scholarly journals Urgensi Kebijakan Peraturan Daerah tentang Pengendalian Demam Berdarah Dengue di Kota Tasikmalaya Berdasarkan Pendekatan Analisis Stakeholder

2020 ◽  
Vol 12 (2) ◽  
pp. 63-72
Author(s):  
Aryo Ginanjar ◽  
Laksono Trisnantor ◽  
Dwi Handono Sulistyo

Abstract. Dengue Hemorrhagic Fever (DHF) is still a public health problem that is difficult to deal with inTasikmalaya City, West Java Province. In 2019, the region experienced very significant cases increase leadingto an Outbreak. Various attempts have been made without optimal results. DHF control program managersexpressed the urgent need for strong policies, but no empirical studies have been carried out. It is importantto analyze evidence as justification for urgency and impetus in the policy agenda. This policy research withnaturalistic qualitative research with Analysis for Policy approach aims to explore evidence on the urgency ofDHF control regional regulations at policy stakeholders’ aspect. The results of this study revealed the evidenceof DHF Control Regional Regulation’s establishment urgency. Those are increasing community endangeringsituation of DHF cases; the urgent need of policies for program managers; and the corroborating evidence, asthe results of stakeholder analysis, in the form of majority stakeholder are the main policy stakeholder whohave the power and strong interest in supporting the policies’ urgency. The urgency level of DHF controlRegional Regulation based on this research has reached an emergency level, so there should be efforts toestablish DHF control Regional Regulation in Tasikmalaya City.Keywords: Stakeholders, Policy Urgencies, Regional Regulations, DHF

2015 ◽  
Vol 3 (1) ◽  
pp. 82
Author(s):  
Zumaroh Zumaroh

Dengue Hemorrhagic Fever (DHF) is a public health problem in the village of Putat Jaya which is an endemic area. Surveilans activity in DHF control program is the most important activity in controlling and monitoring disease progression. The program is expected to achieve incidence rate 55/100.000 population. This study aimed to evaluate the implementation of case surveilans in health centre of putat jaya based on attribute surveillance. Attribute surveillance is an indicator that describes the characteristics of the surveillance system. This research was an evaluation research with descriptive study design. As informants were clinic staff who deal specifically with cases of dengue hemorrhagic fever and laboratory workers. The techniques of data collection by interviews and document study. The variables of this study were simplicity, flexibility, acceptability, sensitivity, positive predictive value, representativeness, timeliness, data quality and data stability. It could be seen from Incidence Rate in 2013 has reached 133/100.00 population. The activity of surveilance in the village of Putat Jaya reviewed from disease contol program management was not succeed into decrease incidence rate of DHF. Therefore, dengue control programs in health centers Putat Jaya need to do cross-sector cooperation and cross-program cooperation, strengthening the case reporting system by way increasing in the utilization of information and communication technology electromedia.Keywords: case surveillance, dengue hemorrhagic fever, evaluation, attribute surveillance, Putat Jaya


2015 ◽  
Vol 3 (1) ◽  
pp. 82
Author(s):  
Zumaroh Zumaroh

ABSTRACTDengue Hemorrhagic Fever (DHF) is a public health problem in the village of Putat Jaya which is an endemic area. Surveilans activity in DHF control program is the most important activity in controlling and monitoring disease progression. The program is expected to achieve incidence rate 55/100.000 population. Ths study aimed to evaluate the implementation of case surveilans in health centre of putat jaya based on attribute surveillance. Attribute surveillance is an indicator that describes the characteristics of the surveillance system. This research was an evaluation research with descriptive study design. As informants were clinic staff who deal specifically with cases of dengue hemorrhagic fever and laboratory workers. The techniques of data collection by interviews and document study. The variables of this study were simplicity, flexibility, acceptability, sensitivity, positive predictive value, representativeness, timeliness, data quality and data stability. It could be seen from Incidence Rate in 2013 has reached 133/100.00 population. The activity of surveilance in the village of Putat Jaya reviewed from disease contol program management was not succeed into decrease incidence rate of DHF. Therefore, dengue control programs in health centers Putat Jaya need to do cross-sector cooperation and cross-program cooperation, strengthening the case reporting system by way increasing in the utilization of information and communication technology electromedia.Keywords: case surveillance, dengue hemorrhagic fever, evaluation, attribute surveillance, Putat Jaya


Author(s):  
Nurul Qamila ◽  
Agel Vidian Krama

Dengue hemorrhagic fever (DHF) is a contagious disease caused by the dengue virus and is transmitted by the mosquito Aedes aegypti (Aa.aegypti). The population is still a public health problem that increases the number of sufferers and also widespread, with population and education. This study aims to reveal the spatial pattern and distribution of Dengue Hemorrhagic Fever (DHF) with the spatial pattern and the spread of Dengue Hemorrhagic Fever (DHF) can result in different locations of these allegations. From the map that can be used for the prevention of Dengue Hemorrhagic Fever (DBD) in Bandar Lampung City. This study aims to reveal the spatial pattern and distribution of Dengue Hemorrhagic Fever (DHF) with the descriptive method and spatial pattern of Dengue Hemorrhagic Fever (DHF) can result in different locations of these allegations. From the map that can be used for the prevention of Dengue Hemorrhagic Fever (DBD) in Bandar Lampung City. Keywords: DHF, Spatial Analysis


Author(s):  
Eric Emerson ◽  
Allison Milner ◽  
Zoe Aitken ◽  
Lauren Krnjacki ◽  
Cathy Vaughan ◽  
...  

Abstract Background Exposure to discrimination can have a negative impact on health. There is little robust evidence on the prevalence of exposure of people with disabilities to discrimination, the sources and nature of discrimination they face, and the personal and contextual factors associated with increased risk of exposure. Methods Secondary analysis of de-identified cross-sectional data from the three waves of the UK’s ‘Life Opportunities Survey’. Results In the UK (i) adults with disabilities were over three times more likely than their peers to be exposed to discrimination, (ii) the two most common sources of discrimination were strangers in the street and health staff and (iii) discrimination was more likely to be reported by participants who were younger, more highly educated, who were unemployed or economically inactive, who reported financial stress or material hardship and who had impairments associated with hearing, memory/speaking, dexterity, behavioural/mental health, intellectual/learning difficulties and breathing. Conclusions Discrimination faced by people with disabilities is an under-recognised public health problem that is likely to contribute to disability-based health inequities. Public health policy, research and practice needs to concentrate efforts on developing programs that reduce discrimination experienced by people with disabilities.


Author(s):  
OJS Admin

Globally, dengue is an emerging serious public health problem with a million infections occurring annually including significant number of dengue hemorrhagic fever cases.


2021 ◽  
Vol 1 (2) ◽  
pp. 443-456
Author(s):  
Qory Ayunitami ◽  
Herlina Susmaneli ◽  
Christine Vita Gloria Purba

Demam Berdarah Dengue (DBD) merupakan salah satu jenis penyakit menular yang disebabkan oleh virus dengue yang ditularkan melalui gigitan nyamuk Aedes Aegypti. Penyakit DBD dapat muncul sepanjang tahun dan dapat menyerang seluruh kelompok umur. Puskesmas Karya Wanita merupakan daerah yang endemis yaitu daerah yang mudah terjangkit penyakit dalam jumlah besar salah satunya penyakit DBD. Upaya dari pemerintah untuk mengatasi penularan penyakit DBD dengan melakukan program pengendalian DBD. Program pengendalian ini berupa pemberantasan sarang nyamuk, penyelidikan epidemiologi dan penggulangan fokus. Kegiatan ini mempunyai tujuan utama diantaranya untuk menurunkan angka kesakitan, menurunkan angka kematian, dan mencegah terjadinya KLB penyakit DBD. Tujuan penelitian ini untuk menganalisis pelaksanaan program pengendalian DBD di Puskesmas Karya Wanita Kota Pekanbaru tahun 2020. Penelitian ini merupakan penelitian kualitatif deskriptif dengan pendekatan studi kasus. Subjek penelitian ini terdiri dari 1 informan kunci yaitu Kepala Puskesmas, 2 informan utama yaitu Pemegang Program DBD, Petugas Promosi Kesehatan, dan 2 informan pendukung yaitu Kader dan Masyarakat. Teknik yang digunakan dalam penelitian ini adalah wawancara mendalam dengan menggunakan bantuan pedoman wawancara serta analisis data dilakukan secara deskriptif dan disajikan dalam bentuk narasi . Hasil penelitian ini menunjukkan bahwa pelaksanaan program pengendalian DBD belum optimal, hal ini disebabkan oleh kurangnya dana untuk melaksanakan program ini, dan juga masih kurangnya partisipasi masyarakat dalam melakukan program Pemberantasan Sarang Nyamuk (PSN). Diharapkan kepada pihak puskesmas agar dapat bekerjasama dengan pihak terkait seperti Dinas Kesehatan Kota/Provinsi dan lintas sektor dalam pendanaan untuk semua kegiatan pengendalian DBD dan lebih memotivasi masyarakat agar ikut serta dalam proses pengendalian DBD. Dengue Hemorrhagic Fever (DHF) is a type of infectious disease caused by the dengue virus which is transmitted through the bite of the Aedes Aegypti mosquito. DHF can appear throughout the year and can affect all age groups. Karya Wanita Public Health Center is an endemic area, namely an area that is easily infected by large numbers of diseases, one of which is DHF. Efforts from the government to overcome the transmission of dengue disease by implementing a dengue control program. This control program takes the form of eradicating mosquito nests, epidemiological investigations and focus repetition. This activity has the main objective of reducing morbidity, reducing mortality, and preventing outbreaks of dengue fever. The purpose of this study was to analyze the implementation of the DHF control program at  Karya Wanita Public health center Pekanbaru City in 2020. This research is a descriptive qualitative research with a case study approach. The subjects of this study consisted of 1 key informant, namely the Head of the Puskesmas, 2 main informants, namely the DBD Program Holder, a Health Promotion Officer, and 2 supporting informants namely Cadres and the Community. The technique used in this research is in-depth interviews using interview guides and data analysis is done descriptively and presented in narrative form. The results of this study indicate that the implementation of the DHF control program is not optimal, this is due to the lack of funds to implement this program, and also the lack of community participation in carrying out the Mosquito Nest Eradication (PSN) program. It is hoped that the public health center will be able to collaborate with related parties such as the City / Provincial Health Office in funding for all DHF control activities and to further motivate the community to participate in the DHF control process


2006 ◽  
Vol 66 (4) ◽  
pp. 1117-1122 ◽  
Author(s):  
C. L. S. Costa-Ayub ◽  
C. D. Faraco ◽  
C. A. Freire

In view of the widely varying compositions of fixative solutions used for studying spiders, five different fixative formulas were tested for fixing male brown-spider (Loxosceles intermedia) gonad tissues. The brown spider represents a public health problem in Curitiba (Paraná State, Brazil). Morphological study of its gonads may aid in understanding the reproductive strategies of this species, and possibly in developing a reproduction control program. The fixatives tested contained glutaraldehyde alone or combined with paraformaldehyde, and the buffers cacodylate or phosphate, with or without the addition of sucrose or sodium chloride as osmolytes. Those containing 2.5% glutaraldehyde and 2% paraformaldehyde in 100 mM phosphate buffer with 200 mM sucrose, or in 200 mM sodium cacodylate, satisfactorily preserved mitochondria, the Golgi apparatus, and the membranes in general. These formulas were nearly isosmotic (439 mOsm/kg H2O and 455 mOsm/kg H2O respectively) to brown spider hemolymph (478 mOsm/kg H2O). With respective to the fixative agents, a glutaraldehyde-paraformaldehyde combination resulted in optimal fixation of Loxosceles intermedia cells. For other species of spiders, hemolymph osmolality should be considered, but the fixative formulas cited above would also probably yield good results.


2016 ◽  
Vol 5 (4) ◽  
pp. 433
Author(s):  
Sunarsih Sunarsih ◽  
Kuntoro Kuntoro ◽  
Chatrin U.W ◽  
Nugroho Susanto

Dengue is a major public health problem in Indonesia. The program of elimination of mosquito breeding places is still low. This study was aimed to analyze the effectiveness of village surveillance officer for decrease container index. Study design was quasy experiment. The intervention included: community workshops; community involvement in clean-up campaigns; and distribution of information, education and communication materials in the village surveillans officer. Data were analyzed with t test, and path way analyzed. There is significantly differences knowdlege, attitude, behaviour, sanitation, and container index p<0.05. Based on the path analysis was concluded that village surveillance officer increased knowledge, attitude, behavior, sanitation and container index.Surveillance village officer is concluded to be more effectively decreased of larva index through comunity behavior. Surveillance village officer is important because it effectively the coverage of larva index through community behaviour participation.


2018 ◽  
Vol 14 (3) ◽  
pp. 126
Author(s):  
Lisa Hidayati ◽  
Upik Kesumawati Hadi ◽  
Susi Soviana

<span lang="EN-US">The incidence of dengue hemorrhagic fever (DHF) is still a public health problem in Indonesia. Observations over a period of 20 to 25 years since the beginning of  the discovering of the disease, has show the increase of the diseases incidence every five years. The purpose of this study are 1) study the diversity of <em>Aedes’</em>s mosquitoes in Sukabumi City, 2) measure the <em>Aedes </em>population based on the number of eggs and ovitrap index, and 3) to know the correlation between ovitrap index and house condition. <em>Aedes</em> eggs were collected from 14 villages in Sukabumi City that has the highest incidence rate, started from May 2015 until August 2015. Collecting eggs is done by setting a trap eggs (ovitrap) as many as 230 pieces in 115 homes (indoor and outdoor). The results showed that <em>Ae. aegypti </em>were found inside houses and <em>Ae. albopictus </em>were outside houses.<em> </em>The number of eggs collected from ovitrap inside the houses were three times more than those collected from outside. Ovitrap index inside houses was 60%, or 1.6 times more than the ovitrap index outside the houses (37%) in 14 villages in Sukabumi. Houses with poor ventilation and sanitation increased the risk 3.09 times of number of ovitrap index. The results of this study could be use as basic information for the communities to improved environment hygiene through reduced mosquito breeding sites, thus degraded the incidence of dengue</span>


2020 ◽  
Vol 2020 ◽  
pp. 1-9 ◽  
Author(s):  
K. El-Mouhdi ◽  
M. Fekhaoui ◽  
F. Elhamdaoui ◽  
H. Guessioui ◽  
A. Chahlaoui

Background. Morocco hopes to eliminate leishmaniases by 2030. These diseases exist in cutaneous and visceral forms and constitute a serious public health problem. The fight against these parasitoses is carried out within the framework of a national program to control leishmaniases, which offers free treatment. However, the screening rate in public health structures does not exceed 35%. Objective. To determine the knowledge and experience of the social actors directly involved in the fight against leishmaniasis to contribute to analyse and understand the factors of this underreporting and to draw scientific recommendations to improve screening and control activities. Methods. Using a self-administered questionnaire, we conducted an exploratory survey during April and May 2019 among all health professionals working in public health structures in the province of ELHajeb in central Morocco. Results. We found that most of the health professionals had good knowledge about the clinical signs of each form of leishmaniasis, but they had erroneous information about the true vector of the disease, the reservoirs, and the mode of transmission. 76% recognized the national leishmaniases control program and only 17% received continuing education. 85% of these professionals focused on the curative aspects of the program. 47% stated that patients do not adhere to the antileishmaniasis treatment, and 25% stated that the population uses the concept of “Hboub of Chniwla” to refer to cutaneous leishmaniasis. Conclusion. The study concluded that the operationalization of the activities of the leishmaniases control program recognizes some weaknesses which explain the underscreening of cases. Improvement of this situation requires the implementation of continuous training programs for caregivers and awareness-raising programs for citizens which should focus on the mode of transmission, preventive measures against reservoirs, sand flies bites, and recognition of lesions using the popular names of the disease as a starting point.


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