Dina Nur Anggraini Ningrum
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Journal : Jurnal Kesehatan Masyarakat

Mortality Among Dengue Infection Patients in Bandung City 2022 Salsabila, Diyana; Ningrum, Dina Nur Anggraini; Khasanah, Amelia Fitra; Alwi, Luqman; Andar, Nadiya Arawinda; Palgunadi, Palgunadi
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.10694

Abstract

Dengue infection is caused by the dengue virus. In 2021 in Indonesia, 705 mortalities were due to dengue infection, while in 2022, 1,232 mortalities. The CFR in 2019 was 0.67%, in 2020 it was 0.69%, and in 2021 it was 0.96%. Bandung City is one of the endemic areas. In 2022, found 21 reported mortality, with a CFR of 0.47% in 2020, 0.35% in 2021, and 0.19% in 2022. Risk factors for death due to dengue infection are old age, delay in treatment, platelet count, incidence of DSS, and hematocrit value. This is a quantitative observational study using a nested case-control research design. Uses secondary data from the Bandung City Health Service. The results of this study confirmed association of mortality with age above 40 years (p-value: 0.008, OR: 6.320), high hematocrit value (p-value: 0.005, OR: 11.111), long gap between onset and diagnosis (p-value: 0.025, OR: 13.833), prolonged hospitalization (p-value: <0.001, OR: 8.125), and incidence of DSS (p-value <0.001, OR: 39.500). Low platelet count (p-value: 0.033, OR: 0.263) found to be protective. Age, hematocrit value, gap between onset and diagnosis, length of hospitalization, and incidence of DSS are risk factors for mortality among dengue infection patients.
Hypertension in Pregnancy: A Nested Case-Control Study Hidayah, Noor; Handayani, Oktia Woro Kasmini; Yuniastuti, Ari; Ningrum, Dina Nur Anggraini
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i1.27483

Abstract

Hypertension during pregnancy is the leading cause of maternal and neonatal morbidity and mortality. In Indonesia, 30 % of deaths are caused by hypertension. This study was conducted to analyze the risk factors for hypertension in pregnancy in mothers with high pregnancy risk. A nested case-control study design was employed, with data sourced from secondary records of obstetric medical documents from Gondosari Health Centre, Kudus Regency, Central Java Province, Indonesia, for the years 2021, 2022, and 2023. The number of hypertension cases was 46, and the number of controls was 92. The technique for collecting case data was based on reviewing the medical records of mothers with hypertension. In contrast, control data was taken by random sampling from mothers with high risk but who did not have hypertension. Statistical analysis used the chi-square (bivariate) and logistic regression (multivariate) tests. The study’s results stated that significant factors for hypertension in pregnancy were gestational age of 20 weeks, obesity, and primigravida with p 0.037, p 0.044, and p 0.010. Pregnant women > 20 weeks have a risk of 2.267 times to experience pregnancy hypertension, obesity has a risk of 4.288 times to experience hypertension in pregnancy, and non-primigravida status is at a higher risk of hypertension in pregnancy than primigravida mothers by 0.252 times. Mothers who have these three factors together have a probability of 80.79% of experiencing hypertension during pregnancy. This study concluded that gestational age > 20 weeks, obesity, and non-primigravida were related to the risk of hypertension in pregnancy at the study site; mothers who had gestational conditions > 20 weeks, obesity, and non-primigravida had the highest likelihood of developing hypertension in pregnancy.
Maternal Characteristics, Malnutrition, and Pregnancy Complications with the Incidence of Low Birth Weight in an Industrial Environment Khayati, Yulia Nur; Rahayu, Tandiyo; Handayani, Oktia Woro Kasmini; Widowati, Evi; Ningrum, Dina Nur Anggraini
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i1.27768

Abstract

Low Birth Weight is one of the leading causes of under-five deaths during the neonatal period. In Indonesia, the infant mortality rate is in the top 7 in the world. The industrial environment, where air pollution is high, is one of the factors causing LBW. The study aimed to identify the factors that influence the incidence of LBW in an industrial environment. Using data from a cohort of pregnant women in 2023, the study used a nested case-control design at Bergas Community Health Centre. The study population included all mothers who delivered live infants in 2023, totalling 832 respondents. Data from the study were analysed using Chi-Square for bivariate analysis and logistic regression for multivariate analysis. The results showed a relationship between maternal age, parity, maternal nutritional status, hypertension, preeclampsia, and anaemia with the occurrence of LBW with p < 0.0001. The multivariate analysis indicated a significant relationship between maternal age (OR 3.233, 95% CI 1.557 – 6.714), parity (OR 2.567, 95% CI 1.382 – 4.767), maternal nutritional status (OR 7.905, 95% CI 3.472 – 17.998), preeclampsia (OR 28.090, 95% CI 9.894 – 84.468), and maternal hemoglobin levels (OR 10.883, 95% CI 5.736 – 20.649) with the incidence of LBW. The most influential factor in LBW is the occurrence of preeclampsia in mothers.
The Phenomenon of Dengue Fever in Climate Change Cahyati, Widya Hary; Dina Nur Anggraini Ningrum; Andi Irwan Benardi; Hanif Pandu Suhito; Izha Fajar Al Isynaini; Ratna Sri Indrawati
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i2.34137

Abstract

Dengue fever is a health challenge in tropical and subtropical countries. The increase in dengue cases in Indonesia is influented by urbanization, climate change, higher population mobility, and community behavior. This study aims to describe the climate factors, temperature, humidity, rainfall, and wind speed, as well as dengue fever cases. This study uses a descriptive observational design with an ecological study approach. The data collection technique used in this study was secondary data in the form of documentation studies by analyzing records of dengue fever case numbers and climate data. The average monthly temperature ranges from 26.8 to 31.3°C, the average monthly humidity ranges from 65.1 to 85.7%, and rainfall fluctuates significantly, with the highest intensity reaching 28.7 mm. Dengue fever cases show a fluctuating trend, with the highest number in 2023 at 541 cases. Climate factors play a role in the dynamics of dengue cases in Semarang City. Temperature and humidity are within the optimal range that supports mosquito breeding and dengue virus transmission. High rainfall allows for puddles of water to form, which serve as breeding grounds for mosquitoes. Low wind speeds also facilitate mosquito flight activity.