scholarly journals Implementasi Koordinasi Lintas Sektor dalam Rangka Pengendalian Leptospirosis di Kabupaten Jeneponto

2020 ◽  
Vol 1 (2) ◽  
pp. 162-171
Author(s):  
Wirdayanti Wirdayanti ◽  
Syamsuar Manyullei ◽  
Muh. Fajaruddin Natsir

Leptospirosis is an infectious disease caused by leptospira sp. and many are found in populations of people who live in rural areas. Leptospirosis is also a zoonotic disease that can be endemic and has adverse economic, social and psychological consequences. Zoonotic disease is closely related to human health, animals, and also the environment so that in controlling and preventing it is necessary the involvement or cooperation of various parties absolutely. This study was to determine cross-sectoral cooperation through coordination in the context of controlling leptospirosis in Jeneponto Regency. This type of research is qualitative with a phenomenological design. The number of informants in this study was 14 people. Determination of informants obtained by purposive sampling by determining the criteria for informants who are willing to be interviewed and play an important role in controlling infectious diseases. Showed that coordination between informants in the cross-sector had been carried out through the administration at the puskesmas conducted every quarter. Coordination conducted by the informant in controlling leptospirosis still needs to be improved, especially communication in the event of a case or outbreak in the community. The conclusion in this study is that cross-sectoral coordination needs to be improved, especially in controlling zoonotic diseases that occur in the community. The researchers suggest to the health center health workers to always coordinate well with other sectors that should be involved in controlling leptospirosis.

Author(s):  
Prathurng Hongsranagon

In rural areas of Thailand, health center personnel are responsible for primary health care. The opportunity for continuing education is imperative in the attraction and retention of these workers at their primary locations. The provision of continuing education also increases the quality and spectrum of health care available for the local people leading to better health outcomes for the Thai population. Distance education is one promising form of continuing education involving the use of advanced communication technologies to allow health center staff to continue to work and study off-campus. This chapter describes a tailor-made “Learning at the Workplace” distance education program provided to Thai rural health center personnel through the College of Public Health Sciences at Chulalongkorn University. Focus group discussions and selected quantitative research methods are recommended to evaluate the effectiveness of this learning model and determine the educational needs of health workers. Learning at the Workplace is expected to make a new contribution to the local needs of continuing education among the health care workforce in Thailand. This chapter emphasizes the potential that distance education offers to attract and retain health care personnel as well as the importance of providing a tailor-made curriculum in response to different regional and epidemiological factors.


Author(s):  
Marta L. Wayne ◽  
Benjamin M. Bolker

‘Looking ahead’ shows how our understanding of disease ecology and evolution has revolutionized disease management. By developing transmission control strategies to close the encounter filter and vaccines and treatments to close the compatibility filter, we have reduced the misery caused by infectious disease. But what is the outlook for the future control of infectious diseases? We cannot eradicate infectious disease. Living things have parasitized one another since the beginning of life itself. New zoonotic diseases will continue to emerge, and existing diseases will continually evolve to escape our methods of control. Despite this stark reality, we can minimize the impact of disease even if we can never fully conquer it.


2016 ◽  
Vol 32 (12) ◽  
pp. 481
Author(s):  
Candra Candra ◽  
Lutfan Lazuardi ◽  
Mubasysyir Hasanbasri

Absenteeism among primary health center workers: an analysis of the 2012 IFLS in Eastern IndonesiaPurposeThe study aimed to determine the determinants for absence of health centre employees in urban and rural areas in the eastern Indonesian region using data IFLS East 2012.MethodsThis study was a quantitative research using secondary data analysis of Indonesian family life survey (IFLS) East 2012 with health professionals using a cross-sectional design. The population was all health workers in seven provinces in Eastern Indonesia (Nusa Tenggara Timur, East Kalimantan, South East Sulawesi, Maluku, North Maluku, Papua, West Papua). The research sample totaled 1809 health workers. Analysis used STATA version 12.ResultsThe results of bivariable analysis on the variables gender, type of health worker, tenure, health center locations showed a significant relationship with absenteeism the health center employee. The results showed from the multivariable analysis showed higher odds ratio at rural health centers versus urban locations with absenteeism of health center employee, but there was no significant difference.ConclusionThe absenteeism of health center employees is influenced by various multi-factors especially gender, types of health worker, tenure and health center locations. Increased capacity in the management by health center managers, broader authority to enforce discipline, and monitoring by the community is expected to decrease absenteeism of health center employees.


2021 ◽  
Vol 7 (1) ◽  
pp. 131-138
Author(s):  
Syarifa Amalia Alhamid ◽  
Bunga Tiara Carolin ◽  
Rosmawaty Lubis

ABSTRACT: A STUDY OF THE NUTRITIONAL STATUS OF TODDLERS  Background: Nutrition is a very important part of the growth and development of toddlers which is related to health and intelligence. In 2019, the prevalence of malnutrition in Bula District Seram was 10.2%, malnutrition was 4.3% and over nutrition was 5.1%, where the incidence rate was increased from the previous year.Objective: To determine the factors related to the nutritional status of toddlers in the Bula Health Center, East Seram District, Maluku Province.Methodology: This study is a cross sectional correlation study. The samples in the study were all women who had children aged 1-5 years who visited the Bula Health Center, East Seram Regency, Maluku Province in 2020 which consisted 76 toddlers. The research instrument was a questionnaire, data analysis using the chi square test.Results: the results showed that malnourished toddlers were 59.2%, women with poor knowledge were 76.3%, women who had low level education were 63.2%, women with low family income were 72.4%, women who did not work were 55.3%, women who did not provide breast feeding was 71.1% and toddlers who had the history of infectious diseases were 71.1%. The bivariate results obtained knowledge (p=0,022), education (p=0,048), income (p=0,002), occupation (p=0,088), history of breastfeeding (p=0,001) and a history of infectious diseases (p=0,020).Conclusions: There is a relationship between knowledge, education, family income, history of breastfeeding, and a history of infectious diseases with the nutritional status of toddlers.Suggestions: It is hoped that health workers can provide education about nutrition to mothers, so that they could pay more attention to the nutritional status of their toddlers.Keywords: Toddler, Bula Health Centre, Nutritional Status ABSTRAK Latar belakang: Gizi menjadi bagian sangat penting dalam pertumbuhan dan perkembangan balita yang didalamnya memiliki keterkaitan yang erat hubungannya dengan kesehatan dan kecerdasan. Pada tahun 2019 di Puskesmas Bula Kabupaten Seram prevelnsi gizi  kurang sebesar 10,2%, Gizi Buruk 4,3% dan gizi lebih 5,1% dimana angka kejadian ini menigkat dari tahun sebelumnya.Tujuan: Mengetahui faktor yang berhubungan dengan status gizi balita di Wilayah Puskesmas Bula Kabupaten Seram Bagian Timur Provinsi Maluku.Metodologi: Penelitian ini adalah penelitian korelasi dengan cross sectional. Sampel dalam penelitian adalah semua ibu yang mempunyai balita usia 1-5 tahun yang berkunjung ke Puskesmas Bula Kabupaten Seram Bagian Timur Provinsi Maluku tahun 2020 berjumlah 76 balita. Instrumen penelitian adalah kuesioner, analisis data menggunakan uji chi square.Hasil penelitian: Pada hasil didapatkan balita gizi kurang (59,2%), ibu berpengetahuan kurang baik (76,3%), ibu berpendidikan rendah (63,2%). pendapatan keluarga rendah (72,4%), ibu yang tidak berkerja (55,3%), ibu yang tidak memberikan ASI (71,1%) dan balita yang memiliki riwayat penyakit infeksi (71,1%). Hasil bivariat didapatkan pengetahuan (p=0,022), pendidikan (p=0,048), pendapatan (p=0,002), pekerjaan (p=0,088), riwayat ASI (p=0,001) dan riwayat penyakit infeksi (p=0,020).Kesimpulan: Terdapat hubungan antara pengetahuan, pendidikan, pendapatan keluarga, riwayat ASI, dan riwayat penyakit infeksi dengan status gizi balita.Saran: Diharapkan kepada petugas kesehatan dapat memberikan edukasi mengenai gizi kepada ibu agar lebih memperhatikan status gizi balitanya. Kata Kunci: Balita, Puskesmas Bula, Status gizi


2003 ◽  
Vol 1 (3) ◽  
Author(s):  
Ramon Shaban ◽  
Debra Creedy ◽  
Michele Clark

Introduction Paramedics and other emergency health workers are exposed to infectious disease particularly when undertaking exposure-prone procedures as a component of their everyday practice. This study examined paramedic knowledge of infectious disease aetiology and transmission in the pre-hospital care environment. Methods A mail survey of paramedics from an Australian ambulance service (n=2274) was conducted. Results With a response rate of 55.3% (1258/2274), the study demonstrated that paramedic knowledge of infectious disease aetiology and modes of transmission was poor. Of the 25 infectious diseases included in the survey, only three aetiological agents were correctly identified by at least 80% of respondents. The most accurate responses for aetiology of individual infectious diseases were for HIV/AIDS (91.4%), influenza (87.4%), and hepatitis B (85.7%). Poorest results were observed for pertussis, infectious mononucleosis, leprosy, dengue fever, Japanese B encephalitis and vancomycin resistant enterococcus (VRE), all with less than half the sample providing a correct response. Modes of transmission of significant infectious diseases were also assessed. Most accurate responses were found for HIV/AIDS (85.8%), salmonella (81.9%) and influenza (80.1%). Poorest results were observed for infectious mononucleosis, diphtheria, shigella, Japanese B encephalitis, vancomycin resistant enterococcus, meningococcal meningitis, rubella and infectious mononucleosis, with less than a third of the sample providing a correct response. Conclusion Results suggest that knowledge of aetiology and transmission of infectious disease is generally poor amongst paramedics. A comprehensive in-service education infection control programs for paramedics with emphasis on infectious disease aetiology and transmission is recommended.


2021 ◽  
pp. 597-622
Author(s):  
Robert J. Kim-Farley

Infectious diseases remain a leading cause of morbidity, disability, and mortality worldwide. Lower respiratory infections are the third leading causes of death worldwide and their control is a constant challenge that faces health workers and public health officials in both industrialized and developing countries. This chapter provides a global and comprehensive view of the principles of infectious disease control through examination of the magnitude of disease burden, the chain of infection (agent, transmission, and host) of infectious diseases, the varied approaches to their prevention and control (measures applied to the host, vectors, infected humans, animals, environment, and agents), and the factors conducive to their eradication as well as emergence and re-emergence.


Author(s):  
Ta-Chien Chan ◽  
Yung-Chu Teng ◽  
Chiao-ling Kuo ◽  
Yao-Hsien Yeh ◽  
Bo-Cheng Lin

ObjectiveTo visualize the incidence of notifiable infectious diseasesspatially and interactively, we aimed to provide a friendly interfaceto access local epidemic information based on open data for healthprofessionals and the public.IntroductionTransparency of information on infectious disease epidemicsis crucial for not only public health workers but also the residentsin the communities. Traditionally, disease control departmentscreated official websites for displaying disease maps or epi-curveswith the confirmed case counts. The websites were usually veryformal and static, without interaction, animation, or even the aid ofspatial statistics. Therefore, we tried to take advantage of open dataand use a lightweight programming language, JavaScript, to createan interactive website, named “Taiwan Infectious Disease Map(http://ide.geohealth.tw/)“. With the website, we expect to providereal-time incidence information and related epidemiological featuresusing interactive maps and charts.MethodsThis study used infectious-disease-related open data from Taiwan’sopen data platform (http://data.gov.tw) maintained by the TaiwanCDC. It covers 70 types of infectious diseases starting from 2004, andthe latest status is updated every day. We then automatically bridgethis data into our database and calculate the age-adjusted incidencerate by annual census data and 2000 WH0 standard population.The spatial resolution is mostly at the township level, except thatresolution for sexually-transmitted infectious diseases is at the citylevel. The temporal resolution is month and year, except for denguefever, which is by week.We used R software to automatically compute incidence everyday, and also used its package named “spdep” to compute the spatialclusters of the selected infectious diseases online. In addition, weused JavaScript language, PHP, OpenLayers 3 and Highcharts toimplement interactive maps and charts. All the data and graphicalfigures from the charts viewed in this website can be downloadedfreely. The temporal animation slider can be played and paused atany time point. The health education button can directly link to anintroduction to the selected infectious disease maintained by theTaiwan CDC.ResultsThe website of the Taiwan Infectious Disease Map is displayedin Figure 1. The users can select the temporal precision, types ofinfectious diseases, spatial precision and the gender at the beginning.In this case, the left map is the spatial distribution of the cumulativeincidence of tuberculosis (TB) in 2016. The darker red color representshigher incidence. The right top panel is the ranking of TB incidenceamong 368 townships. The right middle panel is the ranking of TBincidence among 22 cities or counties. The right bottom panel is theannual TB incidence from 2004 to the current date. The highest TBincidence was 67.47 per 100,000 in 2004, and this declined sharply to15.92 per 100,000 in 2015.ConclusionsWith this user-friendly web application, the public and localpublic health workers can easily understand the current risk for theirtownships. The application can provide relevant health education forthe public to understand diseases and how to protect themselves. Thespatial clusters, gender distribution, age distribution, epi-curve andtop ten infectious diseases are all practical and important informationprovided from this website to assist in preventing and mitigating nextepidemic.


Author(s):  
Naresh Kumar S. J. ◽  
Ranganth B. G.

Background: Malaria is a major public health problem in several parts of country.  Malaria beliefs and practices are often related to culture, and can influence the effectiveness of control strategies. This study was undertaken to assess the awareness of malaria in rural areas of Kolar with varying endemicity.Methods: A cross sectional community based study was conducted. A sample of 207 Household respondents across the Kolar rural area were randomly selected and interviewed to collect information on awareness regarding Malaria. Two villages each were randomly selected from the two PHC areas in Mulbagal Taluk, Kolar District. PHC areas was taken based on annual parasite incidence more than 2 and less than 1 consistently in the past five years by using pre-tested structured proforma. Data analyzed by using epi info 2.5 version software.Results: It was observed that appropriate knowledge regarding malaria transmission from person to person is more in Devarayasamudra Primary Health Center area (69.2%) where API>2 compared to Nangli Primary Health Center area (26.2%) where API<1 and the knowledge regarding causes of malaria is also more in Devarayasamudra PHC area compared to Nangli area.  Majority (87%) of the respondents got information about malaria from the health workers at Devarayasamudra PHC area.Conclusions: The Community knowledge on malaria, its transmission and its prevalence and control clearly depends on the endemicity of malaria. The communities studied under Devarayasamudra PHC area which is problematic for malaria had a better knowledge on malaria transmission and its prevention.


2017 ◽  
Vol 1 (1) ◽  
pp. 19-28
Author(s):  
Muhammad Rashid ◽  
Iqbal Bano ◽  
Asif Hanif

Background: Infectious diseases are common causes of presenting in emergency having severe signs and symptoms. Having significant mortality and morbidity are on the rise in Pakistan. The objective of the study was to determine the prevalence of infectious diseases in paediatric population.Methodology: We studied 200 consecutive patients from 1 month to 12 years of age presenting with infectious diseases. Their detailed history was then taken including symptoms at presentation and the type of infection was assessed with the help of history and laboratory investigations. Following are the common infectious diseases including pneumonia, meningitis, enteric fever, malaria, measles, tuberculosis, acute watery diarrhoea.Results: Frequency wise infectious diseases are pneumonia (63.5%), meningitis (20%), acute watery diarrhoea (8.5%), enteric fever (4%), malaria (2%), tuberculosis (2%), and no measles case found. Infectious diseases are more common in rural areas than urban areas and success after treatment is more (49.5) than death (2%) but a bad impact is that (48.5%) patient went without treatment.Conclusion: This data is taken in winter season that is why Pneumonia is most common infectious disease, second most common infectious disease is meningitis, and others are acute watery diarrhoea, enteric fever, malaria and tuberculosis in our patients. The awareness of risk factors amongst the public is low. Thus, there is an urgent need to create more and more awareness about the preventive aspects and healthier life style behaviour in our community.


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