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Diarrhea Risk Factors of Toddlers in Jember District, 2022 Annisa Fitrah Aini; Yunus Ariyanto; Adistha Eka Noveyani
Preventia : The Indonesian Journal of Public Health Vol 10, No 1 (2025)
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um044v10i12025p50-57

Abstract

Diarrhea is a disease characterized by passing feces three or more times a day. The occurrence of diarrhea is also influenced by sociodemographic factors (nutritional status) and environmental factors (access to clean water, access to sanitary latrines, and living in flood-prone areas). The purpose of this research focuses on finding risk factors for diarrhea and mapping the risk factors of diarrhea. This study used an ecological study design, in which the population is all sub-districts in Jember. Secondary data were used in this research. The data were analyzed using statistical correlation analysis using SPSS and mapping using GIS software. The statistical analysis results between each risk factor and the incidence of diarrhea indicated that all the risk factors were correlated with diarrhea. Maps showed that each sub-district has different potential risk factors. Our recommendation is determining specific programs to be implemented in each area, considering potential risk factors.
DESCRIPTIVE EPIDEMIOLOGY OF DIPHTHERIA CASES IN JEMBER REGENCY, INDONESIA, 2023–2024: Epidemiologi Deskriptif Kasus Difteri di Kabupaten Jember Tahun 2023-2024 Khusnia, Esa Hidayatul; Noveyani, Adistha Eka; Ariyanto, Yunus
Jurnal Berkala Epidemiologi Vol. 14 No. 1 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I12026.25-33

Abstract

Background:  Diphtheria remains a significant public health concern in several regions of Indonesia, including Jember Regency, where periodic outbreaks persist. Purpose:  This study aimed to describe the distribution of diphtheria cases in Jember Regency from 2023 to 2024 based on person, place, and time. Methods:  A descriptive epidemiological study was conducted using secondary data from the Jember District Health Office, including all reported diphtheria cases from January 2023 to December 2024. The study population comprised all confirmed diphtheria cases during the study period, with data sources including case investigation forms, immunization records, and surveillance reports. Data were collected using a standardized extraction form and analyzed using descriptive statistics. Temporal trends were assessed through epidemic curves, while spatial distribution was mapped using Geographic Information System (GIS) software to visualize the relationship between immunization coverage and case occurrence. Results:  A total of 27 diphtheria cases, or approximately 1.04 cases per 100,000 population, were reported. Most cases occurred among children aged 14 years or older, and clusters of cases were observed in subdistricts with low immunization coverage. The epidemic curve revealed distinct peaks in 2023 during weeks 23–27 and 28–31, while in 2024, peaks occurred during weeks 1–5 and 23–27. While GIS mapping demonstrated a clear spatial distribution between under-immunized areas and increased diphtheria incidence. Conclusion:  Diphtheria cases were predominantly concentrated in areas with low immunization coverage, highlighting the need to strengthen immunization programs in vulnerable communities.
Diarrhea Risk Factors of Toddlers in Jember District, 2022 Aini, Annisa Fitrah; Ariyanto, Yunus; Noveyani, Adistha Eka
Preventia: The Indonesian Journal of Public Health Vol. 10, No. 1
Publisher : citeus

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

Abstract

Diarrhea is a disease characterized by passing feces three or more times a day. The occurrence of diarrhea is also influenced by sociodemographic factors (nutritional status) and environmental factors (access to clean water, access to sanitary latrines, and living in flood-prone areas). The purpose of this research focuses on finding risk factors for diarrhea and mapping the risk factors of diarrhea. This study used an ecological study design, in which the population is all sub-districts in Jember. Secondary data were used in this research. The data were analyzed using statistical correlation analysis using SPSS and mapping using GIS software. The statistical analysis results between each risk factor and the incidence of diarrhea indicated that all the risk factors were correlated with diarrhea. Maps showed that each sub-district has different potential risk factors. Our recommendation is determining specific programs to be implemented in each area, considering potential risk factors.
Faktor Risiko Kejadian Tuberkulosis Paru pada Lansia di RS Paru Jember Periode Januari 2024-April 2025 Sukirman, Imelda Ferliana; Ariyanto, Yunus
Jurnal Kesehatan Masyarakat Mulawarman (JKMM) Vol.8 No.1 (2026) : Jurnal Kesehatan Masyarakat Mulawarman (JKMM)
Publisher : Mulawarman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/jkmm.v8i1.24078

Abstract

Latar belakang: Penyakit menular seperti tuberkulosis (TB) paru masih menjadi tantangan utama di tingkat nasional maupun internasional akibat tingginya tingkat morbiditas dan mortalitas yang ditimbulkannya. Di Indonesia, angka kejadian TB paru pada kelompok lanjut usia (lansia) mencapai 25,5%. Kerentanan lansia terhadap penyakit ini dipicu oleh berbagai aspek, seperti jenis kelamin, pemenuhan nutrisi, kondisi finansial, riwayat paparan kuman, serta adanya penyakit penyerta. Di RS Paru Jember terdapat 587 lansia terdiagnosis tuberkulosis paru pada Januari 2024-April 2025. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi faktor risiko kejadian tuberkulosis paru pada lansia di RS Paru Jember. Metode: Studi ini menggunakan desain case control dengan sampel 66 lansia TB paru dan 66 lansia non TB paru yang diambil melalui random sampling pada case dan accidental sampling pada control. Data dikumpulkan dari data sekunder dan wawancara. Analisis menggunakan crosstab untuk menghitung OR. Hasil: Variabel jenis kelamin (OR 3,946; 95% CI 1,841-8,459), status gizi (OR 6,357; 95% CI 2,953-13,683), status ekonomi (OR 3,527; 95% CI 1,597-7,788), riwayat kontak (OR 21,350; 95% CI 7,542-60,438), penyakit komorbid (OR 2,258; 95% CI 1,117-4,565), jenis penyakit komorbid DM (OR 9,800; 95% CI 2,576-34,853) menjadi faktor risiko yang signifikan terhadap kejadian tuberkulosis paru lansia. Kesimpulan: Sejumlah kondisi seperti jenis kelamin, tingkat nutrisi, kondisi finansial, riwayat paparan penyakit, komorbiditas, khususnya diabetes melitus, merupakan determinan utama yang sangat memengaruhi risiko terjadinya tuberkulosis paru pada kelompok lansia.
Peran Kelompok Perawatan Diri (KPD) dalam Upaya Mencegah Peningkatan Kecacatan pada Penderita Kusta Puji Dwi Noratikasari; Yunus Ariyanto; Mury Ririanty
Jurnal Promosi Kesehatan Indonesia Volume 15, No. 1 Januari 2020
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.15.1.22-30

Abstract

Background: Leprosy sufferers who were not treated immediately deteriorate their disease and increase the risk of complications such as permanent defects in skin, hands, feet and eyes. Disability in leprosy patients can be prevented by early diagnosis and routine treatment of multi drug therapy (MDT). Regular MDT only kill leprosy germs but not permanent defects that should need more optimal efforts. The role of KPD was to help lepers in facing disabilities and also to empower them in improving socio-economic status. This study aims to describe the roles of KPD in leprosy patients in Jember District. Method: This is a descriptive study which conducted in two health centers in Jenggawah and Anggrek Sumberbaru. This study involved 27 leprosy patients which selected purposively (patient with permanent defects). Data was collected using partially structured questionnaire includes open ended question and observations. Data analysed using univariate, bivariate and categorizing open ended questionnaire.Results: The role of KPD in two health centers has been conducted mostly in helping leprosy patient to do defects’ self care. The KPDs also provided counseling and training to patient and family to take routine medication. The results also showed that the limited facilities including budget for doing self care by leprosy patients was the barriers to comply take complete medication. In terms of empowering the lepers, KPDs have done minimally because of limited resources. This study recommended that to improve the socio-economic patient needs to cooperate with other sectors including private parties in order to obtain more funding.