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EVALUATION OF POLIO IMMUNIZATION COVERAGE AND ACUTE FLACCID PARALYSIS SURVEILLANCE IN EAST JAVA, INDONESIA, 2018-2022: Evaluasi Cakupan Imunisasi Polio dan Surveillance Paralisis Flaksida Akut di Jawa Timur, Indonesia Tahun 2018-2022 Tarawally, Abubakar; Hargono, Arief; Susanto, Hugeng; Wulandari, Wahyu
Jurnal Berkala Epidemiologi Vol. 12 No. 3 (2024): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V12I32024.238-247

Abstract

Background: Indonesia has successfully eradicated wild poliovirus since 2005 using robust immunization and AFP surveillance programs. However, circulating vaccine-derived poliovirus type 2 has challenged these commitments, followed by the 2024 outbreak in East Java. Purpose: The study aims to analyze the polio eradication initiative by assessing polio immunization coverage and AFP surveillance in East Java. Methods: A descriptive, quantitative study design and retrospective analysis of polio immunization coverage and AFP surveillance indicators from the Provincial Health Office, East Java, from 2018–2022. The data was collected and analyzed using Excel, EpiInfo7, and Health Mapper software. Results: OPV4 coverage ranged from 89.95% to 100.76%, while IPV coverage ranged from 73.98 % to 94.18% from 2018 to 2020; the proportion of districts and cities for IPV coverage increased from 0% in 2018 to 44.74% in 2022, below the 95% WHO target. Of the 826 cases of AFP reported, 820 (99.27%) were actual AFP cases <15 years of age, with most (49.02%) being <5 years of age. Non-polio AFP rates ranged from 0.80 in 2020 to 2.59 in 2022 per 100,1000 <15 years of age, with the proportion of districts and cities slightly declining from 55.26% in 2018 to 50% in 2022. The annual mean percentage of AFP-adequate specimens is 61.15%, with the proportion of districts and cities significantly declining from 31.58% in 2018 to 10.53% in 2022, below the 80% target. Conclusion: IPV immunization coverage and AFP surveillance indicators are below the WHO-recommended targets across districts and cities in East Java.
Nutrition Intervention in reducing gestational Diabetes Mellitus Girma Mengistu, Assaye; Tarawally, Abubakar; Apriana Berkanis, Adelbertha; Indriani, Diah
Blantika: Multidisciplinary Journal Vol. 2 No. 8 (2024): Special Issue
Publisher : PT. Publikasiku Academic Solution

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57096/blantika.v2i8.196

Abstract

To review literature about Nutrition Intervention in reducing Gestational Diabetes Mellitus (GDM). We conducted a literature search for published articles on “Nutrition Therapy in reducing Gestational Diabetes” “Nutrition therapy” Gestational diabetes” “diabetes” and “Gestation” as keywords search in the Sothern Medical University Library Electronic resources (E-resources), PubMed, ScienceDirect, Web of Science and other databases including Google Scholar. A search strategy was developed for each database with no restriction on language and publication status, 75% of the papers used in this study were published in the last 5 years. Several studies have established that gestational diabetes mellitus (GDM) is an alarming health problem worldwide and is one of the most common complications of nutrition intervention in addressing GDM in pregnant women and one of the causes of the T2DM in the world. During pregnancy, it is most likely to be a critical moment for appropriate therapy and activities aimed at reducing the incidence of T2DM.
EVALUATION OF DIPHTHERIA SURVEILLANCE SYSTEM IN PROBOLINGGO DISTRICT: STUDY OF SYSTEM APPROACH AND ATTRIBUTES: Evaluasi Sistem Surveilans Difteri di Kabupaten Probolinggo: Studi Pendekatan Sistem dan Atribut Nur Maulina, Lidya; Novita Sari, Siti Shofiya; Tarawally, Abubakar; Sholikah, Sholikah; Anjar, Retno
Jurnal Berkala Epidemiologi Vol. 13 No. 2 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I22025.102-111

Abstract

Background: There is still an outbreak of diphtheria in the Probolinggo district in 2023. Diphtheria mainly affects children who are not immunized. Support through a surveillance system is needed to overcome the diphtheria problem. Purpose: This study aims to describe the quality of diphtheria surveillance systems based on system approach and surveillance attributes. Methods: Descriptive research was carried out on 17 samples with an evaluation study on the diphtheria surveillance system in 2023 at health centers in the working area of the Probolinggo District Health Office. Data were collected by interview and document study using questionnaires and check list sheets. Data analysis was carried out by describing the system components and attributes of the surveillance system in 17 respondents, compared with the Diphtheria control guideline book 2023, Indonesian Minister of Health Regulation No. 45 of 2014, and surveillance attributes from CDC. The information obtained was presented in the form of tables and narratives. Results: The evaluation of diphtheria surveillance system components (input, process, output) in Probolinggo District was done using surveillance guidelines. Meanwhile, the diphtheria surveillance system assessment based on attributes showed simplicity, flexibility, acceptability, representativeness, stability, and good data quality. However, the system is not yet sensitive, and timeliness is still low. Conclusion: The implementation of the diphtheria surveillance system has mainly been carried out well, supported by the completeness of several surveillance attributes. Optimizing the use of the  Early Warning and Response System (EWS) application is necessary to improve the current surveillance system.