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All Journal Jurnal Kedokteran Brawijaya Jurnal Kesehatan Reproduksi Disease Prevention and Public Health Journal Jurnal Kesehatan Masyarakat Jurnal Teknologi JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Jurnal Kesehatan Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Hari Kusnanto

Universitas Gadjah Mada

Author-ID : 302574

Computer Science & IT Economics, Econometrics & Finance Electrical & Electronics Engineering Health Professions Industrial & Manufacturing Engineering Mechanical Engineering Medicine & Pharmacology Public Health

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KEBIASAAN MAKAN PAGI, LAMA TIDUR DAN KELELAHAN KERJA (FATIGUE) PADA DOSEN Yogisutanti, Gurdani; Kusnanto, Hari; Setyawati, Lientje; Otsuka, Yasumasa
KEMAS: Jurnal Kesehatan Masyarakat Vol 9, No 1 (2013)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v9i1.2830

Latar belakang. Fatigue merupakan fenomena normal bagi setiap orang sehat, yang dapat dikurangidengan istirahat maupun tidur. Kurang tidur (sleepiness) telah menjadi fokus masalah dalam isukesehatan kerja. Namun, penelitian kelelahan kerja pada dosen masih sangat terbatas dan belummenjadi perhatian. Tujuan penelitian untuk mengetahui hubungan kebiasaan makan pagi, lamawaktu tidur dengan kelelahan kerja. Metode. Desain cross sectional digunakan dalam penelitian dansebanyak 77 partisipan berasal dari 2 sekolah tinggi ilmu kesehatan swasta di Jawa Barat. Makanpagi dan lama waktu tidur per hari (variabel bebas) diukur menggunakan kuesioner. Kelelahankerja (variabel terikat) diukur menggunakan reaction timer yang dilakukan selama 3 hari dalam 1minggu. Kelelahan kerja merupakan rerata waktu reaksi dari hasil pengukuran. Hasil. Rerata waktutidur 6,12Â±0,670 jam, sebanyak 52(67,5%) dosen mempunyai kebiasaan makan pagi. Rerata waktureaksi 233,83Â±46,64 milidetik. Hasil uji statistik menggunakan uji korelasi didapatkan tingkatkelelahan berkorelasi negatif dengan kebiasaan makan pagi (p=0,000; r=-0,472) dan waktu tidur(p=0.000; r=-0,459). Kesimpulan. Kelelahan kerja dosen disebabkan kurang tidur dan intake kaloriyang dibutuhkan untuk beraktivitas. Untuk mengatasi kelelahan kerja perlu peningkatan kesadarandan pengetahuan dosen tentang keselamatan dan kesehatan kerja terutama kebiasaan makan danwaktu istirahat yang baik dan sehat agar menjadi budaya kerja.Â Background. In a healthy person fatigue is a normal phenomenon, experienced by everyone andusually easily relieved by rest or sleep. Increased sleepiness at work is now increasingly being focusedon a safety health issue. However, research on university teacherâ€™s fatigue is very limited and has notbeen fully addressed. Objective. Th e Objective of this study was to clarify the relationship betweensleeping duration, breakfast habits and fatigue in university teacher. Method. Cross-sectional surveywas used and 77 participants were given a questionnaire about sleeping duration, breakfast habits andfatigue symptoms. Fatigue level was measured with reaction timer in the morning when they arrivedat the workplace and before they left the workplace. Correlation analyses were used to identify therelationship between independents and dependent variables. Result. Average hour of sleep was 6.12hours per night (SD=0.67) and 67.5% participants were not having breakfast. Level of fatigue in themorning was mostly in light fatigue level (259.68Â±49.16 mms), which was signifi cantly correlated withsleep duration (r=0.459; p=0.000), which was signifi cantly correlated with breakfast habits (r=-0.472;p=0.000). Conclusion. Fatigue level was associated with sleep deprivation and low intake calories frombreakfast. University teachers may suff er from fatigue at their beginning of work because of the lack ofsleep duration, while in the evening, fatigue became higher because of the lack energy from breakfast.To manage the fatigue level for university teachers should be considered to improve university teacherâ€™sknowledge about sleep and breakfast and have enough time to sleep and breakfast before working.

Analisis Spatial Malaria di Ekosistem Perbukitan Menoreh: Studi Kasus Malaria Bulan Septmeber-Desember 2015 Sri Rejeki, Dwi Sarwani; Murhandarwati, Elsa Herdiana; Kusnanto, Hari
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 12, No 2 (2018): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Malaria is still becoming a public health problem in Indonesia. Menoreh Hills shows as one of the areas with endemic malaria in Java Island which has not been able to achieve the elimination target by 2015. Menoreh Hills is a cross-border administrative area, Central Java Province and Yogyakarta Special Region Province which has its own authority in financial management and budget allocation for malaria control. Furthermore, spatial analysis is very beneficial in controlling malaria, presenting geographic distribution of the disease, testing whether malaria is randomly distributed, evaluating the statistical significance of the disease cluster and showing as an early detection of outbreaks. Method: It applied an observational study with cross sectional spatial analysis design to observe the spreading, grouping pattern and the correlation between house distance to mosquito breeding and population density. The samples collected were 138 malaria cases and 138 controls. It required measurement of the coordinates to the house with GPS, identified breeding spots for mosquitoes around the house and collected the date data of malaria diagnosed in District Health Services. The location of the study covered 3 sub-districts as Malaria endemic areas namely Kaligesing, Bagelen and Kokap Sub-districs. Analysis of the data was conducted through ArcGIS, SaTScan dan Geoda softwares. Results: The malaria spreading in September-December 2015 was dominated in Kaligesing Sub-district of Purworejo Regency. Malaria cases were more common in areas with low density of population. The buffering analysis discovered that malaria patients were living near to the mosquito breeding (river, springs, and puddle). It was identified that there was 1 primary cluster and 2 secondary clusters which covered 3 districts at research location. Conclusion: The results of spatial analysis present that there is an incident of local malaria transmission in Menoreh hills. It requires an integrated malaria control program in Menoreh hills.

Status Partisipasi dan Kualitas Hidup Peserta Pos Pelayanan Terpadu Lanjut Usia Dewi, Syamsumin Kurnia; Kusnanto, Hari; Pramantara, I Dewa Putu; Rahayujati, Theodola Baning
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 1 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Demographic and epidemiologic transition now occurred in the District of Bantul could be followed by decreasing quality of life in elderly. Community elderly care service (CECS) is a primary service for elderly with potential to support increasing quality of life in elderly. Based on previous study, utilization of CECS was high (73.30%) at subdistrict of Bambanglipuro, Bantul. To know the relationship between participation status and quality of life in CECS participants at subdistrict of Bambanglipuro. Method: A cross-sectional study was conducted from April to May 2012. Samples were selected with consecutive sampling technique. Data were collected from 8 CECSs at subdistrict of Bambanglipuro. Quality of life was measured with short form 36 (SF-36) Health Survey, including physical component summary (PCS) and mental component summary (MCS). Data then were analyzed with descriptive and analytic methods using Chi-square test and multiple logistic regression. Results: Of 238 subjects investigated, 186 (78.20%) were good in PCS and 194 (81.50%) were good in MCS. Multivariate analysis showed that active in physical exercise of CECS program, absence of hypertension, and better economic status were related to better PCS (aPR: 5.31, 95%CI: 2.52-11.20; aPR: 3.41, 95%CI: 1.31-5.47; aPR: 2.68; 95%CI: 1.31-5.47) and better MCS (aPR: 3.97, 95%CI: 1.83-8.64; aPR: 3.08, 95%CI: 1.39-6.82; aPR: 6.38; 95%CI: 2.62-15.53). Conclusion: Dominant factors that related to better quality of life in CECS participants were: active in physical exercise program of CECS, absence of hypertension and better economic status.

Analisis Spasial Kasus Leptospirosis di Perbatasan Kabupaten Bantul, Sleman, dan Kulon Progo Nurbeti, Maftuhah; Kusnanto, Hari; Nugroho, Widagdo Sri
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 10, No 1 (2016): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Leptospirosis is an important issue in Yogyakarta Province. Outbreak status had set in Sleman, Bantul, and Kulonprogo District. The border areas have the most cases. This study aimed to analyze: cluster based on the buffer of distance from case’s home to rice fields, rivers, and roads; as well as observed patterns of disease diffusion and frequency over time. Method: This study was an observational study. There were 327 subjects obtained from all cases of Leptospirosis who were reported in District Health Office from 2009-2011. They were living in seven sub-districts, namely Sedayu, Minggir, Moyudan, Godean, Sentolo, Nanggulan, and Kalibawang. Results: 1) Most of the cases were distributed in the agricultural area, area drained by many river streams, and area with moderate rainfall (2000-2500 mm/year). There was no specific distribution pattern in overlay of cases map with maps of population density, density of poor households, altitude, and density of livestock. 2) Buffer analysis showed a cluster based on the distance between cases home with rice fields, rivers, and roads. 3) All cases in the seven sub-district was one unit cluster. The area is the most widely drained by large and small rivers. Cluster scores are higher in areas with the highest deprivation scores and has the most widely watershed. We found some Leptospirosis clusters which were across-district, across sub districts, and across the river. 4) Disease diffusion of Leptospirosis cases was an infectious type of expansion diffusion. There was a seasonal pattern according to the planting season and the beginning of the rainy season. There was a trend of increase in Leptospirosis cases from year to year. Conclusion: Leptospirosis disease in the border of Bantul, Sleman, and Kulonprogo District did not spread through the river from one region to another, but very much related to the watershed.

Social Determinants of Health of Child Marriage (Analysis of IFLS 2000, 2007, 2014) Wahyudi, Tri; Hasanbasri, Mubasysyir; Kusnanto, Hari; Hakimi, Mohammad
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 1 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i1.16514

Early marriage is defined as a marriage of women aged <18 years old. The current world prevalence is declining, but when compared with the growth in population, the total number of married children tends to increase. Today, early marriage reaches 41.000 every day, especially in Sub-Saharan Africa and South Asia. This research aims to identify the social determinants of health that encourage early marriage. This research used a quantitative observational analytic study with cross-sectional design. The number of <18 year-old married women were 1.96% (IFLS5), <18 year-old married men were 0.15% (IFLS5). The average age at first birth was 22.96 years old. The economic status of early marriage was mostly in Quintile 1, and the majority of residences were in rural area. The ratio of married women and men aged <18 years old was 11-14: 1. Employment, education, residence and poverty were associated with early marriage and were statistically significant.

PEMODELAN SISTEM PENDUKUNG KEPUTUSAN KELOMPOK DENGAN METODE FUZZY WEIGHTED PRODUCT UNTUK DIAGNOSIS PENYAKIT PNEUMONIA Syaukani, Muhammad; Kusnanto, Hari
Jurnal Teknologi Vol 5 No 1 (2012): Jurnal Teknologi
Publisher : Jurnal Teknologi, Fakultas Teknologi Industri, Institut Sains & Teknologi AKPRIND Yogyakarta

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Pneumonia merupakan infeksi diujung bronkiol dan alveoli serta penyakit yang terbanyak mengakibatkan kematian untuk setiap tahunnya, terbatasnya tenaga medis di puskesmas dibandingkan dengan jumlah penduduk mengakibatkan sering terlambatnya pelayanan terhadap pasien pneumonia. Penelitian ini fokus pada pengembangan pemodelan sistem pendukung keputusan kelompok untuk mendiagnosis pasien pneumonia pada orang dewasa. Sistem ini dirancang sebagai alat bantu tenaga medis dalam mendiagnosis pasien pneumonia dan menurunkan tingkat keterlambatan penanganan terhadap pasien pneumonia serta meminimalisir adanya kesalahan pemberian antibiotik terhadap pasien pneumonia. Sistem Pendukung Keputusan Kelompok (SPKK) dikembangkan berbasis web menggunakan bahasa pemrogramman PHP sedangkan untuk mengolah basis data pengetahuan menggunakan database MySQL, untuk memberikan nilai tabel keputusan yang merupakan keterkaitan antara gejala dan gangguan, serta pemberian nilai preferensi ketiga orang pakar yaitu ahli paru-paru, ahli internis dan ahli farmasi menggunakan Fuzzy Segitiga. Pada tahap agregasi preferensi digunakan Fuzzy Linguistic Quantifier dan tahap perangkingan menggunakan Weighted Product. Sistem diuji dengan cara memasukkan gejala-gejala pneumonia tanpa melibatkan seorang pakar. Hasil penelitian menunjukkan bahwa sistem dapat mendukung untuk mendiagnosis penyakit pneumonia. Kata Kunci : , Fuzzy, ,

Efektifitas Modifikasi Ovitrap Model Kepanjen untuk Menurunkan Angka Kepadatan Larva Aedes aegypti di Malang Zuhriyah, Lilik; Satoto, Tri Baskoro Tunggul; Kusnanto, Hari
Jurnal Kedokteran Brawijaya Vol 29, No. 2 (2016)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2016.029.02.10

Ovitrap merupakan alat perangkap telur nyamuk yang sukses diaplikasikan di beberapa negara. Penyederhanaan model ovitrap telah dilakukan dan diaplikasikan di Kepanjen, Kabupaten Malang namun sampai saat ini kontribusinya dalam menurunkan kepadatan larva belum pernah dievaluasi. Penelitian ini bertujuan untuk membandingkan House Index, Container Index, Breteau Index, dan Density Index antara daerah perlakuan dan daerah kontrol serta sebelum dan sesudah intervensi, mengetahui trend jumlah telur nyamuk per ovitrap, serta mengidentifikasi jenis larva yang ditetaskan dari telur yang didapat dari ovitrap. Penelitian Eksperimen Kuasi dilakukan di 4 Rukun Warga (RW) dari kelurahan yang berbeda di Kotamadya Malang pada September 2013-Februari 2014 yang memiliki Incidence Rate (per 10.000 penduduk) DBD tertinggi dalam empat bulan pertama 2013 yaitu 11,89 untuk Jatimulyo; 10,52 untuk Merjosari; 31,57 untuk Sumbersari; dan 25,21 untuk Bandulan. Hasilnya menunjukkan bahwa angka kepadatan larva (HI, BI, CI, dan DI) dua RW perlakuan lebih rendah secara signifikan (p<0,05) dibandingkan dua RW kontrol dengan Uji Mann Whitney. Kepadatan larva dan rata-rata jumlah telur dari ovitrap sesudah aplikasi ovitrap lebih rendah dibandingkan sebelumnya. Sebagian besar telur yang terperangkap merupakan telur Aedes aegypti. Disimpulkan bahwa aplikasi ovitrap di 4 RW dari kelurahan di Malang efektif untuk menurunkan kepadatan larva dan dapat diterapkan sebagai salah satu cara pengendalian nyamuk Ae. aegypti.Kata Kunci: Aedes aegypti, angka kepadatan jentik, ovitrap, jumlah telur

ARIMA Models of Dengue Cases in Kartamantul, Based on Area Risk Classification Rubaya, Agus Kharmayana; Kusnanto, Hari; Lazuardi, Lutfan; T. Satoto, Tri Baskoro
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 7, No 2 (2018): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.7264

Dengue is still one of the public health problems in Indonesia. In this study, three temporal indices (frequency, duration and intensity indices) based on serologically confirmed cases between 2010 and 2014 in Yogyakarta Municipality, Sleman Regency and Bantul Regency (acronym: Kartamantul), which are spatially analyzed, used to determine the risk level of Dengue transmission for each village in that area in 2015. Subsequently, ARIMA models with Box-Jenkins approach for those risk classification are developed to predict the number of cases in 2015. The results show that the risk categorization yielded from those Dengue data series has relatively high concordance with risk classification resulting from Dengue data in 2015 (the Kappa coefficient: 0.593; p-value 0.001). The best ARIMA models for both the â€œhighâ€ and â€œmediumâ€ risk villages are (0, 1, 0)(1, 1, 0)12; and for â€œlowâ€ risk areas it is (0, 1, 0)(0, 1, 0)12; which means that both models demonstrate a seasonal pattern. The analysis shows that the ARIMA models have relatively good predictability for the upcoming number of cases. Therefore, these analyses approach is suggested to be adopted for complementing the techniques of area stratification and transmission period which are commonly used in Dengue surveillance.

Understanding User Needs in Health Crisis Risk Monitoring Information System Development: A Lesson from Tasikmalaya District, Indonesia Iman, Arief Tarmansyah; Kusnanto, Hari; Pertiwi, Ariani Arista Putri
Kesmas Vol. 20, No. 3
Publisher : UI Scholars Hub

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A health crisis risk monitoring information system needs to be developed, especially during the pre-disaster phase; therefore, understanding the needs of prospective users is crucial. This study aimed to investigate the needs of potential users regarding the development of this system. This study employed a qualitative, exploratory approach to gather user needs from stakeholders through interviews (n = 7) and one focus group discussion (n = 12). The data were audio-recorded, transcribed verbatim, and then thematically analyzed using qualitative content analysis. The need for information was related to disaster preparedness and its preferred format. The system should be targeted, multiplatform, support multiple users, and easy to access. Features should include fully integration, advanced capabilities, online access, and the ability to generate fast and actionable information. It is essential to have this system for all users. A system must facilitate decision-making at various levels. The system should contain related information in a standardized format, easily accessible through various platforms and by multiple users, and serve as a tool for providing information for risk mitigation, monitoring, and reporting purposes.

Dampak Biaya Laboratorium Terhadap Kesenjangan Tarif INA-CBGs dan Biaya Riil Diagnosis Leukemia Indriani, Diah; Kusnanto, Hari; Mukti, Ali Ghufron; Kuntoro, Kuntoro
Kesmas Vol. 7, No. 10
Publisher : UI Scholars Hub

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Selama penerapan Diagnosis Related Group di Rumah Sakit Umum Pusat (RSUP) Dr. Sardjito, terjadi kesenjangan tarif biaya riil pelayanan kesehatan dengan tarif Indonesia Case Base Groups (INA-CBGs). Penyebab terbesar kesenjangan tarif tersebut adalah pelayanan obat dan penggunaan sumber daya laboratorium yang tidak efisien. Biaya pelayanan penunjang medis untuk pasien leukemia limfoblastik akut adalah sekitar 23,8% dari total biaya pelayanan kesehatan. Penelitian ini bertujuan untuk mengetahui tingkat efisiensi penggunan sumber daya laboratorium dan pengaruh terhadap kesenjangan tarif. Penelitian ini menganalisis semua rekam medis dan data biaya pelayanan laboratorium pasien leukemia limfoblastik akut tahun 2009-2010 di RSUP Dr. Sardjito Yogyakarta. Pemeriksaan kimia klinik menunjukkan pola pasien yang semakin parah, proporsi biaya pemeriksaan kimia klinik semakin rendah. Kondisi ini juga terjadi pada pemeriksaan radiologi, urine dan tinja rutin. Sementara pada pemeriksaan hematologi, mikrobiologi, dan imunologi/serologi menunjukkan pola semakin parah pasien maka semakin tinggi proporsi biaya pemeriksaan. Analisis regresi menemukan pemeriksaan kimia klinik meliputi mikrobiologi darah, ureum, magnesium, creatine kinase MB (blood) menyebabkan kesenjangan tarif semakin meningkat atau rumah sakit semakin dirugikan. Model regresi linier ini mempunyai nilai R2 sebesar 0,834 dengan nilai F = 84,475 (P < 0,05). Ketidakefisienan penggunaan sumber daya laboratorium pada pemeriksaan kimia klinik terdapat pada kelompok pasien tingkat keparahan ringan. Problems occurred during the implementation of Diagnosis Related Group in Sardjito Hospital Yogyakarta. There was gap price between the real cost of health care and Indonesia Case Base Groups (INA-CBGs) cost. The cause of the gap price was drug delivery and use of laboratory resources inefficiently. Cost of medical support services for acute lymphoblactic leukemia patients about 23.8% of the total cost of health care. This study aimed to analyze efficiency of the use of laboratory resources and their effect to discrepancy of price. This study analyzed all medical records and laboratory services cost data in 2009-2010 acute lymphoblastic leukemia patients at Sardjito Hospital Yogyakarta. Clinical chemistry test showed a pattern of more severe patients, the lower the percentage of clinical chemistry fees. This condition also occurs in radiological, urine test, and stool. While the test of hematology, microbiology and immunology/serology showed a pattern, the more severe the patient, the higher the percentage of the cost of the test. The results of the regression analysis showed that the more higher cost of clinical chemistry test (blood microbiology, urea, magnesium, creatine kinase MB (blood)) the higher discrepanct of price which causes the hospital getting harmed. Linear regression model has a value of determination coeficient 0.834 with a value of F = 84.475 (P < 0.05). Inefficiency of resource use in the test of clinical chemistry laboratory located on the mild severity of the patient group.

Co-Authors Achmad Fudholi Agus Kharmayana Rubaya Agus Suwarni Al Asyary Ali Ghufron Mukti Andriani, Rika Anis Fuad Ardiningtyas, Bondan Arief Tarmansyah Iman Arifin Santoso Arum Pratiwi Devi Octaviana Diah Indriani Dwi Sarwani Sri Rejeki Dyah Wulan Sumekar Rengganis Wardani E. Elsa Herdiana Murhandarwati Gurdani Yogisutanti Hakimi, Moh Heni Pujiastuti I Dewa Putu Pramantara Istiono, Wahyudi Kuntoro Kuntoro Lazuardi, M. Lutfan Lientje Setyawati Lilik Zuhriyah Lingga Ikaditya, Lingga Lutfan Lazuardi Luthan Lazuardi, Luthan Maftuhah Nurbeti, Maftuhah Marchaban Marchaban, Marchaban Masrizal Masrizal Mizawati, Afrina Mohammad Hakimi Mubasysyir Hasanbasri Muchsin Maulana, Muchsin mukhibin, akhmad Oktaviani, Zakiyah Ova Emilia Pertiwi, Ariani Arista Putri Rahayujati, Theodola Baning Riris Andono Ahmad Riswaka Sudjaswadi Sangadji, Namira Wadjir Shafwan, Shafwan Sri Nurlaela Sri Wiyanti Syamsumin Kurnia Dewi T. Satoto, Tri Baskoro Tri Baskoro Tunggul Satoto Tri Murti Andayani Tri Wahyudi Vella Dwi Yani Widagdo Sri Nugroho Yasumasa Otsuka

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