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GEOSPATIAL ANALYSIS TO IDENTIFY TUBERCULOSIS HOTSPOTS IN BANYUMAS REGENCY (2023) THROUGH SPATIAL AUTOCORRELATION: Analisis Geospasial untuk Mengidentifikasi Titik Rawan Tuberkulosis di Kabupaten Banyumas (2023) Melalui Autokorelasi Spasial Daniswara, Sabrina; Muh, Fauzi; Adi, Mateus Sakundarno; Martini, Martini; Sutiningsih, Dwi; Rahayu, Misti
Jurnal Berkala Epidemiologi Vol. 13 No. 3 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I32025.246-254

Abstract

Background: Banyumas Regency had the second-highest number of TBC cases in Central Java Province in 2023, totaling 7,060 cases. The incidence of TBC increased by approximately 27.27% from 2022 to 2023. Despite various TB control efforts, conventional epidemiological methods often fail to capture the spatial patterns of disease transmission, making it challenging to identify localized hotspots and effectively allocate resources. Purpose: This study aimed to analyze the spatial relationship between HIV prevalence, population density, healthy living behaviors, and housing conditions in relation to TBC incidence. Additionally, it sought to identify tuberculosis hotspots in Banyumas Regency. Methods: The data were obtained from the Banyumas Tuberculosis System Information in August 2024. Total of 4,853 registered patients who sought treatment and resided in Banyumas Regency in 2023 was assessed. TBC distribution patterns were analyzed using the spatial autocorrelation method through the Moran Index and Local Indicators of Spatial Associations (LISA). Results: The analysis revealed significant clustering of TBC incidence with HIV prevalence, clean and healthy living behavior, and population density. The significant dispersion was noted with healthy houses. Notably, six 27 subdistricts—Kembaran, North Purwokerto, South Purwokerto, East Purwokerto, Sokaraja, and Sumbang—demonstrated significant local spatial autocorrelation. Conclusion: The study found TBC incidence was clustered in areas with high HIV prevalence, poor living conditions, and high population density, while healthy houses showed a dispersed pattern, highlighting the importance of prioritizing interventions, policy changes, and resource allocation.
Penyelidikan Epidemiologi Keracunan Pangan oleh Escherichia coli dan Salmonella sp. pada Nasi Padang di Acara Tahlilan Daniswara, Sabrina; Muh, Fauzi; Adi, Mateus Sakundarno; Martini, Martini; Sutiningsih, Dwi; Rahayu, Misti
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 03 (2025): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v14i03.3805

Abstract

Pada tanggal 31 Mei 2024, kejadian luar biasa akibat keracunan pangan dilaporkan terjadi di sebuah desa di Kabupaten Banyumas setelah mengonsumsi nasi padang dari acara tahlilan. Dua puluh tujuh kasus diidentifikasi, dengan gejala termasuk diare (96,3%), sakit perut (81,48%), pusing (81,48%), mual (70,37%), dan muntah (66,67%). Tiga kasus memerlukan rawat inap, tetapi tidak ada kematian yang dilaporkan. Investigasi epidemiologi dilakukan untuk memverifikasi kejadian, menentukan besarannya, dan mengidentifikasi sumbernya. Sebuah studi kohort retrospektif melibatkan wawancara dengan para jemaah dan keluarga mereka, dengan kasus didefinisikan sebagai individu yang mengonsumsi nasi padang pada acara tersebut. Dari 35 orang yang berisiko (tingkat serangan: 77,14%), tingkat serangan lebih tinggi pada laki-laki (61,54%) dan mereka yang berusia 18-65 tahun (82,61%). Masa inkubasi berkisar antara 5 hingga 32 jam. Ikan nila memiliki risiko tertinggi (RR = 1,42), diikuti oleh ikan lele (RR = 1,25). Berdasarkan gejala, masa inkubasi, dan hasil laboratorium, agen penyebab diidentifikasi sebagai Escherichia coli dan Salmonella sp.
Molecular Characterization of Anisakis spp.: Potential Source of Fish-borne Zoonosis in Coastal Living Environment in Semarang, Indonesia Hitipeuw, Derico; Daud, Muhammad Muzhaffar; Nuranindita, Raisha; Diyana, Sutra; Amirudin, Fariha Akmalina; Rahayu, Aprillia Andika; Saputra, Edo Yungki; Qanita, Nabila Gusvie; Natanegara, Surya; Yuwanita, Mutiara Rizqi; Wusono, Ajeng Dwi; Martini, Martini; Muh, Fauzi
HAYATI Journal of Biosciences Vol. 33 No. 2 (2026): March 2026
Publisher : Bogor Agricultural University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4308/hjb.33.2.345-359

Abstract

Anisakis spp. are marine nematodes known to cause anisakiasis, a zoonotic disease transmitted through fish consumption with diverse clinical manifestations. In Indonesia, a country with extensive marine biodiversity and high fish consumption, data on anisakiasis remain limited. This study aimed to characterize the Anisakis spp. from the most significant commercial fish market in Semarang, Indonesia. A total of 17 Rastrelliger sp. were sampled. PCR amplification targeting the mitochondrial COX2 gene was used to identify the species of Anisakis spp. molecularly. Phylogenetic relationships, nucleotide diversity, and neutrality indices were assessed. The haplotype structures were visualized using the Haplotype Network. Subsequently, 7 of 17 (41.17%)  Rastrelliger sp. samples were infected with A. typica. Molecular analysis revealed two species, A. typica and H. amoyense, with high haplotype diversity (1.00±0.016, diversity±SD). Phylogenetic analysis revealed two major clades: A. typica (Semarang and Southern Makassar) and H. amoyense (Semarang, China, and Bangladesh), with both species indicating high genetic connectivity. Neutrality indices suggested purifying selection and population expansion for both species (dN-dS = -5.017). These findings highlight the genetic variability and zoonotic potential of Anisakis spp. in the commercial fish market, emphasizing the need for surveillance of fish-borne parasitic infections in Indonesia.
Evaluating Competency-Based Learning Outcomes of Public Health Graduates in Indonesia: A Case Study at Diponegoro University Nurjazuli, Nurjazuli; Arso, Septo Pawelas; Muh, Fauzi
Journal of Health Education Vol. 10 No. 2 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhealthedu.v10i2.32609

Abstract

Background: Public health graduates are increasingly expected to possess not only theoretical knowledge but also practical competencies such as task execution, adaptability, and effective communication. In Indonesia, however, assessment practices predominantly focus on cognitive domains, often overlooking essential workforce competencies. Methods: This study employs a descriptive case study approach at the Faculty of Public Health, Diponegoro University, analyzing 18 group reports from the 2024 Field Learning Practice 2 (FLP_2) program. Assessment focuses on five competency dimensions defined by the Indonesian National Professional Certification Agency (BNSP): Task Skills (TS), Task Management Skills (TMS), Contingency Management Skills (CMS), Transfer Skills (TRS), and Job/Role Environment Skills (JRES). Results: Students demonstrated TS through systematic problem identification using the Multiple Criteria Utility Analysis (MCUA). TMS was evident in the planning and management of community interventions. CMS was reflected in effective responses to health crises, such as dengue outbreaks. TRS was noted for its ability to adapt to different socio-cultural environments. JRES was demonstrated through professional conduct in diverse institutional contexts. Authentic learning activities fostered readiness for complex public health roles. Conclusion: FLP_2 effectively evaluates comprehensive public health competencies. A shift towards performance-based, contextual assessment frameworks is essential for aligning education with workforce needs. Embedding such frameworks into curricula will enhance the quality and preparedness of graduates for addressing real-world challenges
Dr Pelatihan Surveilans Vektor Malaria di Desa Banyuasin, Kecamatan Loano, Kabupaten Purworejo Muh, Fauzi; Martini, Martini; Hestiningsih, Retno; Setyawan, Henry; Kusariana, Nissa; Udijono, Ari
Jurnal Empathy Pengabdian Kepada Masyarakat Jurnal Empathy Pengabdian Kepada Masyarakat Volume 7 Number 1 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jurnalempathy.v7i1.337

Abstract

Background: Malaria remains a significant public health challenge in Purworejo Regency, Central Java Province, Indonesia, with persistent transmission despite various preventive measures This community services aimed to improve community health center (puskesmas) cadres’ knowledge of malaria transmission and their practical skills in identifying breeding sites, vector surveillance, and environmental management.  Methods: This community engagement initiative aimed to enhance the knowledge and skills of community health center (puskesmas) cadres in identifying malaria vectors and conducting mosquito habitat surveys. The project involved 28 cadres from puskesmas across Purworejo Regency and was conducted in Banyuasin Village, Loano Subdistrict. The intervention consisted of educational sessions on malaria basics and mosquito identification, followed by hands-on training in field-based habitat survey techniques. Pre- and post-tests were administered to assess the effectiveness of the training.  Results: Descriptive analysis revealed a significant improvement in participants’ knowledge following the intervention. The mean score increased from 22.1 before the training to 28.8 after the training, with the difference being statistically significant (p < 0.05, paired samples t-test). Conclusion: The findings suggest that community-based education and capacity-building initiatives, involving the direct participation of community members and health cadres, can effectively improve awareness and knowledge related to malaria control. The findings suggest that community-based education and capacity-building involving community members and health cadres can improve malaria awareness and knowledge, and sustained implementation with collaboration among local government, public health institutions, and the community is essential for understanding malaria risks, promoting preventive practices, and ensuring sustainable control efforts.
Habitat characteristics of Anopheles spp. larvae: Potential malaria vectors in the coastal areas of Gaura Village, West Sumba: Karakteristik habitat larva Anopheles spp.: Vektor potensial malaria pantai di Desa Gaura, Sumba Barat Daud, Muhammad Muzhaffar; Tangkuyah, Justus Edyson; Saputra, Edo Yungki; Martini, Martini; Hestiningsih, Retno; Muh, Fauzi
Jurnal Entomologi Indonesia Vol 23 No 1 (2026): March
Publisher : Perhimpunan Entomologi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5994/jei.23.1.62

Abstract

Malaria remains a public health burden in tropical coastal regions, where complex environmental conditions support vector populations and increase transmission risk, particularly among vulnerable groups. Understanding the environmental characteristics of Anopheles spp. breeding habitats is essential for explaining vector distribution and informing control strategies. This study analyzed the environmental characteristics of potential Anopheles spp. breeding habitats in the coastal areas of Gaura Village. An observational descriptive survey with a cross-sectional approach was conducted using purposive spatial sampling across two survey rounds, measuring physical, chemical, and biological variables. A total of 12 breeding sites were identified, with confirmed vectors including Anopheles sundaicus (Rodenwaldt), An. subpictus Grassi, and An. barbirostris van der Wulp. Larval densities peaked in confined anthropogenic microhabitats, particularly buffalo wallows (3.5 larvae/dip) and footprints (3.1 larvae/dip). The habitats exhibited wide physicochemical variability (temperature 29.0–39.4°C; pH 7.3–9.2; salinity 0–20‰). Principal component analysis (PCA) explained 61.3% of total variation, distinguishing habitats along two gradients: PC1 (34.3%), driven by structural area, dissolved oxygen, and light intensity; and PC2 (27.0%), driven by pH and salinity. All highly productive habitats were located within 512 meters of residential areas, placing communities within the active flight range of vectors. These findings indicate that malaria transmission risk in coastal Gaura Village is driven by environmentally diverse yet spatially clustered larval habitats, particularly small, human-proximal sites associated with livestock, highlighting the need for targeted larval source management.