Claim Missing Document
Check
Articles

SUSPECTED MEASLES AND IMMUNIZATION TRENDS BEFORE AND DURING COVID-19 IN EAST JAVA, INDONESIA: Tren Kasus Suspek Campak dan Cakupan Imunisasi Sebelum dan Selama Pandemi COVID-19 di Jawa Timur Arifin, Munif; Putri Haryanik, Meilinda Alya'; Prasetyowati, Irma
Jurnal Berkala Epidemiologi Vol. 13 No. 2 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I22025.126-132

Abstract

Background: Measles, caused by a virus belonging to the genus morbillivirus of the paramyxoviridae family, remains a global health challenge. The COVID-19 pandemic has affected measles prevention activities. Understanding measles characteristics before and during the pandemic is important to developing effective prevention programs. Purpose: This study aims to analyze measles suspects' epidemiological characteristics before and during the COVID-19 pandemic. Method: This study used a cross-sectional approach. The population in this study were all measles suspects before and during the COVID-19 pandemic. The data sources were the results of tracing measles suspects and the results of examination of BBLK Surabaya measles specimens (measles IgM) before the pandemic (2017-2019) and during the pandemic (2020-2022). The correlation test was carried out using Chi-square analysis. Results: The analysis results indicate the following p-values: age = 0.00, gender = 0.92, immunization status = 0.00, and test lab = 0.46. The findings showed a relationship between age and immunization status regarding suspected measles before and during the COVID-19 pandemic. However, there was no significant relationship between gender and lab results of suspected measles before and during the pandemic. Conclusion: There was a significant relationship between immunization status and age in measles suspects before and during the COVID-19 pandemic. Therefore, optimizing immunization coverage and ensuring immunization is carried out on time according to the specified age is necessary.
Impact of Side Effects on Adherence in Drug-Resistance Tuberculosis Treatment at RSD dr. Soebandi Jember Poerwahyuningrum, Neny; Fajrin, Fifteen Aprilla; Rahardjo, Angga Mardro; Prasetyowati, Irma; Arwi, Khoiriyatul Muhlishoh; Machlaurin, Afifah
MEDFARM: Jurnal Farmasi dan Kesehatan Vol 14 No 1 (2025): Medfarm: Jurnal Farmasi dan Kesehatan
Publisher : LPPM Akafarma Sunan Giri Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48191/medfarm.v14i1.537

Abstract

Tuberculosis (TB) is the leading cause of death from infectious disease worldwide. Patient adherence to treatment is crucial for therapy which side effects of tuberculosis treatment are a significant factor affecting compliance. This study aims to analyze the impact of side effects from anti-tuberculosis drugs on the medication adherence of Drug Resistant Tuberculosis patients (DR-TB) at RSD dr. Soebandi in Jember. This study was a retrospective cohort observational that included 245 DR-TB patients register at the dr. Soebandi Hospital from January 2021-December 2023. The electronic medical records, web-based tuberculosis information systems (SITB), and data filling sheets was used. The Proportion of Days Covered (PDC) method was used to evaluate the medication adherence. Data analysis was conducted in SPSS 27.0. Ten patients were excluded due to HIV comorbidities, resulting a final sample of 235 patients. The findings revealed that 53.6% of patients were non-adherence. The three most common types of side effects were gastrointestinal (43.4%), musculoskeletal (29.8%) and skin-related side effects (16.6%). The multivariate logistic regression showed that adherence was significantly reduced by the presence of side effects (aOR: 0,153; 95%CI 0,052-0,448), the number of side effects >2 types (aOR: 0,290; 95%CI 0,101-0,837), and the musculoskeletal-related side effects (aOR: 0,441; 95%CI 0,201-0,972).
Demonstrasi Camilan BB Booster ‘Pisang Barongko’ untuk Mencegah Gizi Kurang Di Desa Jumpong Kecamatan Wonosari Jannah, Hanifah Raudhatul; Rachmawati, Septi Nur; Margareta, Amanda Cynthia; Aulia, Linda; Izza, Adha Dzulhidjatul; Anwari, Imas Sa'idatul; Silitonga, Indah Selli Zevania; Prasetyowati, Irma
Jurnal SOLMA Vol. 14 No. 2 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i2.18569

Abstract

Pendahuluan: Balita rentan terhadap kekurangan gizi, penyakit ataupun infeksi. Masalah gizi yang sering dijumpai pada balita yaitu gizi kurang. Faktor utamanya adalah asupan gizi yang kurang. Dalam upaya pencegahan gizi kurang di Desa Jumpong, Tim Praktik Belajar Lapangan (PBL) 18 FKM UNEJ dilakukan demonstrasi pembuatan camilan pisang barongko berbahan dasar pangan lokal. Studi ini bertujuan untuk meningkatkan pengetahuan mengenai PMT berupa camilan untuk mencegah gizi kurang di Desa Jumpong. Metode: Wawancara, tahap percobaan, penyuluhan, demonstrasi, dan evaluasi. Hasil: Berdasarkan hasil pretest dan postest yang telah dilakukan, terjadi peningkatan pengetahuan responden sebesar 9,38%. Kesimpulan: Kegiatan demonstrasi pembuatan camilan pisang barongko memberikan dampak positif bagi ibu dan balita  dan meningkatkan pengetahuan mengenai camilan sehat untuk balita.
Hubungan Ibu, Anak, dan Keluarga dengan Stunting Balita Usia 24-59 Bulan Nindy Irsila Dwi Valentine; Irma Prasetyowati; Adistha Eka Noveyani
PROFESSIONAL HEALTH JOURNAL Vol. 5 No. 2 (2024): Juni
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v5i2.501

Abstract

Pendahuluan: Stunting masih menjadi masalah gizi yang banyak terjadi pada balita. Karakteristik ibu perlu diperhatikan karena berpengaruh terhadap proses pertumbuhan janin. Karakteristik anak juga merupakan faktor risiko stunting, juga karakteristik keluarga karena penyebab dasar stunting juga terletak pada level keluarga. Tujuan penelitian ini adalah menganalisis hubungan antara karakteristik ibu, anak, dan keluarga dengan kejadian stunting pada balita usia 24-59 bulan. Metode: Penelitian analitik yang menggunakan rancangan studi observasional dengan desain penelitian case control. Besar sampel 40 sampel kasus dan 40 sampel kontrol menggunakan teknik simple random sampling. Hasil: Terdapat hubungan antara usia ibu saat hamil, pendidikan ibu, berat badan dan panjang badan lahir anak, status pemberian ASI eksklusif, jumlah anggota keluarga, dan pendapatan keluarga dengan stunting. Tidak terdapat hubungan antara jarak kehamilan dan pekerjaan ibu dengan kejadian stunting. Saran: evaluasi setelah edukasi, melakukan pemantauan dan tindak lanjut terkait pemenuhan nutrisi ibu hamil, menghilangkan kebiasaan atau budaya terkait pencampuran makanan halus untuk anak sebelum 6 bulan, aktif melakukan konseling gizi terkait cara pemenuhan gizi anak dengan menggunakan bahan makanan bergizi yang murah dan sederhana serta konseling terkait pengelolaan dan pendistribusian makanan bergizi yang baik di dalam keluarga yang tergolong keluarga besar.
Implikasi Pola Makan Tinggi Natrium Terhadap Kejadian Hipertensi di Masyarakat Pesisir Prasetyowati, Irma; Puspitasari, Muthia Fahriyah; Putri, Syafira Aurellia; Ayunni, Kartika Astri Firda; Thoyiba, Nuzula Lailatul; Hilmiy, Daryta Balqis Nashifa; Nurmusfiroh, Rizqi Faza; Zahro, Adinda Khatimatuz; Salsabilah, Della Estelina; Wijaya, Novita Dian Rahmawati
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 4: November 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.v10i4.27706

Abstract

Background: Hypertension, commonly referred to as "the silent killer," has become one of the degenerative diseases that still show high case numbers in society. Coastal communities are one of the groups that can experience hypertension due to diet, limited access to healthcare services, and other factors. This study was conducted to analyze non-modifiable risk factors (age, gender, family history) and modifiable risk factors (diet, physical activity, occupation, education, smoking behavior, access to healthcare services) associated with the incidence of hypertension.Methods: The research uses an analytical and cross-sectional with a sample size of 127 people through simple random sampling using the Chi-square test with a 95% confidence level (α = 0.05). The variables used in this study are age, gender, family history, education, occupation, economic status, diet assessed using the Food Frequency Questionnaire (FFQ), physical activity evaluated using the Global Physical Activity Questionnaire (IPAQ), smoking behavior, and access to health services.Result: Based on the risk factors studied, there was a significant association between diet (p = 0.001 & PR 1.534), education (p = 0.000 & PR 1.766), and age (p = 0.038 & PR 1.301) with the incidence of hypertension. However, other variables such as gender, family history, economic status, access to health facilities, physical activity, and occupation did not have a significant relationship with hypertension.Conclusion : The research shows a significant relationship between dietary patterns, education, and age with the incidence of hypertension in coastal communities. 
The relationship between maternal factors and pregnancy weight gain with the incidence of stunting in toddlers East Java Province Suwardi, Regantia Happy; Bumi, Candra; Prasetyowati, Irma
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 13 ISSUE 4, 2025
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2025.13(4).276-284

Abstract

ABSTRAKLatar Belakang: Stunting merupakan kondisi gangguan tumbuh kembang balita akibat kekurangan gizi kronis dan penyakit infeksi yang ditandai dengan tinggi badan di bawah batas normal. Pada tahun 2022, prevalensi stunting di Indonesia mencapai 21,6% dan di Jawa Timur mencapai 34,9%. Salah satu faktor yang dapat meningkatkan risiko stunting, kesakitan bahkan kematian pada ibu dan anak yaitu faktor maternal. Faktor maternal stunting meliputi, usia ibu saat hamil, jarak kelahiran, paritas, kenaikan berat badan kehamilan, status gizi ibu, tinggi badan ibu, infeksi, kesehatan mental, IUGR dan kelahiran prematur, dan hipertensi.Tujuan: Tujuan penelitian ini adalah untuk menganalisis hubungan faktor maternal dan kenaikan berat badan kehamilan dengan kejadian stunting pada balita usia 24-59 bulan di Kabupaten Jember.Metode: Jenis penelitian ini adalah observasional analitik dengan desain case control yang dilakukan di 15 Puskesmas Kabupaten Jember pada bulan April-Juli 2024. Sampel penelitian ini adalah 272 balita usia 24-59 bulan yang terdiri dari sampel kasus 136 balita stunting dan sampel kontrol 136 balita tidak stunting dengan responden dari ibu balita. Teknik pemilihan sampel menggunakan cluster random sampling. Data penelitian ini diperoleh dari wawancara menggunakan kuesioner dan studi dokumentasi buku Kesehatan Ibu dan Anak. Selanjutnya, data dianalisis dengan analisis univariat (distribusi frekuensi) dan analisis bivariat dengan uji Chi-square.Hasil: Hasil analisis menggunakan uji chi-square diperoleh hasil terdapat hubungan antara kenaikan berat badan kehamilan dengan kejadian stunting pada balita (p-value = <0,001 dan OR= 4,286 dengan 95% CI (2,556-7,187)). Ibu yang memiliki kenaikan berat badan kehamilan tidak sesuai standar Institute of Medicine (IOM) berpeluang melahirkan anak stunting 4,2 kali lebih besar dibandingkan dengan ibu yang memiliki kenaikan berat badan kehamilan sesuai standar IOM. Tidak terdapat hubungan antara usia ibu saat hamil (p-value= 0,419), jarak kelahiran (p-value= 0,178), dan paritas (p-value= 0,321) dengan kejadian stunting pada balita.Kesimpulan: Kenaikan berat badan kehamilan merupakan faktor risiko stunting pada balita usia 24-59 bulan di Kabupaten Jember. KATA KUNCI: faktor maternal; riwayat kehamilan; stunting ABSTRACT Background: Stunting is a condition of impaired growth and development of toddlers due to chronic malnutrition and infectious diseases characterized by height below the normal limit. In 2022, the prevalence of stunting in Indonesia reached 21.6% and in East Java reached 34.9%. One of the factors that can increase the risk of stunting, illness and even death in mothers and children is the maternal factor. Maternal stunting factors include, maternal age during pregnancy, birth distance, parity, pregnancy weight gain, maternal nutritional status, maternal height, infection, mental health, IUGR and premature birth, and hypertension.Objectives: The purpose of this study is to analyze the relationship between maternal factors and pregnancy weight gain with the incidence of stunting in toddlers aged 24-59 months in Jember Regency.Methods: This type of research is observational analysis with a case control design conducted in 15 Jember Regency Health Centers in April-July 2024. The sample of this study consists of 272 toddlers aged 24-59 months, comprising 136 stunted toddlers as the case sample and 136 non-stunted toddlers as the control sample, with respondents being the mothers of the toddlers. The sample selection technique uses cluster random sampling. The data of this study was obtained from interviews using questionnaires and documentation studies of Maternal and Child Health books. Furthermore, the data was analyzed by univariate analysis (frequency distribution) and bivariate analysis by Chi-square test.Results: The results of the analysis using the Chi-square test showed that there was a relationship between pregnancy weight gain and the incidence of stunting in toddlers (p-value = < 0.001 and OR = 4.286 with 95% CI (2.556-7.187)). Mothers who have pregnancy weight gain that does not meet IOM standards are 4.2 times more likely to give birth to stunted children compared to mothers who have pregnancy weight gain according to IOM standards. There was no relationship between maternal age during pregnancy (p-value=0.419, birth distance (p-value=0.178), and parity (p-value=0.321) with the incidence of stunting in toddlers.Conclusions: Pregnancy weight gain is a risk factor for stunting in toddlers aged 24-59 months in Jember Regency.  KEYWORD: maternal factors; pregnancy history; stunting
Business Sector Engagement in Pentahelix Colaboration for Stunting Reduction: A Qualitative Study in Jember Regency Prasetyowati, Irma; Wahyu Ningtyias, Farida; Ratnawati, Leersia Yusi; Bumi, Candra; Nurika, Globila; Haryanik, Meilinda Alya' Putri
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.106-114

Abstract

Background: Stunting is a persistent public health issue in Indonesia, with long-term effects on children's physical and cognitive development. In 2023, Jember Regency recorded the highest stunting prevalence in East Java at 29.7%. Objective: To examine the role of the business sector in efforts to reduce stunting in Jember within the Pentahelix collaboration model. Methods:  This study employed a qualitative case study design using in-depth interviews and focus group discussions. Data were analyzed using Buse, Mays, and Walt’s policy implementation framework (Buse, Mays, & Walt, 2012), which focuses on context, content, process, and actors. This framework was chosen because it provides a comprehensive approach to understanding how policies are implemented through multi-actor collaboration, making it relevant for analyzing the Pentahelix model in stunting reduction efforts. Results: Findings indicate that businesses contribute significantly through Corporate Social Responsibility (CSR) initiatives, including Posyandu activities, nutrition support, and economic empowerment programs for mothers in areas with high rates of stunting. Coordination with health offices is based on local data, ensuring interventions are targeted and effective. The CSR Forum serves as a platform for aligning business efforts with public health goals. Businesses are also engaged in monitoring and evaluation through regular reporting from health facilities. Conclusion: Active engagement of the business sector through CSR initiatives strengthens stunting reduction efforts by supporting government and community programs. Integrating business participation into health promotion practice enhances sustainability, coordination, and long-term impact on child health and nutrition.
Relationship of Sedentary Lifestyle With Hypertension Incidence in Productive Ages (20-59 Years) Among Educators and Educational Staff in Jember, Indonesia Qaimima Ayuni; Citra Anggun Kinanthi; Irma Prasetyowati
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 2 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.2.246-257

Abstract

Hypertension remained a major global health issue that had not been fully addressed, causing 10.8 million deaths and serving as the leading risk factor for mortality worldwide. A sedentary lifestyle was a significant contributor to hypertension among the productive age group. It had been shown that a sedentary lifestyle decreased Nitric Oxide (NO) levels, cardiac output, and systemic blood flow, which altered blood vessel diameter, reduced insulin sensitivity, and impaired vascular function. These factors negatively impacted cardiovascular health, including the development of hypertension. The prevalence of hypertension among university educators was higher compared to other educational institutions, primarily due to lower physical activity levels and greater career pressures. Therefore, the objective of this research was to analyze the relationship between a sedentary lifestyle and the incidence of hypertension in productive ages among educators and educational staff in Jember. This research was a quantitative analytic study with a cross-sectional approach. The population of the study consisted of 2,531 educators and educational staff in Jember. A sample of 106 respondents was selected through simple random sampling. Data collection was conducted through interviews and the use of a Global Physical Activity Questionnaire (GPAQ). Both bivariate and multivariate analyses employed binary logistic regression. The results of the bivariate analysis showed significant associations between hypertension and characteristics such as age, family history of hypertension, smoking, Body Mass Index (BMI), and sedentary lifestyle (p-value < 0.05). However, gender was not significantly associated with hypertension (p-value > 0.05). The multivariate analysis confirmed that a sedentary lifestyle was the most dominant determinant of hypertension.
Association Between Drug Related Problems and Outcomes of Tuberculosis Patients at Citra Husada Hospital Jember Lutvi Anggraeni; Fifteen Aprila Fajrin; Afifah Machlaurin; Irma Prasetyowati; Angga Mardro Rahardjo
Jurnal FARMASIMED (JFM) Vol 8 No 2 (2026): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/4h3axm73

Abstract

Background: Tuberculosis (TBC) remains a major global challenge. In Indonesia, the success rate for Drug-Sensitive Pulmonary TB (DS-TBC) treatment is still below target, often linked to Adverse Drug Reaction (ADR) and Drug Related Problem (DRP). The complexity of regimens and polypharmacy increases the risk of DRPs, which are strong predictors of treatment failure. Objective: This study aimed to identify DRPs and analyze their relationship with the clinical outcomes of DS-TBC. Method: A retrospective cohort study was conducted on 281 DS-TBC patients recorded at Citra Husada Hospital Jember from January 2020 to December 2023. Data were collected from medical records and the TBC Information System (SITB). DRPs were identified using the PCNE V9.1 classification, focusing on dose inappropriateness, drug interactions, and ADR. Outcomes were categorized as successful (cured/treatment completed) or unsuccessful. Result: Data analysis included descriptive statistics, bivariate analysis using Chi-Square, and multivariate analysis using Binary Logistic regression with a significance p < 0,05. The result of this study is that patients were predominantly male (55.16%), aged 46-65 years, with a treatment completion rate of 82.21%. DRPs were found in 84.34% of patients, dominated by drug interactions (79%) and ADRs (35.23%), although the accuracy of anti-TB drug dosage was 100%. In multivariate analysis, age ≥65 years was associated with a decreased likelihood of successful treatment (aOR 0.367), while respiratory tract medication administration was associated with an increased likelihood of successful treatment (aOR 2.477). The overall relationship between DRPs and outcome was not statistically significant. Conclusion: Sociodemographic factors (age) and clinical symptom management (respiratory therapy) play the most crucial roles in determining the treatment outcome. Effective pharmaceutical intervention is suggested to mitigate the impact of DRPs on treatment failure. More aggressive clinical management is necessary for elderly patients.
Co-Authors Abdul Basith Qodam Ali Adistha Eka Noveyani Adistha Eka Noveyani Ahmad Haryono Ahmad Mushthofa As'Adi Ahmad Nafi' Akhmad Haryono Akhmad Taufiq Ana Masfurotin Ni’mah Angga Mardro Rahardjo Anisa Yulia Wulandari Anisa Yulia Wulandari, Anisa Yulia Anita Dewi Prahastuti Sujoso Anwari, Imas Sa'idatul Arifin, Munif Arwi, Khoiriyatul Muhlishoh Aulia, Linda Ayunni, Kartika Astri Firda Candra Bumi Chatarina Umbul Wahyuni Citra Anggun Kinanthi Dena Anggraeni Harjanto Dini Kurniawati Dwi Eriyanti, Linda Dwi Martiana Wati Eka Afdi Septiyono Emi Dwi Astuti Evita Soliha Hani Fajrin, Fifteen Aprilla Farida Wahyu Ningtyias, Farida Wahyu Fariz Kustiawan Alfarisy Fifian Lula Fifteen Aprila Fajrin Fiya Wadudah Fiya Wadudah Furoidatul Husniah Haryanik, Meilinda Alya' Putri Haryanik, Meilinda Alya’ Putri Heni Nuraini Hilmiy, Daryta Balqis Nashifa Ida Srisurani Wiji Astuti Iken Nafikadini Illia Seldon Magfiroh Izza, Adha Dzulhidjatul Jannah, Hanifah Raudhatul Kamerawati, Choni Kinanthi, Citra Anggun Leersia Yusi Ratnawati Luh Putu Ratna Sundari Lutfi Arifianto Lutvi Anggraeni M. Hadi Makmur Machlaurin, Afifah Madani, Ainun Margareta, Amanda Cynthia Mazida, Zulfa Meggeria Dyah Matrika Tito Putri Mulyo, Fiskan Adi Santro Mury Ririanty Ni'mah, Ana Masfurotin Nindy Irsila Dwi Valentine Ni’mal Baroya Nurika, Globila Nurmusfiroh, Rizqi Faza Poerwahyuningrum, Neny Pudjo Wahjudi Pudjo Wahjudi Pudjo Wahjudi Pudjo Wahjudi Puspitasari, Muthia Fahriyah Putri Haryanik, Meilinda Alya' Putri, Syafira Aurellia Qaimima Ayuni Qaimima Ayuni Rachmawati, Septi Nur Ragil Ismi Hartanti Rahardjo, Angga Mardro Rahman, Hermanto Rahmawati, Iis Riski Anisa Rohman, Hermanto Salsabilah, Della Estelina Sasmita, Hasri Yulia Shabrina Izzata A.A. Shofiyah Vita Yuliana Silitonga, Indah Selli Zevania Simanjuntak, Tri Damayanti Siti Muslicha Suandaru, Yusrizal Fatria Suwardi, Regantia Happy Thoyiba, Nuzula Lailatul Umniyah, Zahratul umniyyah, zahratul Wahyu Martina Sari Wahyu Ningtyias, Farida Wati, Desy Dwi Ambar Wiastuti, Siti Marina Wijaya, Novita Dian Rahmawati Yennike Tri Herawati Yudhi Tri Gunawan Yunus Ariyanto Zahro, Adinda Khatimatuz Zulfa Mazida