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All Journal Panakeia Journal of Epidemiology Proceeding Mulawarman International Conference on Tropical Public Health
Muh. Amri Arfandi
Mulawarman University
Health Professions Public Health

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Comparative Patterns of Non-Communicable Disease Risk Factors Across Age Groups in Samarinda, Indonesia Muh. Amri Arfandi; Muhamad Zakki Saefurrohim; Arlina Azka; Irfansyah Baharuddin Pakki; Siswanto Siswanto; Risva Risva; Akhmad Azmiardi; Tanti Asrianti
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Non-communicable diseases (NCDs) have become a major public health concern, with risk factors increasingly observed among younger populations. Examining how these risks differ between age groups may provide insight into early prevention priorities. Objective : To describe and compare behavioral and biological NCD risk factors among older adolescents (15–19 years), young adults (20–24 years), and adults (25–59 years) in Samarinda, Indonesia. Research Methods/ Implementation Methods : A descriptive cross-sectional study was conducted among 242 respondents selected through household interviews in Samarinda. Data were collected using the WHO STEPwise approach to NCD risk factor surveillance (STEPS) questionnaire, covering behavioral factors (tobacco, alcohol, physical activity, diet) and biological factors (BMI, blood pressure, blood glucose, cholesterol). Data were analyzed descriptively using STATA 17. Results : Variations were observed across age groups. Smoking was more frequent among young adults (22.2%) compared to adolescents (9.3%) and adults (17.7%). Alcohol use was generally low but relatively higher among adolescents (12.4%). Physical activity levels and sedentary time showed comparable patterns, with young adults reporting slightly more sedentary behavior (40%). Most respondents consumed fruits less than four days per week. The proportion of overweight and obesity was greater among adults (54.4%) than in young adults (24.4%) and adolescents (19.4%). Differences were also seen in clinical indicators, with adults showing a higher proportion of hypertension (44.1%) and high cholesterol (35.3%) compared to younger groups. Conclusion/Lesson Learned : The study highlights varying patterns of NCD risk factors among age groups, with several behavioral risks already present during adolescence. These findings emphasize the importance of early preventive actions focused on healthy lifestyles, especially among youth, supported by community-based education and health monitoring initiatives.
Optimization of the Role of Health Cadres in Educating About the Integration of Primary Services for the Prevention and Control of Non-Communicable Diseases in Tropical Regions Sumarni Sumarni; Muhamad Zakki Saefurrohim; Muh. Amri Arfandi
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Pasundan Public Health Center ranks among the top three areas with the highest prevalence of Non- Communicable Diseases (NCDs) in Samarinda City, with 23.2% hypertension and 2.95% diabetes mellitus cases. The main challenge lies in the suboptimal role of health cadres in implementing the Integrated Primary Care (ILP) program and their limited digital health literacy. This issue highlights a practical and scientific gap in the effective utilization of health cadres for NCD prevention and control through technology-based health education. To optimize the role of health cadres in the implementation of ILP by improving their knowledge, communication, and digital literacy skills for NCD prevention and control in tropical regions. The program was implemented through community service activities, including socialization, health education, and practical demonstrations involving 37 health cadres from 35 integrated health posts. Evaluation of outcomes was conducted using interactive pre–post tests and participant feedback to measure improvements in knowledge and skills. The evaluation showed a significant increase in cadres’ knowledge from 68% to 89%, along with an improvement in communication and digital literacy skills by 35–40%. The training enhanced cadres’ confidence and ability to utilize digital platforms in disseminating health information related to NCD prevention and control. The program successfully strengthened the capacity of health cadres in technology-based health promotion, supporting the sustainability and effectiveness of Integrated Primary Care at the primary healthcare level. Enhancing digital literacy among cadres is crucial for improving NCD prevention and control efforts in tropical regions.
Geo-Spatial Exploration of Tuberculosis in Samarinda Ulu Sub-District, Samarinda City, East Kalimantan Muh. Amri Arfandi; Muhammad Zakki Saefurrohim; Akhmad Azmiardi; Siswanto; Siti Lutfiyah Ulfa
Panakeia Journal of Epidemiology Vol. 1 No. 1 (2024): PANAKEIA
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/panakeia.v1i1.2111

Abstract

This research investigates the spatial distribution of tuberculosis (TB) cases in Samarinda Ulu, a sub-district with the second-highest percentage of detected TB cases in Samarinda City. Despite the availability of geographic analysis tools, no prior studies have focused on this area. The study uses a descriptive-analytical, cross-sectional approach, utilizing secondary data from the TB03-SO form for 2023. The total sample includes 323 TB cases, with Google Maps used to locate case coordinates based on respondents’ addresses. Spatial analysis was conducted using QGIS software with overlay, buffer, and nearest neighbor analysis techniques. Results shows that TB cases in Samarinda Ulu are distributed in a clustered pattern (NNI<1), with clusters forming primarily in densely populated areas. The spatial analysis results also indicate that the majority of TB cases spread through close contact with index cases. Teluk Lerong Ilir Village emerges as a TB "hotspot," with the highest concentration of cases. This study suggests strengthening spatial-based TB surveillance and intensifying control efforts, such as enhancing early detection and promoting community-based health education programs in highly populated areas. This would allow health institutions to better target high-risk regions and improve TB prevention and control strategies.
Analysis of Factors Associated with Malnutritions Among Children Under Five in East Kalimantan Province: A Secondary Data Study Muh. Amri Arfandi; Siswanto; Irfansyah Baharuddin Pakki; Risva; Muhamad Zakki Saefurrohim
Panakeia Journal of Epidemiology Vol. 2 No. 1 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/panakeia.v2i1.3093

Abstract

This study aims to analyze factors associated with malnutrition among children under five in East Kalimantan Province using secondary data from 2021-2023. The dependent variable is the proportion of malnutrition, including underweight, stunting, and wasting. Independent variables include the proportion of low birth weight (LBW), complete basic immunization (CBI) coverage, adolescent pregnancy (<19 years), sanitation access, and poverty rate. Multiple linear regression analysis found that these five variables simultaneously have a significant effect on malnutrition prevalence (p=0.025) with a coefficient of determination of 39.5%. CBI coverage was identified as the most significant predictor of malnutrition (p=0.02). These findings highlight the importance of immunization, prevention of adolescent pregnancy, improved sanitation, and poverty reduction to address malnutrition. The study provides a policy basis for enhancing nutrition intervention programs in the region.
Co-Authors Akhmad Azmiardi Arlina Azka Asrianti, Tanti Irfansyah Baharuddin Pakki Muhamad Zakki Saefurrohim Muhammad Zakki Saefurrohim Risva Risva Risva Siswanto Siswanto Siswanto Siti Lutfiyah Ulfa Sumarni Sumarni