Article Per Year (5 Year)
p-Index From 2021 - 2026
0.61
P-Index
This Author published in this journals
All Journal Journal of Health Science and Pharmacy Journal of Epidemiology and Health Sciences Journal of Law, Social Science and Management
Pitrah Asfian
Faculty of Public Health, Halu Oleo University, Kendari
Religion Humanities Decision Sciences, Operations Research & Management Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health

Published : 3 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search

 1 
Rabies Risk Factor Analysis in Parigi Moutong Regency, Central Sulawesi Province in 2023 Pitrah Asfian; Muhammad Fadil Pratama
Journal of Health Science and Pharmacy Vol. 2 No. 3 (2025): September - December
Publisher : Yayasan Cipta Anak Bangsa (YCAB) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/jhsp.v2i3.1346

Abstract

Background: Rabies is a zoonotic disease transmitted through the bites of mammals infected with the Rabies lyssavirus. It remains a major public health concern in Indonesia, as several provinces continue to be endemic. The virus primarily targets the central nervous system, leading to progressive encephalopathy and, if left untreated, results in an extremely high case fatality rate. Objectives: This study aims to analyze the risk factors associated with rabies cases in Parigi Moutong Regency, Central Sulawesi, in 2023, using official health surveillance data to identify epidemiological trends and support evidence-based public health interventions. Methods: A descriptive quantitative study design was employed using secondary data obtained from the Central Sulawesi Provincial Health Profile. The data were systematically compiled and presented in graphical form to examine patterns and temporal trends in reported rabies cases. Results: The results demonstrate a notable increase in rabies cases in Parigi Moutong Regency. This rise appears to be associated with increased human–animal interactions in the post–COVID-19 period. Inadequate public awareness and suboptimal animal vaccination coverage were identified as key factors influencing rabies transmission. Conclusion: The observed increase in rabies cases in Parigi Moutong Regency underscores the urgent need to strengthen animal vaccination programs, enhance community awareness, and promote cross-sectoral collaboration. Implementing a data-driven public health strategy is essential to reduce rabies-related mortality and to support the national goal of achieving a rabies-free Indonesia by 2030.
Analysis of Estimated Deaths from Hypertension in Pregnant Women and Population Aged ≥15 Years by Gender in Central Kalimantan Province in 2021 Pitrah Asfian; Windi Wulandari; Wa Ode Siti Nurfauzah; Zahra Sa'ada Fatiyyah Tanzil; Wulan Sagitat Aprilianti; Wa Ode Aurela Utami Putri Djumain; Yuliana Safitri
Journal of Epidemiology and Health Science Vol. 2 No. 3 (2025): September - December
Publisher : Yayasan Cipta Anak Bangsa (YCAB) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/jehs.v2i3.1430

Abstract

Background: Hypertension is one of the most prevalent non-communicable diseases and a leading contributor to global mortality. It significantly increases the risk of cardiovascular complications, including stroke and heart disease, and adversely affects quality of life. In Indonesia, including Central Kalimantan Province, hypertension represents a major public health concern, with a consistently increasing trend in both prevalence and hypertension-related mortality. According to the 2021 Central Kalimantan Provincial Health Profile, hypertension ranks among the five leading causes of death, particularly affecting individuals of productive age, the elderly, and pregnant women. These groups require targeted and sustained interventions to prevent adverse outcomes. Objective: This study aims to analyze the estimated number of hypertension cases and related deaths among individuals aged ≥15 years and pregnant women in Central Kalimantan Province in 2021, stratified by sex. Methods: A quantitative descriptive study was conducted using secondary data obtained from the 2021 Central Kalimantan Provincial Health Office Profile. Data were analyzed narratively to describe the distribution of hypertension cases and mortality patterns across districts. Results: The analysis identified 646,208 individuals aged ≥15 years diagnosed with hypertension, with the highest case burden observed in Kapuas Regency and Palangka Raya City. Overall, hypertension prevalence was higher among men, although higher proportions among women were observed in selected districts, including East Kotawaringin and Lamandau. Hypertension-related mortality among pregnant women was highest in Kapuas Regency. Health promotion interventions and the utilization of complementary approaches, such as red ginger and cucumber consumption, demonstrated potential benefits in reducing hypertension risk. Conclusion: Effective hypertension management in Central Kalimantan requires comprehensive and gender-sensitive strategies, particularly for vulnerable populations. Education-based interventions and complementary therapies may serve as supportive preventive measures.
Health Policy as a Local Political Arena in Konawe Kepulauan Regency: A Qualitative Study of the Influence of Leadership and Power in Regional Health Decision-Making Pitrah Asfian; Cici Wulandari Asmun; Ramadhan Tosepu
Journal of Law, Social Science and Management Vol. 3 No. 1 (2026): January - June
Publisher : Yayasan Cipta Anak Bangsa (YCAB) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/jlssm.v3i1.2152

Abstract

Background: Health policy in decentralized governance is not merely a technocratic process but also a political arena shaped by leadership, power relations, actor coalitions, and negotiation among stakeholders. In island districts such as Konawe Kepulauan Regency, local political dynamics may substantially influence health decision-making processes. Objective: This study explores how leadership, power distribution, political negotiation, and actor networks shape local health policy decision-making in Kabupaten Konawe Kepulauan Regency. Methods: This study employed a qualitative case study design. Data were collected through in-depth semi-structured interviews with key informants purposively selected from government, legislature, health bureaucracy, civil society, and professional organizations, including representatives from the district government, Regional House of Representatives (DPRD), Regional Development Planning Agency (Bappeda), District Health Office, hospital leadership, NGOs, and health professional associations. Data were analyzed using thematic content analysis. Results: Five major themes emerged: (1) health policy as a networked arena dominated by executive leadership and intersectoral actors; (2) leadership and power distribution as determinants of policy priorities; (3) negotiation and political compromise in agenda setting and policy formulation; (4) budget constraints and political dynamics shaping policy implementation; and (5) policy learning and adaptive governance as drivers of policy change. Findings suggest health policy is deeply embedded in local political processes, where leadership authority, actor coalitions, and negotiation influence priority setting and implementation. Conclusion: Health policymaking in Konawe Kepulauan Regency represents a dynamic political arena where power, leadership, and institutional interaction shape policy outcomes. Strengthening collaborative governance and reducing excessive political influence in priority setting are crucial for equitable health policy development. Keywords: health policy, local politics, leadership, power relations, qualitative study, decentralization
Co-Authors Cici Wulandari Asmun Muhammad Fadil Pratama Ramadhan Tosepu Wa Ode Aurela Utami Putri Djumain Wa Ode Siti Nurfauzah Windi Wulandari Wulan Sagitat Aprilianti Yuliana Safitri Zahra Sa'ada Fatiyyah Tanzil