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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 239 Documents
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Effectiveness of Board Book and Pop-Up Book Media in Health Education for Toilet Training among Children with Intellectual Disabilities Nurul Fahmi Rizka Laily; Esa Rosyida Umam; Lilis Fatmawati; Merlin Septianti
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 2: Mei 2026
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.v11i2.31207

Abstract

Background: Children with intellectual disabilities often face challenges in carrying out toilet training due to limitations in cognitive abilities and adaptive skills. Therefore, alternative learning media such as board books and pop-up books, which have been proven effective in visual learning, are needed. This study aims to determine the differences in the effectiveness of health education using board book media and pop-up book media on toilet training in children with intellectual disabilities.Methods: This study used a quasi-experimental design with a two-group pretest–posttest approach. A total of 23 children with intellectual disabilities were included using a total sampling technique. Participants were divided into two groups based on class, namely the board book group and the pop-up book group. Data were collected using questionnaires and observation sheets, then analyzed using the Wilcoxon signed-rank test and Mann–Whitney U test.Results: The Wilcoxon test results showed a significant improvement in knowledge, attitudes, and toilet training skills before and after health education in both groups (p < 0.001). Meanwhile, the Mann–Whitney test showed no statistically significant difference in effectiveness between the board book and pop-up book media (p > 0.05).Conclusion: This study concludes that both board book and pop-up book media are effective in improving knowledge, fostering positive attitudes, and enhancing toilet training skills among children with intellectual disabilities. Statistical analysis also showed no difference between the two intervention media, indicating that each medium has comparable potential for use in health education programs.
Predictors of Medication Adherence among Hypertensive Patients at the Parit Haji Husin II Public Health Center Pontianak Zuhudan, Fahim; Syahab Assegaf, Syarifah Nurul Yanti Rizki; Nurmainah, Nurmainah
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 1: Februari 2026
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.v11i1.30567

Abstract

Background: Hypertension remains highly prevalent, while medication adherence is still low at Parit H. Husin II Community Health Center, underscoring the importance of examining its associated factors.Methods: This analytical observational study used a cross-sectional design conducted at Parit H. Husin II Community Health Center, Southeast Pontianak, from December 2024 to January 2025. A total of 119 hypertensive patients were included. Data were collected using validated questionnaires, including the Morisky Medication Adherence Scale (MMAS-8) to assess medication adherence. Data were analyzed using univariate, Chi-square, and logistic regression tests.Result: The majority of respondents were female (61,3%), had higher education (52,1%), were unemployed (59,7%), had suffered from hypertension for less than 5 years (86,6%), had health insurance from BPJS (94,1%), had low knowledge of hypertension (52,9%), good access to health services (87,4%), high family support (63%), high support from health workers (74,8%), high motivation to seek treatment (63,9%), and adherence to antihypertensive medication (53,8%). The Chi-square test results showed a relationship between gender (p=0,218), education level (p=0,000), employment status (p=0,760), duration of hypertension (p=0,004), health insurance coverage (p=0,072), knowledge level (p=0,011), accessibility of health services (p=0,005), family support (p=0,611), role of health workers (p=0,366), motivation to seek treatment (p=0,002) with medication adherence. The results of the logistic regression test obtained the factor of duration of hypertension (OR=10,422).Conclusion: Length of time suffering from hypertension is the most influential factor on adherence to taking medication (p=0,020; OR=10,422).
Measles Surveillance in Pekanbaru, Indonesia: An Evaluation Study (2022–2025) Silvia Elsih Maser; Kamali Zaman; Melly Susanti
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 2: Mei 2026
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.v11i2.31095

Abstract

Background: Measles cases in Pekanbaru City fluctuated and increased during 2022–2025, with an outbreak occurring in 2025. This situation is associated with low immunization coverage and suboptimal implementation of Case-Based Measles Surveillance (CBMS). This study aimed to identify gaps in measles surveillance implementation, prioritize problems, and formulate recommendations using fishbone analysis and a Plan of Action (POA).Methods: This exploratory qualitative study was conducted in October 2025. Informants were selected using purposive sampling, consisting of 4 informants: 2 main informants, namely VPD surveillance officers and Early Warning and Response System (EWRS) officers, as well as 2 supporting informants, namely an epidemiologist and an immunization program manager. Data were collected through in-depth interviews, observation, and document review, with data validity ensured through triangulation (source, data, and method triangulation). Qualitative analysis was followed by fishbone analysis and the development of a Plan of Action (POA).Result: CBMS implementation reached only 48%, indicating suboptimal surveillance performance despite adequate data quality and relevance. Barriers to CBMS implementation involved human resources, funding, methods, infrastructure, and environmental factors. Proposed solutions included strengthening workforce capacity and numbers, optimizing budgets through activity integration, improving supervision and reporting systems, enhancing laboratory facilities, increasing immunization coverage, and reinforcing community-based surveillance.Conclusion: A targeted POA is required to strengthen human resources, ensure budget availability, improve data recording and reporting quality, fulfill CBMS supporting facilities, and increase measles–rubella immunization coverage to enhance measles surveillance effectiveness and interrupt transmission in Pekanbaru City.
Aedes aegypti Larvae and Their Association with Air Temperature and Water pH in Cipadung Kulon, Bandung Sutriyawan, Agung; Fajriyah, Rohmatul; Kariyam, Kariyam
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 1: Februari 2026
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.v11i1.31586

Abstract

Background: Dengue remains a significant public health problem in Indonesia, particularly in urban and semi-urban areas. Bandung City continues to experience increasing dengue cases annually. Understanding the environmental factors associated with Aedes aegypti larvae and their spatial distribution is important to support targeted vector control strategies. This study aimed to describe the spatial distribution of Aedes aegypti larvae and to examine its association with air temperature and water pH levels.Methods: The study employed a cross-sectional design with an analytical approach. It was conducted in Cipadung Kulon Subdistrict, Bandung City, from May - July 2024. A total of 95 households were selected using proportional and systematic random sampling techniques. Data were collected through direct observation. Spatial distribution was presented descriptively, while associations between variables were analyzed using the chi-square test.Result: Among 95 households, 71.6% (68/95) were positive for Aedes aegypti larvae. Air temperature was significantly associated with larval presence (p = 0.035; PR = 1.43). Households with optimum air temperature (25–30°C) had a higher prevalence of larvae compared to those with suboptimal temperature. Water pH levels were also significantly associated with larval presence (p = 0.002; PR = 1.60), with higher prevalence observed in households with pH levels of 6.0–7.5.Conclusion : The presence of Aedes aegypti larvae at the household level was associated with air temperature and water pH. Maintaining proper environmental conditions in water storage containers and strengthening community-based vector control practices are important to reduce larval habitats.
Determinan Sosial Kesehatan dan Prevalensi Hipertensi: Studi Ekologi di Provinsi Jawa Barat, Indonesia Aulia Safitri Hanifa; Dwi Gayatri
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 2: Mei 2026
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.v11i2.31655

Abstract

Background: Hypertension remains a major global health problem, particularly in low- and middle-income countries. West Java Province has a higher hypertension prevalence than the national average and a low rate of blood pressure control. Because socioeconomic and healthcare conditions vary across districts/cities, an ecological approach is needed to assess area-level social determinants of health associated with hypertension. This study analyzed the correlation between SDoH and hypertension prevalence at the district/city level in West Java.Methods: This ecological study used aggregated secondary data from 27 districts/cities in West Java. The exposure variables included SDoH, namely proportion of the elderly population, sex ratio, Human Development Index (HDI), average years of schooling (AYS), poverty rate, and health insurance coverage. The outcome variable was hypertension prevalence. Associations were assessed using Spearman’s correlation.Result: There was a positive correlation between HDI (r = 0,609; 95% CI = 0,329 – 0,791; p = 0,001) and AYS (r = 0,475; 95% CI = 0,162 – 0,701; p = 0,012) with the prevalence of hypertension. Conversely, the poverty rate showed a negative correlation with hypertension prevalence (r = −0,473; 95% CI = −0,803 – −0,024; p = 0,013).Conclusion: At the district/city level, areas with higher HDI and AYS were associated with higher hypertension prevalence, while areas with higher poverty rates were associated with lower prevalence in West Java. These findings suggest that hypertension control strategies should be tailored to regional characteristics, including strengthening lifestyle modification promotion, improving access to healthcare services, and active screening.
Aksesibilitas Geografis Layanan Diagnosis dan Pengobatan Tuberkulosis Resistan Obat dan Hubungannya dengan Cakupan Penemuan Kasus dan Loss to Follow-Up di Provinsi Jawa Barat, Indonesia Putu Wahyuni Wulandari Karnawati; Dwi Gayatri
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 2: Mei 2026
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.v11i2.31578

Abstract

Background: Diagnosis and treatment services for drug-resistant tuberculosis (DR-TB) in West Java expanded in 2024. However, evidence on geographic accessibility and its relationship with program indicators remains limited. This study assessed geographic accessibility of DR-TB services in West Java by examining the proportion of the population within a 5-km radius of service facilities, median travel distance, and their associations with case notification rates and loss to follow-up (LTFU).Methods: This ecological study used 27 districts/cities in West Java as the units of analysis. Geographic accessibility was assessed through spatial analysis using two indicators, including the median Euclidean distance to the nearest DR-TB facility and the proportion of the population residing within a ≤5 km service radius. Spearman’s rank correlation was used to examine the relationships between these accessibility measures, case notification rates, and LTFU.Result: DR-TB diagnostic facilities were concentrated in urban areas, with >50% of the population within a ≤5 km radius and median distances <5 km. Treatment services showed a similar pattern, although several districts had lower coverage and longer travel distances (>15 km). Distance to diagnostic facilities was negatively associated with case notification rates (ρ = −0,5606; p = 0,0024), whereas distance to treatment facilities was not associated with LTFU (ρ = −0,0323; p = 0,8728).Conclusion: DR-TB services in West Java remain concentrated in urban areas. Greater distance to diagnostic services is associated with lower case notification rates. Improving service distribution based on geographic characteristics may strengthen DR-TB control.
Analisis Spasial dan Perhitungan Epidemiologi Kejadian Hipertensi di Kota Palembang Tahun 2024 Nurul Rahma; Siti Halimatul Munawarah; Najmah Najmah; Iche Andriyani Liberty; Rahmatillah Razak; Najmah Maulaya; Nafisah Shakira Putri Yarna; Tarisha Kahla Sabitha; Yudhi Setiawan; Dedi Sandra; Ratna Dewi
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 2: Mei 2026
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.v11i2.31487

Abstract

Background: Hypertension is one of the most prevalent and impactful non-communicable diseases in Indonesia, including in Palembang City, contributing to a substantial health and economic burden. Spatial analysis is needed to understand the distribution of cases and support more effective interventions.Methods: This study employed a quantitative descriptive observational design using secondary data from the Non-Communicable Disease surveillance system and Minimum Service Standards reports of the Palembang City Health Office in 2024, with sub-districts as the unit of analysis. Two indicators were applied, estimated prevalence based on SPM assumptions and case detection rate, calculated as the proportion of detected cases among the at-risk population. Descriptive analysis was conducted using Google Sheets, and descriptive spatial mapping was performed using QGIS 3.40 with a quantile classification approach.Result: Among 1,313,535 residents aged over 15 years, an estimated 409,823 people (31.2%) were living with hypertension based on the national SPM reference. Sukarami sub-district had the highest number of cases (46,253), while Bukit Kecil had the lowest (9,221). Surveillance data reported 89,548 detected cases, with Gandus highest burden area (9,663 cases). Hypertension-related deaths totaled 57 (2.2% of total mortality), with uneven distribution across sub-districts.Conclusion : A difference between estimated and detected hypertension cases was observed, with spatial variation across sub-districts. Estimated prevalence was based on SPM references, while detected cases reflect surveillance findings (case detection rate). This gap indicates differences between expected burden and identified cases. Strengthening early detection and area-based interventions is needed.
Environmental Conditions, Laboratory Profiles, and Vitamin D Status among Children Living with HIV and TB–HIV in Semarang, Indonesia Lintang Dian Saraswati; Bagoes Widjanarko; Ari Probandari; Jerico Pardosi
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 2: Mei 2026
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.v11i2.32519

Abstract

Background: Evidence regarding environmental conditions, laboratory profiles, and micronutrient status among Indonesian children living with HIV and TB–HIV co-infection remains limited. This study aimed to describe household environmental conditions, laboratory profiles, and vitamin status among children living with HIV and TB–HIV in Semarang, Indonesia.Methods: A descriptive cross-sectional study was conducted at the Pulmonary Health Center of Semarang, Indonesia, between June and October 2017. Total sampling was used to recruit all eligible children with HIV or TB–HIV co-infection (n=13). Descriptive analyses were performed to summarize environmental conditions, laboratory findings, and vitamin status.Results: More than half of the participants lived in houses with light intensity below 60 lx, and two lived in houses with soil floors. Most households had at least one active smoker, and most participants had a history of household contact with active TB cases. Haematological and immunological findings were generally within normal limits, although one participant had anemia and another demonstrated marked immunosuppression. Vitamin D insufficiency was the most common micronutrient abnormality. Vitamin A deficiency was identified in two participants, while elevated vitamin E levels were observed in six participants.Conclusion: Inadequate household lighting, exposure to cigarette smoke, and micronutrient abnormalities, particularly vitamin D insufficiency, were common among children living with HIV and TB–HIV in this study. These findings provide descriptive information that may support future research and clinical assessment in this population.
The Role of Mindfulness and Perceived Organizational Support on Work Engagement among Outsourcing Service Sector Workers Pingkan Puspita Larasati; Yunita Amraeni; Promisetyaningrum Fitria Nurani
Jurnal Epidemiologi Kesehatan Komunitas Vol 11, No 2: Mei 2026
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.v11i2.31436

Abstract

Background: Low work engagement may lead to decreased performance, increased work-related stress, and higher turnover intention. In outsourcing companies, where job insecurity and limited organizational attachment are common, personal and organizational resources become critical factors. This study aimed to examine the relationship between mindfulness as a personal resource and perceived organizational support as a job resource with work engagement among workers at PT X, an outsourcing service company in Jakarta..Methods: This study employed a cross-sectional approach using purposive sampling. Three validated measurement instruments were used in this study, namely the Mindful Attention Awareness Scale (MAAS) to measure mindfulness, the Perceived Organizational Support Scale (POS-8) to measure perceived organizational support, and the Utrecht Work Engagement Scale (UWES-9) to measure work engagement. For bivariate analysis, associations between variables were tested using the Chi-Square test or Fisher’s Exact test, with p < 0.05 considered statistically significant.Result: Results indicated that 57.5% of respondents had low work engagement. Significant relationships were found between mindfulness and work engagement (p-value = 0.040; POR = 0.360, 95% CI: 0.138–0.937), and between POS and work engagement (p-value = 0.037; POR = 2.618, 95% CI: 1.048–6.540).Conclusion: This study highlights the importance of integrating personal and organizational resources to enhance work engagement. Mindfulness and perceived organizational support play important roles in shaping positive work-related psychological conditions, as well as strengthening organizational support practices to improve employee well-being and work engagement.

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