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All Journal Jurnal Kesehatan Masyarakat Jurnal Kedokteran Indonesia Jurnal Berkala Epidemiologi Jurnal NERS The Indonesian Journal of Public Health Health Notions Jurnal Wiyata : Penelitian Sains dan Kesehatan Jurnal Epidemiologi Kesehatan Komunitas Hearty : Jurnal Kesehatan Masyarakat Jurnal Kesehatan Global Journal of Social Research Prosiding University Research Colloquium Jurnal Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Chatarina Umbul Wahyuni
Department Epidemiology, Faculty Of Public Health, Universitas Airlangga
Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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ANALYSIS HEALTH PROBLEMS OF DENGUE HEMORRHAGIC FEVER IN THE WORKING AREA OF THE KEDIRI CITY HEALTH SERVICE Imamah, Syarofatul; Wahyuni, Chatarina Umbul
HEARTY Vol 12 No 1 (2024): FEBRUARI
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v12i1.15305

Abstract

Dengue Hemorrhagic Fever is still an endemic disease in more than 100 countries, including Indonesia. Every year Dengue Hemorrhagic Fever breaks out into outbreaks in several areas and becomes a public health problem in general in Indonesia. The incidence rate of Dengue Hemorrhagic Fever in Kediri City in 2023 exceeds the Regency/City target, namely >10 per 100,000 population. The research aims to analyze health problems in the Dengue Hemorrhagic Fever program in the Kediri City Health Service Work Area in 2023. This research is an observational descriptive study conducted in the Kediri City Health Service Work Area in July-August 2023. Problem prioritization uses the USG method (Urgency, Seriousness, Growth). Root causes of problems using Fishbone and providing alternative problem solving. The research results showed that the priority problem of the Dengue Hemorrhagic Fever program at the Kediri City Health Service in 2023 was the lack of public awareness in doing the 3M Plus Mosquito Nest Eradication (PSN 3M Plus). The root causes of the problem are a lack of public knowledge, a lack of public attention to health, a community that relies on cadres, the influence of livelihoods on mosquito breeding, an environment that is a breeding ground for mosquitoes, a lack of socialization and training for cadres and the community, no educational media; lack of facilities and infrastructure for cadres. Alternative problem solving that can be provided is socialization, community service, and holding 3M Plus application competitions in the form of implementing PSN in sub-districts/villages and public places.
Mosquito Nets Installation in Livestock Sheds as a Basis of Accelerated Malaria Vector Control Development Santjaka, Aris; Sunaryo, Sunaryo; Anwar, M. Choiroel; Utomo, Nur; Firdaust, Mela; Cahyono, Tri; Indro Wardono, Hari Rudijanto; Amaliah, Nurul; Husnul Yusmianti, Siti Nur; Tauleka, Abdul Rohim; Yudastuti, Ririh; Wahjuni, Chatarina Umbul
Jurnal Kesehatan Masyarakat Vol 20, No 2 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i2.49499

Abstract

The decrease in the incidence of malaria has only reached 66.67%, from the target of 90% in 2030; Anopheles spp mosquitoes are zoophilic, So mosquitoes are more numerous in cattle sheds. The research is intended to change vector control policies by considering livestock sheds to accelerate malaria elimination. This study was a Pre-experiment with the design of the static group comparison, mosquito capture used a spot survey of six houses; three houses have goat sheds and three cowshed houses; mosquito catching with WHO guidelines that one house there are two catchers; likewise in cattle sheds. Arrests were made all night from 06.00 pm-06.00 am. The results, the ratio of Anopheles spp mosquitoes caught in livestock sheds is 36.5 times more than at home; while the vector is 2.5 more. The results of the statistical analysis are significant (p=0,000). Livestock sheds can be used as an alternative to malaria vector control to accelerate the decrease in density so that the incidence of malaria also decreases.
Analisis Masalah Kesehatan Pada Program Tuberkulosis di Dinas Kesehatan Kota Kediri Tahun 2024 Ramadhani, Nabhilah Suci; Wahyuni, Chatarina Umbul; Rahayu, Tiwuk Puji; Syam, Sadli
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 2: Mei 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.v10i2.24325

Abstract

Background: Tuberculosis remains a significant global public health challenge. Indonesia ranks second in the world for TB prevalence. In Kediri City, while CDR-TB and CNR-TB meet targets, TB enrollment remains inadequate, highlighting obstacles in accessing health services. This study aims to determine priorities, identify causes, and propose alternative solutions for the TB program. Additionally, it describes TB enrollment trends from 2021-2023 and January-June 2024 in Kediri City.Methods: This descriptive observational study was conducted at the Kediri City Health Office from July 8-August 2, 2024, involving 28 informants. Data were obtained through in-depth interviews and document analysis. Priorities were determined with the USG method, causes were analyzed using the web of causation, and alternative solutions were developed using the CARL method.Results: The results of the analysis show that TB enrollment rates in Kediri City have significantly decreased each year, with rates of 82.9% in 2021, 79.8% in 2022, and 72.6% in 2023. In 2024, the highest rate was 75.5% in February, and the lowest was 57.9% in April. Factors contributing to this decline include suboptimal coordination between health facilities, limited human resources, high public stigma towards TB, and patient absenteeism.Conclusions: The low TB enrollment rate in Kediri City is a priority issue. Recommendations include routine SITB monitoring, educational efforts to reduce TB stigma, improved coordination with private practitioners via WhatsApp groups, regular meetings, home visits, and increasing the number of competent staff for counseling, case finding, and patient support.
Analisis Masalah Kesehatan Pada Program Hipetensi di Dinas Kesehatan Kota Kediri Tahun 2024 Sari, Maulidina; Wahyuni, Chatarina Umbul; Rahayu, Tiwuk Puji
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 2: Mei 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.v10i2.24478

Abstract

Background: The prevalence of hypertension in Indonesia in 2023 reached 30.8%, but only 18.9% of cases were under control, still below the national target of 63%. In Kediri City, although the coverage of hypertension services reached 100%, only 33% of patients managed to control hypertension. This study aims to identify problems, determine priorities, analyze causes, and formulate alternative solutions for hypertension programs.Methods: This descriptive observational study was conducted from July 8 to August 2, 2024. The study subjects were 30 people consisting of staff of the Health Office, Puskesmas and health cadres in Kediri City. Data were collected through brainstorming, in-depth interviews, and document studies. Problem prioritization was conducted using Urgency, Seriousness, Growth (USG) method, root cause analysis using epidemiological model, and alternative solutions using CARL (Capability, Accessibility, Readiness, Leverage) methodResults: Prioritization with the USG method that has the highest score is the low achievement of controlled hypertension. In 2023, the achievement in Kediri City was 33% increasing to 48% in January-June 2024, but still below the national target of 90%. The South Region health center has the lowest achievement of 31.8%. The main causes are low patient participation in routine control, high workload of health workers, and lack of family support. Alternative solutions include routine socialization, family assistance, and monitoring of control schedules through WhatsApp groups.Conclusion: The Kediri City Health Service is expected to conduct socialization with family support assistance. Keywords: Controlled Hypertension, Kediri, Problem Analysis.
Integrated Model of a Family Approach and Local Support in Tuberculosis Case Finding Efforts in People with HIV/AIDS Astutik, Erni; Wahyuni, Chatarina Umbul; Manurung, Imelda F E; Ssekalembe, Geofrey
Kesmas Vol. 16, No. 4
Publisher : UI Scholars Hub

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Abstract

The human immunodeficiency virus (HIV) remains a major global public health problem. People with HIV/acquired immune deficiency syndrome (AIDS) are more susceptible to opportunistic infections such as tuberculosis (TB). Therefore, families and community leaders need to help monitor people living with HIV/AIDS (PLWHA). This study aimed to analyze an integrated family approach and local support model to detect TB cases in PLWHA. This study used a case-control study in Kupang City, East Nusa Tenggara Province, in July 2020. The sample comprised 100 people (50 PLWHA with TB case and 50 controls) using total sampling and random sampling, respectively. The variables related to TB case finding in PLWHA were family employment status, duration of HIV/AIDS, family knowledge of TB, and family support. The data were analyzed using multiple logistic regression. The families with PLWHA with an extended illness duration (OR = 0.81, 95% CI = 0.69–0.95, p-value = 0.01), families who did not work (OR = 3.31, 95% CI = 1.16 9.41, p-value = 0.025), families who had good knowledge (OR = 4.79, 95% CI = 1.70–13.51, p-value = 0.003), and families who provided good support (OR = 3.03, 95% CI = 1.05–8.76, p-value= 0.04) were better able to detect TB in PLWHA.
Religious Leader’s Support toward Individual at Risk ofHIV/AIDS to Attend Voluntary Counselling and Testing Service Manurung, Imelda Februati Ester; Wahyuni, Chatarina Umbul; Probandari, Ari
Kesmas Vol. 15, No. 2
Publisher : UI Scholars Hub

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Abstract

Religious leader is a figure who is believed to have the gift of healing. A person with illness will follow any advice the religious leader gives for his/her recovery.Based on the phenomenon, religious leader is a potential local figure to give support for individuals at risk of human immunodeficiency virus (HIV) andacquired immune deficiency syndrome (AIDS). This study aimed to determine factors related to religious leader’s support toward individuals at risk of HIV andAIDS to attend voluntary counselling and testing (VCT) service. This study was an observational analytical with cross-sectional design. The population of thisstudy was religious leader in Kupang City. The sample size was 70 people selected through random sampling technique. The data were collected using questionnaire and analyzed using chi-square and multiple logistic regression test. Factors significantly related to the religious leaders supports’ for individuals atrisk of HIV and AIDS to get VCT were knowledge (OR = 9.01; 95% CI = 1.73 - 47.07), servant leadership (OR = 11.67; 95% CI = 2.44 - 55.84, trust (OR =11.55; 95% CI = 2.35 - 56.70) and perception (OR = 6.12; 95% CI = 1.26 - 29.71). Social capital had no significant effect on the religious leader support’s (OR= 1.06; 95% CI = 0.22 - 5.12). It is necessary to improve religious leader’s knowledge of HIV and AIDS.
Pelatihan Kader Kesehatan untuk Penemuan Penderita Suspek Tuberkulosis Wahyuni, Chatarina Umbul; Artanti, Kurnia Dwi
Kesmas Vol. 8, No. 2
Publisher : UI Scholars Hub

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Abstract

Di Indonesia, kasus tuberkulosis (TB) yang dilaporkan pada tahun 2011 ter- deteksi lebih dari 70% dan cenderung terus meningkat. Di Kota Surabaya, cakupan penemuan penderita adalah sekitar 49,52% dengan jumlah suspek TB sebanyak 4.402 orang hingga tahun 2011. Keterlibatan masyarakat dalam penanggulangan TB tersebut sesuai dengan Kerangka Kerja Strategi Penanggulangan TB 2006-2010. Masyarakat berpeluang untuk berperan dalam penanggulangan TB, sumber daya di masyarakat dimanfaatkan untuk meningkatkan derajat kesehatan dan mengubah perilaku masyarakat. Penelitian ini bertujuan mengetahui pengaruh pelatihan terhadap pengetahuan kader kesehatan dalam penemuan suspek TB. Penelitian kuantitatif ini menggunakan rancangan studi kuasi eksperimental kelompok kontrol non-ekuivalen. Perlakuan pelatihan program pengendalian berupa penemuan suspek TB. Populasi penelitian adalah ibu rumah tangga di wilayah kerja Puskesmas Mojo di Kota Surabaya dengan jumlah sampel 90 ibu rumah tangga berumur rata-rata 48 tahun, tingkat pendidikan terbanyak adalah tamat SMA (58,9%). Setelah pelatihan, pengetahuan kader tentang penemuan suspek TB meningkat dari 67 (74,4%) menjadi 89 (98,9%). Perlu implementasi untuk melihat kemampuan kader menerapkan pengetahuan yang diperoleh dalam menemukan suspek penderita TB dengan pen- dampingan dan monitoring kader. Progress reports current situation of tuberculosis (TB) in Indonesia in 2011 showed Case Detection Rate (CDR) of over 70% and showed an increase from year to year. While the city of Surabaya figures coverage discovery Patients up to 2011 amounted to 49.52% with the number of 4,402 people suspected. Community involvement in TB control in accordance with the Tuberculosis Control Strategy Framework 2006-2010. The opportunities as well as public opportunities to participate in TB control to make the resources available in the community should be utilized to improve health status and change people’s behavior as a factor influencing health status. This study aimed to determine the effect of training on the knowledge of health cadres in the discovery of suspected tuberculosis. This study uses quantitative methods to the design of a Quasi Nonequivalent Experimental Control Group Design. Treatment will be given in the form of training on tuberculosis control program in the discovery suspected tuberculosis. The population in this study was a housewife in Puskesmas Mojo working in the city of Surabaya. Large sample taken as many as 90 respondents. Characteristics housewife with average age 48 years, female gender, and education all most 31.1%. Improvement occurred knowledge of 67 (74.4 %) health workers who have good knowledge before training to 89 (98.9 %). Based on the results of this study concluded increased knowledge of health workers after training in the discovery of suspected tuberculosis. Further implementation is needed to see the ability of the implementing cadres who have acquired knowledge in finding patients with suspected tuberculosis in the surrounding environment. In its application may be made to the guidance and monitoring of health cadres in the process of discovery with suspected tuberculosis.
Pengaruh Jenis Kelamin dan Kebiasaan Merokok terhadap Kadar Timbal Darah Hasan, Wirsal; Matondang, Abdul Rahim; Syahrin, Alvi; Wahyuni, Chatarina Umbul
Kesmas Vol. 8, No. 4
Publisher : UI Scholars Hub

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Abstract

Penarik becak dayung dan becak bermesin, pengatur lalu lintas, pedagang asongan, dan pedagang kaki lima banyak terpapar dengan polusi timbal dari udara ambien yang merupakan ancaman terhadap para pekerja pinggir jalan. Penelitian ini bertujuan mengetahui hubungan karakteristik responden dengan kadar timbal dalam darah. Sampel dalam penelitian ini berjumlah 109 orang terdiri dari 58 orang penarik becak dayung, 30 orang penarik becak bermesin dan 21 orang pedagang kaki lima yang ditarik secara consecutive sampling. Hasil penelitian menunjukkan bahwa tidak ada korelasi yang signifikan antara variabel usia, tekanan darah sistolik dan tekanan darah diastolik terhadap kadar timbal dalam darah (p>0,05). Rerata kadar timbal dalam darah berbeda bermakna menurut jenis kelamin (p=0,047) dan kebiasaan merokok (p=0,003). Rerata kadar timbal dalam darah berdasarkan jenis pekerjaan, lama bekerja, tingkat pendidikan, tempat beristirahat, lokasi tempat tinggal, kebiasaan minum susu, dan kebiasaan minum alkohol tidak ada perbedaan bermakna. Uji korelasi Pearson dan korelasi Spearman menemukan tidak ada korelasi antara variabel usia dan tekanan darah terhadap kadar timbal dalam darah (p>0,05). Paddle rickshaw puller, motorized rickshaw pullers, traffic police, street vendors and roadside vendors is that many workers are exposed to lead from ambient air pollution. Lead pollution is a threat to roadside workers. This study is observational. The purpose of the study was to determine the association between respondent characteristic with blood lead levels. The 109 samples in this study was the 58 paddle rickshaw puller, 30 motorized rickshaw pullers and 21 hawkers, drawn with consecutive sampling. The results showed that there were no significant correlation between age, blood pressure and blood lead level (p>0.005), there were differences in mean blood lead levels by sex (p = 0.047) and smoking (p = 0.003), there was no difference in mean blood lead levels based on the type of work, length of work, level of education, place of rest, the location shelter, drinking milk, and alcohol drinking habits. Pearson correlation test and Spearman correlation found no correlation between the variables of age, and blood pressure on blood lead levels (p> 0.05).
Co-Authors A.A. Ketut Agung Cahyawan W Abdul Rahim Matondang Adelia Perwita Sari Perwita Sari Adelia Perwita Sari, Adelia Perwita Adzaniyah Isyani Rahmawati Adzaniyah Isyani Rahmawati Ah Yusuf Ahmad Zamzam Hariro Alvi Syahrin Amaliah, Nurul Anasyia Nurwitasari Anasyia Nurwitasari, Anasyia Andini Rizki Amanda Anjas Dwi Purwanto Annis Catur Adi Ari Probandari Arief Hargono Arief Wibowo Aris Santjaka Armyade Armyade Armyade Armyade, Armyade Asriani, Nia Astutik, Erni Atik Choirul Hidajah Bambang W.K Bhisma Murti Billah Rizqa Byba Melda Suhita Carina Delvi Trisiyah Christanto, Daniel Diah Indriani Dwi Handayani Erfan AR Lainjong Eti Poncorini Pamungkasari Fazidah Aguslina Siregar Feranita Utama Geofrey Ssekalembe Hadi, Supaat Setia Hari Basuki Notobroto Hari Rudijanto Indro Wardono Hasan Huda Huda, Hasan Husnul Yusmianti, Siti Nur Ida Bagus Made Dwi Indrawan Imamah, Syarofatul Irma Prasetyowati Irwan A. Hi. Mustafa Krisnita Dwi Jayanti, Krisnita Dwi Kurnia Dwi Artanti Lainjong, Erfan AR Laura Navika Yamani M. Atoillah Isfandiari M. Choiroel Anwar Manurung, Imelda F E Manurung, Imelda Februati Ester Mela Firdaust Melania, Soenarnatalina Memo Nababan Miftah Farizd Mina Sipayung, Mina Muhammad Atoillah Isfandiari Nanang Saifudin, Nanang Nia Asriani Nicholas Fransida Swardana, Nicholas Fransida Nurul Kutsiyah Nuswantara Puspita Rahmawati Putri Intianti Utami R Reviono R Rusnoto Rachmat Hargono Rahayu, Tiwuk Puji Ramadhani, Nabhilah Suci Risma Dian Anggraini Riza Muhammad Zulham S Siswanto Sadli Syam Santi Martini Sari, Maulidina Setiawan, Arif Yoni Shrimarti Devy, Shrimarti Silvanus Roga Misi Siti Fatma Wati Soenarnatalina Melaniani Sri Widati Sri Widati Ssekalembe, Geofrey Sunaryo Sunaryo Supaat Setia Hadi Supaat Supaat Supa’at Setia Hadi Syahirul Alim Syarifuddin Syarifuddin Syarifuddin Syarifuddin Tauleka, Abdul Rohim Tri Cahyono Tri Ratnaningsih Tri Ratnaningsih Uddin, Liliana Utami, Putri Intianti Utomo, Nur Veronika Ofong Vitri Widyaningsih Windhu Purnomo Wirsal Hasan Wulan Meidikayanti Yudastuti, Ririh Yuyun Tri Wulansari Zulham, Riza Muhammad