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All Journal Jurnal Epidemiologi Kesehatan Komunitas Jurnal Persada Husada Indonesia Berita Kedokteran Masyarakat
mukhibin, akhmad
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Health Professions Nursing Public Health

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Faktor Risiko Terjadinya Pneumonia Pada Balita Di Puskesmas Sruweng Kabupaten Kebumen Falah, Yanuar Fajrul; Suhartono, Suhartono; Adi, Mateus Sakundarno; Mukhibin, Akhmad
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 3: Agustus 2025
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v10i3.26735

Abstract

Background: Pneumonia causes 23% of deaths in children under five and about 1.17 million deaths in toddlers worldwide. The Sruweng Health Center in Kebumen Regency in the last five years has experienced a fluctuating trend of pneumonia cases and infant deaths due to pneumonia in 2020 and 2024 with one case each.Methods: Using a case control study with a ratio of 1:1. The total sample was 150 (75 samples for each group). Cases are based on positive clinical symptoms who has been diagnosed by a doctor. Controls were selected using simple random sampling. Interviews and observations using questionnaires to collect the data. Data analysis was carried out univariately with frequency distribution tables, bivariate with chi square test, and multivariate with binary logistic regression test.Results: The difference in the proportion of family smoking behavior in the case group was higher (57.3%) than the control group only (3.33%). The final results were multivariate with binary logistic regression tests there were three significant variables, namely smoking behavior (OR= 3.7 ; 95% CI= 1.68-8.54; p= 0.001), waste burning behavior (OR= 2.4 ; 95% CI= 1.17-5.14 ; p= 0.017), and use of firewood (OR= 2.4 ; 95% CI= 1.13-5.21 ; p= 0.022).Conclusion: Smoking behavior is the main risk factor for the triggering of pneumonia in toddlers at the Sruweng Public Health Center, Kebumen Regency.Keywords: Pneumonia, Toddlers, Risk Factor, Kebumen Regency
Performance Evaluation of EWARS (Early Awareness and Response System) for Leptospirosis Cases in Kebumen District Health Office in 2023 Tumiat; Mukhibin, Akhmad; Maula, Ahmad Watsiq
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: To evaluate the performance of the early warning and response system (EWARS) in the Kebumen District Health Office in 2023 in general and specifically for early detection of leptospirosis cases. Method: This study was a descriptive evaluation study using secondary data from EWARS platform. The data was retrieved from the website web.skdr.surveilans.org. Results: The timeliness of EWARS reporting at community health centers and hospitals levels in 2023 were 95.42% and 96.23%, respectively. The completeness of EWARS reports at community health centers and hospitals levels in 2023 were 98.11%, respectively. A total of 314 alerts were reported by community health centers, while 413 alerts reported from hospitals during 2023. The most frequently reported alert from hospitals was leptospirosis. In the EWARS, 66 cases of leptospirosis were reported at week 11. Alerts from hospital reports from week 1 to week 11 have an increasing trend. An alert from the health center report appeared in the 9th week. The response that has been made is improving a health awareness on a leptospirosis around the affected community health centers and hospitals in the Kebumen area. In term of verification, 93.46% of the alerts reported by hospitals were verified within 24 hours. Conclusion: The timeliness and completeness of EWARS reporting in Kebumen District have surpassed the national targets of 80% and 90%, respectively. In the case of leptospirosis, community health centers need to increase early detection of symptoms and risk factors for leptospirosis.
Investigasi Kejadian Luar Biasa Hepatitis A di Pondok Pesantren X, Jawa Tengah, Indonesia: Bayu Satria Wiratama, Yusrizal, Tutik Inayah Susilaningsih, Akhmad Mukhibin Wiratama, Bayu Satria; Yusrizal, Yusrizal; Susilaningsih, Tutik Inayah; Mukhibin, Akhmad
Jurnal Persada Husada Indonesia Vol 13 No 1 (2026): Jurnal Persada Husada Indonesia
Publisher : STIKes Persada Husada Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56014/jphi.v13i1.477

Abstract

Research Objective: To describe the epidemiological characteristics, identify risk factors, and recommend control measures for a hepatitis A outbreak at X Islamic Boarding School, Kebumen District, Central Java, Indonesia, in 2022. Methodology: A descriptive study combined with a case-control design was conducted from February 12 to March 17, 2022, involving 1,319 students. A case was defined as a student presenting with symptoms such as fever, fatigue, nausea, vomiting, headache, loss of appetite, abdominal pain, diarrhea, joint pain, and jaundice. Laboratory confirmation was performed using IgM anti-HAV testing. A case-control study with a 1:2 ratio (39 cases and 77 controls) was conducted using purposive sampling. Data were collected through structured interviews to assess demographic characteristics and behavioral risk factors. Bivariate analysis was performed using the chi-square test, and multivariate analysis was conducted using logistic regression. Results: A total of 212 students developed symptoms (attack rate: 16.1%), of whom 45 were laboratory-confirmed cases. The highest attack rates were observed among females (17.5%) and students aged less than 15 years (50.5%). Four behavioral risk factors were significantly associated with infection: not washing hands with soap before eating (OR = 3.26; 95% CI: 1.415–7.541), sharing food from a single container (OR = 3.94; 95% CI: 1.749–8.889), sharing or borrowing eating utensils (OR = 2.96; 95% CI: 1.324–6.648), and frequent snacking (OR = 3.08; 95% CI: 1.293–7.350). Water samples from regular wells and the canteen’s drinking water tested positive for Escherichia coli contamination. The epidemic curve indicated a common-source outbreak pattern. Conclusion: The hepatitis A outbreak was confirmed through epidemiological investigation and laboratory testing. Contaminated water sources and poor hand hygiene practices were identified as the primary transmission routes. The implementation of water treatment, health education, and improved sanitation facilities is essential to prevent future outbreaks in congregate settings.
Co-Authors Ahmad Watsiq Maula Bayu Satria Wiratama Falah, Yanuar Fajrul Hari Kusnanto Mateus Sakundarno Adi, Mateus Sakundarno Riris Andono Ahmad Suhartono Susilaningsih, Tutik Inayah Tumiat Yusrizal Yusrizal