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Universitas Sari Mutiara Indonesia
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Journal : Prima Wiyata Health

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DISTRIBUSI SPASIAL KASUS DIARE: INTERAKSI ANTARA KEPADATAN PENDUDUK, SANITASI, DAN AKSESIBILITAS FASILITAS KESEHATAN DI PROVINSI SUMATERA UTARA TAHUN 2022-2023 Widyastuti, Desy; Mulyana; Rivani, Vita Diah; Sinaga, Stefya Natasya Sari; Sinulingga, Elyzabeth Arihta; Girsang, Vierto Irennius
PRIMA WIYATA HEALTH Vol 6 No 2 (2025): Prima Wiyata Health: Juli 2025
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v6i2.99

Abstract

Background: Diarrhea remains a major public health problem in Indonesia, especially in areas with high population density and poor access to sanitation. North Sumatra Province experiences fluctuations in diarrhea cases, with the number of cases reaching 205,155 in 2022 and decreasing to 95,433 in 2023. Objectives: This study aims to map the spatial distribution of diarrhea cases in North Sumatra Province in 2022-2023, and analyze its relationship with population density, access to proper sanitation, and the number of health facilities. Methods: This study used a quantitative descriptive approach using secondary data obtained from the Central Statistics Agency (BPS) of North Sumatra Province. The area covered 33 regencies/cities. The variables analyzed included the number of diarrhea cases, population density, access to proper sanitation, and the number of health facilities. Spatial analysis was conducted using QGIS version 3.28 (Firenze) using the Join Attribute Table technique and thematic map visualization using the Graduated Symbology method. Results: There was a shift in the spatial pattern of diarrhea cases from 2022 to 2023, with the highest number of cases shifting from Medan City (40,126 cases) to Deli Serdang Regency (16,108 cases). Areas with poor sanitation and high density tend to have higher diarrhea rates. Meanwhile, the number of health facilities does not always correlate with a decrease in diarrhea cases. Conclusion: A spatial approach can reveal disease distribution patterns based on regions more comprehensively. Regular use of Geographic Information Systems is recommended to support infectious disease monitoring and spatial data-based policymaking, including the development of predictive dashboards for early warning and resource allocation.
DISTRIBUSI SPASIAL HIV DAN FAKTOR LINGKUNGAN: STUDI TERHADAP KEPADATAN PENDUDUK, SANITASI LAYAK, DAN INFRASTRUKTUR KESEHATAN DI PROVINSI SUMATERA UTARA Pangaribuan, Rapael Septian; Sembiring, Ario Agantha; Perangin-angin, Zepanya Imanuel; Gulo, Ifin Niat Hati; Girsang, Vierto Irennius
PRIMA WIYATA HEALTH Vol 6 No 2 (2025): Prima Wiyata Health: Juli 2025
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v6i2.101

Abstract

Background: The number of HIV/AIDS cases in North Sumatra Province has shown a consistent increase in recent years. While urban density is often associated with higher transmission rates, the spatial distribution and environmental determinants of HIV in this region remain underexplored. Objectives: This study aimed to analyze the spatial distribution of HIV cases in North Sumatra Province and examine their association with population density, access to proper sanitation, and the availability of healthcare facilities. Methods: A quantitative ecological design was employed, utilizing secondary data from the Central Bureau of Statistics of North Sumatra for the years 2022 and 2023. Descriptive analysis and thematic mapping were used to visualize the relationships among HIV cases, population density, sanitation access, and the number of healthcare facilities across districts. Results: Medan City recorded the highest number of HIV cases in both 2022 (1,200 cases) and 2023 (1,800 cases). However, HIV cases were also found in districts with low population density and limited infrastructure, such as Padangsidimpuan and Pakpak Bharat. The findings suggest that while urban areas have more reported cases, behavioral and awareness factors may contribute more significantly to transmission than geographic or environmental factors alone. Conclusion: The spatial distribution of HIV in North Sumatra Province is not solely influenced by population density, sanitation access, or the number of healthcare facilities. Individual behaviors, limited health literacy, and inadequate early detection mechanisms play a dominant role in the spread of HIV. Public health interventions must therefore prioritize behavioral education and equitable access to healthcare in both urban and rural regions.
MAPPING PNEUMONIA IN TODDLERS: THE ROLE OF POPULATION DENSITY, SANITATION, AND HEALTH FACILITIES IN NORTH SUMATERA PROVINCE 2022-2023 Ninding, Putri; Gultom, Asri; Sembiring, Sadestina; Dachi, Sri Susanti; Purba, Yuni Artha; Girsang, Vierto Irennius
PRIMA WIYATA HEALTH Vol 7 No 1 (2026): Prima Wiyata Health: Januari 2026
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v7i1.100

Abstract

Background: Pneumonia is a serious public health problem in Indonesia, particularly among toddlers. Toddlers are the most vulnerable group due to their immature immune systems. Environmental factors such as population density, poor sanitation, and limited healthcare facilities contribute to the high incidence of pneumonia. In Indonesia, pneumonia remains one of the diseases with the highest healthcare costs.Objectives: This study aims to map the spatial distribution of pneumonia cases among toddlers in North Sumatra Province in 2022–2023 and analyze its relationship to environmental factors such as population density, access to proper sanitation, and the number of healthcare facilities.Methods: This is a quantitative study with an area-based ecological design and a spatial analysis approach. Secondary data from the North Sumatra Statistics Agency (BPS) was analyzed using QGIS software with a spatial overlay method to evaluate spatial relationships between variables.Results: The study shows that in 2022, the highest number of pneumonia cases occurred in Deli Serdang Regency (1,322 cases), and in 2023, this number increased to 2,453 cases. Medan City, with the highest population density, also recorded high numbers of cases (81 cases in 2022 and 1,001 cases in 2023). South Nias Regency, with the lowest sanitation access (12.23% in 2022), recorded low numbers of cases (0–6 cases). Areas with high levels of health facilities, such as Medan and Deli Serdang, continued to record high numbers of cases, while areas like Pakpak Bharat, with low facilities, recorded no cases.Conclusion: The distribution of pneumonia cases in children under five in North Sumatra is influenced by a combination of environmental factors. The highest number of cases occurs in areas with high density and abundant health facilities, but this is not always commensurate with access to sanitation. Spatial analysis helps identify risk areas and informs public health intervention planning.
Co-Authors Afriani, Dewi Analia Kunang Aritonang, Erlan Asima Sirait Badawi, Ahmad Badawi Bancin, Lenny Lestryani Br Barus , Apriani Novaria Budke, Christine M. Dachi, Sri Susanti Damanik, Elsarika Daniel Ginting Daniel Ginting DONAL NABABAN Elisabeth Purba, Ivan Elmina Tampubolon Elsarika Damanik Evarina Sembiring Frida Lina Tarigan Friska Vaulina Manik Gulo, Ifin Niat Hati Gultom, Asri Halawa, Turia Berkat Iman Hana Ike Dameria Purba Harefa, Festin Eunike Harianja, Ester Saripati Hidayat, Wisnu Hutajulu , Johansen Hutajulu, Johansen Ivan Elisabeth Purba Janno Sinaga Jon Kenedy Marpaung Junaidi Junaidi Juneris Aritonang kahar, Irawaty A. Karnirius Harefa Ketaren, Sinar Otneil Laura Mariati Siregar Laura Mariati Siregar Lestari, Mita Linawati Novikasari Lukman Lukman Lumbangaol, Theresia Veronika Maharani Maharani, Maharani Masdalina Pane Mendrofa, Priska Helni Swandy Mercy Grace Simbolon Mulyana Munthe, Rismawati Nababan, Donal Napis Alfikri Nenis Gusnawati Laia Ninding, Putri Novita, Putri Tia Ovra Ovra Pangaribuan, Rapael Septian Perangin-angin, Zepanya Imanuel Priajaya, Sony Priska Mendrofa Purba, Sri Dearmaita Purba, Yuni Artha Purba, Yunita Rahmat Hidayatullah Rismawati Munthe Rivani, Vita Diah Rohana, Taruli Rosdiana, Eva Rosmeri Saragih Saragih, Frida Liharis Saragih, Frida Liharris Sembiring, Ario Agantha Sembiring, Evarina Sembiring, Rinawati Sembiring, Sadestina Seri Asnawati Munthe Simanjuntak, Yunida Turisna Simarmata, Nurpina Sinaga, Stefya Natasya Sari Sindy Nafsya Aprilia Sinulingga, Elyzabeth Arihta Siregar, Laura Mariati Siti Maimunah Siti Maimunah Sitorus, Friyanka H.D. Syapitri, Henny Sylvia Maryance Siadari Tampubolon, Lindawati Farida Tasiah, Tasiah Teguh Pribadi Telaumbanua, Vivil Anindar Tiara Rajagukguk Toni Wandra Tumangger, Derianto Lasniate Ulfa Syahriani Malay Widyastuti, Desy Windha Khaila Shabrina WISNU HIDAYAT Yolanda D.B Manullang Yovsyah Yovsyah Yunita Purba Ziliwu, Meriberlina