scholarly journals ANALISIS SPASIAL (TOPOGRAFI) TUBERKULOSIS PARU DI KOTA PARIAMAN, BUKITTINGGI, DAN DUMAI TAHUN 2010-2016

2020 ◽  
Vol 18 (3) ◽  
pp. 149-158
Author(s):  
Arinil Haq ◽  
Umar Fahmi Achmadi ◽  
Dewi Susanna

ABSTRACT Tuberculosis (TB) is a disease that has become one of the global concerns. Various factors can increase the incidence of TB and facilitate transmission, one of which is environmental factors. This study aimed to understand the correlation between altitude, population density, and healthy home coverage with the proportion of smear-positive pulmonary TB in Pariaman, Bukittinggi and Dumai in 2010-2016. This study is an ecological study. The data of smear-positive pulmonary TB cases obtained from District Health Office were processed in aggregate at each sub-district in Pariaman, Bukittinggi and Dumai areas. Data were analyzed by correlation test and spatial analysis. The results of this study indicate that there is a strong correlation between altitude with the proportion of smear-positive pulmonary TB in Bukittinggi with direction of the correlation is negative, which mean that the higher the altitude the lower the pulmonary Tb case. It is suggested that area with lower altitude can focus more on promotion and prevention of pulmonary TB through health education or other health promotion measures. Keywords: Spatial analysis, pulmonary TB cases, altitude, population density, healthy home coverage   ABSTRAK Tuberkulosis (TB) adalah penyakit yang menjadi salah satu perhatian global. Berbagai faktor dapat meningkatkan kejadian TB dan mempermudah penularan, salah satunya adalah faktor lingkungan. Penelitian ini merupakan studi ekologis yang bertujuan untuk mengetahui korelasi antara ketinggian wilayah, kepadatan penduduk, dan cakupan rumah sehat dengan proporsi TB paru basil tahan asam (BTA) positif di Kota Pariaman, Bukittinggi, dan Dumai tahun 2010-2016. Data dianalisis dengan uji korelasi dan analisis spasial. Hasil penelitian ini menunjukkan bahwa diantara variabel yang diuji, hanya ketinggian wilayah yang berkorelasi kuat dengan proporsi TB paru BTA positif di Kota Bukittinggi.  Semakin tinggi wilayah maka semakin rendah kasus TB paru BTA positif di Kota Bukittinggi. Disarankan daerah dengan dataran yang lebih rendah dapat lebih fokus untuk melakukan upaya preventif dan promotif TB paru melalui kegiatan penyuluhan dan upaya promosi kesehatan lainnya. Kata kunci:Analisis spasial, angka kejadian TB paru, ketinggian wilayah, kepadatan penduduk, cakupan rumah sehat

Author(s):  
Chreisye K. F. Mandagi ◽  
Angela F. C. Kalesaran ◽  
Febi K. Kolibu

Background: The number of dengue hemorrhagic fever (DHF) cases in Indonesia from January to February 2016 was 8,487 with 108 deaths. DHF is an infectious disease that continues to increase from 2014 until 2016 in Manado city. DHF cases in Talaud Islands Regency from 2014 to 2016 were 143 cases. Regional spatial analysis would simplify the distribution of DHF cases in high-risk areas. To be aware of the DHF outbreak cycle, it is necessary to model spatial risk factors based on geographic information systems (GIS) to tackle and eradicate DHF cases by region.Methods: This study aimed to analyze the spread of DHF in Talaud regency based on age, sex, population density and area height. The design of this research is qualitative analytic by using an ecological study approach. The research scope was 19 districts in Talaud regency. Secondary data are used which consists of case number, age, sex, population density, and area height taken from the Talaud district health office with 66 DHF cases in 2018-2019 and analyzed using the GIS approach through spatial analysis.Results: Based on the number of DHF cases that is most in the age group of 5-11 years. Male gender is more likely to suffer from DHF than female. Spatial description of the condition of the altitude in the Talaud Islands regency at risk of suffering from DHF is>50 meters above sea level. Spatial description of population density with most DHF cases is not densely populated area with less than 1,620 inhabitants per km.Conclusions: The health office of Talaud islands regency needs to actively promote health by providing information about eradicating mosquitoes.


Author(s):  
Evy Hariana ◽  
Gandha Sunaryo Putra

ABSTRAKTuberkulosis Paru (TB Paru) merupakan penyakit yang endemis di Kabupaten Sintang. Akan tetapi evaluasi program TB Paru tidak berjalan sebagaimana mestinya. Hal ini disebabkan karena pengelolaan data TB masih dilakukan secara manual sehingga timbul permasalahan laporan tidak tepat waktu, sulitnya untuk mengakses informasi dan laporan mengenai pasien TB dengan HIV-AIDS masih belum ada. Tujuan dari penelitian ini adalah untuk mengembangkan sistem informasi TB Paru terintegrasi berbasis Web untuk mendukung evaluasi program TB Paru Di Wilayah Perbatasan Kabupaten Sintan. Metode penelitian ini adalah metode kuantitatif dan kualitatif. Metode kuantitatif digunakan untuk mengevaluasi kualitas informasi setelah dilakukan pengembangan sistem informasi menggunakan kuesioner. Sementara metode kualitatif digunakan untuk membantu dalam proses indentifikasi pada setiap tahapan dalam metodologi pengembangan sistem menggunakan tekhnik wawancara mendalam (indept interview) kepada pengguna sistem. Hasil penelitian menunjukkan terdapat pengaruh yang positif dan signifikan tentang aksesibilitas informasi (p value=0,008), kecepatan untuk memperoleh informasi (p value=0,016), dan ketepatan waktu informasi (p value=0,016) sebelum dan sesudah sistem dikembangkan. Perlu adanya dukungan dan komitmen dari Dinas Kesehatan Kab. Sintang dalam mendukung implementasi dari Sistem Informasi TB terintegrasi sebagai sumber informasi untuk mendukung evaluasi kegiatan TB di Dinas Kesehatan Kab. Sintang.Kata-kata kunci : TB Paru, sistem informasi, kabupaten sintangABSTRACTPulmonary tuberculosis is an endemic disease in Sintang Regency. However, the evaluation of the Pulmonary TB program did not proceed as it should. This is due to the fact that TB data management is still done manually resulting in problems with reports that are not timely, it is difficult to access information and reports regarding TB patients with HIV-AIDS. The purpose of this research is to develop a Web-based integrated pulmonary TB information system to support the evaluation of the Pulmonary TB program in the Border Region of Sintang Regency. This research method is quantitative and qualitative methods. Quantitative methods are used to evaluate the quality of information after the development of information systems using a questionnaire. While qualitative methods are used to assist in the identification process at each stage in the system development methodology using indepth interview techniques to system users. The results showed a positive and significant effect on information accessibility (p value = 0.008), speed to obtain information (p value = 0.016), and timeliness of information (p value = 0.016) before and after the system was developed. There needs to be support and commitment from the District Health Office. Sintang in supporting the implementation of the integrated TB Information System as a source of information to support the evaluation of TB activities in the District Health Office. SintangKeywords : Pulmonary tuberculosis, information systen, sintang regency


2018 ◽  
Vol 11 (2) ◽  
Author(s):  
Gandha Sunaryo Putra ◽  
Evy Hariana

ABSTRACTBackground: Sintang Regency is one of the regencies in West Kalimantan Province that is endemic to pulmonary TB with CNR in 2017 of 95 / 100,000 inhabitants. Addressing cases of pulmonary TB that are always high, one of the important roles that must be performed by the Sintang District Health Office is to monitor and evaluate the pulmonary TB program. However, this does not work as it should because the Integrated TB Information System(ITIS) in each puskesmas does not  work. This impedes the evaluation process at the Sintang District Health Office.  Research Objectives: Conduct Input Evaluation of Integrated TB Information System in the Sintang District Health Office Working Area.Methods: This research is a descriptive study with a qualitative approach. This research was conducted in May-June 2018 in the Working Area of the Sintang District Health ServiceResults: There is no problem with the availability of HR to operate ITIS. Problems were found in ITIS supporting facilities and infrastructure especially on the internet network and ITIS Software version 10.04 which could not operate on all computers managing TB programs. Constraints were also found in the limited funds supporting the implementation of ITIS which only relied on funds from the Global Fund. There is no special allocation of funds from the Sintang District Health Office for the implementation of ITIS.


2019 ◽  
Vol 5 (1) ◽  
pp. 40
Author(s):  
Gandha Sunaryo Putra ◽  
Evy Hariana

Abstract: Design of Web-Based Integrated Pulmonary Tuberculosis Information Model. Pulmonary TB is one of the health problems in Sintang District where in 2016 Pulmonary TB Case Notifcation Rate (CNR) is 100/100,000 population. An important step that must be carried out by the Sintang District Health Office is to evaluate the Pulmonary TB program. Based on preliminary studies, the evaluation of the Pulmonary TB control program is still not working properly. This is because the data management process is still done manually so that reports are often late. Therefore, the need for an appropriate information system model and in accordance with the needs of TB program users to support the evaluation of the Pulmonary TB program. The purpose of this study was to design a web-based integrated pulmonary TB information system model to support the evaluation of Pulmonary TB programs. This research is a qualitative research. Subjects in this study were all users of the TB information system consisting of Head of Division, Section Head, TB Wasor, TB Staff in Health Service and several managers of Pulmonary TB programs. The results of this study were obtained a design model of integrated WEB-based TB information system based on the needs and desires of system users. Sintang District Health Office is recommended to build a system that has been designed based on the needs of system users so that the problem of the TB information system can be overcome. Abstrak: Perancangan Model Sistem Informasi Tuberkulosis Paru Terintegrasi Berbasis Web. TB Paru merupakan salah satu permasalahan kesehatan di Kabupaten Sintang yang pada tahun 2016 memiliki Case Notifcation Rate (CNR) sebesar 100/100.000 penduduk. Langkah penting yang harus dilakukan oleh Dinas Kesehatan Kabupaten Sintang adalah melakukan evaluasi program TB Paru. Kegiatan evaluasi program penanggulangan TB Paru masih belum berjalan sebagaimana mestinya. Hal ini disebabkan proses pengelolaan data masih dilakukan secara manual sehingga laporan sering terlambat. Oleh karena itu, perlu dikembangkan suatu model Sistem Informasi yang tepat serta sesuai dengan kebutuhan pengguna program TB guna mendukung evaluasi program TB Paru. Tujuan penelitian ini adalah untuk merancang model Sistem Informasi Tuberkulosis Paru terintegrasi berbasis Web untuk mendukung evaluasi program TB Paru. Penelitian ini merupakan penelitian kualitatif. Subjek dalam penelitian ini adalah semua pengguna Sistem Informasi TB yang terdiri dari Kepala Bidang, Kepala Seksi, Wasor TB, Staf TB Dinas Kesehatan dan beberapa pengelola program TB Paru. Penelitian ini menghasilkan suatu model rancangan Sistem Informasi TB terintegrasi berbasis WEB berdasarkan kebutuhan dan keinginan dari pengguna sistem. Disarankan kepada Dinas Kesehatan Kabupaten Sintang untuk membangun sistem yang sudah dirancang berdasarkan kebutuhan dari pengguna sistem sehingga permasalahan Sistem Informasi TB bisa diatasi.


Author(s):  
Nursalim Nursalim ◽  
Mappeaty Nyorong ◽  
Asriwati Amirah

The purpose of this study was to describe the implementation of pulmonary TB disease management with the DOTS strategy at the Jagong Health Center, Central Aceh Regency.The implementation of Pulmonary TB Management with the DOTS (Directly Observed Treatment Shortcourse) strategy in the working area of the Jagong Health Center, Central Aceh Regency has been maximized. by facilitating and providing motivation so that patients want treatment in a complete and integrated manner, case detection can be carried out by health workers or cadres who have been given training to recognize the symptoms of pulmonary TB. The distribution of drugs is distributed to each puskesmas in Central Aceh Regency, from the Puskesmas the drugs are arranged directly by P2TB officers then given directly to the PMO or the patient himself. PMO performance has never been given special training about treatment, PMO only received direction from P2TB Pulmonary officers. Recording and reporting carried out at the Jagong Health Center includes case finding, treatment, and recovery. Suspected pulmonary TB will be recorded and then monitored until the results of the examination have been obtained. Recording and reporting will be reported every month in a meeting at the Central Aceh District Health Office. For the Central Aceh Regency government to further enhance the development and improvement of infrastructure in the health sector so that health services are more easily accessible to people in remote areas.


2019 ◽  
Vol 38 (2) ◽  
pp. 158-164
Author(s):  
Finish Kuntari ◽  
Budi Utomo

Tuberculosis (TB) Lung is a contagious infectious disease caused by Mycobacterium tuberculosis, the germ enters the human body by breathing air into the lungs. Based on the data of Banyumas District Health Office of 2016, for the work area of Puskesmas I Kembaran, there are new cases of TB + TB patients with 8 people and the total number of cases of Pulmonary TB is 27 people. Therefore it is necessary to observe to know the cause of the incidence of Pulmonary TB disease covering wide of ventilation, lighting, humidity and temperature. The research method used is descriptive observasional that is by describing research variables by doing observation on physical quality of patient of Pulmonary TB with sample number 28 house. Data analysis used is descriptive analysis by using frequency distribution and research variables presented in table form by comparing the result with Decree of Minister of Health of Republic Indonesia Number 829 / MENKES / SK / VII / 1999 concerning Housing Health Requirement.The conclusion is that 28 houses of Pulmonary TB patients in the work area of Puskesmas I Kembaran are categorized as unhealthy house with criteria of house that do not meet health standard


2019 ◽  
Vol 47 (3) ◽  
pp. 143-152
Author(s):  
Nungki Hapsari Suryaningtyas ◽  
Milana Salim ◽  
Indah Margarethy

Dengue Haemorrhagic Fever (DHF) is one of Arthropod-Borne Virus that causes health problems. One of the provinces that have morbidity rates above the national rates was DI Yogyakarta province, about 167.89 per 100.000 population, the number of dengue cases in 2015 in Gunungkidul Regency was 498 cases with three death cases. The study of DHF cases distribution in Gunungkidul Regency was aimed to analyze the spatial risk factors againts DHF cases in Gunungkidul Regency using geographic information system applications. This study used a secondary data sourced from the book of Profile of Gunugkidul District Health Office and the report of Gunungkidul Regency Central Bureau of Statistics in 2011-2015. The variables analyzed included the data of DHF cases per sub-district, population density, the large area, and clean water facilities with rain storage. The data served in map, each variable processed by overlaying methode using the Gis Arc program 10. The mapping results showed that the population density and large area have no effect to the incidence of DHF. All sub-districs in Gunungkidul Regency have the same risk in spreading dengue cases. Most of endemic subsdistrict area have rain storage, that means there are possibility of Aedes aegypti and Aedes albopictus as DHF vector could thrive well in those area. Keywords: DHF, mapping, regional characteristics, Gunungkidul Abstrak Demam Berdarah Dengue (DBD) merupakan salah satu penyakit virus tular vektor yang menimbulkan masalah kesehatan. Salah satu provinsi dengan angka kesakitan di atas angka nasional adalah Provinsi Daerah Istimewa Yogyakarta (DIY) dengan angka kesakitan sebesar 167,89 per 100.000 penduduk, jumlah kasus DBD pada tahun 2015 di Kabupaten Gunungkidul (498 kasus) dengan tiga kematian. Kajian mengenai distribusi kasus DBD di Kabupaten Gunungkidul bertujuan untuk menganalisis faktor risiko secara spasial yang berpengaruh terhadap kejadian DBD di Kabupaten Gunungkidul menggunakan aplikasi sistem informasi geografis. Kajian ini menggunakan data sekunder yang bersumber dari buku Profil Dinas Kesehatan Kabupaten Gunugkidul dan laporan Badan Pusat Statistik Kabupaten Gunungkidul tahun 2011-2015. Variabel yang dianalisis meliputi data kasus DBD per kecamatan, kepadatan penduduk, luas wilayah, dan sarana air bersih dengan penampungan air hujan. Data disajikan dalam bentuk peta, setiap variabel disusun dengan metode overlay menggunakan program Arc Gis 10. Hasil pemetaan menunjukkan bahwa kepadatan penduduk dan luas wilayah tidak berpengaruh pada kejadian DBD. Semua kecamatan di Kabupaten Gunungkidul memiliki risiko yang sama dalam penyebaran kasus DBD. Sebagian besar Kecamatan yang endemis DBD memiliki tempat penampungan air hujan, artinya ada kemungkinan vektor DBD, baik Ae. aegypti maupun Ae.albopictus dapat berkembang baik di wilayah tersebut. Kata kunci : DBD, pemetaan, karakteristik wilayah, Gunungkidul


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.


2010 ◽  
Vol 15 (26) ◽  
Author(s):  
H Roggendorf ◽  
A Mankertz ◽  
R Kundt ◽  
M Roggendorf

On 15 March 2010, a case of measles was reported to the District Health Office in Essen. In total 71 cases occurred from 15 March to 19 May (four cases hospitalised), with the majority linked to a Waldorf school. Only one case had been vaccinated twice, two cases had been vaccinated once. Immediate and consequent exclusion of non-immune children from classes for two weeks as well as the adjacent spring break prevented the wider spread of the virus.


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.


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