Dicky Andiarsa
Balai Litbang P2B2 Tanah Bumbu, Kementerian Kesehatan RI. Jln. Loka Litbang Kawasan Perkantoran Pemda Tanah Bumbu, Gunung Tinggi Batulicin, Kabupaten Tanah Bumbu, Kalimantan Selatan.

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Spatial autocorrelation of dengue in relation to population density in Balangan District, Indonesia: an ecological study Ridha, Muhammad Rasyid; Yudhastuti, Ririh; Ambar Garjito, Triwibowo; Norjanah, Norjanah; Juhairiyah, Juhairiyah; Andiarsa, Dicky; Norleyandi, Untung
International Journal of Public Health Science (IJPHS) Vol 13, No 3: September 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i3.24073

Abstract

Dengue in Balangan Regency has the 2nd highest incidence rate (IR) in South Kalimantan at 126.64 per 100,000 population. This study aimed to determine the distribution pattern and conduct spatial analysis of dengue with population density in Balangan Regency. This quantitative research requires secondary data of dengue cases and Population Density in time series 2017-2021 with spatial analysis methods. The results showed that high dengue cases were in areas that had high density. Based on spatial analysis, dengue cases have a positive spatial relationship in 2017-2019 and a negative spatial relationship in 2020-2021 where dengue cases have a non-clustered distribution pattern (spread). Paringin City, East Paringin, Bungin, Maradap, Panggung, and Awayan villages are categorized as high-highly vulnerable to dengue. The findings of this study indicate that there is an influence of population density on the incidence of dengue. Monitoring of areas with high population density using spatial analysis is necessary for early detection of areas with high potential for dengue incidence.
Intervensi Edukatif Berbasis Komunitas untuk Pencegahan Stroke pada Lansia: Studi di Kabupaten Banjar Ridha, Muhammad Rasyid; Ali, Indra Haryanto; Andiarsa, Dicky; Rosadi, Dian; Fadillah, Noor Ahda; Fakhriadi, Rudi; Musafaah, Musafaah; Tazkiah, Misna
Jurnal Medika: Medika Vol. 4 No. 4 (2025)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/2ytz6s54

Abstract

Stroke merupakan penyebab utama kematian dan disabilitas di Indonesia. Lansia di panti sosial merupakan populasi yang sangat rentan akibat prevalensi hipertensi yang tinggi dan keterbatasan pengetahuan tentang pencegahan stroke. Pengabdian Masyarakat ini bertujuan untuk mengevaluasi efektivitas sebuah intervensi edukatif berbasis komunitas dalam meningkatkan pengetahuan tentang pencegahan stroke pada lansia. Sebuah studi pra-pasca (one-group pre-test post-test design) dilakukan terhadap 17 lansia di Panti Sosial Tresna Werdha Budi Sejahtera II, Kabupaten Banjar. Intervensi berupa penyuluhan kesehatan tunggal tentang epidemiologi, faktor risiko, gejala, dan pencegahan stroke. Pengetahuan diukur menggunakan kuesioner sebelum (pre-test) dan sesudah (post-test) intervensi. Tekanan darah juga diukur untuk melihat profil risiko. Data dianalisis secara deskriptif dan menggunakan uji paired t-test. Terjadi peningkatan yang signifikan secara statistik dalam skor pengetahuan peserta (nilai rata-rata pre-test: 60; post-test: 80; p < 0.001). Namun, pengukuran tekanan darah mengungkapkan bahwa 68% peserta mengalami kondisi prehipertensi hingga hipertensi stage 3. Intervensi edukatif berbasis komunitas efektif dalam meningkatkan pengetahuan lansia tentang pencegahan stroke. Namun, tingginya prevalensi hipertensi yang tidak terkelola menunjukkan bahwa edukasi saja tidak cukup. Diperlukan pendekatan yang komprehensif dan berkelanjutan, yang mengintegrasikan promosi kesehatan dengan pemantauan klinis faktor risiko secara rutin untuk dampak yang lebih nyata.
Malaria Prevention Strategies in Kalimantan, Indonesia: A Secondary Analysis of 2018 Basic Health Research Data Ridha, Muhammad Rasyid; Andiarsa, Dicky; Noor, Ihya Hazairin; Wiliyani, Erni; Ramadhani, Tri; Yudhastuti, Ririh
Nurse Media Journal of Nursing Vol 14, No 2 (2024): (August 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i2.56285

Abstract

Background:  Kalimantan remains malaria-endemic, particularly in rural areas, where prevention efforts face challenges such as insecticide resistance and limited healthcare access. Despite available measures like insecticide-treated nets, gaps in understanding individual and household prevention practices persist, especially in relation to demographics and effectiveness in reducing malaria transmission.Purpose: This study aimed to examine the individual and household-level malaria prevention strategies utilized in rural Kalimantan and evaluate their effectiveness in reducing malaria incidence.Methods: The study was a secondary analysis of the 2018 Indonesian basic health research (Riskesdas). A total of 67,155 respondents in Kalimantan were analyzed including respondent characteristics, memories of malaria infection, and individual and household malaria prevention efforts. The data were collected through the result of the 2018 Riskesdas survey. Bivariate regression and multivariable logistic regression were used in data analysis.Results:  Self-reported malaria rates were higher among older respondents compared to younger ones. Women reported lower malaria rates than men, especially in South Kalimantan. In West Kalimantan, the use of bed nets was associated with higher self-reported malaria rates (OR=1.838, 95%CI 1.147–2.943). Short-term use of insecticide-treated nets (ITNs) showed varying odds across provinces: Central Kalimantan (OR=3.659, 95%CI 1.378–9.717), South Kalimantan (OR=10.811, 95%CI 3.649–32.030), East Kalimantan (OR=2.615, 95%CI 1.041–6.567), and West Kalimantan (OR=2.428, 95%CI 1.446–4.078). In all provinces, preventive measures such as coils or electric mats reduced self-reported malaria cases. The use of mosquito screens was effective in South Kalimantan (OR=0.208, 95%CI 0.027–1.598), Central Kalimantan (OR=0.365, 95%CI 0.120–2.181), and North Kalimantan (OR=0.000, 95%CI 0.000–0.000). The multivariate model highlighted mosquito nets as the most effective household-scale prevention in nearly all Kalimantan provinces except North Kalimantan.Conclusion:  This study showed that individuals aged 25 and over, women, non-farmers, and those using ITNs and other preventive measures, especially in rural areas, were less likely to report malaria, emphasizing the need for targeted interventions from local health authorities.
DIVERSITY AND DENSITY OF VECTOR FOR LYMPHATIC FILARIASIS IN BUTON DISTRICT, SOUTH EAST SULAWESI PROVINCE, INDONESIA Wigati, RA; Andiarsa, Dicky; Setyaningtyas, Dian Eka
Berita Biologi Vol 24 No 3 (2025): Berita Biologi
Publisher : BRIN Publishing (Penerbit BRIN)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55981/berita_biologi.2025.3105

Abstract

A study was conducted in Buton District, Southeast Sulawesi, to ascertain the diversity and density of mosquito species and to determine the potential for transmission, prevention, and control of filariasis. The findings of this study serve as a baseline for the assessment and monitoring of the risk of filariasis disease, which may contribute to the prevention of future transmission. The collection methods employed involved the use of landing collection techniques, with several modifications to standard procedures. The identification of mosquitoes was conducted using a dissecting microscope and a mosquito identification key book. The collection yielded a total of 1,100 mosquitoes, classified into seven genera: Aedes, Anopheles, Armigeres, Coquilettidia, Culex, Mansonia, and Uranotaenia. The composition of the collection included 1,035 Culex, 27 Armigeres, 22 Anopheles, 11 Aedes, 2 Mansonia, 2 Uranotaenia, and 1 Coquilettidia. These numbers represented 94.09%, 2.45%, 2.00%, 1.00%, 0.18%, 0.18%, and 0.09%, respectively. The 23 distinct species of mosquito identified based on their morphological characteristics included nine species of Culex, six species of Anopheles, three species of Aedes, two species of Armigeres, and one species belonging to Coquilettidia, Mansonia, and Uranotaenia. Of particular note are the two species, Cx. quinquefasciatus and Cx. vishnui, which exhibited a high density. These species were found to be dominant in both outdoor and indoor human dwellings. Notably, Cx. quinquefasciatus and Cx. vishnui have been identified as potential risk factors for filariasis transmission, highlighting the need for continued surveillance and monitoring in filariasis-endemic regions.
Peran Agen Perubahan sebagai Strategi Pemberdayaan Masyarakat dalam Upaya Pengendalian Penyakit Tidak Menular akibat Perilaku Merokok Andiarsa, Dicky; Rachmawati, Tety; Wurisastuti, Tri; Tumaji, Tumaji; Sitorus, Nikson; Yulianti, Anni; Ridha, Muhammad Rasyid
Jurnal Pengabdian Masyarakat Panacea Vol 3, No 4 (2025): Jurnal Pengabdian Masyarakat Panacea
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jpmp.v3i4.16799

Abstract

Penyakit tidak menular seperti hipertensi, diabetes, dan penyakit jantung semakin meningkat di Indonesia. Salah satu faktor risiko utama adalah tingginya prevalensi merokok. Upaya pengendalian rokok tidak cukup hanya melalui regulasi, melainkan membutuhkan keterlibatan aktif masyarakat. Agen perubahan dipandang memiliki peran penting sebagai penggerak di komunitas. Artikel ini bertujuan menjelaskan peran agen perubahan sebagai strategi pemberdayaan masyarakat dalam pencegahan perilaku merokok dan pengendalian Penyakit tidak menular. Kegiatan dilaksanakan pada Mei 2024 di wilayah kerja Puskesmas Cibinong, Kabupaten Bogor. Sebanyak 20 agen perubahan dipilih dari tokoh masyarakat, kader kesehatan, pemuda, dan perwakilan organisasi lokal. Intervensi dilakukan melalui edukasi tematik, diskusi kelompok, refleksi lapangan, serta penyusunan komitmen bersama. Evaluasi hasil dilakukan dengan membandingkan kondisi pengetahuan dan sikap sebelum dan sesudah kegiatan serta analisis naratif terhadap refleksi peserta. Kegiatan menunjukkan peningkatan pengetahuan pada berbagai aspek, termasuk dampak merokok pada ibu hamil, remaja, penyakit menular, dan beban ekonomi keluarga. Sikap peserta juga berubah positif, ditandai dengan meningkatnya kesediaan menjadi teladan, memberikan edukasi, dan mendukung penerapan Kawasan Tanpa Rokok (KTR). Refleksi lapangan memperlihatkan bahwa hambatan perubahan perilaku merokok bukan kurangnya informasi, tetapi pengaruh lingkungan dan kebiasaan sosial. Agen perubahan terbukti berperan sebagai strategi pemberdayaan masyarakat. Melalui pendekatan ini, terbentuk kesadaran, komitmen kolektif, serta potensi dukungan terhadap kebijakan pengendaliannya. Kata Kunci: Agen Perubahan, Pemberdayaan Masyarakat, Merokok, PTM Non-communicable diseases (NCDs) such as hypertension, diabetes, and cardiovascular diseases continue to rise in Indonesia, with smoking identified as a major risk factor. Tobacco control requires not only regulations but also active community engagement. This study highlights the role of change agents as a strategy for community empowerment in smoking prevention and NCD control. The program was implemented in May 2024 in the working area of Cibinong Health Center, Bogor District, involving 20 selected change agents consisting of community leaders, health cadres, youth, and representatives of local organizations. Interventions included thematic education, group discussions, field reflections, and the development of collective commitments. Evaluation was based on pre- and post-activity comparisons of knowledge and attitudes, complemented by narrative analysis of participant reflections. Results showed improved understanding on the health and social impacts of smoking, including its effects on pregnant women, adolescents, communicable diseases, and household economic burdens. Positive changes in attitudes were also observed, such as greater willingness to act as role models, deliver education, and support smoke-free area initiatives. Field reflections revealed that environmental influences and social norms, rather than lack of information, were the main barriers to behavior change. Overall, change agents proved effective in fostering awareness, collective commitment, and support for tobacco control policies.