Situasi Filariasis Limfatik di Daerah Pasca Pemberian Obat Pencegahan Massal (POPM) dan Pasca Eliminasi di Kabupaten Tanjung Jabung Timur dan Belitung

East Tanjung Jabung Regency, Jambi did not pass in the Pre-Transmission Assessment Survey (Pre-TAS) in 2017, while Belitung, Bangka Belitung has a microfilaria rate (Mf rate) >1% even though it has passed TAS 1,2, and 3. The purpose of this study is to identify the program implementation control of lymphatic filariasis in East Tanjung Jabung Regency and Belitung Regency. The research was conducted in four villages, namely of Rantau Rasau 2, Nibung Putih (East Tanjung Jabung), Lasar, and Suak Gual (Belitung). Blood sampling was conducted on 1,919 people aged 5-70 years, while interviews were conducted on 900 people aged >16 years. The results of blood tests in East Tanjung Jabung were not found positive for mf, while in Belitung, 33 people were found positive for mf. The results of the risk estimate analysis of the respondent's knowledge, attitude and behavior factors indicate that respondents who live in East Tanjung Jabung Regency have a better level of knowledge, attitudes, and behaviour towards lymphatic filariasis t han respondents who live in Belitung Regency. Keywords: lymphatic filariasis, elimination, risk factor Abstrak Kabupaten Tanjung Jabung Timur, Jambi tidak lulus dalam Survei Penilaian Pra Transmisi (Pre-TAS) tahun 2017, sedangkan Belitung, Bangka Belitung memiliki angka mikrofilaria (Mf rate) >1% padahal sudah lolos TAS 1,2, dan 3. Tujuan penelitian ini adalah untuk mengidentifikasi pelaksanaan program pengendalian penyakit filariasis limfatik di Kabupaten Tanjung Jabung Timur dan Kabupaten Belitung. Penelitian dilakukan di empat desa, yaitu Rantau Rasau, Nibung Putih (Tanjung Jabung Timur), Lasar dan Suak Gual (Belitung). Pengambilan sampel darah dilakukan pada 1.919 orang berusia 5-70 tahun, sedangkan wawancara dilakukan pada 900 orang berusia >16 tahun. Hasil tes darah di Tanjung Jabung Timur tidak ditemukan positif mf, sedangkan di Belitung, 33 orang ditemukan positif mf. Hasil analisis estimasi risiko faktor pengetahuan, sikap dan perilaku responden menunjukkan bahwa responden yang berdomisili di Kabupaten Tanjung Jabung Timur memiliki tingkat pengetahuan, sikap, dan perilaku yang lebih baik terhadap filariasis limfatik dibandingkan responden yang berdomisili di Kabupaten Belitung. Kata kunci: filariasis limfatik, eliminasi, faktor risiko

Impact of Semi-Annual Albendazole on Lymphatic Filariasis and Soil-Transmitted Helminth Infection: Parasitological Assessment after 14 Rounds of Community Treatment

Between October 2012 and October 2015, we conducted a community trial to assess the impact of semi-annual (twice yearly) community treatment with albendazole on lymphatic filariasis in Seke Pembe, a village in the Republic of the Congo. Semi-annual community treatment with albendazole has been continued in the community since October 2015. We conducted an additional parasitological assessment survey in October 2019, 6 months after the 14th round of semi-annual treatment. Between October 2012 and October 2015, Wuchereria bancrofti antigenemia and microfilaremia rates in the community had decreased from 17.3% to 4.7% and from 5.3% to 0.3%, respectively. In October 2019, the antigenemia rate had decreased further to 2.8% (19 of 687). No microfilariae were found in night blood smears from persons with circulating filarial antigenemia (0 of 16), suggesting that W. bancrofti transmission has been interrupted in Seke Pembe. Semi-annual albendazole treatments also reduced significantly infection rates with soil-transmitted helminths.

Between the Tides: Developing an Indigenous-Informed Cultural Safety Training Impact Assessment Survey Tool for Post-Secondary Institutions on Vancouver Island, BC

This paper highlights the development of an Indigenous Cultural Safety Training (ICST) impact assessment survey tool working in collaboration with Indigenous leaders, Elders, faculty, staff, and students from across four post-secondary institutions on the traditional lands of the Songhees, Esquimalt and WSÁNEĆ Peoples on Vancouver Island, British Columbia. What emerged from a series of Indigenous-led workshops was the development of an ICST impact assessment survey tool to measure the impact of the training as well as for ICST participants to reflect on their own cognitive and behavioural change within their practice over a 12-month period. In addition, a validation process with ICST experts, facilitators, staff, faculty, Elders, and participants was carried out to help refine the proposed co-constructed assessment variables, statements, and questions underpinning the survey tool. The finalized ICST impact assessment survey tool will not only improve the quality of ICST in post-secondary settings, but will also enable staff, faculty, and leaders to reflect on how the ICST improves their personal and professional practice working with Indigenous students in these settings.

Development, Validation, and Testing of a Self-Assessment Tool to Measure Food Safety Beliefs, Attitudes, and Behaviors in Healthcare Foodservice Operations

The neutropenic diet has long been a dietary prescription for immunocompromised patients. Its effectiveness and consistency, unfortunately, have been constantly challenged. Researchers and healthcare policymakers call for liberalization of neutropenic diet, which shifts risk management strategies from excluding claimed “high-risk” food items to focus on safe food handling. The responsibility of food safety falls on foodservice workers in a healthcare setting. The objective of this study was to develop and conduct psychometric testing to determine the validity and reliability of a self-assessment survey instrument tool targeting beliefs, attitudes, and behaviors of safe food handling practices for healthcare foodservice workers. This survey validation study was conducted in four distinct phases. First, the tool was developed based on the Theory of Planned Behavior framework. After initial draft, the survey underwent content validity testing to establish face validity and test-retest reliability to measure temporal stability. Lastly, the 40-item survey was then pilot tested to assess internal consistency and construct validity. Pilot testing was conducted over a 16-month period on 211 healthcare foodservice workers across six acute care hospitals who serve immunocompromised populations. The original survey was comprised of 46 items. Six items were removed due to low content validity scores and temporal instability. Pilot testing revealed acceptable internal consistency (Chronbach’s alpha = 0.79). The linear regression model proved to be a good fit (p ≤ .0001) after assumptions were tested and met to predict behavior from attitude. A reliable and valid self-assessment survey instrument tool was developed for use in a healthcare foodservice operation. Results of this tool can help organizations pinpoint areas to improve food safety practices of foodservice workers who serve immunocompromised population.

The Role Of Leadership In The Result Of Integrity Assessment Survey In Ministry Of Finance Of The Republic Of Indonesia

This article reviews the relationship between leadership in the Ministry of Finance of The Republic of Indonesia and the results of the 2020 Integrity Assessment Survey conducted by the Corruption Eradication Commission of The Republic of Indonesia, where the Ministry of Finance obtained an index of 87.86 on a scale of 100.00. This achievement was classified as good because the average achievement index for the ministries/agencies and local governments was 82.6. With the various definitions of leadership, it is generally agreed that leadership plays an essential role in determining the success of an organization or group within the organization. Leaders have the authority to make decisions and in carrying out what has become a decision. In addition, through the authority possessed, the leader plays a role in determining the work culture and values that are embraced and carried out by everyone in the organization in relation to the implementation of work. This article aims to examine the role of leadership in the achievement of integrity assessment surveys in the Ministry of Finance of The Republic of Indonesia. From a theoretical perspective and studies related to leadership that scholars have previously carried out, there is a common thread between leadership and the results of the integrity assessment survey. It is necessary to conduct a more in-depth empirical study to find out how significant leadership contributes to the achievement of the results of the integrity assessment survey.

Development and Implementation of an Advanced Practitioner–Led Survivorship Clinic for Patients Status Post Allogeneic Transplant

Background: Survivor recovery from hematopoietic cell transplantation (HCT) is long term, with significant physical and psychological morbidities that impact quality of life and reentry into personal and social lives. The optimal timing of when and how to deliver comprehensive HCT survivorship care is not well defined. Purpose: The purpose of this study was to design, implement, and evaluate an advanced practitioner (AP)-led pilot survivorship clinic incorporating an individual and group format for patients post HCT at the 1-year transition period. Methods: A survey assessing physical, social, emotional, and spiritual needs and concerns was mailed to a sample of patients who underwent HCT between 2009 and 2014. This phase 1 survey was utilized in the phase 2 design of an AP-led pilot survivorship clinic for patients post allogeneic HCT. A total of 15 patients were approached, out of which 7 enrolled over a 12-month period in the pilot survivorship clinic. Results: The needs assessment survey noted the most prevalent moderate to high concerns were in the emotional domain, with 52% of respondents identifying fear of cancer returning and new cancer developing. The pilot survivorship clinic incorporating a group visit format with multiple sessions was not feasible for both patients and APs within the context of a small- to medium-sized HCT program. Conclusion: The needs assessment survey underscored the importance of addressing all four quality of life domains in cancer survivors. A hybrid survivorship clinic with one comprehensive group visit may be beneficial for HCT survivors at the 1-year transition for small- to medium-sized HCT programs.