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System Analysis of Dengue Virus Surveillance in BBTKL PP Surabaya Year 2012–2014 Husnayain, Atina; Artanti, Kurnia Dwi; Zaenal, Acub
Jurnal Berkala Epidemiologi Vol 3, No 2 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (385.086 KB) | DOI: 10.20473/jbe.v3i2.1657

Abstract

ABSTRACTChanging the distribution of dengue virus serotypes has occurred in Indonesia. This condition should be monitored continuously through the Dengue Virus Surveillance. Implementation of Dengue Virus Surveillance also conducted by BBTKL PP Surabaya. The purpose of this study was to determine the workflow, identify problems, set priority problem, find the cause of the problem, and provide the alternative solution related to problems of Dengue Virus Surveillance in BBTKL PP Surabaya. This is a operational research and the informants are officers of Dengue Virus Surveillance in BBTKL PP Surabaya. Data in this study was analyzed descriptive and presented narrative. Results showed that the workflow of Dengue Virus Surveillance in BBTKL PP Surabaya are collecting of patient’s blood and vector specimen, vector survey and collecting the supporting data, Rapid Diagnostic Test (RDT) and Polymerase Chain Reaction (PCR), processing and data analysis, and dissemination the information. The main problems of Dengue Virus Surveillance in BBTKL PP Surabaya is the low quality of the information. Tree problem analysis showed that the cause of problem that can be intervene are incomplete supporting data and data storage. Alternative solution related to problems of Dengue Virus Surveillance in BBTKL PP Surabaya is use of Epi Info.Keyword: surveillance, dengue virus, data management
Analysis of Epidemiological Surveillance Activity of the COVID-19 at Surabaya Airport Indonesia on January 2020 Rizma Dwi Nastiti; Kurnia Dwi Artanti; Achmad Faridy Faqih
Jurnal Kesehatan Masyarakat Nasional Special Issue Volume 1, 2020
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (698.863 KB) | DOI: 10.21109/kesmas.v15i2.3953

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The Surabaya Port Health Office (PHO) Class I is tasked with the disease prevention by detection, response and protection at entrance gates for the sea- and airports and over the state cross-border posts regarding Public Health Emergency of International Concern situation of COVID-19. This analysis aims to assess activities of early warning alert and response system to COVID-19 at Juanda International Airport on January 2020 and provides recommendations to enhance the system in the future. The method used includes interviewing four informants, studying of documents and directing field-observation by following regular activities of PHO representatives, who supervise, inspect General Declarations, distribute, and collect the Health Alert Card (HAC) and monitor body temperature of travelers. The analysis uses a system approach (input, process, output) and a 4M model with modification by adding time, technology and information variables. Activities in the early warning alert and response system of COVID-19 are in accordance with the Preparedness Guidelines by the Indonesian Ministry of Health. The outputs of reported activities have been classified as appropriate. The HAC form is lacking as a source of COVID-19 surveillance with regards to address information, which often being misinterpreted by travelers. It is necessary to add additional questions regarding the destination address of travelers in Indonesia, and to educate on how to fill in a HAC correctly through a completed example form; communication and direction from Surabaya PHO Class I operatives are also necessary so that the effectiveness of HAC can be maximized.
Pelatihan Kader Kesehatan untuk Penemuan Penderita Suspek Tuberkulosis Chatarina Umbul Wahyuni; Kurnia Dwi Artanti
Jurnal Kesehatan Masyarakat Nasional Vol 8. No. 2 September 2013
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (268.393 KB) | DOI: 10.21109/kesmas.v8i2.348

Abstract

Di Indonesia, kasus tuberkulosis (TB) yang dilaporkan pada tahun 2011 ter- deteksi lebih dari 70% dan cenderung terus meningkat. Di Kota Surabaya, cakupan penemuan penderita adalah sekitar 49,52% dengan jumlah suspek TB sebanyak 4.402 orang hingga tahun 2011. Keterlibatan masyarakat dalam penanggulangan TB tersebut sesuai dengan Kerangka Kerja Strategi Penanggulangan TB 2006-2010. Masyarakat berpeluang untuk berperan dalam penanggulangan TB, sumber daya di masyarakat dimanfaatkan untuk meningkatkan derajat kesehatan dan mengubah perilaku masyarakat. Penelitian ini bertujuan mengetahui pengaruh pelatihan terhadap pengetahuan kader kesehatan dalam penemuan suspek TB. Penelitian kuantitatif ini menggunakan rancangan studi kuasi eksperimental kelompok kontrol non-ekuivalen. Perlakuan pelatihan program pengendalian berupa penemuan suspek TB. Populasi penelitian adalah ibu rumah tangga di wilayah kerja Puskesmas Mojo di Kota Surabaya dengan jumlah sampel 90 ibu rumah tangga berumur rata-rata 48 tahun, tingkat pendidikan terbanyak adalah tamat SMA (58,9%). Setelah pelatihan, pengetahuan kader tentang penemuan suspek TB meningkat dari 67 (74,4%) menjadi 89 (98,9%). Perlu implementasi untuk melihat kemampuan kader menerapkan pengetahuan yang diperoleh dalam menemukan suspek penderita TB dengan pen- dampingan dan monitoring kader.Progress reports current situation of tuberculosis (TB) in Indonesia in 2011 showed Case Detection Rate (CDR) of over 70% and showed an increase from year to year. While the city of Surabaya figures coverage discovery Patients up to 2011 amounted to 49.52% with the number of 4,402 people suspected. Community involvement in TB control in accordance with the Tuberculosis Control Strategy Framework 2006-2010. The opportunities as well as public opportunities to participate in TB control to make the resources available in the community should be utilized to improve health status and change people’s behavior as a factor influencing health status. This study aimed to determine the effect of training on the knowledge of health cadres in the discovery of suspected tuberculosisThis study uses quantitative methods to the design of a Quasi Nonequivalent Experimental Control Group Design. Treatment will be given in the form of training on tuberculosis control program in the discovery suspected tuberculosis. The population in this study was a housewife in Puskesmas Mojo working in the city of Surabaya. Large sample taken as many as 90 respondents. Characteristics housewife with average age 48 years, female gender, and education all most 31.1%. Improvement occurred knowledge of 67 (74.4 %) health workers who have good knowledge before training to 89 (98.9 %). Based on the results of this study concluded increased knowledge of health workers after training in the discovery of suspected tuberculosis. Further implementation is needed to see the ability of the implementing cadres who have acquired knowledge in finding patients with suspected tuberculosis in the surrounding environment. In its application may be made to the guidance and monitoring of health cadres in the process of discovery with suspected tuberculosis.
RISK FACTORS OF LUNG ADENOCARCINOMA IN PATIENTS AT DR. SOETOMO DISTRICT GENERAL HOSPITAL SURABAYA IN 2018 Luluk Lady Laily; Santi Martini; Kurnia Dwi Artanti; Sri Widati
The Indonesian Journal of Public Health Vol. 15 No. 3 (2020): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (731.298 KB) | DOI: 10.20473/ijph.v15i3.2020.295-303

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Lung adenocarcinoma is one type of lung cancers that increases in number every year globally. Smoking is one of the risk factors for lung adenocarcinoma. This study aimed to determine the distribution of the risk factors of lung adenocarcinoma in patients. The risk factors observed in this study included age, gender, smoking history, number of cigarettes, types of cigarettes, and smoking duration. This study was descriptive and performed a cross sectional design. The study’s population was all lung cancer patients who were treated at Dr. Soetomo District General Hospital Surabaya. The samples were drawn using the accidental sampling technique from the population that met the inclusion criteria. The inclusion criteria for this respondents were patients who were diagnosed with lung adenocarcinoma and were willing to be interviewed. While the exclusion criteria involved patients with incomplete medical record data and patients who were not willing to be interviewed. The results indicate that the majority of lung adenocarcinoma patients at Dr. Soetomo District General Hospital Surabaya were male who were light smokers, diagnosed at more than 50 years old. Most of them used filter cigarettes and had smoked for more than 30 years. Keywords: Lung adenocarcinoma, risk factors, cross-sectional. 
System Analysis of Dengue Virus Surveillance in BBTKL PP Surabaya Year 2012–2014 Atina Husnayain; Kurnia Dwi Artanti; Acub Zaenal
Jurnal Berkala Epidemiologi Vol. 3 No. 2 (2015): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (385.086 KB) | DOI: 10.20473/jbe.V3I22015.146-157

Abstract

Changes in the distribution of dengue virus serotypes have occurred in Indonesia. These changes must be monitored continuously through laboratory-based epidemiological surveillance of dengue viruses, one of which is carried out by the Center of Environmental Health and Disease Control Agency (BBTKLPP) Surabaya. The purpose of this study is to determine the workflow, identify problems, determine priority problems, find the cause of the problem, and provide alternative solutions related to problems in the implementation of molecular epidemiological surveillance of dengue viruses that have been carried out by BBTKLPP Surabaya. This research is a descriptive study with informants is molecular epidemiological surveillance officers of the dengue virus in BBTKLPP Surabaya. Data processing and analysis are done descriptively and presented in narrative form. The results showed that the molecular epidemiological surveillance workflow of the dengue virus in BBTKLPP Surabaya consisted of collecting blood specimens from patients and vectors, vector surveys and supporting data collection, rapid diagnostic test examinations, and polymerase chain reaction, data processing and analysis and information dissemination. The main problem in implementing this surveillance is the quality of the information generated is still low. The problem tree analysis results show that the cause of the problem that can be intervened is incomplete supporting data and data not collected in one storage medium. An alternative solution to overcome this problem is through the use of a database management system is Epi-info.
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (604.496 KB) | DOI: 10.20473/jbe.V5I12017.13-25

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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.
THE DESCRIPTION OF SMOKING DEGREE BASED ON BRINKMAN INDEX IN PATIENTS WITH LUNG CANCER Dessy Arumsari; Kurnia Dwi Artanti; Santi Martini; Sri Widati
Jurnal Berkala Epidemiologi Vol. 7 No. 3 (2019): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (471.593 KB) | DOI: 10.20473/jbe.V7I32019.250-257

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Background: Smoking is a major risk factor that causes lung cancer. The high number of active smokers in developing countries is found in several countries; one of those countries is Indonesia. Purpose: The purpose of the study was to describe the degree of smoking based on brinkman index on lung cancer patients. Methods: It was a descriptive study. It employed cross sectional research design. The population in this study included lung cancer patients in Outpatient and Inpatient Dr. Soetomo Regional Public Hospital, Surabaya. The independent variable in this study was the degree of smoking. Whereas, the dependent variable in this study was lung cancer. Accidental sampling was used as the sampling technique of the study. The total sample were 31 respondents. The instrument used for collecting data was questionnaire containing the risk factors of lung cancer in November 2018. The categorization of smoking degrees used the Brinkman Index measurement. Data were processed by univariate analysis which was presented in the form of a frequency distribution table between variables. Results: Almost all of the respondents were on the age of > 40 years (90.30%) and male (96.80%). The majority of respondents were senior high school graduates (38.70%), and had other jobs (32.20%). Almost half of the respondents were classified into heavy smoking degree according to the brinkman index (48.40%). Conclusions: Some of cancer patients in Dr. Soetomo Regional Public Hospital Surabaya has a smoking degree of heavy category. 
THE DESCRIPTION OF MODIFIABLE RISK FACTORS IN CORONARY HEART DISEASE AT DR. SOETOMO REGIONAL PUBLIC HOSPITAL Mayla Renata Sandi; Santi Martini; Kurnia Dwi Artanti; Sri Widati
Jurnal Berkala Epidemiologi Vol. 7 No. 2 (2019): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V7I22019.85-93

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Background: Coronary heart disease (CHD) is a non-communicable disease that causes the highest mortality in the world, including in Indonesia. Risk factors for CHD are divided into modifiable and non- modifiable risk factors. Purpose: This study aims to discover the description of risk factors that are modifiable in coronary heart disease patients at Dr Soetomo Regional Public Hospital. Methods: It was a descriptive observational study with cross sectional study design. The study population was coronary heart disease patients who were doing outpatient treatment at the Integrated Heart Service Center (PPJT) of Dr. Soetomo Regional Public Hospital. The number of study sample was 72 respondents using accidental sampling technique. Data sources used are primary data using questionnaires and secondary data using medical record. Data were collected during November 2018. The location of this study was Dr. Soetomo Regional Public Hospital. The data analysis technique chosen was univariate analysis and presented in the form of a frequency distribution table. Results: The results of the study showed that the characteristics of respondents were mostly between 56-65 years old (43,05%) and male (70,84%). Risk factors found on the respondents were smoking (84,72%), hypertension (72,22%), hyperlipidemia (68,05%), diabetes mellitus (81,94%) and poor physical activity (77,77%). Conclusion: Modifiable risk factor that was mostly found on coronary heart patients was smoking, while least one was hiperlipidemia.
TREATMENT OUTCOMES OF MULTIDRUG RESISTANT TUBERCULOSIS PATIENTS IN EAST JAVA FROM 2014 TO 2017 Lailatul Fitriya; Kurnia Dwi Artanti
Jurnal Berkala Epidemiologi Vol. 8 No. 2 (2020): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V8I22020.141-148

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Background: Multidrug resistant tuberculosis (MDR TB) is a major public health problem marked by the Mycobacterium tuberculosis strain that is resistant to first line anti TB drugs, including rifampicin and isoniazid simultaneously. A patient confirmed as having MDR TB can transmit this form of TB to other individuals. Therefore, treatment success is the main target when addressing MDR TB. Purpose: This study aimed to assess the treatment outcomes of MDR TB patients in East Java Province from 2014 to 2017. Method: This is a quantitative-descriptive study using the secondary data of drug resistant TB patients sourced from the e-TB Manager website in the East Java Province Health Office. Results: The results show that the average MDR TB patients was 47 years old, 57.44% were male, 37.52% had a negative HIV status, 44.87% were relapse patients, 71.95% had undergone two or less previous treatments, and 69.24% had sputum culture conversion. The treatment outcomes included 161 patients (31.14%) confirmed as cured, 27 patients (5.22%) completing treatment, 174 patients (33.65%) defaulting, two patients (0.38%) confirmed as having failed treatment, and 59 patients (11.41%) dying during the treatment period. Conclusion: The treatment success rate was low and the number of defaults was high. Therefore, it is hoped that there will be support from those closest to the patient and health workers who will maintain and increase the patient's motivation to complete the treatment.
Analysis of Risk Factors Affecting The Occurrence of Chronic Obstructive Pulmonary Disease in Indonesia Nurul Layly Firdausi; Kurnia Dwi Artanti; Chung-Yi Li
Jurnal Berkala Epidemiologi Vol. 9 No. 1 (2021): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V9I12021.18-25

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Background: Chronic obstructive pulmonary disease (COPD) is a lung disease caused by the occurrence of airflow limitation in the lungs and also causes 60% of all deaths in Indonesia. Purpose: This study aimed to analyze the risk factors that affect the incidence of COPD in Indonesia. Methods: This study was conducted in July–August 2019 in Indonesia as an analytic research study with a cross-sectional design, using data from the Indonesia Family Life Survey-5. The sample consisted of respondents aged >15 years, giving a total of 34,231 respondents. Data analysis was partially carried out using the chi-square test to analyze the relationships between the variables. Results: The majority of respondents were female, were aged <40 years, and had a low level of education. Risk factors for the development of COPD included, among others, an age of >40 years (p = 0.02; PR = 1.20; 95% CI = 1.02–1.41), male gender (p = 0.01; PR = 1.26; 95% CI = 1.07–1.49), smoking (p = 0.01; PR = 1.22 ; 95% CI = 1.03–1.44), first smoking age < 40 years (p = 0.02; PR = 1.22; 95% CI = 1.03–1.44), residence in urban areas (p = 0.01; PR = 1.43; 95% CI = 1.20–1.70), being underweight (p = 0.01; PR = 2.17; 95% CI = 1.76–2.66). Conclusions: The risk factors that affect the incidence of COPD include being aged >40 years, being male, smoking, taking up smoking when aged <40 years, urban residence, and being underweight.