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All Journal Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) JURNAL KESEHATAN PERINTIS PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Indonesian Journal of Health Sciences Research and Development (IJHSRD) Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks Jurnal Kesmas Jambi Jurnal Keselamatan Kesehatan Kerja dan Lingkungan Promotor: Jurnal Mahasiswa Kesehatan Masyarakat Jurnal Ilmu Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Frontiers on Healthcare Research Jurnal Kesehatan
Ratno Widoyo, Ratno
Universitas Andalas
Computer Science & IT Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Factors Associated with Mortality Among Patients with Drug-Resistant Pulmonary Tuberculosis in Sumatera, Indonesia, 2020–2024 Wahyuni, Fajriani Dwi; Widoyo, Ratno; Syafrawati, Syafrawati
Jurnal Kesmas Jambi Vol. 10 No. 1 (2026): VOLUME 10 - NUMBER 1 - March 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i1.55369

Abstract

Drug-resistant tuberculosis (DR-TB) remains a major public health problem due to its high mortality and low treatment success rates. Sumatra is one of the regions in Indonesia with a high burden of DR-TB mortality. This study aimed to analyze factors associated with mortality among patients with drug-resistant pulmonary tuberculosis in Sumatra during 2020–2024. This study used a quantitative analytical observational design with a retrospective cohort approach utilizing secondary data from the Tuberculosis Information System (SITB) of the Ministry of Health of Indonesia. A total sampling technique was applied to all eligible DR-TB patients. The dependent variable was mortality during treatment, while independent variables included age, sex, employment status, HIV status, type of health facility, residential area, and treatment history. Data were analyzed using univariate, bivariable, and multivariable analyses. Multivariable analysis was performed to identify factors associated with mortality after adjustment for confounding factors. The results showed that age and treatment history were significantly associated with mortality (p<0.05). Patients aged ≥45 years had a 1.60 times higher risk of death compared to younger patients, while previously treated patients had a 1.32 times higher risk of mortality compared to new cases. Other variables were not significantly associated with mortality. These findings highlight the importance of closer monitoring among older and previously treated DR-TB patients.
Determinants of Treatment Success Among Drug Resistant Tuberculosis Patients in West Sumatra, Indonesia: a Retrospective Cohort Study (2017–2021) Widoyo, Ratno; Djafri, Defriman; Triana, Vivi; Salsabila, Anisa
Jurnal Kesmas Jambi Vol. 10 No. 2 (2026): VOLUME 10 - NUMBER 2 - July 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i2.55473

Abstract

Treatment success rates remain below the national target in Indonesia. This study aims to identify individual characteristics and health facility-level factors associated with treatment success among Drug-resistant tuberculosis (DR-TB) patients in West Sumatra. A retrospective cohort study encompassing DR-TB patients treated in West Sumatra between 2017 and 2021 was undertaken. Univariate, bivariate, and multivariate analyses are used to evaluate the association between facility-level factors, individual characteristics, and treatment outcomes. The analysis indicated a heightened propensity for successful treatment among male patients and those within younger age cohorts. Patients treated in district-level hospitals were more likely to achieve successful treatment outcomes than those treated in city-based hospitals. Furthermore, patients referred from other facilities to a different district hospital had significantly higher odds of success than those who received care at a single facility throughout their treatment. Younger Age, male gender, district hospital, and patients referred for DR-TB are likely to achieve treatment success. Besides individual characteristics, decentralized care and structured referral systems need improvement. Consequently, the prioritization of inter-facility coordination reinforcement and the augmentation of district hospital capacities are imperative within provincial tuberculosis control strategies.
Hubungan Timbulan Sampah dan Faktor Risiko Lingkungan dengan Kejadian Demam Berdarah Dengue di Provinsi Sumatera Barat Tahun 2021-2024 Salsabila Syafni Aulia; Ratno Widoyo; Kamal Kasra3
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.59279

Abstract

Timbulan sampah ditengarai menjadi breeding place nyamuk Aedes aegypti sebagai vektor penular penyakit demam berdarah (DBD). Tingginya angka timbulan sampah di duga dapat berpotensi meningkatnya kasus DBD. Penelitian ini bertujuan untuk melihat hubungan timbulan sampah dan faktor risiko lingkungan dengan kejadian DBD di Provinsi Sumatera Barat tahun 2021-2024. Desain studi ekologi digunakan untuk menjelaskan hubungan antara timbulan sampah dengan kejadian DBD pada tingkat kabupaten/kota di Provinsi Sumatera Barat Tahun 2021-2024. Variabel lain yang turut diteliti adalah temperatur, kelembapan, kecepatan angin dan curah hujan. Data diperoleh dari SIPSN Dinas Lingkungan Hidup, Dinas Kesehatan Provinsi dan NASA’s POWER. Pengolahan dan analisis data dilakukan melalui tahapan cleaning, editing, dan processing data. Analisis data menggunakan uji regresi poisson dengan batas signifikansi p < 0,05. Model faktor risiko terbaik dipilih berdasarkan model dengan nilai AIC terendah. Hasil penelitian menunjukkan adanya hubungan timbulan sampah dengan kejadian  DBD. Variabel lain yang juga berhubungan dengan kejadian DBD adalah suhu, kecepatan angin dan curah hujan. Perlunya pengelolaan sampah dengan 3R (Reduce, Reuse, dan Recycle) di rumah tangga dalam menekan angka timbulan sampah dan pelaksanaan PSN yang berbasis indikator IKLIM untuk menekan perkembang biakan nyamuk.
Risk Factors for Pulmonary Tuberculosis Incidents in the Working Area of the Panyabungan Jae Public Health Center, Mandailing Natal Regency in 2025 Ahmad Fadil Rangkuti; Sri Siswati; Ratno Widoyo
PROMOTOR Vol. 9 No. 4 (2026): AGUSTUS
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i4.2845

Abstract

This study aims to analyze risk factors associated with the incidence of Drug-Sensitive Pulmonary Tuberculosis in the Panyabungan Jae Community Health Center (Puskesmas) working area, Panyabungan District, Mandailing Natal Regency. This study was conducted quantitatively with a case-control design. This study included 50 TB patients as cases and 50 non-patients as controls selected using simple random sampling techniques. Data were analyzed using the chi-square test and multiple logistic regression. The results showed that education level, room ventilation, and room lighting were significantly associated with the incidence of Drug-Sensitive Pulmonary TB. Meanwhile, age, gender, smoking status, history of diabetes mellitus, and residential density did not show a significant association. Room lighting was the dominant factor in the incidence of Drug-Sensitive Pulmonary TB. TB transmission is likely due to close contact; poor room lighting increases the probability of contracting Drug-Sensitive TB. Education for TB patients is needed regarding the increased risk of transmission due to poor environmental conditions.
Faktor Perilaku Mengikuti Skrining Tuberkulosis pada Kontak Serumah Annisa Nurul Habibah; Ade Suzana Eka Putri; Ratno Widoyo; Syafrawati Syafrawati
JURNAL KESEHATAN PERINTIS Vol. 12 No. 2 (2025): Jurnal Kesehatan Perintis
Publisher : LPPM UNIVERSITAS PERINTIS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33653/16fkc456

Abstract

Pencapaian angka penemuan kasus tuberkulosis di Kota Padang masih rendah, yaitu pada tahun 2022 sebesar 66,4% dari target 90%. Dalam pelaksanaan penemuan kasus secara aktif, ditemukan kontak serumah yang belum mengikuti skrining tuberkulosis. Tujuan penelitian ini untuk mengetahui faktor-faktor yang mempengaruhi perilaku mengikuti skrining tuberkulosis pada kontak serumah di Kota Padang. Jenis penelitian adalah kuantitatif dengan desain studi cross sectional, dilakukan di Kota Padang pada bulan Mei-Juni 2024. Populasi adalah kontak serumah dari penderita tuberkulosis paru tahun 2024 dengan sampel sebanyak 82 orang. Pengambilan sampel dilakukan dengan teknik multistage random sampling. Pengumpulan data dilakukan melalui wawancara dengan menggunakan kuesioenr sebagai instrumen penelitian. Analisis data menggunakan uji Chi-square untuk analisis bivariat dan uji regresi logistik untuk analisis multivariat. Hasil penelitian menunjukkan bahwa variabel yang memiliki hubungan dengan perilaku mengikuti skrining tuberkulosis pada kontak serumah dengan p-value<0,05, yaitu perceived susceptibility, perceived severity, perceived benefits, perceived barriers, jarak ke Fasyankes, dan mendapatkan informasi. Hasil analisis multivariat menunjukkan bahwa faktor yang paling dominan dengan perilaku mengikuti skrining tuberkulosis pada kontak serumah adalah perceived benefits (p-value<0,0001, POR = 132, CI 95%= 11-1582). Diharapkan Dinas Kesehatan Kota Padang dan Puskesmas untuk melakukan upaya penyebaran informasi, edukasi, dan pembentukan persepsi akan pentingnya skrining tuberkulosis bagi kontak serumah penderita tuberkulosis untuk mendeteksi dini dan memutus mata rantai penularan.
Psychosocial and Clinical Determination of Quality of Life of Breast Cancer Patients at dr. Adnaan WD Payakumbuh Regional Hospital in 2026 Iwan Gusmana, Azzahra; Gusta Anggraini Nursal, Dien; Widoyo, Ratno
Jurnal Kesmas Jambi Vol. 10 No. 2 (2026): VOLUME 10 - NUMBER 2 - July 2026
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v10i2.57061

Abstract

Breast cancer is a leading cause of female mortality in Indonesia. The majority of women with breast cancer face physical and psychological pressures such as the fear of death, changes in body image, and fatigue during treatment, which seriously impact their psychological health and quality of life. Globally, the prevalence of depression among women with breast cancer is estimated to be around 30.2%, and breast cancer patients have a higher incidence of depression compared to patients with other malignant tumors. This study aims to determine the association between depression and quality of life (QoL) in 40 patients at RSUD dr. Adnaan WD Payakumbuh. This cross-sectional study employed non-probability sampling and structured interviews. We performed univariate, bivariate (chi-square), and multivariate (logistic regression) analysis. Results indicate significant associations between QoL and depression (p<0.001), age (p=0.003), occupation (p=0.028), stage (p=0.019), and treatment duration (p=0.037). Conversely, education (p=0.811) and treatment type (p=0.970) show no significant relationship. Duration and age emerged as dominant predictors in the relationship between depression and QoL of breast cancer patients at RSUD dr. Adnaan WD Payakumbuh in 2026. We recommend routine depression screenings for early psychological intervention. In addition, continuous health education regarding the disease, treatment, and ways to manage therapy side effects is necessary so that patients are better prepared for long-term treatment.
THE RELATIONSHIP BETWEEN COMMUNITY BEHAVIOR IN WASTE MANAGEMENT AND THE INCIDENCE OF DENGUE HEMORRHAGIC FEVER IN INDONESIA: A SYSTEMATIC REVIEW : COMMUNITY BEHAVIOR IN WASTE MANAGEMENT Salsabila Syafni Aulia; Ratno Widoyo; Kamal Kasra
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 8 No. 1 (2026): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol8.Iss1/378

Abstract

Background: Trash containers can potentially serve as breeding sites for mosquitoes that transmit dengue hemorrhagic fever. This study aims to examine the relationship between community waste management practices and the incidence of dengue hemorrhagic fever in Indonesia. Methods: A systematic review was conducted using the PRISMA approach on articles published between 2020 and 2025. Literature searches were performed using the PubMed, ScienceDirect, and Google Scholar databases, yielding five articles that met the inclusion criteria. Results: The findings indicate a significant association between community behavior in waste management and the incidence of dengue hemorrhagic fever. Communities that do not implement proper waste management practices are at a higher risk of developing dengue fever compared to those that do. Conclusion: Therefore, the application of the 3R principles (Reduce, Reuse, and Recycle) is strongly recommended to minimize potential breeding sites for Aedes aegypti mosquitoes.
Determinan Sosial dengan Dropout Imunisasi DPT pada Anak: Sistematic Review dan Meta-Analisis Afifah Hanum Harahap; Yessy Markolinda; Ratno Widoyo
JIKES : Jurnal Ilmu Kesehatan Vol. 5 No. 1 (2026): Juli-Desember 2026
Publisher : Yayasan Pendidikan Tanggui Baimbaian

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71456/jik.v5i1.2591

Abstract

Imunisasi DPT merupakan salah satu upaya penting dalam mencegah penyakit difteri, pertusis, dan tetanus pada anak. Namun, dropout imunisasi masih menjadi masalah di berbagai negara, dengan sekitar 6,2 juta anak telah menerima dosis pertama (DPT1) tapi tidak melanjutkan hingga dosis ketiga (DPT3). Hasil penelitian mengenai determinan sosial dropout imunisasi DPT masih beragam. Penelitian ini bertujuan menganalisis hubungan determinan sosial dengan dropout imunisasi DPT pada anak melalui systematic review dan meta-analisis. Penelitian ini merupakan kuantitatif observasional dengan desain systematic review dan meta-analisis. Literatur ditelusuri melalui database PubMed, EBSCO, dan ScienceDirect pada periode 2021-2026. Analisis dilakukan menggunakan RStudio dengan random-effects model. Sebanyak 27 studi masuk dalam systematic review dan 14 studi dianalisis secara kuantitatif. Hasil meta-analisis menunjukkan bahwa pendidikan ibu rendah (OR = 1,84; 95% CI: 1,52–2,22), status ekonomi keluarga rendah (OR = 1,69; 95% CI: 1,48–1,92), dan tempat tinggal di perdesaan (OR = 1,78; 95% CI: 1,22–2,60) berhubungan dengan dropout imunisasi DPT. Pendidikan ibu, status ekonomi keluarga, dan tempat tinggal berhubungan dengan dropout imunisasi DPT pada anak. Temuan ini menunjukkan perlunya perhatian terhadap faktor sosial dalam penguatan pelayanan imunisasi, terutama pada kelompok yang menghadapi hambatan akses.
Co-Authors Ade Suzana Eka Putri Afifah Hanum Harahap Ahmad Fadil Rangkuti Aljutri, Aljutri Alkamdani, Riki Amirah Zatil Izzah Ane Dayu Perwati Annisa Nurul Habibah Aria Gusti Aulia Putri Azeny, Claudya Putri Defriman Djafri Dewi, Novi Putriana Diastanti, Yunita Fadhillah, M. Fadhillah Fauzi, Falah Fauziah Elytha Finny Fitry Yani Iwan Gusmana, Azzahra Kamal Kasra Kamal Kasra3 Markolinda, Yessy Masrizal Masrizal Nurul Hudha Fadhila Putri Rahmadani, Putri Salsabila Syafni Aulia Salsabila, Anisa Sari, Melsi Pita Setiawati, Santi Sherly Febria Utami Sri Siswati Suci Muchtariza Syafrawati Ul-Humami, Auliya Umri, Zahriatil Vivi Triana Wahyuni, Fajriani Dwi Yeffi Yeffi Masnarivan Yessi Markolinda Yessy Markolinda