Jurnal Berkala Epidemiologi

COVERAGE OF TODDLER HEALTHCARE SERVICES AND PNEUMONIA OCCURRENCE IN SURABAYA, INDONESIA: AN ECOLOGICAL STUDY

A A Arjun Arge Wada — 2024-09-15

Background: Pneumonia among toddlers is still considered a serious health problem in Indonesia. It can be seen from the high-level coverage of pneumonia cases spread among toddlers. The continued sustainability of life being the key to healthcare development, access to healthcare services for this early-age group is very important. Purpose: This research aims to find out the coverage correlation between healthcare services on the occurrence of pneumonia among toddlers in the city of Surabaya. Methods: The researchers utilize an ecological study design for all districts in the city of Surabaya within the year 2019,2020, and 2021 with the district as the unit of the analysis. The data was analyzed by using Pearson’s and Spearman’s correlation. QGIS application is also used to map and visualize the extent of pneumonia issues and toddler healthcare coverage. Results: The results of the Pearson and Spearman correlation analysis show that toddler healthcare coverage did not correlate with the occurrence of toddler pneumonia in the city of Surabaya. However, several districts in Surabaya City exhibit disparities between toddler healthcare coverage and toddler pneumonia occurrence rates. Conclusion: In the years 2019-2021, the cases of toddler pneumonia fluctuated, whereas in 2020 the number of cases decreased compared to 2019 and then increased again in 2021. The same trend also occurred in toddler healthcare services coverage.

ANALYSIS OF RISK FACTORS FOR DEATH IN PATIENTS WITH COVID-19 IN 2021 AT UNIVERSITAS AIRLANGGA HOSPITAL

Zahra Ayunda Solehan — 2024-09-15

Background: Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by SARS-CoV2, first detected in China in 2019. This disease causes respiratory infections and significantly impacts global health. Purpose: This study aims to analyze the risk factors for mortality in COVID-19 patients at Universitas Airlangga Hospital in 2021. Methods: This observational analytical study uses a case-control design, including 168 samples with 64 cases and 64 controls. Secondary data from patient medical records at Universitas Airlangga Hospital, including age, gender, education, comorbidities, oxygen saturation, and length of stay. Chi-square tests analyzed the data with a 95% confidence level (α=5%). Results: The analysis revealed significant associations between COVID-19 mortality and several factors. Age (p=0.01; OR=3.24; 95%CI=1.57-6.65), gender (p=0.01; OR=2.2; 95%CI=1.17-4.02), education (p=0.00; OR=2.40; 95%CI=1.11-5.40), comorbidities (p=0.08; OR=2.50; 95%CI=1.26-4.91), and oxygen saturation (p=0.00; OR=5.40; 95%CI=117.10-2490.06) were significantly associated with COVID-19 mortality. Oxygen saturation was the most influential factor (p=0.00; OR=901.73; 95%CI=120.75-6733.48) associated with mortality. Conclusion: Age, gender, education, comorbidities, and oxygen saturation significantly affect Covid-19 mortality rates. This study highlights the importance of monitoring and managing these risk factors in managing COVID-19 at Universitas Airlangga Hospital.

EVALUATION OF POLIO IMMUNIZATION COVERAGE AND ACUTE FLACCID PARALYSIS SURVEILLANCE IN EAST JAVA, INDONESIA, 2018-2022

Abubakar Tarawally — 2024-09-15

Background: Indonesia has successfully eradicated wild poliovirus since 2005 using robust immunization and AFP surveillance programs. However, circulating vaccine-derived poliovirus type 2 has challenged these commitments, followed by the 2024 outbreak in East Java. Purpose: The study aims to analyze the polio eradication initiative by assessing polio immunization coverage and AFP surveillance in East Java. Methods: A descriptive, quantitative study design and retrospective analysis of polio immunization coverage and AFP surveillance indicators from the Provincial Health Office, East Java, from 2018–2022. The data was collected and analyzed using Excel, EpiInfo7, and Health Mapper software. Results: OPV4 coverage ranged from 89.95% to 100.76%, while IPV coverage ranged from 73.98 % to 94.18% from 2018 to 2020; the proportion of districts and cities for IPV coverage increased from 0% in 2018 to 44.74% in 2022, below the 95% WHO target. Of the 826 cases of AFP reported, 820 (99.27%) were actual AFP cases <15 years of age, with most (49.02%) being <5 years of age. Non-polio AFP rates ranged from 0.80 in 2020 to 2.59 in 2022 per 100,1000 <15 years of age, with the proportion of districts and cities slightly declining from 55.26% in 2018 to 50% in 2022. The annual mean percentage of AFP-adequate specimens is 61.15%, with the proportion of districts and cities significantly declining from 31.58% in 2018 to 10.53% in 2022, below the 80% target. Conclusion: IPV immunization coverage and AFP surveillance indicators are below the WHO-recommended targets across districts and cities in East Java.

NUTRITIONAL STATUS AND NEW TUBERCULOSIS SUSPECTED INCIDENCE AMONG JUNIOR STUDENTS AT KEPUTIH PUBLIC HEALTH CENTER

Fadel Thoriq Izza Nugrahedi — 2024-09-15

Background: Tuberculosis (TB) is an infectious disease caused by the Mycobacterium tuberculosis. The countries with the third highest TB cases worldwide are India, China, and Indonesia. A decrease in stamina will occur in a person suffering from tuberculosis. Purpose: This study was conducted to determine the relationship between nutritional status and suspected new TB cases in junior high school students in the working area of Puskesmas Keputih Surabaya. Methods: This study was conducted with a cross-sectional study design in the working area of Puskesmas Keputih in 2023. Secondary data was obtained from Keputih Health Centre in 2023. The research sample used a total sampling population. The association between nutritional status and suspected new TB cases in junior high school students was tested using the chi-square method. Results: A chi-square test was conducted on high school students and found no significant association between nutritional status (underweight and average weight) and TB screening or suspected new TB cases (PR = 0.68, p-value = 0.16). In addition, it was also found that there was no significant association between nutritional status (overweight and average weight) and TB screening or suspected new TB cases (PR = 1.01, p-value = 1.00). Conclusion: There was no significant association between nutritional status and the incidence of new suspected tuberculosis in junior high school students. This indicates that other risk factors also play an essential role in influencing a person's immune system.

EPIDEMIOLOGY OF ROTAVIRUS INFECTION IN CHILDREN UNDER FIVE YEARS IN DR. SOETOMO HOSPITAL, SURABAYA (2015-2019)

Aisah Nur Ana Bilah — 2024-09-15

Background: Diarrhea is the first cause of death for children under five years of age worldwide. In Indonesia, diarrhea cases due to rotavirus infection tend to be detected throughout the year. Purpose: The study was to determine the epidemiology of diarrhea cases due to rotavirus infection of pediatric patients in Dr. Soetomo Hospital, Surabaya based on the variables of person, place, and time. Methods: This type of research uses both descriptive and quantitative methods. The samples used were cases of rotavirus infection in toddlers in Dr. Soetomo Hospital, Surabaya in 2015–2019. Results: From 2015 to 2019, there were about 110 cases (31.98%) of acute diarrhea caused by rotavirus infection at Dr. Soetomo Hospital, Surabaya. The findings revealed that the majority of rotavirus infections (42.73%) occurred in children aged 6-11 months followed 12-23 months (35.45%) and were male (56.36%). The highest cumulative incidence was observed in August 2018 and February 2029, with a value of 1,0. Rotavirus infection was most common among children living in Gubeng sub-District, with 19 cases (17.27%). Conclusion: Epidemiological studies of rotavirus infection by person, place, and time reveal the distribution of disease cases and enable targeted interventions to respond to the disease.

EARLY DETECTION OF LOW VISION DETERMINANT FACTORS USING THE E-SIGALON SELF-ASSESSMENT APPLICATION

Erwin Astha Triyono — 2024-09-15

Background: Low Vision is an end-stage condition that cannot be cured. The best treatment for low vision is the early detection. However, there is still no integrated low vision data in health services, the lack of public knowledge about low vision, the low rate of case discovery, and the lack of optimal referral and treatment mechanisms for low vision are problems that must be addressed at this time. Purpose: This study aims to detect early low vision determinant factors using a self-assessment application. Methods: This study is analytical and quantitative research. Respondents for this research were from five selected populations in East Java who filled out the e-SIGALON application from September to December 2023. The respondents were suspected as having low vision if they had score of 6 or higher. The variables were analyzed using logistic binary regression, the validity and reliability test was also performed. Results: From 446 respondents, there were 237 people (53.14%) suspected of low vision but only 66 people came to referral hospital. The low vision suspect showed 12 of the 15 statistically significant questions (p<0.05). The most common was sitting very close to the television/monitor (48.43%), followed by having difficulties in seeing objects in dim light (44.17%) and difficulties in doing the things they want to do (40.13%). Conclusion: The e-SIGALON application can be a solution in managing low vision. Through this application, people can easily find out and recognize whether they have low vision or not.

STUDY OF SUPPRESSION OF HIV VIRAL LOAD AMONG PEOPLE RECEIVING ANTIRETROVIRAL THERAPY IN PALEMBANG CITY

Adeleine Silva Vanessa — 2024-09-15

Background: Suppression of viral load is a targeted strategy for the prevention of HIV transmission. Viral load (VL) testing can be done at all health centres in Palembang City with free services. Purpose: This study aims to evaluate VL suppression and factors associated with VL suppression. Methods: The study design of this research was a cross-sectional study with data analysis using the Chi-square and binomial logistic regression tests. The population in this study was all HIV patients who accessed health services for VL testing. Data sources were obtained from the HIV/AIDS Information System (SIHA) for the period 2023 - June 2024. Results: The majority of PLHIV cases were male (1072 people) (83%) and unmarried (802 people) (62.1%). The transmission group was male-sexual males, 54.88%, with an average age of 36.62 years. The results of multivariate analysis showed that there were three variables associated with viral load levels, namely age with a p-value <0.03, AOR = 1.59 (95% CI: 1.04-2.43), ARV adherence with a p-value < 0.00, AOR = 1.76 (95% CI: 1.18-2.61), and clinical stage with a p-value < 0.04 AOR = 1.02 (95% CI: 1.02-2.07). Conclusion: Adherence to ART therapy, prevention of opportunistic infections, and early detection of clinical stage are predictors of successful viral load suppression. The role and responsibility of the community and the active participation of health workers in early detection, treatment and care are needed.

META ANALYSIS: EFFECT OF FOOD DIVERSITY, TEA OR COFFEE CONSUMPTION ON ANEMIA IN ADOLESCENT GIRLS

Yunita Diastanti — 2024-09-15

Background: The prevalence of anemia in adolescent girls in the world is 29.60%, and in Indonesia is 32%. A number of primary studies reveal various determinants that contribute to the occurrence of anemia in adolescent girls. Purpose: To analyze the results of primary studies related to consumption patterns (food diversity and tea/coffee consumption) and the occurrence of anemia in adolescent girls. Methods: The research design was a systematic review with meta-analysis. Journal sources from three databases (Google Scholar, Pubmed, and Scopus) using Publish or Perish software with keywords using boolean operators and featured with PRISMA. Inclusion criteria were full text from 2013 to 2022, articles in Indonesian or English language, cross-sectional studies, and the population was adolescent girls, using multiple logistic regression analysis with adjusted odds ratio. The study obtained nine articles from 11,421 articles identified. Data analysis using Rev.Man 5.4. Results: The prevalence of anemia in adolescent girls was 30.83% (95% CI: 15.71-45.95). Food diversity (SMD=1.87; 95% CI=0.88-3.97; P-value=0.10) and tea or coffee consumption (SMD=2.46; 95% CI=1.15-5.27; P-value=0.02) influence the incidence of anemia in adolescent girls. Conclusion: Low food diversity and tea or coffee consumption increase the risk of anemia in adolescent girls. Implementing balanced nutritional guidelines to prevent anemia is recommended.

HYGIENE AS RISK FACTORS FOR DIARRHEA AMONG TODDLERS IN MULYOREJO PRIMARY HEALTH CENTER, SURABAYA

Alifia Merza Safaryna — 2024-09-15

Background: Mulyorejo Primary Health Center (PHC) ranks 12th in Surabaya for diarrhea morbidity in toddlers, and there was one case of under-five deaths due to diarrhea in 2020. Purpose: This study aims to analyze hygiene as a risk factor for diarrhea in toddlers at Mulyorejo PHC, Surabaya. Methods: This study was conducted with a case-control design from December 2022 to October 2023. The case population was all toddlers aged 12-59 months at Mulyorejo PHC who had diarrhea at least in the last month. The control population consisted of toddlers aged 12-59 months living in the Mulyorejo PHC working area who had not experienced diarrhea for at least one month. The sample size amounted to 114, with a ratio of 1 1, using a simple random sampling technique. The independent variables were handwashing with soap (HWWS), food hygiene practices, latrine ownership, healthy latrines, feces disposal, and access to drinking water. Data were collected using questionnaires and observation. Chi-Square Test and Multiple Logistics Regression analyzed data. Results: HWWS (p=0.001), food sanitation (p=0.061), latrine ownership (p=0.032), and proper disposal of toddler feces (p=0.024) had a significant association with the incidence of diarrhea in toddlers at Mulyorejo PHC. Conclusion: Only the HWWS variable determines the incidence of diarrhea in toddlers at Mulyorejo PHC. Good handwashing habits with soap can prevent the occurrence of diarrhea in toddlers.

TUBERCULOSIS PREVENTION BEHAVIOR AND RELATED FACTORS (STUDY AT NAIBONAT PRIMARY HEALTH CENTER, KUPANG REGENCY, 2023)

Ester Retnowati Nes — 2024-09-15

Background: Tuberculosis (TB) Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis, which attacks the lungs and other organs. Purpose: To determine the relationship between the level of knowledge, attitudes, and preventive actions of Tuberculosis disease and TB incidence in the Naibonat Health Center working area 2023. Methods: The research design used was case-control by conducting analytical observations. Using a simple random sampling technique, the sample consisted of 41 cases and 41 controls. Data analysis used the chi-square test at a significance level of 95%. (α = 0.05). Results: Based on the research shows that there is a significant relationship between knowledge (p=0.00; OR=5.98), attitude (p=0.00; OR=4.66), TB prevention actions (p=0.01; OR=5.20) on the incidence of TB at the Naibonat Primary Health Center. Conclusion: The knowledge, attitudes, and preventive measures are significantly related to the incidence of pulmonary TB in the Naibonat Health Center working area. The community is expected to be able to pay attention to the environment where they live, have clean living behavior, and be able to participate in educational activities/socialization (counseling) related to Pulmonary TB conducted by health centers, NGOs, or health workers which help increase public knowledge.

RELATIONSHIP BETWEEN FAMILY SUPPORT WITH LOW-SALT COMPLIANCE IN ELDERLY HYPERTENSION AT SEI MENCIRIM HEALTH CENTER

Jun Edy Samosir Pakpahan — 2024-09-15

Background: Hypertension is a chronic health condition that cannot be cured. It is caused by high sodium consumption, obesity, stress, smoking, and alcohol consumption. Purpose: Determine the relationship between family support and adherence to a low-salt diet in the working area of the Sei Mencirim Health Center, Deli Serdang District, for the elderly with hypertension. Methods: The population in this study was older adults with hypertension, totaling 110 respondents. The sample in this study was 52 respondents using a purposive sampling technique, using univariate and bivariate data analysis with the chi-square test. Results: The results of the chi-square statistical test obtained a p-value of 0.00 compared to the value of α = 0.05, so the p-value < 0.05 (0.00< 0.05). This means that there is a significant relationship between family support and adherence to a low-salt diet in the elderly with hypertension in the Sei Mencirim Health Center, Deli Serdang District. Conclusion: This study found that there is a significant relationship between family support and adherence to a low-salt diet in the elderly with hypertension. It is hoped that health workers will provide more information about adherence to a low-salt diet in hypertensive patients through health education.

EXPOSURE TO THE PHYSICAL CONDITIONS OF THE HOME ENVIRONMENT WITH PULMONARY TB DISEASE IN KALUMATA VILLAGE

Siti Washliyah — 2024-09-15

Background: Pulmonary TB is included in the ten highest disease categories yearly in almost all health centers in Ternate City, North Maluku. In certain age groups, pulmonary TB can be a cause of death. Environmental factors, especially the physical environment of the house, can be determinants of pulmonary TB disease. Purpose: This study aimed to determine the incidence of pulmonary TB if exposed to the physical environment of the house and the home environment. Methods: This research is observational with a case-control study design. She was held in the Coastal Area of Kalumata Village, Ternate City. The number of samples in this study were all pulmonary TB sufferers. Data were collected from observations, interviews, and measurements to determine exposure to the physical environment of the house and the incidence of pulmonary TB. The chi-square test is used to determine the relationship between the variables studied. Results: The study's statistical results showed that all the variables did not significantly relate to the incidence of pulmonary tuberculosis associated with the physical condition of the house (p-value = 1.00 (> ɑ = 0.05). Conclusion: There is no relationship between the incidence of pulmonary TB and the house's physical condition.