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Fitriani, Bhekti
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Nursing Public Health

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Thirty seven confirmed cases of coronavirus disease (Covid-19) from March-June in Yogyakarta City, 2020 Fitriani, Bhekti; Indriani, Citra; Susilawati
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: This epidemiological investigation reports a description of Coronavirus Disease (COVID-19) in Yogyakarta City from March-June 2020. Method: In this study, cases were people who confirmed positive COVID-19 using RT-PCR testing from March-June 2020 in Yogyakarta City. Demographic data, the onset date of illness, date of positive specimen, symptoms, comorbidity, exposure, and travel history were collected from Corona Monitoring System, connected to medical records in the hospital. We describe the data using percentages. Results: A total of 37 confirmed cases, 36 (97%) were cured. One case that died was a man, age groups 30-59 years old, with diabetic mellitus, fever, cough, shortness of breath, and diarrhea. The highest attack rate was male (68%). Cases by age group less than five years old (3%), over 60 years old (16%), and 30-59 years old (68%) as the highest. Fever (82%), cough (65%), and shortness of breath (24%) were the most symptoms. We found comorbid diabetic mellitus (86%) and asthma (14%). There were 10 out of 14 sub-districts in Yogyakarta City that have been infected. The highest number of cases was on May 3-9, 2020, because church clusters have been identified. We found 41% cases having a history of travel outside the Yogyakarta Province, and 24% was church cluster. Conclusions: From March 16-June 30, 2020, 37 confirmed cases of COVID-19 in Yogyakarta City. History of travel outside the province of Yogyakarta was a likely risk factor of COVID-19 transmission. Enhance surveillance, contact tracing, mask use, hand hygiene, avoid crowded places are essential to contain the transmission.
Evaluation of corona virus disease (COVID-19) surveillance system in Yogyakarta District, 2020 Fitriani, Bhekti
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Objective: Implementing a surveillance system is one of effort to monitor trends and contain outbreaks. This evaluation had been done for the first time to describe the performance of COVID-19 surveillance system in Yogyakarta District and provide recommendations. Method: This study type was a descriptive evaluation study. Surveillance data COVID-19 routinely collected from data managers since March 16 to September 20, 2020. The interview was conducted to 5 epidemiologists in Yogyakarta District of Health. The indicators of evaluation were simplicity, flexibility, completeness, acceptability, positive predictive value, representativeness, and timeliness. Results: A total of 18 PHCs, 7 COVID-19 referral hospitals, and 2 non-referral COVID-19 hospitals reported confirmed cases. A total of 333 confirmed cases were recorded during the evaluation. The median age of confirmed cases was 43 years (range: 2–84 years) of which 54% were male. The highest case was from Umbulharjo sub district namely 21% (70/333). Positive predictive value was 7.4% that was still above standard value of guidelines, namely <5%. The completeness of the data from the data manager was 90% (301/333). Average time between reports received by the health office and the date of laboratory confirmation results is 1 day (range: 0-8 days). The greatest strength of the system was acceptability and representativeness. Conclusions: The quality of COVID-19 surveillance data has not met the aspect of positive predictive value and completeness. Increased weekly specimen tests should be done and an investigation report could be a source of data to complete the data in the data manager.
Adherence to health protocol after 3 months of emergency responses in community, cafe, and restaurant workers in Yogyakarta City: secondary data analysis of COVID-19 serosurvey in 2020 Fitriani, Bhekti; Prabandari, Yayi; Indriani, Citra
BKM Public Health and Community Medicine Vol 37 No 09 (2021)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v37i09.2233

Abstract

Purpose: The aim of this research was to examine differences in adherence to health protocol between community, cafe, and restaurant workers. Methods: This research employed a cross-sectional design using secondary data from the 2020 COVID-19 serosurvey in Yogyakarta City. The inclusion criterion was respondents aged 19 years and older, while the exclusion criterion was respondents with incomplete data on the variables of interest. Effect size was calculated using the prevalence ratio (PR) derived from bivariate analysis with the chi-square test. Results: Bivariate analysis showed no significant difference in adherence to health protocols between the community and café/restaurant workers (95% CI: 0.99–1.12; p = 0.107). In the community, knowledge was significantly associated with adherence to health protocols (PR: 1.37; 95% CI: 1.19–1.58; p < 0.001). Among café and restaurant workers, both age (PR: 1.18; 95% CI: 1.07–1.29; p = 0.001) and knowledge (PR: 1.13; 95% CI: 1.04–1.24; p = 0.004) were significantly associated with adherence to health protocols. Conclusion: Good knowledge can increase the likelihood of adherence to health protocols among community members, as well as café and restaurant workers. Therefore, education related to COVID-19 prevention should be provided to improve knowledge, especially among young adults.
Co-Authors Citra Indriani Susilawati Yayi Prabandari, Yayi