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Lukman Hakim
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Faktor Yang Mempengaruhi Pembelian Obat Malaria Di Warung Muhamad Nizar; Yulian Taviv; Terang Uli Sembiring; Lukman Hakim
ASPIRATOR - Journal of Vector-borne Disease Studies Vol 5 No 1 (2013): Jurnal Aspirator Volume 5 Nomor 1 2013
Publisher : Loka Litbang Kesehatan Pangandaran

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Abstract

About 80% of Indonesia populations lived in malaria endemic areas. AMI reported to date is still high, on the other side of the MDG targets is to reduce AMI (< 5/1000 populations in 2015), while the elimination of malaria in Sumatra is expected on 2020. According to Riskesdas 2007, the malaria suspected who utilizing health services is remains low (<2%), whereas people who utilizing the general health care facilities is 48.7%. The study has been conducted to analyze the factors that influence the use of malaria drugs purchased in the stall. This study was using a quantitative approach. The chi-square and logistic regression test was used to analyzed the independent variables (age, sex, duration of illness, work, and education level) against variable dependent (purchasing of malaria drugs in the stall). A cross-sectional study was done with inclusive criterias: fever >38 ° C, chills, cold sweating, headache, and muscle pain or splenomegaly at 4 health centers in January to April 2011. Interview was assigned to 220 respondents; 53.2% of respondents aged over 40 years, predominantly female (52.7%). In general, respondents have a job (66.4%) with low educational level (81.8%), and 67.7% get a pain less than 4 days. Results shows that occupation factor is significantly related to drug purchasing behavior (p = 0.003). Model of risk factors that influencing malaria drug purchases in the stall is the kind of work that is influenced by the low education level (p-value = 0.003) with odds ratio is 15.5%.
Faktor Risiko Penularan Malaria Di Jawa Barat (Kajian Epidemiologi Tentang Vektor, Parasit Plasmodium, dan Lingkungan Sebagai Faktor Risiko Kesakitan Malaria) Lukman Hakim
ASPIRATOR - Journal of Vector-borne Disease Studies Vol 2 No 1 (2010): Jurnal Aspirator Volume 2 Nomor 1 2010
Publisher : Loka Litbang Kesehatan Pangandaran

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Abstract

Since the territory is divided with the province of Banten, in West Java there are five regencies that defined as malaria endemic area, there are Ciamis, Tasikmalaya, Garut, Cianjur and Sukabumi. Sufferer, concentrated in southern coastal areas (Indonesian Ocean) starting from the beach of Kalipucang at Ciamis up to coast of Cikakak at Sukabumi which borders the province of Banten and also mountain and plantations areas. Malaria morbidity incidence risk factors is differ in each of these endemic areas. In general is the presence of malaria patients without symptoms who can be a source of infection thatso difficult to know its existence. Still the number of standing water that can become mosquito breeding places of Anopheles spp, such as fish pond, small puddle on the riverside, shrimp pond, mangrove forests that potentially at the beginning of the rainy season, thefields during rice that potential when the rice growing and the river that potential in the dry season. The existence of high population mobility and also the number of vegetation in the surrounding residential population and the existence of cattle are placed close to settlements.
Status Kerentanan Nyamuk Anopheles sundaicus Terhadap Insektisida Cypermerthrin Di Kabupaten Garut Nunung Seniawati; Lukman Hakim
ASPIRATOR - Journal of Vector-borne Disease Studies Vol 2 No 1 (2010): Jurnal Aspirator Volume 2 Nomor 1 2010
Publisher : Loka Litbang Kesehatan Pangandaran

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Abstract

At the time of high vector populations and malaria transmission is in progress, it is necessary to use insecticides to control vector using the house spraying. To get the results as objective the eradication of the vector that is able to suppress the vector population sothat no longer play a role in malaria transmission, the insecticide used should be effective against mosquitoes and the mosquitoes are still susceptible to the insecticide used. To determine the level of malaria vector mosquito susceptibility to insecticides, in the territory of Garut district has conducted susceptibility tests of Anopheles sundaicus mosquitoes to insecticides Cypermethrin held in November up to December 2008. Mosquitoes testedwere captured in the form of larvae from ponds and estuaries in Karyamukti Cibalong Garut, and then reared in the field insektarium. The adult level were then tested for their susceptibility.Mosquito susceptibility tests conducted using the WHO Susceptibility Test Kit as many as four repetitions performed simultaneously, while the insecticide used in the form of impragnated paper with a dose of 0.05%From tests it is known that mosquito mortality rate up to 100% test. This indicates that the mosquito An. sundaicus in Garut regency of West Java, is still susceptible to the insecticide Cypermenthrin. Therefore, it can still be used in the eradication of malaria vectors in the recommended dosage of 0.20 g/m2.
Hubungan Jumlah dan Kepadatan Penghuni Rumah serta Keberadaan Nyamuk dengan Frekuensi Menggigit Nyamuk Aedes aegypti Saat Mencari Darah di Kabupaten Cirebon Provinsi Jawa Barat Lukman Hakim; Asep Jajang Kusnandar
ASPIRATOR - Journal of Vector-borne Disease Studies Vol 2 No 2 (2010): Jurnal Aspirator Volume 2 Nomor 2 2010
Publisher : Loka Litbang Kesehatan Pangandaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (487.62 KB) | DOI: 10.22435/asp.v2i2.1782

Abstract

Dengue hemorrhagic fever (DHF) is an infectious disease caused by dengue virus with the widest spread in the Asian region. In Indonesia, every year is always an outbreak in some provinces, the largest occurred in 1998 and 2004 with the number of patient mortality by 79 480 people with 800 people. To know the risk factor for dengue transmission in Cirebon District that had a high DHF cases, had been conducted the research with calculating the number and density of humans at the houses and also survey of density of Aedes aegypti pre-adult and adult stages.The research was resulting that the house index (HI) of Ae. aegypti is 58%, while homes found Ae. aegypti adults is 46%, 6 of which house is the house that is not found larvae / pupae of mosquitoes. The laboratory tests found that the frequency of biting Ae. aegypti mosquitoes average 4.5 times per day, at least 2 times and no more than 7 times per day. Number of people bitten by adult mosquitoes average of 3.1 people per day, is at least 2 people and maximum 5 people per day. Based on the statistically test, it is known that there is significant correlation between the number of inhabitants of the house and the presence of mosquito larvae / pupa of Ae. aegypti mosquito with biting frequency, whereas the most dominant variable was the presence of larvae / pupae of mosquitoes. Furthermore, it is advisable to do the cleaning intensification of Aedes breeding places inand outside the home including those hidden. It is also necessary to place residential settings so that the number of occupants per house so less.
Hubungan keberadaan larva Aedes spp dengan kasus Demam Berdarah Dengue di Kota Bandung Lukman Hakim; Andri Ruliansyah
ASPIRATOR - Journal of Vector-borne Disease Studies Vol 7 No 2 (2015): Jurnal Aspirator Volume 7 Nomor 2 2015
Publisher : Loka Litbang Kesehatan Pangandaran

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Abstract

Abstrak. Kota Bandung merupakan wilayah dengan kasus demam berdarah dengue (DBD) paling banyak di Jawa Barat dengan 24.491 kasus pada periode tahun 2009-2013. Penularan virus dengue terjadi dari penderita DBD melalui gigitan nyamuk Aedes aegypti dan Ae. albopictus sebagai vektor primer, sedangkan Ae. polynesiensis, Ae. scutellaris dan Ae. (Finlaya) niveus sebagai vektor sekunder. Telah dilakukan penelitian dengan survei larva dan analisis kasus DBD di Kota Bandung dengan tujuan mengetahui hubungan keberadaan larva nyamuk Aedes spp dengan kesakitan DBD, Penelitian dilakukan dengan pencatatan penderita DBD periode tahun 2011-2013, selanjutnya dikunjungi untuk dilakukan wawancara dan survei larva nyamuk Aedes spp pada kontainer air di dalam dan luar rumah. Sampel yang berhasil dikunjungi adalah 402 rumah dari 8 kampung terdiri atas 201 rumah tangga yang ada kasus DBD dan 201 rumah tangga yang tidak ada kasus DBD sebagai pembanding. Hasil penelitian menunjukkan, dari 402 sampel penelitian, didapatkan 75 sampel positif larva nyamuk Aedes spp (House Index/HI 18,7%) terdiri dari 36 rumah tidak ada kasus DBD dan 39 rumah dengan kasus DBD. Di antara 8 kampung lokasi penelitian, HI paling tinggi adalah kampung Cijawura (21,9%) dan paling rendah adalah kampung Manjahlega (11,1%), sedangkan di kampung Cidurian tidak ditemukan larva Aedes spp. Jumlah rumah dengan kontainer air yang positif larva nyamuk Aedes spp, paling banyak adalah kampung Sekejati yaitu 37 rumah dan yang paling sedikit adalah kampung Manjahlega yaitu 2 rumah. Hasil analisis Chi-square dan korelasi, menunjukan bahwa tidak terdapat hubungan bermakna antara keberadaan larva nyamuk Aedes spp dengan kasus DBD. Disimpulkan, keberadaan larva Aedes spp tidak berhubungan dengan kasus DBD di Kota Bandung Jawa Barat. Untuk terjadinya kasus DBD, selain keberadaan nyamuk Aedes spp, juga dipengaruhi faktor lain seperti vector capacity, virulensi virus dengue, dan status kekebalan pejamu. Selanjutnya disarankan, dalam pengendalian DBD, selain melakukan pengendalian vektor juga perlu dilakukan kegiatan lain yang berkaitan dengan penanggulangan faktor risiko munculnya kasus DBD
HUBUNGAN STATUS GIZI DAN KELOMPOK UMUR DENGAN STATUS INFEKSI VIRUS DENGUE Lukman Hakim; Asep Jajang Kusnandar
ASPIRATOR - Journal of Vector-borne Disease Studies Vol 4 No 1 (2012): Jurnal Aspirator Volume 4 Nomor 1 2012
Publisher : Loka Litbang Kesehatan Pangandaran

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Abstract

Abstrak. Infeksi virus dengue tidak pasti menyebabkan DBD pada manusia bergantung faktor lain, salahsatunya adalah sistem imunitas tubuh yang juga dipengaruhi status gizi dan umur. Penelitian ini bertujuanmengetahui hubungan status gizi dan umur terhadap status infeksi virus dengue. Penelitian dilakukan diKabupaten Cirebon dengan desain cross sectional. Tinggi dan berat badan diukur serta dihitung indeksmassa tubuh (IMT) untuk mengetahui status gizi. Hasilnya dikelompokkan menjadi dua kategori, tidaknormal dan normal. Kelompok umur dikategorikan menjadi umur < 5 tahun dan > 5 tahun. Selanjutnyapemeriksaan sampel darah menggunakan rapid diagnostic test untuk mengetahui status infeksi. Hasilnya,dianalisis untuk mengetahui hubungan status gizi dan kelompok umur dengan status infeksi virus dengue.Dari 200 responden (86 laki-laki, 114 perempuan) didapatkan status gizi 68 orang (34%) tidak normaldan 132 orang (66%) kategori normal; kelompok umur < 5 tahun 193 orang (96,50%) dan < 5 tahun 7orang (3,5%). Pemeriksaan sampel darah menunjukan 39 orang (19,50%) responden positif antibodi virusdengue dan 161 orang (80,50%) negatif. Analisis bivariat menunjukkan status gizi dan kelompok umurmemiliki hubungan dengan status infeksi virus dengue serta kelompok umur memiliki pengaruh terbesar.Disimpulkan, status gizi dan kelompok umur terbukti berhubungan dengan status infeksi virus dengue.Status gizi tidak normal dan kelompok umur < 5 tahun, menjadi faktor risiko untuk terjadinya penularanvirus dengue.
Diagnostik Klinis Malaria Di Kabupaten Musi Rawas Sumatera Selatan Muhamad Nizar; Lukman Hakim
ASPIRATOR - Journal of Vector-borne Disease Studies Vol 3 No 1 (2011): Jurnal Aspirator Volume 3 Nomor 1 2011
Publisher : Loka Litbang Kesehatan Pangandaran

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Abstract

now, AMI was reported to lower high while the MDG target of AMI up to 5 per 10,000 populationin 2015. This study aims to formulate the cardinal sign of clinical malaria in MusiRawas district. Two hundred and eleven samples were taken based on the inclusive case selectioncriteria include fever> 38°C, chills, sweating and headaches and muscle pain and anenlarged spleen in four health center with AMI > 10,000. There was no significant associationbetween the occurrence of clinical symptoms of malaria, but after the regression analysisobtained the cardinal sign of clinical diagnosis of malaria is fever> 38°C accompaniedthe headache, chills, cold sweat and nausea and age <39 years with OR 11.3. Clinical diagnosisis confirmed by the cardinal sign of fever > 38°C accompanied the headache, chills,sweating, muscle pain and age <39 years
Peluang Terjadinya Immunoglobulin M Berdasarkan Analisis Binary Logistic Faktor Penularan Virus Dengue Lukman Hakim; Damar Tri Boewono
ASPIRATOR - Journal of Vector-borne Disease Studies Vol 3 No 1 (2011): Jurnal Aspirator Volume 3 Nomor 1 2011
Publisher : Loka Litbang Kesehatan Pangandaran

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Abstract

Abstract. Morbidity of dengue hemorrhagic fever is still high due to factors of transmissionhas not completely known yet, so that disease control be conducted based on the cases. Thisstudy aimed to obtain information about factors related to the status of IgM anti-dengue virus.Studies have been conducted in village Klayan district Gunungjati regency Cirebon usingcross sectional design. Variable study is 10 independent variables consist of 5 environmentvariables and 5 host variables, whereas dependent variable is status of IgM antidenguevirus. The resulting data were analyzed using bivariate and multivariate analyse todetermine relationship between independent with dependent variable. Of the 400 respondentssurveyed, 56% are known to live in crowded homes, 85% at home with the lighting isnot optimal, 41.5% in home with positive not covered water container, 96% at home withoptimum air temperature, 62% in homes with optimal air humidity, and 23.5% at home witha positive mosquito Aedes spp larvae. Respondents with outside the home activities in lowcategories are 51.5%, nutritional status is not normal are 34%, age group <5 years are10.5%, ever get DHF are 16%, and positive IgM anti-dengue virus are 17.5 %. Bivariateanalysis showed three independent variables are significantly associated with the dependentvariable, whereas the multivariate analysis was resulted two variables are significantly associatedwith the dependent variable. It was concluded, the variables which significantly associatedwith status of IgM anti-dengue virus are outside the home occupants activities, nutritionalstatus and age groups. The estimating of chances of anti-dengue virus IgM can becalculated based on the activities outside the home occupants and nutritional status variable.
Hubungan Faktor Penularan dengan Kejadian Malaria pada Pekerja Migrasi yang Berasal dari Kecamatan Lengkong Kabupaten Sukabumi Marliah Santi; Lukman Hakim
ASPIRATOR - Journal of Vector-borne Disease Studies Vol 3 No 2 (2011): Jurnal Aspirator Volume 3 Nomor 2 2011
Publisher : Loka Litbang Kesehatan Pangandaran

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Abstract

Abstract. Lengkong sub-district is malaria-endemic areas with a high morbidity. In the pastthree years, there is a decrease in the number of malaria cases, but the number of importedmalaria cases has increased significantly from the migration of workers returning from malaria-endemic areas outside Java. Epidemiological studies have been conducted with theaim of knowing the transmission factors associated with malaria incidence in the populationof Lengkong, Sukabumi who ever migrated. Research conducted in the Cilangkap andLangkapjaya Village held in November 2011. The type of research is quantitative with across-sectional study design. The study population is the all of community that perform migratein 2011 and at the time of the study was in the villages. The data was collected by interviewingwith respondents about the destination of migration, length of stay in the area ofmigration, the use of chemoprophylaxis before leaving for migration, history of malaria atbefore, the health seeking, installation of wire netting on ventilation of house, the use of bednets, and also the incidence of malaria as long as migration and at period of one month afterdischarge. The collected data is analyzed to determine relationship of each independent variablewith the dependent variable. The results obtained from 100 respondents, 97% migrationto malaria-endemic areas, length of stay was 96% in > 1 month, 55% did not use chemoprophylaxis,57% had been sick with malaria at before, 69% seeking health to non healthofficer, 100% did not use bed nets, and house without wire netting, and also 26% had beenexposed wit malaria. Bivariate analysis shows, the use of chemoprophylaxis, previous historyof malaria and sought health treatment are factor associated with the incidence of malariaon labor migration.
Malaria: Epidemiologi dan Diagnosis Lukman Hakim
ASPIRATOR - Journal of Vector-borne Disease Studies Vol 3 No 2 (2011): Jurnal Aspirator Volume 3 Nomor 2 2011
Publisher : Loka Litbang Kesehatan Pangandaran

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Abstract

Abstract. Malaria is an infectious disease caused by Plasmodium spp, are naturally transmittedby the mosquito Anopheles spp. Malaria transmission occurs because of interactionbetween the agent, the definitive host and intermediate hosts (humans). Therefore, the transmissionof malaria is influenced by the presence and fluctuations in vector populations (i.etransmitting mosquito Anopheles spp).Malaria diagnosis consists of clinical diagnosis and diagnosis based on laboratory examination.Clinical diagnosis or clinical malaria diagnosis was presumptive diagnosis of malariabased on clinical examination of patients with symptoms include fever (periodical), heat,level of consciousness, dizziness, etc. as well as specific local typical symptoms. Experiencesof medical personnel who perform precise diagnosis will determine whether or not the diagnosis,so that clinical diagnosis cannot be the main reference in the treatment of malaria becauseof high error rates.
Co-Authors Andri Ruliansyah Asep Jajang Kusnandar Asep Jajang Kusnandar Damar Tri Boewono Herra Superiyatna Marliah Santi Muhamad Nizar Muhamad Nizar Nunung Seniawati Terang Uli Sembiring Yulian Taviv