Chatarina Umbul Wahyuni
Department Epidemiology, Faculty of Public Health, Universitas Airlangga

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Hubungan Antara Pencahayaan Rumah, Kepadatan Penghuni dan Kelembaban, dan Risiko Terjadinya Infeksi Tb Anak SD di Kabupaten Jember Prasetyowati, Irma; Wahyuni, Chatarina Umbul
Jurnal Kedokteran Indonesia Vol 1, No 1 (2009)
Publisher : Jurnal Kedokteran Indonesia

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Bakcground: Tuberculosis (TB) affected adults and children. The incidence of TB in children was increasing in Jember, East Java. A study from RS Paru Jember found that 17 (11%) students were infected by TB. This figure exceeded that of national level. This study aimed to examine the association between lack of house light, overcrowding, humidity, and the risk of TB infection among elementary school children in Jember.Methods: This was a case control study conducted in Jember, from January to June 2008. A sample consisting of 17 children with TB infection, and 51 children without TB infection was selected for this study. The instrument used in this study included questionnaire, lux meter (for light), and hygrometer (for humidity). Logistic regression and ORs were used to estimate the risk of TB infection.Results: Results showed an association between lack of house light (OR= 16.9; 95%CI= 4.1 to 69.8), over crowding (OR= 4.6; 95%CI= 1.4 to 14.8), and humidity (OR= 1.3; 95%CI= 1.1to 1.5), and the risk of TB infection.Conclusion: Lack of house light, overcrowding, and humidity were associated with increased risk of TB infection. It is suggested that people open the windows and doors every morning, and use some glass roof. Jurnal Kedokteran Indonesia: 1 (1): 88-93Keywords: lighting, overcrowding, humidity, child TB infection
The Effect of Nutritional Status and Contact History toward Childhood Tuberculosis in Jember Nurwitasari, Anasyia; Wahyuni, Chatarina Umbul
Jurnal Berkala Epidemiologi Vol 3, No 2 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

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ABSTRACTTuberculosis remains one of diseases with highest mortality among other. Indonesia had categorized in one of high burden countries since 2013. WHO estimated the annual global burden of childhood tuberculosis in 2012 was approximately530.000 cases and that up to 74.000 children died that year. The last three years tuberculosis incidence in Jember increased. In 2014, 6,5% of total tuberculosis incidence was childhood tuberculosis. Childhood tuberculosis is a major component in controlling tuberculosis. The objective of this study is to analyze determining factors of childhood tuberculosis incidence in Jember. This study is an analytical observational study using case-control design. The object of this study is children aged 0–14 years who diagnosed with tuberculosis in Jember Paru Hospital. Sampling taken by simple random sampling method. Sampel consisting 24 cases and 48 control. The independent variables is child nutritional status, contact history, long-term contact, and proximity contact. Analysis using Logistic Regression test to determine the influence between two variables. The results show that childhood tuberculosis incidence determined by contact history (p = 0,000; OR = 26,6), long-term contact (p = 0,000; OR = 69), and proximity contact (p = 0,000; OR = 27,1). The conclusion is, contact history, long-term contact, proximity contact determine childhood tuberculosis in Jember. Stakeholder have to do active case finding to break the chain of tuberculosis transmission with early household contact detection.Keywords: nutritional status, childhood tuberculosis, contact history, long-term contact, and proximity contact
Application Database School Health Program in Primary School Level of Surabaya City Armyade, Armyade; Wahyuni, Chatarina Umbul; Hargono, Rachmat
Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

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ABSTRACTThe school health program (UKS) is a unit of the existing health activities of the primary school level. Currently the UKS programme has not been able to contribute optimally in an increasing the health of school-age children. This condition is caused due to the UKS programme planning have not been based on data and information related to health problems of school-age children. Constraints which cause yet the existence of the data and information of health problems that school age children recording and reporting system “paper based” incomplete data, and delivery information is not yet in the form of graphs or tables. The purpose of this research to develop a database application UKS primary school level. The scope of this research included implementation of the UKS Trias and recording system and reporting on team Implementing the UKS primary level. This type of research was Action Research. The subject of this research team on implementing the UKS primary level I/240 Sutorejo Surabaya. System analysis of the recording and reporting of the UKS SDN 1/240 Sutorejo found the problem that is the data source that is available only the fields of health care, so that analysis can not be based on Trias UKS. This research resulted in a prototype database of UKS developed based on the results of the analysis recording and reporting system progress on implementing team UKS SDN 1/240 Sutorejo. The prototype database UKS produces health education information, health services, and health coaching school environment that can be used for program planning UKS in managing teams and Puskesmas.. The use of the UKS data base is necessary among other supporting facilities maintenance management system that aims to let the uks programme sustainabilityas well as the monitoring and evaluation activities data base system.Keywords: database, school health program, recording and reporting system.
FAKTOR RISIKO KEJADIAN DIFTERI DI KABUPATEN BLITAR TAHUN 2015 Saifudin, Nanang; Wahyuni, Chatarina Umbul; Martini, Santi
Jurnal Wiyata Penelitian Sains dan Kesehatan Vol 3, No 1 (2016)
Publisher : LP2M IIK (Lembaga Penelitian dan Pengabdian Masyarakat Institut Ilmu Kesehatan) Bhakti Wiy

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Latar belakang: Difteri merupakan penyakit yang masih menjadi kejadian luar biasa (KLB) dan menyebabkan kematian. Tujuan: Menganalisis faktor risiko kejadian difteri di Kabupaten Blitar Tahun 2015. Metode: Penelitian observasional-analitik dengan desain case control. Sampel pada kelompok kasus adalah penderita difteri (42 orang) dan pada kelompok control adalah bukan penderita difteri (84 orang). Variabel independen yaitu usia, status imunisasi, kelembaban ruangan, pencahayaan, ventilasi, keberadaan hunian, dan keberadaan sarana pelayanan kesehatan. Analisis data dilakukan dengan uji regresi logistik. Hasil: Hasil penelitian menunjukkan usia OR = 3.94, kelembaban ruangan OR = 60.00, pencahayaan OR = 16.59, ventilasi OR = 22.42, keberadaan sarana pelayanan kesehatan OR = 8.87 berhubungan dengan kejadian difteri. Faktor risiko terhadap kejadian difteri yaitu kelembaban ruangan (OR=29.983) dan pencahayaan (OR=5.115) Simpulan dan saran: Faktor risiko terhadap kejadian difteri yaitu kelembaban ruangan dan pencahayaan. Penelitian selanjutnya dapat menggunakan cakupan wilayah yang lebih sempit agar diketahui pengaruh faktor lingkungan yang spesifik terhadap kejadian difteri.
Diphtheria Investigation in Buranga Village of Central Sulawesi, Indonesia Asriani, Nia; Wahyuni, Chatarina Umbul; Hadi, Supaat Setia
Health Notions Vol 2 No 4 (2018): April 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Diphtheria is still a health problem because it still often causes outbreaks and causes death. All ages can be exposed to diphtheria but most attack children who are not immunized. The case of diphtheria in Central Sulawesi is a rare case. Even in 2015 and 2016 there was no reported diphtheria event but in 2017 there was reported suspect diphtheria. The purpose of this study was to conduct an epidemiology investigation and find additional diphtheria cases in Parigi Moutong District. This was a descriptive study with observation and interview method. Primary and secondary data were collected. Secondary data were obtained from surveillance data and investigation results while the primary data were obtained from interviews on reported probable diphtheria case.No additional cases of diphtheria were found in Parigi Moutong District. The reported case in May 2017 was an 11-year-old primary school student. The presence of diphtheria typical symptoms (bullneck and pseudomembrane) were found on clinical examination. The patient have heart problems before given anti-diphtheria serum by health officer. However, the culture examination showed negative results. The result was allegedly due to errors in the culture examination procedure performed by health officer. Index case or chains of diphtheria transmission cannot be certainly determined, but we suspected the patient’s mother to be the carrier based on history of travelling to diphtheria endemic area. There was 1 probable diphtheria case in Ampibabo Subdistrict of Parigi Moutong District. Training to increase the capacity of health workers in diphtheria management was needed.
Social Support and Substance Abuse Relapse Sari, Adelia Perwita; Wahyuni, Chatarina Umbul; Wibowo, Arief
Health Notions Vol 2 No 1 (2018): January, 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Substance abuse is the health problem that affects physical, mental and social health. Rehabilitation program is one of the strategies to reduce the number of addictive substance users but the relapse is common happen to the users that taking rehabilitation. The aim of this study was to assess social support as risk factors for substance abuse relapse. This case-control study was conducted to 39 people in each control and case group. The samples were obtained with simple random sampling. The cases were the person who relapses after completed rehabilitation program, while the controls were the person who still being abstinence after completed rehabilitation program. Data were collected with the questionnaire and analyzed with Chi-square test. The result showed that social support was related to substance abuse relapse (p=0,000). The lack of social support was related to the higher risk of substance abuse relapse (OR=6.92, 95%CI=2.51 – 19.22). The appraisal support was the dominance risk factor  (OR=10.88, 95%CI=3.48 - 33.98) of substance abuse relapse compared to informational, instrumental, and emotional support. The involvement of the source of social support in rehabilitation program is important to help the users stay abstinence  after released from the rehabilitation center.
Involvement of Family Members and Nutrition Care Pattern of Positive Deviance Ratnaningsih, Tri; Wahyuni, Chatarina Umbul; Notobroto, Hari Basuki; Adi, Annis Catur
Health Notions Vol 2 No 4 (2018): April 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Nutritious food giving in under-fives to sustain the growth and development of under-fives optimally required the involvement of family members other than fathers. The purpose of this study was to determine the correlation between family members involvement with the mothers nutrition care pattern of poor families in the Mojokerto regency of East Java. This research design was using case control with case population of poor mother with healthy under-five and control population was poor mother with nutritious problem child. Number of case group samples 79 people and control group 41 people. Sampling technique with multi stage sampling. Data collection using questionnaires that have been tested the validity and reliability to 30 people. Data analysis using chi square statistic test. The results showed that the involvement of other family members in the positive deviance mothers was good as much as 35 people (44.30%). In non-positive mother deviance involvement of most other family members were less than 31 people (75.61%), chi square obtained p = 0,000 and value α = 0,05, meaning there was correlation of family member involvement with care pattern of positive deviance mother. The involvement of family members motivated mothers to provide a good nutritional food to under-five children.  
The Efforts to Control and Prevent Cervical Cancer Through Early Detection Using The VIA Test in Health Office of East Java Province Zulham, Riza Muhammad; Wahyuni, Chatarina Umbul; Isfandiari, Muhammad Atoillah; Huda, Hasan
Health Notions Vol 2 No 9 (2018): September 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Analysis of Factor Affecting The Willingness of HIV Test on Mariners Utami, Putri Intianti; Wahyuni, Chatarina Umbul; Widati, Sri
Health Notions Vol 2 No 2 (2018): February 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Proportion of mariner that was willing to take HIV test was under 35% of mariners offered by health workers for test when performing medical check-up. The purpose of this study was to analyze the factors that affect the willingness of HIV testing on mariners at PHC Hospital Surabaya. The type of this research was analytic observational research with cross sectional research design. The population of this study were all mariners who performed medical check-up and offered for HIV testing at Primasatya Husada Hospital Citra Surabaya on July until October 2017. The sample of this study was several mariners who performed medical check-up and offered for HIV testing on July until October 2017. Sampling technique used was consecutive sampling and obtained 130 respondents. Based on the result of multivariable analysis, the results showed that the factors that affect the willingness of HIV test on mariners are low self-stigma p = 0.001 and PR = 3.513, CI 95% : 1.645-7.502, perception of high susceptibility to HIV p = 0.00 and PR = 4.640, CI 95%: 2.180-9.875, perception of high test benefit p = 0.00 and PR = 4.168, CI 95%: 1.958-8.872, good friend support p = 0.003 and PR = 3.022, CI 95%: 1.460-6.258. The necessity of declining HIV test counseling on mariners about the benefits of testing, HIV risk factors, and HIV testing principles especially regarding the confidentiality of HIV test results. Formation of trained peer education originating from mariners to provide information about HIV and encourage HIV testing of mariners.
The Risk Factors of Knee Osteoarthritis in Haji General Hospital of Surabaya Lainjong, Erfan AR; Wahyuni, Chatarina Umbul; Isfandiari, Muhammad Atoillah
Health Notions Vol 2 No 8 (2018): August 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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