Siwi Pramatama Mars Wijayanti
Department of Public Health, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto

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EPIDEMIOLOGY OF DIPHTERIA IN PURWAKARTA REGENCY INDONESIA Siwi Pramatama Mars Wijayanti; Alfianti Nur Fadillah
Epidemiology and Society Health Review (ESHR) Vol. 1 No. 1 (2019)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26555/eshr.v1i1.935

Abstract

Background: Diphtheria is considered as a neglected disease since it was successfully eliminated in many countries. However, there were several sporadic re-emergence cases of Diphtheria and the peak was outbreak in Indonesia in 2017.  This research was a descriptive study aimed to explore epidemiology of diphtheria by person, time and place in one of diphtheria endemic area.Methods: This was a descriptive study with cross sectional design in Purwakarta Regency, West Java, Indonesia in 2018. Several data were collected in this study such as diphtheria cases by age, time of occurrence, gender, place and immunization status. The data was collected from Purwakarta Health Office. It was the data from the year of 2015-2017. The data was analysed by using descriptive analysis with percentages displayed in graphs and tables.Results: This study reveals that Purwakarta regency is an endemic area of diphtheria with fluctuated cases since 2015-2017. More cases of diphtheria occurred from September to December in rainy season. More cases suffered by children in 5-9 years old, however, this disease also infected adult population. The area with high diphtheria cases in this study also areas with high population densities which is conducive for C diphteriae transmission. Low coverage of immunization is highlighted in the result of this study, which could explain why diphtheria cases occurred continuously in this area.Conclusions: High number of diphtherias in this area should be an awareness for local health officer to do an effective preventive effort such as increasing the coverage of vaccination. Furthermore, optimizing the role of religious and community leader should be made to support diphtheria vaccination programs.
Determinants of Parental Willingness to Provide HPV Vaccination for Adolescents in Indonesia: A Systematic Literature Review Silvia Hanjani; Akmal Firmanda Surya; Fita Amanda Putri; Pramudya Dhiwang Nugroho; Shichachul Izzah; Siwi Pramatama Mars Wijayanti; Sri Nurlaela; Novita Endang Fitriyani
Jurnal Ilmu Kesehatan Masyarakat Vol. 17 No. 1 (2026): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2026.17.1.1-11

Abstract

HPV vaccination is a highly effective strategy for reducing the burden of cervical cancer in Indonesia. However, its uptake among adolescents remains limited due to low parental awareness and socioeconomic disparities. This review aims to identify key determinants influencing parental acceptance or hesitancy toward HPV vaccination, providing evidence to optimize national vaccination strategies for adolescents. This PRISMA-guided systematic review included original open-access studies published between 2015 and 2025, examining determinants of parental acceptance regarding HPV vaccination among Indonesian adolescents aged 9-15 years. Predefined Boolean terms were used to identify relevant articles retrieved from Google Scholar, PubMed, ScienceDirect, and Garuda, yielding 14 studies that met the eligibility criteria and were included in the final analysis. Parental willingness and acceptance of HPV vaccination in Indonesia are influenced by individual knowledge and attitudes, social and normative pressures, economic constraints, health literacy, and the role of healthcare providers. Higher levels of knowledge, positive attitudes, supportive social norms, and access to trusted health information promote acceptance, whereas safety concerns, perceptions of the child’s age, and low-income act as significant barriers. Strengthening free school-based programs and integrating vaccination within the existing reproductive health services emerges as a solution to increase parental acceptance towards HPV vaccination among their adolescents.