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Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Published by Universitas Indonesia
ISSN : 19077505     EISSN : 24600601     DOI : https://doi.org/10.7454/kesmas
Core Subject : Health,
Health Professions Public Health
The focus of Kesmas is on public health as discipline and practices related to preventive and promotive measures to enhance the public health through a scientific approach applying a variety of technique. This focus includes areas and scopes such as Biostatistics, Environmental Public Health, Epidemiology, Health Policy, Health Services Research, Nutrition, Occupational Health and Industrial Hygiene, Public Health, Public Health Education and Promotion, Women Health.
Arjuna Subject : Kedokteran - Epidemilogi
Articles 17 Documents
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Search results for , issue "Vol. 16, No. 5" : 17 Documents clear
Evaluating the COVID-19 Pandemic Responses Susanna, Dewi
Kesmas Vol. 16, No. 5
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Strengthening the Strategic and Operational Response for Reducing COVID-19 Transmission in Indonesia Sutomo, Sumengen; Sagala, Salord; Sutomo, Bebi; Liem, William; Al Hamid, Hamzah
Kesmas Vol. 16, No. 5
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Indonesia reported the first two cases of COVID-19 from Depok City, West Java, on March 2, 2020. This study aimed to evaluate the strategic response for reducing the COVID-19 transmission which mainly comprised case management, large-scale social restrictions, including micro-scale social restrictions, and the development of drugs and vaccines. The data were collected from the Indonesian Government’s official websites and the latest information from March 2020 to May 2021. A logical framework approach and a theory of change were used to describe, evaluate, and strengthen the strategic response. The current strategic response has not reduce the COVID-19 transmission. As of May 30, 2021, 1,879,730 confirmed cases with 101,639 active cases, 1,663,998 recovered, and 50,404 deaths have been reported from 34 provinces. The case management faced a high positive rate and case fatality. The large-scale social restrictions have not increased public awareness and behavior practice on the prevention and control. Currently, there is no cure, and the vaccination needs more time to complete. Strengthening the current strategic response needs more testing, contact tracing, better quality treatment, community education for behavior change, and effective vaccination.
Epidemiological and Clinical Features of COVID-19 Patients at National Emergency Hospital Wisma Atlet Kemayoran, Jakarta, Indonesia Susanto, Agus Dwi; Rozaliyani, Anna; Prasetyo, Budi; Agustin, Heidy; Baskoro, Hario; Arifin, Arief Riadi; Pratama, Satria; Zaini, Jamal; Hasto, Bambang Dwi; Ratmono, Tugas; Savitri, Ary Indriana; Samoedro, Erlang; Husain, Bahtiar; Nawas, Arifin; Burhan, Erlina
Kesmas Vol. 16, No. 5
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The emergency hospital is intended to prevent transmission of COVID-19 in the community by isolating patients without symptoms, with mild or moderate symptoms. This study evaluated the clinical characteristics and outcomes of COVID-19 patients who were admitted to this facility. This retrospective study re-viewed data of patients treated at the National Emergency Hospital Wisma Atlet Kemayoran in Jakarta, Indonesia, from March 23 to April 30, 2020. Patient characteristics (clinical symptoms, laboratory test results, Chest X-Ray, SARS-CoV-2 immunoserology, and RT-PCR results from nasopharyngeal/ oropharyngeal preparations) were compared between severity groups. There were 413 COVID-19 cases analyzed, of which 190 (46%) were asymptomatic, 93 (22.5%) were mild, and 130 (31.5%) were moderate cases. Most asymptomatic cases were male, with young age, and without comorbidity. Mild cases were dominated by female and young patients, while most moderate cases were male and older patients. The number of patients with comorbidities was higher in mild and mod-erate cases. The patient’s overall outcome was good and did not differ based on the severity of symptoms. Despite the many challenges, patients with moderate symptoms can be safely treated in the emergency hospital.
Epidemiological Patterns and Spatial Distribution of COVID-19 Cases in DKI Jakarta (March–December 2020) (March–December 2020) Das, Rajesh Kumar; Sudaryo, Mondastri Korib
Kesmas Vol. 16, No. 5
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Severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2) is the causative agent of COVID-19 that began in Wuhan, Hubei Province, China. In Indonesia, the first two cases were reported on March 2, 2020; the first major response to block transmission of the virus was the declaration of large-scale social restrictions (LSSR) or Pembatasan Sosial Berskala Besar (PSBB). This study aimed to identify the epidemiology patterns and spatial distribution of the COVID-19 pandemic in five municipalities of DKI Jakarta. The research design comprised an ecological and case-series study uncovering the epidemiological trends and distribution of COVID-19 in DKI Jakarta based on secondary surveillance data. The results from the data analyzed between March-December 2020 showed an increasing epidemiological trend due to COVID-19, and Central Jakarta was the municipality most affected due to pandemic during this period. The implementation of the first PSBB in DKI Jakarta reduced the average number of daily cases during the first month, although the decrease was not statistically significant. There was a spatial autocorrelation of COVID-19 with the neighboring urban villages. There were fifteen COVID-19 hotspots all over DKI Jakarta based on the data analyzed in December 2020.
Epidemiological Pattern of COVID-19 Infection from March to November 2020 in Situbondo District, East Java, Indonesia Gesmalah, Mohmed; Hidajah, Atik Choirul
Kesmas Vol. 16, No. 5
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The COVID-19 pandemic continues to pose a global threat. As of March 31, 2020, there were 1,528 confirmed COVID-19 cases with 136 deaths in Indonesia. This study aimed to describe the epidemiological features and clinical course of COVID-19 in Situbondo District, East Java Province, Indonesia, to facilitate understanding of the epidemiological situation and the spread of infection in the community to improve the control and prevention measures. This study examined the epidemiological features of COVID-19 cases in Situbondo using descriptive analysis. The results revealed that from March to November 2020, there were 1,622 suspected cases and 816 confirmed cases. Moreover, females (total case 470%) were more likely to be infected than males (total case 346%). Mainly, the cases of COVID-19 infection were in the age group of 19-37 years old (36.8%), and almost half of the confirmed cases (41 cases) were caused by the infection from close contact to confirmed cases, based on the epidemiological investigation report. People with comorbidities were more susceptible to being infected. Hypertension (8.7%), diabetes (8.6%), heart disease (3.7%), kidney failure, and COPD, each by (1%) were the highestreported comorbidities in COVID-19 patients. There was another disease with a low percentage like asthma, pulmonary TB, and cancer. This study opens the gate to further studies, which are needed to understand more about the epidemiological COVID-19 situation in the community.
Knowledge, Attitude, and Practice Regarding COVID-19 among Residents of Pesantren Herdayati, Milla; Karniastuti, Juliana
Kesmas Vol. 16, No. 5
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Islamic boarding schools (pesantren) run the risk of COVID-19 transmission. The pesantren learning system is generally carried out collectively, with an all-day-long interaction between teachers and students. This paper presented a lesson on controlling COVID-19 outbreak in pesantren through Community Service Activities (CSA). The CSA was designed to empower the pesantren to prevent and control COVID-19 to become a safe place protected from COVID-19 spread. This was a relevant case study in a traditional Islamic boarding school (salafiah) in Lebak District, Banten. The study population (a total of 97 participants) consisted of the pesantren leader, the teachers (“Ustaz/Ustazah”) , and the students, ushered by the community service partners, namely the Sub-district Public Health Center and COVID-19 Task Force. This study showed that controlling COVID-19 in pesantren requires the leaders’ commitment to establishing an internal COVID-19 Task Force and partnerships with community stakeholders. Health literacy needs to be improved, especially by implementing health protocols and information on clean and healthy behavior. There are obstacles in handling COVID-19, especially related to social distancing, infrastruc-ture, and funding. This study recommends the empowerment of pesantren residents related to health literacy. It is necessary to make people realize that COVID-19 is everyone’s responsibility. The Government should pay serious attention to pesantren as boarding educational institutions with a high level of in-teraction and prevent them from becoming clusters of COVID-19 spread.
Analysis Implementation of COVID-19 Prevention Policy for Disability in Social Institution (Case Study: Jakarta CapitalCity) (Case Study: Jakarta Capital City) Margaretha, Cindy; Ayuningtyas, Dumilah
Kesmas Vol. 16, No. 5
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One of the most vulnerable groups in the current COVID-19 pandemic situation is people with disabilities. Generally, people with disabilities have more health care needs, both everyday needs and needs related to the disorders/limitations. As part of human beings and citizens of Indonesia, constitutionally, people with disabilities have the same rights and position before the law and government. This study aimed to analyze the implementation of COVID-19 prevention policies at the social institutions for disability in Jakarta Capital City, provide information about the implementation, find out the obstacles, and recommend policymakers to prevent COVID-19 in social institutions with disabilities. This study used an exploratory study design with a rapid assessment survey approach, using a secondary data analysis method supported by interviewing stakeholders at the Social Institutions in Jakarta Capital City handling disabilities. The results of this study concluded that the overall implementation has been going well. The socialization and coordination process related to the COVID-19 prevention policy at the Social Institution for Disabilities in Jakarta Capital City has gone well among fellow officers but has communication barriers with residents
Spatial-Temporal Analysis of Solar Irradiation and COVID-19 Cases in Jakarta 2020 Saputra, Yoerdy Agusmal; Susanna, Dewi
Kesmas Vol. 16, No. 5
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To date, coronavirus disease 2019 (COVID-19) is still a threat to public health systems around the world. As of July 25, 2021, the numbers were still increasing in most countries, and the total confirmed cases reached 194,582,750 with 4,171,672 deaths (CFR 2.1%). In Indonesia, 3,166,505 cases were reported with 83,279 deaths (CFR 2.7%) in all provinces and dominated by cases from Jakarta. Therefore, this study aimed to find a correlation and the duration of solar radiation exposure spatially on the pattern of COVID-19 cases. An ecological design was used based on time and place with the integration of geographic information systems and statistical techniques. The correlation test results between solar radiation exposure and COVID-19 cases in Jakarta showed a significant relationship (p = 0.000) with a strong closeness and positive pattern (r = 0.666). Furthermore, the spatial map overlaying solar radiation exposure and COVID-19 cases showed urban villages with high radiation tend to increase in cases earlier than areas with moderate and low. The differences in geographical and temporal conditions are a concern for the Provincial Health Office. This can be a consideration in strengthening more specific prevention and control programs according to the risk level and characteristics of each region.
Large-Scale Social Restriction (LSSR) Policy and Dengue Hemorrhagic Fever Cases during the COVID-19 Pandemic in Indonesia: A Case Study of Five Subregions of East Java Province Trisandy, Aldio Yudha; Maruf, M. Azmi; Yudhastuti, Ririh; Lusno, M. Farid D.; Notobroto, Hari Basuki
Kesmas Vol. 16, No. 5
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The first case of coronavirus disease 2019 (COVID-19) in Indonesia was announced in March 2020. Since then, the number of COVID-19 cases has continued to rise. This prompted the government to adopt Pembatasan Sosial Berskala Besar (PSBB) or large-scale social restrictions (LSSR). Certain areas within dengue fever endemic regions face two challenges: simultaneously tackling COVID-19 and dengue hemorrhagic fever (DHF). Five economic growth centers (a city and four districts) in East Java Province (Gresik, Bangkalan, Surabaya, Sidoarjo, and Lamongan) were affected by the COVID-19 pandemic and adengue fever outbreak. This is a quantitative research with a comparative study design that used the Wilcoxon test to compare cases of DHF pre-COVID-19versus during the COVID-19 pandemic. The Wilcoxon test result showed no significant difference at a p-value of 0.319 (p-value > 0.05). It can be concludedthat DHF still became a challenge in five regions in East Java Province, even though LSSR were implemented. Additional effort is required to tackle DHF. Amethod of preventing and controlling DHF during the COVID-19 pandemic is to build community independence through the "one house, one health cadre movement."
Public Health Priority in Handling the Ongoing Pandemic Tafal, Zarfiel
Kesmas Vol. 16, No. 5
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