scholarly journals Gambaran Kasus Difteri Tahun 2009-Agustus 2019 di Kabupaten Bojonegoro

2020 ◽  
Vol 8 (2) ◽  
pp. 67
Author(s):  
Kiki Famalasari

Pendahuluan : Difteri adalah suatu infeksi yang disebabkan oleh bakteri Corybacterium diphteriae, yang menyerang selaput lendir pada hidung dan tenggorokan, serta dapat mempengaruhi kulit. Penyakit ini sangat menular dan termasuk infeksi serius yang berpotensi mengancam jiwa.Tujuan : Penelitian ini bertujuan untuk menganalisis pola distribusi kasus difteri di Kabupaten Bojonegoro pada tahun 2009– 2019 (Agustus 2019).Metode : Penelitian ini dilakukan pada tanggal l5 Agustus-18 September 2019 di Kabupaten Bojonegoro. Penelitian ini adalah penelitian deskriptif dengan menggunakan data sekunder berupa laporan bulanan kasus difteri yang dilaporkan oleh Puskesmas atau Rumah Sakit di Wilayah kerja Dinas Kesehatan Kabupaten Bojonegoro dan hasil wawancara dengan Kepala Seksi Surveilans dan Imunisasi, serta Penanggungjawab Program Surveilans Difteri di Dinas Kesehatan Kabupaten Bojonegoro.Hasil : Hasil penelitian menunjukkan bahwa berdasarkan usia kasus difteri di Kabupaten Bojonegoro tertinggi terjadi pada kelompok usia 5-9 tahun (29,16%). Berdasarkan jenis kelamin sebagian besar terjadi pada jenis kelamin laki-laki (61,84%). Berdasarkan status imunisasi, kejadian difteri terjadi pada kelompok usia < 1tahun. Berdasarkan tempat, kejadian difteri di Kabupaten Bojonegoro sering terjadi di Kecamatan Bojonegoro. Berdasarkan waktu, kejadian difteri terjadi pada periode Januari-Maret dan Agustus-Desember.Kesimpulan : Kasus penyakit difteri di Kabupaten Bojonegoro dari tahun 2009 sampai dengan Agustus 2019 cenderung fluktuatif. Pada tahun 2009 hingga tahun 2012 kasus difteri di Kabupaten Bojonegoro mengalami peningkatan yang signifikan dan mengalami penurunan di tahun 2013 dan 2014. Kemudian pada tahun 2015, kasus difteri mengalami peningkatan kembali dan penemuan kasus terbanyak ada di tahun 2018 yaitu sebanyak 15 kasus.Penderita difteri paling banyak adalah anak usia 5-9 tahun yaitu sebanyak 21 anak. Beberapa penderita difteri memiliki riwayat imunisasi yang tidak lengkat maupun yang tidak pernah imunisasi sama sekali. Sedangkan penemuan kasus difteri terbanyak sering terjadi pada laki-laki.ABSTRACTBackground: Diphtheria is an infection caused by the Bacterium Corybacterium diphteriae, which attacks the mucous membranes of the nose and throat,then can affect the skin. This disease is very contagious and includes serious infections that are potentially life-threatening. Objectives: This study to analyze the distribution patterns of diphtheria cases in Bojonegoro Regency in 2009 - 2019 (August 2019). Methods This research was conducted on August 5-September 18, 2019 in Bojonegoro Regency. This research is a descriptive study using secondary data in the form of monthly reports of diphtheria cases reported by Puskesmas or Hospitals in the Work Area of the Bojonegoro District Health Office and the results of interviews with the Head of the Surveillance and Immunization Section, and the Person in Charge of the Diphtheria Surveillance Program at the Bojonegoro District Health Office. Result: The results showed that the highest age of diphtheria cases in Bojonegoro District occurred in the 5-9 years age group (29.16%). Based on sex, the majority occurred in male sex (61.84%). Based on immunization status, the incidence of diphtheria occurs in the age group <1 year. Based on location, diphtheria events in Bojonegoro Regency often occur in Bojonegoro District. By time, diphtheria events occurred in the January-March and August-December periods. Conclusions: Cases of diphtheria in Bojonegoro Regency from 2009 to August 2019 tended to be volatile. In 2009 until 2012 diphtheria cases in Bojonegoro Regency experienced a significant increase and decreased in 2013 and 2014. Then in 2015, diphtheria cases increased again and the most cases found were in 2018 which were 15 cases. The most diphtheria sufferers many are children aged 5-9 years, as many as 21 children. Some diphtheria sufferers have a history of immunizations that are not complete or have never been immunized at all. Whereas most cases of diphtheria are often found in men.

2021 ◽  
Vol 5 (1) ◽  
pp. 49-56
Author(s):  
Rahmad Suryawan Ura ◽  
Yuly Peristiowati

Typhoid fever is a disease that is prone to occur in Indonesia, because of the characteristics of the climate that is very prone to diseases related to the seasons. The purpose of this study is to analyze factors related to the incidence of typhoid fever in the Working Area of the Jayawijaya District Health Office. The research design used is quantitative analytics method using quantitative data. The type of approach used is case control. The population is 74 patients with typhoid fever. The large sample taken as many as 37 respondents, with a large comparison of samples between the number of respondents in the case group is 37 respondents, and 37 respondents as a control group, so the total number of samples is 74 respondents. Sampling techniques used in this study is a simple random sampling technique. Based on the results of the study, it is known that there is no relationship between age and the incidence of typhoid fever in the Working Area of the Jayawijaya District Health Office. Chi-square test result obtained p-Value Sig (0.445) > α (0.05). While it is known that there is a relationship between the level of knowledge, the level of education, hygiene of individual respondents with the incidence of typhoid fever in the Work Area of the Health Office of Jayawijaya Regency. Chi-square test results obtained p- value (0.000) < α (0.05) and environmental sanitation with the incidence of Typhoid Fever in the Work Area of the Jayawijaya District Health Office. Chi-square test result obtained p-value (0.001) < α (0.05). Based on the results of the study is expected to increase kinship with patients as well as by providing health services visits to the patient's home.


2020 ◽  
Vol 5 (3) ◽  
pp. 854
Author(s):  
Ety Aprianti ◽  
Sri Suciana ◽  
Fery Musharyadi ◽  
Yona Firdali Ranti ◽  
Desi Noviayanti

<p>Posyandu is a health service organized by, from, for and with the community. Padang DKK 2016 Puskesmas pembantu Kurao has a low Posyandu level. The purpose of this study was to find out the description of the implementation of the Kurao posyandu activity in the Working Area of Nanggalo Health Center in 2019.</p><p>The purpose of this study was to find out how the Posyandu Cadre Characteristics and Evaluation of Posyandu Activity Implementation in the Work Area of the Kurao Sub-District Health Center in Nanggalo. This research is a quantitative and qualitative study using primary and secondary data obtained from Health Officers, cadres and the community who come to posyandu</p><p>The results obtained were more than half of respondents (56.6%) with the age category 26-45 years. Most respondents (80%) were married or married. More than half of respondents (63.4%) with &lt;5 years old category. Most respondents (83.4%) with a secondary education level category. More than half of respondents (76.6%) in the category of not working or housewives</p><p>A total of 11 posyandu are under the working area of the Kurao Preparation of information on Posyandu implementation is carried out 1 day before the implementation of Posyandu and preparation of facilities, the infrastructure has been completed. In the implementation of posyandu activities, there was an ineffectiveness in the implementation of the fourth table because not all cadres understood and were able to provide counseling materials related to health issues, because not all cadres received specific training. Cadres only get information through regular monthly meetings at cadre social gathering events. The Posyandu Information System has been arranged in detail. Policies, preparation, implementation and Posyandu Information System in the work area of the Kurao sub-pustu have not been prepared and implemented in full, there are still shortcomings. With this research, it is recommended that health workers in the Puskesmas be able to provide training and refreshment to cadres and be able to complete all the deficiencies that exist in the implementation of the posyandu activities</p><pre> </pre>


2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Dewi Wulandari ◽  
Ayu Virahani

Increasing the scope of public health services is carried out by utilizing the potential and available resources, including those in the community. In accordance with one of the Puskesmas functions, namely the community empowerment center, the puskesmas is tasked with empowering the community in the health sector, namely through the Community-Based Health Efforts (UKBM) with one of the real forms being the Pesantrean Health Post (Poskestren). This study aims to obtain an overview of the implementation of the poskestren in boarding schools in the area of Semarang District Health Office. This research is a descriptive observational study with a secondary data study obtained from health promotion and community empowerment data reports collected from 2017 to 2019 by the Semarang District Health Office. The population in this study were all boarding schools reported in the working area of Semarang Regency in 2017-2019. The sample in this study is a boarding school that already has a poskestren in the working area of Semarang Regency in 2017-2019. The research data was then analyzed descriptively. The results obtained are an increase in the number and activities of implementing the poskestren from 2017-2019.


2018 ◽  
Vol 11 (1) ◽  
pp. 65-73
Author(s):  
Siti Qorrotu Aini

ENGLISHSchizophrenic patients are used to experiencing relapse after completing treatment in psychiatric hospital. The aim of research was to find the causes of relapse in schizophrenic patients. The type of research was qualitative. The subjects in this research were five persons who formerly schizophrenic patients and experienced relapse. Primary data were obtained through interviews and observations, while secondary data were gained from the document Pati District Health Office and the relevant references. Data analysis used descriptive method. The results showed that the cause of relapse in patients with schizophrenia are: 1) pressure life events, such as being abandoned by spouse, thinking about the wedding preparations with ex-wife (remarriage) and the failure of marriage planning 2) lack of family role because of lack of knowledge, and lack of economic sources, 3) uncompliance and irregularity on medication, 3) the limitations of medicine and health clinic personnel assistance. INDONESIAPenderita Skizofrenia seringkali mengalami kambuh setelah selesai menjalani masa perawatan di rumah sakit jiwa. Tujuan penelitian adalah untuk mengetahui penyebab kambuh pada penderita skizofrenia. Jenis penelitian yang digunakan adalah penelitian kualitatif. Subjek dalam penelitian ini berjumlah lima penderita skizofrenia dan pernah dinyatakan sembuh kemudian mengalami kekambuhan. Data primer diperoleh dari wawancara dan observasi. Data sekunder diperoleh dari dokumen Dinas Kesehatan Kabupaten Pati dan referensi yang relevan. Analisa data dalam penelitian ini menggunakan metode deskriptif. Hasil penelitian menunjukkan bahwa penyebab kekambuhan pada subjek penderita skizofrenia yaitu 1) Tekanan peristiwa kehidupan, diantaranya ditinggalkan pasangan, memikirkan persiapan pernikahan dengan mantan istri (rujuk) dan gagal menikah; 2) Kurangnya peran keluarga karena kurangnya pengetahuan, dan kurangnya ekonomi keluarga; 3) Ketidakpatuhan dan ketidakteraturan minum obat; dam 4) Keterbatasan obat dan pendampingan tenaga puskesmas.


2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S282-S282
Author(s):  
M Skalinskaya ◽  
E Skazyvaeva ◽  
M Zhuravleva ◽  
I Bakulin ◽  
D Komarova ◽  
...  

Abstract Background Untimely diagnosis increases the number of severe forms of IBD, which enlarges the possibility of life-threatening complications, extraintestinal presentations, and the patient’s need for surgical treatment. Methods We analysed the data of 1130 patients with an established diagnosis of UC or CD. The dynamics of the timing of diagnosis of IBD, the nature of the disease, the frequency of occurrence of intestinal complications, extraintestinal presentations were evaluated. Results The maximum frequency of start of both UC and CD falls on the young age of patients - from 19 to 38 years. The duration of symptoms before diagnosis is established is 2.3 years (27.4 months) for CD, 1.1 years (12.1 months) for UC. 81.8% of patients with UC are diagnosed no more than 4 years, but in 10.9% of patients this interval was 4–9 years; in 3.6%, 9–13 years; in 1.9%, 13–18 years, and in another 1.8%, more than 20 years. In CD 59.5% of patients fall into the diagnosis interval up to 4 years, in 27.4% this period takes from 4 to 9 years, in 7%—10–15 years, and in 6% more than 6 years. At the age of 18–25 years severe course of IBD is observed in 12% of patients, at the age of 26–30 years—in 18%, 31–40 years—in 9%. Older people are more likely to experience mild IBD, and the percentage of severe and moderate forms is 4% and 29%, respectively, after 60, and less than 0.5% and 19.5%, respectively, after 70 years. Extraintestinal presentations were observed in 43.4% of patients, with 25% of them having more than one of them. In patients with CD, the development of complications in the first 4 years of the disease was noted in 62%, in UC—in 58.9%. In patients with intestinal complications, the diagnosis period was 2.9 years, without them—2.4 years. However, in patients with a history of surgical treatment of IBD, the diagnosis period was less than 1 year. 69, 3% of revealed patients with a history of needing one or more hospitalisations associated with IBD, and 15.8% underwent surgery for IBD. Conclusion Based on the data obtained, it can be concluded that the main part of complications occurs in the first few years after the onset of the disease. With late diagnosis, the probability of developing not only intestinal complications, but also extra-intestinal presentations significantly increase, which reflects a more severe form of the disease. The shorter time of diagnosis of IBD in patients who need surgical treatment is explained by more pronounced symptoms that require urgent medical care. However, the proportion of IBD with severe and moderate form is greater in young age groups, and as the ‘growing up’ groups - the number of patients with mild IBD begins to prevail.


2021 ◽  
Vol 9 (3) ◽  
pp. 172
Author(s):  
Werenfridus Leonardo Nando Luan

Belu Regency is located in the province of East Nusa Tenggara (NTT), Indonesia and is an endemic area for dengue fever. Nationally, until June 2020, there were 16,320 cases of dengue fever with a CFR of 0.009%, while in Belu Regency there were 820 cases recorded until June 2020 with a CFR of 0.97%. This study aims to describe the outbreak of DHF by person, place and time as well as the distribution of cases in Belu Regency. this research is descriptive observational with case series design. The source of research data is secondary data on dengue cases obtained from the 2016-2019 Dengue Hemorrhagic Fever (DHF) Report and the DHF outbreak report in January-June 2020, the Belu District Health O ce. DHF cases in Belu Regency until June 2020 were 820 cases with symptoms of fever 2-7 days by 100% and supported by laboratory platelet examinations of 73%. The highest IR rate until June 2020 is 367 per 100. 000 residents with a CFR of 0.97% spread over 12 sub-districts of Belu Regency. The highest IRs (>20 per 10,000 population) are Atambua city, South Atambua, East Tasifeto, West Atambua, Kakuluk Mesak and West Tasifeto subdistricts. The majority of DHF in the age group 5-14 years 521 cases (27.1%) with female sex as many as 495 cases (51.51%). DHF cases were found since the first epidemiological week at the beginning of the year with peak cases at the 13th week. Belu Regency Is a dengue endemic area with an IR of 367/100,000 population with a CFR of 0.97%. The highest cases were in the 5-14 year age group and spread across 12 sub-districts of Belu Regency. 


2021 ◽  
Vol 3 (3) ◽  
pp. 89-95
Author(s):  
Mayang Wulan ◽  
Sri Juliana ◽  
Nuriah Arma ◽  
Mila Syari

Introduction: Pregnant women are anemic. No one has ever consumed tomato juice during pregnancy because they do not know the benefits of tomato juice. There has never been any counseling regarding the handling of increased Hb levels using tomato juice. The aim this research is to determine the effectiveness of giving Fe tablets and tomato juice to increase hemoglobin levels in pregnant women in the working area of ​​the West Delitua Sub-district Health Center. Methods: Quasi experiment one group design with pre and post-design. The total population is 30 respondents, and the sample using purposive sampling is as many as 20 respondents. The data used are primary and secondary. Data analysis using univariate and bivariate using non-parametric with Wilcoxon test. Results: A total of 20 pregnant women (100%) experienced mild anemia before giving Fe tablets and tomato juice, and after being given Fe tablets and tomato juice, 15 people (75%) experienced mild anemia from the Wilcoxon test that has carried out, it knows that Asym.Sig, (2-tailed) is 0.000. Conclusion: There is an effect of giving fe tablets and tomato juice on increasing hemoglobin levels in pregnant women in the Work Area of ​​the West Delitua Sub-district Health Center. I hope that pregnant women will increase their knowledge about the benefits of foods containing vitamin C, especially tomatoes, which are beneficial for anemia and can maintain health, especially during pregnancy.


2020 ◽  
Vol 1 (1) ◽  
pp. 001
Author(s):  
Oksfriani Jufri Sumampouw

Background: Dengue hemorrhagic fever (DHF) was a health problem in North Sulawesi Province, especially in the Minahasa Regency. DHF was a multifactorial disease. The purpose of this study were to describe the distribution of DHF patients in Minahasa Regency in 2016-2018. This research was an observational study. Method: This research was conducted in May-July 2019 in Minahasa Regency. The research variables were gender, age and DHF cases. The data used were secondary data from the Minahasa District Health Office. Data were analyzed univariately. Results: The results showed that DHF sufferers at the age of 11-20 years (58 cases). Most DHF sufferers were found in women (83 cases). The incidence of DHF in 2016-2018 has increased by 94 cases. There was a time shift in the occurrence of DHF in 2018. In 2018, many DHF events occurred in August-October. Conclusion: The conclusion of this study was that most DHF sufferers in 11-20 years and female. In addition, there has been a shift in the pattern of dengue fever in Minahasa Regency.


2015 ◽  
Vol 3 (2) ◽  
pp. 254
Author(s):  
Sinawan Sinawan ◽  
Santi Martini ◽  
Windhu Purnomo

ABSTRACTSystem of DHF epidemiological surveillance that is currently running in Mataram District Health Office has not been able to provide information about the incidence of DHF is based on risk factors. Besides, the process of manufacturing and analysis of data were still done manually, so the level of consistency and accuracy of data was still less. This research aimed to develop database surveillance risk factor of DHF incidence. This type of research is action research. This research was conducted at the Mataram District Health Office NTB province at April 2014 until August 2014, informants in this study consists of three (3) members, namely Head of P2PB Section, DHF P2 Program Manager and Surveillance Staff. The data used are primary and secondary data. Database design includes logical and physical design. Performed on the logic design is the normalization of the data, create relationships between data illustrates the entity relationship diagram (ERD) and proceed to the physical design to create a prototype database using Epi Info software application for Windows version 3.5.1. Trial involving two (2) the informants. Evaluation trials database surveillance of risk factors DHF incidence to assess the ease, speed, accuracy and completeness of the resulting data. Results of this study is new database surveillance risk factor of DHF incidence that can be used easily, quickly and can be results more accurate information.Keywords: DHF, surveillance, risk factor, database.


2015 ◽  
Vol 3 (2) ◽  
pp. 254
Author(s):  
Sinawan Sinawan ◽  
Santi Martini ◽  
Windhu Purnomo

System of DHF epidemiological surveillance that is currently running in Mataram District Health Office has not been able to provide information about the incidence of DHF is based on risk factors. Besides, the process of manufacturing and analysis of data were still done manually, so the level of consistency and accuracy of data was still less. This research aimed to develop database surveillance risk factor of DHF incidence. This type of research is action research. This research was conducted at the Mataram District Health Office NTB province at April 2014 until August 2014, informants in this study consists of three (3) members, namely Head of P2PB Section, DHF P2 Program Manager and Surveillance Staff. The data used are primary and secondary data. Database design includes logical and physical design. Performed on the logic design is the normalization of the data, create relationships between data illustrates the entity relationship diagram (ERD) and proceed to the physical design to create a prototype database using Epi Info software application for Windows version 3.5.1. Trial involving two (2) the informants. Evaluation trials database surveillance of risk factors DHF incidence to assess the ease, speed, accuracy and completeness of the resulting data. Results of this study is new database surveillance risk factor of DHF incidence that can be used easily, quickly and can be results more accurate information.Keywords: DHF, surveillance, risk factor, database.


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