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Jurnal Epidemiologi Kesehatan Komunitas
Published by Universitas Diponegoro
ISSN : -     EISSN : 26154854     DOI : -
Core Subject : Health,
Health Professions Public Health
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.
Arjuna Subject : -
Articles 229 Documents
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Faktor Gejala dan Komorbid yang Berhubungan dengan Kematian Pasien COVID-19 di Tangerang Selatan, November 2020-Mei 2021 Ade Ayu Lanniari Harahap; Helda Helda
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i2.11939

Abstract

Background : Coronavirus disease 2019 (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). The number of confirmed cases and deaths of COVID-19 continues to increase globally. Epidemiology and clinical characteristics of COVID-19 cases from Indonesia are scanty. High-quality evidence to understand the disease and can be used as a basis for policymaking. Therefore, this study was conducted to determine the symptom factors and comorbidities associated with mortality in COVID-19 patients in South Tangerang from November 2020 to May 2021.Methode : A Case-control study of confirmed cases of COVID-19 in South Tangerang. The cases included 337 COVID-19 patients who died and 347 controls who were still alive. Data on age, gender, symptoms, and comorbidities were collected through Epidemiological Surveillance (ES) of COVID-19 patients at the South Tangerang Health Office from November 2020 to May 2021 in association with death and analyzed using chi-square test and simple logistic regression.Result : The results of multivariate analysis showed that risk factors such as age (OR=5.059; 95% CI: 3.209-7.974), gender (OR=2.650; 95% CI: 1.758-3.996), fever symptoms (OR=0.499; 0.331- 0.753), co-morbidities with diabetes mellitus (OR=15.94; 95% CI: 7.397-34.350), hypertension (OR=4.005; 95% CI: 2.440-6.572), heart disease (OR=7.249; 95% CI: 2.893-18.162 ) and chronic kidney failure (OR=12,523, 95% CI: 1,571-99,808) had an influence on the incidence of death of COVID-19 positive patients in South Tangerang.Conclusion : These findings indicate that older age, male gender, symptoms of fever, and comorbidities include a history of diabetes mellitus, hypertension, heart disease, and kidney failure due to the death of COVID-19 patients in South Tangerang. The need to enhance specific public health measures to reduce the risk of death in patients infected with COVID-19.
Recent Findings in Malaria Emergence of Piperaquine-Resistant Plasmodium falciparum Genes in Malaria Endemic Areas of Indonesia: a Literature Review Ayu Nurdiantika Sari; Tri Yunis Miko Wahyono; Ayleen Alicia Kosasih; Yoshida Aussiana Samosir; Rania Rifdah Taufiq; Inge Sutanto
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 2 : Agustus 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i2.11803

Abstract

Background: In recent years, artemisinin and piperaquine (PPQ) resistance in the Greater Mekong Sub-region alarmed Southeast Asian countries, especially those relying on artemisinin- based combinations as antimalarial drugs. This study aims to review the current status of malaria research and examine the frequencies of piperaquine resistance in Plasmodium falciparum isolates originating from malaria-endemic areas in Indonesia.Methods: We undertook a review to identify empirical data on antimalarial piperaquine-inclusive artemisinin combination therapies (ACT) in Indonesia using studies conducted since 2015. Journal articles were searched using the keywords combination of malaria, piperaquine, Pfcrt, Pfmdr, Pfpm2, and Indonesia. The search was conducted in four databases. Trends in empirical data were summarised in a table and compared with emerging malaria prevalence and conditions in Indonesia.Results: Our study found that dihydroartemisinin-piperaquine (DHA-PPQ) is still effective in most area. Survey of PPQ resistance in regions using DHA-PPQ as the first-line treatment heavily depends on phenotypic tests of the given drug resistance. Molecular surveys exploring polymorphisms of Pfcrt, Pfmdr1, and Pfpm2 were not found.Conclusion: This study supports the use of dihydroartemisinin-piperaquine as the first-line antimalarial drug in malaria endemic areas of Indonesia. Further research examining efficacy is required to monitor piperaquine resistance in Indonesia.
Factors Associated with Chlamydia Infection among Female Sex Workers in West Jakarta: Analysis of the 2018-2019 Integrated Biological and Behavioral Survey Karamy, Selma Eliana; Sudaryo, Mondastri Korib
Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v9i2.23070

Abstract

Background: Chlamydia is one of the most common sexually transmitted infections globally. Female sex workers (FSW), especially in urban areas, face a higher risk of infection due to their risky work environment and lifestyle. Jakarta is a city that has cosmopolitan and urban characteristics with an active sex industry. This research was conducted to determine the factors associated with the incidence of chlamydia infection among FSWs in West Jakarta.Methods: The research was conducted using a cross-sectional design by analyzing data from the 2018-2019 Integrated Biological and Behavioral Survey (IBBS). The data were analyzed using univariate and bivariate analysis with the chi-square test. Prevalence ratio (PR) was used as the measure of association.Results: Of the 283 FSWs involved in the study, the positivity rate of chlamydia infection in West Jakarta reached 42.8%. Significant risk factors for chlamydia infection among FSWs in West Jakarta include younger age, divorced status, recently becoming a sex worker, and having ≥ 5 customers per week.Conclusion: The high rate of chlamydia infection among FSWs in West Jakarta highlights the need to increase outreach to FSWs in order to educate them about STIs and encourage them to perform regular screenings, especially for young FSWs.
Prevalensi Kekurangan Energi Kronis pada Ibu Hamil di Kota Salatiga Tahun 2020 Renyoet, Brigitte Sarah; Tampubolon, Rifatolistia; Sijabat, Yulinda Dwi Lestari
Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 1 : Februari 2024
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v9i1.12993

Abstract

Background: Chronic Energy Deficiency (CED) is a condition in which the mother experiences a prolonged/chronic lack of food, which can lead to CED in pregnant women. Pregnant women with CED will be at risk of experiencing health problems for the mother and fetus, and even death. The aim of the study was to determine the prevalence of CED pregnant women in Salatiga City in 2020.Methods: The research used is descriptive quantitative research with a cross sectional research approach which was conducted in Salatiga City. The data were obtained through secondary data in 2020 from the Salatiga City Health Center in February 2021 and July 2021. Respondents in the study were pregnant women who experienced CED in Salatiga city with LILA conditions <23.5 cm, the data obtained were calculated according to the formulaResult: The percentage of pregnant women with CED in the City of Salatiga in 2020 as much as 9.1% where these results when compared to WHO achievements are included in the mild category of health problems (<10%).Conclusion : There is an increase in the prevalence of CED in pregnant women in Salatiga City between 2018 and 2020 as much as 2.66%. The incidence of CED in pregnant women mostly occurs at the best age for pregnancy, namely the age of 20-35 years in the first trimester, it is necessary to pay attention through Puskesmas programs related to pregnancy nutrition education so that it is hoped that the incidence of CED in Salatiga City can decrease.
Faktor Risiko Kejadian Stunting Pada Balita Di Kabupaten Indramayu Amar, Muhammad Ikhsan; Nasrulloh, Nanang; Puspita, Ikha Deviyanti; Fatmawati, Iin; Maharani, Rafiah
Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 1 : Februari 2024
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v9i1.16431

Abstract

Latar Belakang: Stunting masih menjadi masalah gizi utama yang dihadapi Indonesia khususnya Kabupaten Indramayu. Tujuan penelitian ini adalah untuk menganalisis faktor risiko kejadian stunting pada balita di Kabupaten IndramayuMetode: Penelitian ini menggunakan desain studi Case-Control (kasus-kontrol. Teknik pengambilan sampel penelitian ini yaitu purposive sampling. Populasi dalam penelitian ini adalah seluruh anak usia 24-59. Besar sample Berdasarkan perhitungan uji beda proporsi adalah 100 anak dengani perbandingani besari sampeli kasus dengan kontrol yaitu 1 : 1. Instrumen penelitian yaitu kuesioner yang sudah divalidasi. Pengolahan data menggunakan analisis bivariat menggunakan uji Chi-Square dan multivariat menggunakan uji regresi logistik ganda (a = 0,05)Hasil: Hasil akhir dari model presiksi terdapat 4 variabel yang Berhubungan dengan stunting yaitu Umur Ibu dengan OR 95%Cl (5,123 (1,855-14,148), pendidikan Ibu dengan OR 95%Cl = 3,608 (1,186-10,975), Pengetahuan dengan OR 95%Cl = 3,112 (1,211-7,955) dan variable ASI Eksklusif dengan OR 95%Cl 3,435 (1,297-9,092).Kesimpulan: Program intervensi kesehatan masyarakat secara daerah dan pemangku kepentingan yang bekerja untuk memperbaiki gizi anak harus fokus pada faktor-faktor penentu ini untuk mengurangi stunting
Kajian Perilaku Kepatuhan Medikasi Pasien Tuberculosis Paru di Kabupaten Ngawi: Sebuah Model Matematis Kartini, Puri Ratna; Norachuriya, Zedny; Novitasari, Karisma Surya; Shintawati, Shefina; Wisnubroto, Agung Praboow
Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v9i2.20982

Abstract

Background: Tuberculosis (TB)  is currently still a health issue in Indonesia. Indonesia is the country that contributes the second largest number of tuberculosis cases after India. Ngawi is one of the cities in East Java Province with a large number of tuberculosis cases. In 2022, tuberculosis cases in Ngawi Regency will double from the previous year with the death rate also increasing from the previous year. This shows that tuberculosis control in Ngawi Regency has not been effective. Efforts are needed to increase medication compliance in tuberculosis sufferers so that therapeutic success can be achieved so that the death rate and tuberculosis transmission rate can be reduced.Methods: This research is an analytical observational study with a cross sectional research design which aims to create a mathematical model of medication adherence in pulmonary TB sufferers in Ngawi Regency. This research involved 102 pulmonary TB sufferers at Dr. Soeroto Hospital, Widodo Hospital and Ngawi Regency Health Center. Pulmonary TB sufferers were selected using a purposive sampling technique. Data were analyzed using multiple logistic regression tests.Result: Based on interviews conducted with 102 respondents, the results obtained were that the variables age, length of treatment, motivation to recover, self-perception, knowledge, access to health facilities, medication assistance, family support, drug side effects and health facility administration were candidates for bivariate testing.Conclusion : The variables of self-perception, knowledge, family support and health facility administration are the dominant factors influencing medication compliance in pulmonary TB sufferers in Ngawi Regency in 2023.
Health Behavior pada Pasien HIV AIDS di Kota Salatiga Desi, Desi; Lase, Priskila; Anwar, Muh Aziz
Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 1 : Februari 2024
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v9i1.9913

Abstract

Background: Healthy behavior is a person's reaction to improve, fight for, maintain his health. Healthy behavior is related to individual actions such as exercise, rest, fulfillment of nutritional needs, personal care and hygiene, as well as cleanliness of reproductive organs and use of condoms for people living with HIV/AIDS (ODHA) so that they are not transmitted to others, so it is important to implement life behaviors healthy. The Salatiga City Health Office explained that in 2017 the number of HIV/AIDS sufferers reached 250, in 2018 there were 271 people, in 2019 there were 285 people who were infected by July 2020 there were 300 cases of HIV/AIDS. This study aims to determine the description of healthy behavior in HIV/AIDS sufferers in the City of Salatiga.Methods is qualitative research  with a case study approach. Respondents in this study were 4 people infected with HIV/AIDS. It was held from September to November 2020. Data was collected by means of in depth interviews and using interview guide sheets.Results Healthy behavior carried out by ODHA to maintain and strive for their health is by doing physical activity and useful sports, healthy and nutritious nutrition, maintaining personal hygiene and reproductive hygiene, providing and using condoms when engaging in sexual activity, adhering to taking ARVs, and  groups. peer support (KDS) which has a good influence on awareness of the healthy life of  HIV/AIDS patients in Salatiga City.Conclusion Healthy behavior has an important role in the condition of PLWHA in Salatiga which is able to make ODHA more confident and productive.
Determinants of Pneumonia Status in Under-five Children in Indonesia Ananda, Intan Putri; Budyanra, Budyanra
Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v9i2.11775

Abstract

Background: Pneumonia is a communicable disease that causes the largest under-five children death in the world. Meanwhile, Indonesia contributed 19.000 cases of under-five deaths due to pneumonia in 2018. Pneumonia can inhibit the growth and development in under-five children, cause decreased lung function or even lead to death. The pneumonia symptoms is less specific and almost the same as the flu or a common cough, makes this disease difficult to detect and difficult to treat optimally. This study was aimed to determine variables that affect the pneumonia in under-five children in Indonesia in 2018.Methods: This study used descriptive analysis and multilevel binary logistic regression. It used secondary data from the Riskesdas 2018, publication of Profil Kesehatan Indonesia 2018, and official website of Badan Pusat StatistikResult: The results indicated that in 2018, there were about 6.4 percent of under-five children who experienced pneumonia. The age of under-five children, gender, nutritional status, maternal education level, type of residence, house’s ventilation, and poverty rate per province significantly affected the status of pneumonia in under-five children in Indonesia.Conclusion : This study was expected to be able to increase public awareness about pneumonia in under-five children and can prevent under-five deaths due to pneumonia. Further research can use more up-to-date primary data and can also focus on provinces that have high rates of pneumonia in under-five children.
Antibiotic Practices and The Rate of Surgical Site Infection Following Cesarean Section Hussein, Maiga Ayub; Sutiningsih, Dwi; Saidi, Ntambi; Frida, Chebet; Adi, Mateus Sakundarno
Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 2 : Agustus 2024
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v9i2.18878

Abstract

Background: Cesarean section (CS) is the most performed operation globally. It’s a clean-contaminated surgery with higher surgical site infections (SSIs) risk. The mortality rate associated with cesarean section in Africa is 50 times greater than in high income settings, 11 women die per 1000 CS in sub-Saharan Africa and 14% of women suffer complication (SSIs). Proper antibiotic use can reduce this burden however effective antibiotics are running out due to inappropriate use. This study aimed to assess the pre-cesarean and post-cesarean antibiotic practices and the rate of SSIs following CS at Mbale regional referral hospital (MRRH)Methods: The study was a retrospective and descriptive cross-sectional on CS mothers between 1st January 2020 and 31st December 2022 at MRRH.  Out of the 2432 patient files reviewed, an equal number (104) of women who developed SSIs and those that did not develop SSIs (104) were selected by simple random sampling, total sample size of 208.Result: More than half (n=148; 71.2 %.) received antibiotic prophylaxis. Majority received I.V ceftriaxone (38.0%) within 15minutes (mean duration) before skin incision. 35.1% of 208 that received antibiotic prophylaxis developed SSIs. I.V Metronidazole and Ceftriaxone were the most administered after CS and Oral metronidazole was the most prescribed upon discharge.Conclusion : The rate of SSIs at MRRH was 3% similar to that of Mbarara regional referral hospital at 3.5%. Lack of antibiotics prophylaxis and poor antibiotic prophylaxix timing could explain this rateu underscoring compliance to International, National and Hospital surgical bundles.
Epidemiologi Perdarahan Saluran Cerna Pada Pasien Endoskopi di Rumah Sakit Umum Daerah Cut Meutia, Aceh Utara, propinsi Aceh Ikhsan, Maulana; Sayuti, Muhammad; Ariyanda, Iqbal; Akbar, Teuku Ilhami Surya
Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 1 : Februari 2024
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v9i1.13118

Abstract

Background: Gastrointestinal bleeding is one of the main cause of death worldwide. For decades, the prevalence between lower gastrointestinal bleeding and upper gastrointestinal bleeding is constant. However, latest study showed that this may change due to the invention of new medication that prevent upper gastrointestinal bleeding. The epidemiology of gastrointestinal bleeding is important to plan the future promotion and prevention in the risk group and also to understand the distribution of the patient and their risk factor. The shortage of epidemiological data in developing countries makes the treatment of gastrointestinal bleeding became more challenging.Methods: This study is a retrospective study that aims to depict the epidemiology of gastrointestinal bleeding in patients who did gastroscopy or colonoscopy in Cut Meutia general hospital in North Aceh, Aceh Province. We analyze the medical record of the required patients in the interval of January 2019 to August 2021.Result: The incidence of lower gastrointestinal bleeding is higher than upper gastrointestinal bleeding. Female patients are dominant in develop gastrointestinal bleeding and elderly is the most common age that develop gastrointestinal bleeding.Conclusion : In general, the epidemiology of gastrointestinal bleeding in Cut Meutia general Hospital in North Aceh shares the same tendency with the incidence of gastrointestinal bleeding in many countries in the world, but there are several finding that differ such as high incidency of gastritic tumor and high incidency of gastritic tumor in younger age in male.

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