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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

Abstract

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

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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.
RISK FACTORS FOR MALARIA IN THE WORKING AREA OF THE KALIORANG HEALTH CENTER IN EAST KUTAI REGENCY IN 2023 Kasih, Ketut Pilih; Pakki, Irfansyah Baharuddin; Ramdan, Iwan M
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 4 No. 3 (2024): JULI
Publisher : CV. ADIBA ADISHA AMIRA

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

Abstract

This observational study with a case-control design aims to analyze risk factors for the incidence of Malaria in the Kaliorang Health Center Working Area, East Kutai Regency in 2023. The population in this study is all malaria patients recorded at the Kaliorang Health Center, East Kutai Regency for the period from January to November 2023 as many as 85 people as a group of cases. The population of the control group is also 85 people. The results showed that work and the existence of resting places had a significant relationship with the incidence of malaria. The chi-square analysis showed a p-< value of 0.001 for both variables. The odds ratio for employment is 0.150, which means respondents with at-risk jobs have a 0.150 times greater risk of developing malaria. Meanwhile, the Odds Ratio for resting places was 6,295, indicating that respondents whose environments had resting places such as shrubs and shrubs were 6,295 times more likely to develop malaria than those who did not.
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

Abstract

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

Abstract

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
Analysis of Factors Related to the Incidence of Ventilator-Associated Pneumonia (VAP) in the Intensive Care Unit Cahyana, Yudi Jaya; Pakki, Irfansyah Baharuddin; Lestari, Ida Ayu Indira Dwika; Adrianto, Ratno; Yadi, Yadi; Azmiardi, Akhmad
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6628

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Ventilator-associated pneumonia (VAP) occurs in patients who have been on mechanical ventilation with an endotracheal tube (ETT) for at least 48 hours. This type of pneumonia typically arises as a result of nosocomial infections or Healthcare-Associated Infections (HAIs) and is commonly linked to the use of ventilators in hospital settings. This study was to identify the factors associated with the incidence of VAP among patients admitted to the Intensive Care Unit of Abdoel Wahab Sjahranie Hospital, Samarinda. Method: A cross-sectional study was conducted. The study population consisted of all patients who had undergone mechanical ventilation in the ICU without a prior history of pneumonia, totaling 118 respondents, using the HAIs bundle observation tool and direct observation. Chi-square and multiple logistic regression were used for statistical analysis, along with a predictive model. The results showed that the prevalence of VAP among respondents in the ICU was 5.9%. Factors significantly associated with the incidence of VAP included duration of ventilator use (p = 0.000), oral hygiene procedures (p = 0.000), head-of-bed elevation to 30–45° (p = 0.007), hand hygiene compliance (p = 0.015), and aseptic suctioning procedures (p = 0.043). The multivariate analysis identified duration of ventilator use ≥96 hours as the most dominant factor, with the highest Odds Ratio (OR = 13.975; 95% CI: 0.753–227.435). Duration of ventilator use was the most significant factor associated with an increased risk of VAP, with patients ventilated for ≥96 hours being 13 times more likely to develop VAP compared to those ventilated for <96 hours. Proper oral hygiene, appropriate head-of-bed elevation (30–45°), compliance with hand hygiene, and aseptic suctioning procedures were also found to be significantly associated with VAP incidence among ICU patients at Abdoel Wahab Sjahranie Hospital
Analysis of Risk Factors Influencing the Incidence of Diabetes Mellitus among Employees Rachmawati, Ira Puspa; Pakki, Irfansyah Baharuddin
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6697

Abstract

Diabetes Mellitus (DM) is a chronic metabolic disorder that remains a major public health concern globally. Its prevalence is influenced by various lifestyle and hereditary factors. This study aims to analyze the risk factors contributing to the incidence of DM among employees at Segiri Community Health Center. A retrospective case-control study was conducted using secondary data from health screenings and fitness assessments of Segiri Community Health Center employees in September 2023. From 50 staff members, 40 with complete records were included: 10 DM cases and 30 non-DM controls (1:3 ratio). Data included medical history, lifestyle behaviors, and anthropometric measurements. Analysis involved univariate and bivariate tests using cross-tabulation and Odds Ratio (OR). The most significant risk factor was abnormal Body Mass Index (BMI), as all DM cases had abnormal BMI values. Other influential factors included parental history of diabetes (OR = 18.0), personal history of hypertension (OR = 9.3), and parental history of hypertension (OR = 6.0). Additional contributing factors were low fruit and vegetable intake (OR = 4.0), excessive salt intake (OR = 1.63), and abnormal waist circumference (OR = 1.31). Smoking and alcohol consumption were not significantly associated with DM in this sample. Abnormal BMI and a family history of diabetes and hypertension significantly contribute to the incidence of DM. Targeted interventions focusing on these modifiable and non-modifiable risk factors are essential for effective workplace prevention strategies.
Analysis of the Relationship Between the Implementation of the Clinical Pathway for NSTEMI Disease and Service Variance Hapsari, Palupi Setyo; Adrianto, Ratno; Pakki, Irfansyah Baharuddin
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6773

Abstract

This research was conducted to address the increasing number of NSTEMI (Non-ST Elevation Myocardial Infarction) cases, which represent a significant portion of heart attack patients (85%) according to the 2023 Ischemic Myocardial Infarction National Audit. The challenge for healthcare providers is to ensure optimal care for these patients. Clinical Pathways are structured guidelines designed to improve service quality, but despite a relatively high compliance rate (82%) for filling out Clinical Pathways at Taman Husada Bontang Hospital, there has been no clear analysis of how Clinical Pathway implementation benefits patient outcomes. Therefore, the study aims to evaluate the relationship between the implementation of Clinical Pathway and the quality of care provided to NSTEMI patients. The study aims to analyze the relationship between the implementation of the Clinical Pathway for NSTEMI patients and the quality of service at Taman Husada Bontang Hospital. Quantitative research method with a cross-sectional case study approach. The sample technique used is non-probability sampling; the number of samples is 50 Clinical Pathway forms from NSTEMI patients treated at the hospital during the 2022-2023 period. The Chi Square test on the service variance variable has a significant relationship with the implementation of Clinical Pathway, with a p value of 0.000 < 0.05, incomplete documentation resulting in a lack of information about the service variance provided with an OR value of 1.5. The conclusion is that the implementation of Clinical Pathway is significantly related to the quality of services, especially the variance of actions given to patients. To improve service quality, improvements are needed in documentation and regular evaluation of the implementation of the Clinical Pathway.
Co-Authors Abdullah, Ahmad Fadhlil Azhim Adrianto, Ratno Afifah, Wiwin Vidiyastana Akhmad Azmiardi Al Ahmadi, Khumairotul Zahroh Andriani, Rima Andrianto, Ratno Anggreini, Putri Anita Sari Arfandi, Muh. Amri Arlina Azka Asari, Sendila Ernesy Asrianti, Tanti Astuti - Astuti, Ashri Budi Ayudhia Rachmawati Azmiardi, Akmad Bahtiar, Rahmat Bakhtiar, Rahmat Basri, Samsinar Budi, Eko Prasetya Cahyana, Yudi Jaya Dzikri, Akhmad Erlina Erlina Erwina, Brigita Win Fahmi, Muhammad Maulana Fahrul Rozi Fitriani, Dian Ayu Hapsari, Palupi Setyo Hariyani, Noor Herliani, Resda Hilda Hilda Husna Husna Ike Anggraeni Indriani, Dilla C Insany, Vicca Yulia Intan Kurnia, Intan Irirwanas, Intannia D Iriyani Kamaruddin, Iriyani Iriyani, Iriyani Ismail AB, Ismail Iwan Muhamad Ramdan Jami'an, Jami'an Jenissa, Abel Junaidin, Junaidin K., Iriyani Kasih, Ketut Pilih Kurniasih, Hefi Lestari, Ida Ayu Indira Dwika Listiani, Dwi Listiyani, Dwi Maharani, Siti Malikha Zalzabila Majiding, Chaidir Masyhuri Manik, Frisca Anggraeni Mochamad Makin, Mochamad Muh. Amri Arfandi Muhammad Noor Muhammad Nuzul Azhim Ash Siddiq Nabila Vebiana Soviadi Naim, Tanti Asrianti Nisaa, Nur Rezky Khairun Noor, Zulhijrian Noorhayaty, Noorhayaty Norsehan, Norsehan Nozomi, Alwan Zakki Nugraha, Purwa Nur Rohmah Nurlianti Nurlianti, Nurlianti Nursakti Nursakti Pasiakan, Meli Pasinggi, Miako Permani, Relung Adiniah Pradita, Adelia Putri Purnama, Tasha Citra Rachmawati, Ira Puspa Rahmadani, Aulia Tia Rahmadina, Andi Nur Nayla Rahmi Susanti Ramadhani, Irma Ramadhani, Reza W Ramdam, Iwan Muhammad Ramdan, Iwan M Ratih Wirapuspita Wisnuwardani Risdayanti, Rikha Nur Risva Risva Risva Riyanto, Rudy Agus S Siswanto Sabena, Mela Saefurrohim, Muhamad Zakki Safika, Erri Larene Saputri, Amelia Indah Saputri, Deby Indah Sari, Mila Warma Septiana, Lisa Setianingtyas, Endah Dwi Sigit, Ratih Fianni Silitonga, Hesty Erika Sinthary, Venna Siswanto siti nurlela Sitorus, Rame Sudarmiyati, Nunuk Suleman, Angellia Sumarianto, Arif Sungkono, Indari Yayuk Ummi Khuzaimah Utami, Dian Margi Vanessa Vanessa Verry Asfirizal Vionita, Wanda Dila Wahyudi Wahyudi Wahyuni, Leny Eka Tyas Wardani, Nunuk Kusuma Widiyaningsih, Heny Surya Wijayanti, Dwi Astuti Noor Wirawanti, Ika Wirya Yadi, Yadi Yuniasih, Arista Dian Zakki Saefurrohim, Muhamad