UMRAH HEALTH SURVEILLANCE SYSTEM IN PORT HEALTH OFFICE CLASS I SURABAYA

Background: The number of Umrah pilgrims is three times higher than hajj pilgrims. The Hajj pilgrims’ welfare can be monitored through an established surveillance system, while Umrah pilgrims’ welfare hasn’t had a surveillance system. Purpose: This study aims to develop an Umrah pilgrims’ health surveillance system in the Port Health Office (PHO)Class I of Surabaya. Method: This research was a descriptive study conducted at Port Health Office Class I of Surabaya in February-August 2018. The data was collected by in-depth interviews. The informants were the officers of Surabaya Port Health Office Class I, the Hajj Guidance Group (KBIH), and the operational manager of Umrah airline. The research variables were data collection, analysis, reports, reports of extraordinary conditions, dissemination, and utilization of results at the Port Health Office (PHO) Class I of Surabaya Results: The general objective of Umrah pilgrims’ health surveillance system is the availability of epidemiological information on Umrah pilgrims’. The data collection was conducted actively and passively on the departure, in Saudi Arabia, and on arrival. The data analysis and interpretation aim to determine the frequency, distribution or proportion of Umrah pilgrims based on demographics, disease history, vaccination status and suspected findings. The information obtained was disseminated to the internal party of PHO Class I of Surabaya, stakeholders across sectors or programs and communities. System evaluation uses the attribute approach and takes place once a year. Conclusion: The system is developed based on the components of data collection, data processing, data analysis and interpretation, and disseminatio

How Was Social Support To The Healing Of Covid-19 Patients In Kediri City? Structural Equation Model Analysis

Covid-19 is an infectious disease caused by a type of coronavirus that was only discovered in 2019. Social support for Covid-19 patients is very important because there is a sharp stigma that society puts on patients and their families so that it can disturb the patient's psyche, along with the emergence of the global pandemic COVID-19, seems to add a line of disease that can create negative stigma for sufferers and their families. The purpose of this study was to analyze the effect of social support on COVID-19 patients in Kediri. The sample of this study was the patient's family and health personnel in Kediri, with descriptive analysis using SEM. Method. This research was explanatory research. The Population of this research was consisting of 170 patients and 150 patients according to cluster sampling technique. This research was using SEM analysis with AMOS tool which aimed to determine sampling in the city of Kediri. The results showed emotional support (B; 2,377; Lower = 1,064; Upper = 2,775), instrumental support (B; 0.560; Lower = 0.524; Upper = 0.830), information support (B; 2.301; Lower = 1.647; Upper = 2,680) , Award Support (B; 2,360; Lower = 1,702; Upper = 2,740). Chi-Square Results (28,267); Probability (0.078); GFI (0.954); TLI (0.957); RMSEA (0.058) with a P-Value: 0.000 with an estimate of 0.720. It showed that the significant in building a social support model that affects the recovery of COVID-19 virus patients

OVERVIEW OF TUBERCULOSIS PREVENTIVE TREATMENT AMONG CHILDREN IN SURABAYA

Background: A high prevalence of tuberculosis (TB) infection rates is followed by high rates of TB infection in children. The TB Preventive Treatment (TPT) for children with Isoniazid (INH) is one of the primary activities to improve TB cases by finding them early to prevent the transmission of TB to children. Purpose: This study aimed to describe the implementation of TPT with prophylactic INH among children in Surabaya. Methods: This research was a descriptive observational study with a case series design using secondary data on the provision of TPT in children, child TB cases in Surabaya City in 2016–2018, and a network of partnerships with hospitals/clinics/doctors’ private practices for the prevention and control of TB in the city of Surabaya in 2016–2018 as the population. The data were collected by in-depth interviews with the holders of the TB prevention and control program of Surabaya. The data were analyzed by comparing and describing the targets and achievements of the INH administration in children. Results: The implementation of INH for children in Surabaya is not optimal and has not reached the targets. The networking of health facilities with providers for the provision of TPT with INH for children is still low in Surabaya City. Conclusions: Delivery of INH for children in Surabaya has been implemented and has increased, however, it is not optimal because it has not reached the targeted districts/municipalities that determined

SPATIAL MODELING OF ENVIRONMENTAL-BASED RISK FACTORS OF TUBERCULOSIS IN BALI PROVINCE: AN ECOLOGICAL STUDY

Background: Indonesia is one of countries with a quite high incidence of tuberculosis. One of the regions which has issue of tuberculosis incidence is Bali Province with a case notification rate that tends to increase in the last three years so that it has an impact on increasing the risk of disease transmission. Purpose: This research aims to identify the risk factor based on the environment/spatial incidence of the tuberculosis in Bali Province. Methods: This research used ecological study design through secondary data obtained from the Health Office of Bali Province, Indonesian Statistics of Bali Province, and Environmental Office of Bali Province. The dependent variable was tuberculosis incidence, while the independent variable was the level of PM10, population density, poverty percentage, healthy house percentage, percentage of Clean and Healthy Lifestyle (PHBS), ratio of healthcare facilities with the community. Results: The statistical model was obtained in the form of Spatial Error Model (SEM) with model ŷi=1612,57+ 0,96 * level of PM10 + 0,04 * population density - 2,56 * poverty - 0,58 * Healthy house - 3,099 * PHBS - 0,006 * health care facility, where μi  = 0,90  . Conclusion: The risk factor spatially affected the tuberculosis incidence in Bali Province, which were the factors of level of PM10, population density, poverty percentage, healthy house percentage, percentage of PHBS, and ratio of healthcare facilities with the community

The Relationship of Family Support to the Success of the Treatment of Tuberculosis (TB) Patients in Kediri

The purpose of this study was to determine how the relationship of family support to the successful treatment of tuberculosis (TB) patients was established. The population in this study were all TB patients in Kediri city, East Java, totaling 400 patient cases. The sample in this study amounted to 200 were determined using simple random sampling with Slovin formula and analyzed using SEM. The results showed that family support influenced the successful treatment of tuberculosis (TB) patients

Immunomodulator Potential of Miana Leaves (Coleus scutellarioides (L) Benth) in Prevention of Tuberculosis Infection

Aim, The aim of this study to investigate the immunonomodulator effects of miana leaves (Coleus scutellarioides (L) Benth) on prevention of tuberculosis in wistar rats, Method, Samples of white male Wistar rats were divided into 4 groups, the samples were treated with miana leaves extract (EDM) and then infected by intra tracheal M. tuberculosis H37Rv strain and subsequently given a placebo, EDM and GAB (combined Rifampicin and EDM) and healthy control animals were treated with EDM. In this study we measure the level of Immunomodulatory parameter; the number of T-lymphocytes and CD4 T-cells measured by flowcytometry method, the levels of IFN-γ and TNF-α were measured by ELISA and the number of M. tuberculosis colonies derived from the rat lung in LJ media. Result, Results showed the increasing of T-lymphocytes, CD4 T-Cells, the levels of IFN-γ, TNF-α and decreasing in the number of M. tuberculosis colonies after EDM treatment. Conclusion, Miana leaves extract (Coleus scutellarioides, (L) Benth.) increased the number of T-lymphocytes, CD4 T-cell counts, levels of IFN-γ and TNF-α and decreased in the number of M. tuberculosis colony in infected wistar lung. Keywords: immunomodulator, miana leaves (Coleus scutellarioides (L) Benth), mycobacterium tuberculosis, CD4, IFN-γ, TNF-