Article Per Year (5 Year)
p-Index From 2019 - 2024
2.165
P-Index
This Author published in this journals
All Journal International Journal of Public Health Science (IJPHS) INDONESIAN JOURNAL OF BIOMEDICAL SCIENCES Journal of Public Health Research and Community Health Development (JPH RECODE) Public Health and Preventive Medicine Archive
Dewa Nyoman Wirawan
Department Of Community And Preventive Medicine Faculty Of Medicine Udayana University
Health Professions Medicine & Pharmacology Public Health

Published : 57 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 57 Documents
Search

 2   3   4   5   6 
Pemantauan dan Pencegahan Penularan Virus Zika di Indonesia Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 4 No. 1 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i1.p01

Abstract

Upaya lainnya adalah meningkatkan awareness kepada masyarakat dan petugas kesehatan terhadap adanya kemungkinan penularan Virus Zika di Bali/Indonesia. Kepada petugas kesehatan perlu diberikan pemahaman bahwa bila dijumpai adanya infeksi Virus Zika maka diperlukan konseling yang memadai kepada pasien untuk tidak melakukan hubungan seks atau memakai kondom dengan istri/suaminya atau pasangan seksualnya selama 60 hari guna mencegah terjadinya penularan melalui seksual. Bila istrinya sedang hamil maka dianjurkan untuk tidak melakukan hubungan seks atau secara konsisten memakai kondom selama masa kehamilannya. Sama halnya dengan pencegahan penularan infeksi Virus Dengue, pemantauan jentik nyamuk Aedes aegypti dan pemberantasan sarang nyamuk (PSN) amat perlu ditingkatkan.
Negotiation and Determinants of Condom Use among Female Sex Workers in Denpasar Putu Sukma Megaputri; Anak Agung Sagung Sawitri; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 4 No. 1 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i1.p02

Abstract

Background and purpose: Integrated Biological Behavior Survey (IBBS) in 2011 showed that use of condoms among clients of female sex workers (FSW) was low. This was likely associated with tha lack of negotiations by FSWs. This study aims to determine negotiation strategies and determinants of condom use among FSWs in Denpasar. Methods: Cross-sectional survey was conducted among 100 brothel FSWs selected using cluster random sampling in some locations in Denpasar. Data was collected through interviews using questionnaires on: socio-demographic characteristics, internal and external factors, condom negotiations and condom use. Questionnaire about condom negotiation was a modification of Condom Influence Strategy Questionnaire (CISQ) developed by Noar. Bivariate analysis was conducted using chi square test and multivariate analysis by logistic regression. Results: About 87% FSWs reported using condoms during the last sexual intercourse with their clients and 63% reported always used condom in the last week. About 37% of clients carried condoms when they visited FSWs and 58% of FSWs reported that they negotiated condom to their clients. Among 63% of clients who did not carry condoms, 92.1% of them eventually wear condoms after negotiated by FSWs. Negotiating strategy used by FSWs were direct request, conceptualizing relationships, risk information and deception. Significant factors associated with condom use were age of FSWs (AOR=4.1; 95%CI: 1.32-12.4), the availability of condoms (AOR=8.8; 95%CI: 2.8-27.7) and negotiations (AOR=3.9; 95%CI: 1.4-10.8). Conclusion: Most frequent negotiation strategy used was direct request to their clients. Significant factors associated with condom use were age of FSWs, availability of condom and condom negotiation.
Sexual Role and History of Sexual Transmitted Infection as a Risk of HIV Seroconversion among Men who have Sex with Men who Attended Bali Medika Clinic Badung, Bali Ni Putu Diwyami; Anak Agung Sagung Sawitri; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 4 No. 1 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i1.p03

Abstract

Background and purpose: HIV prevalence among men who have sex with men (MSM) increased from 5% on 2007 into 12% on 2011 in Indonesia. High risk sex behaviour was reported associated with HIV seroconversion, however reported research publication about risk factors of HIV seroconvertion among MSM is limited in Indonesia. This study aims to investigate risk factors of HIV seroconversion among MSM. Methods: Case control study was conducted based on cohort data of MSM who repeatedly visited Bali Medika Clinic, Kuta, Badung, Bali Province between 2011-2015. HIV Seroconversion was defined as MSM with a negative HIV status at the beginning of the observation and became positive on the next visit. Data were analyzed using Kaplan Meier and logistic regression method. Results: Median time of HIV seroconversion among MSM was 458 days or 1.2 years (IQR=224-699). Multivariate analysis showed that risk factors of HIV seroconversion were repeated STD’s experience in the last 6 months with AOR=8.33 (95%CI: 1.77-89.81); had 1 time STD’s history in last 6 months with AOR=1.91 (95%CI: 1.15-3.83); receptive sexual relationship in the last 6 months with AOR=3,45 (95%CI: 1.68-7.11); and versatile sexual relationship in the last 6 months with AOR=2.37 (95%CI: 1.09-5.13). Conclusion: STD’s experience, receptive and versatile sexual role are risk factors of HIV seroconversion among MSM.
Association of Pesticide Use and Personal Protective Equipments with Health Complaints among Horticulture Farmers in Buleleng, Bali Ida Ayu Dwi Astuti Minaka; Anak Agung Sagung Sawitri; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 4 No. 1 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i1.p13

Abstract

Background and purpose: Uses of highly toxic pesticides mostly occur in developing countries, including Indonesia. Farmers at Pancasari village in Bali were active pesticide users, that potential for pesticide poisoning. Pesticides and personal protective equipment (PPE) use and their relationship with health complaints on farmers in that region are not well known. Methods: Cross sectional survey was conducted among 87 horticultural farmers. Univariate, bivariate (chi square test) and multivariate (using logistic regression) analysis were conducted to understand relationship between health complaints related to pesticides used (at least two health complaints of: headache, itching, fatigue and nausea) with socio-demographics, knowledge and use of pesticides and PPE behaviour. Results: The majority (94.3%) of farmers aged less than 30 years and 81.6% were male with secondary education or lower (78.2%). More than half (54.1%) farmers had moderate knowledge about pesticides and PPE, however they had poor behaviour. A total of 60.9% farmers experienced specific health complaints. Health complaints were associated with use of organophosphate (AOR=3.74; 95%CI: 1.33- 10.48), number of days use of work clothes before being washed (AOR=1.37; 95%CI: 1.08-1.75), not wearing long-sleeve clothes when mixing pesticide (AOR=0.25; 95%CI: 0.09-0.76) and not wearing a mask when spraying pesticide (AOR=0.18; 95%CI: 0.05-0.69). Conclusion: Health complaints were associated with type of organophosfat pesticide, behavior of work clothes used before being washed and inadequate use of personal protective equipments.
Masalah Demam Berdarah Dengue (DBD) dan Ketersediaan Vaksin Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p01

Abstract

Untuk menurunkan morbiditas DBD sebanyak 25% dan mortalitas sebanyak 50%, WHO merekomendasikan perlunya kombinasi berbagai upaya terutama penanggulangan vektor dan program vaksinasi.1,2 Program vaksinasi direkomendasikan pada daerah-daerah endemis terutama daerah dengan persentase penduduk yang sero-positif dengue di atas 50%.2 Mengingat tingginya kasus DBD di Indonesia, untuk mengetahui efektivitas vaksin di masyarakat diperlukan uji coba pada daerah-daerah dengan tingkat endemisitas yang tinggi dan sekalian untuk mengetahui besaran biaya yang diperlukan untuk mencegah kasus DBD dalam kawasan yang lebih luas atau secara nasional.
Factors Associated with Rabies Dog Vaccination Practices in Bebandem I Nyoman Sudiatmika; Dewa Nyoman Wirawan; Made Pasek Kardiwinata
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p06

Abstract

Background and purpose: The first reported case of rabies in Bali was in November 2008, wherein previously in Bali was declared rabies free. The epidemic spread rapidly to all district, including Karangasem regency. By December 2015 there were 163 reported rabies cases and all of them were infected through dog bites. It was estimated that there were 411,153 domestic canines in Bali. From 2009-2015 the immunization coverage in dog was reported 55.0-76.9%. This study aims to determine the proportion of households in the district of Bebandem that have vaccinated their dogs and the factors that influence the decision to vaccinate. Methods: The study was cross sectional and carried out in two villages in the district Bebandem with a sample of 110 families randomly selected. Data was collected through interviews regarding socio-demographic variables, knowledge, attitudes, perceptions, types of vaccination facilities, distance from vaccination facility and information received from the Departement of Agriculture/head of village. Multivariate analysis was done using poisson regression to determine the relationship between these variables with their dog vaccination for rabies. Results: Results indicated that 88% of households vaccinated their canine pets. Multivariate analysis showed that factors associated with the administration of the rabies vaccines were: having attended education session (APR=2.37; 95%CI: 1.34-4.18); family income (APR=1.16; 95%CI: 1.03-1.31); and perception (APR=3.09; 95%CI: 1.20-7.97). There was no significant relationship between education, knowledge and attitudes towards rabies vaccination in dog. Conclusion: Factors associated with dog rabies vaccination practice were having attended education session, family income and perception.
Determinants of Mortality among Low Birthweight Infants During Hospitalization in Karangasem District Hospital I Ketut Duara; Dewa Nyoman Wirawan; Pande Putu Januraga; Anak Agung Sagung Sawitri
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p15

Abstract

Background and purpose: Infant mortality rate in Indonesia is still high and is largely related to low birthweight (LBW) infants. Previous studies reported the sociodemographic and clinical factors as determinants of mortality of LBW infants, but rarely examined factors related to their health services. This study aims to determine the demographic, clinical and health services as determinants of mortality of LBW infants during hospitalization. Methods: This study was a retrospective using cohort data of medical record of LBW infants in Karangasem Hospital since January 2012 to October 2014. Logistic regression was done to determine the relationship between demographic, clinical and health services factors with LBW infants’ mortality. Results: The proportion of mortality among LBW infants during hospitalization was 12.12%. Most parents (64.6%) live in good access to health services. The proportion of female infants (51.4%) was higher than male. LBW infants who were born in hospital (85.7%) greater than born outside hospital. Vaginal delivery (75.3%) was greater than C-section. Preterm infants (57.1%) was greater than at term with median of birthweight was 2100 grams. Proportion of asphyxia, respiratory distress syndrome (RDS), sepsis, hypoglycemia and hypothermia, respectively 24.1%, 4.66%, 0.78%, 7.92% and 3.73%. Variables associated with LBW mortality were increasing of 50 grams of birthweight, asphyxia, RDS and referred infants. Conclusion: The mortality of LBW infants during hospitalization was 12.12% with increasing of 50 grams of birthweight,
Co-Authors A.A.A.A. Candrawati Anak Agung Gede Agung Anak Agung Ngurah Gede Dharmayuda Brad Otto Claire Ryan Desak Nyoman Purniati Desak Nyoman Widyanthini Desak Putu Yulita Kurniati Dewa Ayu Ketut Sri Abadi Dewa Suyetna Dewi, Desak Made Sintha Kurnia Dinar Lubis Dinar Lubis Emily Rowe Emily Rowe Fonny Silfanus Gusti Ayu Satriani I Gusti Agung Trisna Windiani I Gusti Lanang Sidiartha I Ketut Duara I Ketut Subrata I Made Ady Wirawan I Made Bakta I Nyoman Sudiatmika I Nyoman Sutarsa I Putu Adiartha Griadhi I Wayan Gede Artawan Eka Putra I.N. Adnyana Surapathi Ida Ayu Dwi Astuti Minaka Ida Ayu Putri Widhiastuti Ifa Nurhasanah Irma Rubianti Jacinta dos Santos Guterres K Tangking Widarsa Kadek Dwi Ariesthi Kadek Tresna Adhi Kenyem Subagia Ketut Suarjana Ketut Tuti Parwati Merati Komang Ayu Kartika Sari Lina Anggaraeni Dwijayanti Lisa Sutiasih Luh Nyoman Sumiati Luh Pitriyanti Luh Putu Lila Wulandari Luh Putu Sri Armini Luh Putu Wulandari Luh Seri Ani Made Pasek Kardiwinata Made Suarjaya Mangku Karmaya Mangku Karmaya Musrifa Ni Kadek Ayu Dwi Utami Ds Ni Kadek Ethi Yudiastuti Ni Ketut Arniti Ni Luh Astri Indraswari Ni Luh Dea Kumala Sari Karang Ni Luh Putu Suariyani Ni Luh Putu Sudiasih Ni Made Ari Febriyanti Ni Putu Diwyami Ni Wayan Arya Utami, Ni Wayan Arya Ni Wayan Sri Rahayuni Nyoman Suardani Pande Putu Januraga Putri Pidari Putu Ayu Merry Antarina Putu Ayu Ratna Darmayanti Putu Ika Farmani Putu Sri Utami Putu Sukma Megaputri Rini Hendari Rizki Yulia Purwitaningtyas Sawitri, Anak Agung Sagung Shannon Turnbul Sri Juharni Vennesa Vitari Maureen Susanto Widya Aryati Widya Dwijayanti