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All Journal Journal of Epidemiology and Public Health Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Ayuningtyas, Kanthi Devi
STIKes Patria Husada Blitar (google Scholar, H-index 1)
Health Professions Nursing Public Health

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Risk Factors of Dengue Fever: Application of PRECEDE – PROCEED Model Ayuningtyas, Kanthi Devi; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (451.604 KB)

Abstract

Background: Dengue infection is one of the main health problems in more than 100 tropical and subtropical countries. This study aims to analyze the factors that play a role in the occurrence of dengue fever cases by applying the PRECED - PROCEED model.Subjects and Method:This was an analytic observational study with a case control design. The study was conducted at 8 sub-districts in Sukoharjo, Central Java, from May to July 2018. A sample of 200 study subjects was selected for this study by fixed disease sampling, comprising 50 peoples with dengue fever and 150 peoples without dengue fever. The dependent variables were dengue fever. The independent variables were intention, attitude, education, dengue fever prevention, family income, and sanitation. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: The risk of dengue fever was directly reduced by good environmental sanitation (b= -1.32, 95% CI= -2.09 to -0.54, p= 0.001) and good prevention behavior (b= -2.61, 95% CI= -3.55 to -1.67, p<0.001). The risk of dengue fever was indirectly affected by intention, attitude, education, and family income.Conclusion: The risk of dengue fever is directly reduced by good environmental sanitation and good prevention behavior. The risk of dengue fever is indirectly affected by intention, attitude, education, and family income.Keywords: dengue fever, preventive behavior, environmental sanitation, PRECEDE-PROCEED modelCorrespondence: Kanthi Devi Ayuningtyas. School of Health Sciences Patria Husada, Blitar. Jl. Sudanco Supriyadi No 168, Blitar, East Java. Email: kanthideviayuningtyas@gmail.com. Mobile: 08125266956.Journal of Epidemiology and Public Health (2019), 4(1): 37-46https://doi.org/10.26911/jepublichealth.2019.04.01.05
Modal Sosial dan Persepsi Ancaman Sebagai Determinan Perilaku Pencegahan Infeksi Dengue: Studi Multilevel Kanthi Devi Ayuningtyas; Nurhayati Agtikasari; Ana Damayanti
Journal of Ners and Midwifery Vol 6 No 3 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i3.ART.p382-388

Abstract

Infeksi dengue merupakan salah satu permasalahan utama dalam kesehatan masyarakat di Indonesia. Berbagai upaya pencegahan dan pengendalian penyakit ini telah dilakukan dalam kurun waktu yang lama, tetapi jumlah kasus dan angka kematiannya cenderung mengalami peningkatan. Selain faktor individu, faktor sosial pun dinilai memiliki peranan penting dalam upaya pencegahan dan pengendalian infeksi dengue. Penelitian cross sectional yang dilakukan di 8 kecamatan di Kabupaten Sukoharjo pada tahun 2018 ini bertujuan menganalisis pengaruh faktor individu berupa persepsi ancaman pengaruh kontekstual modal sosial terhadap perilaku pencegahan infeksi dengue. Sejumlah 200 subjek penelitian dipilih dengan teknik multistage random sampling. Keseluruhan data variabel bebas (persepsi ancaman dan modal sosial) serta data variabel terikat (perilaku pencegahan infeksi dengue) dikumpulkan dengan kuesioner, dan dianalisis menggunakan analisis multilevel. Temuan dalam penelitian ini adalah perilaku pencegahan infeksi dengue secara signifikan dipengaruhi oleh persepsi ancaman (b= 1.56; CI (95%) = 0.77 - 2.34; p= <0.001) dan modal sosial pada tingkat kecamatan memiliki pengaruh kontekstual terhadap perilaku pencegahan infeksi dengue (ICC 10.91%). Berdasarkan temuan tersebut dapat disimpulkan bahwa persepsi ancaman sebagai salah satu faktor individu dan modal sosial sebagai faktor sosial berpengaruh terhadap perilaku pencegahan infeksi dengue. Dengue is one of major problems in Indonesian public health. Various efforts to prevent and control this disease have been carried out in a long time, but the number of cases and the case fatality rate tends to increase. In addition to individual factors, social factors are also considered to have an important role in efforts to prevent and control dengue. This cross sectional study conducted in 8 sub-districts in Sukoharjo Regency, Central Java in 2018 aims to analyze the effect of perceived threat as individual factor and the contextual effect of social capital on the dengue preventive behavior. A total of 200 subjects were selected by multistage random sampling. Data for both independent (Perceived threat and social capital) and dependent variable (dengue preventive behavior) were collected by questionnaire, and analyzed with multilevel analysis. This study found that dengue preventive behavior was significantly affected by perceived threat (b = 1.56; CI (95%) = 0.77 - 2.34; p = <0.001) and the sub-district level social capital had a contextual effect on dengue preventive behavior (ICC 10.91%). Based on these findings, we concluded that perceived threat as an individual factor and social capital as a social factor affected dengue preventive behavior.
Barriers of PMTCT (Prevention Mother to Child Transmission) Program: Systematic Review Miftah Chairunnisa; Kanthi Devi Ayuningtyas
Journal of Ners and Midwifery Vol 7 No 3 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i3.ART.p376-388

Abstract

HIV infection during pregnancy is a serious problem that requires special attention because the number of case increasing every year. According to UNAIDS data, more than 36.9 million people were living with HIV on 2017. An increase of 1.8 million new cases and 940,000 deaths occurs in the same year. In Indonesia especially, there were about 630,000 HIV cases on 2017 and nearly 49,000 new cases reported. This number consists of cases of vertical transmission from mother to child during pregnancy. The government has implemented PMTCT (Prevention Mother to Child Transmission) program as a solution to reduce the number of HIV cases. Nevertheless this program has not been running well due to several barriers regarding to its implementation. This study aimed to provide an understanding of various barriers to PMTCT program implementation. A systematic review approach by PRISMA design was used to study literatures from databases. Stigma or discrimination from community and health care, experienced by HIV patients, was major barrier that impede PMTCT program. In addition, lack of support from partner or family, depression, economic factors, stigma from health workers, and health workers’ income-workload discrepancy were also significantly affected the implementation. Contrary, the active role of health workers to provide counseling and education about HIV/AIDS among community as well as to client’s families was a success key of PMTCT program.
Developing Female-Genital Infection Preventive Behavior Tool (FGIPBT) for Islamic Boarding School Population Based on The Integrated Behavior Model Kanthi Devi Ayuningtyas; Ika Agustina; Ita Noviasari
Journal of Ners and Midwifery Vol 8 No 2 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i2.ART.p247-254

Abstract

Female-genital infection in adolescence causes discomfort and may develop into a serious issue. Islamic boarding school female students are a population at risk of getting a female-genital infection due to the lack of hygiene practice sum up with the lack of parental control. Prevention of female-genital infection through behavioral change is mandatory but the changes in behavior are not an effortless thing. There are underlying constructs that predispose the behavior as described in the Integrated Behavior Model (IBM). Dealing with those constructs will facilitate the change of behavior. However, there was no exact tool for assessing construct that determines the female-genital infection preventive behavior, especially for Islamic boarding school female-student population. That was the major reason for the Female-genital Infection Preventive Behavior Tool (FgIPBT) development. We generated a tool based on IBM constructs and the Indonesian Society of Dermatology and Venereology (INSDV) recommendation regarding genital infection preventive behavior. A deductive method of item generation, expert judgments, and internal consistency test involved 143 female-student from 3 different Islamic boarding schools was done to generate a valid and reliable tool. Total 177 valid items composed on the first phase and two different arrangements of items has subjected the reliability on the second phase. Items that were arranged based on behavior items and assessed every IBM construct (Type 1) had higher reliability value than items that were arranged based on IBM construct for all behavior items (Type 2). Assessing different construct for each point of behavior at the same time generate more reliable data than assessing the same construct for all points of behavior.
Co-Authors Ana Damayanti Bhisma Murti Damayanti, Ana ika agustina Miftah Chairunnisa Noviasari, Ita Nurhayati Agtikasari Nurhayati Agtikasari, Nurhayati Rahardjo, Setyo Sri