Achmad Arman Subijanto, Achmad Arman
Department of Public Health and Preventive Medicine, Faculty of Medicine, Sebelas Maret University Surakarta

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PENERAPAN PENCEGAHAN PRIMER, SEKUNDER DAN TERSIER PENULARAN TB DI TEMPAT KERJA Subijanto, Achmad Arman; Khotijah, Khotijah; Widyaningsih, Vitri
Proceeding Seminar LPPM UMP 2015: Buku III Bidang Ilmu Kesehatan dan Sains Teknik, Proceeding Seminar Nasional LPPM 2015, 26 Se
Publisher : Proceeding Seminar LPPM UMP

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Tuberculosis (Tb) yang disebabkan oleh Mycobacterium tuberculosis masih merupakan masalah kesehatan utama di dunia, termasuk di Indonesia. Tb merupakan penyebab kematian dan kesakitan utama akibat infeksi di dunia. WHO mengestimasikan sepertiga penduduk di dunia yang terinfeksi Tb, sekitar 5-10% diantaranya berkembang menjadi Tb aktif yang dapat menular. Industri Batik merupakan industri informal yang mempunyai cukup banyak tenaga kerja. Lingkungan kerja pada workplace printing dan cap yang mengharuskan lembab dan tertutup dapat meningkatkan perkembangbiakan mycobacterium tuberculosis sehingga risiko penularan penyakit Tb pada tenaga kerja sangat tinggi. Perlu dilakukan identifikasi faktor lingkungan di tempat kerja serta kondisi kesehatan secara umum untuk mencegah terjadinya penularan Tb di tempat kerja pada pekerja sektor informal. Langkah yang dilakukan meliputi identifikasi hazard, risk assessment, dan risk control dengan melaksanakan hirarkhi pengendalian yang meliputi eliminasi, substitusi, pengendalian teknik, pengendalian administratif, serta pemakaian alat pelindung diri. Setiap industri memiliki risiko dan prioritas risiko masing-masing sehingga memerlukan tindakan pengendalian yang berbeda. Pencegahan sekunder dilakukan dengan skrining dan pencegahan tersier dilakukan dengan merujuk penderita Tb ke Puskesmas.Kata Kunci: Pencegahan Primer, Sekunder, Tersier, Tempat Kerja, Tuberculosis
PEMBERDAYAAN ANAK JALANAN MELAUI TABUNGAN SAMPAH Subijanto, Achmad Arman; Khotijah, Khotijah; Astrika, Fresthy
Proceeding Seminar LPPM UMP 2015: Buku II Bidang Ilmu Pendidikan dan Sosial Humaniora, Proceeding Seminar Nasional LPPM 2015, 2
Publisher : Proceeding Seminar LPPM UMP

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Anak jalanan masih merupakan permasalahan global, termasuk di Indonesia. Data Kementerian Sosial menunjukkan sekitar 4,5 juta anak jalanan tersebar diseluruh provinsi di Indonesia, sebanyak 80% faktor kemiskinan sebagai pencetusnya. Berbagai solusi telah dilakukan dalam  menangani permasalahan anak jalanan, namun demikian, permasalahan masih muncul. Penanganan anak jalanan secara holistik dengan memperhatikan berbagai dimensi seperti pengembangan masyarakat, karakteritik masyarakat, dan model yang diterapkan akan menghasilkan suatu dampak yang lebih lama pula. Tabungan sampah anak jalanan (tabalan) adalah suatu model yang memiliki konsep menciptakan lapangan pekerjaan tanpa mengikatnya. Karena berbagai dimensi dilibatkan dalam model ini, model tabalan dapat digunakan sebagai salah satu alternatif dalam menangani permasalahan anak jalanan secara holistik. Participatori rurall appraisal digunakan sebagai metode dalam pelaksanaan karena melibatkan banyak elemen seperti pengepul sampah sebagai penadah dari anak jalanan yang bertugas sebagai pemasok sampah daur ulang, karang taruna sebagai pengawas dan wadah anak jalanan, serta kelurahan sebagai pembinanya. Evaluasi dilakukan setiap tiga bulan oleh karang taruna dan dilaporkan ke kelurahan sebagai bahan evaluasi program. Kata Kunci      : Anak Jalanan, Pemberdayaan, Tabungan Sampah
Hubungan Jenis Pola Asuh Dengan Status Gizi Pada Bayi Usia 6-12 Bulan Pratiwi, Ariza Putri Uniq; Murti, Bhisma; Subijanto, Achmad Arman
Jurnal Gizi dan Kesehatan Vol 1, No 1 (2014)
Publisher : Program Studi Ilmu Gizi Pascasarjana Universitas Sebelas Maret

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Latar Belakang : Gizi merupakan kebutuhan yang sangat penting dalam proses pertumbuhan dan perkembangan bayi. Gizi buruk pada usia dini akan memberi dampak gangguan pada status gizi dan meningkatkan kesakitan, penurunan produktifitas serta kematian. Sehingga perlu diperhatikan dalam status gizi, baik dengan cara memberikan makanan bergizi seimbang yang sangat penting untuk status gizi yang optimal. Status gizi juga dapat dipengaruhi oleh praktek pola asuh gizi yang diwujudkan dengan tersedianya pangan dan perawatan kesehatan serta sumber lainnya untuk kelangsungan hidup. Penelitian ini bertujuan untuk menjelaskan adanya hubungan jenis pola asuh terhadap status gizi pada bayi usia 6-12 bulan.            Metode Penelitian : Penelitian ini bersifat observasional analitik dengan pendekatan croos sectional. Subjek penelitian adalah bayi usia 6-12 bulan dan ibu bayi yang memeriksakan bayinya di Wilayah Kerja Puskesmas Badegan Kabupaten Ponorogo. Sebanyak 70 subjek penelitian yang dipilih dengan menggunakan metode exhaustive sampling. Teknik pengumpulan data dengan wawancara langsung dan pengisian angket. Data dianalisis dengan analisis regresi logistik ganda dan diolah dengan SPSS 17.0 for Windows.Hasil Penelitian : Penelitian ini menunjukkan hasil, terdapat pengaruh pola asuh yang demokratis (OR=1,42; CI 95% 0,48 sd 4,24; p=0,531), terhadap status gizi bayi usia 6-12 bulan, walaupun secara statistik tidak signifikan.Kesimpulan Penelitian : Terdapat pengaruh walaupun secara statistik tidak signifikan antara pola asuh yang demokratis terhadap status gizi pada bayi usia 6-12 bulan. Kesimpulan ini diperoleh setelah mengontrol pengaruh  pendapatan keluarga. Kata kunci : Jenis Pola Asuh, Status Gizi Pada Bayi Usia 6-12 Bulan.
Logistic Regression on Factors Affecting Depression among the Elderly Wahyuningsih, Christiana Sri; Subijanto, Achmad Arman; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Mental health problems, especially depression, have a major impact on the elderly. Depression is a major contributor to the burden of disease globally which can cause suicide. This study aimed to determine the factors that influence depression in the elderly.Subjects and Method: This was an analytic observational study with a cross-sectional design. It was conducted from October to December 2018. A total of 200 elderly was selected by simple random sampling. The dependent variable was depression. The independent variables were income, history of chronic illness, family function, social interaction, social support, social isolation, and loneliness. Data on depression was measured by Geriatric Depression Scale 15 (GDS-15). The other data were collected by questionnaire and analyzed by multiple logistic regression.Results: The risk of depression in elderly increased with history of chronic illness (OR= 8.03; 95% CI= 1.48 to 43.42; p= 0.016), social isolation (OR= 6.05; 95% CI= 1.41 to 25.98; p= 0.015), and loneliness (OR= 7.14; 95% CI= 1.62 to 31.41; p= 0.009). It decreased with high income (OR= 0.14; 95% CI= 0.03 to 0.60; p= 0.008), strong family function (OR= 0.13; 95% CI= 0.02 to 0.67; p= 0.014), strong social interaction (OR= 0.11; 95% CI= 0.02 to 0.48; p= 0.003), and strong social support (OR= 0.16; 95% CI= 0.04 to 0.65; p= 0.011).Conclusion: The risk of depression in the elderly increases with a history of chronic illness, social isolation, and loneliness. It decreases with high income, strong family function, strong social interaction, and strong social support.Keywords: depression, elderly, income, chronic illness, family function, social factors, lonelinessCorrespondence: Christiana Sri Wahyuningsih. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Indonesia. Email:anachristi19@gmail.com.Mobile: +6281287783924.Journal of Epidemiology and Public Health, 2019, 4(3): 171-179https://doi.org/10.26911/jepublichealth.2019.04.03.03
Determinants of Quality of Life among Patient with Knee Osteoarthritis Yuniarwati, Wika; Subijanto, Achmad Arman; Prasetyo, Hanung
Journal of Epidemiology and Public Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Osteoarthritis (OA) ranks second after cardiovascular disease as the cause of physical disability. Nearly 25% of individuals aged 55 years or over have complaints of knee pain and some have proven osteoarthritis. Elderly people with OA suffer from depression, reduced quality of life and economic difficulties. In assessing the quality of life of OA patients can help identify the health care needs of all patients. This study aimed to determine factors affecting quality of life in knee OA patients.Subjects and Method: This was analytic observational study with a cross sectional design. The study was carried out at Dr. Moewardi and UNS Hospital, Surakarta, Central Java. A sample of 180 OA knee patients was selected by consecutive sampling. The dependent variable was quality of life. The independent variables were sex, occupation, body mass index, duration of illness, and pain location. The data were collected by questionnaire and analyzed by a multiple logistic regression.Results: Quality of life of OA knee patient decreased with female (b= -1.11; 95% CI= -2.32 to 0.08; p= 0.069), overweight/ obesity (b= -1.64; 95% CI= -2.35 to -0.93; p<0.001), duration of chronic illness (b= -0.80; 95% CI= -1.51 to -0.91; p= 0.027), and bilateral pain (b= -0.74; 95% CI= -1.42 to -0.05; p= 0.034).Conclusion: Quality of life of OA knee patient decreases with female, overweight/ obesity, duration of chronic illness, and bilateral pain.Keywords: quality of life, kne eosteoarthritis, logistic regressionCorrespondence: Wika Yuniarwati. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36A, Sura­karta, Central Java. Email: wickafisio@gmail.com. Mobile: + 62812279-33068.Journal of Epidemiology and Public Health (2019), 4(4): 320-327https://doi.org/10.26911/jepublichealth.2019.04.04.07
Challenges in implementing dengue surveillance in Bantul District Special Region of Yogyakarta, Indonesia Astuti, Fardhiasih Dwi; Widyaningsih, Vitri; Pamungkasari, Eti Poncorini; Subijanto, Achmad Arman
International Journal of Public Health Science (IJPHS) Vol 14, No 1: March 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i1.24626

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The surveillance system is a source of information for policymaker to address the dengue outbreak. However, there was a lack of information on the effectiveness of dengue surveillance system in reporting the outbreak. This study aims to assess dengue surveillance activities in Bantul District, Special Region of Yogyakarta, Indonesia, one of the districts with a high burden of dengue, to provide information on current effectiveness and need assessment for further improvement for dengue surveillance system. This qualitative study was conducted in Bantul District, Special Region of Yogyakarta. The assessment approach was based on the input-processoutput-outcome (IPOO) model. The study participants were selected based on purposive sampling. Data were collected through interviews. Eight program holder surveillance were interviewed based on the interview guide. The surveillance system in Bantul Regency already utilizes electronic reporting. Reporting cases of dengue uses the system for surveillance of outbreak events (SISKLB). Analysis and interpretation are done to monitor progress in cases. The follow-up evaluation ceses is vector control to prevent the spread of the case. The incidence of dengue is still higher than the national rate. The case fatality rate (CFR) for dengue is <1%; CFR has hit its target. The larvae-free rate hasn't reached its target yet. Optimizing electronic reporting can improve the quality of information used as a reference in decision-making. SISKLB was created for timely reporting and monitoring of dengue cases. Monitoring available data laboratory can be used as a quick response to take action to prevent an increase in cases.
Physical, Emotional, and Sexual Violence on the Risk of Depression in Young Adult Women Saidah, Ayu; Demartoto, Argyo; Murti, Bhisma; Subijanto, Achmad Arman; Novika, Revi Gamma Hatta
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.05

Abstract

Background: Depression due to dating violence is a serious problem that affects the mental health of many women, especially young adults. Dating violence, whether physical, emotional, or sexual, can interfere with psychological well-being and result in long-term consequences, one of which is depression. This study aims to analyze the relationship between experiences of dating violence and depression in victims, focusing on women aged 16 to 25 years.Subjects and Method: This study was a cross-sectional study conducted in Surakarta from October to December 2024. The study sample consisted of 200 female young adults in Surakarta City, selected through random sampling. The dependent variable was depression., Independent variables were physical violence, emotional violence, and sexual violence. Data were collected using questionnaires and analyzed using path analysis on Stata 13.Results: The risk of depression was directly influenced by emotional violence (b=0.49; 95%CI=0.39 to 0.60; p<0.001) and sexual violence (b=0.21; 95%CI=0.09 to 0.32; p<0.001). Meanwhile, the indirect influence was physical violence (b=0.28; 95%CI=0.15 to 0.41; p<0.001) and sexual violence (b=0.25; 95%CI=0.11 to 0.37; p<0.001).Conclusion: Emotional violence and sexual violence directly affect the risk of depression. The indirect influence of the risk of depression is physical violence and sexual violence.