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All Journal International Journal of Public Health Science (IJPHS) Promotif: Jurnal Kesehatan Masyarakat Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Epidemiologi Kesehatan Komunitas Al-sihah: The Public Health Science Journal The Indonesian Journal of Infectious Diseases Biota Menara Ilmu Jurnal Review Pendidikan dan Pengajaran (JRPP) Health Sciences and Pharmacy Journal Medika Alkhairaat : Jurnal Penelitian Kedokteran dan Kesehatan Jurnal Ners Jurnal teknologi Kesehatan Borneo Jurnal Cahaya Mandalika Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Preventif : Jurnal Kesehatan Masyarakat Jurnal Epidemiologi Kesehatan Indonesia
Tri Yunis Miko Wahyono
Fakultas Kesehatan Masyarakat UI, Departemen Epidemiologi
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Evaluasi Sistem Surveilans Kematian Bayi di Provinsi Sulawesi Tengah tahun 202 Chaliq Setiawan, Dwi; Wahyono, Tri Yunis Miko; Apriani, Wayan
Medika Alkhairaat : Jurnal Penelitian Kedokteran dan Kesehatan Vol 6 No 1 (2024): April
Publisher : Fakultas Kedokteran Universitas Alkhairaat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31970/ma.v6i1.175

Abstract

Sebagai salah satu indikator kesejahteraan suatu daerah, kematian bayi menjadi salah satu aspek yang penting untuk dievaluasi. Pelaksanaan surveilans kematian bayi merupakan pendekatan yang efektif untuk merencanakan, melaksanakan, dan mengevaluasi program kesehatan bayi. Penelitian ini bertujuan untuk mengkaji sistem surveilans kematian bayi berdasarkan atribut surveilansnya. Penelitian ini dilakukan pada bulan April-Juni 2023 di tiga kabupaten/kota di Provinsi Sulawesi Tengah. Responden diwawancarai dengan menggunakan kuesioner terstruktur yang melibatkan pengelola kesehatan anak di Dinas Kesehatan Kabupaten dan Bidan Koordinator di Puskesmas. Atribut yang dievaluasi adalah akseptabilitas, kesederhanaan, ketepatan waktu, dan keterwakilan. Studi ini dilaksankaan dengan mengikuti Pedoman CDC untuk mengevaluasi sistem surveilans. Berdasarkan hasil studi ini menunjukan, 100% institusi menerima dan mampu menerapkan sistem surveilans. Identifikasi kematian bayi hanya didasarkan pada laporan di fasilitas kesehatan saja, sehingga berdampak pada aspek keterwakilan hasil sistem surveilans karena laporan tidak mewakili keadaan kematian bayi yang sebenarnya di ketiga kabupaten tersebut. Studi ini menunjukkan bahwa surveilans kematian bayi di ketiga kabupaten tersebut belum dilaksanakan secara optimal. Sistem surveilans juga harus dilaksankakan pada basis masyarakat sehingga diperlukan penguatan peran lintas sektora dalam pelaksanaannya.
Spatial study of the implementation of ivermectin, diethylcarbamazine citrate, and albendazole in an urban area Nafilata, Ikrimah; Supali, Taniawati; Wahyono, Tri Yunis Miko; Prihartono, Nurhayati Adnan; Hikmah, Kholisotul; Devi, Yuli Puspita
International Journal of Public Health Science (IJPHS) Vol 14, No 1: March 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i1.24822

Abstract

Studies on lymphatic filariasis (LF) in Indonesia have mostly focused on the disease determinants with limited focus on spatial-based and the determinants of implementing ivermectin, diethylcarbamazine citrate, and albendazole (IDA). This study aimed to identify the causes of program failure. A cross-sectional survey was conducted from November to December 2022 in nine urban villages with high endemic records and one sentinel village in Pekalongan City, Central Java, Indonesia. The analysis using Quantum Geographical Information System (QGIS) and Pearson correlation. Slum settlements were linked to the presence of open sewers (p=0.000; r=0.974) and overcrowding (p=0.033; r=0.672), while the first round of IDA medication adherence correlated with knowledge of medication (p=0.054; r=-0.623) and willingness to take the medication in the second round (p=0.051, r=0.603). Adverse effects of the treatment are strongly correlated with drug boredom from taking medication (p=0.003; r=0.828) and assistance from health workers (p=0.027; r=0.791). We identified gaps in slum settlements, open sewers, overcrowding and medication adherence, including low knowledge of medication, unwillingness to take second-round medication, adverse effects, and boredom with taking medication. We recommend effective strategies by engaging health education between health workers, local leaders, and private sectors as key to ensuring elimination program.
Probabilitas Kumulatif Survival Vaksin Covid-19 pada Populasi di Kota Depok Tahun 2021: Cumulative Probability of Vaccine Covid-19 Survival in the Population of Depok 2021 Helmi, Tri Amelia Rahmitha; Wahyono, Tri Yunis Miko
Promotif : Jurnal Kesehatan Masyarakat Vol. 12 No. 1: JUNE 2022
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (365.873 KB) | DOI: 10.56338/pjkm.v12i1.2412

Abstract

Latar Belakang: Vaksin COVID-19 telah melalui uji tahap 1 hingga 3 dan digunakan selama satu tahun sebagai upaya memberikan kekebalan kepada individu di Kota Depok. Tujuan: Penelitian ini ingin mengetahui peluang untuk bertahan terhadap infeksi SARS-CoV-2 pada penerima setiap jenis vaksin. Metode: Penelitian menggunakan kohort retrospektif dengan analisis survival menggunakan metode Kaplan Meier. Subjek adalah penduduk di Kota Depok yang menerima vaksin COVID-19 dari tanggal 13 Januari 2021 sampai 12 Januari 2022. Hasil: Status Outcome di dapat dari data testing dan kasus di Kota Depok. Sebanyak 723.973 orang yang menerima vaksin, yang terdiri dari dosis tunggal, dosis ganda, dan dosis tambahan. Kelompok dengan risiko paling besar untuk terinfeksi adalah perempuan, kategori SDM kesehatan dan usia 19-35 tahun. Insiden terbesar ada pada kelompok umur pra lansia pada dosis tunggal (1,2%) dan kelompok umur lansia (>60 tahun) pada dosis ganda (1,6%). Probabilitas survival tertinggi terlihat pada dosis tunggal adalah Pfizer dan dosis ganda adalah Moderna. Probabilitas survival kumulatif terendah adalah 97,29% selama satu tahun pengamatan. Insiden rate lebih rendah, namun hazard ratio lebih besar pada dosis ganda dibandingkan dosis tunggal. Kesimpulan: Lima jenis vaksin yang digunakan seperti AstraZeneca, Sinopharm, Moderna, Pfizer, dan Sinovac memberikan kekebalan yang baik dalam mencegah terjadinya infeksi pada individu.
Hematological Test: Predicting Incidence Dengue Shock Syndrome Yamin, Imam Syahputra; Wahyono, Tri Yunis Miko
Biota Vol 14 No 2 (2021)
Publisher : Universitas Islam Negeri Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20414/jb.v14i2.387

Abstract

Dengue hemorrhagic fever (DHF) is an infectious disease caused by the Dengue virus. DHF cases in Mataram City from 2016 to 2020 tend to increase where most of the DHF patients are treated at the Mataram City Hospital. Death due to DHF infection mostly occurred in patients with Dengue Shock Syndrome (DSS) and mortality from DSS was reported to be 50 times higher than in DHF patients without DSS. Prompt diagnosis and appropriate treatment are important determinants for the prevention and control of dengue cases, so knowing the predictors of risk factors can prevent/reduce deaths from dengue virus. This study used a case-control design. Cases were DHF patients diagnosed with DSS by the treating doctor, while the controls were DHF patients diagnosed not DSS by the treating doctor. The research data was obtained from the results of laboratory tests stored in the medical records of patients treated at the Mataram City Hospital from January 2016 to December 2020. The design of the analysis was aimed at obtaining the odds ratio (OR) value followed by multivariate analysis to determine the risk factors that could detect DSS earlier. The variables that were statistically significant in the prediction of the final model were the increase in hematocrit value > baseline with OR= 17.1 (95% CI: 4.033-72.600), a decrease in platelet value < 100.000/µL with OR = 6 (95% CI). : 2,306-15,699), and decreased leukocyte value < baseline with OR= 5.1 (95% CI: 2,209-11,838). While the most dominant variable is the increase in hematocrit value > baseline with OR = 17.1 (95% CI: 4.033-72.600) and p value = 0.000.
Tiga besar prioritas penyakit yang dapat dicegah dengan imunisasi (PD3I) Apriliyan, Afandi Setia; Wahyono, Tri Yunis Miko; Kusnadi, Bai
Health Sciences and Pharmacy Journal Vol. 8 No. 2 (2024)
Publisher : STIKes Surya Global Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32504/hspj.v8i2.1197

Abstract

Berdasarkan data pada Oktober 2023, Kota Bogor mengidentifikasi 7 kasus penyakit yang dapat dicegah dengan vaksin (PD3I): 260 kasus campak, 3 kasus rubella, 1 kasus tetanus neonatorum, 3 kasus pertusis, 1 kasus klinis difteri, dan 94 kasus hepatitis B. Studi epidemiologi, termasuk analisis situasi, diperlukan untuk memahami masalah PD3I, termasuk penyebab dan faktor yang mempengaruhi, serta menentukan prioritas masalah kesehatan. Analisis situasi dilakukan di Kota Bogor, menggunakan studi assessment dengan pendekatan kuantitatif dan kualitatif, penilaian menggunakan PAHO-adoapted Hanlon yang melibatkan 14 responden dari Dinas Kesehatan Kota Bogor dan Pusat Kesehatan Masyarakat (Puskesmas) di Kota Bogor. Data kuantitatif dikumpulkan menggunakan kuesioner, regulasi, dan laporan melalui sumber primer dan sekunder. Data kualitatif diperoleh melalui wawancara dengan responden. Hasil penilaian mengidentifikasi tiga masalah prioritas utama untuk PD3I di Kota Bogor: Campak, Hepatitis B, dan Tetanus Neonatorum. Campak dipilih sebagai masalah prioritas untuk PD3I. Terdapat 340 kasus campak terkonfirmasi pada bulan November dengan angka insidensi sebesar 32,3 per 100.000 penduduk, 9 kali lebih tinggi dibandingkan tahun sebelumnya. Tantangan termasuk keterlibatan kader kesehatan yang tidak memadai dalam deteksi, pelatihan PD3I yang tidak mencukupi untuk staf Puskesmas karena keterbatasan anggaran dan tingginya pergantian, penolakan masyarakat terhadap imunisasi karena keyakinan tertentu, dan kurangnya studi tentang masalah tersebut. Campak memerlukan perhatian segera. Rekomendasi untuk meningkatkan deteksi dini dan pengendalian risiko, memastikan rasio tenaga kesehatan dan pelatihan, mengalokasikan anggaran untuk pelatihan surveilans PD3I dan surveilans berbasis masyarakat, serta melakukan studi di daerah berisiko tinggi.
Faktor-faktor Berhubungan dengan Kejadian Malaria di Provinsi Nusa Tenggara Timur Tahun 2018 Marisa, Amelia; Wahyono, Tri Yunis Miko; Nasution, Helmi Suryani; Sitanggang, Hendra Dhermawan
The Indonesian Journal of Infectious Diseases Vol. 10 No. 2 (2024): The Indonesian Journal of Infectious Diseases
Publisher : Rumah Sakit Penyakit Infeksi Prof Dr. Sulianti Saroso

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32667/ijid.v10i2.294

Abstract

Latar belakang: Provinsi Nusa Tenggara Timur, Indonesia termasuk daerah endemik infeksi malaria. Provinsi tersebut memiliki angka API yang tinggi secara nasional. Tujuan: untuk mengetahui faktor-faktor yang berhubungan dengan kejadian malaria di Provinsi Nusa Tenggara Timur Tahun 2018. Metode: penelitian ini merupakan penelitian kuantitatif analitik dengan desain studi Cross Sectional dengan menggunakan sebagian data Riset Kesehatan Dasar Tahun 2018. Populasi yaitu seluruh masyarakat yang tinggal di Provinsi Nusa Tenggara Timur. Jumlah sampel sebanyak 3.746 responden. Variabel antara lain kejadian malaria, jenis kelamin, umur, pendidikan, pekerjaan, jumlah anggota rumah, tempat tinggal, ventilasi rumah dipasang kasa nyamuk, pemakaian kelambu, dan pemakaian obat nyamuk. Hasil: variabel yang bermakna memiliki korelasi dengan kejadian malaria yaitu variabel jenis kelamin (nilai p=0,004; PR=1,23), umur (nilai p=0,031; PR=1,45), pekerjaan (nilai p=0,002; PR=1,32) dan ventilasi rumah dipasang kasa nyamuk (nilai p=0,008; PR=2,31). Kesimpulan: Penelitian ini menunjukkan faktor risiko yang berpengaruh terhadap kejadian malaria adalah jenis kelamin, pekerjaan dan ventilasi rumah dipasang kasa nyamuk. Faktor yang paling berpengaruh terhadap risiko kejadian malaria adalah ventilasi rumah dipasang kasa nyamuk, sehingga diharapkan adanya perilaku pencegahan malaria berupa penggunaan kasa nyamuk pada jendela atau ventilasi rumah.
Peningkatan Pengetahuan Petugas Tracing (Tracer) dan Kinerja Program COVID-19 Kota Depok Mengenai Pelacakan Kontak (Contact Tracing) Tahun 2020 Syaputri, Nadhiratul; Wahyono, Tri Yunis Miko; Wahyuningsih, Tri
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 1: Februari 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.v10i1.11823

Abstract

Background: COVID-19 cases in Depok City continued to increase until November 2020, so case tracking and close contact (tracing) are needed to suppress COVID-19 cases. However, tracing officers still face obstacles in conducting case tracking and close contact (tracing). The purpose of this study is to improve the knowledge of tracing officers and see the performance of the Depok City COVID-19 program in terms of contact tracing.Methods: The design of this study was One Group Pretest-Posttest, consisting of 121 participants using virtual lecture methods and online assignments through Zoom Meeting and Google Form. The collected data were analyzed with STATA.12 (paired t test) to see the difference in the mean scores of participants between pretest and posttest. In addition, SPSS.24 (paired t test and Wilcoxon) was also used to see the achievement of the COVID-19 search program.Results: The statistical test results showed that this training increased the knowledge of COVID-19 trackers in Depok City with a p-value <0.05. The average score before the training was 69.89 and after the training increased to 84.89.Conclusion: The successful implementation of case and contact finding is strongly influenced by the community and the number of officers needed to trace COVID-19 cases, and is supported by the availability of COVID-19 test kits at the examining laboratory.
Association Between Body Mass Index and Mortality in Patients With Tuberculosis-HIV Co-Infection in Asia and Africa: A Systematic Review and Meta-Analysis Protocol Irzal, Mufti As Siddiq M.; Wahyono, Tri Yunis Miko; Insani, Putri Novia Choiri; Loa, Welstin Wemi; Ngetwa, Leopardo Alvalius
Al-Sihah : The Public Health Science Journal Volume 17, Nomor 1, January-June 2025
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/al-sihah.v17i1.56107

Abstract

Globally, the prevalence of tuberculosis (TB) and human immunodeficiency virus (HIV) co-infection in 2019 was 8.2%. In 2020, TB-related deaths among individuals with HIV totaled 214,000, representing an increase from the previous year. Previous studies suggest that body mass index (BMI) is a significant predictor of mortality risk in individuals with TB and HIV co-infection, as malnutrition and low BMI are frequently linked to poorer clinical outcomes. This protocol has been developed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) guidelines. A systematic review and meta-analysis will be conducted by searching three databases: MEDLINE/PubMed, Scopus, and ProQuest. This protocol aims to outline the stages and procedures of the forthcoming systematic review and meta-analysis, including the justification of the research question; the definition of Population, Exposure, Outcome, and Study design (PEOS); the inclusion and exclusion criteria; the search strategy; study screening and data extraction; and the planned data analysis. Identifying BMI as a prognostic factor through this study may inform nutrition-based interventions and treatment protocols aimed at reducing mortality among individuals co-infected with TB and HIV in Asia and Africa.
Influence of Decentralization and Type of Patient on Loss to Follow-up among Multidrug-Resistant Tuberculosis Patients in Indonesia from 2014 to 2015 Noerfitri, Noerfitri; Sutiawan, R.; Wahyono, Tri Yunis Miko; Hartono, Pratiwi Ayuningtyas
Kesmas Vol. 13, No. 3
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Drug-resistant tuberculosis (TB) patients have a greater risk of loss to follow-up (LTFU) than drug-sensitive TB patients, due to their longer treatment duration. This study aimed to determine the influence of decentralization and patient type on LTFU among multidrug-resistant TB (MDR-TB) patients in Indonesia. A retrospective cohort study was conducted at all MDR-TB treatment healthcare facilities in Indonesia from 014 to 2015. Using total sampling technique, 961 patients were examined and sampled. Of these patients, 86.03% were decentralized. Patients were classified into types as follows: 35.17% were “relapse” patients, 5.52% were “new,” 13.94% were classified as “after LTFU” patients, 23.10% were “treatment failure category 1” patients, 20.29% were “treatment failure category 2” patients, and 1.90% were classified as “other types” patients. Decentralization reduced LTFU risk by up to 46% (HR = 0.54, 95% CI 0.35–0.84). LFTU in “after LTFU,” “treatment failure category 2,” and “other types” patients was higher by 50%, 53%, 74%, respectively compared to LFTU occurrence in “relapse” (baseline) patients. Among “treatment failure category 2 patients, female patients were 2.13 times more likely to have an occurrence of LFTU, while male patients were 0.55 times as likely to have an occurrence of LFTU, compared to “relapse” type patients of the same sex.
Evaluation of Tuberculosis Disease Surveillance System in DKI Jakarta Province in 2024: Structure, Function and Attribute Analysis Ferizqo, Ferdian Akhmad; Wahyono, Tri Yunis Miko; Inggariwati
Jurnal teknologi Kesehatan Borneo Vol 5 No 2 (2024): Jurnal teknologi Kesehatan Borneo
Publisher : POLTEKKES KEMENKES PONTIANAK

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30602/jtkb.v5i2.357

Abstract

Indonesia ranks second worldwide in tuberculosis cases. Surveillance components for tuberculosis reporting have been facilitated by SITB. Program improvement recommendations should be implemented by smaller units, such as Public Health Centers, by analyzing data and disseminating it to relevant parties, with recommendations also made at the provincial level. This evaluation aims to describe the implementation of tuberculosis surveillance in DKI Jakarta. This descriptive study uses a mixed-methods approach of observation and structured interviews conducted in DKI Jakarta from April to June 2024. Data were sourced from SITB tuberculosis reports and in-depth interviews with nine tuberculosis officers from the Health Sub-Office, Public Health Centers, and hospitals. Surveillance system evaluation covered system structure, core functions, support functions, and system attributes based on WHO guidelines. System structure aspects related to legal aspects, networks, and partnerships are functioning well, although hospitals lack specific implementers. Core functions like detection, data collection, reporting, dissemination, and feedback operate optimally, though analysis and result interpretation are suboptimal. Support functions involving training and resources also need improvement. System attributes such as simplicity, completeness, representativeness, acceptability, and usefulness are optimal, but timeliness remains a challenge. Recommendations include increasing human resource capacity, reporting accuracy, and coverage of preventive therapy.
Co-Authors Anggraini, Sely Apriani, Wayan Apriliyan, Afandi Setia Ariani, Novie Azkia, Fara Irdini Budiyani, Putri Immi Rizky Chaliq Setiawan, Dwi Diani, Yuli Ayu Dwi Handayani Faralina, Mikyal Fardani, Sekar Astrika Ferizqo, Ferdian Akhmad Fitria Fitria Habibi, Aulia Hairani, Lila K Hartono, Pratiwi Ayuningtyas Helda Helda Helmi, Tri Amelia Rahmitha Hikmah, Kholisotul Imam Syahputra Yamin Inggariwati Insani, Putri Novia Choiri Irzal, Mufti As Siddiq M. Jasape, Muhammad Saleh Kusnadi, Bai Loa, Welstin Wemi Marisa, Amelia Melia Sari, Melia MW, Oktarinda Nadia Putri Nafilata, Ikrimah Nasution, Helmi Suryani Ngetwa, Leopardo Alvalius Noerfitri, Noerfitri Prihartono, Nurhayati Adnan Rahmartani, Lhuri Dwianti Ramadhani Ramadhani Ratna Djuwita Rizaldi, Mohamad Rizka Maulida Salam, Salam Simanjuntak, Tri Damayanti Sitanggang, Hendra Dhermawan Suardiyasa, I Made Sutiawan, R. Suyanti Suyanti Syaputri, Nadhiratul Taniawati Supali Tri Wahyuningsih Wijaya, Fikri Yuli Puspita Devi Yulianto, Muhammad Farhan Dwi