Andre Yunianto
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Challenges and Solutions in Implementing a Healthy Indonesia Program with a Family Approach Eva Sulistiowati; Andy Leny Susyanty; Tetra Fajarwati; Aprildah Nur Sapardin; Made Dewi Susilawati; Rossa Avrina; Mujiati; Siti Nur Hasanah; Nova Sri Hartati; Agus Dwi Harso; Tince Jovina; Makassari Dewi; Andre Yunianto
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 4: DESEMBER 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.595 KB) | DOI: 10.30597/mkmi.v16i4.10041


The Healthy Indonesia Program with a Family Approach (PISPK) is conducted bypuskesmas by integrating existing resources, with the family’s target. All familieswill get access to comprehensive health services. The implementation of PISPKsince 2016 has not been optimal because it has many obstacles. The analysis aimsto identify the obstacles, and to find solutions to implemented PISPK optimally.Implementation research was carried out using Participatory Action Research(PAR). The team (researcher and subject) implemented PISPK together based onstages that integrated into puskesmas management, at 4 puskesmas in SouthLampung. Researchers assisted and recorded data collected qualitatively (self-assessment, in-depth interviews, Focus Group Discussion), and quantitatively.There are any obstacles occurred in the implementation of PISPK such as theabsence of regulations and cross-sectoral supports; lack of knowledge andsupport from village officials, community leaders, and the public; limitedresources; lack of understanding of the substantive; application; lack of dataanalysis capabilities. These obstac-les can be minimized by making somebreakthroughs, such as advocacy and issuance of local government regulations onPISPK involving cross-sectors; increase socialization; periodic coordination,monitoring, and evaluation; making innovations (On Job Training, collaborationwith universities and health volunteer, Healthy Family Coverage Pocket Book,developing data analysis methods). The implementation of PISPK has manyobstacles that can be minimized by optimizing existing potentials and supportfrom stakeholders. Puskesmas need to increase socialization; team organizing;data analysis; coordination, and routine monitoring evaluation. Pusdatin needs toimprove KS applications to be more user-friendly.
KEPEMILIKAN KELAMBU DAN FAKTOR SOSIODEMOGRAFI YANG BERHUBUNGAN DENGAN PENGGUNAAN KELAMBU ANTI NYAMUK DI WILAYAH ENDEMIS MALARIA PASCA PENDISTRIBUSIAN TAHUN 2017-2018 Rina Marina; Jusniar Ariati; Shinta Shinta; Ginoga Veridona; Doni Lasut; Asep Hermawan; Hendrik Siahaan; Roy Nusa RES; Harianto Harianto; Miko Hananto; Dasuki Dasuki; Andre Yunianto; Dian Perwitasari; Pandji W Dhewantara
Publisher : Puslitbang Upaya Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jek.v20i2.4963


ABSTRACT The distribution of LLINs (Long Lasting Insecticidal Nets) is one of the strategies implemented by health programs to control malaria in Indonesia. This study aims to determine the sociodemographic factors associated with the use of LLINs. The research is an observational with a cross-sectional study design. Interviews using a structured questionnaire were carried out on household members from 4602 sample houses in selected villages with systematic random sampling that had been distributed malaria nets in 2017 - 2018 in 12 malaria endemic districts. The data collected were ownership of bed nets, sociodemographic data including gender, marital status, education, age, occupation, household status, and behavior of using bed nets. Data analysis used multivariate logistic regression. The results showed that 83.9% of respondents had mosquito nets and as much as 82.4% of them were obtained from the LLINs program, and the use of LLINs netting was obtained by 60.5%. Sociodemographic factors associated with the use of bed nets were gender (OR=1,12, 95%CI=1,08 – 1,20), marital status (OR=1,31, 95%CI=1,22-1,44), , educational status (OR=1,26, 95% 1,08-1,45), age (OR=1,58, 95% CI=1,40 – 1,77), occupation (OR=1,23, 95%CI=1,11 – 1,21) and status in the household (OR=1,09, 95%=1,00 – 1,19). The use of LLINs in the community is still low, so there is a need for more intensive socialization and education, so that the use of mosquito nets in the community increases. Keywords: Endemic, bed nets, LLINs, malaria, sociodemographic ABSTRAK Distribusi kelambu anti nyamuk merupakan salah satu strategi yang dilakukan program kesehatan untuk mengendalikan kasus malaria di Indonesia. Penelitian ini bertujuan untuk mengetahui faktor-faktor sosiodemografi yang berhubungan dengan penggunaan kelambu anti nyamuk. Studi ini merupakan observasional dengan desain studi cross-sectional. Wawancara menggunakan kuisioner terstruktur dilakukan pada anggota rumah tangga, dari 4602 sampel rumah di desa terpilih secara systematic random sampling yang telah didistribusikan kelambu malaria tahun 2017 – 2018 pada 12 kab/kota endemis malaria. Data yang dikumpulkan adalah kepemilikan kelambu, karakteristik sosiodemografi meliputi jenis kelamin, status pernikahan, pendidikan, umur, pekerjaan, status di rumah tangga serta perilaku penggunaan kelambu. Analisis data digunakan regresi logistik multi variat. Hasil penelitian menunjukkan bahwa 83,9% responden memiliki kelambu dan sebanyak 82,4% kelambu tersebut diperoleh dari program (LLINs), dan penggunaan kelambu LLINs diperoleh sebesar 60,5%. Faktor sosiodemografi yang berhubungan dengan penggunaan kelambu adalah jenis kelamin (OR=1,12, 95%CI=1,08 – 1,20), status perkawinan (OR=1,31, 95%CI=1,22-1,44), pendidikan (OR=1,26, 95% 1,08-1,45), usia (OR=1,58, 95% CI=1,40 – 1,77), status pekerjaan (OR=1,23, 95%CI=1,11 – 1,21), serta kedudukan responden (OR=1,09, 95%=1,00 – 1,19). Penggunaan kelambu LLINs di masyarakat masih rendah, sehingga perlu dilakukan sosialisasi dan edukasi yang lebih intensif lagi, agar penggunaan kelambu di masyarakat meningkat. Kata kunci: Endemis, kelambu anti nyamuk, malaria, sosiodemografi
The Investigation of Significant Leptospirosis Hotspots during the Initial COVID-19 Pandemic in the City of Jakarta, Indonesia Andre Yunianto; Dian Perwitasari; Dasuki Dasuki; Pandji Wibawa Dhewantara
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 3 (2022): Indian Journal of Forensic Medicine and Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i3.18254


Leptospirosis is a common bacterial infection caused by pathogenic Leptospira tropical region, including inIndonesia. During the first year of COVID-19 pandemic, Jakarta reported a significant increase in leptospirosis cases.A study was conducted to analyze the distribution of leptospirosis and to identify hotspots of the leptospirosis.Leptospirosis notifications for the period of January to December 2020 were collected from the online surveillancedatabase provided by the Provincial Health Office of Jakarta. Global and local spatial clustering at the villagelevel across Jakarta was examined using Moran’s I and local indicators for spatial association (LISA). In 2020,total of 207 people infected by Leptospira spp. The highest number was recorded in January (n=142), accountingfor 68.5% of the total reports over the period studied. The incidence was geographically dissimilar at village-levelwith the highest rates was observed in the west of the city. Moran’s I analysis demonstrates that leptospirosisincidence was significantly clustered (I = 0.191, p-value = 0.001). Total of 19 high-risk clusters in 9 sub-districtswere identified and approximately 891,202 people were at higher risk of leptospirosis during the year of 2020. Thefindings suggest needs an improved disease surveillance to support spatially targeted interventions to controlleptospirosis transmission.