceptive use was skewed method (84%). Skewed method was in injection contraceptive (70,07 %). Probability of being adequate service environment is about 1,67 times to skewed than not being adequate service environment after controlling individual and contextual factors. But, the association is not significant. Conclusion: District that has not adequate service environment is higher skewed method than adequate service environment. Improve service environment quality family can help women to choice suitable contraceptive.

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