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All Journal Jurnal Kesehatan Masyarakat Journal of Health Education SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Media Keperawatan Indonesia Unnes Journal of Public Health Jurnal Keperawatan Malang (JKM) Jurnal Kesehatan Pasak Bumi Kalimantan Poltekita: Jurnal Pengabdian Masyarakat Quality : Jurnal Kesehatan Jurnal Jaminan Kesehatan Nasional Jurnal Ilmiah Kesehatan Masyarakat Indonesian Journal of Nursing and Health Sciences (IJNHS) Sehat Rakyat: Jurnal Kesehatan Masyarakat Indonesian Journal of Public Health and Nutrition SALUTA: Jurnal Pengabdian Kepada Masyarakat Engagement: Jurnal Pengabdian Kepada Masyarakat Journal of Community Service Unnes Journal of Public Health Panakeia Journal of Epidemiology Proceeding Mulawarman International Conference on Tropical Public Health Jurnal Kesehatan Masyarakat Preventif : Jurnal Kesehatan Masyarakat
Saefurrohim, Muhamad Zakki
Universitas Mulawarman
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PENGARUH WATER, SANITATION, AND HYGIENE (WASH) TERHADAP KEJADIAN STUNTING PADA BALITA DI INDONESIA: A SYSTEMATIC REVIEW Ariyanti, Rea; Saefurrohim, Muhamad Zakki; Rahayu, Eka Putri
Jurnal Keperawatan Malang Vol 10 No 1 (2025): Jurnal Keperawatan Malang (As You Go)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v10i1.357

Abstract

Background: Stunting is still a serious public health problem, especially in developing countries like Indonesia. The incidence of stunting in children is multifactorial, one of which is thought to be caused by environmental factors such as lack of access to safe drinking water, sanitation facilities and hygiene practices (WASH). Purpose: To explore previous studies that are relevant in identifying water, sanitation, and hygiene (WASH) factors that play a role in the incidence of stunting in toddlers in Indonesia Methods: This research is a systematic review prepared based on the PRISMA flowchart method as a guide. Three electronic databases were used in the literature search, namely: Garuda Portal, Pubmed and Science Direct. Articles were selected based on publications in the last 3 years, namely from 2022-2024. Result: There were 8 articles from a total of 1,088 publications identified through three online databases that were deemed suitable for analysis. The results of the analysis show that Water (low community access to clean water and drinking water sources), Sanitation (means for disposing of feces and waste water), and Hygiene (the habit of washing hands with soap) have a significant influence on the incidence of stunting among toddlers in Indonesia. Implication: Policy makers can integrate WASH programs into programs that can support the reduction of stunting rates, such as nutrition programs, namely emphasizing the importance of clean water in food preparation, as well as educating about the relationship between poor sanitation and the risk of infection that can interfere with nutrient absorption.
Analysis of Factors Associated with Malnutritions Among Children Under Five in East Kalimantan Province: A Secondary Data Study Muh. Amri Arfandi; Siswanto; Irfansyah Baharuddin Pakki; Risva; Muhamad Zakki Saefurrohim
Panakeia Journal of Epidemiology Vol. 2 No. 1 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/panakeia.v2i1.3093

Abstract

This study aims to analyze factors associated with malnutrition among children under five in East Kalimantan Province using secondary data from 2021-2023. The dependent variable is the proportion of malnutrition, including underweight, stunting, and wasting. Independent variables include the proportion of low birth weight (LBW), complete basic immunization (CBI) coverage, adolescent pregnancy (<19 years), sanitation access, and poverty rate. Multiple linear regression analysis found that these five variables simultaneously have a significant effect on malnutrition prevalence (p=0.025) with a coefficient of determination of 39.5%. CBI coverage was identified as the most significant predictor of malnutrition (p=0.02). These findings highlight the importance of immunization, prevention of adolescent pregnancy, improved sanitation, and poverty reduction to address malnutrition. The study provides a policy basis for enhancing nutrition intervention programs in the region.
Factors of Diabetic Retinopathy among Type 2 Diabetes Mellitus Patients in Central Java Province, Indonesia Casmuti, Casmuti; Zainafree, Intan; Cahyati, Widya Hary; Ningrum, Dina Nur Anggraini; Saefurrohim, Muhamad Zakki; Hakam, Abdul; Zaimatuddunia, Irma; Prasetya, Henky Yoga; Jusran, Alek; Irsam, Muhamad
Unnes Journal of Public Health Vol. 14 No. 1 (2025)
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with the Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v14i1.16126

Abstract

One of the microvascular complications of type 2 diabetes mellitus is diabetic retinopathy. The prevalence of diabetes mellitus in Central Java Province in 2022 by 10% increased to 12.52% in the third quarter of 2023. This prevalence rate has not reached the SDG's target, namely there is no increase in diabetes prevalence by 0%. The purpose of this study is to analyze factors associated the incidence of diabetic retinopathy in type 2 DM patients at Central Java Provincial Hospital in 2023. This research is quantitative research with a nested case control study design, using electronic medical record data from the Central Java Provincial Hospital in 2023. The variables in this study were gender, age, education level, employment status, marital status, health insurance status, BMI, DM diet, duration of DM, hypertension, other diseases, current blood glucose, and HbA1c. The analysis used was univariate, bivariate, and multivariate analysis (logistic regression). The results showed that there was association between age ≥70 years (p=0.006), DM diet (p<0.0001, OR=20.914), duration of DM (p=0.003, OR=3.010), hypertension (p=0.013, OR=2.619), other diseases including cataracts (p=0.040, OR=9.00), glaucoma (p=0.007), CHD (p=0.040, OR=9.00), and cardiomegaly (p=0.016), current blood glucose (p=0.045, OR=2.478), and HbA1c (p<0.0001, OR=6.152). DM diet is the most dominant factor associated with diabetic retinopathy in type 2 DM patients. 
Implementation of Pulmonary TB Case Finding on the Tuberculosis Control Program at the Karangmalang Primary Healthcare Center Semarang City Ulfa, Siti Lutfiyah; Saefurrohim, Muhamad Zakki
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

CDR of Tuberculosis at Karangmalang Primary Health Care from 2016 to 2018 was has always been the lowest in Semarang City. The low CDR can be interpreted by the low performance of the implementers in implementation Pulmonary TB case discovery at Karangmalang PHC. This research aimed to knew the implementation of Pulmonary TB case discovery at Karangmalang PHC. Methods: This research used qualitative design with research type is case study. The informants were selected by purposive sampling were consisted of 5 main informants and 4 triangulation informants. Data were collected using in-depth interviews and then the data were analyzed and presented in narrative form.Results: The results showed that standards and targets of policy were clear, resource readiness was good, the quantity of TB cadres was lacking, communication and coordination between organizations was good, the dissemination of information related to tuberculosis to the community was lacking, there was no SOP for Pulmonary TB case detection, the understanding and performance of the implementers was still lacking, and community participation needs to be increased.
Analisis Survival dan Faktor-faktor Kelangsungan Hidup Pasien HIV yang Meninggal pada Tahun 2023 di Samarinda Berdasarkan Data Layanan PDP Azmiardi, Akhmad Akhmad; Saefurrohim, Muhamad Zakki; Utami, Dian Margi
Indonesian Journal of Nursing and Health Sciences Vol 6 No 1 (2025): Indonesian Journal of Nursing and Health Sciences: April 2025
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijnhs.v6i1.6323

Abstract

Kelangsungan hidup pasien HIV merupakan indikator penting dalam evaluasi efektivitas terapi antiretroviral (ARV) dan layanan perawatan, dukungan, serta pengobatan (PDP). Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi kelangsungan hidup pasien HIV dengan status meninggal di tahun 2023 berdasarkan data PDP. Penelitian ini menggunakan data retrospektif dari 50 pasien HIV dengan status meninggal yang terdaftar di SIHA Kota Samarinda selama tahun 2023. Analisis survival dilakukan menggunakan Kaplan-Meier untuk membandingkan waktu kelangsungan hidup antara pasien yang dirawat di fasilitas kesehatan tingkat 1 (puskesmas/klinik) dan tingkat 2 (rumah sakit). Selanjutnya, regresi Cox digunakan untuk mengidentifikasi faktor risiko yang berhubungan dengan kelangsungan hidup pasien, termasuk variabel demografis seperti jenis kelamin, umur, domisili, dan rentang waktu dalam mendapatkan ARV. Hasil analisis Kaplan-Meier menunjukkan bahwa pasien yang dirawat di fasilitas tingkat 1 memiliki estimasi kelangsungan hidup yang lebih tinggi dibandingkan dengan pasien di fasilitas tingkat 2 (log rank= 0.010). Hasil analisis Regresi Cox menunjukan bahwa Jenis fasilitas kesehatan memiliki pengaruh signifikan terhadap kelangsungan hidup pasien (HR= 2,513; 95% CI=1,081–5,842; p=0,032,). Sedangkan variabel-variabel lain tidak signifikan secara statistik. Pasien HIV yang dirawat di fasilitas kesehatan tingkat 1 memiliki kelangsungan hidup yang lebih baik dibandingkan dengan pasien di fasilitas tingkat 2. Temuan ini dapat menjadi dasar bagi pemerintah daerah dalam mengembangkan strategi untuk meningkatkan akses dan kualitas layanan bagi pasien HIV di Samarinda.
WHO SRQ-20 Outcomes in Mothers of Children 6-23 Months By Fecal Disposal and Drinking Water Source Factors Saefurrohim, Muhamad Zakki; Zainafree, Intan; Aidil Fitrah, Muhammad; Utomo , Dewi Natalista Dwi
Panakeia Journal of Epidemiology Vol. 1 No. 1 (2024): PANAKEIA
Publisher : Universitas Mulawarman

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Abstract

Most studies tended to focus on the association of health conditions or tantrum behavior in toddlers with maternal mental health. This study aimed to determine the differences in WHO SRQ-20 scores and the association of WHO SRQ-20 outcomes with fecal disposal factors and drinking water sources. This study used secondary data from RISKESDAS 2018, involving 670 mothers with children aged 6-23 months. The WHO SRQ-20 questionnaire was used to measure general mental health disorders. Mann-Whitney analysis was conducted to determine the difference in scores, while Chi-Square was used to examine the association of WHO SRQ-20 outcomes with toddler feces disposal factors and drinking water sources. All analyses were performed using SPSS 22.0, with a significance value of <0.05. The analysis showed that inappropriate fecal disposal and poor drinking water sources increased the total WHO SRQ-20 score (p=0.003, & p=0.041). Both factors were positively correlated with seven common mental health symptoms in mothers with children aged 6-23 months, including no appetite, difficulty thinking, difficulty making decisions, feelings of fear, trembling hands, and indigestion, with significant p-values (p<0.05) for each symptom. Environmental quality, especially inappropriate fecal disposal and poor drinking water sources, was significantly correlated with increased mental health symptoms among mothers with children aged 6-23 months.
ANALISIS SURVIVAL KEJADIAN LOSS TO FOLLOW-UP TERAPI ANTI- RETROVIRAL (ARV) PADA PASIEN HIV DI KOTA SAMARINDA: LOSS TO FOLLOW-UP TERAPI ANTI- RETROVIRAL Utami, Dian Margi; Wisnuwardani, Ratih Wirapuspita; Saefurrohim, Muhamad Zakki
Preventif : Jurnal Kesehatan Masyarakat Vol. 16 No. 1 (2025): VOLUME 16 NO.1 TAHUN 2025
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/preventif.v16i1.1771

Abstract

Loss to follow (LTFU) -up among HIV patients, defined as failure to continue therapy as schduled,increases the risk of drug resistance, deteriorating health conditions, and death due to HIV-relatedcomplications. This study aimed to analyze the survival of HIV patients againts LTFU events amongthose undergoing antiretroviral therapy (ARV) in Samarinda City. Secondary data from the SIHAdatabase (2023-2024) were utilized. Kaplan-Meier analysis was applied to evaluate the factors ofgender, residence, population group, and timing of ARV initiation associated with the risk of LTFU.The results showed that gender and residance were not significantly associated with the risk of LTFU.However, specific population groups, such as children of PLHIV and pregnant women, exhibitedhigher vulnerability and lower survival rates (log rank = 0.015). ART initiation within ≤ 1 monthsignificantly improved survival probability compared to initiation after &gt; 1 month. These findinghighlight that while gender and residance do not significantly influence LTFU, the vulnerability ofspesific populations and the critical importance of early ART initiation are key factors. It isrecommende to develop targeted interventions focusing on vulnerable groups, such as children ofPLHIV and pregnant women, to enhance their survival rate. Additionally, strategies promoting ARTinitiation within ≤ 1 month are esential to improve treatment sustainability.
Non-Communicable Disease Risk Factors Across Age Groups in Urban Indonesia: A WHO STEPS-Based Study Muh. Amri Arfandi; Saefurrohim, Muhamad Zakki; Azka, Arlina; Pakki, Irfansyah Baharuddin; Siswanto, Siswanto; Risva, Risva; Azmiardi, Akhmad
Panakeia Journal of Epidemiology Vol. 2 No. 2 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/2h9dbt57

Abstract

Non-communicable diseases (NCDs) are a major public health concern, with risk factors increasingly observed among younger populations. To describe and compare behavioral and biological NCD risk factors among adolescents (15–19 years), young adults (20–24 years), and adults (25–59 years) in Samarinda, Indonesia. A cross-sectional study was conducted among 242 respondents using the WHO STEPS questionnaire, covering behavioral factors (tobacco, alcohol, physical activity, diet) and biological factors (BMI, blood pressure, blood glucose, cholesterol). Smoking was highest among young adults (22.2%) versus adolescents (9.3%) and adults (17.7%). Adolescents reported relatively higher alcohol use (12.4%). Young adults showed more sedentary behavior (40%). Fruit consumption was inadequate across all groups. Overweight/obesity prevalence increased with age: adolescents (19.4%), young adults (24.4%), adults (54.4%). Adults showed higher hypertension (44.1%) and high cholesterol (35.3%). Behavioral risks emerge during adolescence, while biological risks accumulate with age. Early prevention targeting youth through community-based education and health monitoring is essential.
Understanding Toxoplasmosis in Reproductive-Age Women: Determinants of Infection and Evidence-Based Mitigation Approaches Azka, Arlina; Soviadi, Nabila Vebiana; Saefurrohim, Muhamad Zakki; Azmiardi, Akhmad; Pakki, Irfansyah Baharuddin; Siswanto; Arfandi, Muh. Amri; Risva
Panakeia Journal of Epidemiology Vol. 2 No. 2 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/e53f1q84

Abstract

Toxoplasmosis remains a persistent public health concern among women of reproductive age due to the risk of congenital transmission and severe fetal outcomes. This narrative review aimed to synthesize recent evidence on infection determinants and evaluate evidence-based strategies to mitigate risks, addressing persistent gaps in awareness and intervention efficacy. A comprehensive literature search of PubMed and Google Scholar was conducted for studies published between 2016 and 2025. The findings reveal substantial geographic variation in seroprevalence, influenced by environmental conditions, cultural practices, and socioeconomic disparities. Higher infection rates were consistently reported among older, multiparous, rural, and less-educated women. Key risk factors included consumption of contaminated water, undercooked meat, and poor hygiene practices, while associations with cat ownership were inconsistent. Overall, knowledge and awareness of toxoplasmosis were low among women and healthcare providers. Although educational interventions and antenatal screening demonstrated potential benefits, their effectiveness remains insufficiently evaluated. Integrated, context-specific prevention strategies are urgently needed to reduce infection risk and prevent congenital toxoplasmosis.
Spatial Distribution of Dengue Hemorrhagic Fever Cases in the Temindung Primary Health Care Area, Samarinda City, 2024: A Nearest Neighbour Analysis Fitrah, Muhammad Aidil; Saefurrohim, Muhamad Zakki
Jurnal Kesehatan Pasak Bumi Kalimantan Vol 8, No 2 (2025): JKPBK Desember 2025
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/j.kes.pasmi.kal.v8i2.19734

Abstract

The total number of dengue cases reported nationally has reached 88,593, resulting in 621 deaths in 456 districts/cities in 34 provinces. Temindung Health Center is the health center with the highest cases in Samarinda City in 2023. This study aims to analyze the distribution of DHF cases in the working area of Temindung Health Center in Samarinda City. This study uses the Nearest Neighbour Analysis method to analyze the spatial pattern of the distribution of DHF cases and shows that the distribution of cases does not occur randomly which is complemented by the buffer analysis method to identify risk areas based on geographical proximity to the Puskesmas of DHF cases in January-September 2024. The results showed that there were 71 cases of DHF in the working area of Temindung Health Center, where the peak of cases occurred in January with 19 cases. The results of Nearest Neighbor Analysis showed a nearest neighbor index value of 0.648 and a Z-score of -5.67, which indicated that the distribution pattern of DHF cases was very clustered, the results of the buffer analysis showed that the distribution of cases occurred mostly around the 500 meter zone from the Puskesmas. DHF prevention and control efforts should focus on areas with high case cluster patterns, especially around densely populated zones and far from access to health facilities, by strengthening active surveillance and risk area-based interventions.
Co-Authors Abdul Hakam Agustin Putri Rahayu Akhmad Azmiardi Akhmad Azmiardi Al-Ayubi, Moch Thoriq Assegaf Alvy Fajri Amanda Hesti Pratiwi Andreas Wilson Setiawan Anggun Dessita Wandastuti Arfandi, Muh. Amri Ariyanti, Rea Arlina Azka Arulita Ika Fibriana Asysyifa, Thisna Nugra Atika Aulia Atika Aulia Aufiena Nur Ayu Merzistya Aufiena Nur Ayu Merzistya Azmiardi, Akhmad Akhmad Baiq Diken Safitri Basrowi, Ray Wagiu Casmuti, Casmuti Dani Miarso Dina Nur Anggraini Ningrum Dwi Sarwani Sri Rejeki Fahmi, Achmad Sabrani Farida, Eko Fatihah, Ana Nur Fitria Ningsih Intan Henda Ardiani Intan Zainafree Intan Zainafree, Intan Irfansyah Baharuddin Pakki Irsam, Muhamad Isbandi Isbandi Juniarti, Tirsa Aulia Jusran, Alek Kholifah, Siti Putri Nur Lukman Fauzi Mahalul Azam Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Minhajul Mubarok Mona Subagja Muh Amri Arfandi Muh. Amri Arfandi Muhamad Anbiya Nur Islam Muhammad Aidil Fitrah Mustafa Daru Affandi Mustika Suci Susilastuti Nabila Vebiana Soviadi Nadia Syukria Nindy Nurhalizah Nur Dian Rakhmawati Nur Dian Rakhmawati Nur Wahidah Nur Wahidah Prasetya, Henky Yoga Pratomo , Hadi Putri Rahayu , Agustin Putri Rahayu , Eka Putri, Salwa Az Zahra Rahayu, Eka Putri Ratih Wirapuspita Wisnuwardani Rea Ariyanti Rina Tri Agustini Risva Risva Risva Roma Yuliana Rr. Sri Ratna Rahayu S Siswanto Sa'diyah, Putri Wahiddatus Silfia Addina Siswanto Siswanto Siswanto SITI MARIA ULFA Siwi Pramatama Mars Wijayanti Soesmeyka Savitri Sri Ratna Rahayu Suci Susilastuti , Mustika Tatik Atmini Ulfa, Siti Lutfiyah Utami, Dian Margi Utomo , Dewi Natalista Dwi Warsono Warsono Widya Hary Cahyati Zaimatuddunia, Irma Zainafree , Intan Zuyyinatun Muflikhah