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All Journal International Journal of Public Health Science (IJPHS) Jurnal Ners Indonesia Jurnal Kesehatan Masyarakat Jurnal Kesehatan Lingkungan Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Jurnal Kesehatan Andalas Jurnal Antropologi: Isu-Isu Sosial budaya Jurnal Kesehatan Jurnal Penelitian Kesehatan Suara Forikes Jurnal Ilmiah Universitas Batanghari Jambi Jukema (Jurnal Kesehatan Masyarakat Aceh) Jurnal Kesehatan Medika Saintika Jurnal Hilirisasi IPTEKS (JHI) NERS Jurnal Keperawatan JIK- JURNAL ILMU KESEHATAN Jurnal Sehat Mandiri Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa Journal SAGO Gizi dan Kesehatan Jurnal Kesmas Jambi Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Andalas Dental Journal Berita Kedokteran Masyarakat Cakradonya Dental Journal SOSIO KONSEPSIA: JURNAL PENELITIAN DAN PENGEMBANGAN KESEJAHTERAAN SOSIAL Malahayati International Journal of Nursing and Health Science NERS Jurnal Keperawatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Defriman Djafri
Fakultas Kesehatan Masyarakat, Universitas Andalas
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Variation and Predictors of COVID-19 Mortality in Hospitalized Cases in West Sumatra Province, Indonesia: A Retrospective Observational Study Djafri, Defriman; Putri, Ade Suzana Eka; Pradipta, Yudi
Kesmas Vol. 19, No. 3
Publisher : UI Scholars Hub

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Abstract

During 2020, the year of the COVID-19 pandemic, different Indonesian provinces had different numbers of COVID-19 infections and fatalities, particularly in West Sumatra Province. This study aimed to investigate the variation of confirmed COVID-19 cases and determine predictors of mortality in hospitalized patients across districts in West Sumatra Province. A retrospective observational study was conducted during the COVID-19 pandemic. From March 2020 to June 2021, 46,005 confirmed cases were collected in the province, of which 42,308 were hospitalized and analyzed. Confirmed cases and deaths were compared by geographic location using spatial analysis. The risk predictors of death were estimated using logistic regression. COVID-19 incidence and mortality varied across cities/districts, with less than 1,000 confirmed cases appearing to be the lowest number. A distinct pattern was visible nonetheless when the incidence density of confirmed cases and deaths was higher. Acute respiratory distress syndrome during the COVID-19 treatment had a higher risk of death (OR = 75.2, 95% CI: 25.6–250). The most significant predictors of death in terms of comorbidity were pneumonia, followed by cancer, chronic obstructive pulmonary disease, diabetes, cardiac disease, and hypertension.
Implementation of specific interventions for the 1st 1000 days of life to prevent stunting in Padang city during the COVID-19 pandemic Fadhil, Muhammad; Djafri, Defriman; Masnarivan, Yeffi
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

​​Objectives: Covid-19 pandemic affected all sectors, including health. Stunting prevalence in Indonesia by 2019 is 26.67%, above 20% of Indonesia’s target. This study aims to review the implementation of specific interventions for the 1st 1000 days of life to prevent stunting in Padang City during Covid-19 Pandemic. Method: The design in this study uses mixed methods. This study took place in August 2020 – February 2021 at two health centers (Belimbing and Seberang Padang). A systemic approach was made for a qualitative method, and there were 11 informants required in this study determined by purposive sampling. Data collection uses in-depth interviews, observations, and document review, with data source and method triangulation. The quantitative method was analyzed using univariate analysis to observe the differences in 2019 and 2020 specific interventions for stunting. Result: This pandemic affected two study health centers. Most interventions did not reach their targets, such as exclusive breastfeeding, complete basic immunization, health promotion activities, vitamin A and folic acid intake, and pregnancy visits to healthcare facilities. Puskesmas Seberang Padang distinguished Covid-19 task force and stunting interventions team, and in Puskesmas Belimbing add more days for immunization. Diarrheas increased from 92 to 101 cases in 2018 and 2019 at Seberang Padang, while decreased from 101 to 56 cases at the Belimbing. Conclusion: Both health centers have different strategies and priorities for tackling stunting during the Covid-19 pandemic. In short, many interventions did not reach the target. The trend of diarrheal in 2018 and 2019 at Puskesmas Seberang Padang decreased and increased at Puskesmas Belimbing. Both health centers need to maximize the intervention for stunting during the Covid-19 pandemic by sticking to health protocols.
Determinan Kesehatan dan Faktor Risiko Komorbiditas Terhadap Penderita Tuberkulosis (TB) COVID-19 Fachrizal, Indra; Djafri, Defriman; Syafrawati, Syafrawati
JIK-JURNAL ILMU KESEHATAN Vol 7, No 2 (2023): JIK-Oktober Volume 7 Nomor 2 Tahun 2023
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v7i2.954

Abstract

Tuberkulosis masih menjadi masalah global dengan estimasi 10,6 juta kasus pada tahun 2021. Indonesia menempati urutan ketiga dengan jumlah kasus TB sebamyak 969 ribu kasus. Pandemi COVID-19 berdampak pada terjadinya koinfeksi TB COVID-19 yang dapat memperparah status klinis penderita TB. Penelitian ini bertujuan untuk mengetahui pengaruh determinan kesehatan dan faktor risiko komorbiditas terhadap penderita TB COVID-19 di Kota Tebing Tinggi Sumatera Utara tahun 2020-2022. Jenis peneltian adalah studi case control match. Penelitian menggunakan data sekunder dari sistem informasi TB (SiTB) dan All Record COVID-19 Provinsi Sumatera Utara. Sampel sebanyak 36 orang dengan perbandingan kasus dan kontrol adalah 1:1. Analisis data multivariat menggunakan uji regresi logistik. Hasil penelitian memperoleh 36 kasus TB COVID-19 dan 36 kasus TB. Hasil analisis bivariat menunjukkan akses pengobatan, status gizi, pendapatan, lingkungan, hipertensi dan HIV tidak berhubungan dengan dengan kejadian TB COVID-19 (p>0,05). Ada hubungan komorbid DM dengan kejadian TB COVID-19 (p-value=0,038). Faktor risiko paling dominan terhadap kejadian TB COVID-19 adalah komorbid DM dengan p-value=0,023 dengan nilai OR=0,06 (95% CI 0,00053-0,676). Komorbid DM sebagai prediktor menurunkan risiko kejadian TB COVID-19. Penting bagi penderita  TB yang mempunyai komorbid DM untuk menjaga kadar gula darah dalam batas normal dengan melakukan cek gula darah secara rutin.
Keterkaitan Faktor Risiko dengan Kejadian Kusta di Indonesia: A Systematic Review Mindasari, Reza; Markolinda, Yessy; Djafri, Defriman
JIK-JURNAL ILMU KESEHATAN Vol 9, No 1 (2025): JIK-April Volume 9 Nomor 1 Tahun 2025
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v9i1.1255

Abstract

Kusta atau lepra adalah penyakit menular kronis yang disebabkan oleh Mycobacterium leprae dan dapat menyebabkan cacat permanen jika tidak diobati. Penyakit ini masih menjadi masalah kesehatan di Indonesia, dengan prevalensi 2,5 per 100.000 penduduk pada 2021, terutama di daerah dengan prevalensi tinggi seperti Nusa Tenggara Timur, Jawa Timur, dan Sulawesi Selatan. Penelitian bertujuan untuk mengintegrasikan temuan dari berbagai studi yang tersedia guna memberikan pemahaman yang lebih komprehensif tentang faktor risiko yang memengaruhi kejadian kusta di Indonesia. Penelitian menggunakan metode systematic review dengan mengacu pada pedoman PRISMA. Pencarian literatur dilakukan melalui tiga database utama, yaitu Science Direct, PubMed, dan Google Scholar, dengan kata kunci yang relevan. Artikel yang dipilih adalah yang diterbitkan antara tahun 2016 hingga 2024, menggunakan desain penelitian observasional yang membahas hubungan faktor risiko dengan kejadian kusta di Indonesia. Sebanyak 8 artikel yang memenuhi kriteria inklusi dianalisis. Hasil analisis menunjukkan bahwa riwayat kontak dengan penderita kusta merupakan faktor risiko utama, diikuti oleh personal hygiene, kepadatan hunian, dan pengetahuan. Riwayat kontak dengan penderita kusta menunjukkan hubungan signifikan dalam sebagian besar studi. Edukasi masyarakat tentang pencegahan kusta dan perbaikan kondisi lingkungan sangat penting untuk mengurangi penyebaran penyakit ini. Upaya pengendalian kusta harus memprioritaskan pemutusan rantai penularan melalui deteksi dini dan pengobatan, serta ditunjang dengan peningkatan pengetahuan, sanitasi, dan pengurangan kepadatan hunian untuk secara efektif menurunkan angka kejadian kusta di Indonesia.
Pengaruh Pemberian Pursed Lip-Breathing, Diaphragmatic Breathing, dan Upper Limb Stretching Terhadap Skala Dispnea pada Pasien PPOK: The Effect of Pursed Lip-Breathing, Diaphragmatic Breathing, and Upper Limb Stretching on Dyspnea Scale in COPD Patients Imron Rosyadi; Defriman Djafri; Dally Rahman
NERS Jurnal Keperawatan Vol. 15 No. 2 (2019): NJK Volume 15, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v15i2.174

Abstract

Respiratory muscle weakness in patients with Chronic Obstructive Pulmonary Disease (COPD) is a problem that can affect the patient's ability to conduct daily activities. The aim of this study to see the difference between the intervention group given the pursed-lip breathing exercises, diaphragmatic breathing, and upper limb stretching with the control group which not given therapy. 38 COPD patients were grouped into intervention groups (n = 18) and control group (n = 18) randomly. The intervention group was given pursed-lip breathing, diaphragmatic breathing, and upper limb stretching for 4 weeks as much as two times for each week, while the control group was not given exercise. The dyspnea scale was measured using the MRC Dyspnea Scale questionnaire and was categorized as mild (scale 1), medium (scale 2-3) and severe (scale 4-5). The result showed there was a difference in dyspnea (p value 0.008) for intervention group and there is no difference in the dyspnea for control group that was not given exercise (p value 0.655). In conclusion, pursed lip breathing, diaphragmatic breathing, and upper limb stretching can give more significant benefits when done sustainably, especially for COPD patients.
Factors Related to Anxiety Levels of the Elderly with Chronic Diseases in Sijunjung Regency 2019: Faktor-Faktor yang Berhubungan dengan Tingkat Kecemasan Lansia dengan Penyakit Kronis di Kabupaten Sijunjung Tahun 2019 Herlin Silvana; Defriman Djafri; Renidayati
NERS Jurnal Keperawatan Vol. 15 No. 2 (2019): NJK Volume 15, Number 2
Publisher : Fakultas Keperawatan Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/njk.v15i2.175

Abstract

of anxiety increases. As the number of elderly increases, it is very important to maintain the health of the elderly. Otherwise, it will result in the decreased physical condition, limited mobility, decreased independence, loss of self-confidence and decreased social activity. Knowing and controlling the causative factors of anxiety can be a solution to overcome anxiety in the elderly. This study aimed to measure the factors associated with the anxiety level of the elderly with chronic deseases in Sijunjung Regency. The design of this study was cross sectional approach and logistic multivariable regressions method. The samples were chosen by a cluster sampling technique with a total of 207 elderly with chronic diseases. The results showed that income, social support, social activities, and history of trauma had a significant relationship with the anxiety level of the elderly with chronic deseases and social support is the most dominant factor that related to. Thus, it was suggested to increase the nursing interventions with an approach family therapy to increase social support and it was focused on improving regular health screening so that the occurence of chronic deseases and anxiety in the elderly could be identified earlier.
Cultural Perspective: Effective Implementation of Stunting Management Policy in West Pasaman Regency Meiyenti, Sri; Effendi, Nursyirwan; Djafri, Defriman; Devianto, Dodi
Jurnal Antropologi: Isu-Isu Sosial Budaya Vol 25 No 2 (2023): December
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jantro.v25.n2.p283-292.2023

Abstract

Whether or not a policy is effective can be caused by implementing factors. The implementation implementer referred to as the street bureaucracy is the link between the bureaucracy and the community. In such relationships are influenced by the culture of each. This article discusses the implementation of stunting handling in West Pasaman District, West Sumatra Province. The objectives of this article are: describe the implementation of stunting handling policies by implementers and explain the acceptance of targets to the policy implementation program. This article is based on research using qualitative methods with an ethnographic approach. The research data were collected by observation techniques and in-depth interviews. The results showed that the implementation of stunting prevention in West Pasaman has been formally carried out well. The Regional Apparatus Organization involved and the implementation officer at the spearhead are working seriously with each of their duties. This has made the Regional Government of West Pasaman Regency ranked first in the Convergence Action to Accelerate Stunting Reduction 4 times in a row from 2019 to 2022. However, people in Nagari who are the locus of stunting feel that the program approach actually makes the target community (especially those with stunting children) feel depressed and intimidated, causing resistance to posyandu activities. So it can be said that the implementation of stunting prevention carried out is less effective. This has made the Regional Government of West Pasaman Regency ranked first in the Convergence Action to Accelerate Stunting Reduction 4 times in a row from 2019 to 2022. However, people in Nagari who are the locus of stunting feel that the program approach actually makes the target community (especially those with stunting children) feel depressed and intimidated, causing resistance to posyandu activities. So it can be said that the implementation of stunting prevention carried out is less effective. This has made the Regional Government of West Pasaman Regency ranked first in the Convergence Action to Accelerate Stunting Reduction 4 times in a row from 2019 to 2022. However, people in Nagari who are the locus of stunting feel that the program approach actually makes the target community (especially those with stunting children) feel depressed and intimidated, causing resistance to posyandu activities. So it can be said that the implementation of stunting prevention carried out is less effective.
Analisis Multilevel Terhadap Determinan Kejadian Diare Pada Balita di Kabupaten Pesisir Selatan Sari, Sri Mici Indah Permata; Gusti, Aria; Djafri, Defriman
Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Vol. 6 No. 2 (2025): Juli-Desember 2025
Publisher : Fakultas Kesehatan Masyarakat Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jk3l.6.2.138-147.2025

Abstract

Kabupaten Pesisir Selatan dipilih karena tingginya angka diare pada balita serta kerentanannya terhadap faktor lingkungan dan sosial ekonomi. Penelitian ini bertujuan mengidentifikasi determinan kejadian diare pada balita melalui analisis multilevel di Kabupaten Pesisir Selatan tahun 2024. Desain penelitian adalah cross-sectional dengan pendekatan kuantitatif. Data diperoleh dari survei individu balita, karakteristik rumah tangga, dan data wilayah Dinas Kesehatan. Analisis dilakukan pada tiga level: individu (umur, status gizi, imunisasi dasar, dan riwayat ASI eksklusif), rumah tangga (pendidikan ibu, pekerjaan orang tua, status ekonomi, dan penerapan PHBS), serta wilayah (cakupan air bersih dan ketinggian wilayah). Data dianalisis secara univariat, bivariat (uji chi-square), dan multilevel modeling menggunakan SPSS dan STATA. Hasil menunjukkan status gizi dan riwayat ASI eksklusif berhubungan signifikan dengan kejadian diare (p<0,05). Pada level rumah tangga, pendidikan ibu dan status ekonomi keluarga juga berhubungan bermakna (p<0,05), sedangkan cakupan air bersih dan ketinggian wilayah tidak signifikan (p>0,05). Faktor dominan yang memengaruhi kejadian diare adalah status gizi balita. Penelitian ini menyimpulkan bahwa faktor individu dan rumah tangga lebih berperan dibanding faktor wilayah. Upaya pencegahan perlu difokuskan pada peningkatan gizi anak, promosi ASI eksklusif, pendidikan ibu, dan ekonomi keluarga.
Sociodemographic, clinical, and environmental determinants of tuberculosis and diabetes mellitus comorbidity: A case-control study Syahti, Fitri Dwi; Nursal, Dien Gusta Anggraini; Djafri, Defriman
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 8 (2025): Volume 8 Number 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i8.1101

Abstract

Background: Tuberculosis-Diabetes Mellitus comorbidity poses a major challenge in controlling communicable and non-communicable diseases simultaneously. TB-DM comorbidity represents a significant health concern, as both conditions can mutually influence one another, necessitating focused attention in clinical management, prevention, and treatment strategies. Therefore, it is essential to investigate how sociodemographic, clinical, and environmental factors contribute to the prevalence and severity Purpose: To explore how sociodemographic, clinical, and environmental factors contribute to the prevalence and severity of tuberculosis-diabetes mellitus comorbidity. Method: A quantitative research with a case control matching study research design. This study used secondary data from the tuberculosis information system of the West Sumatra Provincial Health Office. Samples were taken as many as 830 people with a ratio of cases (Tuberculosis-Diabetes Mellitus) and controls (Tuberculosis) 1:1. Data collected were comorbidity status of tuberculosis-diabetes mellitus and tuberculosis, sociodemographic, clinical and environmental data. Data were analyzed by univariate, bivariate, multivariate. Results: Univariately, there were 830 cases of tuberculosis-diabetes mellitus comorbidity and 830 cases of tuberculosis.  Age ≥ 45 (81.45%), employment (62.53%), urban residential area (47.21%), health facility referral (12.77%), type of pulmonary tuberculosis (98.3%), history of tuberculosis relapse (10.72%). There was an association between age, occupation, type of tuberculosis, and history of tuberculosis treatment with tuberculosis-diabetes mellitus comorbidity (p<0.05). There was no association between residential area and referral status with the incidence of DR-TB comorbidity (p>0.05). The most dominant risk factor for tuberculosis-diabetes mellitus comorbidity was age with p-value=0.0001 with OR=11.031 (95% CI 8.0143-15.185). Conclusion: Age tends to be the risk probability for tuberculosis-diabetes mellitus comorbidity compared to tuberculosis. It is recommended that routine screening for diabetes mellitus be carried out in tuberculosis patients, especially in the age group ≥ 45 years because this group has the highest risk of experiencing tuberculosis-diabetes mellitus comorbidity.
Co-Authors Ade Suzana Eka Putri Afrizal AFRIZAL AFRIZAL Agus Sri Banowo Anggela Pradiva Putri Aprisia, Ega Ari Susanti Aria Gusti Astiena, Adila Kasni Aulia Rahman Auliya, Suci Aumas Pabuti Azyyati Ridha Alfian Berlian Kurniawati Dally Rahman Dedi Sumantri Dedi Sumantri Sumantri Devianto, Dodi Eprilla Maharani Devisa Fachrizal, Indra Fadila, Zurayya Fauziah Elytha Fea Firdani Hardisman Hastuti Syahnita Herlin Silvana Herlin Silvana Hidayati Hidayati Ilmaskal, Radian Imron Rosyadi Imron Rosyadi Indra Fachrizal Kamal Kasra Karina Nabilla Khairul Andri Markolinda, Yessy Mega Utami Basra Mery Ramadhani Minarni Minarni Mindasari, Reza Monalisa Monalisa Muhammad Fadhil Murniwati - Nadia Sri Devi Namira Yusuf Nelianis, Nelianis Nindi Elfiza Novita Sari Nur Intan Rahmi Andafia Nursal, Dien Anggraini Nursyirwan Effendi, Nursyirwan Rahmi, Sintha Defiza Ramadani, Mery Reni Dayati Reni Zulfitri Renidayati Rizanda Machmud Rizanda Machmud Rozada Alemania Sabtria Winda Sari Safutri, Mitha Saputra, Yoerdy Agusmal Sari, Sri Mici Indah Permata Shabiyya, Hukma Siswati, Hermaini Sri Meiyenti Sri Rahayu Sri Rahayu Sanusi Sri Ridha Hasanah Susi - Susi Susi Syafrawati Syahti, Fitri Dwi Symon, Denas Warman Alamsyah Yeffi Yeffi Masnarivan Yudi Pradipta Zieta Sakinah Emdi