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Spatio-Temporal Analysis of Tuberculosis Clusters in a Region of Topographic Diversity: A Case Study from West Sulawesi Province, Indonesia Islam, Fahrul; Ahmad, Haeranah; Akbar, Fajar; Khaer, Ain; Suryadi, Iwan; Syukri, Muhammad; Ramadhan, Kadar
Journal of Public Health and Pharmacy Vol. 5 No. 2: JULY 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i2.6762

Abstract

Introduction: Several studies on tuberculosis (TB) using spatial and time clustering analyses have been conducted in Indonesia, however none have specifically focused on regions characterized by diverse topography. This study aimed to identify geospatial clusters of TB cases in West Sulawesi Province, Indonesia, an area known for its topographic variability. Methods: An ecological study design was employed. TB case data, including bacteriologically confirmed and clinically diagnosed cases, were obtained from the Tuberculosis Information System (Sistem Informasi Tuberkulosis, SITB) of the West Sulawesi Provincial Health Office, covering the period from January 1, 2020, to December 31, 2023. Spatial visualization was performed using QGIS version 3.40.0. Cluster detection and spatial pattern analysis were conducted using SaTScan version 10.2.5. Results: TB cases in West Sulawesi formed clusters. A total of 17 clusters were identified—4 primary (most likely) clusters and 13 secondary clusters. In 2020, the primary cluster was located in Bambang Village, Bambang Subdistrict. In 2021, the primary cluster was in Lambanan Village, Mamasa Subdistrict. In 2022, the primary cluster was in Ulumambi Barat Village, Bambang Subdistrict, and in 2023, the primary cluster was again in Lambanan Village, Mamasa Subdistrict. Conclusion: This study found that the most likely TB clusters from 2020 to 2023 were consistently located in the eastern part of West Sulawesi Province, specifically in Mamasa Regency, an area characterized by mountainous terrain. This suggests that various environmental, social, and economic factors unique to mountain communities may influence TB transmission dynamics. The findings highlight the need for geographically tailored intervention strategies, including mobile TB services, community-based education, enhanced surveillance systems, the establishment of local TB support networks, and improved healthcare infrastructure adapted to mountainous areas. Future research should consider integrating genotypic, molecular, and geospatial approaches to advance global TB control efforts.
Efektivitas Atraktan Recycled Water terhadap Peningkatan Angka Bebas Jentik: The Effectiveness of Recycled Water Attractants in Improving the Larvae-Free Index Muh. Saleh; Nildawati; Wahid, Isra; Khaer, Ain; Rachmat, Muhammad
Aspirator Vol 15 No 2 (2024): Jurnal Aspirator Volume 15 Nomor 2 2024
Publisher : Perkumpulan Entomologi Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58623/aspirator.v15i2.81

Abstract

The increasing cases of Dengue Hemorrhagic Fever (DHF) in Indonesia demands effective, affordable, and environmentally friendly vector control strategies. This study aimed to evaluate the effectiveness of recycled water-based attractants in improving the Larvae-Free Index (Angka Bebas Jentik/ABJ) compared to conventional water and brown sugar plus yeast attractants. The study was conducted over nine weeks in three hamlets with homogeneous environmental characteristics in Pangkep Regency, South Sulawesi. Simple ovitraps were used to attract gravid female mosquitoes, while ABJ was measured through the inspection of natural containers. The results showed that recycled water significantly increased ABJ, reaching 96.08% in the eighth week, higher than conventional water (53.03%) and brown sugar plus yeast (37.50%). One-way ANOVA revealed a significant difference among attractant groups (p = 0.000), and further analysis using the Post-hoc Tukey test confirmed significant differences between recycled water and the other two attractants. In conclusion, recycled water proved to be an effective attractant for diverting mosquito oviposition from natural containers to ovitraps, thereby increasing environmental ABJ. This method has potential as a practical, sustainable, and community-based solution for vector control in dengue-endemic areas.
Pemberdayaan Masyarakat Menuju Desa Sehat dan Bersinar (Bersih Narkoba) di Desa Tea Malala Kecamatan Ulaweng Kabupaten Bone zaenab, Zaenab; Khaer, Ain; Sudarianto, Sudarianto
Jurnal Abdimas Jatibara Vol 4, No 1 (2025): Jatibara Vol.4 No.1 Agustus 2025
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jaj.v4i1.2228

Abstract

Tea Malala Village faces suboptimal sanitation issues and an increasing threat of drug abuse. The lack of clean water facilities and insufficient education about the dangers of drug abuse are major challenges that need to be addressed. The objective of this community service program is to reduce the risk of disease transmission caused by poor sanitation through education on proper waste management and sanitation, as well as to raise awareness about the dangers of drug abuse and establish anti-drug activist agents within the community. The program was implemented in three stages: preparation, execution, and evaluation. Activities included education on organic and inorganic waste management, drug abuse prevention counseling, and the establishment of anti-drug activist agents in the village. Before the program, only 12% of the community practiced waste segregation, but this number increased after the educational sessions. Additionally, the ownership of waste bins increased to 70%, and all households now have proper latrines. In terms of drug prevention, 100% of participants joined the establishment of the "Bersinar" agents, although participation in drug abuse counseling remained low (20%). This program successfully increased community awareness, but challenges remain in implementing waste segregation and processing, as well as in the availability of wastewater treatment facilities. This program effectively enhances awareness of sanitation and drug prevention. Continuous efforts are needed through the mentoring of anti-drug activist agents and strengthening education on waste management to maximize the program's impact.