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All Journal Media Gizi Mikro Indonesia Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Jurnal Populasi Journal of Tropical Biodiversity and Biotechnology JIMKesmas (Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat) Public Health of Indonesia Indonesian Journal of Cardiology Jurnal Entomologi Indonesia The Journal of Hospital Accreditation (JHA) Narra J Berita Kedokteran Masyarakat Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Adi Utarini
Departemen Kebijakan Dan Manajemen Kesehatan Fakultas Kedokteran, Kesehatan Masyarakat Dan Keperawatan Universitas Gadjah Mada
Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Impacts of COVID-19 on malaria elimination strategies in Asia: A scoping review Arisanti, Risalia R.; Saputri, Grace ND.; Ahmad, Riris A.; Utarini, Adi
Narra J Vol. 4 No. 3 (2024): December 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i3.1492

Abstract

The global malaria program has faced setbacks due to disruptions in health services caused by COVID-19 pandemic. Despite these challenges, Asia that primarily comprised of low and middle-income countries (LMICs), continues to make strides towards malaria elimination. This scoping review explored the impact of the COVID-19 pandemic on malaria control programs in Asian countries with varying levels of malaria endemicity. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was applied to search for articles published between January 2020 and May 2024 that examined the impact of COVID-19 on malaria control programs in Asia on six databases (PubMed, Scopus, Google Scholar, WHO COVID-19 Research Database, Garuda and Sinta). The findings of these articles were organized into five themes: epidemiology and surveillance, case management (including diagnosis and coinfection), vector control, prevention, and program management. Overall, 54 articles from countries with various endemicity levels were included. These studies focused on malaria epidemiology, surveillance, and case management, with few studies on vector control. The COVID-19 pandemic has affected malaria control differently in different regions. In malaria-free, low-, and high-endemic countries, malaria cases were reduced mainly due to strict public health measures such as travel restrictions, quarantines, and COVID-19-related stigma, which reduced clinic attendance. Conversely, increased malaria cases owing to increased imports, relapses of malaria cases triggered by COVID-19, social conflicts, and underreporting have contributed to this surge. The priority shift to COVID-19 has affected malaria centers, resulting in personnel shortages, budget limits, and an increased number of malaria cases and outbreaks. The pandemic has also spurred innovative malaria prevention methods, such as using social media to raise awareness in China. The COVID-19 pandemic has had a mixed impact on the number of malarial cases reported across Asia. The three main factors were travel restrictions, COVID-19-related stigma, and shifting priorities to COVID-19. Integrating malaria control and COVID-19 strategies, strengthening the healthcare system, developing flexible malaria control strategies during crises, and developing innovative solutions could mitigate these impacts.
Women’s Autonomy and Tradition in Making Decision on Place of Delivery and Birth Attendants Annisa Nurrachmawati; Anna Marie Wattie; Mohammad Hakimi; Adi Utarini
Jurnal Kesehatan Masyarakat Andalas Vol 12 No 2 (2018): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v12i2.342

Abstract

Data from the Basic Health Research survey (Riskesdas) in 2013 showed that 33.3% deliveries in Indonesia occurred outside health facilities. Culture and gender influenced the decision-making process regarding place of delivery and birth attendants. A qualitative longitudinal study with an ethnography study design was conducted to explore the socio-cultural context and women’s autonomy in the dynamics of decision making regarding  place of delivery and birth attendants. This study was conducted in the working area of Muara Kaman Health Center, Kutai Kertanegara, East Kalimantan. In-depth interviews with 17 pregnant women were conducted since the first or second trimester of pregnancy until childbirth. Data were analyzed using thematic analysis. Nine informants delivered at the health facilityand eight informants chose home delivery.Those who delivered at the health facility made their own decision. Nevertheless some informants who were autonomous still chose homebirth, either assisted by  midwives, TBAs, or both. Women whose choice was decided by others (husbands, parents and TBAs), all gave birth at home assisted by TBAs. Women’s autonomy needs to be strengthened by improved knowledge, practice of delivery plan and also increase family support to enable women to choose health facilities as place for delivery.
Evaluation of the dengue surveillance system during the COVID-19 pandemic in Gunungkidul Regency in 2021 Kamilia, Nadiyah; Utarini, Adi; Indriani, Citra
BKM Public Health and Community Medicine Vol 38 No 08 (2022)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v38i8.5006

Abstract

Purpose: The purpose of this study is to pinpoint the gaps in the Gunungkidul Regency's dengue monitoring system's implementation. Methods: Using the descriptive design. In the Gunungkidul Regency, questionnaires were used to collect primary data from the Health Office, 30 Public Health Centers, 3 Hospitals, and 1 Clinic. The d engue surveillance system assessment standard integrates the surveillance system system concept from the 2001 CDC guidelines with the attributes (Simplicity, Data Quality, Data Stability, Representation, System Acceptance, and Timeliness) and d engue surveillance system standards by directives from the Director General of Desease control of the Ministry of Health of the Republic of Indonesia in 2017. Results: Clinical criteria are used in Gunungkidul Regency to define dengue cases, whereas serological tests, such as NS-1, are rarely used there. Up to 4 (14%) of the health facilities had trouble accurately collecting reports of hospital suspicions, such as when the patient's residence was unclear and when they received treatment. According to 21 (70%) of the health centers, suspect reports were frequently collected from patients who had been admitted to hospitals outside the area. Notification letters were given to patients who had completed their treatment. The distribution of cases and the projection of an increase in instances cannot be accurately described using data from data management, as the data is not updated on a daily basis. Up to 15 health centers (50%) reported that hospital reports were frequently delayed. Conclusion: Weaknesses in the dengue surveillance system, particularly in the characteristics of simplicity, quality, data stability, and timeliness, contributed to an increase in the number of dengue cases from 2018 to 2020 in Gunungkidul Regency.
Perilaku Seks Pranikah Remaja Rahyani, Komang Yuni; Utarini, Adi; Wilopo, Siswanto Agus; Hakimi, Mohammad
Kesmas Vol. 7, No. 4
Publisher : UI Scholars Hub

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Abstract

Hubungan seksual sebelum nikah pada remaja merupakan masalah yang serius, berhubungan dengan peningkatan penularan penyakit menular seksual, mempunyai pasangan lebih dari satu, dan kehamilan dini. Suatu kerangka kerja model perilaku terintegrasi (Integrated Behavioral Model, IBM) digunakan untuk menilai berbagai faktor prediktor hubungan seksual prematur pada remaja. Tujuan penelitian ini adalah mengeksplorasi inisiasi hubungan seksual sebelum nikah pada remaja level 10 dan 11 berdasarkan kerangka kerja IBM, meliputi komunikasi tentang seks kelompok peers, orang tua, paparan perilaku pornografi, kepercayaan normatif, agen personal, dan keinginan hubungan seksual. Metode yang digunakan adalah menyertakan 626 responden dalam survei awal. Responden adalah siswa sekolah menengah atas level 10 – 11 di kota Denpasar. Data dikumpulkan dengan kuesioner laporan sendiri khususnya prediktor inisiasi hubungan seksual sebelum menikah. Penelitian ini menemukan bahwa pajanan pornografi, perilaku langsung dan tidak langsung berhubungan secara signifikan dengan inisiasi hubungan seksual sebelum nikah (nilai p < 0,05). Remaja laki-laki tampaknya melakukan lebih banyak aktivitas seksual daripada remaja perempuan. Penelitian ini berimplikasi terhadap pemahaman perilaku langsung dan pajanan pornografi mungkin digunakan dalam meningkatkan program kesehatan dan kesehatan remaja. Premarital sexual inisiation on adolescence is a serious problem, associated with increased transmition sexually transmitted disease/STD, had having more partners, and early pregnancy. An Integrated Behavioral Model (IBM) framework used to assess predictors of premarital sexual on adolescents. The purpose of this research is to explore predictors of premarital sexual inisiation in adolescents grade 10 and 11 based on IBM framework, includes: communication about sex with peers, parents, pornography exposure, attitude, normative belief, personal agency, and intention to have sex. Method that used is 626 respondent included in earlier survey, and respondent were students of senior high school grade 10 – 11 in Denpasar City. Data collected with self reported questionaire particularly predictor of premarital sexual initiation. The result found that pornography exposure, indirectly attitude, and directly attitude were significantly associated with premarital sexual initiation (p < 0,05). Male adolescents engage in more sexual activity like premarital sexual inisiation than female adolescents. This study has implications for understanding how directly attitude and pornography exposure may be used in intervention to promoting adolescents health program and adolescents ressiliency.
Determinan Infeksi Luka Operasi Pascabedah Sesar Rivai, Fridawaty; Koentjoro, Tjahjono; Utarini, Adi
Kesmas Vol. 8, No. 5
Publisher : UI Scholars Hub

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Abstract

Infeksi luka operasi (ILO) adalah bagian dari infeksi nosokomial dan merupakan masalah dalam pelayanan kesehatan, terjadi pada 2 - 5% dari 27 juta pasien yang dioperasi setiap tahun dan 25% dari jumlah infeksi terjadi di fasilitas pelayanan. Penelitian bertujuan mengetahui hubungan usia, status gizi, jenis operasi, lama rawat prabedah, kadar Hb, transfusi darah, waktu pemberian antibiotik profilaksis, jenis anestesi, lama pembedahan serta lama rawat pascabedah dengan kejadian ILO pada pasien pascabedah sesar di RSUP Dr. Sardjito Yogyakarta. Rancangan desain penelitian studi observasional prospektif dilakukan dengan sampel 154 orang. Data diperoleh melalui observasi menggunakan daftar tilik sejak pasien masuk rumah sakit sampai 30 hari pascabedah. Analisis data meliputi analisis univariat, analisis bivariat dengan menggunakan uji kai kuadrat serta analisis multivariat dengan uji regresi logistik berganda. Hasil penelitian menunjukkan ada hubungan antara waktu pemberian antibiotik profilaksis (OR = 1,16; 95% CI = 1,09 - 1,37), lama rawat prabedah (OR = 1,12; 95% CI = 1,02 - 1,24) dan lama rawat pascabedah (OR = 1,21; 95% CI = 1,04 - 1,39) dengan kejadian ILO. Faktor lainnya tidak mempunyai hubungan yang signifikan terhadap kejadian ILO. Hasil uji regresi logistik ganda menemukan lama rawat pascabedah merupakan faktor yang paling dominan terhadap kejadian ILO. Identifikasi faktor risiko ILO dapat bermanfaat untuk merencanakan upaya meminimalkan kejadian ILO pada pasien pascabedah sesar. Surgical site infection (SSI) is part of health care associated infection and remains a problem in hospital care. SSI occurs in 2 to 5% of the 27 million patients having surgery each year and 25% of infections occur in care facilities. This study aimed to relation various such as age, nutritional status, type of surgery, pre-operative length of stay, hemoglobin level, bloodtransfusions, timing of antibiotics prophylaxis, type of anesthesia, duration of operation and post-operative length of stay on the incidence of SSI post caesarean section at Dr. Sardjito Hospital Yogyakarta. Prospective observation study was conducted in 154 sample. Data were obtained through observations using checklist since hospital admission up to 30 days post surgery. Data analysis included univariate, chi-square test and multiple logistic regression. The result showed that time of prophylactic antibiotics (OR = 1.16; 95% CI = 1.09 - 1.37), pre-operative length of stay (OR = 1.12; 95% CI = 1.02 - 1.24) and post-operative length of stay (OR = 1.21; 95% CI = 1.04 - 1.39) were risk factors for SSI. Other factors did not show significant associations with incidence of the SSI. The findings from multiple logistic regression showed post-operative length of stay in hospital as the most dominant factor for incidence of SSI. Identifying SSI risk factors can be used to plan efforts to minimize the occurrence of SSI in post-caesarean section patients.
Yes, but Impossible: Implementation Research on the Acceptability of self-care practices among people affected by l eprosy in Rupandehi district, Nepal Aryal, Pramila; Ahmad, Riris Andono; Utarini, Adi
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Abstract

Purpose: To explore the acceptability of self-care practices among people affected by leprosy and stakeholders in the Rupandehi district of Nepal. Methods: This qualitative study is based on in-depth interviews, key-informant interviews, and focus group discussions with the people affected by leprosy and stakeholders in Rupandehi district which is known to be a leprosy-endemic district in Nepal. Qualitative data was used to explore the acceptability of self-care practices and identify facilitators' barriers to accepting self-care practices. A total of 28 respondents were interviewed. Thematic analysis was used to interpret the data based on a TFA framework. Results: Leprosy-affected people have accepted the self-care practices and have a positive attitude towards it. However, due to poverty, lack of resources, and availability of time they find it impossible to practice self-care. To make it worse, less priority was given by the government sector to support self-care practices. Improving perception, minimizing stigma and taboos regarding self-care practices as well as improving service providers' attitudes and support from nongovernmental organizations were identified as facilitators. Conclusion: Despite the awareness and acceptance, self-care is not yet practiced. The program implementor should focus on the availability of resources and policy for poverty reduction
BahaKajian aspek keamanan nyamuk Aedes aegypti Linnaeus ber-Wolbachia di Yogyakarta, Indonesiasa Indonesia: Assessing the safety of Wolbachia-infected Aedes aegypti Linnaeus mosquitoes in Yogyakarta, Indonesia Saraswati, Utari; Supriyati, Endah; Rahayu, Ayu; Rovik, Anwar; Kurniasari, Irianti; Hermantara, Rio; Kumalawati, Dian Aruni; Daniwijaya, Edwin Widyanto; Fitriana, Iva; Pramuko, Nida Budiwati; Indriani, Citra; Wardana, Dwi Satria; Tantowijoyo, Warsito; Ahmad, Riris Andono; Utarini, Adi; Arguni, Eggi
Jurnal Entomologi Indonesia Vol 20 No 2 (2023): July
Publisher : Perhimpunan Entomologi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5994/jei.20.2.117

Abstract

Dengue prevention efforts are limited to the control strategies of its vector and the management of breeding sites. New alternatives for dengue vector control that are sustainable and more environmentally friendly are needed to complement the government's current efforts. Research on Wolbachia-infected Aedes aegypti Linnaeus mosquitoes as an alternative biocontrol strategy has been performed in Yogyakarta City. However, one of the concerns of the community members and stakeholders about this technology is the safety aspect regarding the transmission of Wolbachia to other species and the possibility that humans will contract Wolbachia. This study aimed to address these concerns, namely to find out whether horizontal transmission of Wolbachia occurred from A. aegypti that were released to other species and whether residents living in the released areas were infected with Wolbachia. The research was conducted in Dusun Nogotirto and Dusun Kronggahan (Sleman Regency), as well as in Dusun Jomblangan and Dusun Singosaren (Bantul Regency), Yogyakarta Special Province. Wolbachia qPCR screening using the target gene WD0513 was performed on 922 Culex quinquefasciatus Say and 331 Aedes albopictus (Skuse). ELISA test was carried out on 190 pairs of plasma samples, namely the sample before the Wolbachia frequency was established (still <80%) and the sample after it was established (>80%). The results showed no evidence of Wolbachia transfer from Wolbachia-infected A. aegypti to other mosquito species coexisting in the same habitat or to humans. This study corroborates the safety evidence of Wolbachia-infected A. aegypti technology as an alternative to control dengue virus transmission
Co-Authors A Fahmy Arif Tsani Ahmad, Riris A. Alan Chandrasaputra Anna Marie Wattie Annisa Nurrachmawati Arisanti, Risalia R. Armiatin Armiatin Arresta Vitasatria Suastika Aryal, Pramila Ayu Rahayu Budi Arianto, Budi Budi Wikeko Chusnaifah, Defriana Lutfi Citra Indriani Czeresna Heriawan Soejono Daniwijaya, Edwin Widyanto Dewanggi, Bunga DIAN ARUNI KUMALAWATI Dibyo Pramono Dibyo Pramono Djoko Agus Purwanto Eggi Arguni Eka Rusdianto Gunardi Fitriana, Iva Fridawaty Rivai Hakimi, Moh. Hanevi Djasri Hanevi Djasri Haryo Bismantara Ida Tjahajati Indah Nurhayati Isman Firdaus Juzar, Dafsah Arifa Kamilia, Nadiyah Kurniasari, Irianti Lukluk Purbaningrum M. Muska Nataliansyah Mohammad Hakimi Monica GK Tambajong Mubasysyir Hasanbasri Muhammad Hardhantyo Ni Komang Yuni Rahyani Ni Luh Putu Eka Putri Andayani Nurfitri, Syafira Padmawati, Retna S Pramuko, Nida Budiwati Purwaningrum, Nabhela Ayu Retno Esti Respati Wirandari Rio Hermantara Riris Andono Ahmad Rovik, Anwar Sa'adah, Nur Raudatus Sandy Febriyanto Saputri, Grace ND. Saraswati, Utari Siswanto Agus Wilopo Supriyati, Endah Susetyowati Tabita Rionica Ayu Wijayani, Tabita Rionica Ayu Tita Meitia Dianingsih Tjahjono Koentjoro Toto Sudargo Trisasi Lestari Utami, Indira Diah Wa Ode Siti Orianti Wardana, Dwi Satria Warsito Tantowijoyo, Warsito Wiratri, Arum Yayuk Hartriyanti Yohana Denyka Kurniawati Yohana Denyka Kurniawati Yundari, Yundari