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SPATIAL PATTERN OF STUNTING ON CHILDREN UNDER FIVE IN INDONESIA 2019 Minsarnawati Tahangnacca; Fika Muntahaya
JURNAL KESEHATAN REPRODUKSI Vol 13 No 1 (2022): JURNAL KESEHATAN REPRODUKSI VOLUME 13 NOMOR 1 TAHUN 2022
Publisher : IAKMI South Tangerang Branch

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/jkr.v13i1.36

Abstract

Abstract Background: The stunting countermeasures is one of the agendas in SDGs. The strategic and appropriate attempts could be planned based on the distribution of stunting and the influencing factors using a region-based data approach in accordance with the critical steps within the 2018 Global Nutrition Report. Objective: The purpose of this study was to determine the spatial autocorrelation of stunting on children under five between districts/cities in Indonesia 2019. Method: This research is an ecological study using a spatial approach. The data used was secondary data obtained from the study of Nutritional Status of children in 2019, with the unit of analysis for all districts/cities in Indonesia. The study was tested using the analysis of Global Moran’s I and Local Indicators of Spatial Association (LISA). Result: The result of the analysis showed that stunting on children under five between districts/cities in Indonesia has a spatial autocorrelation with a clustered pattern (I=0.347). Conclusion: Areas with high-high stunting patterns need to be set as priority areas for stunting reduction interventions. In addition, the formation of a Stunting Reduction Acceleration Team in these areas needs to be monitored thoroughly.
Implementation of Prevention of Mother to Child Transmission of HIV Program in South Jakarta Badriah, Fase; Tahangnacca, Minsarnawati; Alkaff, Raihana; Abe, Takeru; Hanifah, Laily
Kesmas Vol. 12, No. 4
Publisher : UI Scholars Hub

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

Abstract

Even though Prevention of Mother to Child Transmission (PMTCT) program has been running in Indonesia since 2006, the proportion of human immunodeficiency virus (HIV)-infected pregnant women remains high in some districts in Indonesia. The PMTCT program aims to reduce transmission of HIV from mother to child. Thus it requires an examination of the PMTCT program implementation. The study was a qualitative study on PMTCT program implementation in South Jakarta, Indonesia, whereas the proportion of children with HIV positive in the area was quite high. The analysis used domain analysis by looking the implementation of PMTCT as a system consisting of input, process and output. PMTCT strategy is based on a comprehensive four-pronged strategy. This study found that scaling-up communication and education about PMTCT program from health provider to community was needed. In the first prong, there was no specific health provider for PMTCT program, it was still integrated with the MCH staff. PMTCT program did not disseminate information to the community. Therefore, it seemed that it was underutilized. In the second prong, implementation of HIV testing and counseling for couples of women living with HIV remained a bottleneck because women living with HIV felt fear to inform their HIV status to their partners. Thus, counseling and HIV testing for couples have not benefited at all. These women were unsatisfied with the quality of counseling, and the failure to provide antiretroviral treatments. This study found the low coverage and less responsiveness of PMTCT program to build a network of partners with various elements of government.
Spatial Distribution of Dengue Incidence and Climate Variability in West Java, Indonesia, 2019-2023 Yusariza, Muhamad Zidan; Tahangnacca, Minsarnawati; Sari, Meliana; Sumantri, Arif
Jurnal Kesmas Jambi Vol. 10 No. 1 (2026): VOLUME 10 - NUMBER 1 - March 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i1.54949

Abstract

Dengue remains a major vector-borne disease and a persistent public health problem in Indonesia. West Java is one of the provinces with a high dengue burden, while climatic variability may shape ecological conditions that support Aedes mosquito survival and dengue transmission. This study aimed to describe the spatial distribution of dengue incidence according to rainfall, air temperature, relative humidity, and wind speed in West Java from 2019 to 2023. A descriptive ecological time-series study was conducted using aggregated dengue data from 27 districts/cities and climate data from four meteorological stations managed by the Indonesian Agency for Meteorology, Climatology and Geophysics. Dengue incidence rates were mapped at the district/city level, while climate variables were interpolated using the Inverse Distance Weighting method in QGIS and classified with natural breaks. Spatial overlay was used to identify visual coincidence between dengue incidence and climate variability. Dengue incidence showed an uneven spatial pattern, with higher incidence repeatedly observed in Bandung Raya, parts of Bogor, Sumedang, and Tasikmalaya. Areas with higher dengue incidence often coincided with moderate-to-high rainfall, warm temperatures, high relative humidity, and relatively low wind speed. These findings suggest that integrating climate information into routine dengue surveillance may support risk stratification and early warning in West Java. Further analytical studies are needed to quantify the association between climate variability and dengue incidence.