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INDONESIA
Jurnal Berkala Epidemiologi
Published by Universitas Airlangga
ISSN : 23017171     EISSN : 2541092X     DOI : -
Core Subject : Health, Science,
Immunology & microbiology Public Health
The scope of JBE are Epidemiology of Communicable Disease, Epidemiology of Non-communicable Disease, Tropical Disease, Epidemiology Surveillance, Management Outbreak, Epidemiology of Preventable Disease, and Epidemiology of Cancer.
Arjuna Subject : -
Articles 405 Documents
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Waist Circumference as The Strongest Factor Related to Blood Glucose Level Septyaningrum, Nenni; Martini, Santi
Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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Abstract

ABSTRACTThe increasing prevalence of overweight and obesity is associated with the increasing incident of type 2 diabetes mellitus. Obesity, especially abdominal obesity is an important risk factor for the onset of diabetes. The objective of this study was to determine the relationship between body mass index, waist circumference and waist hip ratio with blood glucose level. The study design was cross-sectional. The study population was elderly posyandu member aged 45 to 70 years in Menur clinic work area who were registered in elderly posyandu activities in May 2013. The numbers of sample were 60 respondents who drawn by simple random sampling method. The variabels of this study were the characteristics of respondent, body mass index, waist  circumference,  waist hip ratio and fasting blood glucose level. The study showed that respondents classified as overweight (38%), obesity (33, 3%), abdominal obesity based on waist circumference  (77.8%), abdominal obesity based on waist hip ratio (81,7 %) and blood glucose level more than 125 mg/dl (8.3%). Pearson correlation test showed that there was relationship between body mass index with blood sugar levels (p=0,007; r=0,345), between waist circumference with blood sugar levels (p=0,001; r=0,424) and  between waist hip ratio with blood sugar levels (p =0,002; r=0,392). Waist circumference as the strongest factor related to blood glucose level. Waist circumference measurement should be done in elderly posyandu activities to detect high-risk individuals with diabetes. Keywords: Diabetes, body mass index, waist circumference, waist hip ratio,                     blood glucose level
Factors that Affect Mother to the Children (2-36 month) Exclusion in Sub PIN Diphtheria Swardana, Nicholas Fransida; Wahjuni, Chatarina Umbul
Jurnal Berkala Epidemiologi Vol 2, No 2 (2014): Jurnal Berkala Epidemiologi
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Abstract

ABSTRACTSub National Immunization Week (PIN) Diphtheria is an additional immunization activity simultaneously in 19 regencies/ cities as an attempt to cope with outbreak of diphtheria in East Java. Sub PIN Diphtheria coverage result in 2012 in the Sukolilo Village, Surabaya in children(2–36 months) did not fulfill the target because there are many children(2–36 months) that did not participate. This study was conducted to analyze the factors that affect mother to the children(2–36 months) exclusion in Sub PIN Diphtheria in the Sukolilo Village, Surabaya 2013, include: maternal age, maternal education level, maternal employment, number of children, mother’s level of knowledge, maternal attitudes, husband support, community support, and exposure information. This study conducted with observational analytic approach and case control design. Large sample of 90 mothers drawn by simple random sampling. Statistical analysis is used multiple logistic regression with α < 0.05. The results showed that the variables that affect the exclusion of mothers to immunize children(2–36 months) in Sub PIN Diphtheria sequentially are less maternal attitude (p = 0.000), maternal less knowledge (p = 0.005), the husband does not support (p = 0.047), and were not informed (p = 0.018). Whereas maternal age, maternal education level, maternal employment, number of children, and the community support has no effect because the p value < 0.05. Therefore it is necessary counseling and motivation to the mother, socialization to the husband, and optimize health promotion media in order to minimize the exclusion Sub PIN Diphtheria future.Keywords: children (2–36 months), diphteria, immunization, knowledge,                         attitude
Measles Surveillance Attributes Assessment Based on The Puskesmas Surveilance Officers’ Perception in Surabaya Maharani, Bilqis Elfira; Hargono, Arief
Jurnal Berkala Epidemiologi Vol 2, No 2 (2014): Jurnal Berkala Epidemiologi
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Abstract

ABSTRACTMeasles is one of infectious diseases that potentially lead to death when complications occur. Based on the data from East Java Health Department, Surabaya is the area where the most measles cases occur in East Java and increase in the last three years. As one of measles controlling efforts, surveillance has been expected to provide qualified data and information as the basis for any decision making for a treatment or intervention. Therefore, an evaluation is needed in order to assure the effectiveness and efficiency of the surveillance application in achieving the goals. This study is a descriptive research aiming at evaluating the attributes of measles epidemiology surveillance system in Surabaya on 2012. The evaluation was done by assessing the attributes of surveillance then compared to Technical Guide for Measles Surveillance 2012, The Decree of The Health Ministry of The Republic of Indonesia No.1116/MENKES/SK/VIII/2003 On Guide for Conducting Surveillance System of Health Epidemiology and Guidelines for Evaluating Surveillance Systems from Center for Disease Control and Prevention 2001. The data collection method employed interview and observation or study documentation. The respondents of this study were 39 surveillance officers at 39 Puskesmas in Health Department Surabaya working area. The variabels of this study were simplicity, flexibility, data quality, acceptability, sensitivity, predictive value positive, representativeness, timeliness, and stability. The results of this study showed that the simplicity is complicated. The flexibility from CBMS is not flexible whereas the flexibility from EWARS is flexible. The data quality, acceptability, sensitivity and representativeness are low. The predictive value positive has not been able to be scored. The stability is high and the timeliness is punctual.Keywords: surveillance, evaluation, attribute, measles
The Relationship Analysis Between Husband’s Knowledge, Attitude And Practice for Maternal Health Muji, Novina Eka; Hargono, Arief
Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
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Abstract

ABSTRACTThe total mortality of mother in east java was still catagorized so high. Pasuruan regency was one of many areas which capable to decrease maternal mortality rate(MMR) up to the targeted level number by MDGs 2015. The maternal health was also one of husband’s duty as a decision maker in the family. The purpose of this research was to analyze a relationship among knowledge, attitude and the husband’s practice for maternal health. This research was done in May until June 2013 at Puspo sub-district of Pasuruan Regency. A research design was a cross sectional of the population from of all of couple who had a child from second month to 2 years old, lived in a roof. The amont of respondent was 115 couple. The sample selection was systematically done by random sampling. The variable of this research was characteristic, knowledge, attitude and the husband’s action. The result showed that mostrespondens had lower knowledge about maternal health (72,2%), a positive attitude (73,9) and the unsupported action in maternal health (68,7). A chi-square test showed that there was no relationship between knowledge antion, neither between attitude nor action on maternal health.The conclusion that can be drawn on research about relationship of knowledge, attitudes and actionsin support of maternal health husband wife in Pasuruan district Puspo isno correlation between knowledge and attitude of the husband with the husband in the act of giving support to maternal health became pregnant wife until the election of contraception.Keywords : knowledge, attitudes, actions, maternal health
Factors Affecting Completeness Basic Immunization Village District of North Krembangan Rahmawati, Adzaniyah Isyani; Wahjuni, Chatarina Umbul
Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
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Abstract

ABSTRACTEach state issues have particular regard to infectious diseases, many ways to eradication of infectious diseases, one of them with the basic immunization. This study was conducted to determine the factors that affect the completeness of the basic immunization in infants or toddlers in the District of North Kembangan Village of Surabaya as PD3I disease prevention. The design used a case-control (case control) by the number of sample cases as much as 22 respondents and the amount of control by 44 respondents. Research subjects are taken by simple random sampling. Dependent variable of this study is the age of the respondent, education level, income level, employment status, knowledge about immunization, traditions and beliefs, as well as family support, attendance officer, location and attitude of staff immunization. The results showed the influence of tradition on the completeness of immunization (p = 0.015) and family support (p = 0.001). Completeness of primary immunization in infants as efforts to prevent PD3I disease affected family tradition that used to immunize baby or toddler in a baby or toddler will likely get a complete immunization and family who support immunization infant or toddler chance to get a complete immunization. For that we need a health promotion approach to the public in order to change the traditions that are not used to immunize a support for immunization and to give sense to the decision makers benefit families that immunization in infants or toddler. Keywords: immunization status, family tradition, family support
Factors Related to Practice on DPT Vaccine Distribution and Storage Rahayu, Fitri
Jurnal Berkala Epidemiologi Vol 2, No 2 (2014): Jurnal Berkala Epidemiologi
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Abstract

ABSTRACTThe diptheria outbreak in Surabaya indicated that immunization program failure. Immunization is primary preventif effort to decrease morbidity of disease. An immunization service is very important to protect vaccine quality through cold chain so that vaccine potency be optimal. The purpose of this study was to analysis of factors which are assosiated with midwive’s practice of DPT vaccine distribution and storage to outreach. This study is applying observational approach using cross sectional method. Populations are all village midwives in public health center East Surabaya. The numbers of sample were 38 midwives taken using simple random sampling. The dependent variable was midwive’s practice of DPT vaccine distribution and storage to outreach and the independent variables of this study were work duration, a history of training of cold chain, sosialization, knowledge, attitude. Primary data were obtained through observation and interview. The results showed that 68.4 % midwive’s practice on DPT vaccine distribution and storage at outreach is good. Independent variable which are significant assosiated with midwive’s practice on DPT vaccine distribution and storage at outreach is sosialization about vaccine distribution and storage (p = 0.026) and value of phi and Cramer’s V = 0.431. Enhancement of socialization again be needed to village midwive as efforts for increase knowledge and attitude.Keywords: midwive, cold chain, vaccine distribution, DPT
Family Support and Glucose Control Related to Microvascular Complications Symptoms Wardani, Alfiah Kusuma; Isfandiari, Muhammad Atoillah
Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
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Abstract

ABSTRACTDiabetes Mellitus is a chronic disease whose prevalence continues to increase. WHO predicts that diabetes will be 7 major diseases that will cause the death in 2030. Many people with diabetes are not aware of  it so that they get complications. The increasing number of people with diabetes mellitus who develop complications because of the bad controlling of blood sugar levels  and the lack of support from family. The Complications were observed in this study is microvascular complications. This study aims to analyze between family support and control blood sugar levels with the incidence of microvascular complications in the patients with symptoms of diabetes mellitus in the Community Health Center Jagir Surabaya.This research uses analytic observational study sample of patients with diabetes mellitus who had diabetes mellitus ≥ 5 years as many as 34 samples. The Sampling was done by the simple random sampling, while the data analysis was done by the Chi Square test.The results showed that there was no relationship between family support with symptoms of microvascular complications (p=0.069), but there is a relationship between the control of blood sugar levels with symptoms of microvascular complications (p=0.002).The Microvascular symptoms that are often experienced by people with diabetes mellitus in the Community Health Center Jagir is symptomatic neuropathy complications . The proportion of patients with diabetes mellitus who received family support at 55.9%, while  the patients with diabetes mellitus who control the blood sugar levels well totaling 17 respondents. It is expected that people with diabetes mellitus to control eating diet and regular exercise. Keywords : Family support, blood sugar levels control, symptoms of microvascular complications.
Accuracy of Measles Immunization Records and Reporting in Maternal and Child Health Card and Cohort Book Finazis, Rekha
Jurnal Berkala Epidemiologi Vol 2, No 2 (2014): Jurnal Berkala Epidemiologi
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Abstract

ABSTRACTInfectious diseases such as diseases that can be prevented by immunization remains a problem in Indonesia, one of which is measles. The government has sought to prevent through measles immunization in infants aged 9 months. Seeing the efforts that have been made through measles immunization program and still finding measles in the community, it is necessary to evaluate the success of programs related to the measles immunization. This study was conducted to determine the problems that occur in terms of recording and reporting of data related to measles immunization in particular measles immunization data quality. The population was 5 posyandu with the highest number of children under five in the region of new health centers Gunung Anyar city of Surabaya. The number of respondents is as much as 50 respondents with details of each neighborhood health center will take 10 respondents. The sample selection is done through a rapid survey method. The variables studied were the quality of immunization data on books maternal and child health card or other health records compared with immunization data on a cohort book. Other variables are the quality of data on infants in posyandu regiter book by book cohort. The results showed that the percentage of the suitability of the data of measles in the community with book five cohort remains low in the neighborhood health center. Meanwhile, the percentage of suitability daata on the register books with babies in posyandu cohort book is also fairly low. This suggests that the quality of data recorded measles immunization is relatively low.Keywords: immunization, measles,infant recording, reporting
The Differences of the Behavioral Factors of Midwifes in UCI village and non UCI Wati, Siti Fatma; Wahjuni, Chatarina Umbul
Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
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Abstract

ABSTRACT2-3 millions of people in all groups of age die every year caused by the diseases that can be prevented by immunization: diphtheria, pertussis, tetanus and measles. It is due to the UCI village target from year to year are not increased properly. One of the reasons of the unattainable UCI’s target is due to the factor of the officers. This research aims to determine the differences of the characteristic and the behavioral of the officers in UCI village as well as non-UCI in the District of Pasuruan (Kabupaten Pasuruan). The research is conducted by using the design of cross sectional. The samples in this study were 76 village midwifes. Sampling was stratified random sampling method. Data were analyzed using chi square statistical test. The independent variabel is the status of village UCI. The dependent variable is the characteristics of the village midwifes ( age, background of the knowledge, work experiences, employment status, training and double/dual duty), knowledge, action and attitude. There are significant differences in some variables of obstetricians such as the work experiences (p=0,023), the employment status (p=0,030), the double/dual duty (p=0,013), the knowledge (p=0,003), the action (p=0,017), and the behavior (p=0,045). Meanwhile, several variables have not significant differences, such as the age (p=0,193), the knowledge (p=0,185), the training activity (p=0,762), and the behavioral (0,219). Based on the brief explanation above, we can draw the conclusion that there are the differentiations in UCI village as well as non UCI village from the officers including the factors of the work experiences, the staffing, the double duty, the knowledge, the action and behavior. The policy so that the obstetricians will focus on running the programs in accordance with the skills.Keywords: the characteristic, the duty, the behavioral, the status of UCI                         villages, the village midwifes.
Determinants of Clinical Diphtheria After Sub National Diphtheria Immunization Days In 2012 At Bangkalan Utama, Feranita; Wahjuni, Chatarina Umbul; Martini, Santi
Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
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Abstract

ABSTRACTThe government had held sub-national diphtheria immunization days in 2012 to combat an outbreak of diphtheria in East Java province. However, there werestill regencies or cities which had high incidence and Bangkalanregencywas the highest. The research aimed to analyze the determinants of diphtheria in Bangkalan after SNIDs. This research was case control study with 31 subjects as case and 124 as control spread in 25 case villages and 25 control villages. Bivariate analysis used chi-square and simple logistic regression. Multivariate analysis used logistic regression. Bivariate analysisresult showed that individual and household variables that had associate with incidence of diphtheria in the Bangkalan after SNIDs of diphtheria vaccine in 2012 were DPT immunization status, the status of SNIDs, age, and mothers education level. In this study, there were not associate between village variables with diphtheria in the Bangkalan after SNIDs. Multivariate analysis result showed that had associate with incidence of diphtheria in Bangkalan after SNIDs were no DPT immunization (p=0,012; OR=4,765), incomplete DPT immunization (p=0,001; OR=6,276), 3-7 years of age (p=0,014; OR=15,137), 7-15 years of age (p=0,001;OR=41,984), and no immunization in SNIDs (p=0,020; OR=3,553). Conclusion, the dominantfactors that affected diphtheriainBangkalanwere status of DPTimmunization, ageand the SNIDs of diphtheria. Recommendation, DPTimmunizationshould becomplete, boosterimmunization should be needed, monitoring theimplementation ofsubPIN should be strict, especially inschool, and thecoverage ofDPT3andsubPIN should be increased and its report should be improved.Keywords: diphtheria, sub-nationaldiphtheriaimmunization days, DPT                              immunization

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