Chatarina Umbul Wahjuni
Fakultas Kesehatan Masyarakat Universitas Airlangga
Articles
8
Documents
Determinants of Clinical Diphtheria After Sub National Diphtheria Immunization Days In 2012 At Bangkalan

Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : 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   

Factors that Affect Mother to the Children (2-36 month) Exclusion in Sub PIN Diphtheria

Jurnal Berkala Epidemiologi Vol 2, No 2 (2014): Jurnal Berkala Epidemiologi
Publisher : 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

Factors Affecting Completeness Basic Immunization Village District of North Krembangan

Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : 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

The Differences of the Behavioral Factors of Midwifes in UCI village and non UCI

Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : 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

Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

Show Abstract | Original Source | Check in Google Scholar | Full PDF (101.619 KB)

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

Correlation between Knowldege and Family Support with Active Cadre’s Role

Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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Abstract

ABSTRACTOne factor that can  help achievement of 100% UCI village status at Puskesmas is depend on cadre’s role in promoting the importance of immunization to baby mothers and to motivate baby mothers  to follow immunization program. The research objective was to analysis factors that related with active cadres roles in UCI village status achievement. This was a cross sectional study  with sample size used in this research was 63 cadres which is selected by stratified random sampling from UCI village and non UCI village. Result of this research showed  there were no significant correlation between age ( p = 0,523 ), level of education         ( p = 0,459 ),  years of being cadre ( p =0,818 ), work status ( p = 0,766 ), attitude ( p = 1,000 ), and posyandu’s acces ( p = 0,713 )  with active cadres role. However, chisquare test showed there were correlation between knowledge ( p =0,000) and family support (p = 0,001) with active role cadres. There was no difference of cadre’s role in UCI village and non UCI village ( p = 1,000 ). Conclusion from this research were significant correlation between knowldege and family support with cadre’s role n UCI village achievement. The suggestion for departemen of health Surabaya and Puskesmas is to do refreshing cadres by training regularly to imcrease cadre’s knowledge about immunization.Keywords : family support, knowledge, active role cadre, attitude, UCI village.

Environment Biological and Health Care Efforts Influenced of Lymfatic Filariasis Incidence, Sarmi Distric

Jurnal Berkala Epidemiologi Vol 2, No 2 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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Abstract

ABSTRACTDistrict Sarmi is the most endemic area of filariasis in Papua which has rate of microfilaria (mf) (47.06%) up to the year2012. In the Province Papua filarial worm is Wuchereria bancrofti and is transmitted through the bite of a mosquito vectors. Lymphatic filariasis does not cause death, but in chronic cases it causes disability, psychosocial problems, stigma, and decreased productivity. This study was aimed to analyze environment biological and health care efforts that influence the incidence of lymphatic filariasis. This study used case-control method. Samples comprised 32 case samples (mf +) and 32 control samples (mf-). Primary data were collected through interviews and observation. Data were analyzed using Chi-Square and continued with multivariate Logistic Regression. Statistical analysis obtained indicated two variables on the incidence of lymphatic filariasis limfatik in District Sarmi (health care efforts pvalue = 0.002, OR: 7.779, as well as the biological environment pvalue= 0.008, OR: 5.841). Significant variables were health services with sub-variables promotion, prevention and the environmental biology. Suggestion: Mosquito bites should be avoided, the vector should be controlled through mutual cooperation and health promotion should be implemented.Keywords: Wuchereria bancrofti, lymphatic filariasis, vector, health care,                         Sarmi Distric

Analysis Determinants of Postpartum Maternal Mortality at Sidoarjo Regency in 2012

Jurnal Berkala Epidemiologi Vol 2, No 1 (2014): Jurnal Berkala Epidemiologi
Publisher : Jurnal Berkala Epidemiologi

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Abstract

ABSTRACTThe maternal mortality ratio (MMR) in Indonesia remains high, i.e approximately 359 per 100.000 life birth (IDHS 2012). MMR is an indicator of mother’s health, especially the risk of being death for a mother while pregnant and delivery. Mostly the majority of maternal mortality (MMR) is occurring in the first two days after delivery and care after giving birth services required to manage complication. Sidoarjo regency has high postpartum maternal mortality case, so it is necessary to study determinants influencing postpartum maternal mortality in that regency. This research aimed to analyze the determinants that influence postpartum maternal mortality. This research was an observational research using case control study. Number of samples was 21 cases and 43 controls. Data were analyzed by univariate analysis, bivariate analysis with chi-square test, and multivariate analysis with multiple logistic regressions. The result showed that the determinants which influence postpartum maternal mortality according to multivariate analysis were pre-eclampsia/eclampsia (OR = 20,98; 95%CI : 2,250 – 323,416; p = 0,008) and delivery complication (OR = 5,47; 95%CI : 1,356 – 22,022; p = 0,017). Probability of mother to have risk of postpartum maternal mortality with all those risk factors above was 92,9%. This research recommended are need to detect early sign of pregnancy, delivery, and post delivery complication, especially danger sign of pre-eclampsia/eclampsia, referral preparation, and pregnancy planning. Keywords :  postpartum maternal mortality, determinants, pre-                                     eclampsia/eclampsia, delivery complication.