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Correlation between Knowledge and Family Support with Active Cadre’s Role Ida Bagus Made Dwi Indrawan; Chatarina Umbul Wahjuni
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

One factor that can help 100% achievement of Universal Child Immunization (UCI) village status at Public health center (PHC) is depend on cadre’s role in promoting the importance of immunization to baby mothers and to motivate baby mothers to follow immunization program. The research objective was to analysis factors that related with active cadres roles in UCI village status achievement. This was a cross sectional study with sample size used in this research was 63 cadres of Integrated health care post (Posyandu) which is selected by stratified random sampling from UCI village and non UCI village. Result of this research showed there were no significant correlation between age ( p = 0,523 ), level of education ( p = 0,459 ), years of being cadre ( p =0,818 ), work status ( p = 0,766 ), attitude ( p = 1,000 ), and Posyandu’s access ( p = 0,713 ) with active cadres role. However, chi-square test showed there were correlation between knowledge ( p =0,000) and family support (p = 0,001) with active role cadres. There was no difference of cadre’s role in UCI village and non UCI village ( p = 1,000 ). It can be concluded that there were a significant correlation between knowledge and family support with cadre’s role in UCI village achievement. The suggestion for department of health Surabaya and PHC is to do refreshing cadres by training regularly to increase cadre’s knowledge about immunization.

Analysis Determinants of Postpartum Maternal Mortality at Sidoarjo Regency in 2012 Puspita Rahmawati; Santi Martini; Chatarina Umbul Wahjuni
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

The Maternal Mortality Ratio (MMR) in Indonesia remains high, i.e approximately 359 per 100.000 life birth (IDHS 2012). MMR is an indicator of mother’s health, especially the risk of being death for a mother while pregnant and delivery. Mostly the majority of MMR is occurring in the first two days after delivery and care after giving birth services required to manage complication. Sidoarjo regency has high postpartum maternal mortality case, so it is necessary to study determinants influencing postpartum maternal mortality in that regency. This research aimed to analyze the determinants that influence postpartum maternal mortality. This research was an observational research using case control study. Number of samples was 21 cases and 43 controls. Data were analyzed by univariate analysis, bivariate analysis with chi-square test, and multivariate analysis with multiple logistic regressions. The result showed that the determinants which influence postpartum maternal mortality according to multivariate analysis were pre-eclampsia / eclampsia (OR = 20,98; 95%CI : 2,250 – 323,416; p = 0,008) and delivery complication (OR = 5,47; 95%CI=1,356 – 22,022; p = 0,017). Probability of mother to have risk of postpartum maternal mortality with all those risk factors above was 92,9%. This research recommended are need to detect early sign of pregnancy, delivery, and post delivery complication, especially danger sign of pre-eclampsia/eclampsia, referral preparation, and pregnancy planning.

The Differences of the Behavioral Factors of Midwifes in UCI village and non UCI Siti Fatma Wati; Chatarina Umbul Wahjuni
Jurnal Berkala Epidemiologi Vol. 2 No. 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Around 2-3 million in all age groups die each year from vaccine-preventable disease, namely diphtheria, pertussis, tetanus and measles. It happened because of the target of Universal Child Immunization (UCI) in the village has not increased. One of the causes of not achieving the UCI target is from the officer factor. This study aims to determine differences in the characteristics and behavior of officers in UCI and non-UCI villages in Pasuruan District. This research was carried out using a cross-sectional study design. The sample in this study was 76 village midwives. Sampling using a stratified random sampling method. The data obtained were analyzed using the chi-square statistical test. The dependent variable is the UCI Village Status. The independent variable is the characteristics of the village midwife (age, educational background, length of service, employment status, training, and dual tasks), level of knowledge, attitudes, and actions. The results of this study indicate that there are significant differences in the length of work (p = 0.023), employment status (p = 0.030), multiple tasks (p = 0.013), level of knowledge (p = 0.003), actions (p = 0.017) and village midwife behavior (p = 0.045) in UCI and non-UCI villages. The conclusion of this study is that there are differences including factors of length of service, employment, dual tasks, level of knowledge, actions and behavior of village midwives in the UCI and non-UCI Villages, so there is a need for policies so that the Village Midwife focuses on running the program in accordance with her area of expertise.

Factors that Affect Mother to the Children (2-36 month) Exclusion in Sub PIN Diphtheria Nicholas Fransida Swardana; Chatarina Umbul Wahjuni
Jurnal Berkala Epidemiologi Vol. 2 No. 2 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Sub National Immunization Week (Sub-PIN) Diphtheria is an additional immunization activity simultaneously in 19 regencies/ cities as an attempt to cope with outbreak of diphtheria in East Java. Sub PIN Diphtheria coverage result in 2012 in the Sukolilo Village, Surabaya in children(2–36 months) did not fulfill the target. This study was conducted to analyze the factors that affect mother to the children(2–36 months) exclusion in Sub PIN Diphtheria in the Sukolilo Village, Surabaya 2013, include: maternal age, maternal education level, maternal employment, number of children, mother’s level of knowledge, maternal attitudes, husband support, community support, and exposure information. This study conducted with observational analytic approach and case control design. Large sample of 90 mothers drawn by simple random sampling. Statistical analysis is used multiple logistic regression with < 0.05. The results showed that the variables that affect the exclusion of mothers to immunize children(2–36 months) in Sub PIN Diphtheria sequentially are less maternal attitude (p = 0.000), maternal less knowledge (p = 0.005), the husband does not support (p = 0.047), and were not informed (p = 0.018). Whereas maternal age, maternal education level, maternal employment, number of children, and the community support has no effect because the p value < 0.05. Therefore it is necessary counseling and motivation to the mother, socialization to the husband, and optimize health promotion media in order to minimize the exclusion Sub PIN Diphtheria future.

Environment Biological and Health Care Efforts Influenced of Lymfatic Filariasis Incidence, Sarmi Distric Mina Sipayung; Chatarina Umbul Wahjuni; Shrimarti Devy
Jurnal Berkala Epidemiologi Vol. 2 No. 2 (2014): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Sarmi District is the most endemic area of filariasis in Papua which has rate of microfilaria (mf) (47.06%) up to the year 2012. In the Province Papua filarial worm is Wuchereria bancrofti and is transmitted through the bite of a mosquito vectors. Lymphatic filariasis does not cause death, but in chronic cases it causes disability, psychosocial problems, stigma, and decreased productivity. This study was aimed to analyze environment biological and health care efforts that influence the incidence of lymphatic filariasis. This study used case-control method. Samples comprised 32 case samples (mf +) and 32 control samples (mf-). Primary data were collected through interviews and observation. Data were analyzed using Chi-Square and continued with multivariate Logistic Regression. Statistical analysis obtained indicated two variables on the incidence of lymphatic filariasis limfatik in District Sarmi (health care efforts p-value = 0.002, OR: 7.779, as well as the biological environment p-value= 0.008, OR: 5.841). Significant variables were health services with sub-variables promotion, prevention and the environmental biology. Suggestion: Mosquito bites should be avoided, the vector should be controlled through mutual cooperation and health promotion should be implemented.

Knowledge and Preventive Action of Pulmonary Tuberculosis Transmission in Household Contacts Saflin Agustina; Chatarina Umbul Wahjuni
Jurnal Berkala Epidemiologi Vol. 5 No. 1 (2017): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Tuberculosis (TB) is a directly infectious disease caused by Mycobacterium tuberculosis. Knowledge, attitudes, and actions regarding the prevention of pulmonary TB transmission are urgently needed to prevent the transmission of pulmonary TB in the family environment. The purpose of this study was to analyze differences in the behavior of the prevention of pulmonary TB disease transmission in household contacts in the work area of the Public health center (PHC) of Rangkah, Pacar Keling, and Gading City of Surabaya in 2015. This research was observational analytic with a case-control study design. This study used 25 case samples and 25 control samples. Data collection using a questionnaire. The variables studied were preventive measures for pulmonary TB disease transmission, socioeconomic status, gender, knowledge, and attitude. Data analysis used the Chi-square test and Wilcoxon Mann Whitney. The results showed the majority of respondents had low socioeconomic status (72%), were female (58%), had good knowledge (78%), good attitude (72%), and preventive measures for pulmonary TB transmission were good (56%). The results showed that there were differences in sex (p = 0.010), knowledge (p = 0.018) and actions (p = 0,000) prevention of pulmonary TB disease transmission in household contacts, while socioeconomic status (p = 0.533) and attitude (p = 0.212) did not have a significant difference. The conclusion of this study is that there are differences in sex and behavior which includes knowledge and preventive measures for pulmonary TB disease transmission in household contacts.It is recommended the need for cooperation and intervention from health workers through approaches to families and patients in order to prevent transmission of pulmonary TB disease.

The Factors that Affect Stroke at Young Age in Brawijaya Hospital Surabaya Siti Alchuriyah; Chatarina Umbul Wahjuni
Jurnal Berkala Epidemiologi Vol. 4 No. 1 (2016): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Stroke is one of type of non-communicable disease (NCD), the number of sufferers continues to increase each year and can occur at young and old ages. This study aims to determine the risk factors that influence the incidence of stroke in young patients in Brawijaya Hospital Surabaya. This research use a case-control study design and retrospective approach. The data taken is secondary data from the 2012-2013 medical records. Variables include the age of stroke, gender, hypertension, obesity, cholesterol levels, diabetes mellitus. Case samples were all young stroke patients <50 years and control samples were stroke patients ≥ 50 years. The total number of samples is 60. Comparison of cases with controls 1: 3. The sampling technique in control cases is simple random sampling. Analyzes were performed using logistic regression tests for bivariate and multiple logistic regression tests for multivariate. Most respondents aged ≥ 50 years (75%), male (55%), have a history of hypertension (85%), are not obese (53.3%), have elevated cholesterol levels (58.3%), and has a history of diabetes mellitus (53.3%). Risk factors for obesity have a significant effect on the incidence of stroke at a young age (p = 0.015). Multivariate test results showed that someone with a Body Mass Index status between 30-39.99 (Obesity 2) has a significant influence on the incidence of stroke at a young age (p = 0.0033) The conclusion of the study is obesity is related to risk factors for young stroke events. Health workers are advised to routinely conduct counseling about risk factors for stroke at a young age.

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