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ATTRIBUTE-BASED EVALUATION OF DENGUE SURVEILLANCE IN SUMENEP REGENCY: ASSESSING EFFECTIVENESS AND RECOMMENDATIONS FOR IMPROVEMENT: Evaluasi Surveilans Demam Berdarah Dengue Berbasis Atribut di Kabupaten Sumenep: Menilai Efektivitas dan Rekomendasi Perbaikan Yuliani, Cahya; Hidajah, Atik Choirul; Susilastuti, Fransisca; Suryadinata, Mohammad Agus; Soares, Virgilio
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.V13I32025.201-210

Background: Dengue Hemorrhagic Fever remains a significant public health concern in Sumenep Regency, with cases and fatalities reported annually. In 2023, both the incidence rate (27.74/100,000 population) and the case fatality rate (1.96%) exceeded the national targets (IR ≤10; CFR ≤0.6%). Therefore, evaluating the dengue surveillance system is essential to assess its performance and support effective control measures. Purpose: This study evaluates the dengue surveillance system in Sumenep Regency in 2023 based on surveillance system attributes to provide recommendations for improvement. Methods: The study was conducted at a public health center (puskesmas) and the Regency Health Office, involving 17 informants, including surveillance officers and DHF program managers. Data were collected through interviews, document reviews, and observations using questionnaires and sheets. Analysis was based on surveillance system attributes aligned with Indonesia’s DHF prevention and control guidelines, with results presented in tables and narratives. Results: The surveillance system demonstrated good data stability and timeliness, but remains complex, inflexible, has low user acceptance, is not yet representative, and is not yet sensitive. Conclusion: The dengue surveillance system in Sumenep needs improvements in simplicity, user acceptance, representativeness, sensitivity, and data quality. Efforts should simplify processes, integrate active and passive surveillance, standardize procedures, and strengthen coordination to improve system effectiveness.

Analisis Alternatif Prioritas Pemecahan Masalah Pencegahan dan Pengendalian Infeksi di Hospital Nacional Guido Valadares Dili Timor-Leste Soares, Virgilio; Wahyuni, Chatarina Umbul
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.595-607

Introduction: Infection prevention and control in hospitals is a practical approach based on real evidence to prevent patients, families and visitors as well as health workers from the risk of infection. Purpose: Purpose of this study was to determine alternative priorities for solving infection prevention and control problems at Hospital Nacional Guido Valadares Dili, Timor Leste. Methods: The method used in this research is qualitative research using interviews and focus group discussions involving 3 key informants consisting of the Executive Director, Clinical Director and Director of nursing and midwifery and 16 informants consisting 1 head of the Quality Control department, 13 head of rooms and 2 educators. Data analysis through several stages, namely problem identification, problem prioritization with the non-scoring Delphi, root cause of the problem with the Fishbone diagram and determining alternative priority problem-solving using the Capability, Accessibility, readiness and leverage (CARL) method. Results: The results of the analysis show that the prevention and control of infections that are not running optimally have obstacles from the Human Aspects, Methods, Budget, Material and Machine or tools, based on the results of the analysis of alternative problem-solving priorities using the CARL method from the first and second rank are Conducting training for surveillance personnel, monitoring and evaluating infection prevention and control activities regularly. Conclusion: Based on the analysis of alternative priority problem solving using the CARL Method is to organize training for surveillance personnel, conduct regular monitoring and evaluation of prevention activities. Monitoring and evaluation should be carried out regularly to monitor the implementation of intervention activities and evaluate infection prevention and control activities, surveillance activities so as to ensure targeted achievements.

The Role of Family and Community in Preventing Stunting in Toddlers Gaio, Eduardo Crisogono; Pinto, Joaquim; Tilman, Carlos Boavida; Soares, Virgilio; Costa Monteiro, Ermelinda da; Ximenes, Antonio
West Science Interdisciplinary Studies Vol. 3 No. 12 (2025): West Science Interdisciplinary Studies
Publisher : Westscience Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58812/wsis.v3i12.2532

Stunting remains a critical public health problem that affects children’s physical growth, cognitive development, and long-term human capital, particularly in low- and middle-income countries. Increasing evidence suggests that stunting is not solely a nutritional issue but a multidimensional condition influenced by family practices and community environments. This study aims to systematically review the role of family and community in preventing stunting among toddlers. A systematic literature review was conducted using ten peer-reviewed articles indexed in the Scopus database. The review followed a structured search, selection, and thematic synthesis process to identify key family- and community-level determinants and interventions associated with stunting prevention. The findings indicate that family-related factors—such as parental education, caregiving practices, household food security, and health-seeking behavior—play a central role in reducing stunting risk. At the community level, supportive health services, nutrition education programs, sanitation infrastructure, and social support networks significantly strengthen family capacity and promote sustainable behavior change. Importantly, the review highlights that integrated family–community approaches are more effective than isolated interventions, as they align household practices with enabling community environments. This study contributes to the literature by reinforcing the importance of multi-level, socially grounded strategies for stunting prevention and provides evidence-based insights for policymakers and practitioners seeking to design holistic and sustainable child nutrition interventions.⁠

The Role of Family and Community in Preventing Stunting in Toddlers Gaio, Eduardo Crisogono; Pinto, Joaquim; Tilman, Carlos Boavida; Soares, Virgilio; Costa Monteiro, Ermelinda da; Ximenes, Antonio
West Science Interdisciplinary Studies Vol. 3 No. 12 (2025): West Science Interdisciplinary Studies
Publisher : Westscience Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58812/wsis.v3i12.2532

Stunting remains a critical public health problem that affects children’s physical growth, cognitive development, and long-term human capital, particularly in low- and middle-income countries. Increasing evidence suggests that stunting is not solely a nutritional issue but a multidimensional condition influenced by family practices and community environments. This study aims to systematically review the role of family and community in preventing stunting among toddlers. A systematic literature review was conducted using ten peer-reviewed articles indexed in the Scopus database. The review followed a structured search, selection, and thematic synthesis process to identify key family- and community-level determinants and interventions associated with stunting prevention. The findings indicate that family-related factors—such as parental education, caregiving practices, household food security, and health-seeking behavior—play a central role in reducing stunting risk. At the community level, supportive health services, nutrition education programs, sanitation infrastructure, and social support networks significantly strengthen family capacity and promote sustainable behavior change. Importantly, the review highlights that integrated family–community approaches are more effective than isolated interventions, as they align household practices with enabling community environments. This study contributes to the literature by reinforcing the importance of multi-level, socially grounded strategies for stunting prevention and provides evidence-based insights for policymakers and practitioners seeking to design holistic and sustainable child nutrition interventions.⁠

Analysis of the Role of the Chief of Nursing for Supervision in the Implementation of Nursing Care in HoREX Baucau da Conceição, José Ximenes; da Costa Abi, Norberto; Crisogono Gaio, Eduardo; Soares, Virgilio; Alito Pinto, Damancio
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.556

Introduction: Nursing supervision is a managerial function that plays a crucial role in ensuring the quality of healthcare services in hospitals. The Head of Nursing holds strategic responsibility to direct, guide, and evaluate the implementation of nursing care so it aligns with professional standards and patient needs. Objective: This study aimed to analyze the role of the Head of Nursing in supervising the implementation of nursing care at Horex Baucau Regional Hospital. Method: A quantitative method with a descriptive correlational design and cross-sectional approach. The population consisted of the head of nursing and team leaders in inpatient and outpatient units, with a sample of 32 nurses and technicians. Sampling used a nonprobability total sampling technique. Data were collected through questionnaires and analyzed using the Spearman rho test. Result and Discussion: The results showed a significant relationship between the role of the Head of Nursing and the implementation of nursing care, with a significance value of 0.000 (p < 0.05) and a correlation coefficient of 0.627. This shows that the better the implementation of supervision, the better the implementation of nursing care by nurses. Conclusion: In conclusion, the managerial supervision function of the Head of Nursing is essential to ensure effective nursing care and improve service quality in hospitals.

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