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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
Pengaruh pemberian edukasi melalui metode diskusi kelompok terhadap pengetahuan, sikap, dan perilaku pencegahan pneumonia oleh ibu Sholikah, Sholikah; Triasih, Rina; Prabandari, Yayi Suryo
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.42690

Abstract

Background: Acute respiratory infection (ARI), particularly pneumonia  is the main leading cause of morbidity and mortality among children under 5 years old. in the world. Educational program is one of strategy to decrease ARI incidence by improving mother’s knowledge about prevention of pneumonia.Objectives: The objective of this study was to analyze the impact of educational program through group discussion method on mother’s knowledge, attitude, and behavior in pneumonia  prevention.Method: This study used a quantitative method with a quasi experimental design using pretest-posttest non equivalent control group design . The study conducted at posyandu Gagan and Sawahan Lor, Ngemplak Boyolali  involving 82 mothers and children under five year. The samples were divided into intervention group and control group. The intervention group was given health education about pneumonia using booklet followed by  group discussion, while the control group was given booklet about pneumonia without group discussion. The samples  were selected through consequtive sampling technique. Data analysis was using the t test and Wilcoxon signed rank test.Results: Statistic analysis showed a significant increases on mothers knowledge and prevention behavior regarding pneumonia  in control and intervention groups. Health education  a significant difference in the average attitude (pvalue: 0.00) and behavior (pvalue: 0.04) between the control and intervention group, but there is no significant difference in knowledge (pvalue : 0.5745). Respondents experienced some difficulties in  behavioral changes related to assertive behavior in reduce smoking behavior at home, burning trash, and avoiding contact with other ill children.Conclusion: Providing education through group discussion methods had a positive impact on improving maternal knowledge, attitudes, and prevention behaviors regarding  pneumonia. Booklet performed effectivenes as  educational media in preventing the incidence of pneumonia.
Nilai agama dan persepsi tentang praktik pemberian air susu ibu dua tahun: studi kualitatif di Aceh Ervina, Ervina; Yustina, Ida; Sudaryati, Etti
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 (356.862 KB) | DOI: 10.22146/bkm.42577

Abstract

Purpose: This research aims to explore the value and perception of two-year breastfeeding in Dewantara Sub-district, North Aceh Regency.Method: The methodology employed in this study is qualitative research with phenomenology method. Research participants consist of eight mothers who has toddler over the age of two and two parents as supporting participants. The data is collected by in-depth interview, which will be analysed through phenomenology approach.Results: This research finds that two-year breastfeeding is the recommendation and implementation of the religious value. However, the participant fails to provide breastfeeding because of a lack of knowledge of breastfeeding. The perceptions of breastfeeding still exist such as the breast milk is not coming out, the milk is insufficient for children’s needs, and longer breastfeeding contains blood and can reduce the intelligence of the children. These perceptions is the factors stopping breastfeeding. Also, there is a family tradition to stop for breastfeeding before a two-year-old child.Conclusion: Health professional needs the effort to promote a two-year breastfeeding through coordination, collaboration, outreach, assistance, and reinforcement at the community level, Posyandu cadres, and religious leaders, to achieve the successful two-year breastfeeding. The government of North Aceh Regency needs to accelerate advocacy for issuing policy or Qanun that covers the protection and promotion of two-years breastfeeding program. This includes support and commitment from all stakeholders in order to escalate the scale of public health in North Aceh Regency. 
Hubungan persepsi mutu pelayanan dengan kepuasan pasien di puskesmas Karang Intan Sangari, Brenda Ellyse; Handayani, Yolanda; Wahid, Abdurrahman; Zaidan, Ahmad
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.42569

Abstract

Purpose: The purpose of this research was to investigate the relationship between perceived quality of care with satisfaction patient at Karang Intan Public health center in Banjar district. Method: The design of these activities is observational analytic with cross sectional design method. Subject activities are patient in Karang Intan Public health center in 2016 were determined with quota sampling technique. Data analysis of univariate and bivariate using chi square test. Results: Factors perceptions quality of satisfaction patient is administrative services (p = 0.002), nursing cares (p = 0.0001), drug services (p = 0.042), and facilities services (p = 0.007), whereas unrelated is doctors services (p = 1.000) and supporting facilities services (p = 0.093).
Probabilitas dan determinan pemanfaatan asuransi kesehatan di Indonesia (berdasarkan data IFLS tahun 2015) Putri, Miftakhun Nafisah Yannis; Pujianto, Pujianto
Berita Kedokteran Masyarakat (BKM) Vol 35, No 2 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (616.299 KB) | DOI: 10.22146/bkm.42546

Abstract

The probability and determinants of the utilization of health insurance in Indonesia: analysis of 2015 IFLS data Purpose: This study investigates the probability and the determinants of use of health insurance in Indonesia.Method: The Indonesian Family Life Survey (IFLS) 2015 data were used and analyzed by logistic regression/probit. Age, gender, marital status, family status, education, employment status, and area of residence were used as determinant variables.Results: The proportion of utilization of health insurance is 39.9%. A total of 60.02% of health insurance owners do not use health insurance and issueout of pocket (OOP) fees. Age variables (0.037), education (0,000) and residential areas (0,000) were significantly significant (p-value <0.05) for the use of health insurance. 
Faktor determinan proksi kejadian kematian neonatus di wilayah kerja dinas kesehatan kabupaten Buton Utara Alifariki, La Ode; Kusnan, Adius; Rangki, La
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 | Full PDF (1013.756 KB) | DOI: 10.22146/bkm.42573

Abstract

Tujuan: Angka Kematian Neonatal (AKN) merupakan indikator utama kesehatan dan kesejahteraan masyarakat yang mencerminkan sosiodemografi, biologi, budaya, dan status ekonomi penduduk. Target Sustainable Development Goals (SDGs) menjadi 12 per 1000 kelahiran hidup dari sebelumnya pada Milenium Development Goals (MDGs) tahun 2015 yaitu 19 per 1000 kelahiran hidup. Angka kematian neonatal di Kabupaten Buton Utara merupakan penyumbang terbanyak dengan tingkat kematian dari kematian bayi, anak balita dan balita. Penelitian ini bertujuan untuk mengetahui determinan proksi kejadian kematian neonatus. Metode: Jenis penelitian ini adalah analitik observasional dengan pendekatan case control. Populasinya adalah semua neonatus yang lahir di wilayah kerja Dinas Kesehatan Kabupaten Buton Utara kurun waktu tahun 2016-2018. Sampel penelitian diperoleh setiap kasus dan kontrol adalah 108 dengan perbandingan 1 kasus : 2 kontrol, besar sampel adalah 36 dan kontrol adalah 72 sampel. Pengumpulan data menggunakan kuesioner. Data dianalisis menggunakan uji (OR) pada batas signifikansi α = 0,05. Hasil: Hasil penelitian menunjukkan faktor risiko kematian neonatal di wilayah kerja Dinas Kesehatan Kabupaten Buton Utara adalah jarak dari kelahiran, antenatal care, dukun bayi, sepsis neonatal / infeksi pasca kelahiran, aksesibilitas, keterlambatan dalam memutuskan untuk mencari bantuan. Simpulan: Berdasarkan penelitian ini, dapat disimpulkan bahwa penentu proxy kematian neonatal di wilayah kerja Kantor Kesehatan Kabupaten Buton Utara pada tahun 2018 adalah dukun bayi (OR = 8,992 (95% CI 2,394-33,775).
Determinan rokok elektrik di Indonesia: data SUSENAS (Survei Sosial Ekonomi Nasional) tahun 2017 Elsa, Musliyah Syahrawani; Nadjib, Mardiati
Berita Kedokteran Masyarakat (BKM) Vol 35, No 2 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (652.544 KB) | DOI: 10.22146/bkm.42537

Abstract

Electric cigarette determinants in Indonesia: using SUSENAS (National Social Economic Survey) data in 2017 Purpose: Socio-economic disparity has been established to use conventional cigarettes, but the socio-economic picture of the use of e-cigarettes has not been well described. Therefore, this study aims to estimate the socio-economic determinants and behavior of conventional cigarettes on the use of e-cigarettes in Indonesia.Method: This study data uses SUSENAS (National Socio-Economic Survey) data with a cross sectional method collected in March 2017. To see the determinants of the use of e-cigarettes, this study conducted econometric analysis using LPM and Probit analysis. This analysis was carried out using STATA software version 14.Results: of all the independent variables in this study, which showed a significant relationship to the dependent variable (electric smoking) was age 25-45 years, gender, regional status, education, economic status in quintile 5, and all categories of tobacco smoking status. The pseudo R2 results on the probit model show results of 0.2373.Conclusion: Social economics is a factor associated with electric smoking behavior as well as smoking status. Age has a relationship with electrical smoking behavior where for Indonesia the age group that smokes electrically is dominated by adults (25-45) and parents (45- 65). In addition, secondary education, higher education, and individuals who have economic status in quintile 5 have a significant relationship with the use of e-cigarettes. Factors that use tobacco cigarettes which are currently active smokers, who have quit smoking and who have never smoked, contribute to electric smoking behavior. 
Pengeluaran out of pocket rumah tangga untuk upaya pencegahan kesehatan anak: analisis berbasis two part model dan Tobit Marlinda, Marlinda; Permanasari, Vetty Yulianty
Berita Kedokteran Masyarakat (BKM) Vol 35, No 1 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.42519

Abstract

Out-of-pocket household expenditure for child health prevention services: two-part and tobit modelPurposeTo find out socio-economic determinants and the amount of out-of-pocket (OOP) for household expenditure in health prevention for children.MethodsThis study compared two approaches from several alternative assumptions including the two-part model and Tobit, which can be used when variable analysis has a problem selection. The dependent variable was household expenditure for children health prevention services in Indonesia, where the probability of dependent variable was affected by latent variables.ResultsThe two-part model and Tobit estimate that rural areas in NTT province can reduce out-of-pocket preventive health expenditures for children three times lower than the rural provinces of Papua. The higher the education of the head of the household, the greater of the possibility of preventive out-of-pocket child health is. Distribution of poverty rates based on quintiles provides a regressive picture of the poorest households based on expenditure per capita. ConclusionThis study is expected to be a comprehensive policy recommendation to suppress out-of-pocket preventive health expenditures for children. Thus, the distribution of health services is a priority for vulnerable groups (children) and the poor.
Two part model analysis household out of pocket for traditional medicine consumption in Central Java Perdana, Haryka Fitra; Sari, Kurnia
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.42518

Abstract

Traditional medicine is primary health care that use natural ingredients for treatement in accordance with norms in society. The proportion of traditional medicine utilization was 49% from all traditional health care. Based on Riskesdas 2013, Central Java was one of province that had highest proportion of traditional medicine utilization, which was 65.2%. This study aimed to determine traditional medicine expenditure in households in Indonesia based on socio-economy. Method in this study was two part model assumption (probit) then compared with log linear value (non zero) ordinary least square (OLS) and also comparing two part model OLS with tobit model as output estimation. The proportion of traditional medicine expenditure within total drugs expenditure was 15.33%. Variable of interest in this study was household region and economy status of household. From two part model (OLS) and tobit, it can be obtained that urban region and household that has expenditure above poverty line, could increase traditional medicine expenditure. This study showed that even though estimators from all situation did not significantly difference, but result from two part (OLS) models has higher coefficient value than tobit model. 
Strategi monitoring kepatuhan penggunaan antiretroviral pre-exposure prophilaxis pada pasangan serodiscordant Purnamayanti, Ni Kadek Diah; Usemahu, Nurma Yuni Pari; M, Fatih Haris; Layun R, Marina Kristi
Berita Kedokteran Masyarakat (BKM) Vol 35, No 1 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (178.231 KB) | DOI: 10.22146/bkm.35359

Abstract

Monitoring strategy of antiretroviral pre-exposure prophylaxis adherence among serodiscordant coupleAntiretroviral pre-exposure prophylaxis (PrEP) has been recommended as HIV prevention but poor medical adherence can cause  suboptimal therapy. This study explored the strategies of monitoring PrEP adherence among the serodiscordant couples. This systematic review  based on 4 data bases (Scopus, Pubmed, Ebsco and Sage Journal), included clinical trial studies articles between 2013-2018, in English, and available in full-text. Papers, which not met the inclusion criteria, will be excluded.  Keywords used in this study are ‘serodiscordant couple’ AND ‘method’ OR  ‘strategy’ OR ‘approach’  AND ‘pre-exposure prophylaxis intention’ OR ‘pre-exposure prophylaxis adherence’. This study discovered various strategies applied based on the type of delivering process, the variance of dose, and variance of preference of the couple. Preference of PrEP dose and type of application related to heterosexual or homosexual orientation and their social commitment. The paper explains the advantage of  M-health and biomarker level monitoring.
Penanganan kasus abortus inkomplit pada puskesmas PONED di Kabupaten Sumbawa Barat Kurniaty, Kurniaty; Wahab, Abdul; Dasuki, Djaswadi
Berita Kedokteran Masyarakat (BKM) Vol 35, No 1 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.35562

Abstract

Success rate in handling incomplete abortion in EmOC primary health care in West SumbawaPurposeThis study explored the success of incomplete abortion in EmOC PHC in West Sumbawa.MethodThis research used descriptive analytic design with mix method approach. Quantitative research with cross sectional design and qualitative research with multiple-case study approach. The quantitative research sample is mother with incomplete abortion and qualitative research sample that is midwife, doctor and head of Puskesmas. Quantitative data analysis used chi-square test and logistic regression. Qualitative data collection using indepth interview method.ResultsHandling of successful incomplete abortus was 63,3% and most of EmOC PHC was complete 67,3%. There is a significant correlation between the success of incomplete abortion handling with the completeness of EmOC PHC. The likelihood of successful completion of incomplete abortion cases in complete EmOC PHC was 4.1 times greater than that of incomplete EmOC PHC. There was a significant relationship between maternal gestational age at abortion with successful incomplete abortion treatment (OR = 7,1; CI95% 1.27-40,2). Qualitative results show that EmOC teamwork can influence the success of handling incomplete abortion cases.ConclusionCompleteness of EmOC PHC has relationship with handling of incomplete abortus case. Increased knowledge and competence of health workers in the handling of incomplete abortion, so that in case management is more prepared and competent.

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