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All Journal Archive of Community Health Buletin Udayana Mengabdi Jurnal Kesehatan Lingkungan indonesia Jurnal Kebijakan Kesehatan Indonesia Journal of Health Sciences and Medicine Public Health and Preventive Medicine Archive Journal of Public Health Sciences Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
sang gede purnama
PS. Ilmu Kesehatan Masyarakat, Fak. Kedokteran Universitas Udayana
Dentistry Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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PEMBERDAYAAN SISWA SD II SESETAN DALAM MENGURANGI KASUS PENYAKIT DEMAM BERDARAH DI KELURAHAN SESETAN DENPASAR 2012 D. S. Lubis; N. K Eka Wati; S. G. Purnama; K. Tresna Adhi; P. Suariani
Buletin Udayana Mengabdi Vol 12 No 1 (2013): Volume 12 No.1 – April 2013
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

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Abstract

This community service was conducted in SD N II Sesetan, Denpasar on 13 August 2012. The participants ofthis activity were 60 students from SD N II grade V Denpasar. Health education about the life span of denguefever mosquito and the common environment of the mosquito was delivered to the students. After being studiedin the class, the activity was continued by identification of jentik at the field. The aims of this activity are tostrengthen the role of students in reducing dengue fever cases in Sesetan village. Result of the pre-test and posttest showed an increase in knowledge of the students about dengue fever to overcome this disease. Statisticalanalysis showed a significant differences (P<0.05) between pre-test and post test. Students were asked to identifypotential container of mosquite which may be bred at home. There were 221 containers examined by students,and 26% of the containers have larva. It can be concluded that this activity can improve knowledge about denguefever and larva identification skill. This activity might become a good example to initiate elementary school basedprogram to eradicate dengue fever cases in Sesetan Village. It is recommended to scale up this activity to otherschool in order to strengthen the role of students in dengue fever prevention approach in Sesetan Village.
Peranan Pemangku Kepentingan dalam Pengendalian Rabies dengan Pendekatan One Health Terintegrasi di Bali Made Subrata; Sang Gede Purnama; Arya Wahyu Utami; Kadek Karang Agustina; IBN. Wahyu Swacita
Jurnal Kebijakan Kesehatan Indonesia Vol 9, No 1 (2020)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.54246

Abstract

Bali sejak 2008 mengalami kasus rabies dan saat ini menjadi daerah endemis rabies. Berbagai cara telah dilakukan untuk pengendaliannya namun kasusnya masih tetap ada. Diperlukan pendekatan one health yang berkolaborasi antara kesehatan manusia, hewan dan lingkungan. Tujuan dari penelitian ini untuk mengetahui tantangan program, peranan pemangku kepentingan dalam pengendalian rabies dan upaya pendekatan one health yang terintegrasi. Penelitian ini menggunakan pendekatan kualitatif untuk mengetahui tantangan program, peranan pemangku kepentingan dan pendekatan one health terintegrasi. Informan dipilih sesuai dengan kebutuhan peneliti. Hasil penelitian menunjukan tantangan dalam pelaksanaan program pada sistem pendataan masih kurang, vaksinasi anjing belum optimal, cara memelihara anjing yang masih diliarkan, program kontrol populasi, manajemen kasus gigitan anjing belum terpadu, edukasi masih rendah, partisipasi masyarakat yang rendah. Perlu peranan dari semua pemangku kepentingan untuk pengendalian rabies. Program pengendalian rabies dapat terlaksana dengan baik apabila mampu mengurangi kesenjangan yang terjadi. Masing-masing kelompok pemangku kepentingan berperan dalam program pengendalian rabies. Melalui pendekatan one health yang terintegrasi dilaksanakan kegiatan yang berkolaborasi dalam surveilan epidemiologi, manajemen kasus gigitan terpadu, manajemen hewan penular rabies dan faktor sosial-budaya-ekologi lingkungan.
DETECTING TRANSOVARIAL INFECTION IN AEDES AEGYPTI BASED ON IMMUNOCYTOCHEMICAL STREPTAVIDIN BIOTIN PEROXIDASE COMPLEX ASSAY (ISBPC) IN BALI Sang Gede Purnama
Journal of Health Sciences and Medicine Vol 2 No 1 (2018): JHSM (February 2018)
Publisher : Institute for Research and Community Services Udayana University

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Abstract

Immunocytochemical method is one of dengue virus examination alternative with affordable cost. Through immunocytochemical methods it will be proven that transovarial transmission of dengue virus from mosquitoes to their eggs and its relationship with the incidence of DHF in Bali. This study is done by the installationovitrap indoor and outdoor as much as 1200 points. The mosquito will be cultured for dengue virus examination using the Immunocytochemical-Immunomodoxidase streptavidin biotin complex (IISBC) method of head squash. The results of examination of larvae density were known to the ovitrap index in Denpasar (4.4), Tabanan (6.6), Gianyar (8.9). There is evidence of transovarial transmission from female mosquitoes to eggs using Immunocytochemical Technique known to its transovarial index of each city ie Denpasar (11%), Gianyar (7.14%) and Tabanan (7.14%). Key words: transovarial, immunocytochemical, Bali
Neglected Water, Sanitation and Hygiene Aspects in Preventing Childhood Stunting Dwipayanti, Ni Made Utami; Purnama, Sang Gede
Public Health and Preventive Medicine Archive Vol. 10 No. 2 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i2.p01

Abstract

Approximately 165 million (25,7%) children globally experience chronic malnutrition or stunting.1 In Indonesia, 29.6% of children under five are recorded as short and very short.2 The stunting prevention framework underlines that stunting prevention needs to be carried out with a comprehensive approach targeting specific nutritional factors such as the adolescents’ and young couples’ health, pregnancy supplements, exclusive breastfeeding, child feeding, as well as sensitive nutritional factors such as food security, mental health during pregnancy, women empowerment, access to clean water and sanitation, and family health services.1
Spatial Distribution of Dengue and Forecasting in South Denpasar, Bali Province, Indonesia Purnama, Sang Gede; Subrata, Made; Kardiwinata, Pasek; Sudarmaja, Made
Public Health and Preventive Medicine Archive Vol. 10 No. 2 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i2.p04

Abstract

Background and purpose: The incidence of dengue hemorrhagic fever (DHF) in Bali continues to increase. A new strategy is required to control dengue in Bali. The purpose of the study is to conduct spatial mapping with a geographic information system to help determine the distribution pattern and areas at risk of DHF and to predict increasing vector density and dengue cases. Methods: A cross-sectional study was conducted in the South Denpasar Public Health Center service area from January to June 2020. It was conducted in 3 villages, including Kelurahan Sesetan (3,446 households), Sidakarya Village (2,859 households), and Kelurahan Panjer (2,907 households). A total of 191 cases of DHF were recorded during the study period. Results: Calculation of the spatial analysis of the Average Nearest Neighbor (AAN) with the value of Z score=-8.03 show a spatial pattern of the distribution of DHF cases. AAN value of 0.69 (<1) means that the pattern of spread of DHF incidence is clustered. Time series forecasting by modeling using the Autoregressive Moving Average (ARIMA) and Double Exponential Smoothing Method Routine shows that larva control efforts are predicted to affect the number of dengue cases. The pattern of the spatial distribution of cases occurs in clusters. Conclusion: There is a spatial relationship with population density. It is predicted that routine larvae control will reduce dengue cases.
Assessment of Rabies Control Attitudes During the COVID-19 Pandemic through Partial Least Square-Structural Equation Modeling Purnama, Sang Gede; Utami, Ni Wayan Arya; Subrata, Made; Pradnyani, Putu Erma; Agustina, Karang; Swacita, IBN
Kesmas Vol. 18, No. 2
Publisher : UI Scholars Hub

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Abstract

The COVID-19 pandemic disrupts rabies control activities in the community. A new approach is needed to control rabies during the COVID-19 pandemic through digital health interventions by conducting digital surveillance and education. This study aimed to determine key attitude indicators in controlling rabies during the COVID-19 pandemic. A cross-sectional study on 166 participants in Denpasar City with a total of 31 indicators measuring five variables: perceptions of the benefits of rabies control (6 indicators), perceptions of rabies risk (6 indicators), perceptions of obstacles to rabies control (5 indicators), perceptions of the need for technology (7 indicators), and attitudes toward rabies control (7 indicators) were analyzed using partial least square-structural equation modeling. The results revealed that 80.7% of participants owned a dog, and sources of rabies information were from social media (45%), the internet (33.7%), and rabies volunteers (33%). The model explained that perception of the benefits of rabies control and the need for technology had a direct effect on attitudes toward rabies control (p-value <0.001 and 0.015). In brief, perceived benefits and the need for technology influence attitudes toward rabies control during the COVID-19 pandemic.
The Seroprevalence of Toxoplasma gondii in Cats at the House of Maternal Women with Toxoplasmosis in Badung, Indonesia Subrata, Made; Astawa, Nyoman Mantik; Suryadi, Nyoman Tigeh; Purnama, Sang Gede; Agustina, Kadek Karang; Harjana, Ngakan Putu Anom; Damriyasa, Made
Kesmas Vol. 16, No. 4
Publisher : UI Scholars Hub

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Abstract

Toxoplasmosis is a zoonotic disease caused by infection with the parasite called Toxoplasma gondii (T. gondii). The health and social impacts of the infectionare enormous, including miscarriage, hydrocephalus, blindness, and mental retardation. The occurrence of toxoplasmosis in maternal women cannot be se parated from cats around their houses. This study aimed to determine the seroprevalence of the parasite in cats found in the human carriers residences and identify the risk factors of toxoplasmosis in maternal women in Badung District, Bali Province, Indonesia. A total of 80 cat serum samples were obtained from two residential groups, 40 from the housing where the maternal women were infected and another 40 from where there were no identified sufferers of the disease. All the samples were examined using the enzyme-linked immunosorbent assay (ELISA) method to detect the presence of antibodies T. gondiiin feralcat serum. The results showed that 47.5% of the examined subjects had the said antibodies. As much as 65% came from housing with cases of toxoplasmosisin maternal mothers, and 30% came from residences with none. The presence of feral cats is a major risk factor for the transmission of T. gondiito humans.
Hygiene and Sanitation Challenge for COVID-19 Prevention in Indonesia Purnama, Sang Gede; Susanna, Dewi
Kesmas Vol. 15, No. 5
Publisher : UI Scholars Hub

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Abstract

The case of COVID-19 in Indonesia continues to increase, transmitted directly and indirectly. Hygiene and sanitation approaches are needed for prevention. The purpose of this review is to review how the transmission COVID-19, the challenges of Indonesia, and the policy of COVID-19 prevention with hygiene and sanitation approaches. The results show Indonesia's challenges namely urban area density, air pollution, and smokers, low hand washing habits, low ac- cess to clean water and drinking water, open defecation behavior, limited personal protective equipment. COVID-19 control policy with the hygiene sanitation approach is carried out with 4 factors namely personal protect equipment, health education, personal hygiene, and sanitation.
Designing A Digital-Based Surveillance Information System Prototype for Epidemiological Investigation of Avian Influenza (H5N1) In Bali Province I Gusti Ngurah Agung Surya Pratama; Putu Putri Agustini; I Dewa Agung Ayu Ari Shinta Dewi; I Made Subrata; Ngakan Putu Anom Harjana; Sang Gede Purnama; Romy Muhammad Dary Mufa
Journal of Public Health Sciences Vol. 5 No. 01 (2026): Article in Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001222

Abstract

Avian Influenza (AI) is an infectious disease that can attack birds and humans caused by a virus. Until April 2023, the number of human victims infected with AI disease in the world reached 874 people (confirmed AI cases), with 458 of them dying (CFR = 52%). Health Surveillance is a systematic and continuous observation activity of data and information about the incidence of disease or health problems and conditions that influence the increase and transmission of disease or health problems. The aim of the research is to design a digital-based AI epidemiological surveillance system in Bali Province. The research design used in this research is a research and development (R&D) approach with a prototyping development model. Acceptance tests were carried out on 130 surveillance officers with the PSSUQ questionnaire. The results obtained were in the form of a prototype AI epidemiological investigation information system application with acceptance test results regarding system quality (2.37), information quality (2.43), and the overall system (2.37) showing very good results. Meanwhile, acceptance of the quality of the design or appearance of the prototype is in the good category (2.37). This value is classified based on the norm scale of the PSSUQ questionnaire. Conclusion: Therefore, this AI epidemiological investigation surveillance information system is worthy of further development.
Studi Epidemiologi dan Faktor Risiko KLB Leptospirosis pada Penebang Kayu di Mendoyo, Kabupaten Jembrana Darmika, I Made Jana; Purnama, Sang Gede
Jurnal Kesehatan Lingkungan Indonesia Vol 25, No 1 (2026): Februari 2026 (In process)
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.77821

Abstract

Latar belakang: Selama periode 2023 hingga 2024 di Kabupaten Jembrana ditemukan lima kasus leptospirosis yang terjadi secara sporadis dengan CFR mencapai 60%. Peningkatan kasus baru teridentifikasi pada kelompok penebang kayu di Mendoyo pada Maret 2025. Penelitian ini bertujuan untuk mengetahui gambaran epidemiologis dan faktor risiko kejadian leptospirosis untuk mendukung upaya pencegahan dan pengendalian.Metode: Studi epidemiologi analitik dengan desain cross sectional yang bertujuan menggambarkan aspek orang, tempat, waktu, serta faktor risiko yang berhubungan dengan KLB Leptospirosis di Kecamatan Mendoyo, Kabupaten Jembrana. Populasi penelitian mencakup seluruh penebang kayu di Banjar Sekar Kejula Kelod, dengan sampel sebanyak 20 orang (2 kasus dan 18 individu lain dari kelompok penebang kayu yang bekerja di area dan kondisi paparan yang sama) yang dipilih melalui purposive sampling. Data dikumpulkan melalui kuesioner, observasi lingkungan, dan survei vektor, mencakup variabel karakteristik responden, riwayat banjir atau genangan di lingkungan rumah dan tempat kerja, keberadaan tikus di dalam atau sekitar rumah dan tempat kerja, kebiasaan menggunakan APD, serta aktivitas di sungai. Analisis dilakukan secara deskriptif untuk distribusi kasus menurut orang, tempat, dan waktu, serta uji Fisher-Exact untuk menguji hubungan faktor risiko.Hasil: Kedua kasus berprofesi sebagai penebang kayu dengan hubungan epidemiologis tempat tinggal dan kerja yang sama serta rentang waktu paparan pada Februari 2025. Hasil survei lingkungan pemukiman dan tempat kerja menunjukkan bahwa lingkungan dikelilingi hutan serta sungai. Survei vektor dilakukan dengan memasang 100 perangkap didapatkan tiga tikus (Rattus tanezumi) di area pemukiman kasus dengan hasil negatif bakteri leptospira. Faktor risiko yang berpengaruh terhadap kejadian leptospirosis terdiri dari tidak mengggunakan alat pelindung diri saat beraktivitas di lingkungan berisiko (p=0,005), aktivitas di sungai (p=0,032), hygiene buruk (p=0,005), dan riwayat luka (p=0,005). Riwayat banjir dan keberadaan tikus di area sekitar secara stasistik tidak berpengaruh terhadap kejadian leptospirosis ini.Simpulan: Penyelidikan epidemiologi mengonfirmasi KLB Leptospirosis di Kecamatan Mendoyo pada pekerja penebang kayu yang memiliki kesamaan lokasi, waktu, dan aktivitas berisiko. Faktor risiko utama meliputi tidak menggunakan alat pelindung diri, kontak dengan air sungai, kebersihan diri yang buruk, dan adanya luka terbuka saat bekerja. ABSTRACT Title: Epidemiological and Environmental Study of Leptospirosis Outbreak Among Loggers in Mendoyo, Jembrana RegencyBackground: From 2023 to 2024, five cases of leptospirosis occurred sporadically in Jembrana Regency, with CFR reaching 60%. In March 2025, an increase in new cases was identified in the logger group in Mendoyo. This study aims to determine the epidemiological picture and risk factors for leptospirosis to support prevention and control efforts.Method: This analytical epidemiological study used a cross-sectional design to describe the person, place, time, and risk factors associated with the leptospirosis outbreak in Mendoyo District, Jembrana Regency. The study population included all loggers in Banjar Sekar Kejula Kelod, with a sample of 20 individuals (two cases and 18 other individuals from the logger group working in the same area and with the same exposure conditions) selected through purposive sampling. Data were collected through questionnaires, environmental observations, and vector surveys, including respondent characteristics, history of flooding or inundation in the home and workplace, the presence of rats in or around the home and workplace, PPE usage habits, and river activities. Descriptive analysis was conducted to distribute cases by person, place, and time, and the Fisher Exact test was used to examine associations with risk factors.Result: Both cases were loggers, with epidemiological links in the same residence and workplace, and exposure time span in February 2025. Surveys of the residential and workplace environments indicated that the area was surrounded by forests and rivers. A vector survey using 100 traps yielded three rats (Rattus tanezumi) in the residential area, which tested negative for leptospira bacteria. Risk factors influencing the incidence of leptospirosis included failure to use personal protective equipment (PPE) when working in risky environments (p=0.005), activities near rivers (p=0.032), poor hygiene (p=0.005), and a history of injuries (p=0.005). A history of flooding and the presence of rats in the surrounding area did not statistically influence the incidence of leptospirosis.Conclusion: Epidemiological investigations confirmed a leptospirosis outbreak in Mendoyo District among loggers who shared the same location, time, and risky activities. The main risk factors include not using personal protective equipment, contact with river water, poor personal hygiene, and the presence of open wounds during work.  
Co-Authors Agustina, Karang Astiti Muliantari D. S. Lubis Darmika, I Made Jana Deny SIlvina Pandy Dewi Susanna Dinar Lubis Gede Asri Rama Hari Laksmi Santi Harjana, Ngakan Putu Anom Herry Purnama, Herry I Dewa Agung Ayu Ari Shinta Dewi I Gede Pandu Wiranatha I Gede Sudiana I Gusti Ngurah Agung Surya Pratama I Made Damriyasa I Made Oka CahyadI I Made Subrata I Made Subrata, I Made I MADE SUTARGA I Nengah Sujaya I NYOMAN MANTIK ASTAWA I Wayan Darma Kusuma I Wayan Gede Artawan Eka Putra Ida Bagus Ngurah Swacita Kadek Karang Agustina Kadek Tresna Adhi Made Damriyasa, Made N. K Eka Wati N.P. Desy Aryantini N.W. Nursini Ngakan Putu Anom Harjana Ngakan Putu Anom Harjana Ni Komang Ekawati Ni Made Utami Dwipayanti Ni Wayan Arya Utami, Ni Wayan Arya Nyoman Tigeh Suryadi P. Suariani pasek kardiwinata Putu Erma Pradnyani Putu Putri Agustini Romy Muhammad Dary Mufa Sudarmaja, Made Suryadi, Nyoman Tigeh Swacita, IBN Tri Baskoro Tri Baskoro Tri Baskoro Satoto Yayi Prabandari Yayi Prabandari