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Hari Kusnanto

Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran Universitas Gadjah Mada

Author-ID : 2971183

Nursing Public Health

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Years of potential life lost due to HIV-AIDS infection and associated factors in Yogyakarta Ana Nurjanah Andarwatolanrain; Bambang Riyanto; Hari Kusnanto
Berita Kedokteran Masyarakat (BKM) Vol 32, No 1 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

PurposeThe purpose of this paper was to describe the number of Years of Potential Life Lost due to HIV-AIDS infection and the factors affecting. MethodA retrospective cohort study was conducted using medical record data for all patients diagnosed with HIV-AIDS and has died in Dr. Sardjito Yogyakarta, related to sociodemographic characteristics, behavior and clinical conditions at diagnosis. The cut-off point used to calculate Years Potential Life Lost is 65 years.ResultsThe study found that first, 193 deaths occurred during 2010 to 2015. Second, most of the HIV-AIDS patients who died were men (71%), married (47%), infected through heterosexual (27%), never followed ARV therapy (73%), had moderate anemia (37%) and was in 3rd stage (50%). Third, the Years of Potential Life Lost average is 31.12 years. Fourth, female gender, unmarried and suffer from anemia are factors that affect the number of Years Potential Life Lost cases in HIV / AIDS patients.ConclusionThe average Years of Potential Life Lost in HIV-AIDS patients in Yogyakarta is quite high. HIV-AIDS patients diagnosed at a younger age (<50 years), female, unmarried and suffered from severe anemia had more Years of Potential Life Lost than patients diagnosed at age ≥ 50 years, male, married or divorced and not suffered from anemia. Intensive HIV screening by the DIY Health Office and hospitals, as well as comprehensive education on HIV and AIDS for both at-risk groups and the general public, can raise awareness of HIV sufferers for antiretroviral therapy before they are in severe clinical and consequent conditions at an early death.

Dukungan keluarga dan kualitas hidup pasien diabetes mellitus Fatma Nuraisyah; Hari Kusnanto; Theodola Baning Rahayujati
Berita Kedokteran Masyarakat (BKM) Vol 33, No 1 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Latar belakang: Diabetes melitus merupakan salah satu masalah kesehatan yang berdampak pada produktivitas dan dapat menurunkan mutu sumber daya manusia. Salah satu cara untuk meningkatkan mutu hidup penderita DM tipe II melalui dukungan keluarga. Dengan adanya dukungan dari keluarga dapat memotivasi penderita untuk hidup optimis sehingga dapat meningkatkan kualitas hidup. Penelitian ini bertujuan untuk mengetahui hubungan antara dukungan keluarga ditinjau dari empat dimensi (emosional, penghargaan, instrumental, dan informasi) dengan kualitas hidup pasien DM tipe 2 di Puskesmas Panjatan II Kabupaten Kulon Progo.Metode: Desain penelitian ini adalah analitik cross sectional dengan jumlah sampel 150 pasien DM tipe 2. Analisa data menggunakan koefisien korelasi pearson, uji t-independen, dan regresi linear sederhana.Hasil: Adanya hubungan dukungan keluarga (p value:0,00) dan komplikasi (p value: 0,02) dengan kualitas hidup pasien DM II. Adanya hubungan dukungan keluarga ditinjau dari dimensi emosional (p value:0,00), dimensi penghargaan (p value:0,00), dimensi instrumental (p value:0,00) dengan kualitas hidup pasien DM II. Kesimpulan: adanya hubungan dukungan keluarga dengan kualitas hidup pasien DM II.

Determinan kejadian TB Paru BTA (+) di Kabupaten Bandung Barat Fitria Agustina; Yusrizal Djam’an Saleh; Hari Kusnanto
Berita Kedokteran Masyarakat (BKM) Vol 32, No 9 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Latar belakang : Penyakit menular Tuberkulosis masih menjadi perhatian didunia dan belum ada satu negara pun yang bebas TB, termasuk Indonesia. Menurut Global Tuberculosis Control Report tahun 2009, Insiden kasus baru TB BTA (+) di Indonesia tahun 2007 sebesar 102 per 100.000 penduduk dan prevalensi sebesar 244 per 100.000 penduduk. Capaian prevalensi Kabupaten Bandung Barat (KBB)tahun 2011 yaitu 517 per 100.000 penduduk dan capaian Case Detection Rate yang masih rendah yaitu 49,64%. Kondisi sanitasi lingkungan yang tidak memenuhi syarat kesehatan merupakan determinan sumber penularan penyakit termasuk tuberkulosis paru.Tujuan dan metode penelitian : Penelitian ini bertujuan untuk mengetahui determinasi kejadian TB Paru BTA (+) di Kabupaten Bandung Barat. Jenis penelitian adalah observasional analitik dengan desain kasus kontrol. Subjek penelitian adalah masyarakat 15 tahun keatas datang berobat ke puskesmas dan diagnosis pasien TB BTA (+) sebagai kelompok kasus, serta pasien yang diagnosis bukan penderita TB oleh dokter pemeriksa di puskesmas sebagai kelompok kontrol. Sampel yang diambil sebanyak 140 orang. Analisis data dilakukan dengan analisis univariabel, bivariabel dan multivariabel.Hasil Penelitian. Karakteristikindividupendapatan dan pendidikan berhubungan signifikan dengan kejadian TB Paru BTA (+) (p-value 0,040 dan 0,037 < 0,05), Lingkunganfisik,kebiasaan merokok,dinding, lantai rumah, kelembaban, ventilasi, pencahayaan, bahan bakar masak, paparanasaprokok berhubungan signifikan dengan kejadian TB Paru BTA (+) (p-value< 0,05). Riwayat kontak (p-value 0,946 > 0,05) dan riwayat imunisasi BCG (p-value 0,611 >0,05)tidak berhubungan signifikan dengan kejadian TB Paru BTA (+)Kesimpulan.Ventilasidan bahan bakar untuk memasak berhubungan signifikan dengan kejadian TB Paru BTA (+) (p-value, 0,002, dan 0,004< 0,05).

Pola sebaran tingkat infeksi bersama serotipe virus dengue di wilayah kajian RT-PCR Balai Besar Teknik Kesehatan Lingkungan dan Pengendalian Penyakit Yogyakarta: analisis data 2013-2015 Fitria Wakano; Lutfan Lazuardi; Eggi Arguni; Hari Kusnanto
Berita Kedokteran Masyarakat (BKM) Vol 32, No 11 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Pattern of concurrent infection of dengue virus serotype in the regional study areas of Yogyakarta Center for Environmental Health and Diseases Control: an analysis of 2013-2015 dataPurposeThis study aimed to determine the pattern in the spread of infection rates with dengue viral serotypes.MethodsThe study was a descriptive research with spatial mapping methods. Data of 132 respondents were collected based on RT-PCR in 2013-2015. The complete address of the village-level patient from the dengue arbovirosis surveillance data of the Center for Environmental Health and Diseases Control Yogyakarta were used to determine the coordinate points with utilization of RBI and Google Earth maps in searching addresses for distribution of case coordinate points. ResultsThere were similarities with the most complex quadruple joint infection rates of DEN in Semarang and Yogjakarta, while Kebumen obtained double DEN level. Three patterns of infection with DEN-1 and DEN-3 have p-value < 0.05 in Semarang in 2014, Sragen in 2015 and Semarang 2013 and 2 patterns in Gunung Kidul 2014 and Kulon Progo 2015. The patterns of infection with DEN-1, DEN-2 and DEN-3 in 2015 were covering Sragen and Semarang in 2013.ConclusionThe most complex areas of infection were Semarang and Yogyakarta. The pattern of most likely cluster infection with DEN-1 and DEN-3 and DEN-1, DEN-2 and DEN-3 allegedly was a result of two infected patients, different serotypes of different mosquitoes or infection of more than one serotype of Ae. aegypti or Ae. albopictus as the main vector.

ANALISIS SPASIAL KEJADIAN PENYAKIT KUSTA DI KABUPATEN BLORA PROVINSI JAWA TENGAH Jati Kurniawan; Sunardi Radiono; Hari Kusnanto
Berita Kedokteran Masyarakat (BKM) Vol 34, No 1 (2018)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Spatial analysis of leprosy in BloraPurposeThis research aimed to discover the existence of leprosy agglomeration and factors causing leprosy.MethodThis research was an epidemiological study conducted in Blora. Data were analyzed using individual approach and spatial analysis.ResultsThere were clusters of leprosy cases at coordinates 7.215035 S and 111.535428 E radius of 10.54 km. Variables related to leprosy incidence were economic status and the distance of reservoir. The economic status obtained coefficient value -0.882169, error standard 0.372429, t-statistic -2.36869 and p-value 0.01881. While the distance of reservoir obtained coefficient value 0.00344507, standard error 0.000965419, t-statistic 3.56847 and p-value 0.00045.ConclusionThere were clusters of leprosy patients. There was a significant correlation between the variable of economic status and the distance of reservoir with the leprosy incidence. Health offices and related sectors need to provide informal skills training to leprosy patients for increasing family income.

FAKTOR PREDIKTOR GANGGUAN PENGLIHATAN BERAT DAN KEBUTAAN PADA PENDERITA DIABETES DI DAERAH ISTIMEWA YOGYAKARTA Rimawati Aulia Insani Sadarang; Hari Kusnanto; Mohammad Bayu Sasongko
Berita Kedokteran Masyarakat (BKM) Vol 33, No 12 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Predictors of severe visual impairment and blindness among diabetic patients in Special Territory of YogyakartaPurposeThe purpose of this study was to identify any predictors of severe visual impairment and blindness among diabetic patients in Daerah Istimewa Yogyakarta.MethodsThis research was a cross-sectional study by analyzing registry data from (JOGED.COM). Data included sociodemographic characteristics, diabetic status, health record, and eye diseases. The analysis was done using chi-square and simple logistic regression tests follow with semi-partial correlation, stratification tests and multilevel analysis with Generalized Estimation Equation (GEE).ResultsAs much as 1093 data were included in this study. The prevalence of severe visual impairment was 12% and blindness was 6.5%. Cataract, diabetic retinopathy and diabetes duration >10 years were statistically significant with severe visual impairment and blindness while glaucoma and hypertension only significant with severe visual impairment. The contribution of cataract in severe visual impairment (4.73%) and blindness (3.11%) was highest among eye diseases. There was modification effect of cataract to severe visual impairment and blindness by diabetes duration. Based on GEE, cataract, diabetic retinopathy and diabetes duration > 10 years was the best model to predict the occurrence of severe visual impairment and blindness.ConclusionsPredictors of severe visual impairment and blindness among diabetic patients in Daerah Istimewa Yogyakarta were the cataract, diabetic retinopathy and diabetes duration >10 years. Modification effect of cataract by diabetes duration only was significant in a model to predict blindness.

Co-Authors Ana Nurjanah Andarwatolanrain Bambang Riyanto Eggi Arguni Fatma Nuraisyah, Fatma Fitria Agustina Fitria Wakano Jati Kurniawan Lutfan Lazuardi Muhammad Bayu Sasongko Rimawati Aulia Insani Sadarang Theodola Baning Rahayujati Yusrizal Djam’an Saleh

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