Pudjo Wahjudi
Bagian Epidemiologi dan Biostatistika Kependudukan Fakultas Kesehatan Masyarakat Universitas Jember

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FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT KECACATAN PADA PENDERITA KUSTA BARU DI RUMAH SAKIT KUSTA KEDIRI Pudjo Wahjudi; Ulfa Azimatul Khoiriah
Jurnal Ilmu Kesehatan Masyarakat Vol 6 No 2 (2010)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Leprosy still becomes a public health problem in Indonesia. Many affected leprosy come to the hospital when they are having a disability. Number of disabled leprosy patients for the last 3 years (2006-2008) in Kediri Leprosy Hospital are 263 (79, 22%) from 332 new leprosy patients. Leprosy is high potential to create disability, but it can be prevented by an early medical examination and a regular medical treatment. Leprosy is still becoming a big medical problem and also raising social, economic, and cultural problems. This research is aiming to analyzing influential factors towards disability levels of newly leprosy patients at the Kediri Leprosy Hospital, namely; age, sex, education, occupation, and medical record. The final result is expected to be guidance for hospital in increasing a quality of services towards leprosy patients.  This research is an analytical research. Based on the time, this research is included into retrospective research with cross sectional approach. The populations in this research are 116 newly leprosy patients with sampling 53 patients. The sample is collected with simple random sampling technique. Type of collected data is secondary data from medical record of the patients and the data are analyzed with logistic regression examination. The research shows that Age factor is constant with p=1.00 (p>0.05), Sex and Education factor do not influent to disability levels significantly with each: p=0.438 (p>0.05) and p=0.143(p>0.05). Finally, Occupation and Medical Record are significantly influencing to disability level with value each: p=0.004 (p<0.05) and p=0.004 (p<0.05). Recommendation of this research is expecting to health worker using active method to find leprosy patients through intensive contact survey program in patient families and their community to prevent number of people affected by leprosy. Key words: leprosy, new affected leprosy, disability on leprosy
FAKTOR YANG MEMPENGARUHI TERJADINYA KONTAK POSITIF DIFTERI DI KABUPATEN JEMBER Pudjo Wahjudi; Nining Setyowati
Jurnal Ilmu Kesehatan Masyarakat Vol 7 No 2 (2011)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Diphtheria is a reemerging disease. In Jember Regency, diphtheria cases have increased from the year 2009 with 2 cases and 2010 up to 6 cases. Positive contact of diphtheria is a potential source of infection. The objective of this research was to analyze the factors that influence the positive contacts of diphtheria. This research used cross sectional design. This research was conducted in 6 working areas of public health centers in Jember Regency. Subjects were all positive and negative contact cases based on the laboratory results in 2010  from Jember District Health Office. The sampling techniques used were proportional random sampling. The samples involved were 61 people. Data analysis used was logistic regression test with α = 0.05. The research results showed that the significant factors influencing the occurrence of positive contacts of diphtheria were age (0.042) and the closeness of contacts (0.001). Meanwhile, the factors that mostly affected the occurrence of positive contacts of diphtheria were the closeness of contacts with the risk of 12.4 times higher in one-home close contacts than those in neighborhood, school friends and playmates. The recommendations that can be given are to provide prophylaxis on all contacts of diphtheria, to use a mask at the positive contacts of diphtheria, to employ a drug-taking supervisor in the delivery of prophylactic medication, to provide additional immunization of diphtheria toxoids to the age of adolescence and adulthood, and to socialize health-record card keeping ​​. Key words: diphtheria, positive contacts