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The Effect of Post-Traumatic Stress Disorder on Women After The Earthquake in Central Sulawesi Andini Rizki Amanda; Atik Choirul Hidajah; Chatarina Umbul Wahyuni
Jurnal Berkala Epidemiologi Vol. 9 No. 3 (2021): Jurnal Berkala Epidemiologi (PERIODIC EPIDEMIOLOGY JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V9I32021.303-309

Abstract

Background: Posttraumatic stress disorder (PTSD) is a psychological disorder caused by uncommon occurrences such as threats or catastrophic events. Women are particularly susceptible to developing PTSD, as they have a range of threat perceptions. Purpose: The aim of this study was to examine the effect of PTSD on women survivor of the earthquake in the Sigi Biromaru sub-district of Central Sulawesi. Methods: This was a descriptive study conducted using a cross-sectional design. The population for this study were housewives who have been displaced by the earthquake and are currently residing in temporary shelters (Huntara) in a village located in the Sigi Biromaru sub-district. The instrument used in this study was the PTSD measurement questionnaire sheet. It was conducted from March to April 2020 and included a total of 115 participants. Univariate analysis was used to determine the respondents’ characteristics, including their age, education, occupation, income, and a description of the PTSD condition. Results: The results show that the majority of respondents experienced severe PTSD (70.43%). Most of the respondents (35.65%) were between the ages of 37 and 46, were senior high school graduates (40%), were unemployed (74%), and had earnings of < 2,500,000 (85.22%). Three variables that affect PTSD are education with a p-value of 0.03 < 0.05, job/occupation with a p-value of 0.02 < 0.05, and income with a p-value of 0.03 < 0.05. Conclusion: Women who are elderly, have a low level of education, are unemployed, and have low income are more vulnerable to experiencing PTSD.
THE RELATIONSHIP OF DIABETES MELLITUS AND HYPERTENSION WITH MORTALITY IN COVID-19 PATIENTS Yasmin Nihayatun Nadzifah; Atik Choirul Hidajah
Jurnal Berkala Epidemiologi Vol. 10 No. 2 (2022): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V10I22022.219-226

Abstract

Background: Coronavirus disease 2019 (COVID-19) can infect the human respiratory system and causes 6.93% of all deaths in East Java Province. Comorbid diabetes mellitus and hypertension can exacerbate COVID-19 patients. Purpose: This study aims to analyze the relationship between diabetes mellitus and hypertension with mortality in COVID-19 Patients in Lamongan District. Methods: This study used an analytic observational study with a cross-sectional design. The study population was patients diagnosed with COVID-19 and registered at Lamongan District Health Office from April to August 2020, as many as 412 patients. The study sample was 93 patients who were taken by simple random sampling. The dependent variable in the study was the incident of mortality in COVID-19 patients. The independent variables in the study were gender, age, hypertension, and diabetes mellitus. Data analysis was using the chi-square test. Results: The variables studied that had a relationship with mortality in COVID-19 patients were age ≥ 60 years (p = 0.02; PR = 3.23; 95% CI = 1.29 <PR <8.10) and diabetes mellitus (p = 0.03; PR = 3.20; 95% CI = 1.23 <PR <8.36). The variables studied that did not have a relationship with mortality in COVID-19 patients were gender (p = 0.30; PR = 1.72; 95% CI = 0.74 <PR <4.03) and hypertension (p = 0.72; PR = 1.37; 95% CI = 0.34 <PR <5.48). Conclusion: Age and diabetes mellitus are significantly associated with mortality in COVID-19 patients, but sex and hypertension are not significantly associated with mortality in COVID-19 patients.
EVALUATION OF TUBERCULOSIS PROGRAM SURVEILLANCE IN THE DEPARTMENT OF HEALTH IN BLITAR DISTRICT 2018 Harni Utari Nennong; Atik Choirul Hidajah; Lucia Yovita hendrati
Journal of Public Health Research and Community Health Development Vol. 5 No. 1 (2021): OCTOBER
Publisher : Sekolah Ilmu Kesehatan Dan Ilmu Alam (SIKIA), Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jphrecode.v5i1.26067

Abstract

Latar Belakang: Tuberkulosis (TB) masih terus menjadi endemik di berbagai wilayah di dunia, termasuk di India, penilaian klinis, pengujian, pelacakan kontak, konfirmasi diagnosis dengan rejimen pengobatan yang diawas. Pemberantasan yang efektif menjadi salah satu penyakit yang penanggulangannya menjadi komitmen global dalam SDGs. Menunjang keberhasilan program penanggulangan TB diperlukan adanya data epidemiologi penyakit TB yang dapat diperoleh melalui kegiatan surveilans epidemiologi TB. Tujuan: mengetahui gambaran dan evaluasi komponen system dan atribut surveilans TB di Dinas Kesehatan Kabupaten Blitar tahun 2018. Metode: penelitian ini merupakan penelitian kualitatif dengan rancang studi evaluasi. Evaluasi sistem surveilans di Dinas Kesehatan Kabupaten Blitar di lakukan dari April – Juni 2018 dan data. Evaluasi system surveilans program TB dilakukan dengan wawancara untuk memperoleh informasi. Hasil: Berdasarkan komponen sistem surveilans diperoleh bahwa Pengumpulan data yang dilakukan petugas kesehatan dianggap mudah mulai dari alur pengumpulan data, pengisian formulir hingga alur pelaporan walaupun dalam pengiriman laporan masih ada Puskesmas yang terlambat dalam proses pengiriman ke aplikasi SITT. Proses analisis hanya dilakukan ditingkat Dinas Kesehatan, sedangkan ditingkat Puskesmas tidak dilakukan analisis. Pada komponen output, umpan balik yang dilakukan Dinas Kesehatan Kabupaten adalah dengan melakukan monitoring mengenai pengumpulan data serta pengiriman laporan melalui aplikasi Whatssapp dan melakukan miniloka setiap 3 bulan.Kesimpulan: Sistem surveilans TB di Kabupaten Blitar masih memerlukan perbaikan dalam pelaksanaannya dalam hal pengumpulan data, analisis data, ketersediaan pedoman surveilans TB hingga pengetahuan petugas terkait dengan surveilans TB.
Gambaran kualitas sistem surveilans TB di Dinas Kesehatan Kabupaten Gresik berdasarkan pendekatan sistem dan penilaian atribut Arina Mufida Ersanti; Agung Nugroho; Atik Choirul Hidajah
Jurnal Sistem Informasi Kesehatan Masyarakat Vol 1, No 3 (2016)
Publisher : Minat Sistem Informasi Manajemen Kesehatan Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jisph.9871

Abstract

Latarbelakang : Program pengendalian TB yang efektif membutuhkan dukungan sistem surveilans yang baik. Tujuan dari penelitian ini adalah untuk menggambarkan kualitas sistem surveilans TB berdasarkan analisis komponen sistem dan penilaian atribut, untuk memberikan rekomendasi yang tepat.Metode Penelitian : Merupakan penelitian evaluasi pada sistem surveilans TB yang diimplementasikan di Dinas Kesehatan Kabupaten Gresik selama tahun 2014. Responden adalah Kepala seksi pemberantasan penyakit dan pengelola program TB di tingkat dinas kesehatan, serta petugas surveilans yang ada di 14 puskesmas terpilih. Penentuan lokasi puskesmas dilakukan dengan systematic cluster  pada 4 zona wilayah kerja Dinas Kesehatan Kabupaten Gresik. Pada setiap zona diambil semua puskesmas yang berstatus Puskesmas Rujukan Mikroskopis (PRM). Pada setiap PRM diambil secara acak 1 puskesmas yang berstatus Puskesmas Satelit (PS). Analisis data dilakukan dengan menggambarkan komponen sistem dan atribut sistem surveilans, serta membandingkan dengan buku pedoman pengendalian TB tahun 2014, Kepmenkes RI No.1116/SK/VIII/2003, dan Guidelines for Evaluation Public Health Surveillance System dari CDC. Informasi yang diperoleh disampaikan dalam bentuk tabel dan anrasi.Hasil: Pada tingkat puskesmas, petugas yang terlatih dalam program TB berkisar 76-81% (80,67% di PRM dan 76% di PS). Pemeriksaan laboratorium diperlukan untuk diagnosis dan hanya puskesmas dan beberapa rumah sakit yang terlibat dalam penemuan kasus TB. Implementasi sistem yang berubah menjadi SiTT membutuhkan peningkatan biaya, waktu, dan kualitas pekerja. Kesalahan SiTT dikeluhkan oleh 55% responden. Meskipun ketepatan waktu adalah 92,97% tapi masih ada kesalahan besar dalam diagnosis kasus.Kesimpulan : Penilaian menurut atribut sistem surveilans menunjukkan sistem tidak sederhana, tidak fleksibel, tidak akseptabel, tidak stabil, dengan kualitas data yang buruk, meskipun predictive positive value tinggi dan ketepatan waktu pengumpulan data sudah baik. 
Improving Knowledge, Attitudes and Skills of Wani Ngandani Cadres on Effective Communication Dissemination of Health Protocols and Continuous Monitoring (Surveillance) for Covid 19 Management in Surabaya Shrimarti Rukmini Devy; Sri Widati; Mochammad Bagus Qomaruddin; Muji Sulistyowati; Oedojo Soedirham; Santi Martini; Atik Choirul Hidajah; Isma Faridatus Sholihah; Dayu Marista; Alfi Makrifatul Azizah; Eni Purwaningsih
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 10 No. 2 (2022): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V10.I2.2022.171-178

Abstract

Background: COVID-19 preventive behavior plays a role in reducing infection rates and controlling the spread of the disease. In order to optimize the behavior of preventing COVID-19 in the Pacar Keling Sub-district, Tambaksari District, a health promotion program is needed by involving the active participation of the community, so that the community is able to overcome health problems with their existing potential. Objectives: This study aimed to determine the increase before and after being given knowledge and skills on how to communicate effectively when socializing the 5M health protocol, planning and evaluating in conducting socialization activities and how to carry out continuous surveillance on Wani Ngandani cadres as well as increasing knowledge related to health protocols during the COVID-19 pandemic for webinars. Methods: In each activity, 1-3 and RTL Webinar, Pre-test, and Post-test data are collected to measure the level of knowledge of participants. A paired t-test is used as the data analysis to determine the difference before and after being given training. The methods applied in measuring cadre skills are presentation and role play. Meanwhile, RTL activities are held online in the form of Community Service Webinars. The materials provided in training activities 1-3 are in the form of PPT materials and manuals. Results: Based on the results of the paired t-test, it is known that there were significant differences (sig <0.05) in the results of the pre-test and post-test on the four training activities. Conclusion: This program was effective and its implementation has succeeded in achieving the expected target and there has been a strengthening of knowledge in the community.
COVID-19 surveillance in educational institution as an early detection in subpopulation Hargono, Arief; Martini, Santi; Hidajah, Atik Choirul; Astutik, Erni
International Journal of Public Health Science (IJPHS) Vol 12, No 4: December 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i4.22698

Abstract

Since the first time it was discovered in 2019, COVID-19 has been the major threat to public health. Surveillance is considered to be one of the main pillars in dealing with the pandemic as it enhances the efforts of prevention and control of COVID-19. This study aimed to develop COVID-19 surveillance system at Universitas Airlangga that play a great importance in detecting and monitoring of COVID-19 status among its academias. This study refers to system approach which include system analysis and system design. System analysis was conducted by describing it into its components, namely input, process, and output. The results from system analysis are then utilized to the system design. The surveillance system collects and analyzes data which resulted to epidemiological information and recommendation. The result from the monitoring then utilized as an effort to enhance the coordination for epidemic preparedness in the institution. This study concludes that the COVID-19 surveillance system model in this institution monitors the COVID-19 status and associated risk factors of the sub-population within the institution. The information generated is used by decision-makers for early detection and monitoring of COVID-19 status.
ANALYSIS OF THE IMMUNIZATION PROGRAM IN TRENGGALEK DISTRICT, EAST JAVA PROVINCE IN 2019 - 2021 Sagita, Insharie Arie; Hidajah, Atik Choirul; Ratgono, Antonius
HEARTY Vol 12 No 2 (2024): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v12i2.16399

Abstract

The immunization program is aimed to reach herd immunity, is requires high immunization coverage. The coverage of Universal Child Immunization (UCI) at the Village level in Trenggalek District for the period 2019–2021 still had not reached the target (100%), 91.08% in 2019, 92.36% in 2020, and 89.17% in 2021. This study aimed to identify the causes of the problem and suggest alternative solutions. This observational descriptive study was conducted at the Trenggalek District Health Office in January 2023. Informants were 17 people (4 officers of the health office who were responsible for the immunization program and 13 immunization coordinators from the Public Health Center/PHC which in 2019–2021 had not reached the UCI coverage at Village level). Identification of root causes was using a fishbone diagram and determining the priority of root causes to be intervened with using the Capability, Accessibility, Readiness, and Leverage (CARL) method which was done through brainstorming with all respondents. There were identified 11 root causes of not achieving the UCI coverage at the Village level. The dominant factor affecting the root problem was the officers (81.81%). The root problem that received the highest score with the CARL method was the immunization officers did not give communication, information, and education to parents optimally. This happened because the officers only focused on the number of targets to reach. In each PHC, there needs to be a team that gives communication, information, and education to assist immunization officers in providing education and information about immunization. The Immunization Officer in the District Health Office needs to monitor and evaluate the immunization services and give feedback to the PHC periodically.
Keracunan Permen Lunak pada Siswa Sekolah Dasar di Kota Blitar, Provinsi Jawa Timur Silvia Novike Arinta; Atik Choirul Hidajah; Nanang Saifudin
Jurnal Kesehatan Vol. 16 No. 2 (2023): Jurnal Kesehatan
Publisher : UPPM Poltekkes Kemenkes Ternate

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32763/cnyseg44

Abstract

Latar Belakang: Pada 22 Agustus 2022, 4 siswa sebuah SD di Kecamatan Sukorejo dibawa ke Puskesma dengan keluhan muntah dan sakit perut setelah memakan permen lunak “X”. Metode: Penelitian dilakukan dengan metode kohort retrospective. Wawancara dengan siswa menggunakan kuesioner terstruktur dilakukan untuk mencari siswa yang memiliki gejala mual, sakit perut, pusing, diare, muntah dan menyatakan adanya rasa logam di mulut setelah memakan permen lunak pada tanggal 22 Agustus 2022. Pemeriksaan laboratorium kimia oleh BPOM Surabaya dilakukan untuk mengidentifikasi formalin, timbal, kadmium dan arsen pada permen lunak. Data yang didapatkan kemudian dianalisis menggunakan Chi Square. Hasil: Diantara 113 murid yang ada di sekolah, terdapat 25 kasus (attack rate= 73,5%); berjenis kelamin perempuan sebanyak 59.65%; bergejala mual 58.8%, dan mengalami sakit perut 55,9 %. Median masa inkubasi adalah 30 menit. Kurva epidemik berupa common source. Murid yang memakan permen lunak berisiko mengalami keracunan yang signifikan secara statistic (RR=29,41, 95%CI=7.37-117.29). Pada setiap permen lunak seberat 25 mg, terdapat kandungan dalam jumlah sedikit berupa timbal (0,115 mg/kg, standar penyajian: ≤1 mg/kg), kadmium (0,005 mg/kg, standar penyajian: ≤0,5 mg/kg), dan arsen (0,015 mg/kg, standar penyajian: ≤1 mg/kg). Kesimpulan: Kejadian keracunan makanan ini dikaitkan dengan konsumsi permen lunak “X” mengandung bahan kimia. Bahan kimia berbahaya bagi anak-anak. Pemeriksaan laboratorium lebih lanjut diperlukan untuk menemukan bahan kimia lain dari bahan pewarna dan perasa. Direkomendasikan untuk dilakukan sosialisasi pada anak-anak terkait bahaya kandungan bahan kimia dalam permen lunak, maupun makanan lainnya.
Faktor Risiko KLB Keracunan Makanan Pasca Gempa Bumi di Kabupaten Sumbawa Atik Choirul Hidajah; Febriyanti Febriyanti; Debri Rizki Faisal
Jurnal Kesehatan Vol. 14 No. 2 (2021): Jurnal Kesehatan
Publisher : UPPM Poltekkes Kemenkes Ternate

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32763/jrfqd848

Abstract

Latar Belakang: Gempa bumi terjadi pada bulan Juli dan Agustus di Lombok menyebabkanmunculnya beberapa masalah kesehatan salah satunya keracunan makanan. Dilaporkan kasuskeracunan makanan di Kecamatan Alas Barat Kabupaten Sumbawa akibat mengkonsumsi makanansaat kegiatan trauma healing. Tujuan: Penelitian ini bertujuan untuk mengetahui faktor risiko danetiologi penyebab terjadinya keracunan makanan di Kecamatan Alas Barat, Kabupaten Sumbawa.Metode: Penelitian ini bersifat deskriptif dengan metode Penyelidikan dan observasi data sekunderkasus KLB keracunan makanan. Hasil: Gejala awal keracunan makanan pada pukul 16.00. Puncaktertinggi dirasakan pada pukul 19.00-19.59 sebanyak 65 orang. Masyarakat yang paling banyakmengalami keracunan makanan berjenis kelamin perempuan yaitu 59 orang (50,43%) dan kelompokumur 5-11 tahun 62 orang (53%). Gejala yang paling banyak muncul adalah muntah (95%). Jenismakanan yang dicurigai penyebab terjadinya keracunan makanan adalah ayam (AR= 81,19%), nasi(AR= 75,21%) dan sayur (AR= 67,52%). Agent yang dicurigai penyebab keracunan makanan adalahbakteri Staphylococcus, Clostridium Perfringens dan Eschericia Coli. Kesimpulan: Keracunanmakanan yang terjadi merupakan Common Source yang berasal dari satu sumber penularan yaitumakanan yang dimakan ketika kegiatan trauma healing. Jenis makanan yang dianggap memiliki risikotinggi adalah ayam, nasi dan sayur. Hasil laboratorium menunjukkan Eschericia Coli merupakanbakteri penyebab terjadinya keracunan makanan.
QUALITY OF LIFE OF COVID-19 SURVIVORS IN THE CITY OF BOGOR Insani, Laras Arsyi; Hidajah, Atik Choirul
The Indonesian Journal of Public Health Vol. 19 No. 3 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i3.2024.479-493

Abstract

Introduction: The number of COVID-19 survivors in Bogor City until 2021 is 98.52%. COVID-19 survivors often experience a reduction in quality of life and impacts such as symptoms for a long period of time, fatigue, headaches, shortness of breath, impaired physical function, and others that affect quality of life. Aim: Analyze the quality of life of COVID-19 survivors in Bogor City. Method: A cross-sectional design with a population of all Bogor City residents who have declared cured depending on data from the Bogor City Health Office in 2021 with a sample is the majority of COVID-19 survivors in the Bogor City residents who have been certified cured of COVID-19 as demonstrated by the positive screening findings for COVID-19 and have the inclusion criteria. Age, gender, educational status, marital status, employment status, income, vaccination status, alcohol drinking habit, smoking habit, comorbidity, obesity, COVID-19 symptoms experienced, duration of COVID-19 recovery, and hospitalization were independent variables, and data collection was done with an online questionnaire application within 2 (two) months using the 36-Item Short Form Survey Instrument (SF-36) to measure quality of life. Result: The quality of life of COVID-19 in Bogor City is classified as good. The variables of educational status, income, comorbidities, obesity, COVID-19 symptoms experienced, and duration of COVID-19 recovery show that these variables have a greater risk of experiencing poor quality of life. Conclusion: Educational status, income, comorbidities, obesity, COVID-19 symptoms experienced, and the duration of COVID-19 recovery have a significant relationship with quality of life.