Elisabeth Siti Herini
Department Of Child Health, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada/ Dr. Sardjito Hospital, Yogyakarta, Central Java

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Increasing knowledge and awareness of health workers and health cadres regarding congenital rubella syndrome in Imogiri II Bantul Primary Health Centre Herini, Elisabeth Siti; Triono, Agung; Iskandar, Kristy; Prasetyo, Ashadi; Nuady, Albaaza; Hadiyanto, Marissa Leviani; Diantika, Kania; Wijayanti, Veronica Wulan; Damroni, Rais Aliffandy; Paramastuti, Avianti
Journal of Community Empowerment for Health Vol 7, No 3 (2024)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.94085

Abstract

Introduction: Prevention through campaign activities, Measles-Rubella (MR) vaccine introduction, and education play an essential role in controlling rubella and, eventually, Congenital Rubella Syndrome. A Community Engagement program was arranged collaboratively to improve the quality of promotive, preventive education by health workers and cadres and to improve the advanced management of Congenital Rubella Syndrome for health workers. Methods: A multi-method engagement program was conducted in collaboration with Imogiri II Bantul Primary Health Centre from March to October 2023. The program aimed to implement various activities involving health workers and health cadres. A descriptive study using the survey method was conducted to assess the knowledge level about Congenital Rubella Syndrome among health workers and cadres before and after the program. The survey included multiple-choice yes-no questions, and the results were analyzed using the McNemar test for paired nominal data with SPSS version 27. Results: We included 25 health workers and 28 health cadres. The results showed a significant increase in health worker's knowledge regarding the impact of Congenital Rubella Syndrome on various organs, including the brain, eyes, ears, heart, and child growth and development (p-values: 0.004, 0.004, 0.0004, 0.021, and 0.008, respectively). There was a notable improvement in health cadres' knowledge concerning the impact of CRS on the brain, eyes, ears, heart, child growth and development, and the child's quality of life (p-values: 0.007, 0.000, 0.000, 0.001, and 0.000, respectively). Conclusion: The community engagement program helps to enhance the knowledge of health workers and cadres concerning the impact of Congenital Rubella Syndrome on patients. 
MORTALITY PREDICTION SCORE IN CHILDHOOD TUBERCULOSIS MENINGITIS IN INDONESIA Rakhmawati, Umi; Herini, Elisabeth Siti; Triono, Agung
MNJ (Malang Neurology Journal) Vol. 12 No. 2 (2026): July
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2026.012.02.03

Abstract

Background: Pediatric tuberculous meningitis (TBM) is a severe complication of extrapulmonary TB, with a 19% mortality rate. Objective: We aimed to determine the mortality predictors and the mortality score of pediatric TBM. Methods: A retrospective case-control study was conducted on children aged 1 month to 18 years with TBM at Dr. Sardjito General Hospital, Banyumas District Hospital, Sleman District Hospital, and Academic Gadjah Mada University Hospital from January 2018 to December 2023. Data were collected from medical records. Variables predictive of death were assessed, and positive and negative likelihood ratio values were calculated. Variables were organized into a score using the Spiegelhalter-Knill-Jones method. The area under the curve for receiver operating characteristic (AUC–ROC) was used to determine the cut-off value of the total score. Internal validation was performed by assessing sensitivity, specificity, positive and negative likelihood ratios, and accuracy. Results: Among 37 patients, 14 (37.9%) died during hospitalization. The ROC curve of the scoring system had an AUC value of 0.78 (95% CI 0.608–0.948), indicating sufficient accuracy. Mortality prediction score was ≥–8.5 with a sensitivity of 64.0% and specificity of 91%. Nutritional status, consciousness, and comorbidities were significantly associated with mortality in TBM patients. Conclusion: Nutritional status, consciousness, and comorbidities are significantly associated with mortality in TBM patients. The results suggest that a cut-off value of ≥–8.5 is considered a good reference point for implementing a mortality prediction score, as it demonstrates good sensitivity and specificity.