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Jurnal Berkala Epidemiologi

JBE
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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 12 Documents

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Search results for , issue " Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi" : 12 Documents clear

The Influence of Quality of Measles Vaccine to The Incidence of Measles in Pasuruan Regency Ningtyas, Dwi Wahyu; Wibowo, Arief
Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTThe measles is a major cause of child mortality among vaccine preventable disease. The incidence of measles reach out 198 cases in 2014 at Pasuruan. The incidence of measles in Pasuruan, not only in areas with low immunization coverage but also in areas with high immunization coverage, it may indicate the quality of the vaccines given bad that does not provide protection to measles disease. The aim of this study was to analyze the influence of quality of measles vaccine to the incidence of measles in Pasuruan Regency. This study was an analytic observational with case-control approach. The samples of this study taken 30 villages which had measleas cases in 2014 and 30 villages which had not measles cases in 2014. The data was analyzed by using linier regression and logistic regression. The result of the study confirmed that training (p = 0.002), knowledge (p = 0.000), and the availability of vaccine (p = 0.022) effect on the quality of measles vaccine; thus the quality of measles vaccine (p = 0.008) effect on the incidence of measles. The conclusion of this study the influence of which there are knowledge to the quality of measles vaccine; and there is influence between quality of measles vaccine to the incidence of measles. Suggestions can be drawn based on the results of this study, increase health workers knowledge about the measles immunization coverage and the quality of measles vaccine with mentoring, and require officers to use the facilities and infrastructure of immunization according to SOP (Standard Operating Procedure).Keywords: incidence of measles, quality of measles vaccine

Development of Predictive Index for Default Treatment At Multibacillary Leprosy in District Sampang Rukua, Muhammad Syarif; Martini, Santi; Notobroto, Hari Basuki
Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTDefault relating to the regularity of treatment in the patients taking the drugs. If the leprosy patients taking medication irregularly, then the leprosy bacteria can become resistant or immune to Multy Drug Therapy, so the symptoms persist and even worsen. The purpose of this study was to determine the indicators and develop a predictive index formula default incidence of leprosy treatment. This type of research was a case control design. The sample size in this study was 62 respondents. The sampling technique in this study used simple random sampling technique. Data collection techniques done with interviews with the questionnaire. The results showed that a candidate indicator variables (p <0.25) is income (p value = 0.013), access to health care (p value = 0.022), the role of health workers (p value = 0.032), knowledge (p value = 0.001), and family support (p value = 0.023), perception of the disease (p value = 0.098), leprosy reactions (p value = 0.198). Variables as indicators of default treatment of leprosy patients are the role of health workers, family support, knowledge, and income. The predictive index of default treatment at multibacillary leprosy patients are (-1666+ 1451 * Revenues (low) + 1989 * Role of Health Personnel (less instrumental) + 1.338 * Knowledge (less) + 1543 * Support Family (unfavorable). This index has a 79% accuracy rate. This index is expected to be used as a measuring tool in helping health workers to screen patients with leprosy who are undergoing treatment, so early can know where the potential patients defaulting treatment.Keywords: indicators, predictive index, default of treatment, leprosy, multibacillary

The Risk of Exposure to Cigarette Smoke in Anemia During Pregnancy Safitri, Riska Nur; Syahrul, Fariani
Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTAnemia is a state of hemoglobin levels in the RBC (Red Blood Cells) are lower than normal according to age and gender. The prevalence of anemia during pregnancy according Riskesdas 2007,2010, and 2013 tend to increase. One of risk factor isenvironmental tobacco smoke (ETS). This research was study the comparative risk of ETS exposure of anemia in pregnant woman. This study used case control design. Research sample consisted of two groups, case and control sample with the comparative at 1:2. Sample cases were pregnant women anemia (n=18) who control in Puskesmas Mojo Surabaya on 2015 while samplescontrol were pregnant woman who did not anemia (n=36), collected by simple random sampling. to determine the influence of risk by calculating the value on OR 95% CI with Statcalc in Epi Info. The independent variables were age, education level, employement status, family income, gestational age, gestational spacing, history of pregnant double, parity, antenatal care (ANC), LILA, Fe tablets. Results showed the risk exposure to ETS on the incidence of anemia in pregnant woma to the OR = 4.09 (1.07 < OR < 16.26), time of beginning the exposure 1st trimester OR = 5.43 (1.12< OR < 34.41), the number of active smokers 1-2 OR = 5.54 (1.20 < OR < 34.28), exposure duration â¤ 15 minute/day OR = 6.33 (1.28 < OR < 40.53).The conclusion is the exposure to cigarette smoke can causeanemia in pregnant woman. It is recommended for pregnant woman to avoid ETS exposure during pregnancy.Keywords: anemia, pregnant woman, environmental tobacco smoke (ETS), number of smoker, exposure duration

Analysis Risk Factors of Asphyxia Neonatorum Syalfina, Agustin Dwi; Devy, Shrimarti Rukmini
Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTAntenatal care is designed to promote, protect, and maintain the health during pregnancy and reduce maternal and neonatal mortality. The scope of antenatal care also includes the detection and special care for high risk cases as well as the prediction and prevention of complications during pregnancy and childbirth. Complications of pregnancy and childbirth causes of neonatorum asphyxia. Neonatorum asphyxia is a condition where the baby can not breathe spontaneously and regularly after birth. Neonatorum asphyxia cases in Mojokerto district has 46.9% in 2010 and 39.7% in 2014. This aim of this study was to analyze the effect of the quality of antenatal care to neonatorum asphyxia in Mojokerto. The type of this study was observational analytic with case control design with a sample of cases and controls amounted to 80 babies. Data was analyzed using univariate, bivariate and multivariate analysis with logistic regression. The results of this study showed that the quality of antenatal care was significant with neonatorum asphyxia (OR = 8,556; 95% CI:2,777â26,358). Confounding variables associated with neonatorum asphyxia were maternal occupation (OR = 4,558;95% CI:1,391â 14,298), primary education (OR = 21,620; 95% CI: 1,932â241,886), secondary education (OR = 20,977; 95%CI: 1,819â241,872). The conclusion quality of antenatal care has effect of nenatorum asphyxia. Suggestions can be drawn based on the results of this study are for health workers are expected to do health education to the public and families about the importance of antenatal care and antenatal care services that should be obtained from health workers.Keywords: quality of antenatal care, neonatorum asphyxia, case control

The Effect of Referral Process and Complications to Maternal Mortality Handriani, Indah; Melaniani, Soenarnatalina
Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTMaternal Mortality Rate (MMR) in East Java was still high. in 2013, MMR in sidoarjo district has readed 96.27 per 100,000 live birth. This aim of this study was to the effect of the referral process to maternal mortality in RSUD Sidoarjo. This research was analytic observational with case control design. The Samples of this study were 25 pregnant women who were referred to RSUD Sidoarjo and death. The case controls were 50 pregnant women who were referred to RSUD Sidoarjo who did not experience death. Techniques of data collection using secondary data from the register book maternal and neonatal Emergency (MNE) and medical records and interviews with the mother/family/husband of respondents. The data was analyzed by using univariable, bivariable and multivariable analysis with logistic regression. The results of this study confirmed that the referral process was poor (OR=9,783,95% CI: 2,275 to 42,072, p=0,002) and the complications (OR=0,005,95%CI: 0,001-0,057, p=0,000).thus, the incidence maternal mortality increased. The conclusion of this study is the referral process and the complications to maternal mortality affect the occurrence of maternal mortality. Midwives need to conduct health education should be given to women in their productive age, increase the participation of families, communities and cadres in the process of early detection of complications during pregnancy, childbirth and postpartum, the quality of antenatal care (ANC) and the quality of referrals should be improved by creating a close referral system in a region associated with a high risk pregnant women were detected inventoried and scheduled control/termination and monitored (follow-up) so that high risk always monitored.Keywords: maternal mortality, referral process, complications

Application Database of Comprehensive Emergency Neonatal and Obstetric Service in Sampang Hospita Andarini, Yenik Dyah; Hargono, Arief
Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTServices Comprehensive Emergency Obstetric and Neonatal Care (PONEK) is essential maternal and neonatal care/ emergency comprehensively which aims to save mothers and newborns. Activities PONEK in Hospital involving several service units where data maternal and neonatal services are sourced from each service unit, database shall be integrated data and information wich is needed. The purpose of this study was to develope database model PONEK. The scope includes the development of database PONEK include maternal and neonatal care int he Hospital. This research was conducted through qualitative approach to the type of research was action research that the development of database model. Development of database model PONEK system approached includes input, process and output. Subjects in this study was the Hospital Management Team and Officers PONEK Recording and Reporting Hospital Sampang. Analysis of recording and reporting system PONEK Sampang Hospital found some problems that the registers were not uniform formats, duplication of records, which is still manual data storage, process inautomation as well asa report that has not produced informationis still limited. Results of this study are prototype Database PONEK based on the information needs of maternal and neonatal care. PONEK database developed can generate the information needed by the team so that it can be used to PONEK performance monitoring and evaluation in the Hospital. Implementation of the database PONEK should be supported by the availability of appropriate computer specifications, human resources that qualified, maintenance management system and training toimprove reporting officers PONEK.Keywords: database, comprehensive emergency obstetrics and neonatal care, recording and reporting system

Risk Difference of Multidrug Resistance Organisms (MDROs) According to Risk Factor and Hand Hygiene Compliance Kurniawati, Ajeng FS; Satyabakti, Prijono; Arbianti, Novita
Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTNosocomial infections is still global public health problems. Along with the problems there are resistance bacterial problem to multiple classes of antibiotics, defined as multidrug resistance organisms (MDROs). Incidence rates of MDROs in ICU is higher than in other treatment unit. Rational antibiotic use and controlling the transmission of bacterial is important to avoid MDROs. The purpose of this study was to analyze Risk Differences of MDROs according to risk factors and hand hygiene compliance in ICU patients. This study used case control design with sample size was 20 patients for each case and control groups. Samples in cases group were patients infected by MDROs in ICU, while the samples in control group were patients in ICU didnât infected by MDROs. The independent variable are long term use of antibiotic, length of stay, the use of ventilator, and hand hygiene compliance by health worker. Analyze data used OR (Odds Ratio) and RD (Risk Difference). The conclusion was that Risk Difference of MDROs infection by long term use of antibiotics (OR 10.23 95% CI 1.12 < OR < 93.35; RD = 0.47), length of stay (OR 7.36 95% CI 1.34<OR<40.55; RD = 0.44), the use of ventilator devices (OR 9.00 95% CI 1.64 < OR < 49.45; RD = 0.48) and hand hygiene compliance (OR 6.00 95% CI 1.46 < OR < 24.69; RD = 0.42). The conclusion was that maintaining hygiene before medical treatment, environment and health workers body should be implemented so canât became a media for bacterial MDROs growth.Keywords: antibiotic,ventilator, length of stay, hand hygiene, MDROs

Factors related to the active role of the volunteer in the crawl probable case of diphteriae Alfina, Riza; Isfandiari, Muhammad Atoillah
Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTDiphtheria is caused by Corynebacterium diphteriae. Children aged 2-10 years are a vulnerable group contracting. Diphteri crawl probable case is difficult, so there are still children who died from diphteri every year. Cadres holds a very important role in the field of public health services so that its presence should be maintained. Level of activity the role of cadres is very dependent on the LKMD role as a manager, and also the public community. This study aims to analyze the factors which associated with a cadres active role in detecting diphteri probable case in Sidoarjo health center. Type of this study is an observational analytic with cross sectional design. Population of this research was all cadres in Sidoarjo health center as much as 516 people. Samples are taken by simple random sampling of 103 respondents. The data was collected using a questionnaire research instruments (questionnaire). The variables of this study is the role of an active cadre to crawl probable case of diphtheria, internal factors (knowledge, attitudes of cadre), external factors (community support, support for community health centers, training of cadres). Techniques of data analysis was done by logistic regression.The results showed 75% of cadres in Sidoarjo health center is active in detecting diphteri probable case. Statistical analysis showed that the internal factors that affect the active role of cadres is the attitude of p = 0.024, external factors are affecting the support of community leaders with p = 0.022, p = 0.042 support community health centers, training of cadres p = 0.041. The advice that can be given is expected that the cooperation between the cadres, community leaders, health center personnel, in support of efforts to increase the capacity and activity of cadres in helping in the field of public health services.Keywords: diphtheria, crawl probable case, cadre, activeness, PHC in Sidoarjo

The lack of counselling and passively case detection affecting the occurrance of grade 2 disability in Sampang Kamal, Muhammad; Martini, Santi
Jurnal Berkala Epidemiologi Vol 3, No 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Faculty of Public Health

ABSTRACTLeprosy is a chronic disease that affects the skin, peripheral nerves, even the other of body organs. This disease can also causing permanent disability that can affect to quality of life of sufferers. Sampang as the region with the highest average of PR in 2010-2014, it has leprosy grade 2 disability proportion which is 13%, in the other words that it is higher than the specified standard that is 5% or less. This study aimed to analyze the health service factors that affecting the occurrence of leprosy grade 2 disability. This study was an observational-analytic by using case control design. This study conducted in 8 administrative territory of community health center in Sampang. Sample were 33 type MB leprosy patients with grade 2 disability (case group) and 33 with grade 0 or grade 1 disability (control group). Sample has been taken by using simple random sampling technique. Data analysis was carried out simultaneously with multiple logistic regression. The results showed that the method of passive case detection (OR=7,005; 95% CI: 1,595-30,763), a very late diagnosis (OR=15,264; 95% CI: 1,469-158,594) ), lack of POD (OR=7,016; 95% CI: 1,574-31,274) and the lack of counselling (OR=8,241; 95% CI: 1,747-38,847) affecting the occurence of leprosy grade 2 disability. The conclusion that the passively case detection, a very late of diagnosis, the lack of POD and the lack of counseling affecting the occurrence of leprosy grade 2 disability at leprosy patients in Sampang. It is suggest to stakeholders to increase actively case detection, counselling.Keywords: disability, leprosy, case detection, counselling

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

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 âpaper basedâ 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.

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