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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DIARE DI WILAYAH KERJA PUSKESMAS KOTA ENDE Cornelia Samantha Wadhi; Imelda F. E. Manurung; Yendris Krisno Syamruth; Maria M. Dwi Wahyuni
Medika Alkhairaat: Jurnal Penelitian Kedokteran dan Kesehatan Vol 7 No 03 (2025): Desember
Publisher : Fakultas Kedokteran Universitas Alkhairaat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31970/ma.v7i03.337

Abstract

ABSTRAK Diare masih menjadi masalah kesehatan yang signifikan pada balita di Indonesia, Diare didefinisikan sebagai kondisi di mana seseorang mengalami peningkatan frekuensi buang air besar dengan feses yang cair atau encer. Ini bisa disertai dengan gejala lain seperti mual, muntah, kram perut, dan kadang – kadang penurunan berat badan. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian diare pada balita di wilayah kerja Puskesmas Kota Ende. Metode penelitian yang digunakan adalah kuantitatif dengan pendekatan case control. Sampel terdiri dari 66 balita, masing-masing 33 kasus dan 33 kontrol, dipilih secara simple random sampling. Teknik sampling sampel kasus dan kontrol menggunakan simple random sampling. Analisis data menggunakan analisis univariat dan bivariat. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara personal hygiene (p=0,007; OR=0,217) dan sanitasi lingkungan (p=0,068; OR=0,323) dengan kejadian diare. Sedangkan klasifikasi rumah sehat dan indikator keluarga sehat tidak menunjukkan hubungan yang signifikan (p>0,05). Kesimpulan dari penelitian ini adalah personal hygiene dan sanitasi lingkungan merupakan faktor yang berhubungan dengan kejadian diare pada balita. Intervensi promotif dan preventif perlu ditingkatkan untuk menurunkan prevalensi diare pada balita. ABSTRACT Diarrhea is still a significant health problem in Indonesian toddlers, Diarrhea is defined as a condition in which one experiences an increase in the frequency of defecation with liquid or dilute feces. This can be accompanied by other symptoms such as nausea, vomiting, stomach cramps, and sometimes weight loss. This study aims to find out the factors related to the incidence of diarrhea in toddlers in the working area of the Ende City Health Center. The research method used is quantitative with a case control approach. The sample consisted of 66 toddlers, 33 cases each and 33 controls, selected simply random sampling. Case sampling and control techniques use simple random sampling. Data analysis using univariate and bivariate analysis. Research results show that there is a significant relationship between personal hygiene (p=0.007; OR=0.217) and environmental sanitation (p=0.068; OR=0.323) with diarrhea. Meanwhile, the classification of healthy houses and healthy family indicators do not show a significant relationship (p>0.05). The conclusion of this study is that personal hygiene and environmental sanitation are factors related to the incidence of diarrhea in toddlers. Promotive and preventive interventions need to be improved to reduce the prevalence of diarrhea in toddlers
Peningkatan Kesadaran dan Pemanfaatan Aplikasi Mobile JKN Melalui Edukasi Masyarakat di Kota Kupang Wahyuni, Maria Magdalena Dwi; Yuniatri, Riska; Abineno, Devidson Aryanto; Batukh, Aplonia Yuliana; Yusuf, Dea Benita; Tabun, Kornelia; Manu, Nadia Margarita; Oematan, Putri Novanty; Setiawan, Thirza Khalilah Putri
Jurnal Pengabdian Masyarakat Bangsa Vol. 3 No. 11 (2026): Januari
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v3i11.3290

Abstract

Edukasi ini bertujuan untuk meningkatkan pemahaman dan penggunaan aplikasi Mobile JKN di masyarakat. Metode yang digunakan dalam pengabdian ini adalah edukasi dengan menggunakan alat bantu kuesioner pre-test dan post-test. Sasaran dalam pengabdian ini adalah masyarakat di Kota Kupang. Kuesioner yang disajikan pada saat Edukasi mencakup pertanyaan tentang pemahaman dan kemudahan selama menggunakan aplikasi Mobile JKN. Sebelum dilakukan edukasi terkait penggunaan aplikasi Mobile JKN hanya 63,53% masyarakat yang mengetahui dan menggunakan aplikasi tersebut. Setelah dilakukan edukasi, 96,67% masyarakat yang mendapatkan edukasi mengetahui dan akan menggunakan aplikasi Mobile JKN untuk mendapatkan layanan kesehatan online.
Peningkatan Pengetahuan Peserta dan Calon Peserta Melalui Edukasi Pemanfaatan Aplikasi Mobile JKN Wahyuni, Maria Magdalena Dwi; Saputri, Febriani Mega; Mellu, Joel; Sabet, Kristina Novaeli; Tukan, Maria Kurniawati; Naisais, Marsela Candra; Ratu, Meliana Riwu; Weruin, Nonna Suku
Jurnal Pengabdian Masyarakat Bangsa Vol. 3 No. 11 (2026): Januari
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v3i11.3297

Abstract

Kegiatan edukasi mengenai penggunaan aplikasi Mobile JKN dilaksanakan untuk meningkatkan pengetahuan peserta dan calon peserta Jaminan Kesehatan Nasional (JKN) dalam menggunakan layanan digital BPJS Kesehatan. Rendahnya pemahaman masyarakat terhadap fitur-fitur aplikasi menyebabkan banyak peserta masih memilih layanan konvensional. Tujuan kegiatan ini adalah untuk meningkatkan pemahaman peserta tentang manfaat dan cara penggunaan aplikasi Mobile JKN melalui metode edukasi door-to-door dengan media PowerPoint dan demonstrasi langsung menggunakan laptop dan ponsel. Sebanyak 30 responden dipilih secara acak untuk berpartisipasi dalam kegiatan ini. Evaluasi dilakukan melalui pre-test dan post-test untuk mengukur peningkatan pengetahuan. Hasil kegiatan menunjukkan bahwa skor rata-rata pre-test sebesar 73 (44)% meningkat menjadi 92,67 (56%) pada post-test atau meningkat sebesar 12%. Seluruh peserta mencapai kategori "baik" menurut standar penilaian BPJS Kesehatan (≥80%). Peserta juga menunjukkan peningkatan yang signifikan pada aspek pemahaman fitur layanan, seperti antrean online, perubahan fasilitas kesehatan, pembayaran iuran, dan penggunaan fitur pengaduan. Hasil ini sejalan dengan penelitian Hidayat dkk. (2023) yang menemukan peningkatan pengetahuan masyarakat sebesar 37,4% setelah diberikan lokakarya Mobile JKN di Puskesmas Cikarang. Dengan demikian, edukasi berbasis praktik langsung terbukti efektif dalam meningkatkan literasi digital masyarakat dalam penggunaan aplikasi Mobile JKN dan mendukung transformasi digital layanan kesehatan di Indonesia.
OVERVIEW OF MALARIA SURVEILLANCE IN THE ELIMINATION PHASE AT THE OESAPA COMMUNITY HEALTH CENTER Wahyuni , Maria Magdalena Dwi; Landi, Soleman; Pare, Maria Saveryani Dua; Sabet, Kristina Novaeli; Dubu, Yansenin; Manu, Nadia Margarita
JURNAL WIDYA MEDIKA Vol. 12 No. 1 (2026): March
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i1.7924

Abstract

Malaria remains a significant public health challenge, particularly in regions that have achieved elimination but remain vulnerable to imported cases due to high population mobility. This study describes the malaria surveillance system at the Oesapa Community Health Center during the elimination phase, specifically assessing its readiness to detect, report, and respond to cases in a timely. Employing a qualitative descriptive design, the study involved five key informants through in-depth interviews and document reviews, followed by a narrative analysis of planning, implementation, monitoring, and evaluation. The results indicate that all surveillance stages align with national guidelines, including data-driven planning, early detection via laboratory testing, travel history recording, and routine reporting. While the system at Oesapa is categorized as 'good,' enhancements in human resource capacity, migration surveillance, and cross-sector coordination are essential to prevent malaria reintroduction and sustain elimination status.
OVERVIEW OF VACCINE-PREVENTABLE DISEASES SURVEILLANCE AND COMPLETE BASIC IMMUNIZATION COVERAGE AT CAMELIA POSYANDU Wahyuni, Maria Magdalena Dwi; Landi, Soleman; Litelnoni, Aletha Anasthasya; Naisais, Marsela Candra; Tasoin, Asiana Agalta; Yusuf, Dea Benita; Meilyani, Rany
JURNAL WIDYA MEDIKA Vol. 12 No. 1 (2026): March
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i1.7952

Abstract

Vaccine-preventable diseases (VPDs) remain a global health challenge. In Indonesia, immunization coverage has not yet reached the national target, particularly in East Nusa Tenggara Province, which recorded only 79.04% coverage in 2024. This study aimed to describe VPD surveillance and immunization coverage at the Camelia Integrated Health Service Post, involving 30 toddlers, through examination of health cards and interviews. The study used a qualitative approach with a retrospective descriptive analytical design. Surveillance was conducted through five stages: data collection, monthly data processing, analysis, ACER reporting, and follow-up in the form of catch-up immunization. The results showed that 33.3% of children were fully immunized on time, 30% experienced delayed immunization, and 36.7% had incomplete immunization status. DPT-HB-Hib (32.8%) and oral polio vaccine (23%) were the most frequently delayed vaccines due to parents’ lack of knowledge, concerns about side effects, child illness, busy schedules, limited access to services, and insufficient family support. The study concluded that although immunization coverage was not yet optimal, the implementation of VPD surveillance and a consistent catch-up immunization program effectively prevented VPD cases in the Camelia Posyandu area. Recommendations include strengthening digital recording systems, continuing health education, implementing digital reminder systems, optimizing home visits, and conducting periodic evaluations.
OVERVIEW OF TUBERCULOSIS SURVEILLANCE STAGES AT THE OEBOBO COMMUNITY HEALTH CENTER Wahyuni, Maria Magdalena Dwi; Landi, Soleman; Ardiansyah, Dimas Rohman; Lewar, Benedicta Sabu; Kadek, Triya Tabita; Adu, Petronela Adelfin; Mau, Yohana; Azizah, Nur Asma
JURNAL WIDYA MEDIKA Vol. 12 No. 2 (2026): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i2.7975

Abstract

Tuberculosis (TB) remains a serious public health challenge in Indonesia, placing community health centers at the forefront of epidemiological surveillance. This qualitative study, utilizing a descriptive thematic analysis design, was conducted from October to November 2025 to evaluate the TB surveillance stages, case-finding mechanisms, and the internal strengths and weaknesses of the Oebobo Community Health Center. Data were collected from 12 informants, comprising TB program management, the surveillance team, and 10 TB patients, through in-depth and structured interviews, supplemented by a review of monthly health center reports. The findings indicate that while the surveillance stages (collection, processing, analysis, interpretation, and dissemination) are systematically implemented, case-finding relies heavily on contact investigation, active screening, and the optimization of TB cadres. The primary strengths of the program include its proactive, community-based approach and the use of periodic data analysis to guide interventions. However, the lack of adequate laboratory facilities for diagnosis remains a significant barrier. Ultimately, while TB surveillance at the Oebobo Community Health Center is operational and well-integrated into the community, it is not yet fully effective due to these infrastructure limitations.
EVALUATION OF THE INTEGRATED EPIDEMIOLOGICAL SURVEILLANCE SYSTEM FOR DISEASES AT THE ALAK COMMUNITY HEALTH CENTER, KUPANG CITY Landi, Soleman; Wahyuni, Maria Magdalena Dwi; Duli, Maria Alfonsia Deran; Pandie, Erlian Mariana; Setiawan, Thirza Khalilah Putri; Wellem, Tamariska Priscilla Pristin Wellem
JURNAL WIDYA MEDIKA Vol. 12 No. 2 (2026): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i2.8016

Abstract

An integrated epidemiological surveillance system plays a crucial role in supporting early detection and public health response at the primary healthcare level. This study aimed to describe the implementation of the Integrated Epidemiological Surveillance System for diseases at Alak Primary Health Center, Kupang City, in 2025. The study employed a qualitative descriptive approach using in-depth interviews with five purposively selected informants, consisting of three key informants (the epidemiological surveillance program officer and two surveillance staff) and two supporting informants (a health information system officer and a laboratory officer). Data were analyzed through the stages of data reduction, data presentation, and conclusion drawing. Key findings indicate that the implementation of surveillance was supported by the availability of trained surveillance personnel, adequate operational funding, and the utilization of supporting facilities such as electronic medical records, surveillance applications, and manual reporting forms. The system has integrated indicator-based surveillance and event-based surveillance for communicable diseases, as well as the use of the ASIK application for monitoring non-communicable diseases. Data processing and analysis were conducted routinely based on person, place, and time variables and were utilized in monthly evaluations. Surveillance information was disseminated through weekly bulletins, reports to the District Health Office, and information media at the primary health center. The main challenge identified was the limited availability of supporting equipment, particularly computers, which affected the timeliness of reporting. Strengthening infrastructure and technical capacity is essential to enhance the effectiveness of surveillance in supporting early detection and public health response.
COMMUNICABLE DISEASE SURVEILLANCE IN POST-FLOOD SETTINGS: LESSONS FROM THE LITERATURE Landi, Soleman; Wahyuni, Maria Magdalena Dwi; Niron, Maissie Ginaninta Charoline; Loe, Wahyunita Euniche Elizabeth; Tabun, Kornelia; Huky, Stella Elsha Putri Rihi; Sabakodi, Dwi Andika Umbu Gauka; Dimu, Rivaldo Deljunior
JURNAL WIDYA MEDIKA Vol. 12 No. 2 (2026): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i2.8041

Abstract

Floods are natural disasters that frequently occur in Indonesia and contribute to an increased risk of communicable diseases due to environmental changes, poor sanitation, and limited access to clean water. This study aims to describe communicable diseases surveillance after floods based on findings from various studies in Indonesia. The method used was a literature review by searching for relevant scientific articles through the Google Scholar and PubMed databases for publications from 2018 to 2025. The articles included were selected based on topic relevance, availability of full text, and relevance to communicable diseases surveillance after flooding. The results of the study show that the most common communicable diseases that emerge after flooding include diarrhea, acute respiratory infections, dermatitis, dengue fever, leptospirosis, malaria, typhoid fever, and measles. The increase in cases of these diseases is related to water source contamination, damage to sanitation facilities, temporary housing density, and the formation of puddles that support the development of disease vectors. This study also shows that vulnerable groups, especially toddlers and the elderly, as well as productive age groups with high levels of environmental exposure, are at greater risk of contracting diseases after flooding. Integrated health surveillance, supported by public education and the implementation of Clean and Healthy Living Behaviors (PHBS), plays an important role in the early detection of increased cases, strengthening health responses, and controlling communicable diseases after flooding in affected areas.
Co-Authors Abineno, Devidson Aryanto Abon, Sitti Hasnah E. Adu, Apris A. Adu, Petronela Adelfin Adyatha, Komang Amahala, Raina Yusinta Amas, Gloria Andra Umbu Amelya Betsalonia Sir Anamuli, Mahardika Umbu Danga Anderias Umbu Roga Anding, Derse Ndula Anggraeni, Vramesti Nur Ardiansyah, Dimas Rohman Azizah, Nur Asma Babis, Sonida Srimega Diana Bahar, Astrid Fitria Bahari MS, Andika Putra Perdana Banamtuan, Thesa A. Banuanek, Yohanis Batukh, Aplonia Yuliana Benu, Putra James Bere, Maria Monika Bere, Stefania Beribe, Windi Vanesa Besi, Tabita Mirna Bethan, Saraswati Nurjannah Bethan, Widi Noormandiri Bria, Febriana Abuk Bunga, Putri Mey Mira Chelino, Anthonius Elsabertho Christi Windya, Yemima Eka Christina Olly Lada Claartje, Masrikat Maya D. Cornelia Samantha Wadhi Dahat, Thomas Jenifirman Yohdis Dake, Agnes Maria Goreti Dethan, Minarni Anachi Deviarbi Sakke Tira Diaz, Teresha Anastasia Dimu, Rivaldo Dimu, Rivaldo Deljunior Djapaheo, Reinad Doki, Gloria Evaristi Dubu, Yansenin Duli, Maria Alfonsia Deran Dwi Lestari eik, Sarini Fitria, Lia Fitriani R. Blongkod Gaa, Jesica Margareta Gale, Antonia Viany Gusmao, Francelino Nobel Sarmento Hero, Damianus Harlando Hewe, Karolina Liho Hinga, Indriati Adolita Tedjhu Hinga, Indriati Andolita Tedju Honey I. Ndoen Huky, Stella Elsha Putri Rihi Igo, Fransiska Natalia Imelda F. E. Manurung Ira Titisari Istiqamah, Istiqamah Jano, Margarita Ratu Jefri, Johanes Jehani, Claudia Margareth Jemeo, Opiliana Elam Jeniut, Fransiska K.Syamruth, Yendris Kadek, Triya Tabita Kamenjeni, Arpiles Makalaus Kapitan, Gregorius Decembris Kase, Cindy Anita Kona, Aril Manu L G Nobo, Wilfrida Laba, Elfrida Febriyanti Lainurak, Puja Maria Princes Lasi, Vinta Batseba Lay, Setyaputri Leba, Nelsi djara Lebangu, Yoseph Alvino Atu Leda Muga, Maria Prudensiana Lewar, Benedicta Sabu Litelnoni, Aletha Anasthasya Loe, Wahyunita Euniche Elizabeth Lomba, Agesti Ima Lumenta, Febyola Giovanni Mahendika, Devin Makara, Reskita Putri Ananda Manu, Nadia Margarita Manuk, Asti Manurung, Imelda Februati Ester Mariana Ikun RD Pareira Marni Marni Mathilde, Mauricia Keyra Mau, Yohana Meilyani, Rany Mellu, Joel Mesa, Ericson Mitra, Muhammad Ikhlas Iryadi Moghu, Vincentia Yunita Dania Mongko, Fransiska Anjelina Mooy, Refi Kristiani Liana Muhammad Nur, Kholid Rosyidi Muskananfola, Catherine Elisabeth Nabunome, Meriani Nadut, Valentinus Aldino Nahas, Rosadelima Banusu Naisais, Marsela Candra Naitkakin, Vinsensia Ensi Leu Nang, Yohanes Kombi Ario Natalia, Kristiani Natonis, Neno Andika Natonis, Sara Aprilia Ndjurumbaha, Erinda Tryana Ndoen, Honey I. Ndoen, Honey Ivon Nduku, Rofina Juita Ndun, Marini Aprilia Neolaka, Jefri Arisamsi Neonane, Dyon Ongky Ngelung, Martini Enga Niron, Maissie Ginaninta Charoline Nomleni, Davri Glendika Noorma, Nilam Nur, Kholid Rosyid Muhammad Oematan, Putri Novanty Ole, Agustinus Kristian Pahul, Theresia Della Pandie, Erlian Mariana Pare, Maria Saveryani Dua Patty, Zakariaz Doko Petan, Veronika Uba Peu, Sarlin Dasent Merisanti Picauly, Intje Purimahua, Sintha L. Purnawan, Sigit R. Nayoan, Christina Rafael Paun, Rafael Ramadhani, Dhini Anggraini Ratu, Meliana Riwu RD Pareira, Mariana Ikun Rebo, Martina Lulu Renita Afriza Rugu, Fernanda Inggrit Menge Rusnah, Fitrian Sabakodi, Dwi Andika Umbu Gauka Sabet, Kristina Novaeli Safitri, Jihan Nabilah Sahalessy, Yona C. Sanu, Maryo Bintang Saputri, Febriani Mega Sari, Iffah Atiqah Setiawan, Thirza Khalilah Putri Sina, Dominika Mbu Sintha Lisa Purimahua Sogen, Karmelo Askeri Sogen, Yosep Ledung Soleman Landi Sroyer, Missye Fannesa Avrilla Syamruth, Yendris K. Syamruth, Yendris Krisno Tabun, Kornelia Taek, Alexsandro J Tafuli, Jenriana Takaeb, Afrona Elisabeth Lelan Tameno, Chaterinne Aprilia Tari, Inri Welexrin Tasoin, Asiana Agalta Tasripin, Mellysa Wulandari Tatuin, Nomavindel Leu Teuk, Maria Tsauri, Sufyan Tukan, Helena Antonia Ema Tukan, Maria Kurniawati Udin, Putri Emilia Wadu, Revalia Angles Herviani Wangge, Alexander Franklin Wangge, Mery Christine Weu Wellem, Tamariska Priscilla Pristin Wellem Weraman, Pius Werang, Raymundus Ratu Weruin, Nonna Suku Weto, Yohana Karmilan Winda Winda Wohangara, Rildon Satrio Wolla, Marliance Lewo Wonga, Theresia Melania Wonlele, Graciella Paula Injilita Wora, Maria Yuliana Mina Wunda, Brigita Virginia Safitri Yendris K. Syamruth Yendris Krisno Syamruth Yenti Fitri, Yenti Yohanis Kerihi, Anthon Simon Yuniatri, Riska Yusfinaldi, Yusfinaldi Yusuf, Dea Benita Zil Fauzi, Ahmad