Jurnal Epidemiologi Kesehatan Komunitas
Jurnal Epidemiologi Kesehatan Komunitas (e-ISSN:2615-4854) provides publication of full-length papers, short communication and review articles describing of new finding or theory in epidemiology, health and life science and related areas. JEKK has 1 volume with 2 issues per year. This journal was published by the Master of Epidemiology, School of Postgraduate Studies, Diponegoro University.
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<![CDATA[Hubungan Kepatuhan Masyarakat dalam Melakukan Protokol Kesehatan dengan Kesiapan Beradaptasi Covid-19 ]]>
<![CDATA[Fatimah Az-Zahra]]>;
<![CDATA[Desmawati Desmawati]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i1.14039
<![CDATA[Background: Pandemic of the Covid-19 needs serious attention. This is because the rate of spread of this virus is very fast, so that an attitude and the understanding of obedience to health protocol is needed to stop the spread of the Covid-19. This study aims to find the relationship between community obedience in carrying out the health protocols and the readiness to adapt with Covid-19.Methods: This study used quantitative research with a cross sectional, which was conducted in one of Rukun Warga in Pamulang district with a sample of 231 people who were selected according to the inclusion criteria from total positive Covid-19. Collecting data using a questionnaire that has been tested for validity and reliability with Crobach's value of 0.899 > 0.361. The statistical test used univariate analysis using descriptive statistics and bivariate analysis using Chi-square test.Result: The results of this study were reported that there was relationship between Community Obedience in carrying out the health protocols with the readiness to adapt toward Covid-19.Conclusion : The conclusion, community obedience in carrying out the health protocols have significant relationship in order to be ready and adaptation to Covid-19.]]>
<![CDATA[Safety of Health Care Workers A Priority for Patient Safety ]]>
<![CDATA[Maiga Ayub Hussein]]>;
<![CDATA[Dwi Sutiningsih]]>;
<![CDATA[Chebet Frida]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i1.17558
<![CDATA[Background: Worldwide healthcare workforce represents 12%, in Uganda, out of the 39000 healthcare workers (HCW), 500 have been deployed at Mbale regional referral hospital (MRRH). The deficient quality service delivery is attributed to adverse occupational health risk that are not addressed and acknowledged posing a great risk to patient safety. Study aims to investigate the unsafe acts and unsafe working conditions of health care workers at (MRRH).Methods: A quantitative observational study with a cross-section design was used using and a semi structured observation checklist for data collection among 120 health care workers of MRRH.Result: 45(37.5%) of the HCW never wore the necessary PPEs versus 75(62.5%) who wore, almost half 55(45.3%) worked over time and 65(54.6%) did not, as well the same figures represent those who over worked and those who did not over work respectively. 70% of the working places had defective working conditions for example no lighting, slippery floors and no danger signs. 75% of the wards had improper waste segregation measures.Conclusion : HCW and institutions should intervene to mitigate the hazards, strengthening occupational health, patient safety, hazard prevention and control]]>
<![CDATA[Identifikasi Keberadaan Bakteri Leptospira di Daerah Endemis Leptospirosis (Studi di Dukuh Kalitengah Kecamatan Wedi Kabupaten Klaten) ]]>
<![CDATA[Dwi Sutiningsih]]>;
<![CDATA[Retno Hestiningsih]]>;
<![CDATA[Ratnaningsih Ratnaningsih]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i1.6902
<![CDATA[Background: Several regions in Indonesia are classified as leptospirosis endemic including Klaten Regency, which ranked 2nd highest case of leptospirosis in Central Java in 2018. Leptospirosis in human was transmitted by animals infected by the Leptospira bacteria, which rat was the main reservoir. This study aimed to identify rat reservoir to the existence of Leptospira bacteria in endemic areas.Methods: This study was an observational survey with cross sectional approach. The sample was rats caught by traps installed for 6 days in Dukuh Kalitengah, Kalitengah Village, Wedi Subdistrict, Klaten Regency in July 2019. The rats were identified and dissected to take their kidneys for laboratory testing using the Polymerase Chain Reaction (PCR) test to identity the existence of Leptospira bacteria.Result: The result showed that there were 17 rats and 6 Suncus murinus caught in 6 days and their species were Mus musculus (23.5%), Rattus tanezumi (41.2%), Rattus norvegicus (35.3%). The results of PCR test found 2 positive samples of Leptospira bacteria in Rattus tanezumi. Rattus tanezumi's habitat was close with humans in settlement areas where it can be a source of Leptospira infection and can spread to humans and other environments.Conclusion : The people in Dukuh Kalitengah are recommended to maintain the hygiene of their environment and improve their house’s sanitation so it not become nest and breeding grounds and also reduce the existence of rats.]]>
<![CDATA[Ultrasonography (USG) Accuracy in Diagnosing Breast Cancer; a Cross-sectional Study at Prima Medika General Hospital Denpasar ]]>
<![CDATA[Putu Dewi Ari Wulandari]]>;
<![CDATA[I Bagus Gede Dharmawan]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i1.17158
<![CDATA[Background: Ultrasonography (USG) radiological examination can be an early detection of breast tumors before they develop into malignancy. The aim of our study was to determine the accuracy of USG examination in diagnosing breast cancer at Prima Medika Hospital.Methods: We conducted a cross-sectional study from January to December 2021 at Prima Medika Hospital Denpasar in patients who had symptoms of breast cancer had breast USG examinations and biopsy examinations of 51 samples. We collected data by tracing medical records and in descriptive analysis and cross-tabulation analysis to determine the sensitivity, specificity, positive predictive values and negative predictive values.Results: 72.5% of 51 patients were over 36 years old, 47.1% symptoms of a lump in their left breast. USG examination in detecting breast cancer has a sensitivity of 90.9%, a specificity of 93.1% then a positive predictive value of 92.9% and a negative predictive value of 90.1%.Conclusion: USG examination has a high accuracy in diagnosing breast cancer. Radiology specialists are expected to use USG examination as an early detection tool before conducting a histopathological gold standard examination.]]>
<![CDATA[Analisis Risiko Bunuh Diri pada Mahasiswa Kesehatan di Kota Banda Aceh ]]>
<![CDATA[Sri Novitayani]]>;
<![CDATA[Irfanita Nurhidayah]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i1.15780
<![CDATA[Background: Suicide is the main cause of death for students. Some studies report that half of college students have felt so depressed that they were useful. College life can be a time of high stress. This study aims to describe the risk of suicide in health students in Banda Aceh.Methods: This type of research is a quantitative research using a descriptive correlative method. The sampling technique in this study used purposive sampling with a sample of 171 students. Data collection method using Adult Suicidal Ideation Questionnaire (ASIQ).Result: The majority of respondents were health students from the Faculty of Nursing (67.3%), female (88.9%), 2016 class (50.9%), adult (90.6%), from high school (84 ,8%), both parents are still alive (85.4%), have parents who work as civil servants (52.6%), and live in a boarding house/rent (50.3%). The age of the students in this study was between 18 years to 23 years. The majority of health students at Syiah Kuala University experienced a low risk of suicide (87.7%).Conclusion : It can be concluded that health students have a suicide risk which is characterized by thoughts related to suicidal ideation, but these ideas rarely appear so that their suicide risk category is low.]]>
<![CDATA[Potensi Penularan Leptospirosis pada Petugas Rumah Pemotongan Hewan di Kota Salatiga ]]>
<![CDATA[Aryani Pujiyanti]]>;
<![CDATA[Dimas Bagus Wicaksono Putro]]>;
<![CDATA[Nimas Ayu Kartikasari]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i1.15122
<![CDATA[Background: Slaughterhouse workers have a risk of contracting leptospirosis because of daily contact with animal blood and urine. The purpose of the study was to describe the incidence of leptospirosis and measure the level of knowledge of workers and examine the relationship between demographic characteristics, the knowledge and the prevention behavior of leptospirosis.Methods: All technical staff of Slaughterhouse at Salatiga (30 people) were selected as participants. Data was collected in July 2016 through structured interviews. Microscopic Agglutination Test (MAT) was used to test the workers serum for leptospirosis. Data were analyzed using the Fisher-exact test. Result: According to the findings, most respondents were male, between the ages of 26 and 50, and had low education background. Most respondents are unaware that leptospirosis is a serious disease and 73.3 percent of respondents had never heard of leptospirosis. The majority of participants reported negative MAT values. The majority of Slaughterhouse workers have never heard of leptospirosis and have little awareness of leptospirosis preventive methods, so they may be at risk of having the infection.Conclusion: There is no leptospirosis incidence in Slaughterhouse Salatiga, however, one worker had a history of leptospirosis exposure.There was no significant relationship between age, gender, and education level with knowledge and behavior, but the knowledge was significantly correlated with leptospirosis prevention behavior. Slaughterhouse officers are advised to receive health education about leptospirosis prevention to increase awareness of the need for self-protection in the workplace.]]>
<![CDATA[Keberadaan Residu Tetrasiklin pada Daging Ayam Broiler di Kabupaten Kudus (Studi di Pasar Tradisional dan Pasar Modern Tahun 2019) ]]>
<![CDATA[Sabilla Ananda Aulia]]>;
<![CDATA[Dwi Sutiningsih]]>;
<![CDATA[Henry Setyawan]]>;
<![CDATA[Ari Udiyono]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i1.6918
<![CDATA[Background: One of the causes of antibiotic resistance is the presence of antibiotic residues in livestock, one of which is broiler chicken meat. Excessive use of antibiotics and not in accordance with the diagnosis will result in the discovery of antibiotic residue content in chicken meat and will endanger public health. The purpose of this study was to determine the description of the antibiotic residues of tetracycline in broiler chicken meat sold in traditional and modern markets in Jati District, Kudus Regency.Methods: This type of research is a descriptive observational study with a cross-sectional approach. The samples in this study were all broiler chicken meat sold in traditional markets (Bitingan Market, Sunggingan Ploso Market, and Baru Market) and in the modern Hypermart market with a total sample of 78 samples of broiler chicken meat taken with total population sampling technique. Sample testing was carried out at Balai Veteriner Boyolali using the Bioassay method.Result: Based on the results of the study, there is no tetracycline antibiotic residues were found in 78 (100%) broiler chicken meats sold in the Bitingan Market, Sunggingan Ploso Market, Baru Market, and Hypermart.Conclusion : There is no tetracycline antibiotic residues were found in broiler chicken meat sold in the Bitingan Market, Sunggingan Ploso Market, Baru Market, and Hypermart.]]>
<![CDATA[Pengaruh Dukungan Orang Dekat terhadap Kepatuhan Minum Obat pada Orang dengan HIV/AIDS (ODHA) di Kabupaten Madiun ]]>
<![CDATA[Puri Ratna Kartini]]>;
<![CDATA[Agung Prabowo Wisnubroto]]>;
<![CDATA[Yovita Aprilia Putri]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i1.12704
<![CDATA[Background: The proper and correct ARV therapy requires social support, especially from family and close people, in order to be able to reduce negative impacts of the infection.Methods: This study is an observational-analytic study to analyze the influence of support from close people for adherence to taking ARV drugs in PLWH in Madiun district. The research design used in this study was cross sectional with purposive sampling technique. Data was taken through interviews with respondents without giving any treatment. The sample in this study were patients who had been diagnosed with HIV positive for more than 6 months in 2018 which was randomly selected. The research location is the working area of the Local AIDS Eradication Commission (KPAD) of Madiun district. The study was conducted for 7 months, starting from June to December 2018.Result: From the results of bivariate analysis, it was concluded that the support from close people has influence on medication adherence in PLHIV (p = 0.000).Conclusion : From this research, it is expected to be an input for the government in determining health policy, especially to increase the rate of compliance with medication for PLWHA in Madiun district.]]>
<![CDATA[Treatment Outcome of Tuberculosis Cases and HIV Co-infected Patients. A Retrospective Study at a Federal Medical Centre of North Central Nigeria ]]>
<![CDATA[Thaddues Okonkwo Eze]]>;
<![CDATA[Finian Chimezie Nwadinigwe]]>;
<![CDATA[Gabriel Mathias Ameh]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i1.17221
<![CDATA[Background: Tuberculosis (TB) is the leading cause of death among people living with HIV/AIDS worldwide. Despite the availability of highly effective treatment for decades, Tuberculosis (TB) remains a major health problem in Nigeria due to the increasing association between HIV and TB observed over the past three decades when HIV was discovered. However, the proportion of TB and or TB/HIV co-infected patients who have successful TB treatment outcome is not well known. This study determined the treatment outcome of TB/HIV co-infected patients with HIV negative patients at Federal Medical Centre Makurdi, Benue State, Nigeria. Methods: A retrospective study that used secondary data from Directly Observed Treatment Short (DOTS) course center (APIN Unit). 268 cases were considered and the period under review covers from January, 2019 to December, 2021. Results: Out of the total 268 TB cases reviewed, the HIV prevalence rate was 28.7 %. More than two-third (78.4%) of HIV-negative patients had successful treatment compared to 68.9% of HIV positive patients that were treated successful. Out of the 77 HIV co-infected patients, 10.4% defaulted, 14.2% had died, and 6.5% failed treatment compared to HIV-negative patients amongst whom 15.2% defaulted, 4.8% died and 1.6% failed treatment. TB/HIV co-infection was significantly associated with poor treatment outcome (AOR: 1.158; 95 % CI 0.617-2.173; p = 0.648).Conclusion: The favorable treatment outcome of HIV-negative patients is more than that of HIV-positive patients and the most probable predictable factor responsible is the CD4 count of patient; indicating that TB/HIV co-infection has remained a major public health problem in Benue state. Therefore, there is the need for sustained strengthening and expansion of the national TB/HIV programmes.]]>
<![CDATA[Prevalensi Anak Stunting di Kota Salatiga Tahun 2020 ]]>
<![CDATA[Brigitte Sarah Renyoet]]>;
<![CDATA[Oktapianus Oktapianus]]>;
<![CDATA[Dary Dary]]>
<![CDATA[ Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023 ]]>
Publisher : <![CDATA[Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia ]]>
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DOI: 10.14710/jekk.v8i1.13111
<![CDATA[Background: Stunting cases occur in several countries, especially poor and developing countries. Stunting is a growth disorder in children due to poor nutrition. Malnutrition occurs during the First 1000 Days of Life (HPK). The child's growth is disrupted so that the child will look short, and cognitive and motor development is hampered. The purpose of this research is to find out the prevalence of stunting children in Salatiga City.Methods: Cross-sectional descriptive method is used to describe the description of the phenomenon of stunting exposure by observing the population that occurs in Salatiga City in 2020. Data collection was obtained by measuring height and then the data was adjusted to PB / U or TB / U - 3 SD sd <- 2 SD (stunted) dan <-3 SD (severely stunted). The research data were then analyzed descriptively using Microsoft Excel and displayed in the form of tables and narratives. Data collection in this study was carried out in March-June 2021 in four sub-districts located in Salatiga City.Result: The results showed that the prevalence of stunting in Salatiga City in 2020 in children aged 0-60 months was 6,85%, the incidence of stunting was more common in males by 3,65%.Conclusion: The conclusion from this study, it is known that the prevalence of stunting in Salatiga City in 2020 reached 6.85%. The highest cases occurred in the male sex with a percentage of 3.65%. In terms of age, the highest incidence of stunting occurred in children aged over 25-60 months. ]]>
