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Strategi Penguatan Peran Lintas Sektor untuk Intervensi Lingkungan dalam Sistem Kewaspadaan Dini Leptospirosis di Kota Semarang Tahun 2017-2018
Diana Andriyani Pratamawati;
Wening Widjajanti;
Farida Dwi Handayani;
Wiwik Trapsilowati;
Wiwik Dwi Lestari
Media Penelitian dan Pengembangan Kesehatan Vol 30 No 1 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan
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DOI: 10.22435/mpk.v30i1.1665
Abstract The occurrence of leptospirosis in Semarang tends to fluctuate each year. The Semarang City Health Office then implemented a strategy to strengthen the role of cross-cutting for environmental intervention as a new breakthrough in controlling leptospirosis in Semarang City. The name of this activity is Leptospirosis Control Month. The purpose of this study is to describe a cross-sector strengthening strategy for environmental intervention in the early alert system for leptospirosis in Semarang City. The method used is to review various related literature and documents. The results of the study showed a cross-sector strengthening strategy in the form of a leptospirosis control month program. This program has been started since 2017. The leptospirosis control month activities were carried out simultaneously in September with the level of community participation in leptospirosis control month activities in 2017 reaching 93.79%. The results of the October 2018 assessment of the implementation of the Leptospirosis Control Month are seen, since this strategy was implemented, prevention of leptospirosis is not only owned by the government, but has expanded to become the property of Semarang City’s people. Evidently, as of October 2018 as many as 12.000 mice were captured by residents in order to participate in the prevention of leptospirosis. The key to the success of cross-sector strengthening in Semarang City is the gradual coordination and outreach of the month of leptospirosis control that was delivered well by the Semarang City Health Office, even though there was no specific budget, because it was delivered in conjunction with other activities. So another advantage of this cross-sector strengthening strategy is no budget or no special budget for this activity. Abstrak Kejadian leptospirosis di Kota Semarang kemunculannya cenderung fluktuatif tiap tahunnya. Dinas Kesehatan Kota Semarang kemudian menerapkan strategi penguatan peran lintas sektor untuk intervensi lingkungan sebagai terobosan baru dalam pengendalian leptospirosis di Kota Semarang. Nama kegiatan ini adalah Bulan Pengendalian Leptospirosis. Tujuan penelitian ini adalah menggambarkan strategi penguatan lintas sektor untuk intervensi lingkungan dalam sistem kewaspadaan dini leptospirosis di Kota Semarang. Metode yang digunakan adalah mengkaji berbagai literatur dan dokumen terkait. Hasil kajian menunjukkan strategi penguatan lintas sektor berupa program Bulan Pengendalian Leptospirosis. Program ini telah dimulai sejak tahun 2017. Kegiatan Bulan Pengendalian Leptospirosis dilakukan secara serentak pada bulan September dengan tingkat partisipasi masyarakat pada kegiatan Bulan Pengendalian Leptospirosis ini pada tahun 2017 mencapai 93,79%. Hasil penilaian Bulan Oktober 2018 dari penerapan Bulan Pengendalian Leptospirosis terlihat sejak strategi ini diterapkan, pencegahan penyakit leptospirosis bukan hanya milik pemerintah saja, namun telah meluas menjadi milik masyarakat Kota Semarang. Terbukti, hingga bulan Oktober 2018 sebanyak 12.000 tikus ditangkap oleh warga masyarakat dalam rangka berpartisipasi dalam pencegahan leptospirosis. Kunci keberhasilan penguatan lintas sektor di Kota Semarang ini adalah koordinasi dan sosialisasi bertahap tentang Bulan Pengendalian Leptospirosis yang tersampaikan dengan baik oleh Dinas Kesehatan Kota Semarang, meski tidak ada anggaran khusus, karena disampaikan bersamaan kegiatan yang lain. Sehingga kelebihan lain dari strategi penguatan lintas sektor ini no budget atau tidak ada anggaran khusus untuk kegiatan ini.
FAKTOR RISIKO PERILAKU MASYARAKAT PADA KEJADIAN LUAR BIASA LEPTOSPIROSIS DI KABUPATEN KEBUMEN TAHUN 2017
Diana Andriyani Pratamawati;
Ristiyanto Ristiyanto;
Farida Dwi Handayani;
Revi Rosavika Kinansi
Vektora : Jurnal Vektor dan Reservoir Penyakit Vol 10 No 2 (2018): Vektora : Jurnal vektor dan reservoir penyakit
Publisher : Balai Besar Penelitian dan Pengembangan Vektor dan Reservoir Penyakit (B2P2VRP) Salatiga
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DOI: 10.22435/vk.v10i2.1069
Local health agency in Kebumen Regency reported that an outbreak of leptospirosis occurred in the beginning 2017. Based on the data obtained from the agency showed that a total of 60 leptospirosis cases has been successfully investigated in Kebumen Regency for January – April 2017. Among those cases, 40 patients were reported positive RDT and 6 patients were died (CFR value =10,00). The aim of this study was to determine a relationship between behavioral factors of people in Kebumen Regency with occurrence of leptospirosis and the risk factor scale of the disease. The descriptive analytic study with case control design was applied. Samples were collected using the purposive sampling method and the number of sample observed in the present study was 42 people. All data were analysed using Chi Square and Odds Ratio (OR) calculation. The results revealed that three variables of people behaviour in Kebumen Regency had positive association to occurrence of leptospirosis. They were no foot protection (barefoot) when doing activity in the yard (OR=0,25) and paddy fields (OR=0,16). Another variable was open wound without any treatment or cover (OR=0,12). It is highly recommended that staffs from local health agency should educate people for wearing sandal or other foot protections properly, particularly for those who work in the yard and paddy field. The open wound must be covered and treated in order to prevent leptospira infection.
PERILAKU PENGGUNAAN DAN PERAWATAN KELAMBU LLINs PADA MASYARAKAT DAERAH ENDEMIS MALARIA KABUPATEN LEBAK PROVINSI BANTEN
Diana Andriyani Pratamawati;
Siti Alfiah;
Widiarti Widiarti
Vektora : Jurnal Vektor dan Reservoir Penyakit Vol 10 No 1 (2018): Vektora : Jurnal vektor dan reservoir penyakit
Publisher : Balai Besar Penelitian dan Pengembangan Vektor dan Reservoir Penyakit (B2P2VRP) Salatiga
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DOI: 10.22435/vk.v10i1.1079
The effectiveness of insecticide-treated nets are believed to reduce the prevalence of malaria is influenced by the behavior of people in their use , such as how to install and wash , in addition to duration of use . People's behavior can be different in each region with respect to culture , culture and ethnicity / ethnicity as a predisposing factor . The purpose of this study is to describe the behavior of people in the use of insecticide-treated nets ( LLINs ), such as the acceptance, use, washing and participation in the care of LLINs (program preservation).The study design was observational cross-sectional design. The instrument of this research is questionnaire and observation guidance of mosquito net. Samples are people with insecticide-treated nets in Lebak regency (Banten) were 81 respondents . Data were analyzed by descriptive. The results showed the level of knowledge about the use of mosquito nets in the category of " enough " (70,4 %) , with the majority being " support " the use of mosquito nets (65,4 %), and the practise of the use of mosquito nets were classified as " good " (58 %). The results also show the observation nets most respondents installing netting around the bed either owned or partially owned the bed.nowledge of the use of mosquito nets is not maximal and in the use of insecticide treated nets LLINs in a small number of respondents complained of heat and stifling, so it is necessary to evaluate the benefits of socialization activities and how to install and care of insecticide treated nets LLINs that have been done.
POTENSI PENULARAN MALARIA PADA PRAJURIT TENTARA NASIONAL INDONESIA (STUDI PADA BATALYON INFANTRI 411 KOTA SALATIGA)
Diana Andriyani Pratamawati;
Riyani Setiyaningsih;
Kusno Barudin;
Lulus Susanti;
Widiarti Widiarti
Vektora : Jurnal Vektor dan Reservoir Penyakit Vol 11 No 1 (2019): Vektora : Jurnal vektor dan reservoir penyakit
Publisher : Balai Besar Penelitian dan Pengembangan Vektor dan Reservoir Penyakit (B2P2VRP) Salatiga
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DOI: 10.22435/vk.v11i1.1594
Since 2016, there has been an increase in cases of malaria sufferers mostly from the Army Infantry Battalion 411 Pandawa based in Salatiga City. Based on data from the Salatiga District Health Service, number of cases reached 93 people who were positively malaria in 2016 and 84 positive cases in 2017. The purpose of this study was to determine the potential for malaria transmission to the the Indonesian Armed Forces (TNI) 411 Pandawa Battalion in Salatiga City. This research was a descriptive analytic type research with crossectional approach. The results of the study obtained a blood sample of 66 people and were willing to be interviewed. Chi-square test results are known to travel outside the area significantly associated with the incidence of malaria with a value of p <0,05. The results of this study interview, most of the soldiers were exposed to malaria while serving in the inland of Papua Province, in 2015. The results of blood tests found the Plasmodium vivax malaria parasite with a young trophozoite stage in the blood of three soldiers. The potential for transmission in the Infantry Battalion 411 in Salatiga City is nothing and the location of the soldier's dormitory does not reseptive because there are no malaria vectors.
IMPLEMENTASI PENGENDALIAN VEKTOR DBD DI PROVINSI JAWA TENGAH
Widiarti Widiarti;
Riyani Setiyaningsih;
Diana Andriyani Pratamawati
JURNAL EKOLOGI KESEHATAN Vol 17 No 1 (2018): JURNAL EKOLOGI KESEHATAN VOL 17 NO. 1 TAHUN 2018
Publisher : Puslitbang Upaya Kesehatan Masyarakat
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DOI: 10.22435/jek.17.1.116.20-30
ABSTRACT Central Java Province is one of the provinces with considerable dengue cases in Indonesia. One of the strategic efforts that have been implemented is controlling mosquitoes with fogging and larviciding with temephos at water reservoirs. However, cases remain increase or outbreaks occur in several districts/cities. The study was conducted to determine the causes of the high dengue fever cases in Central Java Province as to improve the implementation of such programs. Data related to the implementation of vector control were collected from various sources. The results showed that the PSN program in several districts did not optimally run because the community did not routinely do it. Larviciding with temephos was only carried out in the event of outbreaks and in the endemic areas. Fogging, which should be implemented in two cycles, was generally implemented only in one cycle due to limited insecticides availability and wide area coverage. It can be concluded that the high dengue fever cases in Central Java Province was caused by the gap between the program and the implementation in the field. Keywords: Dengue vector, larvaciding, sogging ABSTRAK Provinsi Jawa Tengah merupakan salah satu provinsi yang menyumbang kasus demam berdarah dengue (DBD) cukup besar di Indonesia. Salah satu upaya strategis yang telah dilakukan adalah mengendalikan nyamuk dengan pengasapan dan larvasidasi dengan temephos pada Tempat Penampungan Air (TPA). Upaya tersebut belum memberikan hasil yang optimal karena masih terjadi peningkatan kasus atau Kejadian Luar Biasa (KLB) di beberapa kabupaten/kota. Kajian secara deskriptif dilakukan untuk mendapatkan gambaran permasalahan tingginya kasus DBD di Provinsi Jawa Tengah dalam rangka perbaikan dan pengembangan kebijakan pengendalian vektor DBD. Data dan informasi yang dikumpulkan berupa dokumen yang meliputi pelaksanaan pemberantasan sarang nyamuk (PSN), larvasidasi yang dilakukan, fogging, dan data lain yang berkaitan dengan pengendalian vektor. Hasil kajian menunjukkan bahwa program PSN tidak berjalan optimal di beberapa kabupaten di Jawa Tengah karena masyarakat tidak melakukannya secara rutin. Larvasidasi dengan temephos hanya dilakukan pada saat terjadi KLB dan hanya di daerah endemis DBD. Fogging pada umumnya dilakukan hanya dalam satu siklus kehidupan vektor, yang mana seharusnya dilakukan dalam dua siklus. Hal ini disebabkan karena keterbatasan insektisida dan cakupan wilayah cukup luas. Dapat disimpulkan bahwa tingginya DBD di Provinsi Jawa Tengah disebabkan adanya kesenjangan antara program yang telah dicanangkan dengan implementasi di lapangan. Kata kunci: Vektor DBD, larvasidasi, pengasapan
KEJADIAN LUAR BIASA CHIKUNGUNYA DI KABUPATEN LOMBOK BARAT-NUSA TENGGARA BARAT DITINJAU DARI FAKTOR LINGKUNGAN RUMAH DAN PERILAKU
Diana Andriyani Pratamawati
SPIRAKEL Vol 9 No 1 (2017)
Publisher : Balai Penelitian dan Pengembangan Kesehatan Baturaja
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Abstract Provincial Health Office of West Nusa Tenggara (NTB) in 2010 have reported an increase in cases of Chikungunya in West Lombok regency as many as 223 patients. In 2011 (January-April) is still found Chikungunya patients in West Lombok district sporadically. The aim of research to provide an environment that is allegedly associated with the onset of outbreaks of chikungunya, and to know the level of knowledge, attitudes, and practice of local communities related to prevention chikungunya.Design analytic epidemiologic research with case-control study design, namely the survey time point in the study sample. Research Location in Lombok Barat West Nusa Tenggara (NTB) was conducted in April-May 2011. The total number of 132 samples consisting of a sample of 66 cases and controls 66. The results showed that chikungunya outbreaks in two villages in West Lombok regency have five factors play an important role among other factors productive age (15-49), factor in the type of work, a factor of mosquito breeders place, a factor of cloth hanging (curtain), and the factor of knowledge, attitude, practice (KAP) community about the chikungunya disease yet quite well. Need to increase the knowledge, attitudes, and practise of the community in the prevention of chikungunya through counseling / health promotion media intensive chikungunya prone season so expect the behavior patterns of society are not the cause of the recurrence of outbreaks of chikungunya in the future.
GAMBARAN DAERAH RESEPTIF MALARIA DI KECAMATAN SALAMAN KABUPATEN MAGELANG JAWA TENGAH
Diana Andriyani Pratamawati;
Lulus Susanti;
Sidiq Setyo Nugroho;
Mujiyono Mujiyono;
Ika Martiningsih
SPIRAKEL Vol 10 No 2 (2018)
Publisher : Balai Penelitian dan Pengembangan Kesehatan Baturaja
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Kasus malaria baru masih ditemukan di Kabupaten Magelang sepanjang tahun 2017. Kabupaten Magelang termasuk kawasan perbukitan Menoreh yang pada tahun 2014 telah menerima sertifikat bebas malaria, namun pada tahun 2015 kasus malaria meningkat hingga ditemukannya kembali kasus indigenous yaitu kasus yang penderitanya tidak pergi keluar desa/keluar pulau sebelum sakit. Sepanjang tahun 2015 hingga 2017 terus menerus ditemukan kasus positif malaria di Kabupaten Magelang baik kasus impor maupun indigenous. Tujuan penelitian untuk mendeskripsikan kendala survailans migrasi dalam peningkatan kasus malaria di Kabupaten Magelang tahun 2017. Penelitian ini menggunakan disain cross-sectional, lokasi penelitian di Kecamatan Salaman Kabupaten Magelang sebagai wilayah dengan kasus tertinggi malaria. Sampel yang diambil secara purposive dari semua pasien suspek malaria yang diperiksa Juru Malaria Desa pada bulan Januari-November 2017. Sampel terdiri dari kasus positif Plasmodium malaria dan sampel kontrol yang tidak sakit malaria serta sebanding umurnya dengan sampel kasus. Jumlah kasus dan kontrol dalam penelitian ini sebanyak 14 orang. Hasil penelitian menunjukkan kasus malaria di Kabupaten Magelang merupakan perpaduan kasus impor dan kasus indigenous. Sebagian besar penderita malaria berjenis kelamin laki-laki dengan umur < 45 tahun, serta pekerjaan paling banyak sebagai buruh di daerah Kalimantan Tengah. Wilayah Kabupaten Magelang dapat digolongkan sebagai daerah reseptif malaria dengan ditemukan berbagai spesies vektor malaria seperti Anopheles maculatus, An. balabacensis, An. vagus di sekitar kandang ternak di Desa Paripurno dan Desa Kalirejo. Keberadaan Juru malaria desa (JMD) dalam keberhasilan survailans migrasi di Kecamatan Salaman Kabupaten Magelang sangatlah penting, namun adanya keterbatasan jumlah JMD sementara daerah yang sulit dijangkau cukup luas menyebabkan kegiatan surveilans migrasi menjadi tidak optimal.
Pengobatan Malaria Kombinasi Artemisinin (ACT) di Provinsi Papua Barat Tahun 2013
Revi Rosavika Kinansi;
Rika Mayasari;
Diana Andriyani Pratamawati
BALABA: JURNAL LITBANG PENGENDALIAN PENYAKIT BERSUMBER BINATANG BANJARNEGARA Volume 13 Nomor 1 Juni 2017
Publisher : Balai Penelitian dan Pengembangan Kesehatan Banjarnegara Badan Litbangkes Kemenkes RI
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DOI: 10.22435/blb.v13i1.255
Malaria is still a disease with highest incidence rate in Indonesias. Based on Riskesdas 2013, the prevalence of malaria in West Papua was generally increasing. This study aimed to find the correlation of type of malaria found in blood examination and distribution status of ACT. Samples of data obtained by stratified random sampling from 1490 people who had suffered from malaria in West Papua. Data analysis using univariate descriptive and correlation analysis The result showed that the most common type of malaria was tertiana malaria caused by Plasmodium vivax (51%). Early detection performed within the first 24 hours when the patient is suffering from fever can be used as the basis for a policy that early detection can reduce malaria morbidity. It can be concluded ACT suitable for any type of malaria. The concistency of provision of ACT can be implemented by increasing public awareness of taking prophylactic. In addition the ideal combination antimalarial drugs be able to heal in a short time and if the patients performs the compliance of taking the drug, it will not be antimalarial resistance.
Faktor Perilaku yang Berhubungan dengan Hasil Pemeriksaan Jentik Pasca Keberadaan Surveilans Angka Bebas Jentik di Kecamatan Tembalang Kota Semarang
Diana Andriyani Pratamawati;
Widiarti Widiarti;
Wiwik Trapsilowati;
Riyani Setiyaningsih
BALABA: JURNAL LITBANG PENGENDALIAN PENYAKIT BERSUMBER BINATANG BANJARNEGARA Volume 15 Nomor 2 Desember 2019
Publisher : Balai Penelitian dan Pengembangan Kesehatan Banjarnegara Badan Litbangkes Kemenkes RI
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DOI: 10.22435/blb.v15i2.1327
Tembalang Subdistrict is still ranked as the first highest IR Dengue in Semarang City in 2014-2016. Incidence rate of dengue in Tembalang Sub District in 2016 was Dengue hemorrhagic fever (DHF) IR 166.89/100,000 population with Case Fatality Rate (CFR) 1.02%. The Semarang City Government has implemented PERDA No.5 of 2010 concerning DHF control with the establishment of special larvae monitoring officers namely Semantik (Semarang Bebas Jentik) and Gasurkes (Health Surveillance Officer) to conduct routine larval monitoring and socialize PSN-3M Plus. However, dengue cases in Tembalang District continue to exist.The purpose of the study was to identify behavioral factors related to monitoring larva presence in Tembalang District, Semarang City. This study is based on the cross sectional method, with quota sampling was used to recruit 100 respondents. The criteria for the case were the latest DHF cases recorded in the Semarang City Health Office Data (January to September 2017). Samples were taken in quota with 100 respondents. Data were analyzed by analytic descriptive using chi-square analysis and odds ratio. The results showed behavioral factors to monitor larvae routinely related to the results of larvae examination (p <0,05) with risk factors OR = 5,02 and form observations obtained ABJ in Tembalang District by 89% in 2017. This needs additional attention in the larva monitoring procedure by Semantics and Gasurkes. The more complete the quality of the larvae examination, the existence of larvae can be eradicated, so that the incidence of DHF can be prevented
Implementasi Program Pengendalian Demam Berdarah Dengue di Kabupaten Donggala Sulawesi Tengah Tahun 2014 (Studi Kasus di Puskesmas Wani dan Puskesmas Labuan)
Aryani Pujiyanti;
Anggi Septia Irawan;
Wiwik Trapsilowati;
Diana Andriyani Pratamawati;
Ayun Sriatmi
BALABA: JURNAL LITBANG PENGENDALIAN PENYAKIT BERSUMBER BINATANG BANJARNEGARA Volume 16 Nomor 1 Juni 2020
Publisher : Balai Penelitian dan Pengembangan Kesehatan Banjarnegara Badan Litbangkes Kemenkes RI
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DOI: 10.22435/blb.v16i1.2309
The Donggala District Government has made efforts to control Dengue Hemorrhagic Fever (DHF), however based on the number of cases, and free larvae rates, DHF is still a public health threat in this area. The study aimed to evaluate the implementation of DHF control program in Donggala Regency. This was an evaluative descriptive qualitative research with a case study design. Research location in Donggala Regency, Central Sulawesi Province. Data was collected from September to October 2014 using a purposive sampling technique. Data validity carried out by source triangulation while data analysis was conducted by manually using content analysis. The informants were 10 persons from DHF control program staffs. Data was collected using in-depth interviews and document studies. The results showed that the budjet allocation on implementation of the DHF control program was lower than other infectious diseases. Cross-program collaboration has been carried out properly, however It is required more cross-sector collaboration for mosquito control program activities. From the output of program, the incidence rate (IR) of Donggala Regency was lower than IR of Central Sulawesi Province. Both Primary Health Care with low and high cases turn to have free larva index below 95% and those values tend to decrease in 2011-2012. Donggala District Health Office should increase the health promotion of DHF control through cross-sector collaboration and community to seek more awareness to the risks of transmission and improve dengue prevention.