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All Journal Jurnal Kesehatan Reproduksi Berita Kedokteran Masyarakat Proceeding Mulawarman International Conference on Tropical Public Health
Vicka Oktaria
Department Of Biostatistics, Epidemiology, And Population Health, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health

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Sociodemographic Characteristics of Premature Birth in Sleman Regency Utami, Dianita Putri; Ratrikaningtyas, Prima Dhewi; Oktaria, Vicka
JURNAL KESEHATAN REPRODUKSI Vol 11, No 1 (2024)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.85075

Abstract

Background: Premature birth can increase mortality and disability in infants. Premature birth can be influenced by several types of factors, such as sociodemographic factors. Based on literature studies, there are several contradictory research results regarding the sociodemographic characteristics of premature birth. In addition, there is a surveillance system HDSS Sleman that periodically collects data on demographic transition, health status, and social transition in Sleman.Objective: This research objective is determining the sociodemographic characteristics of premature birth in Sleman Regency.Method: This is a cross-sectional study with total sampling method using HDSS Sleman secondary data from cycle 4 (2018) until cycle 6 (2020).Results and Discussion: The results of this study showed that the total proportion of premature birth in Sleman Regency from 2018 to 2020 was 14.4%. Then, the proportion of premature birth each year from 2018 to 2020 were 18.5%, 13.0%, and 5.8% respectively. After that, the highest proportion of sociodemographic characteristics of the mothers experiencing premature birth were in the category of maternal age <20 years old (20.0%), maternal parity 1 (13.0%), “working” occupational status (15.4%), low educational status (18.8%), and low socioeconomic status (18.0%).Conclusion: It can be concluded that the most common sociodemographic characteristics of the mothers experiencing premature birth were maternal age <20 years old, maternal parity 1, “working” occupational status, low educational status, and low socioeconomic status. 
MUMPS OUTBREAK RESPONSE IN A PRIMARY SCHOOL IN CONDONGCATUR SLEMAN Alfi Maziyya, Arifah; Ratu Boelqiah Assaad, Andi; Dharmawidjaja, Isa; Oktaria, Vicka
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background: On September 10, 2024, seven primary school students with neck swelling were reported to the Sleman District Health Office (DHO) by Depok II Primary Health Care (PHC). Purpose: This study aimed to confirm and characterize the outbreak and recommend control measures. Methods: A descriptive study was conducted based on person, place, and time. A case was defined as someone who experienced swelling in the cheek or neck area with or without symptoms of fever, sore throat, headache, and no appetite at SDN X from August to September 2024. The population-at- risk (PAR) was defined as people at SDN X in August to September 2024. Data was collected via Google Form and analyzed with graphs and tables. Results: Among 244 PAR, 17 cases were identified (attack rate = 6.96%). The highest attack rate was in class 1A (38.5%, 10/26). Predominant symptoms included swollen cheeks or neck (100%) and fever (88%). The index case was a 7-year-old girl in class 1A, symptomatic from August 28. Cases peaked from September 8-14 (n=7). Case management was carried out by having symptomatic students rest at home until recovery to prevent further transmission. Awareness education on mumps, handwashing, mask use, distancing, and dissemination of guidelines on mumps vigilance were implemented following outbreak confirmation. Conclusions: A mumps outbreak was confirmed at a primary school in Condongcatur, Sleman. The recommendation, schools should monitor for mumps symptoms and report cases to PHC promptly and immediately take actions according to their policies.
COVID-19 infection during pregnancy on perinatal and neonatal outcomes: a scoping review Fauziah, Saidatul; Hasanbasri, Mubasysyir; Oktaria, Vicka
BKM Public Health and Community Medicine Vol 39 No 02 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i02.6630

Abstract

Purpose: COVID-19 infection has rapidly spread and caused a global pandemic, as stated by the World Health Organization on March 10, 2020. The incidence of COVID-19 tends to increase worldwide, including Indonesia, occasionally. With 6,422,529 confirmed cases, including 158,014 as of September 25, 2022, Indonesia has surpassed India and Bangladesh to become the nation with the third-highest confirmed cases in Asia. Although there have been reports of several cases of vertical transmission, the transmission of COVID-19 from mother to fetus was initially considered uncertain. Case reports of newborns (within the first 12 hours) with COVID-19 infection prove the possibility of intrauterine or extrauterine mother-infant vertical transmission. This study aimed to determine the effect of COVID-19 infection during pregnancy on perinatal and neonatal outcomes. Methods: This study employed the scoping review method, searching articles across several databases, including PubMed, Scopus, and Google Scholar, and adhered to the guidelines of PRISMA-ScR. Search for articles using the main keywords” pregnant women” or “pregnant” and “coronavirus” (or COVID-19 or 2019NCOV or SARS-CoV-2) AND (” perinatal outcome” or “neonatal outcome” or “pregnancy outcome”) published in 2019–2022. Results: The articles obtained were related to symptoms of COVID-19-positive pregnant women, perinatal and neonatal outcomes of COVID-19 pregnant women, and the identification of COVID-19 occurrence during pregnancy. Conclusion: A total of 22 articles reviewed found that pregnant women with COVID-19 symptoms experience adverse outcomes in perinatal and neonatal compared to those not infected with COVID-19. Pregnant women with COVID-19 infection show a higher risk of perinatal and neonatal outcomes such as premature, LBW, and NICU admission.
The use of growth velocity z-scores to early detect growth faltering in Indonesian infants Dinari, Rizka; Oktaria, Vicka; Danchin, Margie
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This study aimed to describe infant growth patterns using attained growth z-scores and growth velocity z-scores in the first year of life in Indonesia. Method: A cohort study of 359 newborns was conducted in 2015-2017 in Yogyakarta, Indonesia. Weight and length were routinely measured throughout the first year of life to calculate the attained growth z-scores (weight-for-age/WAZ, length-for-age/LAZ, and weight-for-length z-scores/WLZ) and growth velocity z-scores (weight velocity/WVZ and length velocity z-scores/LVZ). Undernutrition was categorized into underweight (WAZ<-2), stunting (LAZ<-2), and wasting (WLZ<-2). Growth faltering was categorized into weight faltering (WVZ<5th centile) and length faltering (LVZ<5th centile) using WHO child growth standards. Results: The proportion of undernutrition and growth faltering varied throughout infancy. The highest proportion of undernutrition was the proportion of stunting at 12 months (15.3%) which was two times higher than at birth (7.3%). The highest proportion of weight and length faltering was in 4-6 months with 28.6% and 39.4%, respectively. Median WAZ was relatively stable at around -0.30 SD in the first six months before it slightly decreased to -0.64 SD at 12 months of age. Median LAZ increased from -0.62 SD at birth to -0.23 SD at four months before declining to -0.83 SD at 12 months. In comparison to attained growth z-scores, growth velocity z-scores depicted an opposing pattern. Median WVZ decreased from 0.33 SD at 0-2 months to -0.80 SD at 4-6 months, while median LAZ dropped from 1.33 SD at 0-2 months to -1.20 SD at 6-9 months. Conclusion: The proportions of undernutrition and growth faltering were relatively high in the first year of life. Growth velocity z-scores showed an earlier downward pattern than attained growth z-scores. Therefore, routine monitoring, particularly in growth velocity z-scores, might allow earlier detection and treatment of child growth faltering.
Epidemiological Response to Diphtheria Cases in Sleman District, 2024 Assaad, Andi Ratu Boelqiah; Maziyya, Arifah Alfi; Khoirunnisa; Hidayat, Wachid Nur; Dharmawidjaja, Isa; Oktaria, Vicka
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: Diphtheria is an infectious disease caused by the bacterium Corynebacterium diphtheriae, which can lead to complications and death, but can be prevented through immunization. In Sleman, there have been no reported cases for many years. However, in 2024, several cases with symptoms of diphtheria. This triggered an epidemiological response to confirm outbreaks, identify close contacts, and implement control measures. Methods: A descriptive analysis was conducted using diphtheria registration data from the Sleman District Health Office from January to May 2024. Diphtheria suspected cases were defined as individuals or persons exhibiting symptoms of pharyngitis, tonsillitis, laryngitis, tracheitis, or a combination of these, accompanied by fever or without fever, and the presence of a grayish-white pseudomembrane that is difficult to remove, bleeds easily when manipulated, and has been screened by the Expert Committee from the Ministry of Health Indonesia. Laboratory-confirmed diphtheria cases were defined as suspected cases with positive results. Results: An epidemiological investigation was conducted from January 23rd to May 8th 2024, which identified 21 suspected diphtheria cases. The cases were located in the Depok, Ngaglik, Tempel, Ngemplak, Kalasan, and Seyegan sub-districts. All cases underwent oropharyngeal swabs, with 3 confirmed positive and an outbreak declared. Laboratory-confirmed cases received Anti Diphtheria Serum (ADS), treatment, and isolation. Suspected cases received prophylaxis, immunization, and quarantine. Evaluation of diphtheria immunization status revealed that 66,7% of suspected cases had been immunized. Conclusions: A diphtheria outbreak has occurred in Sleman, and control measures have been well implemented. It is recommended to conduct immunization campaigns in areas with low coverage, improve community-based education related to diphtheria through training and health promotion media, and strengthen the surveillance system through regular training for surveillance officers, optimal active case finding, and timely reporting.
Measles Outbreak in Sleman 2024 Maziyya, Arifah Alfi; Assaad, Andi Ratu Boelqiah; Khoirunnisa; Hidayat, Wachid Nur; Dharmawidjaja, Isa; Oktaria, Vicka
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Purpose: On January 18th, 2024, the Sleman District Health Office received a notification from Sleman Regional Hospital regarding the presence of 2 measles suspects in 1 family in Pakem, Sleman. This study aims to confirm the outbreak and know its management in Sleman, 2024. Method: A descriptive study was conducted based on person, place, and time. An outbreak is defined when there are 5 or more suspected measles cases within 4 consecutive weeks or at least 2 measles IgM-positive specimens with an epidemiologic link. A confirmed case was defined as a person with fever and rash, whether or not accompanied by cough, coryza, and conjunctivitis, had an epidemiologically link with index case, with confirmed positive Measles IgM. Result: We investigated 22 (15 male and 7 female) close contacts and we found 2 measles IgM-positive cases from January 18th to February 17th, 2024, in Pakem after an epidemiological investigation with an average incubation period of 8 days. 1 case each occurred in females (AR=14%) and males (AR=7%). The finding of 2 cases with measles IgM-positive and epidemiologic link allows us to declare an outbreak. One of two cases have not received MR immunization. Following the outbreak, measles cases were isolated, given antipyretics, vitamin A supplementation (dose), and Clean and Healthy Living Behaviour education. Conclusion: We confirmed a measles outbreak in Sleman. Case management has been carried out quickly to prevent and control widespread transmission. It is important to improve screening of under-five immunization status by Posyandu.
Determinant of healthcare-seeking behavior for follow-up of toddler pneumonia in Kulon Progo District, 2023 Sulastri, Yayu; Oktaria, Vicka; Arisanti, Risalia Reni; Sugiarto
BKM Public Health and Community Medicine Vol 40 No 10 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i10.14833

Abstract

Purpose: Follow-up visits are crucial to the management of toddler pneumonia. The purpose of this study is to determine the healthcare-seeking behavior (HSB) follow-up visit for toddler pneumonia in the Kulon Progo District. Method: This was an observational study with a cross-sectional study design and a sample size of 185 mothers or caregivers of toddler pneumonia in Kulon Progo District. Data were obtained through interviews using questionnaires. Univariate, bivariate, and multivariate analysis using logistic regression tests. Results: A total of 185 mothers or caregivers were successfully interviewed with a response rate of 96.9%. The percentage of follow-up visits for toddler pneumonia was 65.9%. The multivariate analysis showed that support from healthcare providers (aOR = 7.36 95% CI: 2.38-22.73) and degree of severity (aOR = 3.56, 95% CI: 1.42-8.93) were significantly associated with HSB follow-up visit in toddlers with pneumonia, which was adjusted to family support, caregivers’ knowledge, access to health facilities, number of children, occupation, education of caregivers and toddler sex. Conclusion: Good support from healthcare providers may improve HSB follow-up visits for toddler pneumonia compared to those with less support, with a 7.36 times higher rate. Recommendations for healthcare providers to provide appropriate care, especially those with limited knowledge, in order of increasing caregivers’ knowledge about the necessity of follow-up visits.
Co-Authors Alfi Maziyya, Arifah Assaad, Andi Ratu Boelqiah Danchin, Margie Dharmawidjaja, Isa Dinari, Rizka Fauziah, Saidatul Hidayat, Wachid Nur KHOIRUNNISA Maziyya, Arifah Alfi Mubasysyir Hasanbasri Prima Dhewi Ratrikaningtyas Ratu Boelqiah Assaad, Andi Risalia Reni Arisanti Sugiarto Sulastri, Yayu Utami, Dianita Putri