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All Journal Tropical Medicine Journal Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Masyarakat Journal of Tropical Biodiversity and Biotechnology Berkala Ilmiah Kedokteran Duta Wacana Jurnal Epidemiologi Kesehatan Komunitas Jurnal Entomologi Indonesia Journal of Community Empowerment for Health Indonesian Journal of Global Health research Berita Kedokteran Masyarakat Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Riris Andono Ahmad
Departemen Biostatistik, Epidemiologi Dan Kesehatan Populasi, Fakultas Kedokteran, Kesehatan Masyarakat Dan Keperawatan, Universitas Gadjah Mada
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Mengukur Perilaku Manusia dalam Skala Besar dan Secara Real-time: Studi Kasus Pola Mobilitas Penduduk dan Fase Awal Pandemi COVID-19 di Indonesia Aditya Lia Ramadona; Risalia Reni Arisanti; Anis Fuad; Muhammad Ali Imron; Citra Indriani; Riris Andono Ahmad
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i2.16646

Abstract

Background: Good decisions in policy-making rely on acquiring the best possible understanding at the fast pace of what is happening and what might happen next in the population. Immediate measurements and predictions of disease spread would help authorities take necessary action to mitigate the rapid geographical spread of potential emerging infectious diseases. Unfortunately, measuring human behavior in nearly real-time, specifically at a large scale, has been labor-intensive, time-consuming, and expensive. Consequently, measurements are often unfeasible or delayed in developing in-time policy decisions. The increasing use of online services such as Twitter generates vast volumes and varieties of data, often available at high speed. These datasets might provide the opportunity to obtain immediate measurements of human behavior. Here we describe how the patterns of population mobility can be associated with the number of COVID-19 cases and, subsequently, could be used to simulate the potential path of disease spreading.Methods: Our analysis of country-scale population mobility networks is based on a proxy network from geotagged Twitter data, which we incorporated into a model to reproduce the spatial spread of the early phase COVID-19 pandemic in Indonesia. We used aggregated province-level mobility data from January through December 2019 for the baseline mobility patterns from DKI Jakarta as the origin of the 33 provinces' destinations in Indonesia.Result: We found that population mobility patterns explain 62 percent of the variation in the occurrence of COVID-19 cases in the early phases of the pandemic. In addition, we confirm that online services have the potential to measure human behavior in nearly real time.Conclusion: We believe that our work contributes to previous research by developing a scalable early warning system for public health decision-makers in charge of developing mitigation policies for the potential spread of emerging infectious diseases.
Sistem informasi geografis untuk pemetaan sebaran kasus tuberkulosis di wilayah kota Manado Meityn Disye Kasaluhe; Anis Fuad; Riris Andono Ahmad
Berita Kedokteran Masyarakat (BKM) Vol 35, No 11 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.47590

Abstract

Geographic information systems for mapping the distribution of tuberculosis cases in the City of ManadoPurpose: To describe the distribution of TB cases using spatial analysis such as overlay, buffer and cluster in Manado region 2018. Method: This study used survey research with cross sectional approach and Geographic Information System was used in Tuberculosis spreading cases mapping. Spatial clustering by SaTScan 9.6 and mapping by ArcMap 10.4.1.Results: In this study, the number of identifiable TB cases was 475 cases and spread in 10 sub-districts in the Manado region. The area with the highest number of TB cases was Wanea District, which was 112 (23.58%) and the area with few cases was Paal Dua District which was 23 (4.84%). Buffer analysis between the distance of the TB cases and the city center showed that the TB cases mostly had a residence with a distance of 2 km from the city center was 152 (32%). There are 6 clusters of TB cases in the city of Manado. 1st cluster was in Wanea district, 2nd cluster was in Singkil district, 3th cluster was between Malalayang district and Sario district, 4th cluster was located between Tuminting district and Bunaken district, 5th cluster was between Mapanget district and Singkil district,  6th cluster was between Wanea district, Wenang district, Sario district and Paal Dua district. Conclusion: Tuberculosis is a multifactorial disease. Geographical information systems for mapping the distribution of TB cases can be identified in areas that have special characteristics that can support transmission of TB. Mapping of Tuberculosis was expected to help in planning a program to restraint Tuberculosis in the Manado region.
BahaKajian aspek keamanan nyamuk Aedes aegypti Linnaeus ber-Wolbachia di Yogyakarta, Indonesiasa Indonesia: Assessing the safety of Wolbachia-infected Aedes aegypti Linnaeus mosquitoes in Yogyakarta, Indonesia Saraswati, Utari; Supriyati, Endah; Rahayu, Ayu; Rovik, Anwar; Kurniasari, Irianti; Hermantara, Rio; Kumalawati, Dian Aruni; Daniwijaya, Edwin Widyanto; Fitriana, Iva; Pramuko, Nida Budiwati; Indriani, Citra; Wardana, Dwi Satria; Tantowijoyo, Warsito; Ahmad, Riris Andono; Utarini, Adi; Arguni, Eggi
Jurnal Entomologi Indonesia Vol 20 No 2 (2023): July
Publisher : Perhimpunan Entomologi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5994/jei.20.2.117

Abstract

Dengue prevention efforts are limited to the control strategies of its vector and the management of breeding sites. New alternatives for dengue vector control that are sustainable and more environmentally friendly are needed to complement the government's current efforts. Research on Wolbachia-infected Aedes aegypti Linnaeus mosquitoes as an alternative biocontrol strategy has been performed in Yogyakarta City. However, one of the concerns of the community members and stakeholders about this technology is the safety aspect regarding the transmission of Wolbachia to other species and the possibility that humans will contract Wolbachia. This study aimed to address these concerns, namely to find out whether horizontal transmission of Wolbachia occurred from A. aegypti that were released to other species and whether residents living in the released areas were infected with Wolbachia. The research was conducted in Dusun Nogotirto and Dusun Kronggahan (Sleman Regency), as well as in Dusun Jomblangan and Dusun Singosaren (Bantul Regency), Yogyakarta Special Province. Wolbachia qPCR screening using the target gene WD0513 was performed on 922 Culex quinquefasciatus Say and 331 Aedes albopictus (Skuse). ELISA test was carried out on 190 pairs of plasma samples, namely the sample before the Wolbachia frequency was established (still <80%) and the sample after it was established (>80%). The results showed no evidence of Wolbachia transfer from Wolbachia-infected A. aegypti to other mosquito species coexisting in the same habitat or to humans. This study corroborates the safety evidence of Wolbachia-infected A. aegypti technology as an alternative to control dengue virus transmission
Lessons from the Mass Production of Wolbachia-infected Aedes aegypti for Egg Release in the Sleman and Bantul Districts of Yogyakarta Fitriana, Iva; Nurhayati, Indah; Arianto, Budi; Chusnaifah, Defriana Lutfi; Utami, Indira Diah; Purwaningrum, Nabhela Ayu; Saraswati, Utari; Supriyati, Endah; Utarini, Adi; Ahmad, Riris Andono; Indriani, Citra; Arguni, Eggi; Tantowijoyo, Warsito
Journal of Tropical Biodiversity and Biotechnology Vol 9, No 1 (2024): March
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jtbb.84753

Abstract

An efficacy study on wMel Wolbachia-infected Aedes aegypti technology conducted by the World Mosquito Program (WMP) Yogyakarta showed the reducing of dengue incidence in Yogyakarta City. Following this successful result, the intervention was scaled up into two neighbouring districts: Sleman and Bantul. This paper describes our experience in mass production for providing release material for a larger area to reach the deployment target, which includes insectary requirements, mass production protocols, and diagnostic screening. This review may serve as a reference guidance for national mass production for wMel Wolbachia-infected Ae. aegypti.  
COVID-19 serological epidemiology study at the IG Supermarket cluster in the Special Region of Yogyakarta Adekayanti, Putri; Subronto, Yanri Wijayanti; Ahmad, Riris Andono
BKM Public Health and Community Medicine Vol 38 No 03 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i03.1787

Abstract

Purpose: IG supermarkets were one of the large clusters of COVID-19 transmission in the Special Region of Yogyakarta. This study aims to determine the risk factors associated with exposure to SARS-COV-2 in the trade sector and to estimate the Secondary Attack Rate (SAR) magnitude of the COVID-19 cluster at IG Supermarkets. Methods: This study used secondary data from the RDT antibody examination results of IG Supermarket employees and notes on epidemiological investigations of close contact tracing of employees confirmed by COVID-19. The research design used descriptive and analytic observational methods with a case-control design (ratio 1:3). Results: Work unit characteristics were significantly associated with exposure to the SARS-COV-2 (p <0.05) exposure and employees who work in units that are directly related to consumers have a higher risk of reactive antibody RDT results than employees who are not directly related to consumers (OR = 3.786; 95% CI = 1.92-7. 69). The total number of close positive employee contacts with COVID-19 was 238 people (35.3% household contacts and 64.7% non-household contacts). The highest SAR was found in the household exposure setting, with an attack rate of 8.3% and a higher transmission potential in the female gender and the age group >60. Conclusion: Working in a unit with direct contact with consumers was a risk factor for exposure to SARS-COV-2 at the IG supermarket cluster in the Special Region of Yogyakarta. SAR COVID-19 was higher in household exposure settings, with a higher transmission potential at> 60 years of age. Therefore, the application of health protocols in supermarkets must be optimized to minimize the transmission of cases at home and home.
Optimizing dengue surveillance with ‘Tunggal Dara’ android-based application: key findings for sustainable implementation Amalia, Ichlasul; Ahmad, Riris Andono; Lazuardi, Lutfan
BKM Public Health and Community Medicine Vol 39 No 07 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i07.8793

Abstract

Purpose: This study evaluated the effectiveness of 'Tunggal Dara,' an Android-based system, in optimizing dengue surveillance in Semarang, Indonesia, using the Modified Consolidated Framework of Implementation Research (mCFIR). Methods: This explanatory mixed-method study utilized an online mCFIR questionnaire to measure performance and importance scores across five domains and two sub-domains. Perspectives of 46 epidemiologists and 167 community health workers (CHWs) were included. Focus group discussions, key-informant interviews with relevant stakeholders at the local-national level, field observations, and application log analysis were also conducted. Descriptive and thematic analyses were performed to provide insights into its fidelity, penetration, and sustainability. Results: In 2022, the weekly participation rate remained stable, ranging from 76.3-97.7% for village-level CHWs and 100% for epidemiologists, indicating strong program sustainability. However, cadres and epidemiologists rated performance support from the outer setting domain as the lowest, recognizing its potential impact when executed properly. Three major themes emerged as facilitators: solid community engagement, high users’ demand and commitment, and collaboration opportunities. Four key barriers were discovered: integration and interoperability challenges, data input quality and standardization issues, variations in end-user characteristics, and limited involvement of local stakeholders. Conclusion: This study has the potential to contribute significantly to the field of dengue surveillance in Indonesia and beyond, providing valuable insights into the benefits and limitations of adopting digital innovations to combat this persistent public health threat.
Factors associated with mosquito nest eradication behavior for DHF in Boyolali Regency in 2023 Rosmawati, Elly; Kuncoro, Teguh Tri; Indriani, Citra; Ahmad, Riris Andono
BKM Public Health and Community Medicine Vol 40 No 07 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i07.13848

Abstract

Purpose: DHF cases in Boyolali Regency have experienced an increase in cases over the last four years, and this has been accompanied by a decrease in the ABJ index by 89%, which is an indicator of the success of the Mosquito Nest Eradication (PSN) program. This research aims to identify factors that influence PSN behavior in society. Method: This research uses an observational analytical study design with a cross-sectional approach. Data was collected from 331 respondents in 30 cluster analyses, namely univariate, bivariate, and multivariate, using logistic regression. Results: 331 respondents were found to have good PSN behavior (59.8%). The results of the multivariate analysis showed that the influencing factors were high education level (aOR 2.80; 95%CI 1.31–6.00; p-value 0.008) and region of residence, live in urban areas (aOR 0.42; 95%CI 0.26-069; p-value <0.001), have good knowledge (aOR 1.67; 95%CI 1.01-2.76; p-value <0.042), and have a good attitude (aOR 1.75; 95%CI 1.07-2.86; p-value <0.025). Conclusion: Factors influencing PSN behavior in Boyolali Regency include education level, place of living, attitudes, and knowledge.
Yes, but Impossible: Implementation Research on the Acceptability of self-care practices among people affected by l eprosy in Rupandehi district, Nepal Aryal, Pramila; Ahmad, Riris Andono; Utarini, Adi
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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

Abstract

Purpose: To explore the acceptability of self-care practices among people affected by leprosy and stakeholders in the Rupandehi district of Nepal. Methods: This qualitative study is based on in-depth interviews, key-informant interviews, and focus group discussions with the people affected by leprosy and stakeholders in Rupandehi district which is known to be a leprosy-endemic district in Nepal. Qualitative data was used to explore the acceptability of self-care practices and identify facilitators' barriers to accepting self-care practices. A total of 28 respondents were interviewed. Thematic analysis was used to interpret the data based on a TFA framework. Results: Leprosy-affected people have accepted the self-care practices and have a positive attitude towards it. However, due to poverty, lack of resources, and availability of time they find it impossible to practice self-care. To make it worse, less priority was given by the government sector to support self-care practices. Improving perception, minimizing stigma and taboos regarding self-care practices as well as improving service providers' attitudes and support from nongovernmental organizations were identified as facilitators. Conclusion: Despite the awareness and acceptance, self-care is not yet practiced. The program implementor should focus on the availability of resources and policy for poverty reduction
Fidelity of implementation of healthcare provider-oriented care and support to people with leprosy for disability prevention and management in Rupandehi district, Nepal Nepal, Sudip; Probandari, Ari; Timilsina, Amit; Joshi, Prakash Chandra; Ahmad, Riris Andono
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v0i0.13910

Abstract

Purpose: Leprosy, or Hansen’s disease, is a chronic infectious disease likely transmitted by prolonged, close contact with untreated leprosy patients through nasal and oral droplets. Left untreated can lead to irreversible nerve, skin, face, hand, and foot impairments. Healthcare providers should assess and monitor the disease's progress and treat complications. This study aimed to explore the fidelity of implementation of healthcare provider-oriented care and support to people with leprosy for disability prevention and management in the Rupandehi district of Nepal. Methods: This implementation study used a qualitative approach and a multi-source, multi-method case study design to accomplish study objectives. Purposive and selective sampling techniques were used in this study. Focused Group Discussion (FGD), Key Informant Interview (KII) and Observation checklist were used for data collection. Thematic analysis was carried out for the data analysis. Results: The study highlights that healthcare providers adhere to protocols for accurate diagnosis and comprehensive treatment, while challenges include the lack of skin smear test facilities. Patient satisfaction is influenced by timely services, counseling, and access to assistive devices. Various barriers to leprosy services such as financial hardships during referrals, high transportation costs, inconsistent drug supply, inadequate infrastructure, and lack of trained personnel, hinder effective treatment. However, facilitators such as adequate staffing, family involvement, effective communication, external partner support, trained staff, and transportation incentives enhance leprosy services. Conclusion: The study identified major barriers to leprosy services and facilitators enhancing the leprosy services. Addressing these barriers while leveraging facilitators is crucial to the care and support of people with leprosy for disability prevention and management.
Implementation of a centralized health quarantine information system at the Pangkalpinang Port Health Office Pratama, Fikry; Ahmad, Riris Andono; Sanjaya, Guardian Yoki
BKM Public Health and Community Medicine Vol 38 No 05 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i05.19976

Abstract

Purpose: This research aims to evaluate and analyze the factors affecting the implementation the health quarantine information system (SINKARKES) in KKP Pangkalpinang. Methods: Quantitative research with cross-sectional design research. The population studied several 65 respondents. Test statistical and data analysis using structural equation model Partial least-square with smartpls 3.0 software. Results: Five factors have significant effects in supporting the success of the implementation of SINKARKES, the quality of the system to the user satisfaction, the quality of information on user satisfaction, the quality of service to user satisfaction, the use of systems against net benefit and management support of net benefit. Conclusions: The implementation of SINKARKES uses a top-down approach with the development and adjustment of a system that runs thoroughly by focusing on meeting the needs of the central unit. This approach model is considered not ideal for the characteristics of the complex health quarantine information system module.
Co-Authors Adekayanti, Putri Adi Isworo Adi Isworo Adi Utarini Aditya Lia Ramadona Ageng Brahmadhi Agus Heri Setiawan Akhmad Mukhibin Amalia, Ichlasul Ananda, Dwi Rizki Andi Dian Puji Lestari Anis Fuad Anis Fuad Anna Tri Hardati Ari Probandari Artika Fristi Firnawati Aryal, Pramila Atik Tri Ratnawati Aulawi Aulawi Ayu Rahayu Bambang Sigit Riyanto Budi Arianto, Budi Chusnaifah, Defriana Lutfi Citra Indriani Daniwijaya, Edwin Widyanto Dewi Ratnawati Dewi Ratnawati DIAN ARUNI KUMALAWATI Dian Mawarni Dibyo Pramono Dibyo Pramono Edwin Sovvan Aritonang Eggi Arguni Evi Susanti Sinaga Febriansyah Firdaus Hafidz As Shidieq Firdy Permana Fitriana, Iva Fury Maulina Guardian Yoki Sanjaya Handika, Denis Oxy Hanevi Djasri Hari Kusnanto Hari Kusnanto Hari Saktiningsih Hary Satrisno Heru Prasanto Imam Abrori Indah Nurhayati Jamhari Jamhari Jemsner Stenly Iroth Joshi, Prakash Chandra Julianti Jeanette Sabono Kuncoro, Teguh Tri Kurniasari, Irianti Leli Rachmawati Lina Apriana Listy Handayani Lutfan Lazuardi Madarina Julia Mardia Mardia Maria Agustina P.Tondong Maundeng, Agnes Caroline Meityn Disye Kasaluhe merlyn sinaga Mohammad Hakimi Mubasysyir Hasanbasri Mubasysyir Hasanbasri Muhammad Ali Imron mukhibin, akhmad Nepal, Sudip Ning Rintiswati Ning Rintiswati Nooria Sukmaningtyas Pramuko, Nida Budiwati Pratama, Fikry Purwaningrum, Nabhela Ayu Retnowulan, Heni Rieski Prihastuti Rio Hermantara Risalia Reni Arisanti Rizaldy Pinzon Rosmawati, Elly Rovik, Anwar Ruri Trisasri Saraswati, Utari Sebong, Perigrinus Hermin Siti Nurfadilah H Solly Aryza Sukoco, Sidig Hery Supriyati, Endah Tampubolon, Gumson Josua Tasrif Ahmad Timilsina, Amit Tisa Salma Muthi&#039;ah Utama, Muhamad Imam Utami, Indira Diah Vivin Fitriana Vivin Fitriana Wardana, Dwi Satria Warsito Tantowijoyo, Warsito Wisotowardono, Ossie Sosodoro Wuaten, Grace Angel Yanri Wijayanti Subronto Yayi Suryo Prabandari Yodi Mahendradhata Yulia Irene Wahyunarni Zulhasogi, Andre