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Geographic Distribution of DHF Cases and Larvae Free Index In Situbondo Regency, 2019-2021
Full text linkFor the last 3 years of dengue cases in Situbondo Regency, there were 475 patients recorded from January to December 2021 (incident rate, IR = 68.904/100,000) and 4 death cases (case fatality rate, CFR = 0.8%). The average percentage of Larvae Free Index Situbondo scores is still below the Environmental Health Quality Standards for an area of at least 95%. This study aims to describe the mapping of Larvae Free Index and dengue cases in Situbondo district in 2021. The type of this research is descriptive. The object of this research is the value of Larvae Free Index and cases of DHF. The data obtained is secondary data from Larvae Free Index and DHF cases in Situbondo Regency for 3 years starting from 2019-2021. The data is displayed using QGIS mapping using points and polygons. Health information and the potential for dengue fever in the area can be identified using geographic mapping, this information can be used to decide policies in breaking the chain of disease. The number of dengue cases in Situbondo Regency increased from 2019-2021. Larvae Free Index value of each village is better than the previous year. The spread of dengue cases is very high due to the mobility of residents who carry out activities outside the area of residence, resulting in transmission of dengue through mosquito bites. To prevent the spread of dengue cases, people are expected to use mosquito-repellent lotion when traveling
Risk Burden of Heat-Related Morbidity Due to Urban Heat Island Effect in Tamalanrea District, Makassar
Full text linkOne of the problems in the urban environment is the rise in land surface temperature and heat buildup (Urban Heat Island) around built-up areas. People living in UHI areas will experience an increased risk of health burdens. Therefore, early identification for disaster mitigation is needed to achieve a sustainable city. This study aims to provide an overview of the risk of the spread of heat-related diseases based on the relative risk value in Tamalanrea District. This study considers the relationship between Land Surface Temperature (LST) values in 2019, 2020, and 2021 with the incidence of heat-related diseases obtained from the Integrated Health Center Recording and Reporting System (IHCRRS) in Tamalanrea District, Makassar City in 2019, 2020 and 2021. Data analysis used Pearson correlation test and Standardized Morbidity Ratio (SMR) epidemiological approach. The results showed a significant relationship between LST values and the incidence of hypertension, heart disease, and asthma in 2019 and the incidence of headache and hypertension in 2021. Bira and Kapasa sub-districts were at the highest risk for the spread of heat-related diseases than other sub-districts with a risk score > 4.00 (very high). These findings can be used to help guide public health interventions and preventive urban planning efforts
The Role of Healthy Social Life, Food Security, and Nutrition in Shaping a Healthy Island: An Analysis Using Structural Equation Modeling
Full text linkSeveral important factors are associated with establishing a healthy island including a healthy social life, food security, and nutrition but in-depth information related to these dimensions is limited. The relationship dimensions include addressing poverty, managing natural and social disasters, handling disabilities, food availability, and food security. Therefore, this study aimed to identify the best model for establishing a healthy island in South Sulawesi. The experiment was carried out on five islands located in three municipalities/regencies in South Sulawesi, namely Tanakeke Island in Takalar Regency, Barrang Caddi Island and Lummu-Lumu Island in Makassar Municipality, as well as Saugi Island and Sapuli Island in Pangkep Regency. The sample consisted of 196 households, while data were analyzed using multivariate analysis through structural equation model tests. The results showed that addressing poverty (t value = 13.77; R2 = 0.75), managing natural and social disasters (t value = 12.15; R2 = 0.61), as well as handling disabilities (t value = 12,53; R2 = 0.64) significantly affected healthy social life. Additionally, food availability (t value = 6.25; R2 = 0.66), and security (t value = 2.72; R2 = 0.85) played key roles in the relationship between food security and nutrition affecting a healthy island. The best indicator of a healthy social life variable was addressing poverty (t value = 13.77; R2 = 0.75). Meanwhile, the best indicator of food security and nutrition variables was food availability (t value = 6.25; R2 = 0.66)
Pesticide Residues Impact on Drinking Water and Farmers Using Environmental Health Risk Assessment Study (EHRA)
Full text linkPublic health problems and decreased environmental health can be caused by pesticides because they are dangerous toxic substances. Pesticides have had a risky impact on farmers in Jonggol village. Assessing the risk of pesticide exposure to drinking water sources in agricultural areas in Jonggol village in 2022 is the aim of this study. The research used the Environmental Health Risk Assessment study. Conducting interviews with questionnaires, measuring pesticides in drinking water sources, and observing are part of the research data collection. The results of research conducted at 3 points only found pesticides at the first point, namely in the well water in Kampung Kujang with a value above the standard of 0.0855 mg/l the location is only 2 m from the agriculture. In the next two points, namely well water in Karni village and river water in Bengkok village, no pesticides were detected and the distance from the agriculture was 20 m. Most of the water from wells in agricultural areas is consumed by farmers for drinking. The calculation result was 0.00246 mg/kg/day for non-carcinogenic intake values (real-time) and 0.001056 mg/kg/day for carcinogenic intake values (real-time). The results showed there was no non-carcinogenic risk with RQ value of ≤ 1 with a value of characteristics of non-carcinogenic risk was 0.246. The conclusion is that both in real-time and in a lifetime, farmers in Jonggol village are already at risk. The risk of health problems for farmers can be reduced by the importance of protecting farmers by carrying out risk management
Factors Associated with Chronic Kidney Insufficiency Stage: A Cross-Sectional Study
Full text linkChronic Kidney Insufficiency (CKI) is a kidney disorder that occurs for at least three months and can become a chronic kidney disease. Many risk factors can cause CKI related to individual characteristics and lifestyle. The purpose is to determine the relationship between age, gender, diabetes mellitus, hypertension, smoking, and consumption of energy supplements with CKI stage in a selected hospital in Indonesia. This research was an analytic observational quantitative with a cross-sectional design. The number of samples was 325 patients using the accidental sampling technique. The instrument used creatinine results and Glomerular Filtration Rate calculations based on laboratory tests, questionnaires, and observation sheets. Bivariate analysis with Chi-Square. Most of the respondents in the CKI stage V (38.8%), late elderly (35.4%), male (56.9%) had a history of diabetes mellitus (55.4%), hypertension (67.7%), did not smoke (78.5%), and does not consume energy supplements (62.5%). Bivariate analysis showed a meaningful relationship between age (X2=8.52, p=0.019), history smoking behaviour (X2=7.12, p=0.026), diabetes mellitus (X2=4.39, p=0.037, and hypertension (X2=7.99, p=0.026) with CKI stage. Age, smoking behaviour, history of diabetes mellitus, and hypertension were associated with the CKI stage
Related Factors of Work Stress Among Breastfeeding Working Women in Indonesia
Full text linkWork stress is a common response experienced by workers, including breastfeeding working women, due to stressors arising in the workplace. In the short term, work stress has a negative impact on the productivity and lactation activity of working women. Therefore, this study aimed to investigate the factors associated with work stress among breastfeeding working women. A cross-sectional design was used by distributing the workplace stress scale questionnaire and additional questions to breastfeeding working women. The data used were obtained from 162 respondents spread across Indonesia who were willing to fill out online questionnaires. Subsequently, the collected data were analyzed using the Logistic Regression test. The results indicated that 85 people (52.47%) felt high stress, particularly regarding the lack of opportunity to show ability and talent during work. A statistically significant relationship (p=0.034, aOR= 2.139) was also discovered between the type of family and work-related stress in breastfeeding working women. Although this problem was directly sourced from stressors at work, demographic factors such as the type of family contributed to the stress experienced by breastfeeding working women
Risks of Daily Living Activities on Related Disability
Full text linkIndonesian lost 6 days productive time in average because the disability of daily activities, that must be dealt with seriously because the effect of this problem is the declining quality of life of a person and will also cause a burden for country. This research is expected to be the key to understand and overcome the problems of disability in daily activities. The research used cross sectional design with a secondary data based of Indonesian Family Life Survey (IFLS) 5. The analysis in this study was logistic regression with samples aged >40 years who participated in data collection conducted by RAND with a total of 8185 respondents. Almost all variables examined in this study were statistically significant with disabilities, there were age (p = 0.000, OR = 2.996, 95%CI = 2.726 – 3.294), gender (p = 0.000, OR = 1.858, 95%CI = 1.693 – 2.039), marital status (p = 0.000, OR = 2.211, 95%CI = 1.997 – 2.448), employment status (p = 0.000, OR = 2.540, 95%CI = 2.321 – 2.780), arthritis status (p = 0.000, OR = 1.687, 95%CI = 1.482 – 1.919) and obesity (p = 0.000, OR = 1.345, 95%CI = 1.177 – 1.538). Only variable educational level that is not significant with disability (p=0,198). The target of disability management is prioritized at an older age by providing health education and assistance so that they can withstand the threat of daily disability and lead to an improvement in their quality of life
Determinants of Hypertension Incidence in the Work Areas of the Bone and Barru District Health Centers in 2022
Full text linkHypertension is often called the silent killer because it does not show any symptoms. Hence, not all people with hypertension are aware that they suffer from a chronic condition that can cause degenerative diseases, to death. Hypertension is a problem that is often found in society, both in developed and developing countries, especially in Indonesia. The purpose of this study was to determine the factors associated with the incidence of hypertension in the work area of Dua Boccoe Health Center and Blue Health Center of Bone Regency and Padongko Health Center and Palakka Health Center of Barru Regency, with a high prevalence of hypertension cases in Bone Regency (29.33%) and Barru Regency (33.59%). The type of research used is observational with cross-sectional design with a total of 356 respondents. Data were processed using the SPSS program with chi-square analysis and logistic regression. The results of the study based on the chi-square test showed that there was a relationship between the variables of age, education level, family history of hypertension, smoking, and stress with the incidence of hypertension (p<0.05) and there was no relationship between the variables of sex and physical activity with the incidence of hypertension (p>0.05). Furthermore, based on the logistic regression test, respondents were at a 6.5 times greater risk of developing hypertension if they had stress risk factors. Therefore, respondents are expected to carry out regular health checks and maintain a healthy lifestyle to control risk factors for hypertension
The Relation between Rainfall and Larval Density of Dengue Hemorrhagic Fever with Spatial Modeling
Full text linkDengue Hemorrhagic Fever (DHF) is a disease transmitted by the aedes aegypti mosquito. This study aims to determine the relationship between rainfall and larval density which consist of House Index (HI), Container Index (CI), Breteau Index (BI), and Larval Free Rate (LFR) on the incidence of dengue hemorrhagic fever using GIS modeling. The research method is quantitative with a spatial approach and Univariate and Bivariate analysis. The study population was all cases of DHF in all working areas of Lahat District Health Center, Lahat Regency in 2016-2019. The results of the statistical correlation test showed that there was a correlation between rainfall and the incidence of DHF with a value (p=0.003), while larval density showed a correlation between HI and the DHF incidence (p-value=0.007), CI (p-value=0.007), BI (p-value=0.007). ABJ (p-value=0.012). Spatially, it was found that the incidence of dengue fever was high in the working regions of Public Health Center with high HI (≥5%), low CI (<10%), low BI (<50%), and low larvae-free rate (<95%). It can be concluded that there is a relation among rainfall, HI, CI, and BI on the incidence of DHF in Lahat Regency in 2016-2019 and spatially shows the high incidence of DHF in high HI (≥5%) and low LFR (<95%). It is recommended that the Lahat Regency Office used climate information from the BMKG in planning a program to eradicate DHF and eradicate mosquito nests during the rainy season in Lahat District
Determinants of Approval Claims at Hospital Among COVID-19 Patients
Full text linkThe COVID-19 pandemic is an issue that is being faced by Indonesia and even most countries in the world. The impact due to the COVID-19 pandemic is disruption of hospital with cash flow. It was caused by the delay in hospital payment of claims which are not approved by Badan Penyelenggara Jaminan Sosial (BPJS Kesehatan). Siloam Sentosa Hospital Bekasi provides services for COVID-19 patients. However, out 81 claims of COVID-19 patients in August-October 2020, there were 65 claims (80.25%) not approved by BPJS Kesehatan. The purpose of this study was to analyze the factors that affect the approval claims among patients with COVID-19 at Siloam Sentosa Hospital Bekasi. This type of research was descriptive analysis with a quantitative approach. The research population was 108 claims and the sample used the total population. A Logistic regression test was used to analyze the data. The results of the study explained the completeness of claims, the quality of the medical resume, the completeness of filling out the epidemiological investigation form, and the quality of clinical coding that affected the approval claims. The study showed 21.5% of other factors that are not examined can affect the approval claims. Socialization of policies related to payment of claims to hospitals as well as monitor and evaluate from both hospitals and BPJS Kesehatan need to be improved to prevent claims that are not approved