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Jurnal Epidemiologi Kesehatan Komunitas
Published by Universitas Diponegoro
ISSN : -     EISSN : 26154854     DOI : -
Core Subject : Health,
Health Professions Public Health
Jurnal Epidemiologi Kesehatan Komunitas (e-ISSN:2615-4854) provides publication of full-length papers, short communication and review articles describing of new finding or theory in epidemiology, health and life science and related areas. JEKK has 1 volume with 2 issues per year. This journal was published by the Master of Epidemiology, School of Postgraduate Studies, Diponegoro University.
Arjuna Subject : -
Articles 142 Documents
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Faktor-Faktor yang Mempengaruhi Ibu dalam Melaksanakan Imunisasi Dasar Lengkap pada Anak di Puskesmas Miroto Kota Semarang Kristianto Adiwiharyanto; Henry Setiawan; Bagoes Widjanarko; Dwi Sutiningsih; Syamsulhuda Budi Musthofa
Jurnal Epidemiologi Kesehatan Komunitas Vol 7, No 2 : Agustus 2022
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v7i2.11530

Abstract

ABSTRACTBackground: Complete basic immunization coverage in Indonesia in the last five years has not reached the target set in the Ministry of Health's Strategic Plan. Public health center as the operator of immunization operations must be supported by the implementation of a good health management function. The purpose of this study was to analyze the influence of facilitating factors, enabling factors, reinforcing factors and factorsthat influence mothers in carrying out complete basic immunization for children in relation to UCI achievement at Miroto Public Health Center, Central Semarang District, Semarang City.Methods: This study is analitic observational research with cross-sectional study design. The population of this research is mothers who have a minimum age of 1 under five who reside at Miroto Health Center. The research sample was 50 mothers with simple random sampling technique. Processing and data analysis with quantitative methods with univariate and bivariate analysis using the Chi Square test. Results: The results showed that there was an effect of mother's education level, mother's level of knowledge about completeness of basic immunization for infants, mother's employment status, number of children, family support, and effect on completeness of immunization.Meanwhile, family income does not affect the completeness of immunization.Conclusion: The achievement of UCI in the Public health center area of the Miroto Health Center is only 62% so that the follow-up reaches the target set at 95%.Variables that affect mothers in carrying out complete immunization are mother's education level, mother's level of knowledge, mother's employment status, number of children, family support, and what does not affect is family income.
Implementation of Dengue Hemorrahagic Fever (DHF) Case Reporting in Buleleng District I Gede Peri Arista; Anak Agung Sagung Sawitri; I Made Suganda Yatra
Jurnal Epidemiologi Kesehatan Komunitas Vol 7, No 2 : Agustus 2022
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v7i2.14025

Abstract

Background: Reporting cases of Dengue Hemorrhagic Fever (DHF) based on case definition the Ministry of Health of the Republic Indonesia is a strategy to increase the ability to predict positive cases. Our study aims to examine the implementation of case reporting so as to improve the predictive ability of positive cases.Methods: We conducted operational research at Kertha Usada General Hospital and Buleleng District Hospital. The sample is individuals diagnosed with DHF by a hospital having their address in Buleleng District and undergoing inpatient treatment at Kertha Usada General Hospital and Buleleng District Hospital in the first week of October 2021. We collected data through a review of medical record documents using a checklist.Result: We evaluated among 10 cases, 6 cases (60.0%) of whom were over 12 years old and 7 cases (70.0%) were men. Based on clinical indicators, among 10 cases, all cases (100%) actually had fever between 2-7 days, 5 cases (50%) really had headaches, 4 cases (40%) really had abdominal pain and 8 cases (80%) actually vomiting. Based on laboratory indicators, among all 10 cases (100%) there was a decrease in platelets <100,000 u/L and in 1 case (10%) there was an increase in hematocrit >52%.Conclusion : The positive predictive value obtained is 100% with very good positive predictive ability. Reporting cases based on the Ministry of Health of the Republic Indonesia case definition is expected to be carried out an ongoing basis because it can improve the ability to predict positive cases. Periodic training and technical guidance are required to equalize perceptions of case definitions so as to improve reporting quality.
Gambaran Faktor Perilaku COVID-19 pada Mahasiswa di Universitas Cenderawasih Kota Jayapura Provinsi Papua Rindi Maylia Faramita; Henry Setyawan Susanto; Dwi Sutiningsih; Mohammad Arie Wurjanto
Jurnal Epidemiologi Kesehatan Komunitas Vol 7, No 2 : Agustus 2022
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v7i2.11531

Abstract

Background: The rate of COVID-19 cases is still high in Jayapura City to date in one day it can contribute 30 to 35 positive patients. The form of prevention behavior in students has not been optimally implemented. the addition of positive cases every day can be triggered due to the lack of information related to the corona virus. The purpose of this study was to describe the behavioral factors to prevent COVID-19 in students.Methods: The population in this study were students of Cenderawasih University, Jayapura City. The study was conducted in January – February 2021 on 100 subjects selected by purposive sampling technique. Subjects were measured using an online questionnaire containing questions and statements regarding research variables such as knowledge, attitudes, practices, sources of information, social support and support from health workers. Data were analyzed by univariate analysis and bivariate analysis.Result: The results showed that 67% of students' level of knowledge about the causes, symptoms, modes of transmission and forms of prevention of COVID-19 was good, 58% of students' attitudes were quite good in seeking information and understanding forms of the spread of COVID-19 and 53% of students' practice levels in prevention. COVID-19 is good, with 49% of students getting information through social media, 100% of students getting social support, and 45% getting support from health workers.Conclusion : Students have received social support and support from health workers in preventing COVID-19. the majority of students have good knowledge but there are still students with less than optimal attitudes and practices.
Faktor-Faktor Keterlambatan Diagnosis Kanker Pada Pasien Kanker Payudara : Systematic Review Zahrah Nabila Shidqi; Lintang Dian Saraswati; Nissa Kusariana; Dwi Sutiningsih; Ari Udiyono
Jurnal Epidemiologi Kesehatan Komunitas Vol 7, No 2 : Agustus 2022
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v7i2.14911

Abstract

Background: Breast cancer is one of the most common cancers and has a high mortality rate in women. Patient-mediated factors and healthcare provider-mediated factors are factors associated with cancer delay. This study aims to identify the factors associated with breast cancer delay.Methods: A systematic review was carried out using the PRISMA without meta-analysis method on articles published in 2012-2021. Article searches were conducted using the ScienceDirect, PubMed, EBSCOhost, and Google Scholar databases.Result: From a total of 256 articles that are relevant to the article search keywords, four articles are eligible for this review.Conclusion : Factors related to patient delay are the level of education. Factors related to system delays and diagnosis delays are the place of residence.
Screening Tuberkulosis pada Pasien Diabetes Mellitus untuk Meningkatkan Case Notification Rate di Kota Denpasar Putu Ika Farmani
Jurnal Epidemiologi Kesehatan Komunitas Vol 7, No 2 : Agustus 2022
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v7i2.13983

Abstract

Background: Case Notifivation Rate (CNR) is one of  survailance tuberculosis (TB) program goals indicator in public health centre which is indicate the discovery rate of new tuberculosis patients in society, however Denpasar City TB CNR in last three years (2011-2013) tends to decrease. Aims study: for implementation and evaluation TB case screening activities in patients with DM (Diabetes Melitus) in Denpasar Public Health Centres. Method: Implementation was carried out by  applying the TB screening form to 26 DM patients in West Denpasar Public Health Centre II and followed by sputum examination in laboratory. Furthermore sceening activities evaluation was held based on surveillance arttributes which was next analyzed qualitatively and quantitatively. Result and discussion: Result showed 7.6% (2) had been infected with tuberculosis:  57.6% (5) with TB symtoms and 50% (13) were reffered for sputum examination. As many 10 peoples felt disposed to take the sputum examination, with 8 peoples registered to laboratory, 6 peoples gave up the sputum, and 1 person positive TB.  Screening evaluation result: the proportion of TB positive cases among those who were examided was 16.7%. Farther, we got the estimation of CNR increase in 2014 amount 34.37% by extrapolationg the 2013 CNR.Conclusion: TB case screening activities in DM patients potentially could increase the CNR TB goals in Denpasar City and expected could be developed in all Denpasar Public Health Centres, especially for the Public Health Centres with high DM cases.
Efek Bekam Basah terhadap Kualitas Hidup Penderita Hipertensi Primer Nurhayani Nurhayani; Dwi Pudjanarko; Suhartono Suhartono; Nurahmi Nurahmi
Jurnal Epidemiologi Kesehatan Komunitas Vol 7, No 2 : Agustus 2022
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v7i2.11536

Abstract

ABSTRACTBackground: Primary hypertension is a chronic disease with the potential for complications, death, and very high medical costs. It is estimated that cases will reach 1.5 billion in 2025 if no appropriate interventions are found to suppress its growth. Wet cupping has been shown to have an effect on reducing blood pressure in patients with hypertension, but clinical analysis that supports this fact, including measurement of changes in the scores of patients’ quality of life, is still lacking.Methods: This study used a quasi-experimental method. The sample is patients with primary hypertension who consume antihypertensives regularly and are 35-64 years old. Scores of respondents' quality of life were measured before and after the intervention using the SF36 questionnaire. Data were analyzed using t test and Wilcoxon-Mann-Whitney test.Results: It was found that the mean score of quality of life in the treatment group increased by 14.40 ± 19.16 with a p value of 0.009. On the other hand, the control group experienced a decrease of 0.465 ± 0.98 in score with a p value of 0.88.Conclusion: Wet cupping is effective in improving the quality of life of patients with primary hypertension.
Analisis Program Pengendalian Tuberkulosis dengan Strategi DOTS di Puskesmas Manutapen Kupang Belinna Eslly Mayopu; Fiane de Fretes; Kristiani Desimina Tauho
Jurnal Epidemiologi Kesehatan Komunitas Vol 7, No 2 : Agustus 2022
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v7i2.10822

Abstract

Background: Tuberculosis (Tb) is a global challenge for public health problems, including Indonesia. Kupang is the city in East Nusa Tenggara (NTT) that has the highest number of Tb cases with a Success Rate (SR) about 85% in 2017. However, in 2018 the SR rate decreased to about 81%. Adherence to taking medication can have an effect on increasing the SR rate. In NTT, had many cases of withdrawal problems caused by Tb patient not taking medication regularly. The Tb control Program in NTT is based on the Directly Observed Treatment Short Course (DOTS) Strategy that focuses on case finding and cure rates. The five components of DOTS are: 1) Political commitment 2) Case finding 3) Standard treatment 4) Drug management and availability systems 5) Monitoring, recording and reporting system. The purpose of this study is to analyze the implementation of DOTS strategy in Manutapen Public Health Center (Puskesmas)Methods: This study was a descriptive qualitative method with used in-depth interviews. The main informants were three health officer participants from the Puskesmas. Triangulation informants were one participant of the Disease Control and Prevention Program of the Kupang Health Officer, one PMO participant, and one Tb patient participant.Result: Tb control with DOTS strategy encountered obstacles including a lack of political commitment related to funding new Tb cases, the high workload made the Tb officers unable to monitor the patients, and unreported cases.Conclusion: Tuberculosis control program with the DOTS strategy in Manutapen Public Health Center kupang was not optimalized. 
Hubungan Kepatuhan Masyarakat dalam Melakukan Protokol Kesehatan dengan Kesiapan Beradaptasi Covid-19 Fatimah Az-Zahra; Desmawati Desmawati
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.14039

Abstract

Background: Pandemic of the Covid-19 needs serious attention. This is because the rate of spread of this virus is very fast, so that an attitude and the understanding of obedience to health protocol is needed to stop the spread of the Covid-19. This study aims to find the relationship between community obedience in carrying out the health protocols and the readiness to adapt with Covid-19.Methods: This study used quantitative research with a cross sectional, which was conducted in one of Rukun Warga in Pamulang district  with a sample of 231 people who were selected according to the inclusion criteria from total positive Covid-19. Collecting data using a questionnaire that has been tested for validity and reliability with Crobach's value of 0.899 > 0.361. The statistical test used univariate analysis using descriptive statistics and bivariate analysis using Chi-square test.Result: The results of this study were reported that there was relationship between Community Obedience in carrying out the health protocols with the readiness to adapt toward Covid-19.Conclusion : The conclusion, community obedience in carrying out the health protocols have significant relationship in order to be ready and adaptation to Covid-19.
Safety of Health Care Workers A Priority for Patient Safety Maiga Ayub Hussein; Dwi Sutiningsih; Chebet Frida
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.17558

Abstract

Background: Worldwide healthcare workforce represents 12%, in Uganda, out of the 39000 healthcare workers (HCW), 500 have been deployed at Mbale regional referral hospital (MRRH). The deficient quality service delivery is attributed to adverse occupational health risk that are not addressed and acknowledged posing a great risk to patient safety. Study aims to investigate the unsafe acts and unsafe working conditions of health care workers at (MRRH).Methods: A quantitative observational study with a cross-section design was used using and a semi structured observation checklist for data collection among 120 health care workers of MRRH.Result: 45(37.5%) of the HCW never wore the necessary PPEs versus 75(62.5%) who wore, almost half 55(45.3%) worked over time and 65(54.6%) did not, as well the same figures represent those who over worked and those who did not over work respectively. 70% of the working places had defective working conditions for example no lighting, slippery floors and no danger signs. 75% of the wards had improper waste segregation measures.Conclusion : HCW and institutions should intervene to mitigate the hazards, strengthening occupational health, patient safety, hazard prevention and control
Identifikasi Keberadaan Bakteri Leptospira di Daerah Endemis Leptospirosis (Studi di Dukuh Kalitengah Kecamatan Wedi Kabupaten Klaten) Dwi Sutiningsih; Retno Hestiningsih; Ratnaningsih Ratnaningsih
Jurnal Epidemiologi Kesehatan Komunitas Vol 8, No 1 : Februari 2023
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v8i1.6902

Abstract

Background: Several regions in Indonesia are classified as leptospirosis endemic including Klaten Regency, which ranked 2nd highest case of leptospirosis in Central Java in 2018. Leptospirosis in human was transmitted by animals infected by the Leptospira bacteria, which rat was the main reservoir. This study aimed to identify rat reservoir to the existence of Leptospira bacteria in endemic areas.Methods: This study was an observational survey  with cross sectional approach. The sample was rats caught by traps installed for 6 days in Dukuh Kalitengah, Kalitengah Village, Wedi Subdistrict, Klaten Regency in July 2019. The rats were identified and dissected to take their kidneys for laboratory testing using the Polymerase Chain Reaction (PCR) test to identity the existence of Leptospira bacteria.Result: The result showed that there were 17 rats and 6 Suncus murinus caught in 6 days and their species were Mus musculus (23.5%), Rattus tanezumi (41.2%), Rattus norvegicus (35.3%). The results of PCR test found 2 positive samples of Leptospira bacteria in Rattus tanezumi. Rattus tanezumi's habitat was close with humans in settlement areas where it can be a source of Leptospira infection and can spread to humans and other environments.Conclusion : The people in Dukuh Kalitengah are recommended to maintain the hygiene of their environment and improve their house’s sanitation so it not become nest and breeding grounds and also reduce the existence of rats.

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