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Faktor Lingkungan Yang Berkaitan Dengan Kejadian Malaria (Studi Di Wilayah Kerja Puskesmas Kepil I Kabupaten Wonosobo Tahun 2004) Ginandjar, Praba; Hidayati, Hidayati; Gambiro, Gambiro
Jurnal Kesehatan Lingkungan Indonesia Vol 4, No 1 (2005): APRIL 2005
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.4.1.1 - 8

Abstract

ABSTRACT Background: Malaria is one of disease caused by intracellular parasite called Plasmodium and transmitting by Anopheles spp mosquito. Area of Kepil I Local Government Clinic in Wonosobo District is one of malaria endemic area with 32.28‰ annual parasite incidence (API). Environmental factors included physical, biological and social influence the transmission of malaria. Objective: Analyzing environmental factors related to malaria occurrence in area of Kepil I Local Government Clinic. Method: This was a case control study. Participant of this study divided into two groups i.e. case and control group, each consisted of 70 subjects. As case group was malaria patients of Kepil I, taken by systematic random sampling technique, while control group was case’s nearest neighbor with same sex, similar age and economic status, and not suffering of malaria. Data was analyzed by chi-square test and odds ratio (OR). Result: Statistical analysis showed that the occurrence of malaria related to house condition (p=0.041), using of mosquito repellent (p=0.020), stall distance (p=0.005) and night outdoor activity (p=0.001), while closing doors and windows (p=0.194), using bed net (p=0.091), cattle existence (p=0.089) and night outdoor bathe, wash and defecation habit (p=0.168) had no correlation with malaria occurrence in area of Kepil I Local Government Clinic. OR value showed that risk of malaria increase 2.167 times in house with unclose wall and roof, 3.160 times in subject that not use mosquito repellent at night, 4.829 times in subject living in a house with integrated stall or the distance less then five meters, and 4.244 times in subject with night outdoor activity. Conclusion: Environmental factors related to malaria in area of Kepil I Local Government Clinic were unclose wall and roof of the house, not using mosquito repellent at night, existence of stall that is integrated with house or the distance is less than five meters and night outdoor activity. Keywords: malaria, physical environment, biological environment, social environment
Gambaran Kepatuhan Minum Obat dalam Pengobatan Massal Pencegahan Filariasis Limfatik di Kecamatan Banyubiru Kabupaten Semarang Mailana, Alfiko Aditya; Saraswati, Lintang Dian; Kusariana, Nissa; Ginandjar, Praba
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 19, No 5 (2020): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.19.5.345-352

Abstract

Latar belakang: Indonesia merupakan negara endemis filariasis di Asia Tenggara dengan 236 kabupaten/ kota (46%) termasuk dalam daerah endemis. Kabupaten Semarang menjadi salah satu daerah endemis yang menjalankan POPM filariasis sejak tahun 2017. Pada tahun 2018 terjadi penurunan angka cakupan minum obat dan peningkatan jumlah kasus filariasis di Kabupaten Semarang. Hal tersebut dapat memengaruhi keberhasilan pelaksanaan POPM filariasis di Kabupaten Semarang. Penelitian ini bertujuan untuk menggambarkan kepatuhan minum obat masyarakat dalam POPM filariasis di Kecamatan Banyubiru, Kabupaten Semarang.Metode: Penelitian ini adalah penelitian observasional deskriptif menggunakan desain studi cross sectional dengan metode rapid survey. Penelitian dilaksanakan di Kecamatan Banyubiru Kabupaten Semarang pada bulan September-Oktober 2019. Penelitian ini menggunakan cluster sampling dua tahap dengan unit sampling adalah rukun warga (RW). Jumlah cluster dalam penelitian ini adalah 30 cluster dengan besar sampel sebanyak 210 responden berusia ≥ 18 tahun. Hasil: Penelitian ini menunjukkan bahwa responden yang patuh meminum obat pencegahan filariasis (79,5%) lebih banyak terdapat pada responden dewasa berumur 18-44 tahun (84,6%), berjenis kelamin perempuan (82,8%), tamat SMP/ sederajat (85,7%), tidak bekerja (84,9%), berpengetahuan baik (90,9%), mendapat dukungan kader baik (94,7%), mendapat dukungan sosial baik (84,7%), dan tidak mengalami efek samping obat pencegahan filariasis pada periode pertama (92,7%). Sedangkan, alasan responden tidak meminum obat pencegahan filariasis paling banyak adalah karena takut terhadap efek samping obat (27,9%).Simpulan: Responden dewasa (18-44 tahun), perempuan, tamat SMP/ sederajat, tidak bekerja, berpengetahuan baik, mendapatkan dukungan kader dan sosial baik, serta tidak mengalami efek samping obat pada POPM periode pertama lebih patuh dalam meminum obat pencegahan filariasis.Kata kunci: Filariasis, kepatuhan minum obat, POPM ABSTRACTTitle: Compliance of Taking Drugs in the Filariasis Mass Drug Administration at Banyubiru Sub-district Semarang RegencyBackground: Indonesia is a filariasis endemic country in Southeast Asia with 236 endemic districts (46%). Semarang Regency has become one of the endemic districts that have been running filariasis MDA since 2017. There has been a decreasing of MDA coverage and increasing the number of filariasis cases in 2018. Those problems could affect the success of filariasis elimination. This study aims to describe the community's filariasis MDA compliance in Banyubiru Sub-district.Method: This research is an observational descriptive study. Research was done using a cross-sectional design with a rapid survey method that was conducted in September-October 2019. This study used two-stage cluster sampling with rukun warga (RW) as sample unit, 30 clusters were selected with sample number was 210 of ≥18 years old respondents.Result: Compliant respondents who took filariasis prevention drugs (79.5%) were mostly found in adult respondents aged 18-44 years (84.6%), female (82.8%), completed junior high school/ equivalent (85.7%), jobless (84.9%), have good knowledge (90.9%), have good cadre support (94.7%), have good social support (84.7%), and not experiencing filariasis prevention drugs side effect (92.7%). Meanwhile, respondents mostly did not take filariasis prevention drugs was because they were afraid with side effects of the drug (27.9%).Conclusion: Respondents who adult (18-44 years old), female, graduated from junior high school/ equivalent, jobless, have good knowledge, have good cadre and social support, and not experiencing drugs side effects in the MDA first period are more compliant in taking filariasis prevention drugs. Keywords: Filariasis, drug compliance, filariasis MDA
Review: Distribusi Bakteri Patogen oleh Lalat Sinantropik di Daerah Permukiman Pranajaya, Condro Sukmo; Ginandjar, Praba; Hestiningsing, Retno; Yuliawati, Sri
Jurnal Ilmiah Mahasiswa Vol 10, No 3 (2020): Jurnal Ilmiah Mahasiswa
Publisher : Jurnal Ilmiah Mahasiswa

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Abstract

Flies as mechanical vectors send pathogenic bacteria to food through contaminated body parts. Pathogenic bacteria can spread widely through contaminated body parts of synanthropic flies as well as flight ability. This study aims to describe the distribution of pathogenic bacteria by synanthropic flies in residential areas. This research is a literature review research with a simplified approach. Articles are collected through Google Scholar, Portal Garuda, Sciencedirect, Springer Link, Researhgate, and PubMed. Selected articles discuss the distribution of pathogenic bacteria by synanthropic flies in residential areas. Synanthropic fly species identified from the settlement are, Musca domestica, Chrysomya megacephala and Calliphora. Pathogenic bacteria identified from synanthropic flies in settlements are Salmonella typhi, Shigella, Escherichia coli, Campylobacter, Bacillus, Staphylococcus aureus, and Pseudomonas aeruginosa.. Genetically, there are similarities in bacterial isolates from flies and humans. Profiles of antibiotic resistant bacteria in flies in settlements match those from sewage treatment facilities. The presence of animals increases the risk of the spread of pathogenic bacteria by flies. There was no difference in E. coli bacteria in the fly at home and cage.. Genetic analysis of house fly populations and antibiotic resistant bacterial profiles showed the spread of flies between urban and rural areas. Synanthropic flies are able to spread pathogenic bacteria in settlements up to a radius of 2 km from the breeding site.
Gambaran Kinerja Kader Filariasis dalam Program Pengobatan Massal Filariasis di Wilayah Kerja Puskesmas Brebes Kabupaten Brebes Putri, Fanindita Widyantoro; Martini, Martini; Saraswati, Lintang Dian; Ginandjar, Praba; Kusariana, Nissa
Jurnal Ilmiah Mahasiswa Vol 11, No 2 (2021): Jurnal Ilmiah Mahasiswa
Publisher : Jurnal Ilmiah Mahasiswa

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Abstract

Mass Drug Administration (MDA) of filariasis is effort for filariasis elimination. Brebes Regency is one of the endemic areas for filariasis which started MDA in 2017. However, it has not yet reached the target results for mass treatment coverage. This study aims to describe the performance of elimination personnel in the implementation of the mass administration program for filariasis in the working area of Brebes Health Center, Brebes Regency. This study used a cross sectional research method. The population in this study were all elimination personnel in the work area of Brebes Health Center, Brebes Regency who were registered in 2019. The sample size in this study was 120 respondents. The sampling technique used proportional random sampling. The results showed that elimination personnel in recording the assisted families (93,3%), elimination personnel in selecting target family members to be treated is optimal (73,3%), elimination personnel in helping puskesmas determine the dosage and administration of medicines for each of the assisted families (52,5%), elimination personnel in recording the assisted families who drank the medicine on the card was optimal (63,3%), and elimination personnel in monitoring and recording treatment reactions that may arise and reporting to health workers was optimal (53,3%). 
SYSTEMATIC REVIEW DISTRIBUSI SPASIAL VEKTOR PENYAKIT FILARIASIS DI DAERAH ENDEMIS FILARIASIS Wulandari, Diana; Ginandjar, Praba; Yuliawati, Sri; Udijono, Ari
Jurnal Ilmiah Mahasiswa Vol 10, No 4 (2020): Jurnal Ilmiah Mahasiswa
Publisher : Jurnal Ilmiah Mahasiswa

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Abstract

Mosquitoes are a vector of filariasis. Most areas in Indonesia have been declared endemic areas of filariasis. Each endemic area has a different vector and behavior. One factor that has been known to have a relationship with the distribution of mosquitoes as a vector of disease is the topography of the region which is closely related to the pattern of disease transmission. Therefore, it is necessary to have data regarding the distribution of filariasis vectors in the endemic filariasis areas. That data sources can be utilized by health policy holders as an information that is relating to the distribution of vectors for controlling filariasis. This review aims to describe the distribution of filariaisis vectors in endemic areas of filariasis in Indonesia. This research is a literature review research with a simplified approach. The research articles were collected from Google Scholar, Sciencedirect, Researhgate, and PubMed.  The results of this review was found that species of mosquitoes caught in endemic areas of filariasis came from four genera, namely Culex, Aedes, Anopheles, and Mansonia. The density of biting mosquitoes were calculated by MHD and MBR in each study area was different because the time of catching mosquitoes was different. The high dominance of a species made the species potentially became a potential vector. The comparison of parous and nulliparous mosquitoes at the arrest at the research place showed a greater proportion of parous. The highest age of mosquitoes was Culex quinquefasciatus (28 days). Only two species of mosquitoes were confirmed as filariasis vectors namely Culex quinquefasciatus and Anopheles barbirostris. Mosquitoes that had been confirmed as vector filariasis were found spreading and gathering around the location where there were a case of filariasis.
STATUS KERENTANAN NYAMUK Aedes aegypti TERHADAP INSEKTISIDA SIPERMETRIN DI PELABUHAN TANJUNG BALAI KARIMUN PROVINSI KEPULAUAN RIAU Suhartati, Suhartati; Martini, Martini; Hestiningsih, Retno; Ginandjar, Praba
Jurnal Kesehatan Masyarakat (Undip) Vol 8, No 6 (2020): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (129.066 KB) | DOI: 10.14710/jkm.v8i6.28233

Abstract

Aedes aegypti merupakan vektor utama penyakit Demam Berdarah Dengue. Vektor Pengendalian menggunakan insektisida merupakan upaya yang sering digunakan untuk mencegah angka insiden DBD. Penelitian Penyanyi bertujuan untuk review mengetahui statusnya kerentanan nyamuk Aedes aegypti   Terhadap insektisida Sipermetrin di Pelabuhan Tanjung Balai Karimun. Penelitian ini merupakan penelitian deskriptif untuk mendeskripsikan dan mempelajari status pelaporan nyamuk Aedes aegypti   terhadap insektisida Sipermetrin yang diujikan dengan menggunakan metode uji kerentanan (WHO standar) dengan menggunakan kertas diresapi yang mengandung 0,05% Sipermetrin. Nyamuk Aedes aegypti diperoleh dari area perimeter dan penyangga Tanjung Balai Karimun dengan menggunakan ovitrap, telur yang diperoleh dari pemasangan ovitrap kemudian di pemeliharaan menjadi nyamuk dewasa generasi pertama. Nyamuk yang digunakan sebanyak 240 sampel Aedes aegypti betina pada 3-5 hari, nyamuk dikontakkan selama 1 jam dan diholding selama 24 jam dan dihitung persentase kematiannya. Berdasarkan Standar WHO persentase kematian nyamuk ≥ 98% rentan, 90% ˂98% terduga resisten dan ˂90% resisten. Nyamuk Aedes aegypti dari pelabuhan Tanjung Balai Karimun menunjukkan masih rentan terhadap insektisida sipermetrin 98,75% untuk daerah perimeter dan 100% untuk daerah penyangga.
Nocturnal Activity of Aedes spp. in the Filariasis Endemic Area in Central Java: Aktivitas Nokturnal Aedes spp. di Wilayah Endemis Filariasis di Jawa Tengah Kusariana, Nissa Kusariana; Ginandjar, Praba; Ariyani, Vivi Septi; Wurjanto, Moh Arie
Aspirator Vol 13 No 1 (2021): Jurnal Aspirator Volume 13 Nomor 1 2021
Publisher : Perkumpulan Entomologi Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/asp.v13i1.4161

Abstract

The elimination filariasis program has not been successful in the province of Central Java. The Changes in mosquito vector behavior, especially their active time in blood feeding, greatly affect the transmission of filariasis. One of the behavioral changes is the shifting ofmosquito activity from morning to night, such as the Aedes spp. This study aims to describe the nocturnal activity of the Aedes spp. mosquito in the filariasis endemic area in Central Java. This research is an observational study with a cross-sectional design, carried out in two endemic filariasis villages, Tegal Dowo Village, Tirto Sub-District, Pekalongan Regency and Ujung-Ujung Village, Pabelan District, Semarang Regency. Mosquito catching was conducted in 2 nights from 06.00 pm to 12.00 am, with three mosquito catchers inside and three outside of each patient’s house that was positive for filariasis from 2018-2019 or the house around the Filariasis cases house (± 200 meters distance) using a purposive sampling technique. The mosquito collections were carried out using the Human Landing Collection (HLC) method and resting collection. The results showed the nocturnal activity of Aedes aegypti and Aedes albopictus in the Filariasis endemic area. A total of 124 mosquitoes with 121 Ae. aegypti were found at night inside the house and 2 in Tegal Dowo Village, while in Ujung-ujung Village there are only 2 Ae. aegypti were found outdoor at night. In the two research areas, it was found that the highest active time of Ae. aegypti mosquitoes were at 06.00-07.00 pm. Our study concludes that there is evidence of nocturnal activity of Aedes mosquitoes at night in filariasis endemic areas in Central Java.