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All Journal Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) SEL Jurnal Penelitian Kesehatan
Raisuli Ramadhan
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Public Health Veterinary

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SPATIAL ANALYSIS OF HEALTH COMPLAINTS IN ACEH PROVINCE: SUSENAS SURVEY 2018 Raisuli Ramadhan
Jurnal Kesehatan Masyarakat Andalas Vol 15, No 1 (2020): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v15i1.528

Abstract

Health is a very basic need for everyone. However, health often becomes the downstream (impact) of various problems experienced by individuals and the surrounding environment. This study aims to map public health complaints per district / city to describe health problems in the community of Aceh Province in 2018.This research is a cross-sectional survey using Susenas data from Aceh Province in 2018. The population is all districts / cities in Aceh Province as many as 23 districts / cities taken with total sampling. The percentage parameter of health complaints is identified from the percentage factor of the population age> 65 years, the percentage of the population without a partner and the percentage of women. The spatial image was obtained using ArcMap 10.3 software. The results of the spatial mapping study showed that the percentage of public health complaints in Aceh Province in 2018 varied in each district / city. The percentage factor of age> 65 years and the percentage without a partner is not related to the percentage of health complaints, while the percentage of female population in several districts/cities is related and some is not related to public health complaints in Aceh Province in 2018.
KARAKTERISTIK PENDERITA TUBERKULOSIS PARU DI PUSKESMAS RUJUKAN MIKROSKOPIS KABUPATEN ACEH BESAR Eka Fitria; Raisuli Ramadhan; Rosdiana Rosdiana
Sel Jurnal Penelitian Kesehatan Vol 4 No 1 (2017): SEL Jurnal Penelitian Kesehatan
Publisher : Balai Penelitian dan Pengembangan Kesehatan Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (363.547 KB) | DOI: 10.22435/sel.v4i1.1441

Abstract

Tuberkulosis paru merupakan penyakit menular yang disebabkan oleh Mycobacterium tuberculosis yang menyerang organ paru-paru dan menjadi ancaman bagi kesehatan masyarakat di dunia. Kawasan Asia Tenggara menyumbang 35% seluruh kasus TB yang ada di dunia. TB paru dapat didiagnosis berdasarkan gejala klinis, pemeriksaan fisik, pemeriksaan penunjang seperti laboratorium dan radiologi. Salah satu kabupaten di Aceh yang termasuk dalam lima besar kabupaten yang menyumbang 34% kasus baru TB adalah Kabupaten Aceh Besar. Penelitian dilakukan di Puskesmas Rujukan Mikroskopis Darul Imarah, Suka Makmur dan Seulimum, Kabupaten Aceh Besar dengan desain potong yang dilakukan selama 8 bulan, terdiri dari 49 responden berdasarkan total sampling. Penelitian ini bertujuan mendapatkan karakteristik penderita TB paru di 3 PRM Kabupaten Aceh Besar. Pengumpulan data dilakukan dengan wawancara dan pemeriksaan sputum dengan teknik mikroskopis BTA dan metode PCR. Data dianalisa secara deskriptif. Hasil penelitian menunjukkan terdapat 29 responden penderita TB paru di PRM Darul Imarah, 2 responden di PRM Suka Makmur dan 18 responden di PRM Seulimum. Karakteristik responden penderita TB paru didapatkan berturut-turut: jenis kelamin laki-laki, umur 45-54, 55-64, pendidikan tidak tamat SD dan tamat SMA, dan bekerja sebagai buruh/tani. Pemerintah terus menggiatkan kegiatan penyuluhan kesehatan bagi warga tentang tata cara mencegah TB paru, menemukan pasien TB paru dan melakukan pengobatan yang intensif dan tuntas sampai mereka sembuh. Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis that attacks the lungs and a public health threat to the world. Southeast Asia contributes 35% of the whole TB cases in the world.TB can be diagnosed based on clinical symptoms, physical examination, investigation such as laboratory and radiology. One of Aceh districts included in the top five districts contributes 34% new TB cases is Aceh Besar District. The study was conducted in Puskesmas referral microscopis Darul Imarah, Suka Makmur and Seulimum, Aceh Besar District with cross sectional design for 8 months, consist of 49 respondents based on total sampling. This study aims to obtain the characteristics TB patients in 3 Puskesmas referral microscopis Aceh Besar District. Data collection was done by interview and examination microscopic sputum technique BTA and PCR. Data were analyzed descriptively. The results is 29 respondents TB patients in Darul Imarah, 2 respondents in Suka Makmur and 18 respondents in Seulimum as Puskesmas referral microscopis. Characteristics respondents tb male is age between 45 to 54 years, 55 to 64 years and education did not finish primary school, graduate high school, and work as laborer / farmer. The government is continuing to intensify health education activities for community about how to prevent of TB , to finding TB patients and perform intensive treatment until healed.
DETEKSI MYCOBACTERIUM TUBERCULOSIS DENGAN PEMERIKSAAN MIKROSKOPIS DAN TEKNIK PCR PADA PENDERITA TUBERKULOSIS PARU DI PUSKESMAS DARUL IMARAH Raisuli Ramadhan; Eka Fitria; Rosdiana Rosdiana
Sel Jurnal Penelitian Kesehatan Vol 4 No 2 (2017): SEL Jurnal Penelitian Kesehatan
Publisher : Balai Penelitian dan Pengembangan Kesehatan Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (369.987 KB) | DOI: 10.22435/sel.v4i2.1463

Abstract

Tuberkulosis merupakan penyakit infeksi menular yang disebabkan oleh Mycobacterium tuberkulosis. Penyakit tuberkulosis masih menjadi masalah utama kesehatan.TB menjadi penyebab kematian kedua terdepan penyakit menular di dunia. Indonesia menduduki peringkat kedua terbanyak setelah India dari enam negara yang menyumbang 60% dari total kejadian TB. Mycobacterium tuberculosis dapat dideteksi pada sputum dengan pemeriksaan mikroskopis, teknik Polymerase Chain Reaction (PCR), dan kultur bakteri. Aceh Besar menjadi urutan ketiga terbanyak penderita TB dan menyumbang 34 % jumlah seluruh kasus baru di Aceh. Penelitian bertujuan untuk mendeteksi Mycobacterium tuberculosis dengan pemeriksaan mikroskopik dan teknik PCR pada penderita tuberkulosis paru yang sudah menjalani pengobatan 2 bulan sampai 6 bulan di Puskesmas Darul Imarah Kabupaten Aceh Besar dengan jumlah sampel minimal 29 pasien TB aktif. Pengumpulan data dilakukan dengan wawancara dan pemeriksaan sputum secara mikroskopis dan teknik PCR. Data dianalisa secara deskriptif. Hasil penelitian didapatkan dari 29 responden hanya 1 sampel yang positif (3,4%) secara mikroskopis, sedangkan pemeriksaan dengan teknik PCR ditemukan 19 sampel yang positif (65,5%). Akurasi deteksi Mycobacterium tuberkulosis dengan teknik PCR sangat tinggi. Mycobacterium tuberkulosis yang tidak terdeteksi dengan pemeriksaan mikroskopis (BTA) dapat dideteksi dengan teknik PCR. Sebaiknya hasil negatif pada pemeriksaan BTA secara mikroskopik dilanjutkan dengan teknik PCR guna menghindari salah diagnosis, mengingat PCR akurasinya tinggi. Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. Tuberculosis is still a major health problem. TB is the second leading cause of death of infectious diseases in the world. Indonesia was ranked second after India from six countries accounted for 60% of total TB incidence. Mycobacterium tuberculosis can be detected on sputum by microscopic, Polymerase Chain Reaction (PCR) technic and culture. Aceh Besar District became the third largest TB patient and accounted for 34% of all new cases in Aceh province. The study aims to detect Mycobacterium tuberculosis by microscopic and PCR in patients with pulmonary tuberculosis who have been undergoing treatment for 2 months to 6 months at Puskesmas Darul Imarah Aceh Besar District with a sample size of at least 29 active TB patients. Data was collected by interview, sputum microscopic and PCR method. Data were analyzed descriptively. The results showed of 29 respondents only 1 positive samples (3.4%) are microscopic, while the examination with the PCR technic found 19 positive samples (65.5%). Accuracy of Mycobacterium tuberculosis detection with PCR technique is very sensitive. Mycobacterium tuberculosis undetected by microscopic (Gram positive basil) and detected by PCR technique. Should a negative result in microscopic and followed by PCR technique to avoid incorrect diagnosis as the accuracy of PCR technic.
DETERMINASI PENYEBAB STUNTING DI PROVINSI ACEH Raisuli Ramadhan; Nur Ramadhan
Sel Jurnal Penelitian Kesehatan Vol 5 No 2 (2018): SEL Jurnal Penelitian Kesehatan
Publisher : Balai Penelitian dan Pengembangan Kesehatan Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (706.899 KB) | DOI: 10.22435/sel.v5i2.1595

Abstract

Stunting (bertubuh pendek) merupakan salah satu masalah serius kesehatan masyarakat yang dihadapi oleh Indonesia, khususnya di provinsi Aceh. Penyebab utama dari stunting diketahui karena kekurangan gizi pada anak usia di bawah lima tahun. Determinasi faktor penyebab stunting pada anak di Provinsi Aceh sangat diperlukan untuk membantu perencana pengelolaan kesehatan masyarakat, dalam upaya menurunkan masalah stunting. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor utama yang berhubungan dengan stunting pada anak-anak di bawah umur lima tahun di Aceh. Penelitian menggunakan metode survei dari bagian pemantauan status gizi yang dilakukan dalam tahun 2017 di Provinsi Aceh dengan metode wawancara, pengukuran berat badan dan pengukuran tinggi badan.. Responden ditetapkan pada anak yang diasuh ibu yang berumur produktif antara 18-50 tahun. Parameter stunting diidentifikasi dari faktor ASI ekslusif, pertumbuhan ekonomi, dan pengangguran. Data dianalisis dengan menggunakan SPSS versi 15.0 for windows. Hasil penelitian menunjukkan bahwa prevalensi stunting sebesar 35,7% pada anak di bawah lima tahun. Faktor risiko stunting diketahui ASI ekslusif nilai koefisien regresinya 0,48, pengangguran nilai koefisien regresinya 0,401 dan pertumbuhan ekonomi nilai koefisien regresinya 0,188. Penyebab utama terjadinya stunting adalah pemberian air susu ibu ekslusif, sedangkan pengangguran bukan merupakan faktor yang signifikan terjadinya stunting. Stunting is one of the serious public health problems in Indonesia, especially in the province of Aceh. The main cause of stunting is mainly due to malnutrition among children aged less than five years in the province. Determining the factors that cause stunting in children aged less than five years can help public health planners to redesign new programs to reduce the problem of stunting. This study aims to identify the main factors associated with stunting and severe stunting among children aged less than five years in Aceh. The study used a survey method of the nutritional status section carried out in 2017 in the province of Aceh by interview method, body weight measurement and height measurement. Respondents were assigned to children who were cared for by mothers who were of productive age between 18-50 years. Stunting parameters include exclusive breastfeeding factors, economic growth, and unemployment. Data were analyzed using SPSS version 15.0 for windows. The results showed that prevalence, stunting was 35.7% in children aged five years. Stunting risk factors for breastfeeding regression coefficient value of 0.48, regression coefficient value of 0.401 and economic growth coefficient of regression coefficient of 0.188. The study suggest that the main cause of stunting is exclusive breastfeeding, while unemployment is not a significant factor in stunting.
KAJIAN EPIDEMIOLOGI P. KNOWLESI DI PROVINSI ACEH TAHUN 2018-2019 Raisuli Ramadhan; Fahmi Ichwansyah; Eka Fitria; Asnawi Abdullah; Maidar Maidar; Jontari Jontari
Sel Jurnal Penelitian Kesehatan Vol 8 No 1 (2021): SEL Jurnal Penelitian Kesehatan
Publisher : Balai Penelitian dan Pengembangan Kesehatan Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/sel.v8i1.4702

Abstract

Kementerian Kesehatan Republik Indonesia telah menetapkan Indonesia akan mencapai fase eliminasi malaria pada tahun 2030. Tapi, periode tahun 2018-2019 di Provinsi Aceh dilaporkan masih adanya temuan 19 kasus positif infeksi P. knowlesi. Penelitian ini bertujuan melakukan analisis faktor risiko terhadap kasus infeksi P. knowlesi di Provinsi Aceh periode tahun 2018 s/d 2019. Penelitian observasional dengan desain penelitian kasus kontrol, dilakukan di 4 wilayah kabupaten/ kota yang menjadi lokasi penemuan kasus infeksi P. knowlesi di Provinsi Aceh. Populasinya seluruh masyarakat dari 4 kabupaten/kota yang menjadi lokasi penelitian yang potensial tinggal dekat hutan. Sampel penelitian sebanyak 74 orang (16 kasus: 58 kontrol). Analisa data dilakukan dengan menggunakan analisis regresi logistik. Hasil uji analisis bivariat didapatkan ada hubungan antara kebiasaan keluar malam hari (p=0,001) dengan kejadian infeksi P. knowlesi. Selanjutnya tidak ada hubungan antara keberadaan macaca, lingkungan hutan, obat anti nyamuk, kelambu, dan kawat kasa dengan kejadian infeksi P. knowlesi. Hasil analisis multivariat untuk keseluruhan variabel penelitian diketahui bahwa kebiasaan keluar malam hari merupakan prediktor paling dominan terhadap kejadian infeksi P. knowlesi ((OR=11,25) (95% CI: 3,01 – 42,08) p Value =0,000). Hasil penelitian secara umum menyimpulkan bahwa kebiasaan keluar malam hari secara signifikan memiliki pengaruh terhadap kejadian infeksi P. knowlesi di provinsi Aceh. The Ministry of Health of the Republic of Indonesia has determined that Indonesia will reach the elimination phase of malaria in 2030. But, in period 2018 - 2019 Aceh Province is reported to have found 19 positive cases of P. knowlesi infection. This research aims to dorisk factor analysis of cases P. knowlesi infection in Aceh Province for the period 2018 to 2019. This observational study with a case control research design was conducted in 4 districts/ cities which were the location for finding cases of P. knowlesi infection in Aceh Province. Its populationAll people from the 4 districts / cities that are potential research locations live near the forest. The research sample was 74 people (16 cases: 58 control). Data analysis was performed using logistic regression analysis. The results of the bivariate analysis test showed that there was a relationship between the habit of going out at night (p=0.001) with the incidence of P. knowlesi infection. Furthermore, there is no relationship between the presence of macaca, forest environment, mosquito repellent, mosquito nets, and gauze with the incidence of P. knowlesi infection. The results of multivariate analysis for all research variables showed that nighttime out habits were the most dominant predictor of P. knowlesi infection ((OR = 11.25) (95% CI: 3.01 - 42.08) p value = 0.000). The results of the study generally concluded that the habit of going out at night had a significant effect on the incidence of P. knowlesi infection in Aceh province.
Co-Authors Asnawi Abdullah Eka Fitria Fahmi Ichwansyah Jontari Jontari Maidar Maidar Nur Ramadhan Rosdiana Rosdiana