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All Journal Jurnal Kebijakan Kesehatan Indonesia Berita Kedokteran Masyarakat
Fitriah, Yunita
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Nursing Public Health

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Climate Change and The Spread Of Dengue Fever : Risk Evaluation and Mitigation Efforts in Sumba Tengah Regency Fitriah, Yunita
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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Abstract

Climate change has become a significant global challenge that can affect public health and increase the risk of vector-borne disease such as dengue fever. Changes in temperature and weather patterns have created more favorable conditions for the Aedes Aegypti mosquitoes, the vectors of dengue fever. Sumba Tengah, like many othe regions has also experienced changes in weather patterns, creating conditions conducive to the breeding of Aedes Aegypti mosquitoes. Risk evaluation shows that climate change accelerates the mosquitoe life cycle and expands their distribution area, increasing the incidence of dengue fever cases in Sumba Tengah Regency. The community of Sumba Tengah faces significant challenges in addressing the rise in dengue fever cases. Limited healthcare systems and low public awareness exacerbate the situation. Therefore, comprehensive mitigation efforts are urgently needed. The first necessary action is to utilize the Early Warning Alert and Response System (EWARS) reporting application for monitoring and predicting outbreaks. This will enable a quick response and more effective control measures. The next step to be taken is to conduct educational campaigns for the community to enhance their understanding of dengue fever prevention and the relationship between climate change and dengue fever incidence. With better knowledge, the community can take more proactive preventive measures such as eradicating mosquito breeding sites. Increasing cross-sector collaboration is the next step that can be taken. The involvement of various stakeholders, including the health sector and village governments, is crucial to creating a coordinated and sustainable approach. Government policies must also support this effort by providing the necessary resources and regulations to mitigate the impact to the continuously rising incidence of dengue fever in the community. Conclusion is climate change has significantly increased the risk of dengue fever spread in Sumba Tengah Regency. Mitigation efforts involving technology, education and cross-sector collaboration are key to reducing the risk.
Evaluasi Kerjasama Lintas Sektor dalam Meningkatkan Capaian Imunisasi Dasar Lengkap di Kabupaten Sumba Tengah Fitriah, Yunita; Mahendradhata, Yodi; Putri, Likke Prawidya
Jurnal Kebijakan Kesehatan Indonesia Vol 13, No 3 (2024): September
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.96378

Abstract

Imunisasi merupakan salah satu investasi kesehatan yang paling cost effective (murah), karena terbukti dapat mencegah dan mengurangi kejadian kesakitan, kecacatan, dan kematian akibat Penyakit yang Dapat Dicegah Dengan Imunisasi (PD3I). Kabupaten Sumba Tengah selama 5 tahun terakhir (Tahun 2018-2022), kondisi cakupan imunisasi dasar lengkap bada bayi di Kabupaten Sumba Tengah masih fluktuatif atau belum stabil. Menurut Profil Dinas Kesehatan Kabupaten Sumba Tengah Pada Tahun 2018 cakupan IDL baru sebesar sebesar 88,7%, Tahun 2019 cakupan IDL sebesar 51,5%, Tahun 2020 cakupan IDL memenuhi target dengan capaian sebesar 96,5% namun pada Tahun 2021 cakupan IDL kembali menurun menjadi 91,1% dan pada Tahun 2022 sebesar 82,9% dari target imunisasi yang ditentukan oleh Kementrian Kesehatan melalui RPJMD Dinas Kesehatan Provinsi yaitu sebesar 95%. Penelitian deskriptif kualitatif ini mengumpulkan data melalui wawancara mendalam dan observasi, melibatkan petugas kesehatan, lintas sektor, dan pengambil kebijakan, menggunakan purposive sampling. Hasil menunjukkan bahwa kerjasama lintas sektor dalam program imunisasi di Kabupaten Sumba Tengah sudah terjalin, namun kerjasama yang sudah ada belum dilakukan secara optimal. Efektifitas program dapat ditingkatkan melalui peningkatan komunikasi dan koordinasi lintas sektor yang berdampak terhadap keterlibatan dan pemberian dukungan kepada program imunisasi serta penyusunan kebijakan formal yang dapat mendukung kerjasama lintas sektor dalam program imunisasi.  Kesimpulan studi ini Kurangnya komunikasi, koordinasi, keterlibatan dalam pelaksanaan kegiatan imunisasi serta belum tersedianya kebijakan yang mengatur. Peningkatan capaian imunisasi di Kabupaten Sumba Tengah dapat dilakukan dengan menerapkan prinsip collaboration governance dalam pelaksanaan program imunisasi.
Co-Authors Likke Prawidya Putri Yodi Mahendradhata