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Jurnal Berkala Epidemiologi

JBE
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Published by Universitas Airlangga

ISSN : 23017171 EISSN : 2541092X DOI : -

Core Subject : Health, Science,

Immunology & microbiology Public Health

The scope of JBE are Epidemiology of Communicable Disease, Epidemiology of Non-communicable Disease, Tropical Disease, Epidemiology Surveillance, Management Outbreak, Epidemiology of Preventable Disease, and Epidemiology of Cancer.

Arjuna Subject : -

Articles 489 Documents

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Application Database of Comprehensive Emergency Neonatal and Obstetric Service in Sampang Hospita Yenik Dyah Andarini; Arief Hargono
Jurnal Berkala Epidemiologi Vol. 3 No. 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Comprehensive Emergency Obstetric and Neonatal Care (CEmONC) are maternal and neonatal essential or emergency care that aimed at saving mothers and newborns. CEmONC activities at the Hospital involve several service units so a database is needed to integrate data and information according to needs. This study aims to develop a CEmONC database model at the Regional Public Hospital of Sampang District (RSUD Kabupaten Sampang). This research was conducted through a qualitative approach with the type of research is action research in the form of developing a database model. The scope of CEmONC database development includes maternal and neonatal services. The development of the CEmONC database model uses a systems approach that is input, process, and output. The subjects in this study were Hospital Management, CEmONC Team, and Recording and Reporting Officers of RSUD Kabupaten Sampang. Analysis of the recording and reporting system of RSUD Kabupaten Sampang found several problems, which are the non-uniform register format, duplication of records, data storage that is still manual, processing reports that have not been automated and the resulting information is still limited. The results of this study are the CEmONC database prototype based on the information needs of maternal and neonatal services. The developed CEmONC database can produce the information needed by the CEmONC team so that it can be utilized for monitoring and evaluating CEmONC performance at the Hospital. Implementation of the use of the CEmONC database needs to be supported by the availability of facilities and infrastructure, qualified human resources, maintenance management systems, and training to improve the ability of CEmONC reporting officers.

Influence Of Demographic Factors And History Of Malaria With The Incidence Malaria In MORU PHC Sudirman Manumpa
Jurnal Berkala Epidemiologi Vol. 4 No. 3 (2016): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Malaria morbidity in the 2014 Public health center (PHC) of Moru with Annual Parasite Incident (API) parameter of 16.9%. This figure is still high compared to the malaria elimination target in Indonesia in 2030, which is <1%. The incidence of malaria is more common in children younger than 12 years. The high number of malaria causes poverty, low levels of learning achievement of children, and in pregnant women causes low birth weight in infants and death. The purpose of this study was to analyze the factors that influence the incidence of malaria in the work area of PHC of Moru, Alor Barat Daya District, Alor Regency. This study uses a cross-sectional design. The study population was all patients who had peripheral blood tests at the PHC of Moru laboratory unit from June to October 2015. The number of samples in this study was 173 respondents. The sampling technique is simple random sampling. Data collection instruments are questionnaires and observation sheets. The results of the study with the Chi-Square test found that the factors that influence the incidence of malaria were socioeconomic status (p = 0,000) and level of education (p = 0.001). The results of the logistic regression test found that ages 25–76 years (p = 0.025) and socioeconomic status (p = 0,000) were factors that influenced the incidence of malaria. Variables that influence malaria incidence from causal factors are demographic factors such as age, education level, socioeconomic status. So it is suggested that the socialization of malaria occurrences in community groups with elementary school education level. Community economic empowerment by utilizing dams for agriculture and lagoon for aquaculture. Evaluation of malaria incidence and follow-up of treatment management for malaria management will be more appropriate and targeted.

Bundle Prevention Form Filling Completeness of Surgical Site Infection (SSI) on Sectio Caesarea Patients in 2016 Adita Puspitasari Swastya Putri; Kurnia Dwi Artanti; Dwiono Mudjianto
Jurnal Berkala Epidemiologi Vol. 5 No. 1 (2017): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Hospital Acquired Infections (HAIs) are infections obtained by patients during treatment procedures and medical procedures in health care facilities in the range of ≥ 48 hours to ≤30 days and infections are observed after patients leave the health care facility. One of the HAIs that often happens is Surgical Site Infection (SSI) so surveillance is needed. This study aims to look at the description of the presence, filling, and completeness of SSI prevention bundles in sectio-caesarea patients at X Surabaya Hospital. This research is a descriptive study with a cross-sectional study design with a total sample of 47 patients taken by simple random sampling in sectio caesarea patients at Hospital X Surabaya in January - June 2016. Primary data collection using interview techniques, while secondary data using a study of the results of the recapitulation Committee of The Infection Prevention and Control Program and the SSI prevention bundle. Data analysis was performed descriptively and presented in graphical form with narration. The results showed that the majority of the patient's medical record status was not accompanied by the SSI prevention bundle with filling and completeness of data that was still below the prescribed standard (64%). Although the implementation of SSI surveillance is in accordance with the guidelines for infection surveillance, there are still some shortcomings in terms of data accuracy, so the information obtained is still not well reported.

Family Support and Glucose Control Related to Microvascular Complications Symptoms Alfiah Kusuma Wardani; Muhammad Atoillah Isfandiari
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Diabetes Mellitus (DM) is a chronic disease whose prevalence continues to increase. WHO predicts that DM will be 7 major diseases that will cause death in 2030. Many people don’t realize early that they have DM, so they suffer complications. An increase in the number of people with DM who experience complications can be caused by poor blood sugar control and a lack of support from the family. The complication that was observed in this study is micro-vascular complications. This study aims to analyze family support and control blood sugar levels with the incidence of micro-vascular complications in patients with DM in the Public Health Center (PHC) of Jagir Surabaya. This research uses an analytic observational study sample of patients who had DM not less than 5 years as many as 34 samples. The sampling was done by simple random sampling, while the data analysis uses the chi-square test. The results showed that there was no relationship between family support with symptoms of micro-vascular complications (p=0.069),but there is a relationship between the control of blood sugar levels with symptoms of micro-vascular complications (p=0.002). The micro-vascular symptoms that are often experienced by people with DM in the PHC of Jagir is symptomatic neuropathy complications. The proportion of patients with DM who received family support at 55.9%, while the patients with DM who control the blood sugar levels well were 17 respondents. It is expected that people with DM to control eating diet and regular exercise.

The Correlation between Family Support with Quality of Life Diabetes Mellitus Type 2 in Pademawu PHC Wulan Meidikayanti; Chatarina Umbul Wahyuni
Jurnal Berkala Epidemiologi Vol. 5 No. 2 (2017): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Diabetes Mellitus (DM) Type 2 is one type of DM that affects nearly 90% of patients with a diagnosis of DM in the world. DM type 2 patients need long-term care and treatment to prolong life and improve quality of life. This study aims to analyze the relationship of family support with the quality of life of patients with DM type 2. This type of research is observational analytic with a cross-sectional study design. The study population was all patients with DM type 2 who visited the Public health center (PHC) of Pademawu in May – June 2017. The number of samples was 50 respondents who were randomly selected using a simple random sampling technique. The variables studied were the characteristics of respondents (age, sex, level of education, length of suffering, complications), and family support. The results of the chi-square test with a significance level of 5% (α = 0.05) showed that variables significantly related to the quality of life DM type 2 were family support (p = 0.001) and DM complications (p = 0.011). The conclusion in this study is the variable of family support and complications have a significant relationship with the quality of life of DM type 2 in PHC of Pademawu, Pamekasan District so that health workers in PHC of Pademawu are expected to further enhance health promotion regarding the importance of family support to patients to extend the life of patients with DM type 2.

Accuracy of Measles Immunization Records and Reporting in Maternal and Child Health Card and Cohort Book Rekha Finazis
Jurnal Berkala Epidemiologi Vol. 2 No. 2 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Communicable diseases such as diseases that can be prevented by immunization remain a problem in Indonesia, one of which is measles. The government has sought to prevent measles immunization in infants aged 9 months, but the measles case still found in Indonesia, so it’s necessary to evaluate the success of programs related to measles immunization. This study was conducted to determine the problems that occur in terms of recording and reporting of data related to measles immunization in particular measles immunization data quality. The population was 5 integrated health care posts (Posyandu) with the highest number of children under five in the region of the new Public health center (PHC) of Gunung Anyar Surabaya. The number of respondents is as much as 50 respondents with details of each in integrated health care post will take 10 respondents. The sample selection is done through a rapid survey method. The variables studied were the quality of immunization data on maternal and child health cards (KIA/KMS) or other records compared with immunization data on a cohort book. Other variables are the quality of data on infants in integrated health care post register book by book cohort. The results showed that the percentage of the suitability of the data of measles in the community with book five cohort remains low in the integrated health care post. Meanwhile, the percentage of suitability data on the register books with babies in integrated health care post cohort book is also fairly low. This suggests that the quality of data recorded in measles immunization is relatively low.

Evaluation of surveillance of dengue fever cases in the public health centre of Putat Jaya based on attribute surveillance Zumaroh Zumaroh
Jurnal Berkala Epidemiologi Vol. 3 No. 1 (2015): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Dengue Hemorrhagic Fever (DHF) is a public health problem in Putat Jaya Village which is endemic. Surveillance activities in the DHF control program are very important activities in controlling and monitoring the progress of the disease. The program is expected to reach IR 55 / 100,000 population. This study aims to evaluate the implementation of DHF case surveillance in the work area of the Public health center (PHC) of Putat Jaya based on 2013 surveillance attributes. This study is an evaluative study with descriptive study design. Data collection techniques with interviews and document studies. The informants in this study were PHC staff who specifically handled DHF cases and laboratory staff. The variables of this study are simplicity, flexibility, acceptability, sensitivity, positive predictive value, representativeness, timeliness, data quality, and data stability. The results showed that the existing case surveillance system is simplicity, acceptable, high Positive Predictive Value (PPV), high data stability, but low sensitivity, not representative, not timely, and has poor data quality. It can be seen from the Incidence Rate (IR) reaching 133 / 100,000 population. Surveillance activities at PHC of Putat Jaya in terms of the management of disease control programs are considered to have not been successful in reducing DHF IR. Therefore, it needs to increase cross-sector and cross-program collaboration, increase the number of surveillance personnel, and strengthen the DHF case reporting system.

Risk Difference of Multidrug Resistance Organisms (MDROs) According to Risk Factor and Hand Hygiene Compliance Ajeng FS Kurniawati; Prijono Satyabakti; Novita Arbianti
Jurnal Berkala Epidemiologi Vol. 3 No. 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Nosocomial infection is still a global public health problem. At the same time, there is a problem of bacterial resistance to several classes of antibiotics called multidrug resistance organisms (MDROs). The incidence of MDROs is higher in the Intensive Care Unit (ICU) compared to other service units. Bacterial transmission can be prevented by hand hygiene. The purpose of this study is to analyze the differences in the risk of MDROs according to risk factors and compliance with hand hygiene. This study uses a case-control design with a sample size of 20 in each case and control group. Case samples were MDROs patients at ICU “Y“ Hospital (RS “Y”) Surabaya, while the control sample was ICU “Y” Hospital Surabaya patients who were not MDROs. The independent variable is the duration of use of antibiotics, length of stay, use of ventilator medical devices and compliance with hand hygiene of health workers. Data analysis uses the Odds Ratio (OR) and Risk Difference (RD) analysis. The results showed that the difference in the risk of MDRO infection was based on the duration of antibiotic use (OR=10,23; 95%CI=1,12<OR<93,35; RD=0,47), length of stay (OR=7,36; 95%CI=1,34<OR<40,55; RD=0,44), use of a ventilator medical device (OR=9,00; 95%CI=1,64<OR<49,45; RD=0,48), and hand hygiene compliance (OR=6,00; 95% CI=1,46<OR<24,69; RD=0,42). Based on the results of the study, it can be concluded that maintaining hygiene before taking medical measures, including tools, environment and health workers' bodies must be carried out so that they do not become a medium for the growth of MDRO bacteria.

Child Health Monitoring Description in MCTS at Ranuyoso PHC Lumajang Bettis Wijayanti
Jurnal Berkala Epidemiologi Vol. 4 No. 2 (2016): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Infant Mortality Rate (IMR) in Lumajang District is always higher than IMR in East Java Province. The Public health center (PHC) of Ranuyoso is the area with the highest total IMR and Under-Five Children Mortality Rate (AKABA) in Lumajang District in 2013 and 2014. The government has implemented a program that aims to improve health, whose scope of coverage is monitored by local area monitoring for mother and child health. The purpose of this study was to determine the description of the implementation of local area monitoring for mother and child health in monitoring children's health at the PHC of Ranuyoso based on surveillance attributes of simplicity, acceptability, sensitivity, representativeness, data quality, timeliness, and stability. This study used a descriptive evaluative research method with respondents from midwife's coordinator, PHC's midwives, and midwives from eight villages. Descriptions based on surveillance attributes show that the local area monitoring for mother and child health system for child indicators in PHC of Ranuyoso is not simple, sufficient acceptability, sensitive, representative, not timely, data quality is insufficient and unstable. Based on the description, it is recommended to conduct supervision of senior midwives more routinely, procurement of manuals for village midwives, recording and reporting which computerized starting from village midwives, and making attendance books and expedition books to record reporting dates.

Relationship Between Hand-washing Habit and Toilet Use with Diarrhea Incidence in Children Under Five Years Nikmatur Rohmah; Fariani Syahrul
Jurnal Berkala Epidemiologi Vol. 5 No. 1 (2017): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Diarrhea is still a public health problem in the world and mostly occurs in children under five. At present, the mortality rate caused by diarrhea is 3.8 per 1000 per year with 3.2 episodes per year in children under 5 years. This study aims to analyze the relationship between handwashing habits and the use of healthy latrines with the incidence of toddler diarrhea. This type of research is observational analytic research with a cross-sectional research design. The population in this study were mothers of children under five who examined their children at the Public health center (PHC) of Sekardangan in Sidoarjo Regency in July 2015 - January 2016. The number of samples taken was 58 mothers of children under five. The independent variables studied were handwashing habits and the use of healthy latrines, while the dependent variable was the incidence of diarrhea in children under five. Data collection was carried out by interviewing toddlers' parents and latrine observation. Data analysis techniques used the chi-square test or Fisher's exact test. The results showed that there was a significant relationship between handwashing habits (p = 0.006) and the use of healthy latrines (p = 0.014) with the incidence of toddler diarrhea. The conclusion of this study is that handwashing habits and the use of healthy latrines have a significant relationship with the incidence of toddler diarrhea. Advice that can be given to mothers of toddlers is to wash hands before and after urinating and before preparing food for children.

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