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Spatial mapping and correlation between healthy home coverage and tuberculosis incidence in Malang district Fatma Lidya Zulfa; Hartati Eko Wardani; Tika Dwi Tama; Anindya Hapsari; Rara Warih Gayatri; Erni Astutik
Public Health and Occupational Safety Journal Vol. 1 No. 1 (2025): Public Health and Occupational Safety Journal (PHOSJ)
Publisher : CV Rezki Media

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56003/phosj.v1i1.532

Abstract

Background: According to the Ministry of Health, 91% of active tuberculosis (TB) cases in Indonesia occur in crowded and slum areas. The Healthy Homes Program under the Healthy Indonesia Indicators (2010) aims to improve housing conditions in such areas to meet health standards. Malang District, with the second-highest housing density in East Java, ranks fifth in TB cases, suggesting residential exposure as a contributing factor. Objectives: This study aims to map trends and examine the correlation between healthy home coverage and TB incidence in the Malang District Health Center Working Area 2019-2021. Methods: The study was conducted in January-April 2023 at the Malang District Health Office with a unit of analysis of 39 health centers. The variables of this study were the coverage of healthy homes and the incidence of BTA-positive pulmonary TB. The study used a mixed ecological study and Pearson correlation test with secondary data from the Malang District Health Office and BPS. Results: TB incidence showed a decreasing trend alongside increasing healthy home coverage. Nine health centers remained in high-incidence zones, and five exhibited poor housing coverage. Correlation analysis revealed a weak, negative relationship (r = -0.084). High TB incidence was still found in areas meeting healthy home criteria. Conclusions: The incidence rate of BTA-positive pulmonary TB in the working area of the Malang District Health Center showed a downward trend for 3 years. Future research using individual data and other specific risk factors that may influence TB incidence is recommended.
Smart Movement Cards: Program Cegah Karies dan Tingkatkan Aktivitas Fisik Anak Sekolah Dasar Ulfah, Nurnaningsih Herya; Rahmawati, Indana Tri; Gayatri, Rara Warih; Kusumadewi, Esya Nafisah; Azellia, Ranum Dyah Titah; Fadilah, Aisya Nur
Jurnal Abdimas Kartika Wijayakusuma Vol 7 No 1 (2026): Jurnal Abdimas Kartika Wijayakusuma
Publisher : LPPM Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jakw.v7i1.1105

Abstract

Karies gigi dan rendahnya aktivitas fisik merupakan permasalahan kesehatan yang masih banyak dijumpai pada anak usia sekolah dasar. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan siswa dalam menjaga kesehatan gigi serta memotivasi mereka beraktivitas fisik melalui media smart movement cards. Kegiatan dilaksanakan di SDN Sumbersari 3 Kota Malang pada tanggal 7 Agustus 2025 pukul 10.00–12.00 WIB dengan melibatkan 24 siswa kelas 4. Metode yang digunakan meliputi ceramah interaktif, permainan smart movement cards, dan praktik sikat gigi bersama. Evaluasi dilakukan menggunakan pre-test dan post-test. Hasil kegiatan menunjukkan adanya peningkatan skor rata-rata pengetahuan siswa dari 45,42 menjadi 60,83 setelah intervensi. Selain itu, siswa terlihat antusias dan aktif selama permainan serta mampu mempraktikkan teknik menyikat gigi dengan benar. Refleksi dari kegiatan ini menegaskan bahwa penggunaan media permainan edukatif efektif dalam menciptakan suasana belajar yang menyenangkan sekaligus meningkatkan pemahaman kesehatan anak. Rekomendasi ke depan adalah memperluas penerapan media ini ke sekolah dasar lain dan mengembangkan variasi konten edukasi agar pembelajaran kesehatan lebih komprehensif.
Spatial Analysis of the Distribution of COVID-19 Vulnerable Groups to COVID-19 Cases in Brebes Regency Fatimatuzzahro, Fatimatuzzahro; Gayatri, Rara Warih
Preventia: The Indonesian Journal of Public Health Vol. 8, No. 2
Publisher : citeus

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Abstract

The number of COVID-19 cases in Brebes Regency within a year is still quite high. The elderly, Hypertension and Diabetes Mellitus are the most important COVID-19 vulnerable groups and have the highest risk of death. The purpose of this study is to determine the distribution of COVID-19 vulnerable groups and their spatial relationship to COVID-19 cases in Brebes Regency. This study used a correlation or ecology study design. The data used is secondary data obtained from the Brebes Regency Health Office, namely the number of COVID-19 cases, the number of elderly, people with hypertension and diabetes mellitus in 2021. The data then analyzed using univariate, bivariate analysis and spatial analysis with the help of QuantumGIS software (QGIS). The results showed that the proportion of the elderly age group correlated with the number of COVID-19 cases (p value is 0.005), while the prevalence of hypertension and diabetes mellitus had no correlation with the number of COVID-19 cases (p value more than 0.05). The high-risk areas are Brebes, Wanasari, Banjarharjo and Bumiayu Districts. The existence of this study, the local government is expected to be able to optimize the Testing, Tracing and Treatment program (3T), posyandu for the elderly and achieve vaccination targets, especially in high elderly population areas, in order to detect and predict the spread of COVID-19 and the selection of appropriate treatment.
Hubungan Faktor Riwayat Diabetes Melitus dan kadar Gula Darah Puasa dengan Kejadian Diabetes Melitus Tipe 2 pada Pasien Usia 25-64 Tahun di Puskesmas Kendal Kerep Kota Malang Gayatri, Rara Warih
Preventia: The Indonesian Journal of Public Health Vol. 4, No. 1
Publisher : citeus

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Abstract

Diabetes mellitus (DM) is one of the systemic diseases that manifests in the oral cavity. One effort to prevent type 2 diabetes is through surveillance activities to determine the associated risk factors. The purpose of this study was to determine the relationship of risk factors for history of diabetes mellitus and fasting blood sugar levels with the incidence of type 2 diabetes mellitus at Puskesmas Kendal Kerep in Malang City. This study used a quantitative descriptive method with cross-sectional design and was conducted at the Puskesmas Kendal Kerep in Malang City, April 2017. The sampling method used was the quota sampling method with the measured variables: the prevalence of diabetes mellitus, a history of diabetes mellitus and levels fasting blood sugar. Data collection techniques used were interview and measurement of fasting blood sugar levels. The research instrument used were Glucko Blood Meter devices and questionnaires. Data processing includes the process of editing, coding, scoring, data entry and cleaning. Data analysis used were univariate and bivariate. The conclusion of the study is that there is a significant relationship between history of Diabetes Mellitus and GDP levels with type 2 DM.
Hubungan Hasil Deteksi Dini Diabetes Mellitus Menggunakan Aplikasi Android "DM Personal Screening" Dengan Kadar Gula Darah Acak Pengunjung Puskesmas Janti Kota Malang Gayatri, Rara Warih; Wardani, Hartati Eko; Katmawanti, Septa
Preventia: The Indonesian Journal of Public Health Vol. 4, No. 2
Publisher : citeus

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Abstract

According to the 2013 Riskesdas results, in Indonesia there were 0.6% of the population aged 15 years and over or around 1 million people who actually felt the symptoms of DM in the last month but it was not certain whether they had diabetes or not (Ministry of Health, 2014). In addition, according to Riskesdas 2013, there are more than 8 million people with diabetes mellitus who have not been diagnosed (MOH, 2014). Early detection efforts need to be enforced both by using identification of risk factors and their symptoms and signs as well as throughphysical examination in the form of measuring blood sugar levels. The purpose of this study was to determine the relationship between the results of early detection of DM disease using the android application "DM Personal Screening" with an examination ofrandom blood sugar levels of visitors to the Janti Health Center in Malang. This study used a correlative research design with a cross-sectional design and was conducted at the Janti Health Center in Malang. The sampling method used was a purposive sampling method with a total sample of 30 visitors. The measured variable is the result of early detection using the android application "DM Personal Screening" with random blood sugar levels. Data collection techniques using a questionnaire and Glucometer Easy Touch brand. Data analysis was performed using univariate and bivariate statistical analyzes. The measurement results show the relationship of random blood sugar levels with the measurement of DM personal screening is p value = 0.277. Conclusion was that there was no significant relationship between measurement results using KGDA examination with DM personal screening (p value -0.277).
Efektivitas Penyuluhan Berbasis Power Point terhadap Tingkat Pengetahuan, Sikap, dan perilaku tentang pencegahan Cacingan pada Siswa kelas V dan VI SDN 01 Kromengan Kabupaten Malang Ramadhani, Suci Nur; Adi, Sapto; Gayatri, Rara Warih
Preventia: The Indonesian Journal of Public Health Vol. 5, No. 1
Publisher : citeus

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Abstract

The results of the Health Department survey in 2013 prevalence of worms transmitted through soil in primary school (SD) reached 28.12%, with details of 60% of students infected with roundworms; 16% of students were infected with whipworms; and 7% of students were infected by hookworm. The prevalence of worms in SDN 01 Kromengan became the highest compared to other schools in Malang Regency, which reached 48%. To reduce the prevalence of intestinal worms, do counseling using power point media. This study aims to determine the influence of counseling using power point media to the level of knowledge, attitude, and behavior of students of grade 5 and 6 SDN 01 Kromengan. This research is quasi experimental with pretest-postest group design method. With the subjects of 42 students using the total sampling, conducted in SDN 01 Kromengan Malang Regency, and conducted in April-May 2017. This study used a questionnaire distributed directly to students. Data analysis using paired t-test with significant level of 0.05. Based on the result of the research, it shows that there is a difference between pretest-posttest with t-count of knowledge (-10,094), attitude (-7,658), and behavior (-8,762)
Faktor yang Berhubungan Dengan Kejadian Tuberkulosis pada Pasien yang Berkunjungn ke Puskesmas Dinoyo Kota Malang Hapsari, Dewi Anggia; Yunus, Moch; Gayatri, Rara Warih
Preventia: The Indonesian Journal of Public Health Vol. 5, No. 1
Publisher : citeus

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Abstract

Tuberculosis is an infectious disease caused by mycobacterium tuberculosis. The Centers for Disease Control and Prevention (CDC) says about 1.9 billion or one third of the world's population has been infected with tuberculosis. WHO recorded in 2011 as many as 8.7 million people sick because of tuberculosis and 1.4 million of them died due to tuberculosis. Given that tuberculosis is an infectious disease, therefore the environment has a role in the transmission of tuberculosis. The purpose of this research is to know the correlation of education level, income level and home condition with the incidence of tuberculosis in patients who visited the Puskesmas Dinoyo Malang City during May to June 2017.This research was conducted by using analytic observational study with cross sectional approach. A sample size of 44 people who have met the inclusion criteria, obtained by accidental sampling. The research was conducted by distributing questionnaires and doing direct observation to respondent's house. From 44 respondents, 26 of them (59,1%) were exposed to tuberculosis, the highest level of education was high school graduation as many as 18 people (40,9%), the level of income of majority of respondents below UMR was 27 people (61,4% ) and condition house in healthy condition counted 25 people (56,8%). The result of chi square test with α = 0,05 is education level of elementary school (p = 0,009) and high school education level (p = 0,001), income level below UMR (p = 0,000) and house condition (p = 0,001 ). There is a significant correlation between education level, income level and house condition with the incidence of tuberculosis in patients who visited Puskesmas Dinoyo Malang City.
Faktor yang Mempengaruhi Terjadinya Ko-infeksi Tuberkulosis pada Pasien HIV/AIDS di Kabupaten Malang Iftitah, Nurin Marfidhotul; Adi, Sapto; Gayatri, Rara Warih
Preventia: The Indonesian Journal of Public Health Vol. 5, No. 1
Publisher : citeus

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Abstract

his research was conducted to know the risk factors of HIV/AIDS TB coinfection patients in Malang. Type of the research was observational analytic with case control (restropectif). The sampling method used is non probability total sampling with 20 samples from the case and 20 samples from the control. The case is HIV patients with tb coinfetion and the control is HIV patients who has not TB coinfection. Techniques of data collection used are interviews and observations with questionnaire. Data is analyzed by univariate analysis (descriptive analysis)and bivariate analysis by chi-square test. According to the analysis of data this study suggested that contact with TB patients (p-value = 0,000 and OR = 2,092), clinical stadium (p-value = 0,000 and OR = 2,541), education (p-value = 0,000 and OR = 1,822), history of asthma (p-value = 0,240 and OR = 0,198) and history of diabetes (p-value = 0,347 and OR = 0,165). The conclusion of study is factor contact with TB patients, clinical stadium and education significantly associated and are risk factors of TB coinfection on HIV patients in Malang. Another factor is the history of asthma and history of diabetes were not associated and are protective factors of TB coinfection on HIV patients in Malang.
Relationship Between Multimorbidity, Nutritional Status and Duration of ARV Treatment to Major Signs of HIV at RSUD Dr. Soetomo Surabaya Alifia, Kartika; Wardani, Hartati Eko; Tama, Tika Dwi; Hapsari, Anindya; Gayatri, Rara Warih
AgriHealth: Journal of Agri-food, Nutrition and Public Health Vol 5, No 1 (2024): April
Publisher : Research and Development Center for Food, Nutrition and Public Health (P4GKM) LPPM UNS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/agrihealth.v5i1.78305

Abstract

People living with HIV/AIDS (PLWHA) can have better health outcomes with early identification of the AIDS phase. In the first three years, PLWHA may progress to the AIDS stage. This cross-sectional study aimed to determine the relationship between multimorbidity, nutritional status and duration of Antiretroviral (ARV) treatment on major signs of PLWHA. This study was conducted in the Intermediate and Infectious Disease Treatment Unit (UPIPI) at regional public hospital (RSUD) Dr. Soetomo Surabaya from January to February 2023. As many as 52 PLWHA who started HIV treatment at RSUD Dr. Soetomo in 2020 to 2021 were sampled in this study, which was obtained from medical records. The dependent variable in this study was the major sign of HIV. Independent variables in this study were multimorbidity, nutritional status, and the duration of ARV treatment. This study found that 76.9% of PLWHA experienced major signs. Multimorbidity and duration of ARV treatment did not have an association with major signs of HIV (p-value > 0.05). Nutritional status has a significant association with major clinical symptoms of HIV (p-value < 0.05). PLWHA with underweight had higher odds of having a major sign (p-value = 0.017; PR = 1.507; 95% CI 1.131-2.008) than PLWHA with normal nutritional status. Thereby, it is hoped that the hospital will be assisted in determining health promotion needs such as screening and evaluation of nutritional status to monitor the nutritional status of patients, which will improve their health outcomes.