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Asosiasi antara Jenis Tempat Penampungan Air (TPA) dan Kejadian Demam Berdarah Dengue (DBD) di Wilayah Kota Surakarta Prasasti, Nita; Sumardiyono, .; Probandari, Ari N
Nexus Kedokteran Komunitas Vol 2, No 1 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Dengue Hemorrhagic Fever (DHF) is a health problem in Indonesia, which has been the potential to be the cause of epidemic, because of its widespread distribution from year to year. One of the factors considered to influence the incidence of DHF is the condition of water container, which includes the type of landfill, landfill color, and size of the landfill. However, these factors are limited studied in the laboratory and still little information gained from field research until now. This study aimed to investigate the association between type of water container and the occurance of DHF in the city of Surakarta. Methods: This study was an observational study particularly a matched case-control design. It was conducted from June to October 2012 at five health centers located in the city of Surakarta. The total sample size was 68 subjects (34 subjects as cases with DHF, and 34 other subjects as free-DHF controls). Data were analyzed using McNemar test. Results: The study found a stastical significant relationship between the type of water container and DHF occurance with odds ratio of 7.5 (p= 0.001; CI 95% 1.715-32.79). Conclusion: There is a stastical significant association between the occurance of DHF and type of water container in the city of Surakarta. The use of non-cheramik type water container, increases a persons risk for DHF at 7.5 times higher. Keywords: DHF, type of water container, color of water container

Factors Affecting the Success of Multi Drug Resistance (MDR-TB) Tuberculosis Treatment in Residential Surakarta Widyasrini, Elisabeth Ria; Probandari, Ari N; -, Reviono
Journal of Epidemiology and Public Health Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Tuberculosis (TB) is a global public health concern. The new challenge in TB control is the development of TB multi drug resistance (MDR-TB). Indonesia ranks 8th highest in the incidence of MDR-TB with 8,900 MDR-TB cases in 2004. A case was defined as MDR-TB if the Mycobacterium tuberculosis was resistant to rifampicin dan isoniazid. This study aimed to determine the factors affecting the success of multi drug resistance (MDR-TB) tuberculosis treatment.Subjects and Method: This was an analytic observational study using case control design. The study was conducted at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia, in October 2014. The case population were MDR-TB patients visiting Dr. Moewardi Hospital for TB treatment from 2011 to October 2014. A sample of 84 TB cases consisting of 26 patients who dropped out, defaulted, or died, and 58 patients who successfully completed TB treatment, were selected for this study. The independent variables were sex, age, marital status, nutrional status, education, employment status, drug side effect, family support, and distance to health facility. The dependent variable was success of treatment. The data were collected by direct interview, questionnaire, and medical record. Logistic regression was employed for data analysis.Results: Age (OR= 0.93; 95% CI = 0.88 to 0.97; p=0.004) and drug side effect (OR= 6.84; 95% CI = 2.50 to 18.74; p<0.001) affected the success of TB treatment and statistically significant. Sex (OR= 0.66; 95% CI = 0.17 to 2.58; p=0.556), education (OR=0.90; 95% CI = 0.52 to 1.58; p=0.724), employment status (OR= 0.87; 95% CI = 0.59 to 1.28; p=0.485) affected the success of TB treatment but statistically not significant.Conclusion: Success of TB treatment is affected by age and drug side effect.Keywords: success of treatment, tuberculosis, multi drug resistance.Correspondence:Ã‚Â Elisabeth Ria Widyasrini. Public Health Center, Klaten, Central Java. Email: lisabalkesmasklaten@gmail.com, mobile: +628990833108.Journal of Epidemiology and Public Health (2017), 2(1): 45-57https://doi.org/10.26911/jepublichealth.2017.02.01.05Ã‚Â

Factors Associated with Success Rate for Tuberculosis Treatment in Hospital: A Directly Observed Treatment Short Tuberculosis Prevention Strategy in Central Java Reviono, Reviono; Ramadhiana, Yusniar; Probandari, Ari N; Setianingsih, Wahyu
Journal of Epidemiology and Public Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Tuberculosis (TB) is a major health problem throughout the world. Hospitals and pulmonary clinics contribute significantly to the number of patients from all positive smear cases. Hospital performance in TB control is assessed using treatment success rates. The purpose of this study is to find out an overview of hospital performance factors that influence the success of hospitals in TB control in Central Java.Subjects and Method: The study design was a descriptive analytical epidemiology with a retroÂspective cohort design. The samples were taken in total sampling. The subjects were 158 hospitals in Central Java Province that used the DOTS strategy. The variable assessment instrument from the 2010 TB Sub-Directorate of the Ministry of Health's checklist was taken in January-February 2018. The data were linked to TB data from the Central Java Provincial Health Office in 2013 and 2016. Treatment success rates were stated to be good if the value was %85%Results: There were 110 hospitals with complete data in 2013 and 2016. Good success rates (>85%) in 2013 were achieved by 59 (53.60%) hospitals in 2013, in 2016 it decreased, only 43 (39.10%) hospitals were achieved. There was no significant relationship between the commitment and organization of the DOTS Hospital team, treatment, medical supervision, internal/external networks, and health facilities with the success rate of TB treatment, in which in this study, the value of p > 0.05. The type of hospital was significantly associated with treatment success rates in 2013, in which the lower type of hospital, the better the success rate of TB treatment.Conclusion: Because of the low number of hospitals that achieve good success rates (>85%), more detailed identification of risk factors is needed.Â Keywords: tuberculosis, success rate, hospitalsÂ Correspondence:Â Reviono. Department of Pulmonology and Medical Respiration, Universitas Sebelas Maret Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: reviono@staff.uns.ac.id. Mobile: +6281Â847Â4671.Journal of Epidemiology and Public Health (2019), 4(4): 283-295https://doi.org/10.26911/jepublichealth.2019.04.04.03Â

Asosiasi antara Jenis Tempat Penampungan Air (TPA) dan Kejadian Demam Berdarah Dengue (DBD) di Wilayah Kota Surakarta Nita Prasasti; . Sumardiyono; Ari N Probandari
Nexus Kedokteran Komunitas Vol 2, No 1 (2013): Nexus Kedokteran Komunitas
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.115 KB)

Background: Dengue Hemorrhagic Fever (DHF) is a health problem in Indonesia, which has been the potential to be the cause of epidemic, because of its widespread distribution from year to year. One of the factors considered to influence the incidence of DHF is the condition of water container, which includes the type of landfill, landfill color, and size of the landfill. However, these factors are limited studied in the laboratory and still little information gained from field research until now. This study aimed to investigate the association between type of water container and the occurance of DHF in the city of Surakarta. Methods: This study was an observational study particularly a matched case-control design. It was conducted from June to October 2012 at five health centers located in the city of Surakarta. The total sample size was 68 subjects (34 subjects as cases with DHF, and 34 other subjects as free-DHF controls). Data were analyzed using McNemar test. Results: The study found a stastical significant relationship between the type of water container and DHF occurance with odds ratio of 7.5 (p= 0.001; CI 95% 1.715-32.79). Conclusion: There is a stastical significant association between the occurance of DHF and type of water container in the city of Surakarta. The use of non-cheramik type water container, increases a person's risk for DHF at 7.5 times higher. Keywords: DHF, type of water container, color of water container

Hubungan antara malnutrisi, suplementasi gizi dan malaria pada anak 0-5 tahun Ari N Probandari
Berita Kedokteran Masyarakat (BKM) Vol 21, No 1 (2005)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.3682

Backgrounds: Studies in 1950s until 1980s led to the controversial conclusion that malnourished children were less susceptible to malaria infection. In addition, animal studies appeared to support the reported malaria suppressive effect of a poor diet, leading to the perception that malnourished children are less susceptible to malaria infection, morbidity and mortality. The goal of the article was to perform a literature review on recent studies about the interaction between nutrition and malaria among children under 5 years of age which are the most vulnerable group for both malnutrition and malaria. Methods: Literature on nutrition and malaria was searched in Medline and PubMed databases using combinations of the following keywords: malaria, nutrition, malnutrition, micronutrient, iron, zinc, vitamin A, and child. In total, 271 articles from Medline and 222 articles from PubMed were found. Among these, 13 relevant articles were included. Also, an article from other source (searched by Yahoo), i.e. recommendation of relevance to the topic, was included. Results and conclusion: From review of the literature, it is known that there has been a debate about iron supplementation in malaria endemic area in the last decade. However, recent studies show a positive impact of iron supplementation on malaria morbidity and mortality. In addition, a consensus recommendation about iron supplementation in malaria endemic areas was made by the International Nutritional Anaemia Consultative Group (INACG) because of the urgent need to control Iron Deficiency Anaemia (IDA) especially in vulnerable groups: pregnant women and children less than 5 years of age. A debate about other micronutrient supplementation such as zinc and vitamin A in malaria cases also exists. Some studies have found a positive impact of such supplementation in malaria settings, but others have revealed no impact. In addition, studies about the association between protein-energy malnutrition (PEM) and malaria have shown conflicting results. However, the most recent studies have concluded that malnourished children are at higher risk of malaria morbidity than are non-malnourished children. Keywords: malaria, nutrition, malnutrition, micronutrient, iron, zinc, vitamin A, and child

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