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Evaluasi Program Provider Initiated Testing And Counseling (PITC) Pada Ibu Hamil Pada Masa Pandemi Covid-19 Di Puskesmas Muara Badak Sari, Anita; Pakki, Irfansyah Baharuddin; Asrianti, Tanti
Wal'afiat Hospital Journal Vol 3 No 1 (2022): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1361.17 KB) | DOI: 10.33096/whj.v0i0.66

Abstract

Provider Initiated Testing and Counseling (PITC) is an important strategy to increase coverage of HIV testing for pregnant women as well as efforts to control HIV/AIDS in Indonesia and is part of the Maternal and Child Health (KIA) program. During the COVID-19 pandemic, new HIV/AIDS infections tended to increase, especially among housewives. During the COVID-19 pandemic, the Muara Badak Health Center found new HIV cases and tended to increase, while HIV screening for pregnant women decreased. This study aims to determine the implementation of the Provider Initiated Testing and Counseling (PITC) program for pregnant women during the COVID-19 pandemic at the Muara Badak Health Center in terms of process (assessment of the mechanism for implementing the PITC program for pregnant women) and output (factors related to pregnancy). with program success). This type of research is cross sectional and the sampling technique used is accidental sampling. Collecting data using questionnaires and observation sheets with a sample of 86 pregnant women, Bivariate analysis using the Fisher's Exact Test and the Kolmogorov-Smirnov Test with a 95% confidence level (α = 0.05). The results showed that the implementation of the Provider Initiated Testing and Counseling (PITC) program evaluation activities for pregnant women during the COVID-19 pandemic at the Muara Badak Health Center in terms of process, was declared to have gone quite well with a score of 32 (63%), while the implementation of evaluation activities the PITC program for pregnant women during the COVID-19 pandemic at the Muara Badak Health Center in terms of output stated, the results of statistical tests between the success of the PITC program and the basic principles of PITC (p=1,000), knowledge (p=1,000), attitudes (p=0.000) using the Kolmogorov-Smirnov Test, and resistance (p=1,000). In conclusion, there is no relationship between the success of the PITC program and the basic principles of PITC, knowledge, and barriers. There is a relationship between the success of the PITC program and attitude. Muara Badak Health Center is expected to be able to monitor and evaluate the implementation of PITC.
Analisis Faktor Risiko Kejadian Hipertensi Pada Lansia Di Wilayah Kerja Puskesmas Rapak Mahang Kecamatan Tenggarong Kabupaten Kutai Kartanegara Afifah, Wiwin Vidiyastana; Pakki, Irfansyah Baharuddin; Asrianti, Tanti
Wal'afiat Hospital Journal Vol 3 No 1 (2022): Wal'afiat Hospital Journal
Publisher : Rumah Sakit Ibnu Sina, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1252.885 KB) | DOI: 10.33096/whj.v0i0.67

Abstract

Hypertension is one of the non-communicable diseases that mostly affects people of productive age and the elderly today. Hypertension is called the silent killer because it is often without complaints, so the patient does not know he has hypertension, and prevention efforts cannot be carried out as early as possible with the causative factors of hypertension caused by several risk factors, one of which is based on the host/human. This study aims to determine the relationship of family history of hypertension, physical activity, obesity, and smoking to the incidence of hypertension in the Work Area of the Rapak Mahang Health Center. This type of research is analytic with a cross-sectional approach and the sampling technique is purposive sampling. Collecting data using a questionnaire with a number of respondents as many as 128 people. Data were analyzed using the chi-square test. The results of data analysis showed the frequency of hypertension sufferers among as many as 99 people (77.3%). The bivariate test showed statistically significant results between the variables of family history of hypertension (p-value = 0.003), obesity (p-value = 0.000), and physical activity (p-value = 0.019) with the incidence of hypertension. The smoking variable (p-value = 0.361) statistically showed no relationship with the incidence of hypertension. There is a relationship between a family history of hypertension, obesity, and physical activity with the incidence of hypertension and there is no relationship between smoking and the incidence of hypertension.
Analisis Spasial Kejadian Tuberkulosis (TB) di Kabupaten Kutai Kartanegara Tahun 2017-2020 Risdayanti, Rikha Nur; Pakki, Irfansyah Baharuddin; Siswanto, Siswanto
BIOGRAPH-I: Journal of Biostatistics and Demographic Dynamic Vol 3 No 1 (2023): May
Publisher : Fakultas Kesehatan Masyarakat Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/biograph-i.v3i1.30577

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Tuberkulosis (TB) merupakan masalah kesehatan masyarakat di Kabupaten Kutai Kartanegara yang masuk 3 besar kasus tertinggi di Kalimantan Timur. Pemetaan tingkat risiko penyakit terhadap suatu wilayah merupakan salah satu upaya pencegahan dan pengendalian TB. Penelitian ini bertujuan untuk melihat gambaran spasial dan memetakan kasus TB berdasarkan faktor epidemiologi dan geografis di Kabupaten Kutai Kartanegara. Penelitian ini merupakan penelitian deskriptif dengan pendekatan geographical epidemiology menggunakan data Dinas Kesehatan Kabupaten Kutai Kartanegara Tahun 2017-2020. Sampel penelitian menggunakan total sampling population yaitu seluruh kasus TB di Kabupaten Kutai Kartanegara dengan pengolahan data menggunakan aplikasi QGIS. Hasil penelitian menunjukkan bahwa kasus TB sebagian besar terjadi pada laki-laki, berusia ≥15 tahun, kepadatan penduduk kurang padat, cakupan kunjungan pelayanan kesehatan tinggi, jumlah tenaga kesehatan masyarakat telah memenuhi standar minimal dan cakupan imunisasi BCG rendah. Diharapkan kepada Dinas Kesehatan dan Fasyankes setempat untuk meningkatkan pencegahan penyakit yang ditekankan pada kondisi permasalahan wilayah masing-masing seperti pemenuhan cakupan imunisasi BCG yang masih rendah dan peningkatan kompetensi pemegang program TB serta keterlibatan komunitas berisiko untuk mengurangi kejadian TB.
Model Prediksi Insiden Penyakit Tuberkulosis di Provinsi Kalimantan Timur pada Tahun 2024-2025 Saputri, Amelia Indah; Pakki, Irfansyah Baharuddin; Siswanto, Siswanto
BIOGRAPH-I: Journal of Biostatistics and Demographic Dynamic Vol 4 No 1 (2024): May
Publisher : Fakultas Kesehatan Masyarakat Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/biograph-i.v4i1.47383

Abstract

Latar belakang: Penyakit Tuberkulosis (TB) masih menjadi masalah kesehatan global yang signifikan. Provinsi Kalimantan Timur menduduki peringkat ke-17 se-Indonesia dan kedua se-Kalimantan dengan kasus TB tertinggi. Oleh karena itu, diperlukan langkah antisipatif untuk memperkuat upaya pencegahan dan pengendalian TB di Kalimantan Timur. Penelitian ini bertujuan untuk memprediksi dan menganalisis hasil prediksi insiden TB. Metode: Penelitian ini bersifat observasional dan deskriptif, menggunakan data kuantitatif dengan analisis time series insiden TB dari tahun 2020-2023 dengan pengolahan data model ARIMA. Hasil: Hasil penelitian menunjukkan angka kejadian TB di Kaltim mencapai 21.635 kasus pada tahun 2020-2023. Mayoritas kasus terjadi pada usia 25-34 tahun (16,1%), sebagian besar merupakan laki-laki (59,1%), dan terdiagnosis klinis TB paru (46,0%). Insiden TB tersebar luas di Balikpapan (22,3%), Samarinda (22,1%), dan Kutai Kartanegara (12,9%). Hasil prediksi insiden TB di Provinsi Kaltim diperkirakan ada 6.732 dan 7.088 kasus pada tahun 2024 dan 2025 dengan model IMA (0,1,1). Kesimpulan: Hasil prediksi insiden TB dapat ditinjau melalui analisis epidemiologi dalam upaya memperkuat kewaspadaan peningkatan kasus, sehingga dapat memberikan gambaran komprehensif tentang penyebaran TB dan mendukung para pengambilan kebijakan kesehatan di Kalmantan Timur.
Analisis Faktor Risiko Kejadian Demam Berdarah Dengue (DBD) di Wilayah Kerja Puskesmas Bengkuring Kecamatan Samarinda Utara Kota Samarinda Tahun 2023 Fahmi, Muhammad Maulana; Pakki, Irfansyah Baharuddin
Jurnal Kedokteran Mulawarman Vol 11, No 2 (2024): Jurnal Kedokteran Mulawarman
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/jkm.v11i2.18491

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Penyakit Demam Berdarah Dengue (DBD) merupakan salah satu masalah Kesehatan pada masyarakt Indonesia. Di Kalimantan Timur kasus DBD masih merupakan masalah Kesehatan, pada tahun 2023 kasus DBD di wilayah ker Puskesmas Bengkuring sebesar 97 kasus dan menjadi yang tertinggi di Samarinda. Penelitian ini bertujuan untuk mengetahui faktor risiko kejadian DBD di wilayah kerja Puskesmas Bengkuring Kecamatan Samarinda Utara Kota Samarinda Tahun 2023. Jenis penelitian adalah obervasional analitik dengan pendekatan case control. Data sampel penelitian diperoleh dari kuesioner dan data Puskesmas Bengkuring atahun 2023. Jumlah sampel yang digunakan dalam penelitian sebanyak 19 sampel, yaitu 97 sampel kasus DBD dan 97 sampel kontrol. Analisis bivariat dengan menggunakan uji chi-square menyatakan terdapat hubungan yang bermakna antara densitas jentik (p=0,001) dan perilaku PSN 3M (p=0,001) serta tidak ada hubungan antara kepadatan hunian (p=1,000), penggunaan kasa pada ventilasi rumah (p=0,608) dan kebiasaan menggantung pakaian (p=0,106) dengan kejadian DBD. Berdasarkan analisis bivariat bahwa ada hubungan densitas jentik dengan kejadian DBD, serta adanya hubungan antara perilaku PSN 3M dengan kejadian DBD di wilayah kerja Puskesmas Bengkuring Kecamatan Samarinda Utara Kota Samarinda tahun 2023. Kata kunci: faktor risiko, demam berdarah dengue
Prediction Model of Human Immunodeficiency Virus Status at Abdoel Wahab Sjahranie Hospital, Samarinda Asari, Sendila Ernesy; Susanti, Rahmi; AB, Ismail; Pakki, Irfansyah Baharuddin; Anggraini, Ike
Journal of Public Health for Tropical and Coastal Region Vol 8, No 1 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i1.24302

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Introduction: HIV is a serious global health problem that requires immediate attention due to its increasing prevalence. Indonesia having one of the highest numbers of cases, while East Kalimantan was one of the provinces with a high number of cases. The availability of HIV testing and counseling services at RSUD Abdoel Wahab Sjahranie enabled the researchers to analyze factors that influence HIV occurrence. This study aimed to find a prediction model for HIV status.Methods: This cross-sectional study used secondary data from 7,589 individuals from the Voluntary Counseling and Testing (VCT) Clinic of RSUD Abdoel Wahab Sjahranie from June to December 2023. Data were collected from January to March 2024. The data were analysed using the logistic regression method.Results: It was shown that age, injection drug use, and types of sexual behavior were significantly associated to HIV status. The obtained binary logistic regression model is: HIV status = -4.729-0,032 (age) + 6,862 (injection drug use) + 6,173 (type of sexual behavior). This model could explain 53.8 percent of the variation in HIV status based on the independent variables, with injection drug use as the dominant variable. Injection drug use and risky sexual behavior were significant factors of HIV status.Conclusion: Injection drug users were at greater risk of HIV infection, with the highest odds ratio, followed by persons with risky sexual behavior. Further intervention efforts through expanding service coverage and diagnostic testing for key populations to prevent HIV transmission is needed
Gambaran Kasus Gondongan pada Siswa SD Normal Islam Samarinda Wardani, Nunuk Kusuma; Saputri, Deby Indah; Nugraha, Purwa; Nozomi, Alwan Zakki; Noor, Muhammad; Wisnuwardani, Ratih Wirapuspita; Pakki, Irfansyah Baharuddin
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 3: Agustus 2025
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v10i3.25482

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Background: Mumps is a contagious disease caused by paramyxovirus infection that primarily affects children and adolescents. In 2024, a surge of mumps cases was reported in Samarinda, particularly at Sekolah Dasar Normal Islam Samarinda. This study aimed to describe the characteristics of mumps cases based on age, sex, and epidemiological distribution at the school during October–November 2024.Methods: This descriptive observational study utilized primary and secondary data. Purposive sampling was applied to include students who met the clinical diagnostic criteria for mumps, identified through school health reports and direct observation. Data collection covered number of cases, age, sex, symptoms, and transmission patterns. Analysis was performed descriptively using Microsoft Excel. A total of 78 students were identified with mumps symptoms. The index case was reported on October 3, 2024, in a male fifth-grade student presenting parotid gland swelling, fever, and history of close contact within the past 25 days.Results: The majority of cases occurred among male students (61.5%), particularly those in grades 5 and 6, with 11 years old being the most affected group. The most common clinical manifestations included fever and parotid gland swelling. Notably, none of the students had received the MMR vaccination. The epidemic curve showed a sharp increase in October 2024, followed by a decline in November, with an overall attack rate of 12.5%.Conclusion: Low immunization coverage, overcrowded classrooms, and delays in early detection played a significant role in facilitating transmission within the school. Strengthening vaccination programs, implementing health education, improving hygiene protocols, and ensuring early isolation of suspected cases are recommended to control and prevent further mumps outbreaks in school settings. Keywords: Mumps; epidemiology; imunization; disease prevention; school children
Enhancing Adolescent Capacity through the RAPIH Program in Tengin Baru Village, North Penajam Paser Abdullah, Ahmad Fadhlil Azhim; Suleman, Angellia; Pradita, Adelia Putri; Jenissa, Abel; Rahmadina, Andi Nur Nayla; Ramadhani, Irma; Vionita, Wanda Dila; Pakki, Irfansyah Baharuddin; Rachmawati, Ayudhia
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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

Abstract

Adolescent issues have multiple elements, one of which is related to adolescent health knowledge. According to the results of primary data from Field Learning Experience I (PBL) 2024 in Tengin Baru Village, adolescents awareness of adolescent health, particularly reproductive health, remains low, and adolescents' stress levels are high. Based on early marriage indicators, up to 64.2% of adolescents lack enough reproductive health knowledge. Meanwhile, up to 30.5% of adolescents lack information regarding the effects of adolescent stress. This study aims to improve adolescents awareness of health, with a particular focus on reproductive health and stress management in Tengin Baru Village. The research's particular objective is to assess the efficacy of an educational counseling program in enhancing high school students' knowledge levels, hence encouraging improved health behaviors among adolescents. This program uses an educational counseling method in the form of delivering material via PowerPoint media and using pre- and post-tests to measure the level of student knowledge before and after counseling is provided to high school adolescents in grades 11 and 12, with 33 participants. Adolescent knowledge in Tengin Baru Village increased by 15.75% between before and after counseling, from 72.73% to 88.48%, as proved by the results of the pre-test and post-test. The importance of gaining information in modifying one's behavior, such as by offering adolescent health counseling. Counseling activities can be conducted regularly to provide the most up-to-date knowledge about the development of adolescents issues. Furthermore, cross-sector coordination is required to ensure that the program runs well.
Analisis Determinan Kejadian Demam Berdarah Dengue di Wilayah Kerja UPT Blud Puskesmas Kaliorang Kutai Timur Erwina, Brigita Win; Pakki, Irfansyah Baharuddin; Anggraeni G, Johanes Ike
Jurnal Sehat Indonesia (JUSINDO) Vol. 7 No. 2 (2025): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jsi.v7i2.308

Abstract

Penyakit Demam Berdarah Dengue (DBD) menjadi salah satu permasalahan kesehatan di Indonesia dengan kecenderungan kasus yang meningkt. Faktor risiko kondisi lingkungan dan sosial memperburuk penyebaran. Tujuan dari studi ini menganalisis determinan kejadian Demam Berdarah Dengue di wilayah kerja UPT BLUD Puskesmas Kaliorang Kutai Timur Tahun 2021-2022. Penelitian ini adalah studi analitik observasional dengan desain kasus kontrol, berfokus pada hubungan faktor risiko dengan kejadian Demam Berdarah Dengue (DBD). Penelitian melibatkan sampel kasus DBD dan kontrol tidak menderita DBD, dengan 60 responden dari tujuh desa. Data diolah dan dianalisis secara univariat, bivariat, dan multivariat untuk mengidentifikasi hubungan dan pengaruh faktor risiko breeding place, resting place, tindakan 4M, dan kepadatan penduduk terhadap kejadian DBD. Responden tempat berkembang biak nyamuk yang berisiko memiliki OR 8.636, menunjukkan risiko 8 kali lebih besar terkena DBD dibandingkan dengan tidak berisiko, tempat istirahat nyamuk berisiko memiliki OR sebesar 4.000, berarti risiko 4 kali lebih besar dibandingkan dengan menjaga kebersihan tempat istirahat, Tindakan 4M tidak menunjukkan perbedaan risiko (OR = 1.000), menandakan tidak ada hubungan signifikan antara penerapan Tindakan 4M dengan kejadian DBD. Analisis menemukan hubungan signifikan antara kebersihan breeding place dan resting place dengan kejadian DBD; tempat yang tidak terjaga kebersihannya meningkatkan risiko DBD hingga 8 kali. Penelitian menunjukkan bahwa terdapat hubungan signifikan antara keberadaan breeding place, resting place, dan kepadatan penduduk dengan kejadian DBD, di mana breeding place meningkatkan risiko DBD hingga 10,183 kali, sementara tindakan 4M tidak berhubungan signifikan. Hasil penelitian ini diharapkan membantu Puskesmas Kaliorang menyusun strategi penanggulangan DBD.
RISK FACTORS OF INFERTILITY AMONG INDONESIAN WOMEN: A CROSS-SECTIONAL STUDY Septiana, Lisa; Pakki, Irfansyah Baharuddin
Journal of Public Health Research and Community Health Development Vol. 9 No. 1 (2025): 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.v9i1.64268

Abstract

Background: Infertility affects approximately 10-15% of couples in Indonesia and 48.5 million couples globally. It is a growing public health concern that impacts women due to various biological, psychological, and environmental factors. The increasing rates of female infertility, influenced by unhealthy lifestyles, emphasize the critical need for effective treatments and interventions for infertility. Purpose: This study aims to determine the relationship between risk factors such as age, BMI, employment status of wife and husband, and menarche age with infertility. Methods: This cross-sectional study was conducted at Rizafa Clinic in 2023, involving a purposive sample of 150 women. Variables such as age, obesity (determined by BMI), age at menarche, and occupation were both analyzed, and a chi-square test was performed to assess the association between risk factors and infertility. Results: The study revealed that female infertility is significantly influenced by obesity (p = 0.001). However, there was no association between age (p = 0.150), women’s occupation (p = 0,310), husband's occupation (p = 0,233), and menarche age (p = 0,969) with infertility. Conclusion: It can be concluded that there is a correlation between obesity and the incidence of infertility. Lifestyle changes that support reproductive health in women include maintaining a healthy body weight as a foundation and limiting the intake of foods high in sugar, saturated fats, and processed ingredients, as these can negatively impact metabolism and hormone balance. Addressing these key risk factors through lifestyle adjustments is essential for improving fertility outcomes.
Co-Authors Abdullah, Ahmad Fadhlil Azhim Adrianto, Ratno Afifah, Wiwin Vidiyastana Akhmad Azmiardi Akhmad Azmiardi Akhmad Azmiardi Akmad Azmiardi Al Ahmadi, Khumairotul Zahroh Alwan Zakki Nozomi Andriani, Rima Anggreini, Putri Anita Sari Arfandi, Muh. Amri Arlina Azka Arlina Azka Asari, Sendila Ernesy Ashri Budi Astuti Asrianti, Tanti Astuti, Ashri Budi Ayudhia Rachmawati Budi, Eko Prasetya Dwi Listiyani Dzikri, Akhmad Erlina Erlina Erlina Erlina Erri Larene Safika Erwina, Brigita Win Fahmi, Muhammad Maulana Fahrul Rozi Frisca Anggraeni Manik Hefi Kurniasih Herliani, Resda Husna Husna Ike Anggraeni Indriani, Dilla C Insany, Vicca Yulia Irirwanas, Intannia D Iriyani Iriyani Ismail AB, Ismail Jami'an, Jami'an Jenissa, Abel Junaidin, Junaidin Kasih, Ketut Pilih Listiani, Dwi Majiding, Chaidir Masyhuri Muh. Amri Arfandi Muh. Amri Arfandi Muhamad Zakki Saefurrohim Muhammad Noor Muhammad Noor Muhammad Nuzul Azhim Ash Siddiq Nabila Vebiana Soviadi Naim, Tanti Asrianti Nisaa, Nur Rezky Khairun Noorhayaty Noorhayaty Noorhayaty, Noorhayaty Nozomi, Alwan Zakki Nugraha, Purwa Nunuk Kusuma Wardani Nur Asiyah Nurlianti Nurlianti Pasiakan, Meli Pradita, Adelia Putri Rahmadani, Aulia Tia Rahmadina, Andi Nur Nayla Rahmi Susanti Ramadhani, Irma Ramadhani, Reza W Ramdan, Iwan M Ratih Fianni Sigit Ratih Wirapuspita Wisnuwardani Ratih Wirapuspita Wisnuwardani Relung Adiniah Permani Risdayanti, Rikha Nur Risva Risva Risva Riyanto, Rudy Agus S Siswanto Sabena, Mela Saefurrohim, Muhamad Zakki Saputri, Amelia Indah Saputri, Deby Indah Sari, Mila Warma Septiana, Lisa Sigit, Ratih Fianni Sinthary, Venna Siswanto Siswanto Siswanto Siti Malikha Zalzabila Maharani siti nurlela Sitorus, Rame Suleman, Angellia Sumarianto, Arif Sungkono, Indari Yayuk Tasha Citra Purnama Tetra Hidayati Ummi Khuzaimah Vanessa Vanessa Vionita, Wanda Dila Wahyudi Wahyudi Wahyuni, Leny Eka Tyas Wardani, Nunuk Kusuma Wirawanti, Ika Wirya Yadi Yadi Yuniasih, Arista Dian Zakki Saefurrohim, Muhamad