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Endang Sutisna Sulaeman
Universitas Sebelas Maret
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Public Health Social Sciences

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Journal : Journal of Epidemiology and Public Health

 1 
The Effectiveness of Mosquito Breeding Site Eradication and Role of Wiggler Controller toward Countermeasure Effort of Dengue Hemorrhagic Fever in Klaten, Central Java Pradana, Riska Chandra; Dharmawan, Ruben; Sulaeman, Endang Sutisna
Journal of Epidemiology and Public Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Countermeasure of Dengue Hemorrhagic Fever (DHF) is more prioritizing in preventive activities such as implementing mosquito breeding site eradication or PSN through 3M plus by involving the society and facilitating the establishment of wiggler controllers or Jumantik. Role of wiggler controllers is very important especially in initial vigilance system moreover in the outbreaks of DHF because of their function in monitoring the wigglers’ position and hampering the initial development of DHF transmitter vector. The activeness of wiggler controllers in monitoring their environment is expected to decrease the number of DHF cases. This study was aimed to investigate analyzing the effectiveness of mosquito breeding site eradication and the roles of wiggler controllers or Jumantik in prevention and countermeasure efforts of DHF.Subject and Methods: This was a qualitative study with case design. This was conducted in Juwiring, Ngawen, North Klaten community health center in Klaten, Central Java were selected by Purposive Sampling. The data was collected with observation, document analysis, and in-depth interview. The data validity included a triangulation, methodological triangulation, and theory triangulation. The data was analyzed with data collection, data reduction, data presentation, and drawing the conclusion were included in the data analysis of this research.Results: Several obstacle factors were people’s behavior which was not routinely doing the eradication of mosquito breeding site or PSN, lack of knowledge about PSN, lack of health workers especially in PSN program and the role of public figure was not maximum yet. Those could be seen from the outcome of PSN program which was divided by the output of PSN. Morbidity rate of DHF and mortality rate of DHF in Klaten District were still high and did not achieve the national target yet. Then, people’s knowledge about PSN program was quite good, people’s behavior was also good especially to the implementation of PSN program although some of them behaved poorly, their reliance and trust were good especially to the implementation of PSN program, then, there were no contradictions between society values and PSN Program. Health facilities and infrastructures were adequate to perform individual health effort in promotive, preventive, curative, or rehabilitative which were done by the government, regency government, or the society especially to encourage the implementation of PSN program. Amount of health officers for the implementation of PSN Program was not ideal yet, especially for Epidemiology officers and Health Promotion officers. Public and government supports were quite good in the implementation of PSN Program. Attitude and behavior of public figures, religious leaders, and also health officers were quite good. Although some of public figures did not give their full support. Government policy in encouraging the implementation of PSN Program itself was quite good. That was proven by publishing Region Regulation No. 03 of 2010 and Regent Regulation No. 05 of 2013 about prevention and disease control from animal sources, but its implementations were not maximum and binding yet. The role of wiggler controllers in decreasing the rate of DHF cases could be optimized by specific commitment from the policy makers, started from the highest to the lowest in order to build better initial vigilance system. Operational fund for the wiggler controllers (Jumantik) in Klaten District was not ideal yet, so, commonly they spent their own money for the operational fund when they did their job.Conclusion: The effectiveness of PSN Program in Klaten District to overcome DHF was effective enough. The role of predisposition factor toward mosquito breeding site eradication or PSN in order to overcome DHF in Klaten District was became the booster of the implementation of mosquito breeding site eradication program (PSN). Enabling Factors are enormously important in implementing the PSN Program in the public. The encourage factor on PSN program was not maximum yet, especially in the implementation of Region Regulations and Regent Regulations particularly about Prevention and Disease Control from Animal Source. The roles of wiggler controllers in the countermeasure of DHF in Klaten District was very important especially for the initial vigilance of DHF because its functions were used to monitor their existences and also hamper the initial development of DHF transmitter vectorKey words: mosquito breeding site eradication, DHF, the role of wiggler controllersCorrespondence : Riska Chandra Pradana. Dr. R Soeprapto Cepu Hospital. Email: pradanachan@gmail.comJournal of Epidemiology and Public Health (2016), 1(1): 37-48https://doi.org/10.26911/jepublichealth.2016.01.01.05
Path Analysis on the Determinants of Neonatal Asphyxia at Dr. Saiful Anwar Hospital, Malang Lestary, Dewy Indah; Sulaeman, Endang Sutisna; Suryani, Nunuk
Journal of Epidemiology and Public Health Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Neonatal asphyxia is one of the main causes of neonatal mortality. Many factors may have caused neonatal mortality. This study aimed to investigate the determinants of neonatal asphyxia at Dr. Saiful Anwar Hospital, Malang.Subjects and Method: This was an analytic observational study using case control design. The study was conducted at Dr. Saiful Anwar, Malang, East Java, in June 2016. A total of 53 newborn babies with asphyxia (cases) and 159 newborn babies without asphyxia (controls) were selected by fixed disease sampling for this study. There were three exogenous variables: prematurity, maternal age, and parity. The endogenous variables were birthweight and neonatal asphyxia. The data were collected by a checklist. The data were analyzed by path analysis model.Results: Low birthweight had positive direct effect on the risk of neonatal asphyxia (b=1.61; 95% CI= 0.86 to 2.37; p<0.001). Prematurity (b=0.93; 95% CI= 0.13 to 1.74; p<0­.02­3)­, maternal ages <20 years or ≥35 years (b=0.97; 95%CI = 0.05 to 1.87; p<0.034), and parity primipara or ≥4 parity (b=1.00; 95% CI = 0.155 to 1.85; p<0.021), had positive indirect effects on the risk of neonatal asphyxia via low birthweight.Conclusion: Low birthweight had positive direct effect on the risk of neonatal asphyxia. Prematurity­, maternal ages <20 years or ≥35 years, and parity primipara or ≥4 parity, had positive indirect effects on the risk of neonatal asphyxia via low birthweight.Keywords: neonatal asphyxia, low birth weight, prematurity, maternal age, parity.Correspondence: Dewy Indah Lestary. Academy of Midwifery Wijaya Kusuma, Malang, East Java. Email: dewylestary86@gmail.comJournal of Epidemiology and Public Health (2016), 1(2): 140-147https://doi.org/10.26911/jepublichealth.2016.01.02.08 
Effect of Biopsychosocial Factors and Environmental Sanitation on Nutritional Status of Children Under Five Years Old in Nganjuk District Indita, Wiwen; Salimo, Harsono; Sulaeman, Endang Sutisna
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: One of the important public health issues in Indonesia is nutritional status, particularly in children under five years old. Lack of maternal awareness of dietary intake for their children may affect growth and development. This study aimed to investigate the effect of biopsychosocial factors and environmental sanitation on nutritional status of childrens in Nganjuk District.Subject dan Method: This was an analytic observational study using cross-sectional design. The study was conducted at Loceret Community Health Center, Nganjuk District, East Java, from March to April 2017. A sample of 136 children under five years old were selected for this study  by fixed exposure sampling.  The variable dependent was nutritional status measured in weight for age. The independent variables were dietary intake, history of infection disease, maternal stress, maternal education, family income, and environmental sanitation. The data were collected by anthropometry, medical record, and questionnaire. The data were analyzed with path analysis.Results: Weight for age of children under five was affected by dietary intake (b= 0.23, SE<0.001, p= 0.003), maternal education (b= 0.72, S.E= 0.28, p= 0.012), and history of infectious disease (b=0.80; SE= 0.29; p= 0.007). History of infectious disease was affected by environmental sanitation  (b=0.31; SE<0.001; p<0.001), and family income (b= 0.25, SE= 0.05, p<0.001). Dietary intake was affected by family income (b= 0.58, SE= 0.21, p= 0.007), history of infectious disease (b= 12.31; SE= 3.20; p<0.001), and maternal education (b=7.39; SE=3.09, p=0.017). Maternal stress was affected by family income (b=-0.16; SE= 0.06; p= 0.008).Conclusion: Weight for age of children under five was directly affected by dietary intake, maternal education, and history of infectious disease. Weight for age of children under five was indirectly affected by environmental sanitation, family income, history of infectious disease, and maternal education.Keywords: biopsychosocial, path analysis, environmental sanitation, nutritional statusCorrespondence: Wiwen Indita. Masters Program in Public Heath, Sebelas Maret University, Surakarta, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java.  Email: wiwenindita29@gmail.com. Mobile: +6282244970118.Journal of Epidemiology and Public Health (2017), 2(1): 32-44https://doi.org/10.26911/jepublichealth.2017.02.01.04
Effects of Predisposing, Enabling, and Reinforcing Factors on Completeness of Child Immunization in Pamekasan, Madura Jayanti, Nur; Sulaeman, Endang Sutisna; Pamungkasari, Ety Poncorini
Journal of Epidemiology and Public Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: According to WHO Weekly Epidemiological Record, Indonesia ranked fourth the lowest country in immunization coverage after India, Nigeria, and Democratic Republic of Congo. Likewise, Pamekasan District in Madura was one of districs in East Java with the lowest immunization coverage. This study aimed to determine the effects of predisposing, enabling, and reinforcing factors on completeness of child immunization, using PRECEDE and PROCEED model and health belief model.Subjects and Method: This was an observational analytic study with case control design. This study was carried out at 4 community health centers in Pamekasan District, Madura, East Java, in March to April, 2017. A sample of 135 mothers who had infants aged 10 to 12 months were selected for this study by fixed disease sampling. The dependent variable was completeness of immunization use. The independent variables were maternal education, attitude towards immunization, perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self efficacy, family support, and distance to health service. The data were collected by questionnaire and analyzed using path analysis.Results: Perceived barrier (b= -0.5; 95% CI = -1.5 to 0.4; p= 0.255) and distance to health service (b= -1.0; 95% CI= -2.0 to -0.1; p= 0.037) had a negative effect on completeness of immunization. Perceived susceptibility (b= 1.1; 95% CI= 0.2 to 2.0; p= 0.022), perceived severity (b= 1.5; 95% CI= 0.5 to 2.5; p= 0.003), perceived benefit (b= 0.7; 95% CI= -0.1 to 1.6; p= 0.110), and self efficacy (b= 0.6; 95% CI= -0.3 to 1.5; p= 0.193) had a positive effect on completeness of immunization. Perceived susceptibility was affected by maternal education (b= 1.0; 95% CI= 0.3 to 1.7; p= 0.005). Perceived severity was affected by maternal education (b= 0.9; 95% CI= 0.5 to 1.6; p= 0.018) and attitude towards immunization (b= 1.0; 95% CI= 0.3 to 1.8; p= 0.007). Perceived benefit was affected by family support (b= 0.7; 95% CI= -0.1 to 1.4; p= 0.078). Likeliwise, self efficacy was affected by family support (b= 0.6; 95% CI = 0.1 to 1.3; p= 0.134).Conclusion: Perceived barrier and distance to health service have a negative effect on completeness of immunization. Perceived susceptibility, perceived severity, perceived benefit, and self efficacy have a positive effect on completeness of immunization.Keywords: completeness of immunization, PRECEDE and PROCEED model, health belief modelCorrespondence: Nur Jayanti. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: Yanti_nurjayanti13@yahoo.co.id. Mobile: +6282233829768.Journal of Epidemiology and Public Health (2017), 2(2): 106-118https://doi.org/10.26911/jepublichealth.2017.02.02.02
Multilevel Analysis on the Contextual Effect of Village on the Incidence of Hemorrhagic Dengue Fever in Grobogan, Central Java Sari, Ambar; Rahardjo, Setyo Sri; Sulaeman, Endang Sutisna
Journal of Epidemiology and Public Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Dengue hemorrhagic fever (DHF) is a disease caused by the dengue virus through the bite of the Aedes aegypti mosquito. DHF is an endemic disease in more than 100 countries. There were 728 cases of DHF and 8 cases of death in Grobogan, Central Java, in 2017. The purpose of this study was to examine the contextual effect of the village on the incidence of DHF.Subjects and Method: This was a case-control study conducted in Grobogan, Central Java, from November to December 2018. A sample of 200 study subjects was selected by fixed disease sampling. The dependent variable was DHF. The independent variables were the presence of water shelter, ponds, farmland, mosquito larvae, hanging clothes, house density, eradication of mosquito nest, education, and employment. The data were collected by questionnaire and observation. The data were analyzed by a multilevel logistic regression.Results: Existence of water shelter (b= 4.53; 95% CI= 1.29 to 7.76; p= 0.006), ponds (b= 2.71; 95% CI= 0.26 to 5.17; p= 0.030), farm land (b = 3.40; 95% CI = 0.52 to 6.28; p= 0.021), mosquito larvae (b= 3.45; 95% CI= 0.61 to 6.29; p= 0.017), hanging clothes (b= 2.39; 95% CI= 0.23 to 4.56; p= 0.030), and house density (b= 5.55; 95% CI= 1.59 to 9.51; p= 0.006), increased the risk of DHF.  Education ≥senior high school (b= -4.79; 95% CI= -8.44 to -1.13; p= 0.010), employed (b= - 5.36; 95% CI= -9.22 to -1.49; p= 0.006), and exposed to DHF mosquito nest eradication program (b= -4.31; 95% CI= -7.64 to -0.97; p= 0.011) decreased the risk of DHF. Village environment had strong contextual effect on DHF with ICC= 51.33%.Conclusion: Existence of water shelter, ponds, farmland, mosquito larvae, hanging clothes, and house density, increase the risk of DHF.  Education ≥senior high school, employed and exposed to DHF mosquito nest eradication program decrease the risk of DHF. Village environment has a strong contextual effect on DHF.Keywords: dengue hemorrhagic fever, environmental factors, eradication of mosquito nests, village strata, multilevel analysisCorrespondence: Ambar Sari. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: ambarsari69.as@gmail.com. Mobile: +625647847180; 08562623045Journal of Epidemiology and Public Health (2019), 4(3): 156-170https://doi.org/10.26911/jepublichealth.2019.04.03.02
Meta-analysis on The Effects of Hypertension, Type II Diabetes Mellitus, and Smoking on the Risk of Stroke among Asian Young Adult Population Monica, Windhy; Widyaningsih, Vitri; Sulaeman, Endang Sutisna
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: The incidence of stroke at a young age is reported to increase. Stroke at a young age is still often found in classic risk factors that can be changed such as hypertension, dyslipidemia, and type II diabetes mellitus (type II DM). Control of the right risk factors will affect the incidence of stroke. This study aims to analyze stroke risk factors in young populations in Asia.Subjects and Method: This study is a meta-analysis carried out using PRISMA systematic guide­lines. The article is a study conducted between 2000 until 2019. The process of searching articles using a search engine database consisting of PubMed, Clinical Key, and Google Scholar using the keywords "risk factor", "stroke", "adult", "young adult ", And "Asia". The analysis was done with the Review Manager (RevMan) software 5.3.Results: The results showed eight articles fulfilled the criteria which contained 26,360 samples. The results showed that hypertensive young adults, type II DM, and smoking had a stroke risk at a young age of 6.6 times (OR 6.66; 95% CI 6.10 to 7.27), 3.7 times (OR 3.72; 95% CI 3.17 to 4.38), and 2.6 times (OR 2.64; CI 95% 1.77 to 3.93) higher, than those without hypertension, type II DM, and smoking, and was statistically significant.Conclusion: hypertension, type II diabetes, and smoking are risk factors for stroke at a young age.Keywords: young, adult, stroke, risk factor, meta-analysisCorrespondence: Windhy Monica. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: wmonica@gmail.com. Mobile: 082221223355Journal of Epidemiology and Public Health (2019), 4(4): 296-306https://doi.org/10.26911/jepublichealth.2019.04.04.04
Co-Authors . Ardiningsih . Hudiyono Agatha Widiyawati, Agatha Agustin, Roviana Nurda Andarwati, Dwi Astuti Dian Angga Ferdianto Anom Dwi Prakoso Aprilia, Nafi?ah Ardian, Kukuh Argyo Demartoto, Argyo Arief Suryono Ariwati, Valentina Dili Bhisma Murti Chasanah, Eka Siti Dewayanti, Nurmala Dezca Nindita Diah Kurnia Mirawati Didik Gunawan Tamtomo Didik Tamtomo, Didik Diffah Hanim Doloh, Nureesa Dono Indarto Dwi Hidayah Ernawati Ernawati Erynda, Revina Fiandany Eti Poncorini Pamungkasari Fillisita Chandramalina Dewayani Fuad, Lu’luatul Hariza Adnani Harsono Salimo Hastuti, Heni Heni Rusmitasari Hidayah, Siti Shafridha I. G. B Indro N Imtichan, Septian Najib Indita, Wiwen Inggar Ratna Kusuma Ismi Dwi Astuti Nurhaeni, Ismi Dwi Astuti Ismiana, Baiq Holisatul Jayanti, Nicky Danur Jayanti, Nur JB Prasodjo Karina Cibro, Adeyle Datna Kumala, Yovita Eka Ratna Lestary, Dewy Indah Lucia Pancani Anggraeni Marwandi, David Mohammad Idzham Reeza Monica, Windhy Nunuk Suryani Nurul Wahidah Oepomo, Tedjo Danudjo Pamungkasari, Ety Poncorini Pangestuti, Restu Pawito Pawito Pradana, Riska Chandra Prasetya, Hanung Pratama, Tegar Wahyu Yudha Prihantina Utami, Okbrinta Wulandari Purwati - Rahardjo, Setyo Sri Rahardjo, Setyo Sri Rahmasari, Putri Rifai Hartanto Robbihi, Hilmiy Ila Rosadi, Wahyuni Rosalina, Sintya RUBEN DHARMAWAN Salamah, Siti Nafi'atus Sari, Ambar Seha, Harinto Nur Sri Hartini Sringatin, Sringatin Subiyanto, AA. Sulistyo, Siwi Anggraini Sunarta, Elfania Arumma Tia Martha Pundati, Tia Martha Uki Retno Budihastuti Vidi Aditya Pamori Wibowo Putra Vitri Widyaningsih Yeni Tri Utami yulia lanti retno dewi Yuliani, Istri Yuni Fitriani, Yuni Zakiyah, Nisaus Zulaikah, Rahayu