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Gambaran Kasus Demam Berdarah Dengue (DBD) Di Pulau Bali Tahun 2012-2017 Yudhastuti, Ririh; Lusno, Muhammad Farid Dimjati
Jurnal Kesehatan Lingkungan Indonesia Vol 19, No 1 (2020): April 2020
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.19.1.27-34

Abstract

Latar Belakang: Demam Berdarah Dengue (DBD) hingga saat ini masih merupakan masalah kesehatan masyarakat di Indonesia, termasuk pulau Bali. Provinsi bali  yang terdiri dari 9 kabupaten/kota adalah daerah endemis DBD, padahal Provinsi Bali adalah destinasi wisata baik lokal maupun mancanegara.Penelitian ini bertujuan untuk memberikan pemaparan berupa gambaran kejadian DBD di Provinsi Bali.Metode: Penelitian ini merupakan penelitian deskriptif dengan rancang bangun caseseries. Sumberdata pada penelitian ini menggunakan data sekunder yaitu Profil Kesehatan provinsi Bali tahun2015 hingga 2017, dan data iklim di Provinsi Bali tahun 2015-2017yang diperoleh dari Badan Pusat Statistik provinsi Bali.Hasil: Hasil penelitian menunjukkan insiden DBD per 100000 penduduk di Provinsi Bali tahun 2012 hingga tahun 2017  berturut turut 65,5: 174,5: 210,2; 259,1; 483; 105. Puncak insiden tertinggi Demam Berdarah Dengue (DBD) ada pada tahun 2016.Pada tahun 2017 ada 4 kabupaten/kota yang insidennya tinggi seperti kabupaten Badung , kota Denpasar , kabupaten Buleleng dan kabupaten Gianyar. Penyebab meningkatnya insiden DBD adalah banyaknya genangan air sebagai tempat perindukan nyamuk Aedes aegypti saat  musim hujan, sehingga populasi nyamuk Aedes aegypti meningkat. Insidens DBD terjadi pada bulan Januari hingga Mei, yang di pengaruhi oleh cuaca lokal, kondisi sosial ekonomi masyarakat, curah hujan, topografi maupun kepadatan,serta mobilitas penduduk.Simpulan: Insiden DBD dipengaruhi oleh pola musim hujan , di bulan Januari, Februari, Maret, April dan Mei  didukung kepadatan dan mobilitas dari penduduk. ABSTRACTTitle: An Overview of Dengue Haemorrhagic Fever Cases in Bali Island 2012-2017Background: Dengue Hemorrhagic Fever (DHF)remains a public health problem in Indonesia, including the island of Bali. Bali province consists of 9 regencies / cities is a dengue endemic area, whereas the island of Bali is a tourist destination both locally and internationally. This study aims to provide an overview of the incidence rates (IR) of DHF in the island of Bali.Methods: This research is a descriptive study with case series design. Data sources in this study use secondary data obtianed from Bali Health Profile 2015 – 2017, and the climate data of Bali Province in 2015-2017 was obtained from the Central Statistics Agency (BPS) of Bali Province.Results: The results showed the Incidence Rates (IR) of Dengue Haemorrhagic Fever (DHF) in the island of Bali in 2012- 2017 were 65.5; 174.5; 210.2; 259.1; 483 and 105.7 respectively. The highest incidence rates (IR) of DHF was notified in 2016. Up to 2017 there were 4 districts that had reported high incidence of DHF, such as Badung Regency, Denpasar City, Buleleng Regency, and Gianyar Regency. Factors contributing to the increasing incidence of DHF in Bali were the existence of water container as the potential breeding places for mosquitos vector of Aedes aegypti, particularly during rainy season. This condition initiated the increased population of Aedes aegypti. The incidence of dengue fever cases intensively occurred during January – May influenced by local weather climate, socio- economic condition, rainfall, topography, as well as population density and mobilityConclusion: The incidence of DHF is significantly associated with weather seasonal patterns whereasthe highest DHF incidence rates are found in each year in January, February, March, April and May. The other significant factors are including of rainfall, population density and mobility.
Increased Thyroid Hormone Levels in Pesticide Sprayer at Agricultural Area Aditya Sukma Pawitra; Khuliyah Candraning Diyanah; Mohd Talib Latif; Beni Hari Susanto; Muhammad F D Lusno
Jurnal Kesehatan Masyarakat Nasional Vol 17, No 1 (2022): Volume 17, Issue 1, February 2022
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (171.069 KB) | DOI: 10.21109/kesmas.v17i1.5487

Abstract

Pesticides used massively in the agricultural sector would cause many poisoning and serious health problems. Organophosphate pesticides have been identified as endocrine-disrupting chemicals. This study aimed to compare thyroid hormone levels between the sprayers chronically exposed to pesticides and the control respondents who had never been exposed to pesticides. This study was an analytical observational with a cross-sectional design. The total number of respondents was 150, 50 as sprayers and 100 as control respondents. The venous blood samples were examined using the Enzyme-Linked Immunosorbent Assay (ELISA). The findings significantly showed that the sprayer had a higher level of thyroid-stimulating hormone (TSH) (4.776 ± 1.1166), lower triiodothyronine (T3) (108.822 ± 18.810), and lower thyroxine (T4) (7.808 ± 1.067). Determinant factors among sprayers that significantly correlated to TSH levels was age (p-value = 0.006); work duration (p-value = 0.000); personal protection equipment (PPE) (p-value = 0.045); body position (p-value = 0.014); type of pesticides (p-value = 0.004), correlated with T3 levels was age (p-value = 0.037); body position (p-value = 0.045), correlated with T4 levels was age (p-value = 0.000); PPE (p-value = 0.045). It could be concluded that chronic organophosphate exposure would increase TSH and decrease T3 and T4.
Large-Scale Social Restriction (LSSR) Policy and Dengue Hemorrhagic Fever Cases during COVID-19 Pandemic in Indonesia (Case Studies: Five Cities/Districts in East Java Province) Aldio Yudha Trisandy; Muhammad Azmi Maruf; Ririh Yudhastuti; Muhammad Farid Dimjati Lusno; Hari Basuki Notobroto
Jurnal Kesehatan Masyarakat Nasional Volume 16, Special Issue No 1, 2021
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (298.209 KB) | DOI: 10.21109/kesmas.v0i0.5008

Abstract

The first positive case of coronavirus disease 2019 (COVID-19) in Indonesia was announced in March 2020. Since then, the positive cases have continued to increase. This condition prompted the government to adopt the Large-Scale Social Restriction (LSSR)/Pembatasan Sosial Berskala Besar (PSBB). Some areas included in endemic regions for dengue face two problems: overcoming COVID-19 and Dengue Hemorrhagic Fever (DHF) simultaneously. Five economic growth center cities/districts in East Java Province (Gresik, Bangkalan, Surabaya, Sidoarjo, and Lamongan) were affected by the COVID-19 pandemic and dengue fever. This was a quantitative research with a comparative design study using the Wilcoxon test to compare the cases of DHF pre-COVID-19 and during the COVID-19 pandemic. The Wilcoxon test result showed no significant difference with a p-value of 0.319 (p-value>0.05). It can be concluded that DHF still becomes a problem in five cities/districts in East Java Province even though LSRR was applied. Extra attention is needed to overcome DHF. One of the efforts to prevent and control DHF during the COVID-19 pandemic is to build community independence through the one house one health cadres’ movement.
Kebersihan Diri dan Sanitasi Rumah pada Anak Balita dengan Kecacingan Ririh Yudhastuti; M. Farid D. Lusno
Jurnal Kesehatan Masyarakat Nasional Vol. 6 No. 4 Februari 2012
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (242.986 KB) | DOI: 10.21109/kesmas.v6i4.96

Abstract

Di Indonesia, prevalensi kecacingan berada pada kisaran 45% - 65% dan masih merupakan masalah kesehatan masyarakat yang penting. Berbagai cacing yang menginfeksi anak berusia di bawah 12 tahun dengan prevalensi tinggi meliputi Ascaris lumbricoides, Trichuris trichiura, Ancylostoma duodenale,Necator americanus, dan Enterobius vermicularis. Infeksi cacingperut diduga menyebar melalui sanitasi lingkungan dan higiene perorangan yang buruk. Penelitian ini bertujuan untuk menganalisis hubungan antara lingkungan rumah dan kejadian kecacingan pada anak di bawah lima tahun (balita). Penelitian dilaksanakan pada anak balita di Kampung Keputih Kecamatan Sukolilo Surabaya selama bulan Maret – Mei 2010 dengan desain penelitian kasus kontrol terhadap 51 kasus dan 51 kontrol. Pengumpulan data melalui pemeriksaan laboratorium, wawancara, dan observasi. Analisis data dengan uji chi square dan regresi logistik. Prevalensi kejadian kecacingan dengan pemeriksaan tinja pada anak balita adalah 9,8%. Faktor yang berhubungan dengan kejadian kecacingan pada anak balita adalah keberadaan sarana sanitasi (jamban) (OR = 5,245), kebiasaan buang air besar (BAB) (OR = 4,821), masih adanya lantai tanah (OR = 5,342), kebiasaan cuci tangan setelah BAB (OR = 4,654), dan pengetahuan ibu tentang kecacingan (OR = 2,425). Disarankan untuk pengadaan jamban yang memenuhi syarat kesehatan dan plester rumah, meningkatkan penyuluhan pada orang tua balita dan kader kesehatan tentang kejadian kecacingan.Kata kunci: Lingkungan rumah, kecacingan, anak di bawah lima tahunAbstractIn Indonesia, helminthiasis is still a public health problem due to its prevalence. The prevalence is 45% - 65%. The species of helminthes whom infecting children under 12 years old are Ascaris lumbricoides, Trichuris trichiura, Ancylostoma duodenale, Necator americanus, and Enterobius vermicularis. It suspected that infestation of helmint can transmit through lack of environment sanitation and personal hygiene. The objective of research was analyze an association between housing environmental and helminthiasis among students of early childhood age. This research conducted since March until May 2010 with case control design and sample size was 51 subjectsfor cases and 51 subjects for control. Data analysis used chi square test and logistic regression. The prevalence of helminthiasis with feces examination among the students was 9,8%. The factors associated with helminthiasis were presence of latrines (OR = 5,245), defecation habits (OR = 4,821), type of floor (OR = 5,342), washing hands after defecation (OR = 4,654), and parental knowledge (OR = 2,425). It’s appleated to provide a close with good standard of environmental health, making the cement floor, increase knowledge about helminthiasis and the risk factorsKey words: Housing environmental, helminthiasis, children under fiveyears old
Association Between Smoking and Hypertension as Health Burden in Sidoarjo: A Case-Control Study Muhammad Farid Dimjati Lusno
International Journal of Applied Biology Vol. 4 No. (2) (2020): International Journal of Applied Biology
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Noncommunicable diseases (NCDs) became major caused of premature death and health burden which rising disproportionately among low-income and lower-middle-income countries. There are common modifiable behavioral risk factors include tobacco smoking. In Indonesia there were 147.510 Cardiovascular (CVD) death caused by tobacco use which is 26% of all CVD deaths each year. The link between smoking and hypertension is still far to be completely identified.  This study aim to analyze the relationship of smoking to hypertension. The study conducted with case control approach. The sampling method use probability sampling with the samples 172 respondent consist of 76 cases and 76 control. Hypertension patient data is obtained based on secondary data that has been owned by the Puskesmas.The findings showed that smoking (p=0,01, OR=3,1), early age of smoking (p=0,00, OR=6,5) with starting 6 – 19 years old higher OR then 20-33 years old (p=0,00,OR=4), duration of smoking (p=0,00, OR=9,9) in a group with 30 – 53 years of smoking higher than whose 9 – 29 years of smoking (p=0,0, OR=8,2), and type of cigarettes (p=0,001, OR=3,4). Smoking has association to hypertension as the modifiable factor which needs concerned from decision maker especially to linkage the program of NCDs especially in preventing hypertension.
ANALISIS KINERJA UNIT RAWAT INAP RUMAH SAKIT X BERDASARKAN KRITERIA MALCOLM BALDRIGE Setya Haksama; M. Farid Dimyati Lusno; Diansanto Prayoga; M. Rifqo Hafidzudin Farid; Syadza Syahrah Shedyta; Syahrania Naura Shedysni; Sri Wiwoho Mudjanarko
Jurnal SainHealth Vol 2, No 2 (2018): September 2018
Publisher : Faculty of Health Sciences Universitas Maarif Hasyim Latif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51804/jsh.v2i2.257.12-20

Abstract

Pengukuran kinerja di rumah sakit saat ini merupakan hal yang sangat penting dan perlu dilakukan terutama dalam kondisi persaingan pelayanan kesehatan di rumah sakit sangat ketat terutama terkait dengan kinerja pelayanan, sehingga tujuan penelitian ini adalah mengukur kinerja pelayanannya dengan baik dan seksama. Salah satu metode yang digunakan adalah pengukuran intsrumen kinerja berdasarkan MalcolmBaldrige Performance Criteria. Penelitian ini merupakan observasional analitik dengan disaincrosssectional yang bertujuan untuk melihat hubungan antar variabel. Jumlah responden 50 orang pegawai terdiri dari perawat, bidan, asisten perawat, dan asisten bidan di unit rawat inap Rumah Sakit X. Analisis data dari variabel penelitian dilakukan dengan penghitungan nilai dari kriteria kinerja Malcolm Baldrige. Hasil penelitian ini menunjukkan bahwa kinerja Rumah Sakit X berdasarkan profil organisasi memiliki skor 74,50; kepemimpinan 86,75 (72,29%); perencanaan strategis 66,50 (78,24%), fokus pelanggan 63,45 (74,62%); pengukuran, analisis, dan manajemen pengetahuan 66,83 (74,25%), fokus operasi 64,28 (75,62%), dan skor hasil 348,65 dari 5 hasil yang memiliki 77,48%, dan kriteria sangat baik. Kinerja Rumah Sakit X termasuk dalam kategori sangat baik pada kriteria perencanan strategis, focus sumber daya manusia, focus operasional, dan kriteria hasil; dan pada kriteria kepemimpinan, focus pelanggan, dan pengukuran analisis dan manajemen pengetahuan berada pada kategori baik dengan nilai keseluruhan adalah 762.35 yang berada pada kategori sangat baik. Rekomendasinya adalah Rumah Sakit X tetap perlu fokus meningkatkan dan mempertahankan kinerjanya dengan senantiasa melakukan monitoring dan pengawasan pada kriteria dengan nilai sangat baik, dan perlu diukur secara terus menerus untuk melihat trend pelayanannya.