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Characteristics of Patients with Positive Cervical Cancer Screening using Visual Inspection with Acetic Acid (VIA) in Bantul District 2023: A Descriptive Study Firdaus, Muhammad Reza; Rohmah, Nilna Sa'adatar; Aryanto, Samsu; Wiratama, Bayu Satria
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 1 (2025): April 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i1.11337

Background: Cervical cancer is the second leading cause of death in Indonesia and is one of the largest burdens on health costs. This study aims to determine the distribution of characteristics of positive cervical cancer screening patients in the Bantul District. Method: A descriptive study using data from cervical cancer screening reports at Bantul District Health Office in 2023 was conducted to observe treatment outcomes, demographic factors (education, age, working status, marital status, and address), nutritional status, and behavior. Cervical cancer screening was done using Visual Inspection with Acetic Acid (VIA). Proportions were calculated for univariate analysis. Results: There were 1,587 females screened and 40 people (2,5%) were positive. Among those positive cases, only 7.5% received cryotherapy and 55% were referred to other health centers (either primary centers with cryotherapy facilities or secondary centers for further treatment). Most of positive cases married (25/25; 100%), non-drinker of alcohol (25/25; 100%), non-smoker (25/25; 100%), had high education levels (17/23; 73.9%), overweight (15/22; 68.2%), 20-44 years old (26/40; 65%), were not working (16/25; 64%), did not regularly consume fruits and vegetables (16/25; 64%), and active physical activity (13/25; 52%). There were variables with missing data ranging from 37.5% to 45%, with the variable that had the most missing data being BMI, while the variable with the most complete data was age. The positive cases were distributed across 9 sub-districts (52,9%). Conclusion: The majority of positive cases were married, non-drinkers of alcohol, non-smokers, higher education levels, overweight, 20-44 years old, not working, unhealthy dietary habits, active physical activity, and 37.5% unknown follow-up. These findings underline the need for targeted interventions to improve follow-up care and conduct follow-up studies regarding risk factors of cervical cancer.

Evaluation of Cervical Cancer Screening System using Visual Inspection with Acetic Acid (VIA) Method in Bantul District 2023 Rohmah, Nilna Saadatar; Firdaus, Muhammad Reza; Aryanto, Samsu; Wiratama, Bayu Satria
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 1 (2025): April 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i1.12087

Background: Cervical cancer remains a significant public health challenge globally, particularly in Indonesia, where it disproportionately affects women of various age groups. This study aims to evaluate the cervical cancer screening surveillance system in Bantul District in 2023, a region chosen for its low cervical cancer screening coverage and its significance as a representative area for rural public health challenges in Indonesia. Method: This descriptive study uses secondary data from the Visual Inspection with Acetic Acid (VIA) screening report conducted at Public Health Centers (PHCs) in Bantul District. The evaluation focuses on core functions (case detection, registration, reporting) and surveillance quality (completeness of data and reporting from PHCs). Results: Data were analyzed descriptively using percentages and frequencies. There were 27 PHCs, and 92,59% reported screening results. Jetis II PHC reported the highest screening coverage (9.60%) and Kasihan II PHC recorded the highest positive cases (21,15%). 24 PHCs (96%) used the patient registration form provided by the Health Office. Of 2.321 screened women, 52 were reported positive with 51.9% of cases having no follow-up records. The completeness of reporting from PHCs reached 95.68%, while the completeness of data averaged 61.76%, with a range of 4.35%-100%. Conclutions: The study relied on secondary data, which limited the ability to explore in-depth contextual factors and stakeholder perspectives, emphasizing the need for qualitative follow-up to enhance understanding. Capacity building of health workers in screening and reporting is required along with the development and implementation of Standard Operating Procedures (SOPs), which is critical to improving the program.

Investigation of Food Poisoning Outbreak in X Senior High School in Bantul District, Indonesia 2024 Reza Firdaus, Muhammad; Sa’adatar Rohmah, Nilna; Aryanto, Samsu; Satria Wiratama, Bayu
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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Background : On 7th October 2024, the Bantul District Health Office received reports that students, parents, and teachers at X Senior High School were sick with similar symptoms, suspected after consuming food at the “Character Strengthening” activity. Objective : This investigation aimed to confirm and describe the outbreak for control measures. Research Methods : Active case finding and a 1:1 case-control study were conducted. Cases were defined as people who experienced gastrointestinal symptoms after consuming food during the event on 6th October 2024. Data on characteristics, food consumption, and environment were collected using a questionnaire via Google Forms. Food samples were tested at BLKK Yogyakarta laboratory. Data were analyzed descriptively and statistically (chi-square). Results : Of 150 people, 91 (60.67%) were identified as cases. Cases were 80.22% female, 60.44% aged 10-18, and 56.04% students. The majority of symptoms were diarrhea (80.22%), abdominal pain (59.34%), and weakness (26.37%). The outbreak occurred on 6th-7th October 2024, with an average incubation period of 10.35 hours (1.00-21.55 hours). Stir-fried chicken gizzards and liver had the highest risk, students who consumed this food were 6.4 (95% CI: 2.1-23.3) times more likely to become cases. Improper cooking processes and poor hygiene practices were identified as risk factors. Laboratory tests confirmed Bacillus cereus in the Stir-fried chicken gizzards and liver. Conclusion : There was a food poisoning outbreak in X Senior High School on 6th-7th October 2024 caused by Stir-fried chicken gizzards and liver contaminated by Bacillus cereus. Improper cooking processes and poor hygiene cause contamination. The food handler’s knowledge of hygiene and sanitation during cooking needs improvement

Epidemiological Study of Chikungunya Outbreak in Kapanewon Imogiri Bantul Indonesia, April to May 2024 Sa'adatar Rohmah, Nilna; Reza Firdaus, Muhammad; Aryanto, Samsu; Satria Wiratama, Bayu
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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Background : On 6 May 2024, the Bantul District Health Office and Field Epidemiology Training Program (FETP) identified a cluster of Chikungunya-like illnesses in the Imogiri I Public Health Center area. Objective : Prompting an investigation to confirm the outbreak and identify risk factors. Research Methods : We conducted a 1:1 unmatched case-control study design. Cases were individuals with fever and arthralgia, with or without positive chikungunya lab results, living in Garjoyo and Karangtalun, Imogiri Sub-district. Controls were healthy residents in the same neighbourhood. Data on demographics and risk factors. Were collected through standardized questionnaires. Blood samples from 5 to 10 individuals per hamlet were tested using a Rapid Diagnostic Test (RDT). Logistic regression analyzes significant factors. Results : We identified 86 suspected cases, resulting in an attack rate (AR) of 8.53% from a total population of 1008. 172 individuals were interviewed, comprising 86 cases and 86 controls. The highest AR was observed among females (60.92%) and in RT 03 KarangTalun (72.1%). Primary symptoms included fever and arthralgia (91.86%). The larval-free index in both villages was below 95%, with the lowest index in KarangTalun RT 03 (15.4%). Out 23 RDT samples, 12 confirmed Chikungunya (52.17%). Multivariate analysis indicated that lower income (OR=1.97, 95% CI:0.85- 3.09) and the presence of mosquito larvae (OR=1.81, 95% CI:0.41-3.20) significantly increased infection risk. Conclusion : The Chikungunya outbreak in Kapanewon Imogiri from April to May 2024 was linked to environmental and socioeconomic risk factors. These findings highlight the need for targeted public health interventions and proactive vector control.

An evaluation of integrated antenatal care program in Bantul District on 2019 - 2020 Ayu Cahyaningtyas; Aryanto, Samsu; Hidayati, Titiek
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: Maternal mortality has become the second cause of women mortality in reproductive ages after HIV/AIDS (WHO, 2019). Bantul District is one of the districts in Yogyakarta which has the highest maternal mortality rate with 20 cases reported in 2020. Based on the result audit of maternal perinatal in Bantul District, it was found that most of the maternal mortality caused by the lack of early detection by health workers and community, caused the referral management leads. This evaluation purpose to identify the implementation and success of an integrated antenatal care program in Bantul District. Method: This evaluation program was using descriptive study design. The evaluation program was conducted in 17 community health centers and health office Bantul District in December 2020 – February 2021. The respondents were 35 people which consisted of the head of community health centers, coordinating midwife and Bantul District health officer. The data were collected using questionnaires. Result: In 17 community health centers, four of them (23,53%) have integrated antenatal care 100%. Eight of community health centers (47,01 %) stated that lack of cooperation by related health workers and lack of time in integrated antenatal care services. Four of the community health centers (23,53 %) stated that the quantity of health workers were limited especially with a large workload. One of the community health centers stated that ambulance drivers are not ready 24 hours (still on call) at the time of antenatal care services. Conclusion: The most of community health centers were felt constrained by the lack of cooperation by related health workers and lack of time in integrated antenatal care services. Improving the quality of integrated antenatal care and strengthening cooperation with related health workers can improve the integrated antenatal care services and prevent maternal mortality in Bantul District.

Food poisoning outbreak caused dioscorea hispida dennst in Gading 10 Village, Gunung Kidul, Yogyakarta august 2020: a case report study Ayu Cahyaningtyas; Aryanto, Samsu; Hidayati, Titiek
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: On August 12 2020, a food poisoning outbreak occurred in Gading 10 Village Gunung Kidul District. Health office of Gunung Kidul District were revealing three attendances who hospitalized in the hospital of Nur Rohmah after consuming gadung tubers (dioscorea hispida dennts.) and one of them passed away. Based on the information, we were doing an epidemiological investigation immediately to make sure of the existence of the outbreak. This study aimed to investigate the causative agents, source of food poisoning and mode of food poisoning transmission in Gading 10 Village. Method: This epidemiological investigation was using case report study design. Case defined as any residence who consumed gadung tubers in Gading 10 Village on August 12 2020. The data were collected using food poisoning questionnaire and medical record. Results: Based on the investigation results, three villagers who consumed gadung tubers were ill (100%) and one of them) was passed away (33,33%). The incubation period was around 5 minute until 4 hours. The predominate symptoms were vomiting, nausea, and headache. Gadung tubers (dioscorea hispida dennts.) was determined as the source of this food poisoning outbreak. Based on the incubation period and symptoms to the comparison diagnosis, dioscorine agent are suspected to be the cause of this food poisoning outbreak. Conclusion: The most likely source of contamination based on incubation period and symptoms was Dioscorine. Food poisoning outbreak was occurred in Gading 10 Village, Gunung Kidul District on August 12 2020. We recommend strengthening intervention community health education about safe processing gadung tubers for consumption.

Outbreak investigation of Chikungunya fever in Kapanewon Banguntapan, Bantul, Yogyakarta: a lesson learned Gusrina, Sylvia; Lestari, Nining Puji; Aryanto, Samsu; Wiratama, Bayu Satria
BKM Public Health and Community Medicine Vol 40 No 05 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i05.9777

Purpose: The investigation was conducted to confirm the Chikungunya outbreak in Banguntapan. Bantul. from November 2021 to January 2022 and identify the risk factors for control measures. Methods: We conducted a 1:1 case-control study. Cases were residents of the six hamlets in Banguntapan with sudden fever and arthralgia from December 2021 to February 14. 2022. Controls were residents of the same neighborhood with no symptoms. We collected demographics, risk factors, and environmental data using standardized questionnaires through direct interviews and observation. For diagnosis confirmation, we examine the case blood serum for laboratory testing. Logistic regression was used to analyze the risk factors. Results: We identified 151 Chikungunya suspects (Attack-rate/AR 13.6%) of 1111 total population. The highest AR by gender and location were in women (16.3%) and Genengan hamlet in Jambidan village (45.6%), respectively. Fever (92.1%) and muscle pain (81.7%) are the significant symptoms. The latest larval rate average was 13% lower than the national target. More than one-third of the cases were in the acute phase of infection. Multivariate analysis showed close contact of cases (aOR 22.79; 95% CI: 7.01–74.17) and community habit of hanging clothes in the house (aOR 2.42; 95% CI: 1.01–5.82) significantly associated with the Chikungunya outbreak. Conclusion: There was a Chikungunya outbreak in Jambidan and Tamanan Village, Banguntapan, from November 8, 2021, to January 31, 2022. Therefore, we recommend that the DHO strengthen health education related to protective action while having close contact with suspects and the habit of hanging wardrobes in the house as risk factors associated with the outbreak.

Epidemiological Characteristics of Pertussis in Bantul District 2023: a Descriptive Study Reza Firdaus, Muhammad; Aryanto, Samsu; Wiratama, Bayu Satria
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: This study aims to determine the distribution of characteristics of pertussis patients in Bantul District. Method: A descriptive study using data on PERT-02 form at Bantul District Health Office in 2023 was conducted to observe demographics (age, gender, address), initially identified status and date of illness, transmission clusters obtained from investigation reports, and pertussis infection status. Diagnostic test for Pertussis was done using a nasopharyngeal swab and tested using Polymerase Chain Reaction (PCR). Proportion was used for univariate analysis and a spatial descriptive analysis was done to see the distribution of cases by sub-districts. Results: 130 people were identified as Pertussis suspects, of which 20 people (15.38%) were positive for Bordetella pertussis. Among cases, 16 people (80%) were male and 7 people (35%) were un-immunized infants of which 5 people (25%) were less than 2 months old and not yet immunized. There were 11 (55%) cases who were close contacts and eight people (72,7%) came from the school cluster. Symptoms in cases included coughing (68,4), whooping (31,6%), vomiting (26,3%), and apnoea (26,3%), and there were 6 people (30%) with no symptoms at all who were close contacts at baseline. Cases were spread across 7 sub-districts (41%) in Bantul district. The first case appeared in Mei 2023 and continued to increase until December 2023 with most cases occurring in August (25%) and November (25%). Conclusion: Males, un-immunized and school clusters were the dominant characteristics of pertussis patients in Bantul District. Cross-sectoral support such as schools needs to be improved because considering that most transmission occurs in schools, in addition to the knowledge of parents and teachers needs to be improved because many cases start as close contacts, which means prevention and control of pertussis has not been done optimally.

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