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Situasi Masalah Kesehatan Penyakit Menular di Kabupaten Cirebon Masruroh, Masruroh; Sudaryo, Mondastri Korib; Nurlina, Ade
HIGEIA (Journal of Public Health Research and Development) Vol 6 No 4 (2022): October 2022
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/higeia.v6i4.58645

Abstract

Data kesehatan di Kabupaten Cirebon menunjukkan bahwa masalah kesehatan di Kabupaten Cirebon didominasi oleh penyakit menular. Penelitian ini bertujuan untuk mengidentifikasi masalah penyakit menular dan menetapkan urutan prioritas masalah penyakit menular di Kabupaten Cirebon pada tahun 2020. Metode yang digunakan adalah metode deskriptif dengan pendekatan kuantitatif. Data sekunder dari laporan kesehatan di Dinas Kesehatan Kabupaten Cirebon dianalisis untuk mengidentifikasi masalah penyakit menular yang ada. Penentuan urutan prioritas masalah menggunakan metode PAHO Adapted Hanlon melalui suatu pembobotan yang melibatkan partisipasi pemegang kebijakan internal. Penelitian dilakukan pada Desember 2021 – April 2022. Berdasarkan identifikasi masalah penyakit menular di Kabupaten Cirebon terdapat masalah penyakit menular di Kabupaten Cirebon yaitu DBD, Tuberkulosis, Kusta, Diare, Pneumonia, dan Campak. Diperoleh 3 urutan teratas prioritas masalah penyakit menular di Kabupaten Cirebon yaitu Diare (BPR: 29,40), Tuberkulosis (BPR: 28.99), dan DBD (BPR: 27,13). Diare merupakan masalah penyakit menular dengan urutan prioritas pertama di Kabupaten Cirebon yang diperoleh dari hasil skoring menggunakan metode PAHO adapted Hanlon.
A Literature Review: Analysis of Clinical Pathway Implementation for Covid-19 Patients Chohan, Zakir; Syarif, Syahrizal; Sudaryo, Mondastri Korib
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 2 (2024): July-December 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i1.3003

Abstract

Clinical pathway is a guideline for evidence-based medical care, best service, patient expectations for communication facilities, multidisciplinary activities, patients, families, as documentation, monitoring, recording, variants, providing the necessary resources and results. Objective to determine the extent to which the implementation of the clincal pathway is applied and is beneficial to Covid-19 patients.Method: The method used was to conduct a critical analysis of research articles, regarding the implementation of clinical pathways for Covid-19 patients during the pandemic taken from the Pub Med and PMC databases with the keywords used: Implementation AND clinical pathway AND Covid-19 AND pandemic. The number of articles analysed was 116 and then obtained 3 relevant articles. Results: Clinical pathway is useful in facilitating the lack of access to patient examination services, supporting examinations, and also treatment. Clinical pathways that are incorporated into E-medical records help clinicians to get the latest information and improve adherence to evidence-based guidelines so as to produce good results for services. Clinical pathways are needed as guidelines in the application of diagnostic and management of Covid-19 disease in children.Conclusion: Clinical pathway implementation is needed in services, especially in access gaps, up-to-date information, clinician compliance, diagnostic guidelines and management of Covid-19 patients to get good evidence-based.
Predictors of Syphilis in the Population of Men Like Sex with Men (LSl) in 10 Regencies/Cities In Indonesia Marta Butar Butar; Mondastri Korib Sudaryo; Puspita Sari
International Journal of Health Engineering and Technology Vol. 3 No. 2 (2024): IJHET JULY 2024
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (595.513 KB) | DOI: 10.55227/ijhet.v1i5.107

Abstract

Syphilis is a bacterial sexually transmitted infection (STI) caused by Treponema pallidum. This disease results in significant morbidity and mortality. This study aims to analyze the predictors of syphilis incidence in the MSM population, namely age, education level, HIV status, use of condoms, consumption of drugs/injecting drugs, alcohol consumption, number of sex partners and STI examinations. The research design is cross sectional using secondary data from the 2015 IBBS. The analysis used is Cox regression which estimates the Prevalence Ratio value. The proportion of syphilis infection in the MSM group in 10 districts/cities in Indonesia is 15.7%. There was a significant relationship between HIV status (PR 2.05 (95% CI 1.58-2.66), Age (20-24 years old PR 2.45 (95% CI 1.07-5.64), 25-24 years old. 29 years PR 3.01 (95% CI 1.30-6.95), > 30 years PR 2.42 (95% CI 1.04-5.65) versus 15-19 years), Alcohol (PR 1, 37 (95% CI 1.01-1.86), Education 1.45 (95% CI 1.02-2.06) with the incidence of syphilis infection in MSM while condom use, drugs, number of male sex partners and STI examinations were not statistically related with p value > 0.05.
Estimasi Dampak Penyalahgunaan Narkoba pada Produktivitas Kerja: Studi Corss Sectional Pada Pekerja di Indonesia Sudaryo, Mondastri Korib; Antasari, Erma
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 1: Februari 2025
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v10i1.11756

Abstract

Background: Prevalence of drugs abuse among workers is still high. Drug use among workers has a negative impact on the health and safety of both workers and the community. This study was aimed to examine the relationship between impaired work productivity and drug behaviour among workers in Indonesia.Methods: This study used secondary data from the national survey on drug abuse among workers in 2017.  The total sample size was 34,397 persons. We used cox regression model to estimates the Prevalence Ratios (PR) and its 95% confidence intervals for associations between drug abuse and impaired work productivityResults: Drug abuse, marijuana and methamphetamine, used by workers were associated with impaired work productivity. Drug abuse in workers increased the likelihood of impaired work productivity by 2.3 times (p-value: <0.001; 95% CI: 1.97-2.73). Meanwhile, the use of marijuana types increased the probability of impaired work productivity by 1.6 times (p-value <0.001; 95% CI: 1.32-2.00). Workers using methamphetamine drugs were 1.29 times more likely to experience impaired work productivity than workers who did not use methamphetamine (p-value: 0.03; 95% CI: 1.03-1.62).Conclusion: impaired work productivity among workers was significantly associated with drug abuse 
Faktor Risiko yang Berhubungan dengan Kematian Pasien Penyakit Ginjal Kronis pada Usia Dewasa yang Menjalani Hemodialisis Reguler di Provinsi Lampung Latupeirissa, Joue Abraham Trixie; Sudaryo, Mondastri Korib; Hadiaturahman, Muhamad Zulfikar; Sinaga, Steven Sapta Putra
Jurnal Penyakit Dalam Indonesia Vol. 12, No. 2
Publisher : UI Scholars Hub

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Abstract

Introduction. Although mortality among adult chronic kidney disease (CKD) patients on regular hemodialysis remains infrequent within the first three months, it is still a potential outcome. Given that hemodialysis is required for life, identifying risk factors for mortality is critical. This study aims to examine risk factors associated with mortality in adult CKD patients undergoing regular hemodialysis. Methods. A case-control study, without matching, was conducted using medical record data from adult CKD patients (≥18 years) receiving regular hemodialysis between 2022 and 2024 at three hospitals (types A, B, and C) in Lampung Province. The case group consisted of patients who experienced mortality, while the control group consisted of similar patients who survived. Patients with autoimmune-related CKD were excluded. Subjects were selected using convenience sampling with a 1:2 case-to-control ratio. Risk factors assessed included sociodemographics, dialysis duration, comorbidities, and nutritional status. Logistic regression analysis was performed. Results. A total of 114 cases and 228 controls were included, with the longest dialysis duration in both groups being 72 months. The oldest patient starting dialysis was 77 years in the case group and 75 years in the control group. Logistic regression analysis revealed that the following factors were associated with increased mortality: history of heart failure (OR = 2.3; 95% CI = 1.2–4.4; p = 0.009), history of post-renal obstruction (OR = 3.5; 95% CI = 1.6–7.6; p = 0.002), random blood glucose ≥140 mg/dL (OR = 2.1; 95% CI = 1.2–3.6; p = 0.011), acute kidney injury (OR = 6.5; 95% CI = 3.8–11.1; p < 0.001), and BMI Conclusion. History of heart failure, post-renal obstruction, elevated blood glucose, acute kidney injury, and low BMI are significant predictors of mortality in adult CKD patients undergoing regular hemodialysis in Lampung Province.
Risk Factors Associated with Long COVID Among Hospitalized Adults in Several Hospitals in Palembang City, Indonesia Hutapea, Hotma Martogi Lorensi; Sudaryo, Mondastri Korib; Parikesit, Arli Aditya; Miko Wahyono, Tri Yunis; Salim, Nelda Aprilia
Kesmas Vol. 20, No. 2
Publisher : UI Scholars Hub

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Abstract

Long COVID is characterized by one or more symptoms experienced by individuals prior to a COVID-19 infection that last for ≥2 months, and its risk factors remain unclear. This study aimed to identify risk factors associated with long COVID among patients admitted between June 1, 2020, and October 31, 2023, at three referral COVID-19 hospitals in Palembang City, Indonesia. This cohort study included adults who were admitted for ≥5 days. The participant’s medical records were reviewed for admission and discharge dates, sociodemographic and clinical characteristics, and vaccination and therapy status. A standardized and validated instrument was used to assess fatigue during admission, and a structured questionnaire was used to evaluate long COVID. Cox regression was employed to determine factors associated with long COVID. Among 256 patients, long COVID was identified in 39.1%. Fatigue during admission, chronic kidney disease, thrombocytosis, and positive RT-PCR test at hospital discharge increased the risk of long COVID, whereas being fully vaccinated decreased its risk. This study identifies five risk factors for long COVID and determines that fatigue during admission is the strongest.
Risk Factors of Worsening of Systemic Lupus Erythematosus in Patients at Two Tertiary Hospitals in Jakarta Aji, Giri; Sudaryo, Mondastri Korib; Djuwita, Ratna; Sukamto, Sukamto
Kesmas Vol. 18, No. 3
Publisher : UI Scholars Hub

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Abstract

Systemic Lupus Erythematosus (SLE) is a prototypical multiorgan autoimmune disease with a fluctuating and chronic disease course. As an emerging disease in this century, SLE will burden stakeholders and the country. This study was conducted to determine the prognostic factors for SLE worsening, especially in ambulatory patients. This ambispective study used logistic regression to view the risk factors for worsening SLE in patients. Anemia, age, body mass index, education level, employment status, marital status, hydroxychloroquine, and immunosuppressants were the independent variables in this study. This study concludes that anemia is statistically significant and, therefore, a risk factor for worsening SLE in patients (RR = 5.31; p-value
The Role of Resilience in Quality of Life in a Productive-Age Population During the COVID-19 Pandemic Nurcandra, Fajaria; Ronoatmodjo, Sudarto; Keliat, Budi Anna; Sudaryo, Mondastri Korib
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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Abstract

The COVID-19 pandemic has impacted various sectors and may trigger a decrease in quality of life (QoL), so resilience is urgently needed. This study aimed to analyze the role of resilience in the QoL of individuals during the second wave of the COVID-19 pandemic in East Jakarta, Indonesia. An explanatory sequential mixed methods study was conducted with a cross-sectional design. The QoL was measured using the Indonesian-HRQoL on 300 respondents through multistage cluster sampling. The explanatory qualitative approach involved Focus Group Discussions and in-depth interviews. A Cox regression was used to analyze the quantitative data. The proportion of poor QoL was 26.30%. Poor resilience (individual, family, and community) contributed to poor QoL during the pandemic. Realistic perceptions determined the role of individual resilience in QoL concerning gratitude, sincerity, patience, mutual reinforcement, accepting circumstances, implementing health protocols, cognitive emotion regulation, adaptability, and optimism. The age of family decision-makers, social support, and self-control determined the role of individual resilience in QoL. The role of community resilience in mental-emotional disorders and QoL was determined by the stability of the education system, health system, political/government system, and pandemic management system.
Epidemiological Patterns and Spatial Distribution of COVID-19 Cases in DKI Jakarta (March–December 2020) (March–December 2020) Das, Rajesh Kumar; Sudaryo, Mondastri Korib
Kesmas Vol. 16, No. 5
Publisher : UI Scholars Hub

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Severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2) is the causative agent of COVID-19 that began in Wuhan, Hubei Province, China. In Indonesia, the first two cases were reported on March 2, 2020; the first major response to block transmission of the virus was the declaration of large-scale social restrictions (LSSR) or Pembatasan Sosial Berskala Besar (PSBB). This study aimed to identify the epidemiology patterns and spatial distribution of the COVID-19 pandemic in five municipalities of DKI Jakarta. The research design comprised an ecological and case-series study uncovering the epidemiological trends and distribution of COVID-19 in DKI Jakarta based on secondary surveillance data. The results from the data analyzed between March-December 2020 showed an increasing epidemiological trend due to COVID-19, and Central Jakarta was the municipality most affected due to pandemic during this period. The implementation of the first PSBB in DKI Jakarta reduced the average number of daily cases during the first month, although the decrease was not statistically significant. There was a spatial autocorrelation of COVID-19 with the neighboring urban villages. There were fifteen COVID-19 hotspots all over DKI Jakarta based on the data analyzed in December 2020.
Risk Factors of COVID-19 Infection Among Health Workers Post-Vaccination in Jakarta Saputra, Rahmat; Prihartono, Nurhayati Adnan; Sudaryo, Mondastri Korib; Mahkota, Renti; Devita, Yeni; Arisanti, Ni Wayan Deisy
Kesmas Vol. 19, No. 4
Publisher : UI Scholars Hub

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Abstract

One of the best approaches to stop the COVID-19 pandemic is vaccination. In Indonesia, the first round of vaccinations was prioritized for health workers on January 14, 2021 (first dose) and March 1, 2021 (second dose). However, some health workers who have been vaccinated were found to be reinfected after receiving the second dose. This cross-sectional study examined the risk factors for COVID-19 infection among health workers after vaccination using secondary and primary data. The data analysis was carried out in univariate (examining the frequency distribution and proportion of independent variables), bivariate (Chi-square test to explore the relationship between independent and dependent variables), and multivariate (Logistic Regression to assess the strength of the relationship between independent and dependent variables). The results showed that the variables associated with post-vaccination infection included COVID19 infection history (PR: 2.16, p-value <0.05), age (PR: 0.64, p-value <0.05), hypertension (PR: 1.52, p-value <0.05), direct contact with patients (PR: 2.02, p-value <0.05). It is recommended that health workers aged >37 years with a history of diabetes mellitus, hypertension, or previous COVID-19 infection, working directly with patients, and using Personal Protective Equipment level 1 daily should be prioritized for booster vaccinations.