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Level of Exposure of Childhood Tuberculosis with Adult Pulmonary Tuberculosis Household Contacts Asyary, Al; Eryando, Tris; Purwantyastuti, Purwantyastuti; Junadi, Purnawan; Clark, Carol; Teijlingen, Edwin van
Kesmas Vol. 12, No. 1
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Abstract

Tuberkulosis paru (TB) pada anak kian menjadi masalah kesehatan global yang masih terlupakan seiring dengan peningkatan proporsi TB di Indonesia. Penularan penyakit ini di populasi umum seringkali berdampak pada anak, terlebih ketika kontak TB terjadi di rumah tangga. Penelitian ini bertujuan untuk memperoleh faktor protektif sehingga anak tetap sehat meskipun memiliki kontak dengan penderita TB dewasa serumah. Penelitian ini dilakukan dengan pendekatan kasus kontrol pada 132 responden anak yang berasal dari delapan rumah sakit rujukan dan beberapa puskesmas di Provinsi Daerah Istimewa Yogyakarta. Penelitian dilakukan dalam periode Januari hingga Desember 2014 yang hasilnya dianalisis dengan uji bivariat (kai kuadrat) dan multivariat (regresi logistik ganda). Hasil penelitian menunjukkan bahwa rumah yang memenuhi syarat kesehatan, yakni ruang tidur yang sehat, serta paparan yang jarang diterima dari penderita TB dewasa mampu memproteksi anak agar tetap sehat meskipun tinggal serumah dengan penderita dewasa penyakit ini. Penelitian ini menyimpulkan bahwa lama tinggal bersama bukanlah faktor risiko penyakit TB pada anak.Hal ini karena meskipun lama tinggal bersama antara penderita TB dewasa dengan anak, namun apabila memiliki paparan yang jarang, hal ini pun tidak signifikan menjadikan anak untuk terkena TB. Pulmonary tuberculosis (TB) in children is a neglected global health problem, with an increasing proportion of TB cases in Indonesia. Children with TB are most often impacted by TB transmission in the population at large, especially adult TB that exists in the child’s household. This study aimed to find protective factors that can keep children healthy despite household adult TB contacts. This study reports on 132 respondents with a case-control study conducted at nine referred hospitals and several health centers based on medical records at Special Region of Yogyakarta Province. The study lasted from January to December 2014, while the data analysis was used by both of bivariate (chi-square) and multivariate (multiple logistic regression) analysis. The study found that healthy houses, especially those with healthy bedrooms and fewer exposures to adult TB sufferer, influenced by confounder variables, protected children from TB even though they were exposed to adult TB in their environment. Longer periods of living together is not a risk factor for children to contract TB when living with adult TB patients at home. However, this risk increases with frequent exposure among children to adult TB patients at home.
COVID-19 Case Fatality Rate and Detection Ability in Indonesia Sipahutar, Tiopan; Eryando, Tris
Kesmas Vol. 15, No. 5
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Abstract

The world is currently experiencing a COVID-19 pandemic. More than 5 million people have been infected with COVID-19 and more than 300 thousand have died from this virus worldwide. In Indonesia, the number of infected people has reached more than twenty thousand people and more than one thousand people have died from this virus. During the COVID-19 pandemic, Case Fatality Rate (CFR) was a very important measure for many people because death is very important to each person, including questions of when and how death will occur and whether there is any way to delay it. However, caution is needed in calculating and displaying CFR. This paper will present the uses and the weaknesses of CFR in the context of the COVID-19 pandemic in Indonesia.
Spatial Durbin Model on the Utilization of Delivery at Health Facilities: A 2017 Indonesian Demographic and Health Survey Analysis Wahyuni, Indah Sri; Gustina, Ira; Makful, Martya Rahmaniati; Eryando, Tris
Kesmas Vol. 19, No. 2
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Abstract

The utilization of delivery at health facilities is a major intervention in reducing 16 to 33% of deaths. This study aimed to determine the model of utilization of delivery at health facilities in Indonesia in 2017 and its influential factors. This study used secondary data from the 2017 Indonesian Demographic and Health Survey using a Spatial Durbin Model (SDM) approach. The population was mothers aged 15 – 49 years, spread across 34 provinces of Indonesia, and had 15,321 samples. The results showed that the Moran’s I value was positive (0.146) and significant at p-value = 0.007, indicating clustered regions with similar characteristics. The SDM modeling estimation results (R2 = 91.61%) presented those dependent and independent variables that influenced the utilization of delivery at health facilities and its influential factors. The significant and most dominant direct factor that influenced the utilization of delivery at health facilities was pregnancy visits, while the most dominant indirect factor was socioeconomic status. Therefore, further policy planning is expected to be based on regional specificities, and effective intervention programs should be designed based on these factors.
Co-Authors Aenaya Delavera Aenaya Delavera Afriansyah, Eddy Agung Waluyo Al Asyary Al Asyary Aldila Riznawati Aldila Riznawati Aldila Riznawati Allenidekania Allenidekania Apriningrum, Nelly Aria Kusuma Aria Kusuma Arief Kurniawan Nur Prasetyo Arman Harahap Artha Prabawa Artha Prabawa Astuti Yuni Nursasi Bagus, Nurzahara Bahar, Ryza Jazid Budi Anna Keliat Budiharsana, Meiwita Carol Clark Clark, Carol Daniah Daniah Delavera, Aenaya Deny Yudhistira Deny Yudhistira Dera Alfiyanti Dewi Susanna Dia Wulandari Dian Kistiani Irawaty Dian Pratiwi Dian Pratiwi Dian Pratiwi Dian Pratiwi Doni Lasut Doria, Magda Dwi Prihatin Era Edwin van Teijlingen Efi Trimuryani Elly Nurachmah Elysabeth Sinulingga Fajar Nugraha Falupi, Lilik Aryani Gerke, Solvay Gustina, Ira Hanny Handiyani Helmi Safitri Hermansyah, Hendra Indah Sri Wahyuni Irawaty, Dian Kristiani Jesa Nuhgroho Kemal N. Siregar Makful, Martya Rahmaniati Martya Rahmaniati Martya Rahmaniati Martya Rahmaniati Martya Rahmaniati Martya Rahmaniati Meiwita Budiharsana Milla Herdayati, Milla Nani Nurhaeni Negari, Nurfatia Nuhgroho, Jesa Nur Asniati Djaali Nurfatia Negari Nurhidayah, Nurhidayah Nuridzin, Dion Zein Nurzalia Safanta Prasetyo, Arief Kurniawan Nur Purnawan Junadi Purnawan Junadi Purnawan Junadi Purwantyastuti Purwantyastuti Purwantyastuti Purwantyastuti Purwantyastuti Purwantyastuti Rahmadewi Rahmadewi Rani Delfiyanti Ratih Trivalni Ratna Sitorus Resti Sintya Ervina Restu Apriena Putri Restu Apriena Putri Retnowati Retnowati Riris Dian Hardiani Ristina Rosauli Harianja Riznawati, Aldila Roma Tao Toba MR Ryza Jazid Safitri, Helmi Saini, Izzatul Mardiah Sipahutar, Tiopan Solly Aryza Solvay Gerke Sri Yona Sulastri Sulastri Supriyadi Supriyadi Suprohaita Rusdi Talib Teijlingen, Edwin van Tiopan Sipahutar Tiopan Sipahutar Tri Agustini Violila, Vallery Warendi Warendi Winarni Naweng Triwulandari Winnie Tunggal Mutika Yati Afiyanti Yudhistira, Deny Yulia Herawati Yvonne M. Indrawani