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Kebijakan Vaksinasi COVID-19: Pendekatan Pemodelan Matematika Dinamis Pada Efektivitas Dan Dampak Vaksin Di Indonesia Nasir, Narila Mutia; Joyosemito, Ibnu Susanto; Boerman, Baequni; Ismaniah, Ismaniah
Jurnal Pengabdian kepada Masyarakat UBJ Vol. 4 No. 2 (2021): Juni 2021
Publisher : Lembaga Penelitian Pengabdian kepada Masyarakat dan Publikasi Universitas Bhayangkara Jakarta Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (664.13 KB) | DOI: 10.31599/jabdimas.v4i2.662

Abstract

Abstract The COVID-19 vaccination program in Indonesia that started on January 13, 2021 is expected to accelerate the herd immunity that will impact on reducing the infected cases. The World Health Organization (WHO) explained that vaccine performance can be measured through vaccine efficacy, effectiveness, and impact. This community service activity aims to provide inputs for policy implementation on COVID-19 vaccination strategy to the government by conducting predictive analysis using a dynamic mathematical modeling to determine the effectiveness and impact of vaccination at the community level. Five types of vaccines were analyzed, namely AstraZeneca, Moderna, Pfizer, Sinopharm and Sinovac. Two basic model scenarios of with and without the vaccination policy implementation were simulated. The model demonstrated that the policy noticeably reduces the number of COVID-19 cases. The main finding demonstrated by the model is that the effectiveness of the vaccine after it is immunized into the community is affected by its efficacy, but the efficacy of various vaccines type does not influence significantly to the vaccine impact on community. Thus, it is recommended that the government ensures the availability of any type of vaccines to accelerate the vaccination program and encourage community participation to be vaccinated to achieve the target goal. Furthermore, since the impact of vaccine on the community is not only determined by its efficacy, the government have to do persistent health education and drive community engagement to adhere with the COVID-19 health protocol. Keywords: COVID-19, Dynamics Modeling, High Leverage Policy, Vaccine Effectiveness, Vaccine Impact Abstrak Program vaksinasi COVID-19 di Indonesia yang mulai dilaksanakan pada tanggal 13 Januari 2021 diharapkan dapat mempercepat terjadinya kekebalan kelompok (herd immunity) yang nantinya berdampak pada penurunan jumlah kasus yang terinfeksi. Organisasi Kesehatan Dunia (WHO) memaparkan bahwa kinerja vaksin dapat dilihat dari tiga pengukuran yaitu melalui efikasi, efektivitas, dan dampak vaksin. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan masukan kepada pemerintah dalam mengimplementasikan strategi vaksinasi COVID-19 dengan menyediakan analisis prediksi menggunakan pemodelan matematika dinamis untuk mengetahui efektivitas dan dampak vaksinasi pada tingkat masyarakat. Lima jenis vaksin yang dianalisis adalah AstraZeneca, Moderna, Pfizer, Sinopharm dan Sinovac. Dua skenario dasar pemodelan yaitu dengan dan tanpa intervensi kebijakan vaksinasi disimulasikan. Hasil keluaran model menunjukkan kebijakan vaksinasi memberikan dampak dalam penurunan jumlah kasus COVID-19. Temuan utama yang didemonstrasikan oleh model adalah efektivitas vaksin setelah diimunisasikan ke masyarakat dipengaruhi oleh efikasinya, tetapi efikasi antar jenis vaksin tidak terlalu berpengaruh terhadap dampak vaksin di masyarakat. Oleh karena itu disarankan agar pemerintah menjamin ketersediaan vaksin apa pun jenisnya untuk mengakselerasi proses vaksinasi ke masyarakat dan mendorong partisipasi masyarakat untuk divaksin sehingga target yang sudah ditetapkan tercapai. Selanjutnya, mengingat bahwa dampak vaksin di masyarakat bukan hanya ditentukan oleh efikasinya, maka pemerintah harus terus melakukan upaya edukasi dan mendorong pelibatan masyarakat secara aktif untuk patuh menerapkan protokol kesehatan COVID-19. Kata kunci: COVID-19, Pemodelan Dinamis, Kebijakan Berpengaruh Tinggi, Efektivitas Vaksin, Dampak Vaksin
Antenatal Care Utilization during Covid-19 Pandemic among Pregnant Women in Tangerang City Indonesia Pratiwi, Kartika Yuni; Ariyanti, Fajar; Baequni, Baequni; Nasir, Narila Mutia
Journal of Health Education Vol 7 No 2 (2022): October 2022
Publisher : Universitas Negeri Semarang cooperate with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhe.v7i2.60981

Abstract

Background: The COVID-19 Pandemic has affected access, quality, and Maternal and Child Health (MCH) services coverage. This study aimed to analyze the factors associated with antenatal care service utilization among pregnant women in Tangerang City.Methods: This was a cross-sectional study using the accidental sampling method. We recruited 171 pregnant women as respondents. Data were collected using a questionnaire and distributed via Google Forms. We performed univariate and bivariate analyses (Chi-Square with 95% CI).Results: The study showed that the fear of COVID-19 (p-value = 0.050) and the availability of services (p-value = 0.047) were factors related to the utilization of antenatal care services.Conclusion: The study concluded that only 61.4% of respondents had utilized antenatal care services during the COVID-19 pandemic. It is expected that health workers will continue to provide education as well as information through health promotion regarding pregnancy check-ups during the COVID-19 Pandemic to pregnant women.
Hubungan Faktor yang Berhubungan dengan Kejadian Dismenorea Primer pada Mahasiswa Kesehatan Salamah, Qonita Nur; Nasir, Narila Mutia; Adi, Supri
Muhammadiyah Journal of Midwifery Vol 4, No 2 (2023): MUHAMMADIYAH JOURNAL OF MIDWIFERY (MYJM)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/myjm.4.2.72-84

Abstract

Latar Belakang: Dismenorea primer merupakan nyeri atau kram perut bagian bawah saat menstruasi. Prevalensi kejadian dismenorea primer pada mahasiswa berkisar 70,8% - 89,9%. Dismenorea primer menjadi beban biologis bagi mahasiswa dan mempengaruhi produktivitas dalam perkuliahan ataupun aktivitas sehari-hari, serta berdampak pada penurunan kualitas hidup mahasiswa. Tujuan: Untuk mengetahui gambaran masalah serta faktor yang berhubungan dengan kejadian dismenorea primer pada Mahasiswa Program Studi Kesehatan Masyarakat UIN Syarif Hidayatullah Jakarta Tahun 2021. Metode: Desain studi penelitian ini menggunakan cross–sectional dengan jumlah responden sebesar 177 mahasiswa. Analisis data mencakup analisis univariat dan bivariat menggunakan uji chi–square dan binary logistic. Hasil: Kejadian dismenorea primer pada mahasiswa mencapai 82,5% (146 mahasiswa). Terdapat hubungan antara riwayat keluarga (OR: 3,53; 95% CI: 1,28 – 9,71) dan lama hari menstruasi (OR: 3,14; 95% CI: 1,42 – 6,97) dengan kejadian dismenorea primer pada mahasiswa (P-value: 0,019; 0,007). Usia menarche, siklus menstruasi, status gizi (IMT), tingkat stres, perilaku sarapan, aktivitas fisik, konsumsi kopi, dan lama tidur tidak berhubungan dengan kejadian dismenorea primer (P-value 0,05). Simpulan: Mahasiswa yang memiliki riwayat keluarga dismenorea dan lama hari menstruasi ≥7 hari merupakan faktor yang terbukti secara statistik berhubungan dengan kejadian dismenorea primer. Kejadian dismenorea primer secara berkala dapat berdampak pada penurunan kualitas hidup mahasiswa.
Evaluating factors in urban dengue prevention and control during Indonesia's COVID-19 Boerman, Baequni; Nasir, Narila Mutia; Karyadi, Karyadi
International Journal of Public Health Science (IJPHS) Vol 14, No 1: March 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i1.24095

Abstract

Amidst the COVID-19 pandemic, dengue hemorrhagic fever (DHF) persisted as a critical public health challenge in South Tangerang. This study employed a cross-sectional design and snowball sampling technique to evaluate the engagement of urban communities in dengue prevention, involving 234 participants. Findings indicate that while practices such as container emptying (76.5%) and water storage sealing (57.7%) were prevalent, activities like mosquito larvae inspection (36.3%) and breeding item disposal (34.6%) were less common. Alarmingly, personal protective measures, including mosquito net usage (11.1%) and repellent application (16.7%), were significantly lacking. Statistical analyses revealed notable correlations (p-value<0.05) between dengue prevention behaviors and factors, including beliefs, attitudes towards prevention, support from family and healthcare professionals, and knowledge about dengue prevention. The study highlights a critical disparity in dengue prevention efforts, showing a community bias towards environmental management over personal protection strategies. It calls for increased participation from families and healthcare professionals in dengue prevention initiatives and stresses the need for governmental interventions to improve training for healthcare workers. Ultimately, the study advocates for a comprehensive approach that merges environmental management with personal protective measures, urging governments to adopt integrated strategies for more effective dengue prevention.
Adverse events following immunization of mRNA-1273 (Moderna) booster vaccine in clerkship students Hendarto, Hari; Akbar, Femmy Nurul; Nasir, Narila Mutia; Wulandari, Endah; Adlani, Hadianti
International Journal of Public Health Science (IJPHS) Vol 13, No 2: June 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i2.23701

Abstract

Two-dose primary vaccine administration was the best strategy to reduce the prevalence and severity of COVID-19. Improved immunity and antibody response to the new variant virus by administering a booster vaccine is needed. Health workers are the main priority for administering the mRNA-1273 (Moderna) booster vaccination in Indonesia. This vaccine has high effectiveness, and safety, however, data and evaluation of adverse events following immunization (AEFI) is required. This study aimed to determine the AEFIs of mRNA-1273 booster vaccination in clinical clerkship students as an early adult age group. The research design was a repeated cross-sectional study using purposive sampling technique. There were 214 subjects who met the requirements. Subject filled out an online questionnaire containing evaluation of AEFIs. The most local AEFIs symptoms were pain at the injection site (79.0%), while the common systemic symptoms were headache, drowsiness, weakness, and fever (37.4%; 26.2%; 9.8%; 9.3%). Most AEFIs were felt within 30 minutes to three days. No respondents required hospitalization, experienced anaphylactic shock, became disabled, or died. The AEFIs did not have a significant relationship with gender, history of allergies, co-morbidities, or history of COVID-19. This information is used as a preventive or educational effort to support implementation vaccine in Indonesia.
UNDERSTANDING PUBLIC COMPLIANCE WITH COVID-19 HEALTH PROTOCOLS IN INDONESIA: A CROSS-SECTIONAL STUDY Oktavia, Nada Karisma; Boerman, Baequni; Nasir, Narila Mutia; Samara, Shafira Salsabila
Journal of Public Health Research and Community Health Development Vol. 8 No. 1 (2024): October
Publisher : Fakultas Ilmu Kesehatan, Kedokteran dan Ilmu Alam (FIKKIA), Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jphrecode.v8i1.47541

Abstract

Background: The Coronavirus Disease 2019 has become a global pandemic, affecting many countries, including Indonesia. The number of COVID-19 cases in Indonesia, particularly in Jakarta, continues to increase. Purpose: This study aimed to identify the factors influencing compliance with the COVID-19 prevention protocol among Jakarta's residents. Methods: An accidental sampling technique was used in this study, with the calculation of hypothesis testing of the difference between two proportions, resulting in a total sample of 440 respondents. Data was collected through an online survey using Google Forms. Results: The study found that education level (p-value=0.003; OR=1.818), knowledge (p-value=0.01; OR=6.669), attitude (p-value=0.01; OR=7.789), perception of vulnerability to COVID-19 (p-value=0.01; OR=3.307), social support (p-value=0.01; OR=3.733), and supervision (p-value=0.01; OR=3.435) had a significant relationship with compliance with the COVID-19 prevention protocol. However, facilities and infrastructure (p-value=0.341; OR=0.453) had no significant relationship with compliance. From the odds ratio data, knowledge and attitude significantly influence adherence to COVID-19 preventive measures. Individuals well-informed about COVID-19 are 6.6 times more likely to comply, and a positive attitude increases this likelihood by 7.8-fold. This underscores the strong link between awareness and adherence to recommended protocols. Conclusion: This study highlights the importance of understanding the factors affecting adherence to COVID-19 prevention protocols. It guides policymakers and public health professionals in devising effective strategies to curb the spread of the disease.
Community Engagement In Urban Areas Of South Tangerang Regency, Indonesia: A Study On Covid-19 Response Boerman, Baequni; Nasir, Narila Mutia
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.47594

Abstract

 In Indonesia, particularly in South Tangerang, Banten Province, high COVID-19 cases are intensified by urban density. A comprehensive study was initiated by 106 students from UIN Syarif Hidayatullah Jakarta. Employing a cross-sectional design with purposive sampling, they surveyed 5,326 households across 13 Community Health Centers. The Chi-Square tested data uncovered that 79% consistently wore masks, 74% practiced hand hygiene, 59% followed social distancing, and 37% regularly disinfected. Intriguingly, there’s a substantial correlation between protocol adherence and factors like knowledge, attitude, and proactive community leadership. These factors amplified adherence effectiveness between 2.0 to 3.5 times. The findings highlight the potential of the Community-Based Fighting Initiatives Against COVID-19 (PARC-19) approach, stressing grassroots engagement. Implementing PARC-19 successfully mandates fostering community autonomy in health management. Such autonomy flourishes when forged through a collaboration net comprising academia, government agencies, social organizations, influential community and religious leaders, and business stakeholders. This synergized effort paves the way for a holistic and efficient health management strategy during these pandemic times.
Faktor-Faktor yang berhubungan dengan Perilaku Vulva Hygiene pada Remaja Putri di SMP X Kota Bekasi Indonesia Wardani, Arum Cahya; Nasir, Narila Mutia; Alkaff, Raihana Nadra; Hananingtyas, Izza
Journal of Religion and Public Health Vol 4, No 1 (2022)
Publisher : Faculty of Health Sciences, Syarif Hidayatullah State Islamic University of Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/jrph.v4i1.28841

Abstract

Adolescent girls are vulnerable to reproductive health problems such as vulva hygiene behavior. Data indicated that they do not understand about vulva hygiene, especially those who in early adolescent stage. Thus, this study aims to know the factors associated with vulva hygiene behavior among adolescent girls of X Junior High School in Bekasi City, Indonesia. Using quantitative research design with cross-sectional study, 82 respondents who participated in this research were recruited as sample by utilizing proportional stratified random sampling. The data were collected online through google form. Data analysis was performed using chi-square test. The results illustrate that 48.8% of adolescent girls had poor vulva hygiene behavior, 62.2% of them had poor knowledge. 74.4% adolescent girls had lack exposure to information, and 85.4% of them did not get enough support from health workers. Furthermore, data analysis shows there were relationships between knowledge behavior (p value = 0.014), information exposure (p value = 0.031), and teacher support (p value = 0.004) with vulva hygiene behavior. It is important to pay attention to vulva hygiene behavior as early as possible to prevent a negative impact to the future. Reproductive health education and providing information especially about vulva hygiene behavior should be improved at school through collaboration with the health workers, such as counseling or peer-group training.  Keywords: adolescent, vulva hygiene, behaviorAbstrakRemaja putri merupakan salah satu kelompok yang rentan terhadap masalah kesehatan reproduksi, salah satunya adalah mengenai perilaku vulva hygiene. Data menunjukkan bahwa masih banyak remaja putri terutama remaja awal yang kurang memahami tentang vulva hygiene. Oleh karena itu penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan perilaku vulva hygiene pada remaja putri SMP X di Kota Bekasi, Indonesia. Dengan menggunakan desain penelitian kuantitatif secara cross-sectional, 82 responden yang berpartisipasi dalam penelitian ini diambil sebagai sampel dengan menggunakan propotional stratified random sampling. Pengumpulan data dilakukan secara online menggunakan google form. Analisa data dilakukan dengan uji Chi Square. Hasil penelitian ini menggambarkan bahwa 48.8% remaja memiliki perilaku vulva   hygiene yangburuk. Sebanyak 62.2% remaja memiliki pengetahuan buruk tentang vulva hygiene, 74.4% remaja kurang mendapatkan paparan informasi, dan 85.4% remaja tidak mendapatkan dukungan dari tenaga kesehatan. Selanjutnya, analisis data menunjukkan bahwa terhadap hubungan antara pengetahuan dan perilaku vulva hygiene (p value= 0.014), paparan informasi dan perilaku vulva hygiene (p value= 0.031), dan dukungan guru dan perilaku vulva hygiene (p value= 0.004). Perilaku vulva hygiene perlu diperhatikan sejak dini agar tidak berdampak negatif terhadap kesehatan dimasa yang akan datang. Pendidikan kesehatan reproduksi dan penyediaan informasi terutama mengenai perilaku vulva hygiene perluditingkatkan di sekolah melalui kerja sama dengan tenaga kesehatanseperti melakukan penyuluhan atupun melatih konselor teman sebaya.Kata Kunci: remaja, vulva hygiene, perilaku
Gambaran Faktor Agama dalam Penggunaan Kontrasepsi pada Wanita Usia Subur di Ciputat Tangerang Selatan Nasir, Narila Mutia
Journal of Religion and Public Health Vol 1, No 1 (2019)
Publisher : Faculty of Health Sciences, Syarif Hidayatullah State Islamic University of Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/jrph.v1i1.12553

Abstract

Salah satu isu kesehatan masyarakat di Indonesia adalah penggunaan kontrasepsi. Banyak aspek yang mungkinmempengaruhi penggunaan kontrasepsi termasuk didalamnya adalah faktor agama. Penelitian ini bertujuan untukmelihat gambaran faktor agama dalam penggunaan kontrasepsi pada wanita usia subur di Ciputat, TangerangSelatan, Indonesia. Desain studi penelitian ini adalah cross-sectional. Sembilan puluh enam wanita usia suburdipilih secara purposive sebagai responden. Mereka diwawancarai dengan menggunakan kuesioner yang terstrukturdi rumah mereka masing-masing. Analisis data dilakukan secara deskriptif. Hasil studi menunjukkan bahwa Islamadalah mayoritas agama yang dipeluk oleh responden (99,0%). Sebanyak 62,5% responden menggunakan suntiksebagai metode kontrasepsi. Sementara itu, tubektomi hanya digunakan oleh 5,2% responden. Walaupun 48,3%pengguna kontrasepsi suntik mengatakan jenis kontrasepsi itu dilarang, tetapi mereka tetap mengguanakannya.Selanjutnya, 40,0% responden yang menggunakan jenis kontrasepsi tubektomi menyatakan bahwa agamanyatidak membolehkan metode tersebut. Agama mungkin tidak berperan penting dalam penelitian ini. Analisis lebihlanjut dibutuhkan untuk menggali mengapa responden tetap menggunakan kontrasepsi meskipun mereka berpikirmetode tersebut tidak dibolehkan dalam agamanya.
Determinan Praktik Kebersihan Menstruasi Santriwati Pondok Pesantren di Sulawesi Selatan Bahtiar, Harismawati; Nasir, Narila Mutia
Journal of Religion and Public Health Vol 5, No 2 (2023)
Publisher : Faculty of Health Sciences, Syarif Hidayatullah State Islamic University of Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/jrph.v5i2.37112

Abstract

AbstractPoor menstrual hygiene practices may have impact on women's reproductive health. In addition, it also can influence on study performance and social activities for female adolescent. Islamic boarding schools are formal educational institutions that have different vulnerabilities from other educational institutions due to similar accessibility to sanitation and having limited source of information. This study aimed to know the determinants of the menstrual hygiene practices among female students in the Al-Ikhlas Islamic Boarding School (Pesantren) Ujung Bone, South Sulawesi. This was a quantitative research using a cross-sectional study design. Chi-square test was performed for the statistical test. Of 120 female students were participated in this study by filling in the structured questionnaire through Google form. The results of this study indicated that 50% respondents had poor menstrual hygiene practice. Furthermore, this study found four variables that were statistically significant related to menstrual hygiene practices of female students at the Al-Ikhlas Ujung Bone Islamic Boarding School, including knowledge (p value = 0.005), attitude (p value = 0.001), age of menarche (p value = 0.033), and belief (p value = 0.040). To improve the menstrual hygiene practices, the Islamic Boarding Schools can include materials about reproductive health and menstrual hygiene in learning activities and encourage the utilization of health media as a source of information. The further study may analyze socio economics determinant and peer influence on menstrual hygiene practices comprehensively.Keywords: Menstrual Hygiene, Islamic Boarding School, Female Students