Jurnal Berkala Epidemiologi
Published by Universitas Airlangga
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Articles
41
Articles
Factors Affecting Completeness Basic Immunization Village District of North Krembangan

Rahmawati, Adzaniyah Isyani ( Fakultas Kesehatan Masyarakat, Universitas Airlangga ) , Wahjuni, Chatarina Umbul ( Fakultas Kesehatan Masyarakat, Universitas Airlangga )

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   

The Relationship Analysis Between Husband’s Knowledge, Attitude And Practice for Maternal Health

Muji, Novina Eka ( Fakultas Kesehatan Masyarakat, Universitas Airlangga ) , Hargono, Arief ( Fakultas Kesehatan Masyarakat, Universitas Airlangga )

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   

Family Support and Glucose Control Related to Microvascular Complications Symptoms

Wardani, Alfiah Kusuma ( Fakultas Kesehatan Masyarakat, Universitas Airlangga ) , Isfandiari, Muhammad Atoillah ( Fakultas Kesehatan Masyarakat, Universitas Airlangga )

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

ABSTRAKDiabetes Mellitus merupakan penyakit kronis yang prevalensinya terus meningkat. WHO memprediksi bahwa Diabetes akan menjadi 7 besar penyakit yang akan menyebabkan kematian di tahun 2030. Banyak penderita Diabetes Mellitus yang belum menyadari bahwa mereka menderita Diabetes Mellitus sehingga penderita tersebut mengalami komplikasi. Peningkatan jumlah penderita Diabetes Mellitus  yang mengalami komplikasi dapat disebabkan oleh  pengendalian kadar gula darah yang tidak baik dan kurangnya dukungan dari keluarga. Komplikasi yang diteliti pada penelitian ini adalah komplikasi mikrovaskuler. Penelitian ini bertujuan untuk menganalisis antara dukungan keluarga dan pengendalian kadar gula darah dengan kejadian gejala komplikasi mikrovaskuler pada penderita Diabetes Mellitus di Puskesmas Jagir Surabaya. Jenis penelitian ini menggunakan observasional analitik dengan sampel penelitian  penderita diabetes mellitus yang mengalami diabetes mellitus ≥ 5 tahun sebanyak 34 sampel. Pengambilan sampel dilakukan secara Simple Random Sampling. Analisis data dilakukan dengan Uji Chi Square test. Hasil penelitian menunjukkan bahwa tidak ada hubungan antara  dukungan keluarga dengan gejala komplikasi mikrovaskuler (p=0,069) namun ada hubungan antara pengendalian kadar gula darah dengan gejala komplikasi mikrovaskuler (p=0,002). Gejala mikrovaskuler yang sering dialami oleh penderita Diabetes Mellitus di Puskesmas Jagir adalah gejala komplikasi neuropati. Proporsi penderita diabetes mellitus yang mendapatkan dukungan keluarga sebesar 55,9% sedangkan proporsi penderita Diabetes Mellitus yang melakukan pengendalian kadar gula darah dengan baik berjumlah 17 responden. Diharapkan kepada penderita Diabetes Mellitus untuk melakukan kontrol diet makan dan olahraga secara teratur.Kata Kunci : Dukungan keluarga, pengendalian kadar gula darah, gejala komplikasi mikrovaskuler   

The Analysis of Secondhand Smoke Effect at House on Women toward Hypertension

Nurwidayanti, Lina ( Airlangga University ) , Wahyuni, Chatarina Umbul ( Airlangga University )

Jurnal Berkala Epidemiologi Vol 1, No 2 (2013): Jurnal Berkala Epidemiologi
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Abstract

ABSTRACTHypertension is a major risk factor of cardiovascular diseases and lead to 20–50% of all deaths. Smoking is one of risk factors for hypertension. Smoking is not only affects the smoker but also the people around them as passive smoker because the toxins components found in mainstream cigarette smoke were also found in environmental tobacco smoke, sometimes in higher concentrations. The purpose of this study was analyzing the effect of secondhand smoke at house on women toward hypertension. The design of the study was case control. The study was conducted at the Health Center Mulyorejo Surabaya. The case populations was all female patients who have hypertension and the control populations was all female patients who did not have hypertension. The numbers of sample were 84 respondents. The sampling technique in this study used systematic random sampling. The dependent variabel was hypertension and the independent variables of this study were the respondents characteristics, passive smoker status, family relationship, the type of cigarette, the number of smoker, the duration of smoke exposure, the number of cigarette consumptions, smoking location, and passive smoker reaction were analyzed by simple logistic regression. The results of this study showed age > 40 years old (CI 95%: 1.723–14.256; OR = 4.96) and higher education (CI 95%: 0.309–0.807; OR = 0.50) significantly affect the hypertension. Variables of secondhand smoke exposure at house on women had no affects to hypertension. The value of Population Attribute Risk (PAR) from this study was 0.27 which means 27% hypertension can be prevented by eliminating the risk factor of passive smoker. The conclusion of this study found no effect of exposure to secondhand smoke at house on woman toward hypertension, but other studies have demonstrated that passive smoking is a risk factor for hypertension. Keywords: secondhand smoke, hypertension, passive smoker, house, women

Description The Activities of Recording and Reporting Maternal Health Monitoring in PWS-KIA Based on Surveillance Attributes

Rani, Ika Arma ( Airlangga University ) , Hargono, arief ( Airlangga University )

Jurnal Berkala Epidemiologi Vol 1, No 2 (2013): Jurnal Berkala Epidemiologi
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Abstract

ABSTRACTMaternal Mortality Rate (MMR) in East Java Province tends to increase every year. In fact, Jember has the highest number of maternal deaths during the period 2009–2011, and placed in 2nd position during 2012. Puskesmas Kaliwates for 3 consecutive years has the highest number of maternal deaths in the Jember. This research aimed to describe the activities of recording and reporting the maternal health monitoring in PWS KIA system at Puskesmas Kaliwates, Jember regency, in 2012 by using attributes surveillance. The Research design is descriptive. Assessment in attributes of maternal health monitoring on PWS KIA system at Puskesmas Kaliwates in 2012 showed that the system is quite complicated, lack of flexibility, low quality of data, high acceptability, low sensitivity, low NPP, low representativeness, uncertain timelines, and low stability of data. The alternative solutions given are familiarizing midwife to analyze and compose a follow-up planning, improving the quality of the completeness and data’s accuracy, standardizing the entire form on KIA PWS systems to avoid duplication and increase forms simplicity, completing PWS KIA guidelines in Puskesmas, making guidelines on how to fill the form, taking records on register cohort of mother by dividing the sheet into 12 sections by month for pregnant women by gestational age group to facilitate the monitoring of pregnant women and childbirth, developing other surveillance system, forming KIA surveillance team, improving attendance format, and using a computerized system.Keywords: Monitoring maternal health, PWS KIA, Attributes surveillance.

Surgical Site Infection (SSI) based on Surveilans Component in Private Hospital Surabaya in 2012

Zuhrotul, Aisyah ( Airlangga University ) , Satyabakti, Prijono ( Airlangga University )

Jurnal Berkala Epidemiologi Vol 1, No 2 (2013): Jurnal Berkala Epidemiologi
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Abstract

ABSTRACTThis study aims to look at the surveillance implementation in one of the hospitals in Surabaya then compare it with the hospital infection surveillance guidelines published by the Indonesian Ministry of Health (2010). This study uses descriptive method by studying the documents, interviews, and observations in the field where research did. Informants in this research is the leader of Surgical Site Infection (SSI) surveillance program, Infection Prevention and Control Nurse (IPCN), and Infection Prevention and Control Link Nurse (IPCLN) at private hospital Surabaya. The research results were compared with the Hospital Infection Surveillance Guidelines published by the Ministry of Health of Indonesia in 2010 to evaluate the implementation of the SSI surveillance. The results showed that the most of SSI surveillance component in Surabaya private hospital in 2012 went well in accordance with the existing surveillance guidelines. However, there is a flaw on data collection, particularly on the accuracy and completeness of the report form filling. This is due to busy IPCLN who also work as a nurse. Therefore, surveillance staff workers’s motivation needs to be improved through training, collecting attendance form, reward and punishment system, and other methods that can increase IPCLN’s awareness to implement infection prevention and control program in private hospital Surabaya. Keywords: Surveilans, Component, Surgical Site Infection, Hospital

Pregnancy Exercise Influence In Labor And Neonatal Health Status

Widyawati, Widyawati ( Airlangga University ) , Syahrul, Fahriani ( Airlangga University )

Jurnal Berkala Epidemiologi Vol 1, No 2 (2013): Jurnal Berkala Epidemiologi
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Abstract

ABSTRACTPregnancy exercise is a form of physical activity, which has beneficial to improve pelvic muscle and ligament elasticity. Recommended to pregnant women as a preventative in order to pregnancy process goes naturally, and reduce crisis caused by labor. The purpose of research was to analyze the influence of pregnancy exercise on labor and neonatal health status in Rumah Bersalin Gratis – Rumah Zakat Surabaya. The research used analytic observational, study design used retrospective cohort. The exposed population was pregnant women with gestational age ≥ 28 weeks who did exercises≥ 6 times. The unexposed population was pregnant women with gestational age ≥ 28 weeks who are not exercise or exercise<6 times. The samples are 22 respondents of exposed group and 44 respondents of unexposed group. The analysis aimed to find the value of the risk relative with 95% CI. The result showed the characteristics of the group of pregnant women who did exercises majority (86.36%) aged between 20–35 years, had diploma / bachelor degree (54.54%), worked in private (54.54%), and primigavida (54.5%). While in the group of pregnant women who did not exercise majority (90.9%) aged 20–35 years old, high school education (56.81%), housewife (54.54%), and multigravid (52.27%). The possibility of pregnant women who had experienced exercise had fast labor time 1.80 times (95% CI 1.209 < RR <2.68) than women who did not exercise. The infants of mothers who did exercise had normal APGAR 1,727 times (95% CI 1.23 < RR <2.424) than infants of pregnant women who didn’t exercise.Keywords: exercise, labor, pregnancy

Epidemiological Determinants Low Birth Weight in Malaria Endemic Areas Banjar District

Tazkiah, Misna ( Airlangga University ) , Wahyuni, Chatarina Umbul ( Airlangga University ) , Martini, Santi ( Airlangga University )

Jurnal Berkala Epidemiologi Vol 1, No 2 (2013): Jurnal Berkala Epidemiologi
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Abstract

 ABSTRACTThe main reason of high rate of infant death, especially during prenatal period is LBW. In Malaria endemic areas, pregnant mothers are highly risked of suffering from malaria sinced it can cause LBW to pregnant mothers. In Banjar District, LBW has become the main cause of infant death. Aim of this research was to analyzed determinants of LBW incidence epidemiology in malaria endemic areas of Banjar District. This research used case control study design. The numbers of sample was 130 persons, divided into two groups 65 persons were case group and 65 persons were control group. Data collecting instruments were questionnaire and MCH book. Data were analyzed using bivariate analysis (Chi square Test) and multivariate analysis (Logistic Regression Test). The result of this research show that mother factors related to LBW were age (OR 2.835), nutritional status (OR 2.583), family income (OR 2.275), knowledge of antenatal care (OR 2.252), antenatal care visit (OR 5.673) and anemia (OR 2.739). Based on multivariate analysis, it could be concluded that the LBW determinants were antenatal care visit, mother age, and anemia. Recommendation is highly risk pregnant mothers (< 20 years and > 35 years old) and those who suffer from anemia during pregnancy can maximize the antenatal care visit routinely during pregnancy.Keywords: Antenatal care, LBW, malaria endemic

The Relationship between Metabolic Syndrome and Life Symptoms style with Microvascular Complications

Wulandari, Mega Yuni ( Airlangga University ) , Isfandiari, Muhammad Atoillah ( Airlangga University )

Jurnal Berkala Epidemiologi Vol 1, No 2 (2013): Jurnal Berkala Epidemiologi
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Abstract

ABSTRACTDiabetes mellitus is a degenerative disease which increasing prevalence in every year and has been ranked fourth in the world in 2003. Metabolic syndrome is a collection of body malfunction as a result of modern lifestyles that lead to unhealthy living habits. Type 2 diabetes patients who had metabolic syndrome can lead to symptoms of microvascular complications. This research held to determine metabolic syndrome and lifestyles lead to symptoms of microvaskuler complications in type 2 diabetic patients. Research type was analytical study use cross-sectional design. Questionnaires were administered to 67 respondents by simple random sampling. The dependent variable in this study was symptom of microvascular complications. The independent variables were age, gender, level of education, occupation, income, family history of diabetes mellitus, exercise habits, smoking habits, and metabolic syndrome. Data analyzed use Chi Square test. The prevalence of metabolic syndrome in this study was 71.6%. Respondents who had irregular exercise habits as many as89.6% and 61.2% of respondents categorized as non-smokers. Results of the analysis showed significant of the relationship between exercise habits and symptoms of microvascular complications, p = 0.021 means p < α (0.05) and the relationship between metabolic syndrome and symptoms of micro vascular complications, p = 0.000 means p < α (0,05). The conclusion can be drawn, there are metabolic syndrome and lifestyle can affect to risk of micro vascular complications symptoms in type 2 diabetes mellitus patients. Having Bad lifestyle on a person prone to metabolic syndrome and microvascular complications affect the occurrence of symptoms. Keywords: type 2 diabetes mellitus, lifestyle, symptoms of microvascular complications, metabolic syndrome 

The Effect of Participation in “Paguyuban Sehat Kencing Manis” for Type 2 Diabetics

Qonitah, Qonitah ( Airlangga University ) , Satyabakti, Prijono ( Airlangga University )

Jurnal Berkala Epidemiologi Vol 1, No 2 (2013): Jurnal Berkala Epidemiologi
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Abstract

ABSTRACT“Paguyuban Sehat Kencing Manis (PSKM)” is an associations of people with Diabetes in Mojoagung Public Health Center, Jombang that existence of it is expected to help improve the knowledge of people with Diabetes and helps control Diabetes Mellitus (DM). This research was conducted to learn effect of participation of people with type 2 DM in PSKM toward the knowledge and control of Type 2 DM in Mojoagung Public Health Center, Jombang. This research using retrospective cohort study design. Exposed population was all patients with type 2 DM registered in PSKM become active members with a minimum 75% attendance in the past year. Unexposed population was all patients with type 2 DM who visited Mojoagung Public Health Center and isn’t member of PSKM. The number of respondents were 33 respondents. The exposed group sample drawn from the overall population, while the unexposed group sample were taken by systematic random sampling. Variables studied were characteristics and participation of people with type 2 DM in PSKM. The results showed that there is no significant effect between characteristics of respondents against knowledge of people with type2 DM and control of type 2 DM (Random Blood Glucose and blood pressure), there is significant effect of participation in PSKM toward knowledge of type 2 DM patients (p = 0.019), Exp(B) 14.444, and there is no significant effect between participation in PSKM against control of Random Blood Glucose (p = 0.323) and blood pressure (p = 0.460).Keywords: Type 2 Diabetes Mellitus, Random Blood Glucose, participation, knowledge, blood pressure