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DISTRIBUSI SPASIAL KASUS DIARE: INTERAKSI ANTARA KEPADATAN PENDUDUK, SANITASI, DAN AKSESIBILITAS FASILITAS KESEHATAN DI PROVINSI SUMATERA UTARA TAHUN 2022-2023 Widyastuti, Desy; Mulyana; Rivani, Vita Diah; Sinaga, Stefya Natasya Sari; Sinulingga, Elyzabeth Arihta; Girsang, Vierto Irennius
PRIMA WIYATA HEALTH Vol 6 No 2 (2025): Prima Wiyata Health: Juli 2025
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v6i2.99

Abstract

Background: Diarrhea remains a major public health problem in Indonesia, especially in areas with high population density and poor access to sanitation. North Sumatra Province experiences fluctuations in diarrhea cases, with the number of cases reaching 205,155 in 2022 and decreasing to 95,433 in 2023. Objectives: This study aims to map the spatial distribution of diarrhea cases in North Sumatra Province in 2022-2023, and analyze its relationship with population density, access to proper sanitation, and the number of health facilities. Methods: This study used a quantitative descriptive approach using secondary data obtained from the Central Statistics Agency (BPS) of North Sumatra Province. The area covered 33 regencies/cities. The variables analyzed included the number of diarrhea cases, population density, access to proper sanitation, and the number of health facilities. Spatial analysis was conducted using QGIS version 3.28 (Firenze) using the Join Attribute Table technique and thematic map visualization using the Graduated Symbology method. Results: There was a shift in the spatial pattern of diarrhea cases from 2022 to 2023, with the highest number of cases shifting from Medan City (40,126 cases) to Deli Serdang Regency (16,108 cases). Areas with poor sanitation and high density tend to have higher diarrhea rates. Meanwhile, the number of health facilities does not always correlate with a decrease in diarrhea cases. Conclusion: A spatial approach can reveal disease distribution patterns based on regions more comprehensively. Regular use of Geographic Information Systems is recommended to support infectious disease monitoring and spatial data-based policymaking, including the development of predictive dashboards for early warning and resource allocation.
INCREASING ATTITUDE AND BEHAVIOR OF DELAYING PREGNANCY OF THE RISKY BRIDE CANDIDATES THROUGH PRECONCEPTIVE HEALTH EDUCATION Maretta, Megayana Yessy; Rachmadi, Dedi; Husin, Farid; Widyastuti, Deny Eka; Widyastuti, Desy; Khuzaiyah, Siti; Tayyeb, Muhammad
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 11, No 1 (2023): February
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v11i1.70453

Abstract

Background: World Health Organization identified some factors of high-risk pregnancy. Health education with booklets can improve individual knowledge, attitudes, and behavior. This study aims to analyze the effect of preconception of health education with booklets on increasing the attitudes and behavior of the risky bride candidates.Method:This quasi-experimental pre-posttest design with control groups study was conducted at 4 Religious Affairs Office in Surakarta with a sample of 60 prospective brides divided into 2 groups and selected by consecutive sampling technique. Attitudes and behavior on delaying pregnancy were measured using an attitude questionnaire and a family planning acceptor card. Data analysis with Fisher's test, Chi Square Test, Z Test.Result: There was an increase in positive attitudes (delaying pregnancy) (36.7%), and there were n=10(33.3%) brides who delayed pregnancy (using contraception) in the group that was given education with a booklet with p <0.05 between the two groups. The group that received education using the booklet had the opportunity to improve attitudes 1.3 times and use contraception 1.45 times compared to the control group.Conclusion: This study concludes that pre-conceptional health education using booklets can be an alternative in increasing the positive attitude and behavior of delaying pregnancy at risky prospective brides.