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OVERVIEW OF VACCINE-PREVENTABLE DISEASES SURVEILLANCE AND COMPLETE BASIC IMMUNIZATION COVERAGE AT CAMELIA POSYANDU Wahyuni, Maria Magdalena Dwi; Landi, Soleman; Litelnoni, Aletha Anasthasya; Naisais, Marsela Candra; Tasoin, Asiana Agalta; Yusuf, Dea Benita; Meilyani, Rany
JURNAL WIDYA MEDIKA Vol. 12 No. 1 (2026): March
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i1.7952

Abstract

Vaccine-preventable diseases (VPDs) remain a global health challenge. In Indonesia, immunization coverage has not yet reached the national target, particularly in East Nusa Tenggara Province, which recorded only 79.04% coverage in 2024. This study aimed to describe VPD surveillance and immunization coverage at the Camelia Integrated Health Service Post, involving 30 toddlers, through examination of health cards and interviews. The study used a qualitative approach with a retrospective descriptive analytical design. Surveillance was conducted through five stages: data collection, monthly data processing, analysis, ACER reporting, and follow-up in the form of catch-up immunization. The results showed that 33.3% of children were fully immunized on time, 30% experienced delayed immunization, and 36.7% had incomplete immunization status. DPT-HB-Hib (32.8%) and oral polio vaccine (23%) were the most frequently delayed vaccines due to parents’ lack of knowledge, concerns about side effects, child illness, busy schedules, limited access to services, and insufficient family support. The study concluded that although immunization coverage was not yet optimal, the implementation of VPD surveillance and a consistent catch-up immunization program effectively prevented VPD cases in the Camelia Posyandu area. Recommendations include strengthening digital recording systems, continuing health education, implementing digital reminder systems, optimizing home visits, and conducting periodic evaluations.
Analisis Faktor Risiko Kejadian BBLR di Wilayah Kerja Puskesmas Oelaba Kabupaten Rote Ndao Tahun 2024 Wina Jensisca Muda; Soleman Landi; Indriati Tedju Hinga; Deviarbi Sakke Tira
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.3291

Abstract

Pendahuluan: Berat badan lahir rendah masih menjadi masalah kesehatan global yang mempengaruhi morbiditas dan mortalitas pada bayi, balita dan anak-anak. Data BPS menunjukkan bahwa Provinsi NTT menempati urutan ke-5 kasus BBLR tertinggi pada tahun 2023 sebanyak 5.701 kasus dan Kabupaten Rote Ndao menempati urutan pertama pada tahun 2023 yaitu sebanyak 28,3% menurut perempuan yang pernah melahirkan. Penelitian ini bertujuan untuk menganalisis faktor risiko kejadian BBLR di wilayah kerja puskesmas Oelaba. Metode: Jenis penelitian observasional analitik dengan metode case control menggunakan 76 sampel yang terdiri atas 38 balita BBLR dan 38 balita BBLN. Kelompok kontrol dipilih dengan teknik simple random sampling. Penelitian dilakukan pada 10 Juni-10 Juli 2025 menggunakan instrumen penelitian berupa kuesioner yang telah diuji validitas dan reliabilitasnya. Analisis data menggunakan uji chi-square dan uji regresi logistik ganda. Hasil: Hasil analisis menunjukkan bahwa umur (p-value 0,002), status gizi (p-value 0,000), antenatal care (p-value 0,000), dan penyakit penyerta (p-value 0,038) merupakan faktor risiko sedangkan jarak kehamilan (p-value 0,050), paritas (p-value 0,066), pendidikan (p-value 0,066) dan status ekonomi (p-value 0,150) bukan faktor risiko kejadian BBLR. Umur (p-value 0,004, OR 6,373) dan status gizi (p-value 0,025, OR 4,671) merupakan faktor risiko yang paling berpengaruh terhadap kejadian BBLR dengan kontribusi sebesar 50%. Kesimpulan: Umur, status gizi, antenatal care, dan penyakit penyerta merupakan faktor risiko. Umur dan status gizi adalah faktor yang paling berisiko terhadap kejadian BBLR di wilayah kerja Puskesmas Oelaba tahun 2024 Saran: Edukasi terkait dampak kehamilan usia berisiko, KEK, ANC lengkap, konsumsi TTD dan asupan makanan bergizi sangat penting dilakukan oleh tenaga kesehatan setempat.
DESCRIPTION OF SELF-EFFICACY REGARDING MEDICATION ADHERENCE AMONG PEOPLE LIVING WITH HIV/AIDS IN KUPANG CITY, EAST NUSA TENGGARA Wahyuni, Maria Magdalena Dwi Wahyuni; Landi, Soleman; Benu, Putra James; Neolaka, Jefri Arisamsi; Tukan, Maria Kurniawati; Mathilde, Mauricia Keyra; Gaa, Jesica Margareta; Sabuna, Putri Meldi
JURNAL WIDYA MEDIKA Vol. 12 No. 1 (2026): March
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i1.7979

Abstract

The role of self-efficacy in antiretroviral medication adherence is a critical factor in ensuring therapeutic success for people living with HIV/AIDS, particularly given the rising number of cases in Kupang City. This study describes self-efficacy related to treatment adherence using a qualitative descriptive approach. Data were collected through in-depth interviews and observations of five participants registered in HIV services. Informants were selected via purposive sampling, and the data were analyzed and presented descriptively to illustrate patterns of adherence and the factors influencing self-efficacy. The results indicate that all participants possess strong confidence in their daily medication routines, experience no significant side effects, and have achieved positive clinical outcomes. High self-efficacy is driven by internal motivation, family responsibilities, and emotional and instrumental support from their environment. Additionally, assistance from fellow survivors—who facilitate medication access and provide psychological reinforcement—plays a vital role. Together, these factors foster positive habits that sustain therapy compliance. This study concludes that robust self-efficacy, reinforced by social support, is the foundation for maintaining medication adherence. These findings emphasize the need for interventions focused on boosting self-efficacy, providing continuous education, and strengthening peer support groups to ensure long-term treatment success.
OVERVIEW OF TUBERCULOSIS SURVEILLANCE STAGES AT THE OEBOBO COMMUNITY HEALTH CENTER Wahyuni, Maria Magdalena Dwi; Landi, Soleman; Ardiansyah, Dimas Rohman; Lewar, Benedicta Sabu; Kadek, Triya Tabita; Adu, Petronela Adelfin; Mau, Yohana; Azizah, Nur Asma
JURNAL WIDYA MEDIKA Vol. 12 No. 2 (2026): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i2.7975

Abstract

Tuberculosis (TB) remains a serious public health challenge in Indonesia, placing community health centers at the forefront of epidemiological surveillance. This qualitative study, utilizing a descriptive thematic analysis design, was conducted from October to November 2025 to evaluate the TB surveillance stages, case-finding mechanisms, and the internal strengths and weaknesses of the Oebobo Community Health Center. Data were collected from 12 informants, comprising TB program management, the surveillance team, and 10 TB patients, through in-depth and structured interviews, supplemented by a review of monthly health center reports. The findings indicate that while the surveillance stages (collection, processing, analysis, interpretation, and dissemination) are systematically implemented, case-finding relies heavily on contact investigation, active screening, and the optimization of TB cadres. The primary strengths of the program include its proactive, community-based approach and the use of periodic data analysis to guide interventions. However, the lack of adequate laboratory facilities for diagnosis remains a significant barrier. Ultimately, while TB surveillance at the Oebobo Community Health Center is operational and well-integrated into the community, it is not yet fully effective due to these infrastructure limitations.
EVALUATION OF THE INTEGRATED EPIDEMIOLOGICAL SURVEILLANCE SYSTEM FOR DISEASES AT THE ALAK COMMUNITY HEALTH CENTER, KUPANG CITY Landi, Soleman; Wahyuni, Maria Magdalena Dwi; Duli, Maria Alfonsia Deran; Pandie, Erlian Mariana; Setiawan, Thirza Khalilah Putri; Wellem, Tamariska Priscilla Pristin Wellem
JURNAL WIDYA MEDIKA Vol. 12 No. 2 (2026): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i2.8016

Abstract

An integrated epidemiological surveillance system plays a crucial role in supporting early detection and public health response at the primary healthcare level. This study aimed to describe the implementation of the Integrated Epidemiological Surveillance System for diseases at Alak Primary Health Center, Kupang City, in 2025. The study employed a qualitative descriptive approach using in-depth interviews with five purposively selected informants, consisting of three key informants (the epidemiological surveillance program officer and two surveillance staff) and two supporting informants (a health information system officer and a laboratory officer). Data were analyzed through the stages of data reduction, data presentation, and conclusion drawing. Key findings indicate that the implementation of surveillance was supported by the availability of trained surveillance personnel, adequate operational funding, and the utilization of supporting facilities such as electronic medical records, surveillance applications, and manual reporting forms. The system has integrated indicator-based surveillance and event-based surveillance for communicable diseases, as well as the use of the ASIK application for monitoring non-communicable diseases. Data processing and analysis were conducted routinely based on person, place, and time variables and were utilized in monthly evaluations. Surveillance information was disseminated through weekly bulletins, reports to the District Health Office, and information media at the primary health center. The main challenge identified was the limited availability of supporting equipment, particularly computers, which affected the timeliness of reporting. Strengthening infrastructure and technical capacity is essential to enhance the effectiveness of surveillance in supporting early detection and public health response.
COMMUNICABLE DISEASE SURVEILLANCE IN POST-FLOOD SETTINGS: LESSONS FROM THE LITERATURE Landi, Soleman; Wahyuni, Maria Magdalena Dwi; Niron, Maissie Ginaninta Charoline; Loe, Wahyunita Euniche Elizabeth; Tabun, Kornelia; Huky, Stella Elsha Putri Rihi; Sabakodi, Dwi Andika Umbu Gauka; Dimu, Rivaldo Deljunior
JURNAL WIDYA MEDIKA Vol. 12 No. 2 (2026): July
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v12i2.8041

Abstract

Floods are natural disasters that frequently occur in Indonesia and contribute to an increased risk of communicable diseases due to environmental changes, poor sanitation, and limited access to clean water. This study aims to describe communicable diseases surveillance after floods based on findings from various studies in Indonesia. The method used was a literature review by searching for relevant scientific articles through the Google Scholar and PubMed databases for publications from 2018 to 2025. The articles included were selected based on topic relevance, availability of full text, and relevance to communicable diseases surveillance after flooding. The results of the study show that the most common communicable diseases that emerge after flooding include diarrhea, acute respiratory infections, dermatitis, dengue fever, leptospirosis, malaria, typhoid fever, and measles. The increase in cases of these diseases is related to water source contamination, damage to sanitation facilities, temporary housing density, and the formation of puddles that support the development of disease vectors. This study also shows that vulnerable groups, especially toddlers and the elderly, as well as productive age groups with high levels of environmental exposure, are at greater risk of contracting diseases after flooding. Integrated health surveillance, supported by public education and the implementation of Clean and Healthy Living Behaviors (PHBS), plays an important role in the early detection of increased cases, strengthening health responses, and controlling communicable diseases after flooding in affected areas.
Co-Authors Abon, Sitti Hasnah E. Adang, Dionisia Cacalia Adu, Apris A Adu, Apris A. Adu, Petronela Adelfin Afrona Takaeb Alang, Gregorius Rinto Alexia Gudelia Wowa Amas, Arias Umbu Amelya Betsalonia Sir Amul, Bergita G. J. Anderias Umbu Roga Antonius A. Kewohon Anu, Lusia Faustina Ardiansyah, Dimas Rohman Asiyah, Raudhatul Astriani, Astriani Azizah, Nur Asma Bakung, Paulus Innocentius Banoet, Malestriani J. Barbier, Tammy Andrea Bata, Sesilia Alfonsa Bebhe, Maria Windriani Bena, Paula Theresia Benu, Novianti Serni M. Benu, Putra James Bili, Adelia F. D. Boimau, Amilianti Bungsu, Marwa Ledita Bupu, Ferdinanda Karolina Carolin, Afriani Magreth Chornalio Teonly Lulan Dade, Veronika Dealdo, Kresecia Aprillia Putri Deviarbi Sakke Tira Diana Apipideli Dimu, Rivaldo Deljunior Djawa, Agostin Nofembriyani Dubu, Yansenin Duli, Maria Alfonsia Deran Eka Saul Manunel Faykusa, Delince Fitria Ningsi Banni Tudu Florentina Gehand Wau Gaa, Jesica Margareta Gracia, Febrianti Gulo, Stefani Dua Hinga, Indriati A. Tedju Honey I. Ndoen Huky, Stella Elsha Putri Rihi Icha, Florentina Rosina Indriati A.T. Hinga Indriati Andolita Tedju Hinga Indriati Tedju Hinga Inggrid Y. S. Te Irene Maria Bili J Mukono Jacob Matheos Ratu Jois Seselia Atriesta Seme Kadek, Triya Tabita Kase, Cindy Kerans, Maria Merai K. Kiik, Alexandrina T.A. Koa, Theresna Lado, Ervan Dima Lauw, Stenly Yunior Lay, Kenangan Y. Y. Ledoh, Kristiana Lemensi Mbulung, Eufrasia Lengari, Trinita Y.N Lewar, Benedicta Sabu Limbu, Ribka Litelnoni, Aletha Anasthasya Liufeto, Mega Loe, Wahyunita Euniche Elizabeth Logo, Juniadi A. Pe Lucitania Floreca Mokos Malaikosa, Lianna Melina Malfret Njaka Mbani Manose, Menti Y. Manu, Nadia Margarita Manurung, Imelda F. E Manurung, Imelda Februati Ester Maria Flaviana Tefa Maria M. Dwi Wahyuni Maria Magdalena Kurnia Deksiana Ratu Marlina Bulu Marni Marni, Marni Mataufina, Maria C. C. Mathilde, Mauricia Keyra Mau, Yohana Mbate, Welsirefika Meilyani, Rany Melda Rosanti Babys Mesang, Gabriela J. N. Metkono, Anjelina MMSI Irfan ,S. Kom Mue, Elvina Muntasir, Muntasir Naisais, Marsela Candra Nautu, Ceresentia Apriani Ndoen, Honey Ivon Ndolu, Yurihany S. J. Neno, Tiara Margareth Nenotek, Kezia Indriani Neolaka, Jefri Arisamsi Nguku, Marianus Niron, Maissie Ginaninta Charoline Noorce Christiani Berek Norma Tiku Kambuno Nufeto, Virliando Nur, Marselinus Laga Oematan, Grouse Ora, Anderias Parawatu Pakae, Santaliana A. Pakan, Sikhry Christian Max Pandie, Erlian Mariana Pandie, Iquinta I. Pandie, Marshanda Ananda Pare, Maria Saveryani Dua Pati, Riana B.Belinda Umbu Patmawati, Try Ayu Pau, Defristin Pehan, Melania Alpiani Derang Pelle, Santy Nurfiani Petrus Apriandre Nubatonis Picauly, Intje Pullu, Robertilde Kristy R. B. Pupella, Jeysel D. Purnawan, Sigit R. Azizah Rafael Paun, Rafael Ratu, Fernando Simson Riris I. M. Sogara Riwu, Yuliana R. Riwu, Yuliana Radja Romeo, Petrus Sabakodi, Dwi Andika Umbu Gauka Sabet, Kristina Novaeli Sabuna, Dwirana Sabuna, Putri Meldi Safriza, Hamditya Aulia Sahdan, Mustakim Sengadji, Rahmawati Marlia Seo, Johandri Leonaldi Sercy Servya Setiawan, Thirza Khalilah Putri Setyobudi, Agus Silvester V. Toto Soeyoko Soeyoko Soni Doke Sulla, Marbella Katarina Susanto, Angelina Kathlen Syamruth, Yendris Krisno Tabun, Kornelia Takesan, Wilyam J. Taloim, Aristarkhus Taopan, Qntan Q.P Tari, Tirza Tasoin, Asiana Agalta Tejdu Hinga, Indriati A Timo, Beci Tino, Pretty Angel Tri Baskoro T Satoto Tukan, Maria Kurniawati Tunabenani, Maria Rosdiana Uy, Giovani Kristin Wahyuni, M. M. Dwi Wahyuni, Maria Magdalena Dwi Wahyuni Wellem, Tamariska Priscilla Pristin Wellem Weraman, Pius Wina Jensisca Muda Wini, Thereza Aprilianti Du'a Yersintha Trisanlia Katarina Yusuf, Dea Benita Yusuf, Nazwa Nabila