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SPATIAL ANALYSIS OF DENGUE HEMORRHAGIC FEVER CASES IN RELATION TO POPULATION DENSITY IN BANDAR LAMPUNG CITY Kurnia Ramayudha; Agung Aji Perdana; Nurhalina Sari; Dina Dwi Nuryani
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21446

Abstract

Dengue Hemorrhagic Fever (DHF) remains a significant public health burden in Indonesia, particularly in densely populated urban areas. Bandar Lampung City is classified as an endemic region, with fluctuating case numbers each year. This study aims to analyze the relationship between population density and the distribution of DHF cases using a spatial analysis approach. A cross-sectional ecological design was employed. Secondary data were obtained from the Lampung Provincial Health Office regarding DHF cases and from the Central Bureau of Statistics regarding population density. The analysis involved Pearson’s correlation test to examine the association between population density and case numbers, as well as spatial mapping using QGIS 3.4.11 to illustrate distribution patterns. The findings revealed that DHF cases occurred not only in highly populated areas but also in subdistricts with moderate population density, particularly where the larva-free index (LFI) was low. Correlation tests demonstrated a significant negative relationship in 2022 (r = –0.341; p = 0.049) and 2023 (r = –0.327; p = 0.043), while the result for 2021 was not statistically significant (r = –0.276; p = 0.061). This study concludes that population density is not the primary determinant of DHF incidence. Environmental conditions, sanitation, and community behavior appear to play a more substantial role in disease transmission within Bandar Lampung City.
Analisa Faktor Kepuasan Pasien Poli Rawat Jalan Rsia Prima Qonita Kabupaten Ogan Komering Ulu Provinsi Sumatera Selatan Govindha Putri; Dina Dwi Nuryani; Nova Muhani; Samino Samino; Fitri Ekasari
Malahayati Nursing Journal Vol 6, No 9 (2024): Volume 6 Nomor 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i9.13566

Abstract

ABSTRACT Nowadays healthcare industry has moved towards continuous quality improvement. Thus, health care managers must include patient-centered care activities as a major component. For this reason, patient satisfaction is a quality improvement tool for the overall performance of health facility organizations. Hospitals as health facilities must be able to realize good quality, but there is still patient dissatisfaction with hospital services, including the Prima Qonita Mother and Child Hospital (RSIA), Ogan Komering Ulu Regency, South Sumatra Province. Therefore, researchers want to focus on analyzing the hospital's outpatient satisfaction factors. Analyzing patient satisfaction factors at the RSIA Prima Qonita outpatient clinic, Ogan Komering Ulu Regency, South Sumatra Province. The method used is quantitative with a cross sectional design. The samples taken were 388 with accidental sampling techniques. The independent variables assessed were physical evidence (tangible), reliability (reliability), responsiveness (responsiveness), and assurance (assurance) and  empathy (empathy). Bivariate test using spearman correlation test and multivariate using linear regression test. Based on the results of the Spearman Correlation test, the physical evidence factor (r= 0.340), the empathy factor (r= 0.398), the reliability factor (r= 0.409), the responsiveness factor (r= 0.447), and the assurance factor (r= 0.434) were obtained. The results of the multiple linear regression test obtained a p value of 0.000 and a coefficient B value of 1.19 for the empathy variable. Each factor of physical evidence, empathy, reliability, responsiveness and assurance statistically influences patient satisfaction with health services in outpatient clinics. The most dominant factor is the empathy factor. Keywords: Hospital, Quality of Service, Patient Satisfaction, Tangible, Reliability, Responsiveness, Assurance, and Empathy  ABSTRAK Industri pelayanan kesehatan saat ini telah bergerak menuju peningkatan kualitas yang berkelanjutan. Manajer pelayanan kesehatan harus memasukan kegiatan perawatan yang berpusat pada pasien sebagai komponen utamanya. Kepuasaan pasien menjadi alat peningkatan kualitas untuk kinerja organisasi sarana kesehatan secara keseluruhan. Rumah sakit sebagai sarana kesehatan harus mampu mewujudkan kualitas yang baik, namun masih ditemukan ketidakpuasan pasien terhadap pelayanan rumah sakit termasuk Rumah Sakit Ibu dan Anak Prima Qonita Kabupaten Ogan Komering Ulu Provinsi Sumatera Selatan. Menganalisis faktor kepuasan pasien poli rawat jalan RSIA Prima Qonita Kabupaten Ogan Komering Ulu Provinsi Sumatera Selatan. Metode yang digunakan berupa kuantitatif dengan rancangan cross sectional. Sample yang diambil sebanyak 388 dengan teknik accidental sampling. Variabel yang dinilai yaitu bukti fisik (tangible), kehandalan (reliability), daya tanggap (responsiveness), dan jaminan (assurance) dan empati (empathy). Uji bivariat menggunakan uji korelasi spearman dan multivariat menggunakan uji regresi linear. Berdasarkan hasil uji Korelasi Spearman didapatkan faktor bukti fisik (r= 0,340), faktor empati (r= 0,398), faktor kehandalan (r= 0,409), faktor daya tanggap (r= 0,447), dan faktor jaminan (r= 0,434). Hasil uji regresi linier berganda diperoleh hasil nilai p value sebesar 0,000 dan diperoleh nilai koefisien B sebesar 1,19 pada variabel empati. Masing-masing faktor bukti fisik, empati, kehandalan, daya tanggap dan jaminan secara statistik berpengaruh terhadap kepuasan pasien pelayanan kesehatan di poli rawat jalan. Faktor yang paling dominan adalah faktor empati. Kata Kunci: Kualitas Pelayanan, Kepuasan Pasien, Tangible, Reliability, Responsiveness, Assurance, Dan Empathy
Analisis Determinan Growth Failure (Stunting) pada Anak Usia 0 - 59 Bulan di Puskesmas Panjang Kota Bandar Lampung Vivi Yolandha; Dina Dwi Nuryani; Vera Yulyani
Malahayati Nursing Journal Vol 6, No 6 (2024): Volume 6 Nomor 6 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i6.12331

Abstract

ABSTRACT Stunting in toddlers is a nutrition problem in the world today, especially in developing countries, including Indonesia. Based on the 2022 stunting population in Lampung Province of 15.2%. Puskesmas Panjang is one of the Puskesmas in Bandar Lampung with the highest stunting rate of 566 people (22.9%). The purpose of this study was to determine the determinants of growth failure (stunting) in children aged 0 - 59 months at Puskesmas Panjang, Bandar Lampung. Type of quantitative research with a case control approach. The scope of researchers at Puskesmas Panjang Health Center in Bandar Lampung. The research was conducted in May 2023. The population in the study were all mothers who had children aged 0 - 59 months, with a sample of 162 children. The variables in the study were early breastfeeding initiation, exclusive breastfeeding, complementary feeding, and environmental sanitation with the incidence of stunting. Data collection using questionnaires, data analysis by univariate (frequency distribution), bivariate (chi square) and multivariate (logistic regression). The results showed that there is a significant relationship with the incidence of stunting is Early Breastfeeding Initiation (p-value = 0.008; OR = 2.60), exclusive breastfeeding history (p-value = 0.000; OR = 4.98), history of complementary feeding (p-value = 0.001; OR = 3.20), Environmental Sanitation (p-value = 0.001; OR = 3.31). Exclusive breastfeeding is the dominant variable on the incidence of stunting in children (p-value = 0.001; OR = 4.027).  Research suggestions are expected to educate and understand, counseling or installing posters to the community, especially pregnant women and mothers who have toddlers in the form of the importance of the role of exclusive breastfeeding for toddlers where exclusive breastfeeding affects the incidence of stunting in toddlers. Keywords: Stunting, Malnutrition, Growth and Development  ABSTRAK Stunting pada balita merupakan permasalahan gizi di dunia saat ini terutama di negara-negara berkembang, termasuk indonesia. Berdasarkan populasi stunting tahun 2022 di Provinsi Lampung sebesar 15,2%. Puskesmas Panjang merupakan salah satu Puskesmas di Bandar Lampung dengan angka stunting tertinggi sebanyak 566 orang (22,9%). Tujuan penelitian ini adalah diketahui determinan growth failure (stunting) pada anak usia 0 – 59 bulan di Puskesmas Panjang Bandar Lampung. Jenis penelitian kuantitatif dengan pendekatan Case Control. Ruang lingkup peneliti di Puskesmas Panjang Bandar Lampung. Penelitian dilakukan bulan Mei 2023. Populasi dalam penelitian adalah seluruh ibu yang memiliki anak usia 0 - 59 bulan, dengan sampel 162 anak. Variabel dalam penelitian yaitu Inisiasi menyusui dini, ASI Eksklusif, MP-ASI, dan Sanitasi Lingkungan dengan kejadian stunting. Pengumpulan data menggunakan kuesioner, analisis data secara univariat (distribusi frekuensi), bivariat (chi square) dan multivariat (regresi logistik). Hasil penelitian didapatkan ada hubungan yang signifikan dengan kejadian stunting adalah Inisiasi Menyusui Dini (p–value = 0,008; OR = 2.60), riwayat pemberian ASI eksklusif (p–value = 0,000 ; OR = 4.98), riwayat pemberian MP-ASI (p–value = 0,001 ; OR = 3.20), Sanitasi Lingkungan (p–value = 0,001 ; OR = 3.31). Asi Eksklusif merupakan variabel dominan terhadap Kejadian Stunting pada anak ( p–value = 0,001 ; OR = 4.027).  Saran penelitian diharapkan melakukan edukasi dan pemahaman, penyuluhan atau pemasangan poster kepada masyarakat terutama ibu hamil dan ibu yang memiliki balita berupa pentingnya peran ASI Eksklusif untuk balita diaman ASI Eksklusif berpengaruh terhadap kejadian stunting pada balita.                   Kata Kunci: Stunting, Gizi Buruk, Tumbuh Kembang
Faktor-faktor yang berhubungan dengan kejadian diare pada balita Bella Tania Putri; Suwito Suwito; Dina Dwi Nuryani
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 7 (2025): October Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i7.1317

Abstract

Background: Globally, there are around 1.7 billion cases of diarrhea in children each year, and diarrhea is the main cause of malnutrition in children under five. In developing countries, diarrhea causes 1.8 million deaths of children under five, which has increased from 1.5 million in the last 20 years. The causes of diarrhea are related to host, agent, and environmental factors. In Indonesia, diarrhea remains a serious public health problem, especially among toddlers. Purpose: to analyze the factors related to diarrhea among toddlers in the working area of the Labuhan Ratu Health Center in 2024. Method: This research used a quantitative analytic method with a cross-sectional design. The population was all toddlers in the working area of the Labuhan Ratu Health Center, totaling 4,589 children. A sample of 188 toddlers was selected using a simple random sampling technique. Primary data were collected using questionnaires. The data were analyzed using univariate, bivariate (Chi-square test), and multivariate (logistic regression). Results: The study showed that nutritional status (p = 0.011; OR = 2.369), maternal education (p = 0.018; OR = 2.395), exclusive breastfeeding (p = 0.006; OR = 2.394), handwashing habits (p = 0.000; OR = 5.425), and source of drinking water (p = 0.004; OR = 2.630) had significant relationships with diarrhea in toddlers. Economic level (p = 0.075) and immunization history (p = 0.200) were not significantly related. The most dominant factor was handwashing habits (p = 0.000; OR = 4.772). Conclusion: There is a significant relationship between several factors and diarrhea incidence in toddlers, especially handwashing behavior. It is recommended that the health center increase education for pregnant women and mothers of toddlers on the importance of handwashing, exclusive breastfeeding, balanced nutrition, and clean water to prevent diarrhea.
Implementasi Ovitrap Sebagai Upaya Pencegahan DBD Di Desa Hajimena, Lampung Selatan Agung Aji Perdana; Dina Dwi Nuryani; Angga Bayu Santoso; Muhammad Putra Pratama; Maharani Kartini
Shihatuna : Jurnal Pengabdian Kesehatan Masyarakat Vol 5 No 2 (2025): Desember
Publisher : FKM UIN Sumatera Utara Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/shihatuna.v5i2.26270

Abstract

Dengue Hemorrhagic Fever (DHF) remains one of the public health issues that needs to be watched out for, especially in areas with high population density. One simple, inexpensive, and effective vector control effort is the use of ovitraps as traps for Aedes aegypti mosquito eggs. This community service program was implemented in Hajimena Village with the aim of increasing residents' understanding and skills in making and utilizing ovitraps as a preventive measure against DHF. The methods used included socialization, practical training in making ovitraps, installation at mosquito breeding sites, and monitoring for four weeks. The participants consisted of 33 residents, cadres, and village health workers. The results of the activity showed a 14.58% increase in residents' knowledge based on pre- and post-tests, as well as an increase in skills in making ovitraps. These findings prove that ovitraps not only function as a means of vector control but are also effective as an applicable, inexpensive, and sustainable educational medium. Therefore, this program is expected to be widely implemented as a community empowerment strategy in dengue fever prevention efforts.
Peningkatan pengetahuan tentang kewirausahaan di pondok pesantren Al Firdaus Erna Listyaningsih; Dina Dwi Nuryani; Natalina Natalina; Ade Maria Ulfa; Devi Oktarina
JOURNAL of Public Health Concerns Vol. 4 No. 6 (2025): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v4i6.757

Abstract

Background: One of the challenges faced by Indonesia in global competition is improving the quality of its human resources. The formal and non-formal education sectors also have a very significant role in creating its human resources. Islamic boarding schools are one of the Islamic-based educational communities that have developed quite significantly in Indonesia. Islamic boarding schools as educational institutions have long played a role in shaping the character and knowledge of the young generation in Indonesia. The young generation who have received formal education in Islamic boarding schools should be equipped with expertise or at least have entrepreneurial skills as a form of support in providing a quality generation in the future. A generation that has the ability and has an entrepreneurial spirit will greatly assist in achieving economic growth regionally and nationally. In general, there are still many Islamic boarding schools that have not included an entrepreneurship curriculum in their learning system. Purpose: Providing education about entrepreneurship to students with the aim of improving their abilities to become a generation with an entrepreneurial spirit. Method: This community service activity was held in October 2024 at the Al Firdaus Islamic Boarding School in Kemiling Village, Bandar Lampung City with 89 students with the target of the activity to provide education about the importance of entrepreneurship and its benefits. The education provided is knowledge, insight, understanding, literacy about the basic concepts of entrepreneurship related to managing the environment around the Islamic boarding school such as utilizing organic and inorganic waste into something of economic value. Results: Participants gain knowledge in managing the environment related to waste problems and the participants are also enthusiastic in participating in the activities, listening carefully to the material presented, asking questions and having interactive discussions with the service team during the activity until the end. The participants also get comprehensive solutions about entrepreneurship in addition to managing waste in maintaining environmental health. The implementation of the activity went very well and received a good response in the form of ideas and innovations from the participants. Conclusion: Education to increase knowledge about entrepreneurship can develop the spirit of entrepreneurship, increase literacy, competence, and creativity in the mindset of students. Suggestion: Provide entrepreneurial assistance in Islamic boarding schools to improve the spirit, enthusiasm and entrepreneurial competence of the students of the Al Firdaus Islamic Boarding School so that they will get graduates who have more value, especially knowledge about entrepreneurship and managing environmental health. Keywords: Education; Entrepreneurship; Environmental health; Islamic boarding school Pendahuluan: Salah satu tantangan yang dihadapi Indonesia dalam kompetisi global adalah peningkatan kualitas sumber daya manusianya. Sektor pendidikan formal dan nonformal juga memiliki peranan yang sangat signifikan terhadap penciptaan sumber daya manusianya. Pondok pesantren (Ponpes) adalah salah satu komunitas pendidikan berbasis Islam yang cukup besar perkembangannya di Indonesia. Pondok pesantren sebagai lembaga pendidikan yang telah lama berperan dalam membentuk  karakter  dan  pengetahuan  generasi  muda  di  Indonesia. Generasi muda yang sudah mendapatkan pendidikan formal dikalangan pondok pesantren sebaiknya dilengkapi dengan keahlian atau setidaknya memiliki ketrampilan kewirausahaan sebagai bentuk dukungan dalam penyediaan generasi berkualitas di masa depan. Generasi yang memiliki kemampuan dan memiliki jiwa kewirausahaan akan sangat membantu pencapaian pertumbuhan ekonomi secara regional maupun nasional. Pada umumnya masih banyak pondok pesantren yang belum memasukkan kurikulum kewirausahaan ke dalam sistem pembelajarannya. Tujuan: Memberikan edukasi tentang kewirausahaan pada santri dengan sasaran meningkatkan kemampuan diri menjadi generasi yang memiliki jiwa entrepreneur. Metode: Kegiatan pengabdian kepada masyarakat ini diselenggarakan pada bulan Oktober 2024 di Ponpes Al Firdaus di Kelurahan Kemiling Kota Bandar Lampung dengan jumlah santri sebanyak 89 santri dengan sasaran kegiatan memberikan edukasi tentang pentingnya kewirausahaan dan manfaatnya. Edukasi yang diberikan adalah pengetahuan, wawasan, pemahaman, literasi tentang konsep dasar wirausaha yang berkaitan dengan mengelola lingkungan sekitar ponpes seperti pemanfaatan sampah organik dan anorganik menjadi sesuatu yang bernilai ekonomis. Hasil: Peserta mendapatkan pengetahuan dalam mengelola lingkungan terkait dengan masalah sampah dan para peserta juga antusias mengikuti kegiatan, menyimak dengan baik dari materi yang disampaikan, mengajukan pertanyaan dan diskusi interaktif dengan tim pengabdian selama kegiatan berlangsung sampai akhir. Para peserta juga mendapatkan solusi komprehensif tentang kewirausahaan selain dari mengelola sampah dalam menjaga kesehatan lingkungan. Pelaksanaan kegiatan berjalan dengan sangat baik dan mendapatkan respon baik berupa munculnya ide dan inovasi dari para peserta. Simpulan: Edukasi peningkatan pengetahuan tentang kewirausahaan dapat mengembangkan semangat jiwa wirausaha, meningkatkan literasi, kompetensi, kreativitas pola pikir para santri. Saran: Memberikan pendampingan kewirausahaan di pondok pesantren  untuk  meningkatkan  jiwa,  semangat  dan  kompetensi  kewirausahaan  para santri Pondok Pesantren Al Firdaus  sehingga  akan mendapatkan lulusan santri yang memiliki  nilai lebih terutama pengetahuan tentang kewirausahaan dan mengelola kesehatan lingkungan.