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I Made Subrata, I Made
Sekolah Tinggi Pariwisata Nusa Dua, Bali
Religion Humanities Civil Engineering, Building, Construction & Architecture Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Risk Factor Analysis of Soil-Transmitted Helminth Infections among Scavengers at the Denpasar City Landfill – Bali Daniel, Elvera Sukma; Subrata, I Made; Sawitri, Anak Agung Sagung; Bekti, Heri Setiyo
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.2536

Abstract

Background: Soil-transmitted helminth (STH) infection is a public health concern, particularly in developing countries, including Indonesia. Scavengers are a high-risk group due to their direct contact with garbage that is potentially contaminated with worm eggs. This study aims to determine the prevalence of STH infection and risk factors associated with STH infection among scavengers at a landfill in Denpasar, Bali. Methods: This research approach was an observational study with a cross-sectional design involving 101 scavengers as respondents. Data were collected through interviews using questionnaires, observation of personal hygiene behavior, and nail clipping examination to detect the sedimentation concentration method. Results: The results showed that the prevalence of STH infection was 37.6%. Factors significantly associated with STH infection were knowledge and nail hygiene. Meanwhile, hand washing habits, footwear use, personal hygiene, environmental sanitation, and deworming medication did not show a significant association. Conclusion:  These results emphasize the importance of enhancing knowledge and nail hygiene practices as a means of preventing STH infections. Continuous health education as a means of promoting clean and healthy living habits among scavengers need to be improved as a preventive measure to reduce the risk of STH transmission
DEVELOPMENT OF A DIGITAL SURVEILLANCE SYSTEM FOR EARLY DETECTION OF LEPTOSPIROSIS IN BALI: Pengembangan Sistem Surveilans Digital Untuk Deteksi Dini Leptospirosis di Bali Ayu Ari Shinta Dewi, I Dewa Agung; Subrata, I Made; Putri Agustini, Putu; Surya Pratama, I Gusti Ngurah Agung; Anom Harjana, Ngakan Putu; Gede Purnama, Sang; Muhammad Dary Mufa, Romy
Jurnal Berkala Epidemiologi Vol. 14 No. 1 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I12026.34-43

Abstract

Background: According to the Early Warning Alert and Response System (EWARS) report, five suspected cases of leptospirosis have been reported in Bali Province, including one in Tabanan Regency and four in Denpasar City. However, surveillance activities are still conducted manually using paper-based methods, which leads to issues such as incomplete reports, duplicate data entry, and limited data access. Purpose: This study aims to design a digital epidemiological surveillance system integrated with rat sentinel surveillance as an early detection tool for leptospirosis in Bali Province. Methods: The study employed a Research and Development (R&D) design, with prototype development using the System Development Life Cycle (SDLC) model. Data were collected through interviews and questionnaires with 33 surveillance officers from health departments in Denpasar and Tabanan, selected purposively. Data collection took place from August 2023 to March 2024. Results: The surveillance officers responded positively to the system design. The perceived usefulness, ease of use, ease of learning, and user satisfaction were 82%, 81%, 83%, and 83%, respectively. The overall usability score reached 82%, categorized as “highly feasible.” Conclusion: The leptospirosis surveillance system design was well received by surveillance officers and has strong potential to be implemented as an early detection tool in Bali.
Pengaruh Kecerdasan Emosional Terhadap Kemampuan Komunikasi Interpersonal Petugas Pelacakan Kontak (Tracer) COVID-19 di Provinsi Bali Dewi, Ni Putu Shinta Utari; Wulanyani, Ni Made Swasti; Subrata, I Made; Widnyana, Komang Tri Yudartha
Jurnal Yoga dan Kesehatan Vol 9 No 1 (2026)
Publisher : UHN IGB Sugriwa Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25078/jyk.v9i1.5787

Abstract

Pelaksanaan pelacakan kontak COVID-19 di Provinsi Bali belum berjalan optimal, meskipun merupakan salah satu strategi utama dalam pengendalian penularan. Penelitian ini bertujuan untuk menganalisis pengaruh kecerdasan emosional terhadap kemampuan komunikasi interpersonal petugas pelacakan kontak (tracer) COVID-19 di Kota Denpasar, Kabupaten Badung, dan Kabupaten Gianyar. Penelitian ini menggunakan desain cross-sectional dengan melibatkan petugas tracer di puskesmas pada ketiga wilayah tersebut. Sampel sebanyak 121 responden dipilih menggunakan teknik total sampling (non-probability sampling). Data dikumpulkan menggunakan kuesioner elektronik yang telah diuji validitas dan reliabilitasnya, kemudian dianalisis menggunakan analisis deskriptif serta regresi linier sederhana dan berganda. Hasil penelitian menunjukkan bahwa sebagian besar responden berjenis kelamin perempuan (81,0%), berusia ≤26 tahun (60,3%), belum menikah (53,7%), berpendidikan sarjana (54,4%), dan memiliki masa kerja ≤3 tahun (58,7%). Mayoritas responden memiliki tingkat kecerdasan emosional yang tinggi serta kemampuan komunikasi interpersonal yang sangat tinggi (61,2%). Analisis menunjukkan bahwa kecerdasan emosional, masa kerja, dan wilayah kerja berpengaruh positif dan signifikan terhadap kemampuan komunikasi interpersonal. Dibandingkan dengan Kota Denpasar, kemampuan komunikasi interpersonal di Kabupaten Badung dan Kabupaten Gianyar masing-masing lebih rendah sebesar 5,063 dan 8,015. Meskipun demikian, tingginya kemampuan komunikasi interpersonal secara individu belum sepenuhnya sejalan dengan capaian pelacakan kontak di lapangan yang masih rendah. Hal ini menunjukkan adanya faktor lain di luar individu yang turut memengaruhi keberhasilan pelaksanaan pelacakan kontak. Oleh karena itu, selain peningkatan kapasitas individu melalui pelatihan kecerdasan emosional dan komunikasi interpersonal, diperlukan pula penguatan sistem serta peningkatan kepercayaan masyarakat guna mendukung efektivitas program pelacakan kontak COVID-19. Kata Kunci: Kecerdasan Emosional, Kemampuan Komunikasi Interpersonal, Petugas Pelacakan Kontak (Tracer), COVID-19
Diphtheria Transmission Amid High Immunization Coverage Adnyani, Ni Kadek Mita Dwi; Subrata, I Made; Adi, Putu Dwi
Media Karya Kesehatan Vol 9, No 1 (2026): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v9i1.67076

Abstract

Diphtheria is an infectious disease caused by Corynebacterium diphtheriae that can lead to various complications, including death in individuals with incomplete immunization status. The province of Bali, particularly Jembrana, is an area with high population mobility where diphtheria cases are rarely reported. However, in 2025, one suspected case of diphtheria was identified, necessitating an investigation to determine the source of transmission. The investigation was conducted as a descriptive observational study using a case study approach. Data were collected through field investigations, clinical examinations, and laboratory tests. Based on the investigation results, this was the first reported case in the past three years, occurring on March 13, 2025. The case occurred in Jembrana, the gateway to the island of Bali, which has high population mobility. The patient was a 7 year old boy with a complete immunization status; however, he had a history of close contact with family members who had recently returned from an area with a history of a diphtheria outbreak, making him a potential asymptomatic carrier. Laboratory testing using culture methods yielded negative results, likely due to delayed sample submission and reduced bacterial viability, preventing growth on the culture medium. Under these conditions, the RT-qPCR method has the potential to detect the presence of Corynebacterium diphtheriae DNA even when culture results are negative. Vaccination status acts as a protective factor, but does not completely prevent infection. The most significant factor in transmission is close contact with family members who have a history of travel to areas with diphtheria outbreaks, with the possible involvement of asymptomatic carriers. Management of suspected diphtheria cases requires the immediate administration of Anti-Diphtheria Serum (ADS). These findings underscore the need to strengthen active surveillance, regular monitoring, and public education to prevent an increase in cases.Keywords: Diphtheria, immunization, Corynebacterium diphtheriae, asymptomatic carrier.
Co-Authors Abiseka Adi, Putu Dwi Adnyani, Ni Kadek Mita Dwi Anom Harjana, Ngakan Putu Ayu Ari Shinta Dewi, I Dewa Agung Azmy, Liza Ulil Daniel, Elvera Sukma Dewi, Ni Putu Shinta Utari Dharmayanthi, Ni Made Siwi Dhiya Ulhaq Fauzan Dianasari, Dewa Ayu Lily Dianasari, Dewa Ayu Made Lily Gede Purnama, Sang Heri Setiyo Bekti Herry Purnama, Herry I Gusti Ayu Rai I Nengah Suka Widana I Wayan Budiyasa I Wayan Suanda Mandur, Yulianus Muhammad Dary Mufa, Romy Negarayana, Ida Bagus Putra Ni Luh Putu Suariyani Ni Made Suasti Wulanyani Nuryanti, Ni Made Pertiwi, Luh Ayu Cahya Purnama Ningsih Putri , Ni Nyoman Elsa Cahyani Ariani Putri Agustini, Putu Raditya, Dyota Fajar sang gede purnama Sawitri, Anak Agung Sagung Sukariyanto, I Gede Made Surya Pratama, I Gusti Ngurah Agung Venansia Nina Widnyana, Komang Tri Yudartha Wijaya, I Gusti Ngurah Agung Rama Wijayanti, Ni Made Ayu Wulan Sri Wijayanti, Ni Made Ayu Wulan Sri