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All Journal J-Kesmas: Jurnal Kesehatan Masyarakat (Indonesian Journal of Public Health) Proceeding Mulawarman International Conference on Tropical Public Health
Aryanto, Samsu
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Public Health

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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

Abstract

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

Abstract

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 3th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

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 3th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

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.
Co-Authors Bayu Satria Wiratama Firdaus, Muhammad Reza Reza Firdaus, Muhammad Rohmah, Nilna Sa'adatar Rohmah, Nilna Saadatar Sa'adatar Rohmah, Nilna Satria Wiratama, Bayu Sa’adatar Rohmah, Nilna