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Diphtheria Incidence is a Public Health Challenge in Low- and Middle-Income Countries (LMICs) Dwi Hartanti, Monica; Sari Dewi Panjaitan, Novaria; Hidayat, Syarif; Fitriana, Fitriana; Sunarno, Sunarno; Susanty, Sri
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.953

Abstract

Background: Diphtheria remains a persistent public health issue, especially in low- and middle-income countries (LMICs), where vaccination coverage is often inadequate. Recent outbreaks, such as those in the 1990s, highlight the ongoing threat posed by this vaccine-preventable disease. The World Health Organization (WHO) provides data for monitoring the global trends in diphtheria cases, helping countries remain vigilant against its resurgence. Objective: This study aims to analyze the trend of diphtheria cases and incidence rates in 10 countries with the highest disease burden as a public health challenge in Low- and Middle-Income Countries (LMIC), with a focus on the impact of vaccination coverage. Methods: Longitudinal study was utilized in this research. G-power was performed to calculate the sample size. In accordance with the goal year that was being investigated, the research ranked the nations that were chosen into the top ten countries that had the largest number of cases of diphtheria. Our analysis was based on secondary data obtained from the WHO and included the years 2017 through 2021. In order to assess the distribution of healthcare access and vaccine coverage, we conducted a descriptive analysis of all of the data. This served the purpose of identifying significant public health concerns that contribute to diphtheria epidemics. We used the Stata 16 application to perform analysis on all of the data. Results: The majority of diphtheria cases occur in African and Asian countries, especially in areas with lower DTP-3 vaccination coverage. Yemen, Ethiopia, and Nigeria have high diphtheria rates due to disparities in access to health services and immunization programs. Countries with higher vaccination rates, such as India and Indonesia, report lower rates despite having high numbers of cases. This suggests that strong immunization programs are essential to control the disease. Conclusion: Diphtheria continues to be a significant public health challenge in LMICs, exacerbated by geographic and socioeconomic disparities in vaccination coverage. Global cooperation, including support from high-income countries, is essential to strengthen immunization programs and prevent future outbreaks. Diphtheria should be recognized as a global health threat, requiring comprehensive and coordinated efforts to achieve eradication. Keywords: Diphtheria; incidence rate; reported cases; vaccinated
Video Animation: Improving Older Adults Patients Knowledge and Motivation Related to Hypertension Diet Budiarti, Gusti Ayu Kade; Susanty, Sri; Madjid, Ruslan; Tosepu, Ramadhan
Jurnal Keperawatan Indonesia Vol 28 No 1 (2025): March
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v28i1.1475

Abstract

Hypertension is a dangerous medical condition that can increase the risk of heart, brain, and renal problems, among other issues. A balanced diet is an essential hypertension control intervention. This study seeks to examine the efficiency of employing animation media to explain the application of diets that prevent hypertension and boost the understanding and motivation of senior patients at Bahteramas Regional General Hospital. In both the control and intervention groups, a quantitative-quasi-experimental design was adopted, with pre-test and post-tests. Data was obtained via questionnaires from 92 respondents chosen using a purposive sampling approach, with 46 in the intervention group from the cardiac clinic and 46 in the control group from geriatric clinic. The data were analyzed using the paired t-test. The findings of the study indicated that patient knowledge increased significantly (p = 0.007) in the cardiac clinic following the administration of animation media, whereas in the geriatric clinic, no impact was observed (p = 0.000). Patient motivation increased significantly in the cardiac clinic following the administration of animation media (p = 0.003) and in the geriatric clinic in the absence of intervention (p = 0.000). There was no significant difference between the two groups in pretest knowledge (p = 0.666) and motivation (p = 0.747); however, there were significant differences in posttest knowledge (p = 0.015) and motivation (p = 0.026). Patient knowledge was affected by animation media in the cardiac clinic (p = 0.007) and without therapy in the geriatric clinic (p = 0.000). Incorporating animated educational content into routine patient counseling and health education programs can be beneficial in the future. Keywords: animation media, hypertension diet, knowledge, motivation, video   Abstrak Video Animasi: Meningkatkan Pengetahuan dan Motivasi Pasien Lanjut Usia untuk Diet Hipertensi. Hipertensi adalah kondisi medis berbahaya yang dapat meningkatkan risiko masalah jantung, otak, ginjal, dan masalah lainnya. Pola makan yang baik sangat penting sebagai intervensi pengendalian hipertensi. Tujuan penelitian ini adalah menguji efisiensi penggunaan media animasi untuk menjelaskan penerapan diet hipertensi dan meningkatkan pemahaman dan motivasi pasien lanjut usia di Rumah Sakit Umum Daerah (RSUD) Bahteramas. Pada kelompok kontrol dan perlakuan, desain quantitative-quasi-experimental diadopsi, dengan pre-test dan post-test. Data diperoleh melalui kuesioner dari 92 responden yang dipilih dengan pendekatan purposive sampling, terdapat 46 orang pada kelompok intervensi di klinik jantung dan 46 orang pada kelompok kontrol di klinik geriatri. Data dianalisis menggunakan paired T-test. Temuan penelitian menunjukkan bahwa pengetahuan pasien meningkat secara signifikan (p = 0,007) di klinik jantung setelah pemberian media animasi, sedangkan di klinik geriatri, tidak ada intervensi yang diamati (p = 0,000). Motivasi pasien meningkat secara signifikan di klinik jantung setelah pemberian media animasi (p = 0,003) dan di klinik geriatri tanpa adanya intervensi (p = 0,000). Tidak terdapat perbedaan yang signifikan antara kedua kelompok pada pengetahuan pre-test (p = 0,666) dan motivasi (p = 0,747); Namun terdapat perbedaan yang signifikan pada pengetahuan post-test (p = 0,015) dan motivasi (p = 0,026). Pengetahuan pasien dipengaruhi oleh media animasi di klinik jantung (p = 0,007) dan tanpa terapi di klinik geriatri (p = 0,000). Menyertakan konten edukasi animasi dalam rutinitas konseling pasien dan program pendidikan kesehatan dapat memberikan manfaat di masa depan. Kata Kunci: diet hipertensi, media animasi, motivasi, pengetahuan, video
Factors associated with type 2 diabetes mellitus in older adults living in Coastal Areas: Implications for community nursing practice Indrawan, La; Susanty, Sri; Suhadi, Suhadi
Jurnal Keperawatan Padjadjaran Vol. 13 No. 2 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i2.2767

Abstract

Background: Indonesia’s growing older adult population is experiencing a rising burden of type 2 diabetes mellitus (T2DM). Coastal populations face unique risks, including limited health service access, dependence on fisheries-based livelihoods, and dietary patterns high in salt and low in fresh produce. These factors may heighten vulnerability to T2DM, yet remain underexplored. Purpose: This study aimed to examine determinants of T2DM among older adults living in a coastal community. Methods: A cross-sectional study was conducted with 86 older adults selected using purposive sampling between October 30 and December 14, 2024. Data were collected using demographic questionnaires, the Mini Nutritional Assessment (MNA), the Geriatric Depression Scale (GDS), and the Physical Activity Scale for the Elderly (PASE). Chi-square tests assessed associations between independent variables and T2DM, and variables with p < 0.25 were entered into multivariable logistic regression to identify significant predictors. Results: Comorbidity (p < 0.001), nutritional status (p = 0.001), physical activity (p < 0.001), and depression (p < 0.001) were significantly associated with T2DM. In multivariable analysis, lower physical activity emerged as the strongest predictor (OR = 4.13, 95% CI: 1.18–14.48; Wald = 4.92; p = 0.027). Comorbidity (OR = 3.61), depression (OR = 3.64), and nutritional status (OR = 3.28) also remained significant independent factors. Conclusions: T2DM among older adults in coastal areas was more likely in those with comorbidities, depressive symptoms, altered nutritional status, and especially low physical activity. These findings highlight the need for community-based nursing interventions emphasizing physical activity promotion, nutritional counseling, and depression screening to mitigate T2DM risk in vulnerable coastal populations
The Role of Pokdarwis in Developing Tourism at Impos Beach, Medana Village, Tanjung Subdistrict, North Lombok Regency Gani, Lalu Abdul; Bagiastra, I Ketut; Susanty, Sri
Advances in Tourism Studies Vol. 1 No. 2 (2023): Advances in Tourism Studies
Publisher : Centre for Tourism Studies and Journal Publication of Sekolah Tinggi Pariwisata Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

This research examines the role of Tourism Awareness Groups (Pokdarwis) in tourism development, focusing on Impos Beach in Medana Village, Tanjung District, North Lombok Regency. The study highlights the Pokdarwis Sejahtera as an informal institution formed by community members, playing a significant role in promoting Tourism Awareness and Sapta Pesona. The research aims to answer two key questions: (1) What is the role of Pokdarwis in tourism development at Impos Beach? (2) What are the supporting and inhibiting factors for Pokdarwis in tourism development at Impos Beach? Employing a qualitative descriptive approach, the study reveals that Pokdarwis Sejahtera serves as a government partner in tourism development, encourages community engagement and hospitality, and promotes Sapta Pesona. Supporting factors include community collaboration, equitable distribution of benefits, and willingness to work with Pokdarwis, while inhibiting factors involve limited capital, social jealousy, inadequate human resources, and tourists' low awareness of cleanliness