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Gambaran Kejadian Autism Spectrum Disorder (ASD) Pada Anak di Rumah Sakit Jiwa Daerah Atma Husada Samarinda Tahun 2023 Yuannisa, Vhania; Rifani, Yenny Abdullah; Rahayu, Hanis Kusumawati
Jurnal Dunia Kesmas Vol 15, No 1 (2026): Volume 15 Nomor 1
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v15i1.23831

Abstract

Abstract: A Profile of Autism Spectrum Disorder (ASD) Cases in Children at Atma Husada Regional Psychiatric Hospital Samarinda in 2023. Autism Spectrum Disorder (ASD) is a neurodevelopmental condition with a rising global prevalence. This study aimed to provide a comprehensive overview of the incidence and characteristics of pediatric ASD patients at Atma Husada Regional Psychiatric Hospital Samarinda in 2023. This descriptive retrospective study used a cross-sectional approach, analyzing secondary data from 54 patient medical records selected via total sampling. Variables analyzed univariately included age, gender, nutritional status, family history, gestational age, and birth weight. Results revealed that most patients were diagnosed at school age, 5–11 years (42.59%), and were male (77.78%). The majority had no family history of ASD (74.07%), were born full-term (77.78%), and had a normal birth weight (92.59%). Nutritional status analysis showed a contrasting profile: good nutrition was dominant in the 1–5 years age group (65%), whereas obesity was highest among those 5 years old (35.29%). The profile of ASD patients at the study site is dominated by school-aged males, generally without clear familial or perinatal risk factors, but presenting with significant nutritional challenges that warrant clinical attention.Keywords : Autism Spectrum Disorder, Children, Risk Factors, Samarinda, EpidemiologyAbstrak: Gambaran Kejadian Autism Spectrum Disorder (ASD) Pada Anak di Rumah Sakit Jiwa Daerah Atma Husada Samarinda Tahun 2023. Autism Autism Spectrum Disorder (ASD) merupakan gangguan perkembangan saraf dengan prevalensi global yang meningkat. Penelitian ini bertujuan untuk memberikan gambaran komprehensif mengenai kejadian dan karakteristik pasien anak dengan ASD di RSJD Atma Husada Samarinda tahun 2023. Studi deskriptif retrospektif ini menggunakan pendekatan cross-sectional dengan menganalisis data sekunder dari 54 rekam medis pasien yang diseleksi melalui total sampling. Variabel yang dianalisis secara univariat mencakup usia, jenis kelamin, status gizi, riwayat keluarga, usia gestasi, dan berat badan lahir. Hasil menunjukkan mayoritas pasien terdiagnosis pada usia sekolah 5–11 tahun (42,59%) dan berjenis kelamin laki-laki (77,78%). Sebagian besar tidak memiliki riwayat keluarga ASD (74,07%), lahir aterm (77,78%), dan dengan berat badan normal (92,59%). Analisis status gizi menunjukkan profil yang kontras: pada usia 1–5 tahun didominasi gizi baik (65%), sedangkan pada usia 5 tahun, obesitas menjadi yang tertinggi (35,29%). Profil pasien ASD di lokasi penelitian didominasi oleh anak laki-laki usia sekolah, umumnya tanpa faktor risiko keluarga dan perinatal yang jelas, namun menunjukkan tantangan gizi signifikan yang memerlukan perhatian klinis. Kata Kunci : Autisme Spektrum Disorder, Anak, Faktor Risiko, Samarinda, Epidemiologi.  
Review of Complete Basic Immunization Services at Lok Bahu HealthCenter from January-July 2025 Rahmania; Aprilia Nurlaila Zahro; Wa Ode Nurul Azkiah; Aniaya Salsabila; Hanis Kusumawati Rahayu; Zulhijrian Noor
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Complete basic immunization (CBI) is a public health priority program aimed at preventing Vaccine-Preventable Diseases (VPDs). Objective : This study reviews the implementation of CBI services at Lok Bahu Public Health Center, Samarinda City, during the period of January-July 2025. Research Methods/ Implementation Methods : This research employed a descriptive qualitative design involving health workers, posyandu cadres, health center management, pharmacy staff, and parents as informants. Data were collected through in-depth interviews, observations, documentation, and official document reviews, then analyzed through data reduction, data presentation, and conclusion verification using source, method, and data triangulation. Results : The results showed that the planning process was carried out through the Activity Proposal Plan (RUK) and cross-sectoral coordination; however, strategies to reach hard-to-access populations and non-vaccine funding support remained limited. The implementation stage faced challenges such as insufficient health personnel, delayed vaccine distribution, and community resistance toward immunization. The evaluation process through the Quarterly Mini Workshop functioned as a forum for identifying obstacles and follow-up actions across sectors, but inconsistencies between manual records and the ASIK application as well as delayed reporting from posyandu were still found. Conclusion/Lesson Learned : The achievement of CBI coverage in the Lok Bahu Health Center working area has not yet met the national target, influenced by planning, implementation, and evaluation factors that are not yet optimally integrated. Strengthening cross-sectoral coordination, financial support, stable vaccine distribution, adaptive risk communication, and synchronization of recording systems are required to sustainably improve immunization coverage.
REVIEW OF BASIC IMMUNIZATION SERVICES AT LOK BAHU HEALTH CENTER JANUARI-JULI 2025 Rahmania; Aprilia Nurlaila Zahro; Wa Ode Nurul Azkiah; Ainaya Salsabila; Hanis Kusumawati Rahayu; Zulhijrian Noor
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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

Abstract

Complete basic immunization (CBI) is a priority public health program aimed at preventing Vaccine-Preventable Diseases (VPDs). This study aimed to review the implementation of CBI services at Lok Bahu Health Center, Samarinda City, during the period of January–July 2025. This research employed a descriptive qualitative design involving key informants (health workers and posyandu cadres) and supporting informants (health center management, pharmacy staff, and parents). Data were collected through in-depth interviews, observation, documentation, and review of official records, then analyzed through data reduction, data display, and conclusion verification using source, method, and data triangulation. The findings revealed that at the planning stage, the program was arranged through the Annual Activity Proposal Plan (RUK) and cross-sectoral coordination; however, specific strategies to reach hard-to-reach populations were still limited, community involvement remained suboptimal, and non-vaccine funding relied heavily on cadres’ self-sufficiency. At the implementation stage, the main obstacles included limited health personnel and cadres, delays in vaccine distribution, and community resistance to immunization. From the beneficiaries’ perspective, parents’ time constraints and concerns about vaccine side effects also affected the completeness of child immunization. At the evaluation stage, the Mini Quarterly Workshops functioned as forums for identifying barriers and cross-sectoral follow-up, yet discrepancies persisted between manual recording and the ASIK digital application, alongside reporting delays from posyandu. In conclusion, CBI coverage in the Lok Bahu Health Center working area has not met the national target, influenced by planning, implementation, and evaluation factors that have not been fully integrated. Strengthening cross-sectoral coordination, funding support, stable vaccine distribution, adaptive risk communication, and synchronization of digital recording systems are required to sustainably improve immunization coverage.