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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.
Outbreak Keracunan Makanan Di Kecamatan Purwosari Kabupaten Bojonegoro Provinsi Jawa Timur Tahun 2020 Isti Handayani; Yahya Benyamin Bebengu; Atik Choirul Hidajah; Totok Ismanto; Antonius Ratgono; Aris Wiji Utami
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: 10.32763/5gqpdj96

Abstract

Latar Belakang: Pada tanggal 14 Januari 2020 Dinas Kesehatan Kabupaten Bojonegoro menerima laporan dugaan keracunan makanan setelah seminar hasil Kuliah Kerja Nyata (KKN) yang diadakan suatu perguruan tinggi negeri di Surabaya. Tujuan: Mengetahui gambaran outbreak dan menentukan agent dan sumber penularan. Metode: Agar dapat mengidentifikasi agen dan sumber penularan dilakukan penelitian dengan desain kohor. Populasi risiko berjumlah 101 orang yang hadir pada pertemuan tersebut. Investigasi outbreak dilakukan pada tanggal 16 Januari 2020.Data primer dikumpulkan melalui kegiatan wawancara pada 91 responden. Pemastian agen dengan pemeriksaan sisa makanan yang dikirimkan ke BBLK Surabaya. Variabel yang diteliti adalah gejala, jenis kelamin, umur, waktu kejadian, jenis makanan, dan masa inkubasi. Hasil: Jumlah kasus 38 (AR = 37,6%), terbanyak pada perempuan 37 (97,4%; AR=44,04%), berumur 20-14 tahun sebanyak 34 (89,4%; AR=40,00%). Seluruh kasus mengalami diare. Kurva epidemik berbentuk common source. Masa inkubasi 5-16 jam, tersering 13 jam 30 menit. Jenis makanan yang dicurigai sebagai media penularan adalah sambal (RR=3,84) dan kemangi (RR=2,18). Hasil laboratorium menunjukkan hasil positif nitrit pada nasi, daging ayam, dan timun. Kesimpulan: Telah terjadi outbreak keracunan makanan. Gejala klinis dan masa inkubasi mengarah pada dugaan penyebab adalah agen mikrobiologis. Namun, hasil pemeriksaan laboratorium pada spesimen sisa makanan menunjukkan hasil yang tidak sesuai
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.
TUBERCULOSIS PREVENTIVE THERAPY AS A STRATEGY TO PREVENT AND CONTROL TUBERCULOSIS INCIDENCE 2010-2024: A BIBLIOMETRIC ANALYSIS: Terapi Pencegahan Tuberkulosis sebagai Strategi Pencegahan dan Pengendalian Kejadian Tuberkulosis 2010-2024: Analisis Bibliometrik Sari, Yunita; Choirul Hidajah, Atik; Sahiral Layaly, Nur; Susilastuti, Fransisca
Jurnal Berkala Epidemiologi Vol. 13 No. 2 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I22025.165-173

Abstract

Background: Tuberculosis Preventive Therapy (TPT) is important in TBC control and elimination strategies at the individual and community levels. However, few studies have systematically mapped developing scientific themes and trends related to TPT, primarily through bibliometric analyses. Therefore, a comprehensive bibliometric study is needed to identify key research foci and gaps in the current TPT knowledge pool. Purpose: This study aimed to identify global research trends in TPT as a preventive strategy to reduce TBC incidence. Methods: This study used a systematic literature review approach and bibliometric analysis using Scopus and PubMed databases through the Publish or Perish (PoP) platform, publications from 2010 to 2024. The initial search yielded 266 articles, which were screened using Mendeley for abstracts and keywords, resulting in 109 relevant publications. Bibliometric analyses were then conducted using VOSviewer version 1.6.20. Results: IPT (Isoniazid Preventive Therapy) has a close relationship with Preventive therapy, tuberculosis, child, contact, and HIV. Other results also show that the number of publications discussing TPT from 2020 to 2024 has decreased from 23 to 2, and the latest research topics related to TPT were only found in 2019. Conclusion: Publications related to TPT from 2020-2024 continue to decline; therefore, it is necessary to revitalize research related to TPT, especially by exploring issues that have not been widely discussed, such as the implementation of TPT in high-risk groups other than children and PLHIV, such as people with chronic diseases, the elderly, and populations with limited access to health services.
SPATIAL ANALYSIS FOR MICROPLANNING TO ADDRESS IMMUNIZATION INEQUALITIES IN INDONESIA Astutik, Erni; Hargono, Arief; Artanti, Kurnia Dwi; Hidajah, Atik Choirul; Husnina, Zida; Sari, Siti Shofiya Novita; Sitohang, R. Vensya; Surya, Asik; Hapsari, Ratna Budi; Feletto, Marta
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 1 (2025): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i1.2025.68-81

Abstract

Background: To achieve high and equitable immunization coverage, it is important to understand the access and utilization barriers, as well as the influencing determinants among population groups. Aims: This study aims to identify high-risk regencies and explore the application of spatial analysis to support microplanning in immunization programs. Methods: This study employed an implementation research design conducted in Aceh Province, Indonesia. Secondary datasets on immunization coverage, health human resources, facilities, and socio-economic parameters were analyzed. Focus group discussions (FGDs) and training sessions were conducted with health workers. Results: The average coverage of universal child immunization (UCI) across villages was 24.18%, while complete basic immunization (CBI) reached 55.85%. In general, regencies with low UCI and CBI often had limited human resources, inadequate health facilities, and a high proportion of high-risk populations. This study identified hot spots and cold spots in the study area. Additionally, participants reported that mapping using the application was easier and beneficial for supporting the preparation of immunization micro-planning. Conclusion: Spatial analysis can help address inequalities in immunization services and support resources during immunization. Qualitative approaches provided a deeper understanding of undocumented information. The use of mapping applications facilitated more effective microplanning in immunization programs. Keywords: Child mortality, health risk, immunization, microplanning, vaccine.
Enhancing DHF Program Managers's Capacity in Mapping Endemic Areas with QGIS in Sumenep Regency, 2024 Yuliani, Cahya; Choirul Hidajah, Atik; Kurniawan, Afif; Agus Suryadinata, Mohammad
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background : Dengue hemorrhagic fever (DHF) remains a persistent public health concern in Sumenep Regency, where 73.3% of public health centers (puskesmas) are classified as endemic areas, while the remaining 26.7% categorized as sporadic areas in 2024. Accurate endemicity data are crucial for DHF surveillance, highlighting the need to enhance the capacity of DHF program managers at puskesmas in mapping DHF endemicity. Objective : This study aimed to enhance the capacity of DHF program managers at puskesmas in mapping DHF endemicity at the village level using the Quantum GIS (QGIS) software. Methods : A pre-post test design was employed to evaluate the training’s effectiveness in improving knowledge, attitudes, and skills related to QGIS mapping. Conducted from June to July 2024, the study utilized the Wilcoxon signed rank test for data analysis. Results : The majority of DHF program managers at puskesmas were aged 31-40 years (53.33%), predominantly male (60.00%), held diploma-level qualifications (63.33%), had an educational background in nursing (66.67), and had less than five years of experience in their position (83.33%). Following training, significant improvements were observed in in knowledge (p <0.001), attitudes (p 0.024), and mapping skills (p <0.001). Prior to training, none of the DHF program managers possessed QGIS mapping skills, and only one had developed a DHF endemicity map. Conclusion : Training in DHF endemicity mapping using QGIS significantly enhanced the capacity of DHF program managers at puskesmas in Sumenep Regency. Routine and sustained capacityenhancing efforts are recommended to optimize DHF surveillance outcomes.
ATTRIBUTE-BASED EVALUATION OF DENGUE SURVEILLANCE IN SUMENEP REGENCY: ASSESSING EFFECTIVENESS AND RECOMMENDATIONS FOR IMPROVEMENT: Evaluasi Surveilans Demam Berdarah Dengue Berbasis Atribut di Kabupaten Sumenep: Menilai Efektivitas dan Rekomendasi Perbaikan Yuliani, Cahya; Hidajah, Atik Choirul; Susilastuti, Fransisca; Suryadinata, Mohammad Agus; Soares, Virgilio
Jurnal Berkala Epidemiologi Vol. 13 No. 3 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I32025.201-210

Abstract

Background: Dengue Hemorrhagic Fever remains a significant public health concern in Sumenep Regency, with cases and fatalities reported annually. In 2023, both the incidence rate (27.74/100,000 population) and the case fatality rate (1.96%) exceeded the national targets (IR ≤10; CFR ≤0.6%). Therefore, evaluating the dengue surveillance system is essential to assess its performance and support effective control measures. Purpose: This study evaluates the dengue surveillance system in Sumenep Regency in 2023 based on surveillance system attributes to provide recommendations for improvement. Methods: The study was conducted at a public health center (puskesmas) and the Regency Health Office, involving 17 informants, including surveillance officers and DHF program managers. Data were collected through interviews, document reviews, and observations using questionnaires and sheets. Analysis was based on surveillance system attributes aligned with Indonesia’s DHF prevention and control guidelines, with results presented in tables and narratives. Results: The surveillance system demonstrated good data stability and timeliness, but remains complex, inflexible, has low user acceptance, is not yet representative, and is not yet sensitive. Conclusion: The dengue surveillance system in Sumenep needs improvements in simplicity, user acceptance, representativeness, sensitivity, and data quality. Efforts should simplify processes, integrate active and passive surveillance, standardize procedures, and strengthen coordination to improve system effectiveness.