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Knowledge, Attitudes, and Practices Among Hepatitis B Patients in Jakarta, Indonesia: A Cross-Sectional Study Arkok, Hashem S.; Wahyono, Tri Yunis Miko; Prihartono, Nurhayati Adnan; Aldila, Dipo
Kesmas Vol. 21, No. 2
Publisher : UI Scholars Hub

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Abstract

Hepatitis B remains a major public health problem in Indonesia. This study assessed the knowledge, attitudes, and practices (KAP) of hepatitis B patients in Jakarta to identify gaps in prevention and control and to explore relationships among KAP components. A cross-sectional study was conducted among 128 patients at a government hospital in South Jakarta, using a structured questionnaire that collected demographic information and assessed knowledge, attitudes, and practices regarding hepatitis B transmission and prevention. Despite moderate knowledge levels, major gaps remained. Only a small proportion (10.9%) correctly identified common symptoms, transmission routes (10.2%), and possible complications (18.8%). Misconceptions about transmission and vaccine safety were common, although attitudes toward early diagnosis and treatment were generally positive. Practices also fell within a moderate range; notably, 46.1% of respondents still shared personal items that could facilitate transmission. Higher education, vaccination, income, and awareness participation were associated with better knowledge, attitudes, and practices. There were positive correlations among knowledge, attitude, and practice scores, indicating that better knowledge may lead to improved behaviors. In conclusion, the study reveals persistent misconceptions and behaviors that continue to place hepatitis B patients at risk, despite generally positive attitudes toward care.
Patterns and Determinants of Measles Among Suspected Cases in Jakarta: Insight from Surveillance Data 2022-2024 Inayah, Widya; Prihartono, Nurhayati Adnan; Henderiawati, Retno; Nugraheni, Oktaviana; Gayatri, Dwi
Jurnal Epidemiologi Kesehatan Indonesia
Publisher : UI Scholars Hub

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Abstract

Measles remains a public health concern in Indonesia, including Jakarta, contributing to the country’s disease burden. Sustained transmission during 2022-2024, despite reported vaccination coverage above  90%, suggests the presence of vulnerable groups. This study aimed to describe patterns and identify factors associated with laboratory-confirmed measles in Jakarta during 2022-2024. A cross-sectional study was conducted using routine surveillance data from all individuals reported as suspected measles cases during the study period. Descriptive analysis summarizes the distribution, while multivariable analysis identifies associated factors. Of the 4,194 suspected cases of measles, 22.8% were laboratory-confirmed positive. Showed a fluctuating temporal pattern, increasing from 20.6 % in 2022 to 42% in 2023, followed by a sharp decline to 3.5% in 2024. Among reported suspected measles cases, children aged ≤ 5 years had higher odds of laboratory-confirmed measles than those aged >5 years (aPOR 1.38; 95% CI 1.17-1.63). Unvaccinated individuals had a higher odds of laboratory-confirmed measles than fully vaccinated individuals (aPOR 2.53; 95% CI 2.09-3.06). Sex and travel history were not associated. Measles transmission in Jakarta persisted with a fluctuating pattern and was associated with children aged 5 and younger and unvaccinated individuals. Strengthening routine measles immunization and prioritizing susceptible groups identified through surveillance data are needed. Keywords: Measles, Surveillance, Risk Factors, Vaccine-Preventable Disease