Analysis of Factors Contributing to Treatment Success among Tuberculosis Patients: Cross-Sectional Study in Semarang, Indonesia

The success rate of TB treatment in Semarang City in 2021 will reach 81.15%. Patients recovered reached 20.20%. Complete Treatment reached 60.95%. Failed treatment 0.15%. Patients Died reached 5.96%. Treatment dropout (lost to follow-up) reached 12.43%. Not evaluated/moved reached 0.31%. This study aims to identify the factors that contribute to the success of TB treatment. This study used secondary data sourced from the Semarang City Tuberculosis Information System (SITB) which was recorded regularly during 2021-2022. 4,627 TB patients who had minimally complete variables were entered into univariate analysis, crosstabulation and binary logistic regression. The results of the multivariate analysis showed a joint relationship between the factors that contributed to the success of TB treatment. Negative DM Status (AOR = 1.33; CI95% = 1.092-1.619), Standard Treatment Status (AOR = 1.767; CI95% = 1.235-2.529), Type Puskesmas Health Facility (AOR=3.778; CI95%=3.114-4.582), New Patients Based on Previous Treatment History (AOR = 1.592; 95% CI = 1.263-2.007) with Nagelkerke R Square = 13.2%. TB treatment success strategies in Semarang City need to be improved.

Prevalence and determinants of opportunistic infections in HIV patients: A cross-sectional study in the city of Semarang

BACKGROUND: Opportunistic infection (OI) is the most significant complication of the human immunodeficiency virus (HIV). Differences in the characteristics of HIV patients make the prevalence of Opportunistic infection different between regions. The study aimed to identify variables associated with OI incidence among HIV-infected patients in Semarang City, Indonesia.METHODS: This study uses secondary data sourced from special HIV surveillance for 2019-2021 with a cross-sectional method. 1362 HIV patients with variables health care facilities; year of diagnosis; area of residence; age; sex; pregnancy status; occupation; risk factors; risk group determined based on purposive sampling were included in the chi-square analysis and logistic regression.RESULTS: This study showed 12.3% (n=167) of HIV patients experienced OI, where OI was more common in HIV patients with risk groups of sex workers (28.70%), high-risk partners (18.60%), and Male Sex with Men (MSM) (15.40). The most common types of OI were tuberculosis infection (43%), candidiasis (21%), and diarrhea (9%). Age was the variable most associated with the incidence of OI (p-value 0.001).CONCLUSIONS: Age groups 45-54 years and 55-64 years have the most influential association with Opportunistic infection incidence in HIV patients, so planning an appropriate intervention program for this subpopulation is necessary

Risk Factors for COVID-19 Infection in Rural Areas: A Cross-Sectional Study in Tegal District

Background: Although the COVID-19 outbreak initially occurred in urban residents, it eventually reached rural and remote communities. There have not been many studies of risk factors for COVID-19 infection in people in rural areas. This study aimed to determine the factors associated with the incidence of COVID-19 infection in rural areas, Tegal Regency. Subjects dan Method: This was a cross-sectional study, conducted on 114 patients who visited the health center from 1 June to 30 July 2020 (time restrictions on social activities). The depe

Risk factors of road traffic accidents in Rural and Urban areas of indonesia based on the national survey of year 2018

Context: Indonesia has a large population with a large number of motorised vehicles, so it cannot be separated from traffic accidents. Aims: This study aimed to determine and analyse the advanced level risk factors for road traffic accidents (RTA) in rural and urban areas based on data from the Basic Health Research 2018 (Riskesdas). Methods: This study used Riskesdas data sourced from the National Institute of Health Research and Development, Ministry of Health, Indonesia, which was collected from 34 provinces in Indonesia using a cross-sectional method. The statistical data consisted of 59,423 respondents aged over 15 years old, who had experienced a road traffic injury and lived in rural or urban areas. The data variables analysis was socio-demographic, lifestyle, smoking status, alcohol consumption, mental disorders, nutritional status and use of helmets on motorcycle riders and passengers. Statistical Analysis: Multivariate logistic regression was used to analyse the most dominant risk factors related to RTA in rural and urban areas. Results: The prevalence of RTA in urban areas was 34.1%, while in rural areas was 28.2%. The factors related to traffic accidents in respondents from urban areas (P < 0.005) were sex (1.342 [1.217-1.480]), age (1.111 [1.067-1.156]) and use of helmets on motorcycle riders and passengers (0.662 [0.566-0.771]). Meanwhile, risk factors for respondents from rural areas (P < 0.005) were mental disorders (0.842 [0.743-0.955]), age (1.095 [1.040-1.154]) and use of helmets on motorcycle riders and passengers (0.682 [0.585-0.796]). Conclusions: We found that the prevalence of RTA in urban areas was higher than in rural areas. The dominant risk factors related to RTA in Indonesia were age, sex, mental disorders and the use of helmets on motorcycle riders and passengers. This finding supports the importance of road safety education and the prevention of RTA needs to be done both in urban and rural areas

Be Hero For Zero Tuberculosis: Peran Remaja Melalui SIKRIBO dalam Mewujudkan "End TB": Be Hero for Zero Tuberculosis: The Role of Youth Through Sikribo in Realizing “End TB”

The TB case notification rate (CNR) in Semarang City has decreased from 2019 of 258 per 100,000 population to 155 per 100,000 population in 2020. The main focus in controlling tuberculosis cases is case detection in the community. The purpose was to increase TB knowledge and provide training on TB screening methods to adolescent cadres using the SIKRIBO application. The methods used in this community service are health education and Training of Trainers (ToT). The participants were 27 adolescent representatives from the Adolescent Integrated Healthcare Center working areas of the Sekaran Public Health Center, Semarang City. The results showed that adolescent cadres' average score knowledge about tuberculosis disease and screening improves after receiving TB health education and adolescent cadres can operate the application properly. The SIKRIBO application can be a means to facilitate the discovery of TB suspects in the community and is expected to be applied in various health facilities.   ABSTRAK Angka notifikasi kasus (CNR) TB di Kota Semarang mengalami penurunan dari tahun 2019 sebesar 258 per 100.000 penduduk menjadi 155 per 100.000 penduduk pada tahun 2020. Fokus utama dalam mengendalikan kasus TB merupakan penemuan kasus di masyarakat. Rendahnya penemuan kasus TB berdampak pada tingginya angka penularan TB. Tujuan pengabdian masyarakat ini untuk meningkatkan pengetahuan TB dan memberi pelatihan terkait cara skrining TB melalui aplikasi SIKRIBO pada kader remaja. Metode yang digunakan pada pengabdian masyarakat ini adalah penyuluhan kesehatan dan Training of Trainer (ToT). Jumlah partisipan sebanyak 27 remaja perwakilan dari Posyandu Remaja dan Posyandu Pesantren wilayah Puskesmas Sekaran, Kota Semarang. Hasil kegiatan bahwa terdapat peningkatan rata-rata skor pengetahuan terkait penyakit TB dan skrining TB pada kader remaja setelah diberi penyuluhan kesehatan TB dan kader remaja dapat mengoperasikan aplikasi SIKRIBO dengan baik. Aplikasi SIKRIBO dapat menjadi sarana untuk mempermudah penemuan suspek TB di masyarakat dan diharapkan dapat diterapkan di berbagai fasilitas kesehatan