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All Journal Jurnal Berkala Epidemiologi Indonesian Journal of Tropical and Infectious Disease Jurnal Media Gizi Indonesia (MGI) Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education The Indonesian Journal of Public Health Jurnal Penelitian Kesehatan Suara Forikes Health Notions Jurnal Wiyata : Penelitian Sains dan Kesehatan Jurnal Kesehatan Komunitas Amerta Nutrition Jurnal Ilmiah Kesehatan Media Husada Majalah Sainstekes Adi Husada Nursing Journal Majalah Kesehatan Masyarakat Aceh (MaKMA) An-Nadaa: Jurnal Kesehatan Masyarakat Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Randwick International of Social Science Journal Media Gizi Kesmas Indian Journal of Forensic Medicine & Toxicology Proceeding Mulawarman International Conference on Tropical Public Health
Muhammad Atoillah Isfandiari
Departemen Epidemiologi Fakultas Kesehatan Masyarakat Universitas Airlangga, Kampus C Mulyorejo Surabaya
Arts Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Stigma Masyarakat, Penundaan Data, Kurangnya Koordinasi, Regulasi dan Pot Sampel Dahak sebagai Penghambat Investigasi Kontak Tuberkulosis Sugoro, Nursindia A.; Isfandiari, Muhammad Atoillah; Sigunawan, Sigunawan
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 1 (2025): Januari-Maret 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v16i1.5359

Abstract

  The achievement of tuberculosis contact investigation in Lamongan Regency is still low. In 2023, the achievement only reached 57.3%, far below the national target of 90%, and from January to August 2024 only 21% was achieved. This study aimed to identify the factors causing the low achievement of tuberculosis contact investigation and formulate solutions based on the results of the root cause analysis. This descriptive observational study was conducted from June to August 2024, involving key informants, regular informants, and additional informants from the Lamongan Regency Health Office. Data were collected through in-depth interviews, which were then analyzed using a Fishbone diagram to identify root causes. The CARL (Capability, Accessibility, Readiness, Leverage) method was used to prioritize problems and formulate alternative solutions. The results of the study found several main factors contributing to the low achievement of tuberculosis contact investigation, namely delays in data input by officers, lack of coordination between health centers and hospitals, negative stigma towards tuberculosis, and lack of sputum sample pots. Delays in data input were identified as the most influential priority problem. The conclusion of this study is that to improve the achievement of tuberculosis contact investigations, it is necessary to improve the data input system and strengthen coordination between health facilities.Keywords: tuberculosis; contact investigation; fishbone diagram ABSTRAK Capaian investigasi kontak tuberkulosis di Kabupaten Lamongan masih rendah. Pada tahun 2023, capaian hanya mencapai 57,3%, jauh di bawah target nasional sebesar 90%, dan dari Januari hingga Agustus 2024 hanya tercapai 21%. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor penyebab rendahnya capaian investigasi kontak tuberkulosis serta merumuskan solusi berbasis hasil analisis akar penyebab. Penelitian observasional deskriptif ini dilakukan pada Juni hingga Agustus 2024, dengan melibatkan informan kunci, informan reguler, dan informan tambahan dari Dinas Kesehatan Kabupaten Lamongan. Data dikumpulkan melalui wawancara mendalam, yang kemudian dianalisis menggunakan diagram Fishbone untuk mengidentifikasi akar penyebab. Metode CARL (Capability, Accessibility, Readiness, Leverage) digunakan untuk memprioritaskan masalah dan merumuskan solusi alternatif. Hasil penelitian menemukan beberapa faktor utama yang berkontribusi terhadap rendahnya capaian investigasi kontak tuberkulosis yaitu penundaan input data oleh petugas, kurangnya koordinasi antara puskesmas dan rumah sakit, stigma negatif terhadap tuberkulosis, serta kekurangan pot sampel dahak. Penundaan input data diidentifikasi sebagai masalah prioritas yang paling mempengaruhi. Kesimpulan dari penelitian ini adalah bahwa untuk meningkatkan capaian investigasi kontak tuberkulosis, perlu dilakukan perbaikan pada sistem input data dan penguatan koordinasi antara fasilitas kesehatan.Kata kunci: tuberculosis; investigasi kontak; diagram fishbone
DISTRIBUTION OF PERTUSSIS CASES ACCORDING TO DPT, HB-HIB4 IMMUNIZATION COVERAGE IN EAST JAVA PROVINCE IN 2022-2023 Wulan Wijayanti, Esti; Atoillah Isfandiari, Muhammad; Yudi Purnomo, Agoes
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Pertussis is still a health problem in East Java. In 2023 Pertussis cases increased 6 times more than in 2022. DPT-HB-Hib4 immunization coverage in 2023 of 85% is still below the target (>95%). Objective : To analyze the distribution of pertussis cases based on immunization coverage in East Java Province. Research Methods/ Implementation Methods : Descriptive observational study design. Data were collected from the profile of the East Java Provincial Health Office in 2022 and 2023. Descriptive data analysis using epi info (epimap) version 7.0. Results : The number of pertussis cases in 2022 amounted to 33 cases increasing to 165 cases in 2023. DPT-HB-Hib4 immunization coverage in East Java decreased, from 18 districts/cities (47%) in 2022 to 11 districts/cities (29%) in 2023. Of all pertussis cases in 2023, 135 cases (81.35%) occurred in areas with low immunization coverage and 30 (18.65%) cases occurred in areas with targeted immunization coverage. Conclusion/Lesson Learned : The increase in pertussis cases in East Java in 2023 allegedly due to a decrease in DPT-HB-Hib4 coverage. It is recommended to conduct “Imunisasi Kejar”, especially in areas that did not reach target the DPT-HB-Hib4 target.
EVALUATION OF DIARRHEA SURVEILLANCE SYSTEM IN MAGETAN REGENCY HEALTH OFFICE 2023 USING SURVEILLANCE ATTRIBUTES: Evaluasi Sistem Surveilans Diare di Dinas Kesehatan Kabupaten Magetan Tahun 2023 Berdasarkan Atribut Surveilans Tajuddin AT, Nur Afdaliah; Isfandiari, Muhammad Atoillah; Yudi Purnomo, Agoes
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.V13I32025.229-237

Abstract

Background: Diarrhea prevalence in 2023 in Magetan Regency was reported for all age groups at 59.40% and for children under five at 96.53%. The preliminary study found several problems in the recording and reporting system of Diarrhea in the Magetan Regency. Purpose: To describe the quality of the diarrhea surveillance system implemented in Magetan Regency Health Office based on surveillance system attributes assessment. Methods: Descriptive research with an evaluation study design. An evaluation was conducted on the diarrhea surveillance system in 2023 in the Magetan Regency Health Office. The respondents of this study were 23 people. Data was collected using questionnaires through Google Forms, interviews, and document studies. Data analysis was carried out and presented descriptively using tables and narratives. Results: Evaluation of the diarrhea surveillance system based on the assessment of surveillance attributes shows that the diarrhea surveillance system in Magetan Regency is simple, flexible, of high data quality, sensitive, highly acceptable, timely, and highly stable. However, the system is not representative, and the positive predictive value cannot be calculated. Conclusion: The implementation of the diarrhea surveillance system in Magetan Regency has been running well, mostly supported by the completeness of surveillance attributes. The evaluation results show that the system is simple, flexible, has high data quality and acceptability, is sensitive, timely, and highly stable. However, the system is not representative, and the PVT cannot be calculated.
Analisis Masalah Kesehatan Kasus Penyakit Yang Dapat Dicegah Dengan Imunisasi (PD3I) Difteri di Kabupaten Blitar Fitriani, Hari; Isfandiari, Muhammad Atoillah; Pramono, Endro; Mufida, Arina Ersanti
Jurnal Wiyata Penelitian Sains dan Kesehatan Vol 11 No 2 (2024)
Publisher : LP2M IIK (Lembaga Penelitian dan Pengabdian Masyarakat Institut Ilmu Kesehatan) Bhakti Wiy

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Abstract

Latar Belakang: Berdasarkan data profil kesehatan Kabupaten Blitar tahun 2019-2021, diperoleh lima masalah kesehatan penyakit infeksi dan menular yang masih butuh perhatian dan penanganan khusus. Untuk itu perlu dilakukan upaya untuk menentukan apa yang menjadi prioritas masalah dan pemecahan masalah tersebut. Tujuan: Untuk mengidentifikasi masalah kesehatan, membuat prioritas masalah berdasarkan analisis data, melakukan analisis untuk menemukan akar penyebab suatu masalah, menentukan alternatif pemecahan masalah, dan merumuskan rekomendasi bagi Dinas Kesehatan Kabupaten Blitar. Metode: Analisis Deskriptif pada data sekunder dan brainstorming untuk identifkasi masalah, Metode USG untuk menentukan prioritas masalah, Metode Pendekatan Sistem (Input – Proses – Output) untuk menentukan akar penyebab masalah, Metode Hanlon untuk menentukan prioritas penyebab masalah, dan Metode NGT untuk menentukan alternatif pemecahan masalah. Sasaran pada kegiatan ini adalah tiap pengelola program Bidang P2P Dinas Kesehatan dan tujuh pengelola surveilans dari Puskesmas terpilih. Hasil : Dari analisis menggunakan metode USG, disimpulkan bahwa prioritas masalah di Kesehatan Kabupaten Blitar adalah kasus Penyakit yang Dapat Dicegah dengan Imunisasi (PD3I) difteri. Pada analisis penyebab masalah menggunakan metode pendekatan sistem diperoleh sembilan penyebab masalah dan hasil skoring dengan menggunakan metode Hanlon disimpulkan bahwa tenaga surveilans di faskes belum semua mendapatkan pelatihan PD3I bersertifikat. Hasil analisis dengan metode NGT untuk menentukan alternatif pemecahan masalah menghasilkan pelatihan tenaga kesehatan jaringan dan jejaring sampai tingkat bawah terkait skrining awal difteri. Kesimpulan dan Saran : Difteri menjadi prioritas masalah karena dari tahun 2019 – 2022 masih ada kasus suspek difteri yang dilaporkan dan Puskesmas Srengat adalah wilayah dengan laporan suspek difteri terbanyak. Perlu dilakukan pelatihan untuk tenaga kesehatan di jaringan dan jejaring terkait skrining awal difteri dan koordinasi di semua fasilitas kesehatan dalam upaya penemuan kasus suspek difteri.
Analysis of Program Issues on Tuberculosis Prevention Therapy Rahma, Vidyana Aulia; Isfandiari, Muhammad Atoillah; Qurniyawati, Eny
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3680

Abstract

Tuberculosis remains a significant problem in Madiun. There are several issues in the TB program, particularly in the low coverage of Tuberculosis Prevention Therapy (TPT). Besides the low coverage of TPT, there are also significant gaps in the delivery of TPT at several health facilities. Based on the analysis of the issues related to the low coverage of the TPT program, not all health facilities have implemented TPT. Objective: Identifying priorities of problems until providing alternative solutions to problem solving. Method: This study is a qualitative, descriptive observational study. The population consists of all program managers at the Madiun City Health Agency, with seven individuals selected as samples. Problem identification was conducted through in-depth interviews. Prioritization of problems was achieved using the Urgency, Seriousness, and Growth (USG) methods. The prioritization of problems was analyzed using a fishbone diagram to determine the root cause of the issues. Results: Identified the priority problem as the low coverage of TPT due to various factors grouped into Man, Process, Material, and Market. Conslusions: Based on the analysis of priority issues using the USG method, the results show that the achievement of Tuberculosis Prevention Therapy is still low and has not reached the target. The analysis of the root causes of the problem using the fishbone method reveals that the limited number of personnel results in double job burdens, the preference of medication adherence monitor for family over cadres, and the difficulty inviting cadres for socialization.
Pola Curah Hujan dengan Insiden Rate Demam Berdarah Dengue di Kabupaten Blitar Lestari, Putri Dwi; Isfandiari, Muhammad Atoillah; Maryanto, Yusuf Budi
Media Gizi Kesmas Vol 13 No 1 (2024): MEDIA GIZI KESMAS (JUNE 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i1.2024.75-84

Abstract

Background: Dengue fever is a vector infectious disease with Aedes Aegypti mosquito as the main vector that can be found throughout Indonesia. Dengue Fever (DBD) is a health problem that exists in the world, especially in developing countries.  Geographic, climatic, and population are factors that can influence the spread of vectors causing Dengue Dengue Dengue Fever disease. Objective: The purpose of this writing is to find out the relationship between rainfall and dengue fever (DBD) rate incidents. This research is a quantitative descriptive study by processing secondary data from year to year. Methods: To analyze the relationship between free variables namely dengue fever incidence rate and rainfall bound variables were conducted using the Spearman correlation test with a 95 confidence level. Instruments in this study used informed consent statements of approval for the retrieval and use of data, as well as a form of recap data on dengue fever incidence, and rainfall in every sub-district in Blitar Regency. Results: After being analyzed, it was found that for rainfall with an incident rate it has a p value of 0.432 (p> 0.05). Conclusion: This means that there is no significant relationship between rainfall and the incidence of dengue hemorrhagic fever in Blitar Regency.
THE EFFECT OF HOOKAH (SHISA) AND VAPING ON CARDIOVASCULAR DISEASE: A LITERATURE REVIEW: Pengaruh Hookah (Shisha) dan Vaping Pada Penyakit Kardiovaskular: Tinjauan Pustaka Haroon, Aqsa; Atoillah Isfandiari, Muhammad; Umbul Wahyuni, Chatarina
Jurnal Berkala Epidemiologi Vol. 12 No. 2 (2024): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V12I22024.182-191

Abstract

Background: The popularity of shisha (hookah) and vaping as alternatives to smoking has increased significantly in recent years. Shisha smoking, prevalent in Arab nations and other regions, exposes users to various harmful substances including nicotine, fine particles, carbon monoxide, polycyclic aromatic hydrocarbons, and heavy metals. Similarly, vaping involves inhaling aerosols produced by heating e-liquids containing nicotine and other chemicals. Purpose: This literature review aims to provide a comprehensive summary of recent studies examining the cardiovascular health effects of shisha and vaping. Methods: Epidemiological patterns and adverse consequences of these practices on cardiovascular health were explored through a systematic search of relevant articles from PubMed, ScienceDirect and Google Scholars. Results: The findings suggest that chronic use of shisha and vaping is associated with respiratory issues and adverse cardiovascular outcomes. Moreover, shisha smoking has been linked to infectious diseases, pulmonary complications, metabolic syndrome, and adverse effects on fetal development during pregnancy. Conclusion: The review highlights the need for further research to better understand the mechanisms and long-term cardiovascular consequences of shisha and vaping.  
TUBERCULOSIS SURVEILLANCE SYSTEM EVALUATION IN BLITAR DISTRICT: STUDY OF SYSTEM APPROACH AND ATTRIBUTES: Evaluasi Sistem Surveilans Tuberkulosis di Kabupaten Blitar: Studi Pendekatan Sistem dan Atribut Florentji Adel Benu, Friwanti; Atoillah Isfandiari, Muhammad; Pramono, Endro
Jurnal Berkala Epidemiologi Vol. 12 No. 1 (2024): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V12I12024.88-97

Abstract

Background: Blitar district was in the last second position in East Java Province, achieving low Tuberculosis recovery and treatment of the national target by 2022. Therefore, it is necessary to support surveillance systems as a prerequisite for providing information as decision-making material. Purpose: to describe the quality of the tuberculosis surveillance system based on its approach and attributes. Methods: This research was an evaluation study design on the tuberculosis surveillance system in 2022. Respondents totaled 19 people. Data was collected by interview using a questionnaire and document study using a checklist. Data was analyzed by comparing the system approach and surveillance attributes to existing guidelines. The data was presented in tables and narratives. Results: Evaluation of tuberculosis surveillance systems based on input, process, and output was available by surveillance guidelines. Evaluation of the surveillance attributes showed that the flexible system has high data quality, high sensitivity, timeliness, and high stability. However, the system is not simple in operation, has low acceptability of the network, and has low positive predictive value because the suspect detection is too loose and not representative. Conclusion: The implementation of the tuberculosis surveillance system has largely been carried out well, supported by several complete surveillance attributes. It is necessary to provide standard operational procedures for recording and reporting, improve coordination with the network to manually and electronically report suspected tuberculosis, and optimize the Mantoux test in children.
Co-Authors Alfiah Kusuma Wardani Alfiah Kusuma Wardani Andinta Refitlianti Annis Catur Adi Annisa Destiani Arief Hargono Asri Hikmatuz Zahroh Catharina Umbul Wahjuni Chatarina Umbul Wahyuni Ciuputri, Pauline Dahlui, Maznah Dewi Putri Dayani Dhamanti, Inge Dinda Salmahella Djazuly Chalidyanto Elida Zairina Elvira Revita Eny Qurniyawati Faradillah Amalia Febrianti Fifi Nirmala G Firman Firdauz Saputra Fitriani, Hari Florentji Adel Benu, Friwanti Frans Yosep Sitepu Haritya Akbar, Nella Mega Fadhilah Haroon, Aqsa Hasan Huda Hendrawati, Nunung Herlina Herlina Huda, Hasan Indana Tri Rahmawati Irfa Ekasanti Ismawantri, Putu Kevin Patar Aruan Lainjong, Erfan AR Lestari, Putri Dwi Lutfi Agus Salim Mahdiyyah Husna Nihar Mahmudin, Ahmad Amin Mardiyono Yono Mariatul Fithriasari Martanto, Tri Wahyu Maryanto, Yusuf Budi Merza Safaryna, Alifia Mufida, Arina Ersanti Muhammad Aditya Murtiani, Farida Nabilah Qonitah Nabilah Qonitah, Nabilah Nadilla Putri, Levi Nayla Mohamed Gomaa Nasr Nella Mega Fadhilah Haritya Akbar Nessia Rachma Dianti Novalina Retno Nugraheni Novalina Retno Nugraheni Novia Syahreni Nugroho, Agung Nugroho, Anita Puspitasari Dyah Pantaria Noor Fitri Pramono, Endro Prasetio, Firman Aji Puput Dyah Ayu Rahma, Vidyana Aulia Ria Nuranisa Risna Nur Fajariyah Riza Alfina Riza Alfina, Riza Riza Muhammad Zulham Rizka ‘Afifatussalamah, Rizka Rizka ‘Afifatussalamah Sigunawan, Sigunawan Sugoro, Nursindia A. Tajuddin AT, Nur Afdaliah Thinni Nurul Rochmah Tika Triharinni Tika Triharinni, Tika Tri Budi Lestari Wulan Wijayanti, Esti Yudi Purnomo, Agoes Yusuf Budi Maryanto Zulham, Riza Muhammad