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All Journal Media Kesehatan Masyarakat Indonesia Jurnal Kesehatan Masyarakat JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) Jurnal Kesehatan Komunitas Jurnal Epidemiologi Kesehatan Komunitas Berita Kedokteran Masyarakat Preventif : Jurnal Kesehatan Masyarakat
Aditya Lia Ramadona
Universitas Gadjah Mada
Health Professions Nursing Public Health

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Analisis Temporal dan Spasial Faktor Cuaca dengan Kasus Leptospirosis di Kota Semarang Tahun 2012-2021 Karina Mutia Safera; Hari Kusnanto; Aditya L Ramadona; Wiwik Dwi Lestari
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 22, No 1 (2023): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.22.1.1-6

Abstract

Latar belakang: Perubahan cuaca yang terjadi saat ini disebabkan oleh meningkatnya konsentrasi Gas Rumah Kaca dan dapat merubah elemen suhu, kelembaban, dan curah hujan. Meningkatnya iklim ekstrim basah menyebabkan beberapa daerah menjadi rawan banjir dan menjadi penyebab penyakit bawaan air seperti Leptospirosis. Tujuan penelitian ini yakni melihat hubungan temporal dan spasial faktor cuaca (suhu, kelembaban, curah hujan), kejadian banjir dengan kasus leptospirosis di Kota Semarang serta melihat prediksinya.Metode: Data cuaca, kejadian banjir dan kasus leptospirosis selama 10 tahun (2012-2021) di dapatkan dari Stasiun Klimatologi Kelas 1 Semarang, Badan Pengendali Bencana Daerah Kota Semarang, dan Dinas Kesehatan Kota Semarang. Data temporal maupun spasial diolah menggunakan program R. Analisis menggunakan time lag 1 bulan – 3 bulan.Hasil: Analisis statistik menunjukkan bahwa suhu lag 1 bulan, kelembaban lag 1 bulan, curah hujan lag 2 bulan, kejadian banjir lag 1 bulan berhubungan dengan kasus leptospirosis di Kota Semarang. Pola temporal menunjukkan pola yang simetris yakni apabila kasus naik maka kelembaban lag 1, curah hujan lag 2, kejadian banjir lag 1 mengalami kenaikan sedangkan untuk suhu mengalami pola terbalik. Sedangkan pola spasial menunjukkan ada hubungan yang konsisten pada tingkat kecamatan di Kota Semarang selama 10 tahun. Faktor cuaca dan kejadian banjir juga bisa menjadi prediktor kasus leptospirosis 1 bulan kedepan dengan tingkat RMSE 5.36%.Simpulan: Faktor Cuaca dan Kejadian Banjir memiliki hubungan dengan adanya Kasus Leptospirosis di Kota Semarang dan dapat menjadi prediktor selama 1 bulan kedepan.Kata kunci: cuaca, banjir, leptospirosis, spasial, temporal ABSTRACTTitle: Temporal and Spatial Analysis of Weather Factors with Cases of Leptospirosis in Semarang City 2012-2021Background: Current weather changes are caused by increased concentrations of greenhouse gases and can change the elements of temperature, humidity, and rainfall, The increasing extreme wet climate causes some areas to become prone to flooding and becomes the cause of water borne diseases such as Leptospirosis. The purpose of this study is to analyze the temporal and spatial relationship of weather factors (temperature, humidity, rainfall), flooding with cases of leptospirosis in Semarang City and see the predictions.Method: Weather data, flooding and leptospirosis cases for 10 years (2012-2021) obtained from Semarang Class 1 Climatology Station,  Semarang City Regional Disaster Control Agency and Semarang City Health Office. Temporal and spatial data are processed using the R program. Analysis uses a time lag of 1 month – 3 months.Result: Statistical analysis shows that temperature lag 1 month, humidity lag 1,rainfall lag 2 month, flood lag 1 month associated with cases of leptospirosis in Semarang City. Temporal patterns show a symmetrical pattern that is if the case rises then humidity lag 1, precipitation lag 2, the incidence of flooding lag 1 increase while for temperature experiences an inverse pattern. Meanwhile, spatial patterns shows that there is a consistent relationship at the sub-district level in Semarang City for 10 years. Weather factors and the incident of flooding can also be predictors of leptospirosis cases in the next 1 month with a RMSE rate of 4.92%.Conclusion: Weather Factors and Flood Events have a relationship with the existence of Leptospirosis Cases in Semarang City and can be a predictor for the next 1 month.Keywords: weather, flood, leptospirosis, spatial, temporal
Mengukur Perilaku Manusia dalam Skala Besar dan Secara Real-time: Studi Kasus Pola Mobilitas Penduduk dan Fase Awal Pandemi COVID-19 di Indonesia Aditya Lia Ramadona; Risalia Reni Arisanti; Anis Fuad; Muhammad Ali Imron; Citra Indriani; Riris Andono Ahmad
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i2.16646

Abstract

Background: Good decisions in policy-making rely on acquiring the best possible understanding at the fast pace of what is happening and what might happen next in the population. Immediate measurements and predictions of disease spread would help authorities take necessary action to mitigate the rapid geographical spread of potential emerging infectious diseases. Unfortunately, measuring human behavior in nearly real-time, specifically at a large scale, has been labor-intensive, time-consuming, and expensive. Consequently, measurements are often unfeasible or delayed in developing in-time policy decisions. The increasing use of online services such as Twitter generates vast volumes and varieties of data, often available at high speed. These datasets might provide the opportunity to obtain immediate measurements of human behavior. Here we describe how the patterns of population mobility can be associated with the number of COVID-19 cases and, subsequently, could be used to simulate the potential path of disease spreading.Methods: Our analysis of country-scale population mobility networks is based on a proxy network from geotagged Twitter data, which we incorporated into a model to reproduce the spatial spread of the early phase COVID-19 pandemic in Indonesia. We used aggregated province-level mobility data from January through December 2019 for the baseline mobility patterns from DKI Jakarta as the origin of the 33 provinces' destinations in Indonesia.Result: We found that population mobility patterns explain 62 percent of the variation in the occurrence of COVID-19 cases in the early phases of the pandemic. In addition, we confirm that online services have the potential to measure human behavior in nearly real time.Conclusion: We believe that our work contributes to previous research by developing a scalable early warning system for public health decision-makers in charge of developing mitigation policies for the potential spread of emerging infectious diseases.
Relationship of Environmental Factors with Leptospirosis Incidence in Southeast Asia Dwisiswanarum, Bella; Umniyati, Sitti Rahmah; Qaimumanazalla, Hayu; Wiratama, Bayu Satria; Ramadona, Aditya Lia
Jurnal Kesehatan Masyarakat Vol 19, No 4 (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.v19i4.45761

Abstract

Southeast Asia is a leptospirosis endemic with the highest estimated incidence of cases. This type of research is a systematic review using the PRISMA. These search results found 2.322 research articles and only thirteen articles that matched the research criteria. Two articles discussed the relationship between sewer conditions and the incidence of leptospirosis, one article discussed the relationship between the presence of trash bins and the incidence of leptospirosis, nine articles discussed the presence of rats and the incidence of leptospirosis, and one article discussed standing water and the incidence of leptospirosis. There is a relationship between the presence of trash bins, the presence of rats, and standing water and the incidence of leptospirosis in Indonesia, Thailand, and Malaysia and there is no relationship between sewer conditions in Thailand and Indonesia.
Analisis Konten Rokok di Situs Web Berbagi Video YouTube: User Engagement Analysis Ramadona, Aditya; Mellen, Renie Cuyno; Najiyati, Ifa; Farahdilla, Zakiya Ammalia; Padmawati, Retna Siwi
Jurnal Kesehatan Komunitas Vol 9 No 3 (2023): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol9.Iss3.1569

Abstract

Penetration of the internet and social media in Indonesia is increasing, with the most significant percentage of its users coming from the youth. The internet and social media can be a medium for promoting and selling products to youth. This study aimed to identify and describe videos potentially suggested when users enter the keyword "rokok" in a search on YouTube. We hypothesized that tobacco-related videos on YouTube could contain materials that either refer to (1) tobacco advertising, promotion, and sponsorship (TAPS); or (2) Non-TAPS categories. Both types of materials could have different engagement from the viewers. A YouTube search was performed in October 2022, and we only consider the videos published during June 2022. We assigned our team to classify the video content to the TAPS and Non-TAPS categories based on its title and description. We analyzed the number of views, likes, and comments of each video descriptively. We obtained 210 videos and excluded 24 videos unrelated to the study objectives in terms of the context or the language used. Most videos are related to TAPS (84%), and very few contain Non-TAPS (16%), in particular anti-smoking, including Public Service Advertisements (3%). Non-TAPS-related videos were mainly published by News Channels and the Government Public Relations Office Channels (57%), while individuals, including MSMEs and retailers, seemingly published most TAPS-related videos (78%). In addition, TAPS-related videos tend to have a higher number of likes and comments from viewers. YouTube is a potential medium to attract viewers and promote health, but TAPS-related videos are much easier to find. Public health agencies should establish a more significant presence on YouTube to reach more people and engage in broader partnerships to promote health educational material.
Analysis of diarrhea cases based on weather elements in Yogyakarta City 2017-2021 Ramadhanti, Inas Tri; Kusnanto, Hari; Ramadona, Aditya Lia
BKM Public Health and Community Medicine Vol 41 No 01 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i01.8273

Abstract

Purpose: The objective of this study is to determine the relationship between weather elements (such as rainfall, temperature, humidity, and sunshine duration) with cases of diarrhea, as well as to map the areas vulnerable to diarrhea in Yogyakarta City using data from 2017 to 2021. Methods: This study used an ecological study design with Graphical/Time Trend Analysis, correlations, non-linear analysis using the Generalized Additive Model (GAM), and spatial analysis. Results: Statistically, temperature lag of 0 - 3 months has a negative correlation (p-value < 0.05; rlag1= -0.672), and humidity lag of 0 - 3 months has a positive correlation (p-value < 0.05; rlag1= 0.414) with diarrhea. Severe cases of diarrhea, even during the COVID-19 pandemic, are still being brought to health services, suggesting a serious underlying cause, such as rotavirus infection. Further multivariate analysis showed that the most dominant weather element related to diarrhea was temperature lag for 3 months, with an R-squared value of 0.516. Diarrhea is distributed across sub-districts in Yogyakarta City, but there are six sub-districts with high vulnerability to diarrhea: Danurejan, Pakualaman, Jetis, Kotagede, Gedongtengen, and Gondomanan. Conclusions: The most dominant weather element related to diarrhea in Yogyakarta city is the temperature from the previous three months (lag 3). Danurejan, Pakualaman, Jetis, Kotagede, Gedongtengen, and Gondomanan sub-districts have high vulnerability to diarrhea.
When should DIY have a localized healthcare waste management system? Hasanbasri, Mubasysyir; Sarto; Wiranto; Sutena, Marthinus; Qaimamunazzala, Hayu; Ferdiana, Astri; Ramadona, Aditya Lia; Jaladara, Vena; Nilasari; Meliala, Andreasta; Padmawati, Retna Siwi
BKM Public Health and Community Medicine Vol 39 No 11 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i11.11777

Abstract

Purpose: The 2018 healthcare waste management crisis catalyzed a critical review of the concerns expressed by the Health Office (dinkes) and healthcare facilities regarding healthcare waste management in the Special Region of Yogyakarta (DIY). Due to this crisis, the Ministry of Health hired Universitas Gadjah Mada (UGM) to look into potential solutions and promote DIY government policy responses. This paper examines the management strategy during crisis times and possible alternative solutions. Methods: This paper uses focused group discussions reports involving separate groups of (1) environmental health officials from community health centers, (2) hospitals, (3) environment health officials of district health authorities, and (4) cross-sectoral province officials in the Yogyakarta Special Region. It is part of a project 'A case study of strengthening regional-based medical waste management model', fund from the Environmental Health Directorate, Directorate General of Public Health, Ministry of Health (Project KN 01.03/6.1/0198/2019). Result: A simulation of policy options based on health facility managers suggests that a province-based system is the most profitable in the long term for DIY, with several possible options. The national policy roadmap was considered inadequate to respond to DIY's urgent local needs. Furthermore, the series of meetings succeeded in forming an informal forum between health facilities, provincial health offices, and associations of hospital environmental sanitation experts, monitoring medical waste management. Conclusion: The 2018 medical waste management crisis led to the formulation of policy response choices tailored to the capacity of DIY. These choices considered the expenditures and legal sanctions faced by healthcare facilities and the economic value of a region-based waste system for local government authorities. This comprehensive approach highlights the importance of local capacity. It needs to shape effective and sustainable medical waste management policies, underscoring the necessity of region-specific strategies in the face of national health crises.
Mapping Health Problems in Mulyodadi Hamlet, Bambanglipuro, Bantul: FGD Findings as a Basis for Health Promotion Training for Dukuh and Cadres Nurhayyi, Asysyifa Ghofuri; Ramadona, Aditya Lia; Widia Adiratna; Renie Cuyno Mellen
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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

Abstract

Purpose: This study aims to asses the needs for identifying health challenges and the requirements for health promotion training in Mulyodadi Hamlet, Bantul. Method: The focus group discussion (FGD) method was employed in this study, involving dukuh and cadres, to obtain in depth information. Results: The FGD findings underscored the key health challenges in Mulyodadi, which include the prevalence of both communicable and non-communicable diseases, a lack of public awareness about the importance of a healthy lifestyle, and unequal access to health information within the community. It was also found that dukuh and cadres did not carry out widespread health promotion for the general public. Their educational efforts, often delivered through posyandu (integrated health service posts), were primarily targeted at parents of infants and toddlers, thus limiting their health promotion knowledge and skills to this context. Conclusion: To optimize their role in health promotion within the community, dukuh and cadres require health communication training, specifically elevator pitch skills training. This training will equip them with the ability to deliver concise, compelling, and effective health promotion messages, thereby addressing the identified health challenges more flexibly in terms of time and place.
The Forgotten Step in Hand Hygiene: a look at hand drying practices in the VFSM survey Lustriane, Cita; Fanaike, Ruki; Khairunnissa, Dewintha Syandi; Ramadona, Aditya Lia
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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

Abstract

Purspose: Handwashing is a cornerstone defense against the growing threat of antimicrobial resistance (AMR). This study investigates the level of knowledge regarding proper handwashing techniques, specifically among participants in the Village Food Safety Movement (VFSM) Program. Method: We conducted a Pre-Post Test Intervention survey across selected villages participating in the VFSM program within all 34 Indonesian provinces. The survey assessed knowledge of proper handwashing techniques and availability of adequate handwashing facilities. Results: The survey revealed a low percentage of correct responses regarding both proper handwashing techniques and the adequacy of handwashing facilities. Even after the intervention, the percentage of correct responses remained below 25%. This highlights a critical knowledge gap: proper handwashing includes thorough drying after washing hands. Conclusion: This study reveals a concerning lack of understanding about the complete handwashing process, potentially hindering efforts to prevent disease transmission and AMR in Indonesia. Future research should prioritize interventions that specifically address hand drying practices in addition to washing techniques. Policymakers and healthcare professionals should integrate hand drying education into their AMR control strategies.
Trends and diversity of Japanese encephalitis videos on YouTube: an analysis of Indonesian-language health promotion content Najiyati, Ifa; Maysarah, Amalia; Muqarohmah, Nia Lestari; Kusumaningrum, Fitrina Mahardani; Firdaus, Amalia; Yulyana, Yana; Ramadona, Aditya Lia
BKM Public Health and Community Medicine Vol 41 No 10 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i10.19718

Abstract

Purpose: This study aims to analyze trends and diversity in Japanese encephalitis videos on YouTube to promote health information in Indonesia. Methods: We collected the videos on YouTube by searching with the keyword “Japanese encephalitis”. The search results were identified to confirm their relevance to Japanese Encephalitis, and the videos were then classified for use in Indonesia. We analyze trends by examining the frequency of videos over time. For the videos identified as Indonesian-language content, further categorization was conducted based on their thematic content type. Results: We retrieved 586 videos and excluded 44 videos that were not related to Japanese encephalitis. The videos were published from January 6, 2008, to August 3, 2024. There was a global increase in the production of Japanese encephalitis content videos on YouTube, particularly in 2019, from 3.5% to 11.4%. However, only 22 (4.31%) Japanese encephalitis-related videos used Indonesian, with the most common content category being educational (22.7%). Conclusion: An increase in Japanese encephalitis-related content videos on YouTube in 2019, yet Indonesian-language videos remain limited. This highlights the need for more Indonesian-language content and more diverse information on Japanese encephalitis, targeted to Indonesian audiences, to improve public awareness and preventive measures.
Utilizing “Google Trends” data to support early detection of epidemic outbreaks: a preliminary study Rahmadina, Frisca; Bintoro, Bagas Suryo; Ramadona, Aditya Lia
BKM Public Health and Community Medicine Vol 41 No 09 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i09.22594

Abstract

Purpose: This study examined the potential application of Google Trends in supporting early epidemic detection and health campaigns, using the COVID-19 pandemic in Indonesia as a case study. Method: COVID-19 case data from 2020 to 2022 were collected. Search patterns were analyzed using Indonesian keywords for symptoms: “demam”, “sakit kepala”, “pilek”, “bersin”, “sakit tenggorokan”, “perut”, “batuk”, “nafsu makan”, “muntah”, “lesu”, “mual”, and “diare.” The search patterns were then compared to the COVID-19 case data. Results: We observed a pattern alignment between Google Trends and COVID-19 case peaks. Additionally, differences in lag time were identified between search trends and case peaks across SARS-CoV-2 variants. For instance, the peaks of “sakit tenggorokan” and “batuk” searches lagged about one week for Omicron, around two weeks for Delta, and more than two weeks for Alpha. Conclusion: Internet search activity can support early detection of epidemics and inform timely health campaigns. Moreover, search trends might offer a novel approach to estimate disease incubation periods.
Co-Authors Andreasta Meliala Anis Fuad Astri Ferdiana Bagas Suryo Bintoro Bayu Satria Wiratama Dwisiswanarum, Bella Fanaike, Ruki Farahdilla, Zakiya Ammalia Firdaus, Amalia Gunawan Gunawan Hari Kusnanto Hari Kusnanto Karina Mutia Safera Khairunnissa, Dewintha Syandi Kusumaningrum, Fitrina Mahardani Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Lustriane, Cita Maysarah, Amalia Mubasysyir Hasanbasri Muhammad Ali Imron Muqarohmah, Nia Lestari Najiyati, Ifa Nilasari Nurhayyi, Asysyifa Ghofuri Qaimamunazzala, Hayu Qaimumanazalla, Hayu Rahmadina, Frisca Ramadhanti, Inas Tri Renie Cuyno Mellen Renie Cuyno Mellen Riris Andono Ahmad Risalia Reni Arisanti Santriana, Santriana Sarto Sitti Rahmah Umniyati Sutena, Marthinus Vena Jaladara Widia Adiratna Wiranto Wiwik Dwi Lestari Yulyana, Yana