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All Journal TROPHICO: Tropical Public Health Journal Journal of Innovative and Creativity
Fitra, Nurcholisah
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Education Health Professions Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Temporal Patterns Of The Top Ten Diseases At Darussalam, Community Health Center In 2025 : An Epidemiological Analysis Using Routine Health Information System Data Fitra, Nurcholisah; Zuhair, Ruslan; Rismadi, Kiki
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.7556

Abstract

This study aimed to analyze the temporal patterns of the top ten diseases reported at Darussalam Community Health Center in 2025 using routine health information system (RHIS) data. Understanding disease patterns over time is essential for strengthening primary health care services, improving disease prevention strategies, and supporting evidence-based decision-making at the local level. By examining temporal variations in morbidity, this study seeks to identify priority health problems and periods of increased disease burden that require targeted interventions. This study employed a quantitative descriptive epidemiological approach with a retrospective design. Secondary data were obtained from RHIS records of outpatient visits at Darussalam Community Health Center for the period January–December 2025. The study population comprised all recorded morbidity cases during the study period. A total population approach was used, and the top ten diseases were identified based on the highest cumulative number of reported cases. Data were analyzed using descriptive epidemiological methods, including monthly and quarterly trend analysis, and were presented in the form of tables and temporal distributions to illustrate disease patterns over time.The findings showed that a limited number of disease categories accounted for the majority of outpatient visits in 2025. Acute respiratory infections consistently ranked as the leading cause of morbidity and exhibited clear temporal variation, with higher incidence during specific months. Non-communicable diseases, particularly hypertension and diabetes mellitus, demonstrated stable patterns throughout the year, indicating a persistent demand for chronic disease management. Gastrointestinal and skin-related diseases showed seasonal fluctuations, with increased cases during certain periods. Overall, the highest disease burden was observed in the later months of the year. This study highlights the value of RHIS data in identifying temporal disease patterns at the primary health care level. Regular analysis of routine morbidity data can enhance service responsiveness, support targeted preventive and promotive interventions, and improve resource allocation. Integrating temporal analysis into routine monitoring activities is essential for strengthening evidence-based primary health care planning.
Determinants of tuberculosis health service utilization in primary healthcare facilities in Perbaungan, North Sumatra, Indonesia Ismail, Aniza; Fitra, Nurcholisah; M Zulfakhar Zubir; Abdul Rahman Bin Ramdzan; Mohd Ihsanuddin bin Abas
TROPHICO Vol. 5 No. 2 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i2.22912

Abstract

Indonesia ranks third worldwide in terms of Tuberculosis (TB) cases, after China and India. In 2016, North Sumatera recorded 23,097 TB cases with 5,714 deaths. One of the regencies in this province, Serdang Bedagai particularly in Perbaungan district reported that TB patients with positive smear results did not fully utilize healthcare services or follow the standard treatment protocols provided by primary healthcare centers, according to TB center data from 2016–2017. This study aimed to assess the prevalence and identify factors associated with the utilization of TB health services in primary care. A cross-sectional design was employed with proportionate stratified random sampling among TB patients in Perbaungan. Associations were analyzed using the chi-square test. Inclusion criteria required respondents to be permanent residents aged 20–70 years, both male and female, who agreed to complete the questionnaires. Among 184 respondents, 41.8% showed low utilization of services, while 58.2% demonstrated high utilization. Most respondents had only primary education and were unemployed. The study found significant associations between service utilization and education level, employment status, knowledge, attitudes, and accessibility. In conclusion, nearly half of respondents had low utilization of TB health services in primary health care in Perbaungan, North Sumatera Indonesia.
Co-Authors Abdul Rahman Bin Ramdzan Ismail, Aniza M Zulfakhar Zubir Mohd Ihsanuddin bin Abas Rismadi, Kiki Zuhair, Ruslan