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Jurnal Epidemiologi Kesehatan Indonesia
Published by Universitas Indonesia
ISSN : -     EISSN : 2548513X     DOI : https://doi.org/10.7454/epidkes
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
The article published on this journal can be editorial, research result and article review in public health, specifically epidemiology fields (Epidemiology of Infectious Disease, Epidemiology of Non-Communicable Disease, Epidemiology of Occupational Health and Safety, Epidemiology of Enviromental Health ond Biomarkers, Social and Behavioral Epidemiology, Epidemiology of Health Care, Epidemiology of Injury, Cancer Epidemiology, Epidemiology of Reproductive Health, Nutritional Epidemiology, Perinatal Epidemiology and Disaster Epidemiology). Epidemiology Health Promotion and Behavior Occupational Health and Safety Health Administration & Policy Environmental Health Health Communication Public Health Nutrition Biostatistics Reproductive Health Population Studies Health Informatics
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 135 Documents
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Factors Affecting the Adoption of Malaria Interventions for Pregnant Women in Tanzania: Tanzania Demographic Health Survey 2022 Nyamukondiwa, Melisa; Adisasmita, Asri C.; Mahkota, Renti; Betera, Same
Jurnal Epidemiologi Kesehatan Indonesia Vol. 8, No. 2
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Tanzania is endemic to malaria and pregnant women due to their vulnerability are among the high-risk groups. The adoption of malaria interventions targeted to pregnant women is affected by a number of factors. A cross-sectional study using secondary data from Tanzania Demographic Health Survey (TDHS) for 2022 was used. A logistic regression was used for bivariate analysis to identify factors affecting the adoption of malaria interventions during pregnancy in Tanzania. Data from pregnant women between 15 to 49 years (N=1408) were analyzed in this study. Insecticide treated nets (ITNs) and intermittent preventive therapy in pregnancy using sulfadoxine-pyrimethamine (IPTp-SP) were the main malaria prevention methods identified from the TDHS 2022. The results showed that insecticide treated nets ownership (83.0%) and its usage (85.5% of those who had ITN) was relatively high among pregnant women. More than half of the pregnant women (60.6%) received IPTp-SP during pregnancy. Marital status (ORmarried compared to not married=1.60; 95% CI: 1.15-2.24), education (ORsecondary level and higher compared to no education=1.43; 95% CI: 1.04-2.00) and Antenatal Care (ANC) visits (ORat least four ANC visits compared to no ANC=2.60, 95% CI: 1.40-4.82), and higher level wealth status and parity had statistically significant association with higher odds of using ITN. Age (OR≥35 years compared to 15-19 years=0.15, 95% CI: 0.05-0.50), education level (ORsecondary level and higher compared to no school=0.47, 95% CI: 0.27-0.79) and wealth status (at all levels, compared to the poorest) had statistically significant association with lower IPTp-SP uptake. Antenatal care visits should be maximized as an opportunity to distribute insecticide treated nets, give intermittent preventive medicine and education on malaria prevention. Future research should conduct multivariate analysis to determine independent predictors.
Karakteristik dan Analisis Risiko Kasus Tuberkulosis di Puskesmas Senen Jakarta Pusat tahun 2023 Susanti, Eka Lusi; Hasnaini, Anna; -, Murniaty
Jurnal Epidemiologi Kesehatan Indonesia Vol. 8, No. 2
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Indonesiaranks second globally with the highest number of Tuberculosis (TB) cases, following India. Consequently, TB remains a high-priority health issue requiring immediate attention. This study aims to describe the TB case characteristic and analyze the TB risk in each urban villages of Senen, Central Jakarta. This is a descriptive cross-sectional study. Data was obtained from medical records and the Tuberculosis Information System (SITB) at Senen Primary Health Care (PHC) during January – December2023. Demographic data, TB type, result of rapid molecular test, and comorbidities were presented in numbers and percentages. Total TB cases, incidence rate (IR), and standardized morbidity ratio (SMR) were calculated for each urban villages and the entire subdistrict. The distribution of the number of cases, IR, and SMR was displayed on a map. Overall, 300 TB cases were found among 3,421 suspected TB cases examined at the Senen PHC in 2023, with a positivity rate of 7.22% and an incidence rate of 240 per 100,000 population. The highest number of TB cases occurred in September 2023 with 52 cases (17.33%). Of the total TB cases in Senen, TB cases were commonly found in males (67.67%), the productive age group (15-59 years) accounted for73.33%,new TB cases accounted for 93.33%, 100% were pulmonary TB cases, 82.33% were bacteriologically confirmed with 93.36% of them being drug-sensitive TB (DS-TB), smokers (73.33%) and employed (72.67%). TB cases were spread across sixurban villages, with Kramat having the highest number of cases at 98 (32.67%), a TB IR of 78 per 100,000 population, and an SMR of 0.71. TB cases occurred throughout the year in the Senen Subdistrict. The characteristics of TB cases in Senen were dominated by males, productive age groups, pulmonary TB, new cases, bacteriologically confirmed cases, DS-TB, smokers, and employed individuals. The TB risk varied in each area, with the highest number of cases, IR, and SMR found in Kramat urban village A comprehensive strategy combining early detection, effective treatment, and preventive measures is essential to control the TB epidemic in the Senen Subdistrict.
Hubungan antara Hipertensi dan Kematian Pasien COVID-19 di Layanan Rawat Inap RSUD Tarakan Tahun 2022 (Association between Hypertension and Mortality of COVID-19 Inpatients at Tarakan Regional General Hospital in 2022) Widyasari, Karina; Sudaryo, Mondastri Korib
Jurnal Epidemiologi Kesehatan Indonesia Vol. 8, No. 2
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Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). COVID-19 was the leading disease in terms of the highest number of hospital admissions and cause of death at the Tarakan Regional General Hospital (RSUD Tarakan) in 2022. COVID-19 patients who received treatment at the hospital were often individuals with underlying conditions, such as hypertension. Therefore, it is important to conduct research on comorbidities, specifically hypertension, and its relationship to COVID-19 mortality at the RSUD Tarakan’s inpatient in 2022, so the hospital can design spesific care plans for COVID-19 patients with hypertension. This study used a retrospective cohort design with secondary data from the RSUD Tarakan's SIMRS reports. A total of 534 samples met the criteria for analysis. The variables measured included COVID-19 mortality, patient’s age and gender, hypertension, type 2 Diabetes Mellitus (DM), heart failure, Chronic Kidney Disease (CKD), Acute Kidney Injury (AKI), sepsis, and Acute Respiratory Distress Syndrome (ARDS). Analysis was performed using cox proportional hazards regression. The results showed a significant association between hypertension and COVID-19 mortality (aRR= 0.406; 95% CI 0.250-0.659; p-value: 0.000) after controlling for age. This indicates that patients with hypertension were 59.4% less likely to die from COVID-19 compared to those without hypertension. It is important to note that there are other factors that were not considered in this study. Therefore, the researchers suggest conducting further studies which take into account the severity of hypertension and the impact of antihypertensive treatment on COVID-19 mortality.
Faktor Risiko Kejadian Hipertensi dalam Kehamilan pada Ibu Hamil di Provinsi Jawa Timur (Analisis Data Riset Kesehatan Dasar Tahun 2018) Firjatillah, Putri Amalia; Ronoatmodjo, Sudarto
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 1
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Hypertension during pregnancy is one of the most common pregnancy complications and the leading cause of maternal mortality in Indonesia. One of the regions in Indonesia with a high number of hypertension-related pregnancy complications is East-Java Province with a prevalence rate of 17,8%. This study aims to analyze the risk factors associated with hypertension during pregnancy among pregnant women in East Java. The study adopts a cross-sectional design using secondary data from 758 pregnant women aged 15-54 years in East Java Province who participated in 2018 Riskesdas Survey during which blood pressure measurements were taken. The dependent variable analyzed in this study is hypertension during pregnancy while the independent variables include age, residence, occupation, education level, gravidity status, and history of abortion. The results of this study showed that prevalence of hypertension during pregnancy in East Java Province is 9,9%. The variables of age, occupation, education level, gravidity status, and history of abortion were found to have no significant association with the occurrence of hypertension during pregnancy. The most significant factor associated with hypertension during pregnancy in East Java is residence. Pregnant women in rural areas are 1,771 times more likely to have hypertension during pregnancy than those living in urban areas (aPOR = 1.77; 95% CI = 1.08-2.88). Prevention and control of hypertension during pregnancy programs are very important. The government needs to improve the quality of health facility infrastructure and the distribution of health workers in rural areas.
Epidemiologi Kejadian Luar Biasa Malaria Bulan September-November 2024: Studi Serial Kasus di Kabupaten Indragiri Hilir, Provinsi Riau Rajunitrigo, Rajunitrigo; Muryanto, Irwan; Mahkota, Renti; Armen, Fadhil; Nuryanti, Yusni; Rizal, Fahrul; Adwiyah, Rabiatul
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 1
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Abstract Malaria remains a public health issue in Indragiri Hilir Regency, Riau, despite its elimination certification 2018. In 2024, a malaria outbreak occurred, and an epidemiological investigation was then carried out. This study aims to describe the epidemiological characteristics of the malaria outbreak based on person, time, and place. This study used a serial case design, analyzing all confirmed malaria cases reported in the e-SISMAL system of Indragiri Hilir Regency from September 1st to November 30th, 2024. Data on Anopheles Sundaicus habitats were obtained from epidemiological investigation reports. Univariate and bivariate analyses were conducted using the chi-square test. Among them 248 identified cases, with 50% aged 15–45 years, 55.2% male, and 27.0% housewives. Among them, 90.3% had no history of malaria, 91.5% were infected with Plasmodium vivax, and 63.7% experienced fever and/or chills. The peak of cases occurred in week 41, with 66.5% seeking treatment within 1–3 days. A total of 98.4% of cases were from Kuala Selat Village, with an Annual Parasite Incidence (API) of 112.4‰. The primary habitat of Anopheles Sundaicus was in lagoons, with the highest larval density found in water bodies with salinity level of 6–11‰. Bivariate analysis showed a significant association between male gender and high-risk occupations with symptomatic malaria status (pAnopheles Sundaicus habitats are necessary. Additional, protection for high-risk groups, education, and enhanced surveillance should be reinforced to prevent future case surges. Keywords: Malaria Outbreak, Malaria Epidemiology, Plasmodium vivax, Anopheles Sundaicus, Indragiri Hilir Regency
Analisis Situasi Masalah Penyakit Infeksi Menular Seksual di Kota Bogor Tahun 2024 wardiman, wardiman; Djuwita, Ratna; Kusnadi, Bai
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 1
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Abstrak Infeksi menular seksual (IMS) masih menjadi tantangan kesehatan global, termasuk di Indonesia, terutama pada kelompok usia produktif 15-49 tahun. Di Kota Bogor, angka kasus IMS mengalami peningkatan, namum belum sepenuhnya menggambarkan kondisi yang sebenarnya. Penelitian ini bertujuan untuk menganalisis situasi IMS secara mendalam dan menetapkan prioritas masalah kesehatan menggunakan metode PAHO-adapted Hanlon, yang mengacu pada pembobotan Basic Priority Rating (BPR) berdasarkan lima kriteria utama, yaitu, A=Masalah utama; B=Keseriusan masalah; C=Efektivitas intervensi; E=Ketidakadilan; F=Kapasitas institusi dalam mengatasi masalah. Penelitian ini dilaksanakan di Dinas kesehatan Kota Bogor pada Oktober 2024 hingga Januari 2025, dengan pendekatan kualitatif dan kuantitatif, serta disajikan secara deskriptif. Penelitian ini menggunakan sumber data primer yang diperoleh melalui wawancara sementara data sekunder bersumber dari profil kesehatan, laporan Umpan Balik P3MS, dan laporan SIHA Dinas Kesehatan Kota Bogor. Penilaian ini melibatkan enam pejabat struktural Dinas Kesehatan Kota Bogor serta enam pemegang program IMS dari puskesmas dengan angka kasus IMS tertinggi. Hasil analisis menunjukkan enam masalah kesehatan utama dengan skor PAHO tertinggi pada HIV/AIDS (36,02), diikuti sifilis dan sifilis kongenital (22,67), gonore (22,14), infeksi Human Papilloma Virus (13,16), infeksi Herpes Simplex Virus (10,43), dan infeksi klamidia (7,85). HIV/AIDS ditetapkan sebagai prioritas utama karena target Fast Track 95-95-95 belum tercapai, dengan capaian indikator saat ini: 82% Orang dengan HIV (ODHIV) mengetahui statusnya, 31% menjalani pengobatan, dan 67% memiliki viral load tersupresi. Untuk mengatasi permasalahan ini, diperlukan peningkatan kapasitas tenaga kesehatan dan konselor HIV/AIDS, pelatihan Perawatan, Dukungan dan Pengobatan (PDP) secara berkala, kampanye edukasi massal berbasis komunitas untuk mengurangi stigma dan diskriminasi, serta penambahan jumlah petugas penelusur dengan melibatkan lebih banyak LSM dan organisasi local guna mempercepat pencapaian target Fast Track 95-95-95.
Determinan Faktor dengan Ketidakpatuhan dalam Mengonsumsi Obat Antiretroviral Pada Orang Dengan HIV(ODHIV) Di Rumah Sakit Umum Daerah Kabupaten Tangerang Tahun 2023 SARI, DESSI MARANTIKA NILAM; Sudaryo, Mondastri Korib; Syarif, Syahrizal; Umniyati, Helwiah; ., Suyono
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 1
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Ketidakpatuhan alasan utama Pasien HIV tidak menerima pengobatan ARV sehingga harus selalu dipantau dan dinilai secara teratur serta didorong pada setiap kunjungan. Penelitian ini bertujuan untuk mengamati determinan faktor terjadinya ketidakpatuhan dalam mengonsumsi obat ARV pada ODHIV yang mendapatkan terapi ARV di Rumah Sakit Umum Daerah Kabupaten Tangerang. Jenis penelitian ini menggunakan penelitian observasional dengan rancangan cross sectional. Penelitian dilakukan di poli HIV RSUD Kabupaten pada bulan November 2023 menggunakan data laporan HIV pada SIHA. Populasi penelitian berjumlah 1.337 ODHIV aktif menjalani pengobatan antiretroviral di RSUD Kabupaten Tangerang dengan menggunakan total sampling sesuai dengan kriteria inklusi dan ekslusi sehingga sampel penelitian berjumlah 1.286 ODHIV. Metode analisis data menggunakan cox regression dengan aplikasi STATA. Hasil analisis univariat menunjukan bahwa 88% studi populasi masuk dalam populasi kunci. Didapatkan faktor dominan yang berpengaruh terhadap ketidakpatuhan minum obat ARV adalah: variabel umur (PR 1,20 dengan 95% CI 1,05-1,38), status perkawinan (PR 1,18 dengan 95% CI 1,03-1,36), domisili (PR 1,19 dengan 95% CI 1,04-1,36), viral load (PR 1,27 dengan 95% CI 1,10-1,43), lamanya pengobatan (PR 1,25 dengan 95% CI 1,07-1,47), kelompok populasi kunci (PR 1,27 dengan 95% CI 1,04-1,56) dan dukungan teman sebaya (PR 1,15 dengan 95% 1,00-1,32). Hasil penelitian ini diharapkan menjadi acuan bagi RSUD dan Dinas Kesehatan Kabupaten Tangerang dalam meningkatkan penanganan HIV/AIDS, melalui edukasi dan motivasi kepatuhan ARV yang didukung keluarga, PMO, dan teman sebaya. Selain itu, perlu pengembangan SIM RS yang fleksibel serta standarisasi pencatatan dan pelaporan untuk optimalisasi pemantauan pasien.
Gambaran Putus Obat Berdasarkan Sosial-Demografi pada Penderita Tuberkulosis di Indonesia Tahun 2023: Cross-Sectional Study Yudhanti, Anindya Oktaria; Saf, Arina Syahida Hurva Radisan; Riska, Benita; Tamba, Enita Fransiska
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 1
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Introduction: Tuberculosis is an infectious disease that spreads through the air. Based on data at the international and national levels, there has been an increase. Most pulmonary TB patients are cured with consecutive antibiotic treatment for 6-9 months, but there are still patients who eventually drop out of treatment. This could be a challenge in achieving the international tuberculosis elimination target of 2035 and the national target of 2030. Methods: This study analyzed the socio-demographic distribution and dropout analysis of Tuberculosis patients in Indonesia in 2023 based on SKI data with a cross-sectional study type. Results: The incidence of drug withdrawal in the age group was due to the unavailability of drugs at health care facilities. In the male group, most (33.5%) stated that they dropped out because they felt healthy while in the female group, 38.2% stated that they dropped out because the drugs were not available at the health facilities. The incidence of drug withdrawal was also more prevalent among individuals with primary school education (38.9%), whose employment status was currently not working (34.7%), and living in urban areas (38.3%). This was due to the individuals feeling healthy. Individuals with the lowest economic status also contributed the most to the incidence of drug withdrawal with the reason for drug withdrawal due to unavailability at the health facility (36.8%). Conclusion: From this study, it was found that feeling healthy and unavailability of drugs in health facilities were the most common reasons for drug withdrawal across socio-demographic groups and choosing traditional medicine was the least common reason across socio-demographic groups.
Gambaran Kasus Gondongan Pada Sekolah Dasar Negeri 010 Makroman, Samarinda Listiani, Dwi; Astuti, Ashri Budi; Jami'an, Jami'an; Budi, Eko Prasetya; Sumarianto, Arif; Pakki, Irfansyah Baharuddin
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 1
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Mumps is an infectious disease caused by a viral infection, often attacking the salivary glands, especially the parotid glands. This disease is self-limiting and common in elementary school children. This study aims to describe the prevalence, symptoms, and impact of mumps in students of SD Negeri 010 Makroman, Samarinda, as well as evaluate risk factors and relevant prevention efforts. With a descriptive research design, data was obtained from a population of 307 students through secondary data from the Makroman Health Center and direct on-site investigations. An attack rate of 3.58% indicates a limited impact on at-risk populations, but it is important to be aware of the potential for further transmission in the school environment. This study emphasizes the importance of preventive efforts, promotive measures, and continuous supervision These results provide insight for health policymakers to improve measures to prevent and control mumps in the school environment.
Gambaran Kasus Parotitis Anak Sekolah Dasar di Wilayah Kerja Puskesmas Loa Bakung Pakki, Irfansyah Baharuddin; Herliani, Resda; Noorhayaty, Noorhayaty; Insany, Vicca Yulia; Yuniasih, Arista Dian; Sigit, Ratih Fianni
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 2
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Parotitis is a disease caused by mumps virus infection. The infection attacks the parotid glands, causing symptoms such as fever, swelling on the side of the face accompanied by pain. Data from the Samarinda City Health Office shows that there were 380 cases of mumps from September to early October 2024. The increase in cases also occurred among elementary school children, but there is no definitive data yet that illustrates the number and distribution of parotitis cases. The aim of this study is to identify the risk factors for mumps in elementary school children in the Loa Bakung working area. This study is a descriptive study. The sample was 5154 students. Data collection was done by distributing questionnaires online in the form of Google Forms and interviews to teachers during field visits. The number of schools that filled out the Google form was 11 schools (91.7%), and the number of classes that filled out the Google form was 55 classes (31.9%). Analysis was conducted on the incidence data of cases, patient characteristics, and school intervention efforts. The study showed the incidence of mumps cases among 238 students, with the highest number at SD Muhammadiyah 5 (37.82%) and the highest attack rate at MI Tijanul Jawahir (13.89%). The majority of the patients were 9 years old (27.94%) and male (53.36%). The main symptoms experienced are swelling in the cheeks (85.5%) and fever (67.3%). The preventive measures taken by the school include the use of masks, provision of handwashing facilities, and granting dispensations. The incidence of mumps cases shows a significant increase in the elementary school environment. Further investigation is needed regarding the factors influencing the high attack rate and prevention strategies. Keywords : Parotitis, attack rate, elementary school, prevention, Samarinda

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