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All Journal Indonesian Journal of Cancer The Indonesian Journal of Public Health Paediatrica Indonesiana JPKMI (Jurnal Publikasi Kesehatan Masyarakat Indonesia) Belitung Nursing Journal Media Medika Muda Jurnal Epidemiologi Kesehatan Komunitas Jurnal Epidemiologi Kesehatan Indonesia Jurnal Dunia Kesmas Jurnal Respirologi Indonesia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia PREPOTIF : Jurnal Kesehatan Masyarakat Indonesian Journal of Anesthesiology and Reanimation (IJAR) Indonesian Journal of Global Health research Indonesian Journal of Cancer Makara Journal of Health Research Berita Kedokteran Masyarakat Proceeding Muhammadiyah International Public Health and Medicine Conference Tarumanagara Medical Journal Pro Health Jurnal Ilmiah Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Asri C. Adisasmita
Departemen Epidemiologi FKM UI
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health

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Faktor–Faktor yang Mempengaruhi Gangguan Perkembangan Motorik Kasar Virmandiani, Virmandiani; Adisasmita, Asri C.
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 1: Februari 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.v10i1.11954

Abstract

Background: Gross motor skills are very important for functional independence and others developmental milestone. Delays in this domain are more pronounced than in other domains in early age, for healthy developmental trajectories, so very early detection is imperative for every parent with a newborn. This study identify risk factors that affect gross motor development in children aged 1 to 3 years.Methods: This retrospective cohort study involved 139 subjects, rehabilitation outpatient clinic. Gross motor delay was assessed using CDC (Milestone Developmental) and Gross Motor Function Classification System (GMFCS) for patient with Cerebral Palsy. Potential risk factors included: prematurity status, asphyxia, epilepsy,  and parent's education.Results: 63 (45.32%) children had delays in gross motor skills, with a mean age of 27±7 months. Cox regression showed asphyxia RR=1.72; [95% CI, 1.49-1.99]; p=0.018. Epilepsy RR=1.50; [95% CI, 1.18-1.92]; p=0.004 was a factor associated with a higher risk ratio in children with gross motor delay. Prematurity was not statistically significant, which may be due to the very small number of subjects with prematurity (less than 5%). Younger children were more at risk of developing symptoms of delayed motor development. Parental education was not associated with the risk of delay.Conclusion: This study demonstrated children with asphyxia or epilepsy have higher risk of being gross motor delay. Therefore, early screening is very important in this population at risk, in order to identify potential delays so that these patients receive appropriate intervention immediately.
Keputusan untuk Melahirkan dengan Tenaga Kesehatan Terlatih pada Persalinan di Rumah (Analisis Data Survei Demografi dan Kesehatan Indonesia 2017) Choirunisa, Septyana; Adisasmita, Asri
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 1: Februari 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.v10i1.11922

Abstract

Background: IDHS 2017 reported that there are 20.5% of births occur at home. Among births at home, the presence of a skilled health provider as a birth attendant is critical to ensure safe birth care, especially for mothers who could not access health facilities. However, the presence of skilled birth attendants has not been accessible during home births.Methods: This study used a cross-sectional study design using the 2017 IDHS data. The sample of this study was all women of childbearing age who gave birth at home in 2012-2017. The variables analyzed included maternal education, ownership index, region, place of residence, insurance, pregnancy complications, delivery complications, ANC visits, parity, maternal age at delivery, and delivery assistants. Predictive model analysis was performed using Cox regression.Results: 59.5% of home deliveries were attended by skilled birth attendants, while 40.5% were attended by traditional birth attendants/relatives.  Higher wealth index/socioeconomic status (PR=1.35; 95% CI 1.23-1.48), >4 ANC visits (PR=1.28; 95% 1.18-1.40), and higher education (PR=1.21; 95% CI 1.10-1.32) were the most dominant characteristics affecting the odds of delivery by a skilled birth attendant. Conclusion: Increasing coverage of skilled birth attendants can be pursued by increasing the coverage of recommended ANC visits (>4 times), improving socio-economic status, and increasing maternal education levels.
The role of changes in metabolic syndrome status on health-related quality of life in Bogor City, West Java, Indonesia: A cross-sectional study Indriyati, Titi; Adisasmita, Asri C.; Nadjib, Mardiati; Subekti, Imam; Hatma, Ratna Djuwita; Kosen, Soewarta; Riyadina, Woro; Purnamasari, Telly
Belitung Nursing Journal Vol. 11 No. 2 (2025): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3543

Abstract

Background: Metabolic syndrome (MetS) is a cluster of chronic conditions, including central obesity, hypertension, impaired glucose metabolism, and dyslipidemia (low HDL, high LDL, and triglycerides). A diagnosis of MetS is made when three or more of these symptoms are present. If left unmanaged, MetS can lead to serious health complications such as cardiovascular disease and type 2 diabetes. Over time, individuals with MetS may experience a decline in their health-related quality of life (HRQoL), especially due to its chronic nature. Objective: This study aimed to evaluate the effects of changes in MetS status on HRQoL. Methods: This study employed a cross-sectional design. Secondary data from the cohort study of Non-Communicable Disease (NCD) risk factors, conducted by the Health Research and Development Agency of the Ministry of Health of the Republic of Indonesia in Bogor City, was used. Data from four follow-up periods (2011/2012 to 2017/2018) were analyzed. A total of 874 respondents were selected via total sampling based on inclusion and exclusion criteria. Data were collected in 2021, which included measures of knowledge, health check-ups, and HRQoL using the SF-36 questionnaire. Statistical analyses, including chi-square tests, t-tests, and multiple regression analyses, were conducted to examine the associations between MetS status and HRQoL. Results: Descriptive analysis revealed that 19% (171 participants) had worsened MetS status, while 80.4% (703 participants) showed improvement. Chi-Square analysis found that respondents with worsening MetS status were 1.6 times more likely to experience poor HRQoL in the physical dimension (95% CI = 1.1-2.3), but no significant effect was found for the mental dimension (PR = 1.1, 95% CI = 0.8-1.6). Multiple logistic regression analysis revealed that comorbidities interacted with worsening MetS status to significantly affect HRQoL in the physical dimension. The adjusted prevalence ratios (PR) were 27.5 (95% CI = 10.3-73.2) for those with comorbidities and 9.2 (95% CI = 5.7-15.0) for those without comorbidities, after controlling for age, mental health, BMI changes, routine health checks, and knowledge. Conclusion: Changes in MetS status towards worsening have a significant negative effect on HRQoL, particularly in the physical dimension. The presence of comorbidities in individuals with worsening MetS status greatly increases the risk of poor HRQoL. Healthcare professionals and nurses should consider the interaction between MetS and comorbidities in patient management. Nurses are encouraged to monitor HRQoL in patients with MetS, promote education on managing comorbidities, and collaborate across disciplines to enhance patient care and intervention programs aimed at improving HRQoL.
HUBUNGAN KOMPLIKASI KEHAMILAN DENGAN KEJADIAN BBLR DI JAWA TIMUR : ANALISA DATA SKI 2023 Prasetyo, Rachma Wenidayanti; Adisasmita, Asri C.
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 1 (2025): APRIL 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i1.44509

Abstract

BBLR menjadi prediktor utama angka kematian neonatal, terutama dalam bulan pertama kehidupan, karena bayi yang lahir dengan berat badan rendah cenderung lebih rentan terhadap penyakit dan komplikasi kesehatan di kemudian hari. Menurut data dari World Health Organization (WHO), diperkirakan sekitar 15 hingga 20% dari total kelahiran di seluruh dunia mengalami BBLR, yang berarti lebih dari 20 juta bayi mengalami kondisi ini setiap tahun. Berdasarkan data Profil Kesehatan Jawa Timur tahun 2022, prevalensi BBLR di Jawa Timur sebesar 4.7%. Salah satu faktor risiko utama BBLR adalah komplikasi kehamilan, seperti anemia, hipertensi, preeklamsia, dan kondisi medis lainnya. Ibu dengan komplikasi kehamilan memiliki risiko lebih tinggi untuk melahirkan bayi dengan BBLR. Penelitian ini bertujuan untuk mengetahui hubungan antara komplikasi kehamilan dengan kejadian BBLR di Provinsi Jawa Timur menggunakan data Survei Kesehatan Indonesia (SKI) 2023. Desain penelitian yang digunakan dalam penelitian ini adalah cross-sectional. Sampel minimal dalam penelitian ini adalah sebanyak 1136 responden. Metode sampling dalam penelitian ini menggunakan total sampling sehingga seluruh sampel yang terdapat pada data set dapat digunakan. Analisis chi square dilakukan untuk mengetahui hubungan antara komplikasi kehamilan dengan kejadian BBLR serta variabel kovariat antara lain tempat tinggal, pendidikan ibu, status pekerjaan, status imunisasi TT, keikutsertaan kelas hamil, dukungan suami dan usia gestasi. Analisis multivariat dalam penelitian ini menggunakan regresi logistik ganda. Terdapat hubungan antara komplikasi kehamilan dengan kejadian BBLR dengan nilai RR 1,69 (95% CI 1,32-2,15) yang berarti ibu yang mengalami komplikasi saat kehamilan memiliki risiko 1,69 kali lebih tinggi melahirkan bayi BBLR dibandingkan dengan ibu yang tidak mengalami komplikasi saat kehamilan. Komplikasi kehamilan berhubungan dengan kejadian BBLR. Berdas
The effect of the BLUI blanket on the reduction of bilirubin levels in neonatal jaundice: a preliminary clinical study Fadilah, Tubagus Ferdi; Adisasmita, Asri C.; Ascobat, Purwantyastuti; Siswanto, Johanes Edy; Koestoer, Raldi Artono; Susianti, Yanti; Irwan, Hermansyah; Gunarsih, Arum; Heryana, Ade
Paediatrica Indonesiana Vol. 65 No. 3 (2025): May 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.3.2025.245-52

Abstract

Background Neonatal jaundice is a prevalent condition in newborns, characterized by elevated bilirubin levels. Conventional phototherapy treatments for neonatal jaundice typically require hospital admission, separation from mothers, and may interfere with breastfeeding and bonding. The Blue Light Universitas Indonesia (BLUI) LED phototherapy blanket was developed to address these limitations by providing a portable, home-based alternative that maintains mother-infant contact while delivering effective therapy. Objective To evaluate the efficacy of the Blue Light Universitas Indonesia (BLUI) LED phototherapy blanket in reducing bilirubin levels in infants with physiological jaundice. Methods A preliminary study was conducted from December 2022 to February 2023, involved 14 infants with physiological jaundice at Hermina Hospital Ciputat, Sariasih Hospital Ciputat, and the General Hospital of South Tangerang. The inclusion criteria were infants with physiological jaundice, gestational age ≥35 weeks, and birth weight ≥2,000 grams. The dependent variable was the reduction in total serum bilirubin levels, assessed by spectrophotometry. Paired sample T-test was used to compare bilirubin levels before and 24 hours after intervention with the BLUI Blanket. Results The study included 14 infants, with a mean age of 6.86 days and mean gestational age of 37.71 weeks. The BLUI Blanket demonstrated a mean bilirubin reduction of 3.11 mg/dL after 24 hours of continuous treatment, with a 19.02% decrease. The intervention was well-tolerated, with minimal adverse effects, such as maculopapular skin rash occurring in only one infant. Conclusion The BLUI Blanket is an effective and safe phototherapy device for reducing bilirubin levels in infants with physiological jaundice. This preliminary study supports further research to confirm these findings in larger populations.
Predicting Unfavorable Treatment Outcomes in Multi-Drug Resistance Tuberculosis Patients: A Retrospective Study in Jakarta, Indonesia Hadayna, Saila; Adisasmita, Asri C.; Murtiani, Farida
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.v7i5.6664

Abstract

Treatment of multidrug-resistant tuberculosis (MDR-TB) with a short-term regimen offers promise in terms of higher effectiveness and reduced therapy duration. However, treatment failure remains a major challenge in its implementation. This study aimed to identify predictive factors associated with unfavorable treatment outcome (UTO) among MDR-TB patients receiving the short-term regimen in DKI Jakarta Province from 2020 to 2022. Methods: A retrospective cohort study, using data from the National TB Information System (SITB). We retrieved all MDR-TB patients who started short-term treatment regimens at referral hospitals in DKI Jakarta Province in the period January 2020 to December 2022, totaling 166 patients. Each patient was followed for up to 11 months from the initiation of treatment, with final treatment outcomes collected through November 2023. Survival analysis using Cox proportional hazards regression was employed to assess the association between patient characteristics and time to UTO. Results: A total of 43.4% of patients is UTO. The cumulative probability of remaining free from UTO was 38% after day 400. Multivariate regression analysis showed that HIV-positive status (aHR = 2.98; 95% CI: 1.77–4.99) and comorbid diabetes mellitus (aHR = 1.92; 95% CI: 1.19–3.11) were significantly associated with an increased risk of UTO. Conclusion: UTO among MDR-TB patients on the short-term regimen remains high. HIV status and diabetes comorbidity are critical factors influencing treatment outcomes and should be prioritized in clinical management strategies for MDR-TB.
Obstetric Determinants of Postpartum Complications among Mothers in Indonesia: Evidence from the 2023 Indonesian Health Survey Safitri, Meirica Rosaline; Adisasmita, Asri C.
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.v7i5.6707

Abstract

Postpartum complications remain a significant contributor to maternal morbidity and mortality in Indonesia, yet national data on their determinants remain limited. Understanding the role of obstetric factors in postpartum outcomes is essential for informing maternal health strategies, particularly in low- and middle-income settings where delays in risk detection and care are common. This study aims to analyze the association between obstetric factors and the occurrence of postpartum complications using data from the 2023 Indonesian Health Survey (SKI). This cross-sectional analysis utilized secondary data from the 2023 Indonesian Health Survey (SKI), involving women aged 15–54 years who delivered in the last five years. The dependent variable was postpartum complications, while independent variables included parity, place of delivery, mode of delivery, type of birth attendant, and pregnancy-related conditions. Descriptive statistics, Chi-Square tests, and multivariate logistic regression were used in the analysis. The results showed that primiparous women, those who delivered via cesarean section, gave birth in hospitals, were attended by doctors, and experienced complications during pregnancy were significantly more likely to report postpartum complications. These findings underscore the need for improved antenatal risk screening, enhanced referral systems, and targeted maternal health interventions to prevent adverse outcomes in the postpartum period in Indonesia.
Characteristic and Survival Analysis of Infants with Critical Congenital Heart Disease Talib, Suprohaita Rusdi; Siswanto, Johanes Edy; Djer, Mulyadi M; Safanta, Nurzalia; Nurhakiki, Syifa; Taufiqurahman, Khobir Abdul Karim; Adisasmita, Asri
Kesmas Vol. 20, No. 1
Publisher : UI Scholars Hub

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Abstract

Congenital heart disease (CHD) is a major health concern worldwide. This study focused on survival analysis and the factors influencing survival in infants with critical congenital heart disease (CCHD). A total of 79 infants diagnosed with CCHD were identified, with 48.1% (n=38) exhibiting duct-dependent pulmonary circulation, 35.6% (n=28) exhibiting duct-dependent systemic circulation, 6.3% (n=5) exhibiting critical non-duct-dependent, and 10.2% (n=8) exhibiting parallel circulation issues. Of the infants studied, 55.7% (n=44) were male, 78.5% (n=62) had a gestational age of ≥37 weeks, 62% (n=49) had a birth weight of ≥2,500 grams, 59.5% (n=47) exhibited normal fetal growth, 93.7% (n=74) experienced no asphyxia, 91.1% (n=72) had no other congenital disabilities, 87.3% (n=69) had no history of fetal distress, 58.2% (n=46) maintained normal oxygen saturation, and 88.6% (n=70) had an extended stay in the neonatal intensive care unit. The survival analysis indicated that the prognosis of newborns with CCHD was markedly affected by gestational age, birth weight, desaturation, respiratory distress, and hereditary abnormalities. Additional study is required to assess the risk factors influencing the survival of newborns with CCHD.
Machine Learning for Preeclampsia Prediction: Enhancing Screening in Primary Health Care Amelia, Dwirani; Adisasmita, Asri; Siregar, Kemal N; Nurdiati, Detty Siti
Kesmas Vol. 20, No. 2
Publisher : UI Scholars Hub

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Abstract

Preeclampsia is a leading cause of maternal morbidity and mortality worldwide, with early detection being critical for reducing adverse outcomes. This study aimed to develop a machine learning model for predicting the risk of preeclampsia using readily available maternal characteristics such as body mass index, mean arterial pressure, and clinical history of hypertension or diabetes mellitus. Secondary data from 2,250 pregnancies were analyzed, addressing challenges such as missing data and class imbalance through preprocessing. Various algorithms, including support vector machines, random forest, and logistic regression, were evaluated. Herein, a support vector machines model with threshold adjustment showed the best performance, with a sensitivity of 67.5%, specificity of 57.23%, and an area under the curve of 0.68. These findings indicated the promising potential of scalable and interpretable prediction models for enhancing preeclampsia screening in primary health care settings. However, further refinement and validation of the proposed model are required for broader clinical integration to improve maternal and neonatal health outcomes.
Pendapatan Daerah, Pembiayaan Kesehatan, dan Gizi Buruk pada Balita: Studi Korelasi Tingkat Kabupaten/Kota Choirunisa, Septyana; Adisasmita, Asri C.
Kesmas Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

Pendanaan kesehatan merupakan salah satu faktor penting dalam memengaruhi derajat kesehatan, termasuk salah satu masalah gizi pada balita yang disebut gizi buruk. Oleh karena itu, penelitian ini bertujuan mendeskripsikan pendapatan daerah dan pembiayaan kesehatan serta korelasinya dengan gizi buruk pada balita di tingkat kabupaten/kota di Indonesia tahun 2007. Penelitian ini merupakan studi ekologi/korelasi. Data pendapatan daerah dan pembiayaan kesehatan didapat dari Kementerian Keuangan, sedangkan data gizi buruk menggunakan data Riset Kesehatan Nasional tahun 2007. Sebanyak 250 kabupaten/kota yang diteliti dengan tidak mengikutsertakan kabupaten/kota yang datanya tidak lengkap atau tidak valid. Secara nasional, hanya persentase pendapatan asli daerah (PAD) per total pendapatan yang berkorelasi dengan gizi buruk, meskipun korelasinya lemah (r = 0,22). Berdasarkan kawasan di Indonesia, Kawasan Indonesia Barat dan Kawasan Indonesia Timur menunjukkan persentase PAD per total pendapatan berkorelasi lemah dengan gizi buruk (r = 0,20 dan r = 0,53). Terlihat kecenderungan bahwa semakin tinggi persentase pendapatan daerah dan pembiayaan kesehatan, semakin rendah persentase gizi buruknya. Korelasi antara pendapatan daerah, pembiayaan kesehatan dan masalah status gizi tidak dapat diabaikan. Data yang lebih lengkap dan valid diperlukan untuk dikembangkan penelitian selanjutnya. Health financing is one of the factors which contribute important role in influencing health status, including nutritional problem among children under five, called severely wasted. Therefore, the aim of this study was to describe districts income and health financing and examine it correlations with the prevalence of severely wasted among children under 5 years at regencies/ municipalities level in Indonesia in 2007. This research was an ecological study. Data on revenue and health financing were obtained from Ministry of Finance, and severely wasted data were obtained from the Indonesian Basic Health Research (Riskesdas) 2007. There are 250 regencies/municipalities were being objects of this research, while the others were excluded due to incomplete/missing or invalid data. Result shows nationally, only the percentage of local revenue by total district income had correlation with severely wasted, although it is weak (r = 0,22). By regions, in the Western Region Indonesia and the Eastern Region Indonesia, those variable had weak correlation with severely wasted (r = 0,20 and r = 0,53). The graphics trend shows higher percentage of local revenue and health financing, related to lower number of the prevalence of severely wasted. The correlation between district income and health financing for poor nutritional status cannot be ruled out. More valid and complete data on district income and health financing is needed for further research.
Co-Authors Abioso Wicaksono Adelina Fitri Adisasmito, Wiku Bakti Bawono Amelia, Dwirani Ana Maina Rezky Arwinda Nugraheni Ascobat, Purwantyastuti Bambang Dwipoyono, Bambang Chandrayani Simanjorang Clement Drew DENNI JOKO PURWANTO, DENNI JOKO Desinta Ayu Lestari Detty Siti Nurdiati EDI TEHUTERU, EDI Erlina Burhan Evlina Suzanna Fadiah Zahrina Fidya Rumiati Gayatri, Maria Grace Shalmont Gunarsih, Arum Hadayna, Saila Harijanto, Eddy Hatma, Ratna Djuwita Herlina Rahmah Heryana, Ade Imam Subekti Indriyati, Titi Irwan, Hermansyah JAUHARI OKA REUWPASSA, JAUHARI OKA Johanes Edy Siswanto, Johanes Edy Kemal N. Siregar Lhuri Dwianti Rahmartani Lila Kesuma Hairani Lubis, Pika Novriani Marthino Robinson MARYANI, DINI Maulidiah Ihsan Miranda Rachellina Muhammad Agus Muljanto Muhammad Hidayat Sahid Mulyadi M Djer, Mulyadi M Murtiani, Farida Nadhila Beladina Nadjib, Mardiati Nasdaldy -, Nasdaldy Nurhakiki, Syifa Nurjannah Nurjannah Pradnya Sri Rahayu Prasetyo, Rachma Wenidayanti Prita Rosdiana RA. Koestoer Ratna Djuwita Renti Mahkota Retno Asti Werdhani Rizky Ramadantie Safanta, Nurzalia Safitri, Meirica Rosaline Septyana Choirunisa Septyana Choirunisa Shalzaviera Azniatinesa Shela Rachmayanti Sidharta Kusuma Manggala Siti Sopiatun Sjahrul Sjamsuddin, Sjahrul Soemanadi -, Soemanadi Soewarta Kosen Sofi Mardiah Sudarto Ronoatmodjo Sugiarto, Adhrie Susianti, Yanti Talib, Suprohaita Rusdi Taufiqurahman, Khobir Abdul Karim Telly Purnamasari Tika Dwi Tama Tubagus Ferdi Fadilah, Tubagus Ferdi Virmandiani, Virmandiani Woro Riyadina Yoga Yunadi Zhara Juliane