Jurnal Berkala Epidemiologi
ISSN / EISSN : 23017171 / 2541092X
Current Publisher: universitas airlangga (10.20473)
Total articles ≅ 311
Latest articles in this journal
Jurnal Berkala Epidemiologi, Volume 7, pp 25-32; doi:10.20473/jbe.v7i12019.25-32
Abstract:Background: The number of new cases of leprosy in Indonesia is still high with 15,910 new cases found in 2017. East Java is the highest contributor to new leprosy cases with 3,374 incidences in 2017 and the leprosy proportion of the grade 2 disability not reaching the national target is more than 5%. Purpose: This study aimed to analyze the risk of late treatment and the reaction of grade 2 disability of leprosy at Sumberglagah leprosy Hospital, Mojokerto. Methods: This study was the observational type with case-control design. The sample size consists of 35 case samples and 35 control samples. The direct interview and medical records collection were applied in this study. The research was conducted in Sumberglagah Leprosy Hospital from October to November 2018. Several variables were evaluated including the respondent characteristics (gender, age, education level, occupation, and type of leprosy), late treatment, and leprosy reaction. The chi-square test was used in this study. Results: The most Leprosy patients with grade 2 disability were found in the male (31.40%), older citizen (20.00%), people graduated only from elementary school (18.60%), farmers (15.70%), and people experience type-MB leprosy (50.00%). Research conducted at Sumberglagah leprosy Hospital showed the risk of late treatment (p = 0.01) and leprosy reaction (p = 0.01) with grade 2 disability. Conclusion: Late treatment and a history of leprosy reactions cause grade 2 disability in leprosy patients.
Jurnal Berkala Epidemiologi, Volume 7, pp 1-8; doi:10.20473/jbe.v7i12019.1-8
Abstract:Background: Basic pentavalent immunization coverage in Sinjai Regency in 2017 has reached the target, but the advanced pentavalent immunization rate is still low (52.90%). This condition leads to make a huge gap in toddlers’ immunization status. Purpose: This study aims to determine the factors associated with advanced pentavalent immunization status in the work area of Kampala Health Service Center (PUSKESMAS), Sinjai Regency. Methods: The cross-sectional study was used in this study. The mothers who have the children aged 18-36 months were used as population. About 145 samples were obtained by using simple random sampling technique. The two-way data collection technique, namely primary data obtained through questionnaires and secondary data obtained from the evaluation data of pentavalent immunization at Kampala Health Service Center, Sinjai Regency. Furthermore, chi-square was used for data analysis. Results: Generally, the respondents were 25-29 years old in average (26.90%) and had a high school/ equivalent education degree (53.80%). The respondents’ occupation are mostly housewives (83, 40%). Moreover, the toddlers were 24-29 months-old (46.90%) in average. This study showed that the majority of respondents did not take advanced pentavalent immunization (61.38%). Factors affecting the immunization status of the pentavalent were maternal knowledge (p = 0.03), family support (p=
Jurnal Berkala Epidemiologi, Volume 7, pp 77-84; doi:10.20473/jbe.v7i12019.77-84
Abstract:Background: The prevalence of autism spectrum disorders (ASD) has increased in the last 30 years from 0.04 to 0.50. This condition increase the parents’ awareness and understanding in early diagnosis, education, management and health services for children with ASD. Purpose: This study aims to analyze the relationship between the uses of visual support for clinical improvement of children with ASD. Method: This study is an observational analytic study. The research was conducted at UPTD ABK Sidoarjo from March to June 2018. The research subjects in this study were four to seven years children with ASD condition. The sampling technique was consecutive sampling and was accomplished during the pre-test and post-test design. The measurement tool for using the Indonesian version of childhood autism rating scale (CARS) that has been validated. Management of visual support has been done for 120 minutes in three months (12 times) consisted of six activities, each activity for 20 minutes with one-one technique (one subject with one therapist). Results: There was no relationship improvement of the CARS based on the pre and post visual support management for three months (12 times) on general impression data, level, and consistency of intellectual responses. The results of paired t-test on the pre and post visual support management for three months (12 times) showed decreasing value of CARS. This result means that social, communication and psychomotor interactions have p
Jurnal Berkala Epidemiologi, Volume 7, pp 42-50; doi:10.20473/jbe.v7i12019.42-50
Abstract:Background: Vaccines are biological products that promote immunity activation in children. Vaccines content are susceptible and need more treatment in temperature (20C-80C), storage, and use during the delivery process to health service centers. Purpose: This study aims to determine the cold chain management of basic immunization vaccine in health service centers, South Solok Regency. Method: This research is a qualitative study. The sampling is done by using purposive sampling technique. This research was carried out at the health service center in South Solok Regency. This study uses primary and secondary data sources. The source of primary data is taken by in-depth interviews, while secondary data comes from document review and observations of data in 2018. Source and methodological triangulation were performed in this study. Results: The availability of human resources, funds, facilities and infrastructure and work procedures are sufficient, although there is still one untrained health service center staff, lack of vaccine flasks in two health service centers, and lack of voltage stabilizers in seven health service centers. Almost all health service centers have been applied vaccine boxes 20C-80C in vaccine transportation system. Based on the evaluation, only one health service center that need to improve especially in temperature evaluation procedure by thermometer. The vaccine storage procedure has been applied by the health service center. However, the observation noticed three health service centers have problems in time delay in the melting process. Conclusion: The management of the cold chain vaccine in the health service center, South Solok Regency is good.
Jurnal Berkala Epidemiologi, Volume 7, pp 33-41; doi:10.20473/jbe.v7i12019.33-41
Abstract:Background: Indonesia is one of the countries where 35% of the population lives in areas with a high risk of malaria infection. Trenggalek is one of the malaria-endemic regions in East Java. Purpose: This study aimed to identify the malaria cases in Trenggalek based on the epidemic triangle and identify the vulnerability status of Anopheles vagus mosquito against Permethrin 0.75% in Pandean Village, Trenggalek. Methods: This study is a type of descriptive observational study. The data used in this study is secondary data obtained from the The Center of Environmental Health and Disease Control Agency Surabaya. The data consists of characteristics of malaria cases in Trenggalek and Anopheles vagus resistance test data against Permethrin 0.75% in Pandean Village, Trenggalek. Results: Trenggalek is considered as low malaria endemicity area, with malaria incidence dominated by imported malaria cases, because recently there is no cases of autochthonous malaria have been found. Data on malaria case trends in 2014-2017 tended to fluctuate, the majority of malaria patients were male group counting of 97.34% which consist of farmers (59.88%) and private sector worker (29.79%). The Anopheles vagus was found 100% death in one hour of the treatment, but there was no death incidence in the control group. Conclusion: Most malaria patients dominated by male, migrant workers, and most of them work as farmers and the private sector which have a high potential for the emergence of autochthonous malaria. Anopheles vagus is still susceptible to Permethrin 0.75% in Pandean Village, Trenggalek
Jurnal Berkala Epidemiologi, Volume 7, pp 17-24; doi:10.20473/jbe.v7i12019.17-24
Abstract:Background: Indonesia is the third highest contributor to leprosy in the world. The prevalence of Pausi Basiler (PB) type leprosy in East Java has increased from 2015-2017, but the success rate of treatment is more common in PB leprosy compared to Multi Basiler leprosy (MB). Purpose: This study aimed to analyze the relationship between the numbers of PB type leprosy incidence with the success rate of leprosy treatment in East Java in 2015-2017. Methods: This study was an observational analytic study with cross-sectional design. The population used is leprosy patients who have successfully treated by leprosy therapy in East Java which was recorded from 2015 to 2017. The population sampling technique was performed in this study. Moreover, univariate and bivariate analysis were used. Specifically, Spearman correlation test was part of bivariate analysis. Results: This study showed the success presentation of leprosy treatment in male patients has increased for three consecutive years, namely 59.07% in 2015, 59.74% in 2016, and 63.96% in 2017. Oppositely, the success rate of leprosy in the female group decreased each year. There is a significant relationship between the number of PB type leprosy cases with the success rate of leprosy treatment in East Java from 2015 to 2017 (p= 0.00; p
Jurnal Berkala Epidemiologi, Volume 7, pp 68-76; doi:10.20473/jbe.v7i12019.68-76
Abstract:Background: Recently the data of drug, food, cosmetics, medical devices, and addictive materials surveillance use a simple database system. However, this sample has major weakness in entry data processing which in turn causing a lot of errors and delayed data report. Purpose: This study aims to develop drug, food, cosmetics, medical devices, and addictive materials surveillance database to be more accurate, fast, and generate more information. Method: This study is an observational descriptive study. This research was conducted in January-February 2018 at the port health office class 1 of Surabaya. The population used in this study 6 officers of the port health office. The type of data used is primary data by conducting in-depth interviews. This research was conducted in two steps, namely logic design (data normalization, relationship design with entity relationship diagrams, and dictionary creation) and physical planning (the database design using Epi info for Windows software). The database testing was carried out by two officers in the field of quarantine control and epidemiology surveillance, to assess the ease, accuracy, timeliness, and completeness of the information produced. Results: The results showed that the trial process makes the officers easier to input data. This trial also simplifies and shortens the time of the surveillance officer in conducting data analysis. This condition promotes the report qualities (accurate, timeliness, and complete information). Conclusion: The use of epi info software can reduce the risk of data entry errors, be more accurate, faster, and the results of the analysis produced are more varied.
Jurnal Berkala Epidemiologi, Volume 7, pp 51-59; doi:10.20473/jbe.v7i12019.51-59
Abstract:Background: According to the World Health Organization (WHO), Indonesia is one of the ten countries with the most significant number of measles cases in the world. Immunization coverage in Trenggalek Regency has reached the target of prevention of measles in the elimination stage, namely measles immunization coverage> 95%, the incidence of measles persists and increases in the last three years, from 2013 to 2015. Purpose: This study aimed to evaluate the trends between measles immunization status and the provision of vitamin A with the incidence of measles in Trenggalek Regency. Methods: This type of research is an observational study with a cross-sectional study design. The sample population is consist of 14 sub-districts in Trenggalek Regency. Data was taken from the health profile of Trenggalek Regency in 2013, 2014, and 2015. In this study, data processing were analysed by Health Mapper application version 18.104.22.168 with product version 4.03 to determine data descriptively. Results: Distribution of measles incidence with immunization coverage in Trenggalek Regency in 2013, 2014, and 2015 showed that measles incidence tended to increase followed with the decreasing number of measles immunization coverage each year. Ironically, the distribution of measles incidence with vitamin A administration in 2013, 2014, and 2015 showed the incidence of measles had increased because of the inconsistent amount of vitamin A administration. Conclusion: Measles incidence tends to occur in low immunization coverage areas and has decreased from the previous year. Giving vitamin A does not prevent the occurrence of measles, but serves to reduce compilation.
Jurnal Berkala Epidemiologi, Volume 7, pp 60-67; doi:10.20473/jbe.v7i12019.60-67
Abstract:Background: One of the factors of drought is meteorological factors, namely the influence of climate. There are two effects caused by erratic climate change namely direct effects and indirect effects. The indirect effects of which are related to infectious diseases, such as diarrhea diseases which are caused by the transmission of contaminated food and water, while water itself is closely related to drought. Purpose: This study aims to describe the distribution of critical drought areas with the incidence of diarrhea in East Java 2017. Methods: This research is a descriptive observational study with cross sectional research design. The population and samples were all patients with diarrhea and critical drought areas in East Java Province in 2017. The study sites were in East Java Province with the research period in August-October 2018. The variables studied were drought with the incidence of diarrhea. Results: The percentage of the highest critical drought areas in East Java 2017 was Sampang Regency (23%) followed by Trenggalek Regency (22%) and there were 15 Regencies/ Cities that did not experience critical drought in East Java 2017. While the incidence of diseases diarrhea in East Java 2017 was the highest in Sidoarjo Regency (65,543 cases) followed by Mojokerto Regency (64,468 cases), and the lowest incidence of diarrhea was in Probolinggo City (254 cases). Conclusion: Distribution of critical drought areas does not affect the incidence of diarrhea in East Java 2017.
Jurnal Berkala Epidemiologi, Volume 7, pp 9-16; doi:10.20473/jbe.v7i12019.9-16
Abstract:Background: Pneumonia is one of the most common causes of illness in infants. Exclusive breastfeeding is one of the many factors associated with pneumonia cases in infants. The discovery of pneumonia cases in toddlers in East Java increased from 2013 to 2016, the highest case finding in Surabaya precisely at the Sememi health service center (PUSKESMAS) about 281 toddlers. Purpose: To analyze the effect of exclusive breastfeeding and other factors on pneumonia cases in infants in PUSKESMAS Sememi, Benowo Subdistrict, Surabaya. Methods: This study is an observational analytic study with a case-control approach. The control sample and the cases are consisting of 35 samples from the total population counting 61 toddlers. In this study, the sampling technique was a simple random sampling. The study was conducted in Sememi health service center, Benowo Subdistrict, Surabaya from February to November 2018. The variables studied included the characteristics of children (age and gender) and other factors namely exclusive breastfeeding, nutritional status, birth weight, immunization status, administration of vitamin A and history of asthma. Data were analyzed descriptively and analytically using binary logistic regression statistical tests. Results: There was a significant influence between exclusive breastfeeding (p= 0.00; OR= 4.18; 95% CI= 1.54