SIWI PRAMATAMA MARS WIJAYANTI
Faculty of Health Science and Medicine, Department of Nutrition, The University of Jenderal Soedirman, Jalan Dr. Soeparno 63, Purwokerto 53123, Indonesia

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GAMBARAN KESIAPAN SISTEM SURVEILANS TUBERKULOSIS DALAM MENDUKUNG UPAYA PENGENDALIAN TUBERKULOSIS RESISTEN OBAT (TB-RO) DI KABUPATEN BANYUMAS Astuti, Sonia Dwi; Octaviana, Devi; Wijayanti, Siwi Pramatama Mars
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 10 No 2 (2018): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ki.2018.10.2.1297

Abstract

Tingginya angka insidensi kasus TB setiap tahun dan angka kematian akibat TB masih menjadi beban di Indonesia. Beban tersebut kini telah bertambah dengan adanya TB Resisten Obat (TB-RO). TB-RO adalah penyakit tuberkulosis yang mengalami resistensi terhadap dua obat paling paten pada lini pertama seperti isoniazid dan rifampisin dan umumnya terjadi akibat pengobatan TB yang tidak tuntas (Asri, 2014). Pengobatan yang tidak tuntas tersebut menyebabkan berkurangnya efektifitas obat di dalam tubuh dalam membunuh bakteri tuberkulosis akibat mutasi pada gen dan RNA yang berujung pada resistensi (Soepandi, 2010). Peningkatan beban TB-RO terjadi karena belum optimalnya pelaksanaan program pengendalian TB yang ada, kurangnya keterlibatan lintas program dan lintas sektor dan kurangnya penatalaksanaan kasus TB di fasilitas pelayanan kesehatan seperti penemuan kasus; pencatatan dan pelaporan kasus. Beban TB-RO ini akan mengakibatkan kerugian yang cukup besar jika tidak dapat ditanggulangi dengan baik, seperti meningkatnya pembiayaan TB, meningkatnya jumlah pengangguran dan meningkatkan risiko adanya kejadian TB-HIV. Upaya yang dapat dilakukan untuk menghadapi peningkatan beban TB-RO tersebut salah satunya dengan melakukan perubahan dalam penemuan kasus dan pencatatan kasus (Permenkes, 2016). Perubahan penemuan dan pencatatan kasus dari yang bersifat pasif kini menjadi aktif, intensif dan masif tanpa mengesampingkan kegiatan penemuan dan pencatatan kasus secara pasif. Penemuan dan pencatatan kasus tersebut akan dilaksanakan melalui kegiatan surveilans TB (Dinkes Banyumas, 2017).   Pada Tahun 2017 Triwulan II di Kabupaten Banyumas untuk kasus TB-RO terdapat 225 kasus terduga, 19 kasus terdiagnosis, 16 kasus diobati dan 2 kasus meninggal (Dinkes Banyumas, 2017). Berdasarkan hasil studi pendahuluan yang telah dilakukan ditemukan bahwa 37 dari 39 Puskesmas yang ada di Kabupaten Banyumas memiliki kasus TB-RO. Hal ini berarti Puskesmas di Kabupaten Banyumas harus memiliki kesiapan sistem surveilans yang baik dalam menghadapi tantangan dari munculnya beban TB-RO tersebut. Kegiatan surveilans TB yang telah matang akan dilakukan dengan sistem yang baik dan akan menghasilkan informasi yang baik pula untuk mendukung keberlangsungan upaya pengendalian TB-RO. Kesiapan yang dimaksud bukan hanya pada sistem secara menyeluruh tetapi juga harus spesifik ke dalam subsistem surveilans seperti input, process dan output. Komponen yang termasuk dalam subsistem input seperti sumber daya manusia (SDM), dana, metode pencatatan dan pelaporan serta sarana, sedangkan untuk subsistem proses yaitu frekuensi pengumpulan data, pengolahan data dan analisa data. Komponen dari subsistem output berupa pelaporan ke instansi yang lebih tinggi, diseminasi informasi serta umpan balik yang dapat dilihat dari adanya buletin kasus serta mading informasi (Ersanti dkk, 2016). Penelitian yang dilakukan oleh Kant, et al (2013) menyebutkan bahwa perbaikan sistem surveilans mulai dari pengumpulan data secara lengkap hingga pengolahan data yang tepat dapat menunjung kegiatan penanggulangan tuberkulosis dan efektif menekan peningkatan kematian akibat penyakit tersebut di India. Penelitian ini bertujuan untuk melihat dan mendekripsikan kesiapan sistem surveilans TB di Puskesmas Wilayah Kerja Kabupaten Banyumas dalam mendukung upaya pengendalian TB-RO.  
PERBEDAAN EFEKTIFITAS PENGGUNAAN ATRAKTAN LARUTAN FERMENTASI GULA-RAGI DAN AIR RENDAMAN CABAI MERAH (CAPSICUM ANNUM) TERHADAP JUMLAH TELUR AEDES SP. YANG TERPERANGKAP Sari, Arvita Kumala; Octaviana, Devi; Wijayanti, Siwi Pramatama Mars
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 9 No 2 (2017): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Oviposition trap (Ovitrap)  is one of the Aedes sp mosquito controlling method without insectide. The purpose of this study was to determine the effectiveness of the use of attractant solution of yeast- sugar and water soaking red chilii to the number of trapped eggs of Aedes sp. Type of this research was experimental study. The subject of this research were all the eggs were trapped on ovitrap, while the research unit was a group of houses, building / construction in the research area which consisted of 15 houses. The study was conducted in kelurahan Mersi,Mersi District of Purwokerto. This research applies 3 treatment, so that the object consists of 15 houses with the total number of installed ovitrap 45 indoors and 45 outdoors. Total number of eggs of Aedes sp which trapped in ovitrap were 1021 grain. Number of trapped eggs in control (water wells), water of soaking red chili attractant and solution of yeast-sugart attractant were 929 grains (91%), 60 grains (5,9%) and 32 grains (3.1%) respectively. Number of eggs which trappped in ovitrap outdoor were 639 grains (62.6%) while in ovitrap indoor wwere 382 grains (37.4%). There was significant difference in the number of eggs that trapped in each type of attractant, however there was no significant difference in the number of eggs that are trapped on the basis of location.
EFFECTS OF SOY-GERM PROTEIN ON CATALASE ACTIVITY OF PLASMA AND ERYTHOCYTE OF METABOLIC SYNDROME WOMEN WINARSI, HERY; WIJAYANTI, SIWI PRAMATAMA MARS; SASONGKO, NURTJAHJO DWI; PURWANTO, AGUS
HAYATI Journal of Biosciences Vol. 22 No. 1 (2015): January 2015
Publisher : Bogor Agricultural University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (949.131 KB) | DOI: 10.4308/hjb.22.1.1

Abstract

Oxidative stress always accompany patients with metabolic syndrome (MS). Several researchers reported that soy-protein is able to decrease oxidative stress level. However, there is no report so far about soy-germ protein in relation to its potential to the decrease oxidative stress level of MS patients. The aim of this study was to explore the potential of soy-germ protein on activity of catalase enzyme in blood?s plasma as well as erythrocytes of MS patients. Double-blind randomized clinical trial was used as an experimental study. Thirty respondents were included in this study with MS, normal level blood sugar, low-HDL cholesterol but high in triglyceride, 40-65 years old, Body Mass Index > 25 kg/m2, live in Purwokerto and agreed to sign the informed consent. They were randomly grouped into 3 different groups, 10 each: Group I, was given special milk that contains soy-germ protein and Zn; Group II, soy-germ protein, while Group III was placebo; for two consecutive months. Data were taken from blood samples in 3 different periods i.e. 0, 1, and 2 months after treatment. Two months after treatment, there was an increase from 5.36 to 20.17 IU/mg (P = 0.028) in activity of catalase enzyme in blood?s plasma respondents who consumed milk containing soy-germ protein with or without Zn. A similar trend of catalase activity, but at a lower level, was also noticed in erythrocyte; which increased from 88.31 to 201.11 IU/mg (P = 0.013). The increase in activity of catalase enzyme in blood?s plasma was 2.2 times higher than that in erythrocytes.
SOY GERM PROTEIN WITH OR WITHOUT-ZN IMPROVE PLASMA LIPID PROFILE IN METABOLIC SYNDROME WOMEN WINARSI, HERY; WIJAYANTI, SIWI PRAMATAMA MARS; PURWANTO, AGUS
HAYATI Journal of Biosciences Vol. 19 No. 1 (2012): March 2012
Publisher : Bogor Agricultural University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (53.299 KB) | DOI: 10.4308/hjb.19.1.25

Abstract

The aim of this research was to determine the effect of soy germ protein on lipid profile of metabolic syndrome (MetS) patients. Respondents were 30 women with criteria, i.e. blood glucose level > normal, body mass index > 25 kg/m2, hypertriglyceridemia, low cholesterol-HDL level, 40-65 years old, living in Purwokerto, and signed the informed consent. The project was approved by the ethics committee of the Medical Faculty from Gadjah Mada University-Yogyakarta. Respondents were divided into three randomly chosen groups consisting of ten women each. The first, second, and third groups were treated, respectively, with milk enriched soy germ protein plus Zn, milk enriched soy germ protein (without Zn), and placebo for two months. Blood samples were taken at baseline, one and two months after observation. Two months after observation the groups consuming milk enriched with soy germ protein, both with or without Zn, had their level of cholesterol-total decrease from 215.8 to 180.2 mg/dl (P = 0.03), triglyceride from 240.2 to 162.5 mg/dl (P = 0.02), and LDL from 154.01 to 93.85 mg/dl (P = 0.03). In contrast, HDL increased from 38.91 to 49.49 mg/dl (P = 0.0008). In conclusion, soy germ protein can improve lipid profile, thus it can inhibit atherosclerosis incident.
APLIKASI TEHNOLOGI SISTEM INFORMASI GEOGRAFIS UNTUK MENINGKATKAN SISTEM SURVEILANS PENYAKIT MENULAR DI KABUPATEN BANYUMAS Wijayanti, Siwi Pramatama Mars; Octaviana, Devi; Anandari, Dian
Jurnal Abdimas Vol 22, No 2 (2018): Desember 2018
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LP2M), Universitas Negeri Semarang

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Abstract

  Kemampuan analisis dan penyajian data dari petugas surveilans merupakan hal yang sangat penting untuk memaksimalkan tugasnya. Kebanyakan petugas surveilans masih menggunakan analisis data sederhana seperti excell untuk analisis data. Padahal dengan tehnologi sistem informasi geografis, petugas surveilans dapat menganalisis dan menyajikan data penyakit di lapangan dalam bentuk yang lebih menarik dan variatif seperti peta. Oleh karena itu, dalam kegiatan pengabdian ini, dilakukan pelatihan Geographic Information System (GIS) dengan software ArcGIS 10.2. Pelatihan diisi oleh trainer profesional selama 1 hari dengan 33 orang peserta yakni petugas surveilans se Kabupaten Banyumas. Materi yang diberikan seperti penggunaan software untuk membuat peta, pemanfaatan HP android untuk membuat titik koordinat. Peserta mempraktikan sendiri penggunaan software di laptop laptop masing masing dengan  harapan segera dapat diterapkan untuk pekerjaannya sebagai petugas surveilans. Saran ke depan, petugas surveilans harus memanfaatkan tehnologi seperti GIS untuk menambah kompetensinya untuk meningkatan kualitas sistem surveilans.   
ANALISIS FAKTOR RISIKO KEJADIAN DIABETES MELLITUS TIPE II DI WILAYAH PEDESAAN Wijayanti, Siwi Pramatama Mars; Nurbaiti, Tias Tri; Maqfiroch, Arrum Firda Ayu
Jurnal Promosi Kesehatan Indonesia Volume 15, No. 1 Januari 2020
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.15.1.16-21

Abstract

Background: Diabetes mellitus (DM) is a non-communicable disease that remains a significant health concern in Indonesia. The disease is more prevalent in urban areas due to lifestyles, socioeconomics level and lack of physical activity. Currently, DM has begun occured also in rural areas. The purpose of this study is to identify the risk factors associated with Type II DM incidence in rural areas.Method: This is analytical study with a case-control design, located in Community Health Centre 1, Wangon, Banyumas Regency. There are 65 people in case group and 65 people in control group involved in this study. Variables included personal characteristics, dietary habit, physical activity and exposure to cigarette smoke. Data was obtained by structured questionnaire and analyze using univariate, bivariate (chi-square test) and multivariate analysis (logistic regression test).Results: The results showed that the dietary habit (OR = 11,824; 95% CI = 4,988-28,032) and physical activity (OR = 2,608; 95% CI = 1,116?6,095) had influenced on the incidence of DM type II. Whilst the exposure of cigarette smoking did not influenced the incidence of DM type II. It is suggested that consume foods with balanced nutrition and doing physical activities should be conducted routinely in accordance with WHO recommendations.
STUDI DESKRIPTIF KEJADIAN MALARIA DI PUSKESMAS II SUMPIUH KABUPATEN BANYUMAS TAHUN 2010-2011 Wijayanti, Siwi Pramatama Mars; Gamelia, Elviera
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 5 No 1 (2012): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRACT   Continuing the Malaria cases in Primary health Care II Sumpiuh rise a problem every year. The aims of this research was to find out the description of malaria cases based on people, place and time in primary helath care II Sumpiuh during 2010 and 2011. This research was descriptive, and sample was all of the population. Data obtained by took secondary data from primary helath care II Sumpiuh and then analysed by univariat. The result of this research showed that 106 people (33.44% from the sample identified), and in 2011 until April, 17 people (11.26% from sample identified) were infected by Malaria. Man more have a risk to get malaria, because from the result showed that the number of patient of Malaria is more in man that women. Group of age which showed the highest number of positive malaria is 30-45 yearsold in 2010 and between 45-60 yearsold in 2011. Banjarpanepen is the village which has a highest number of malaria cases comparing with other village in primary health care II Sumpiuh. Suggestion from this result is the need of complete data, regarding the location of patient, type of plasmodium which infected, and also the surveillance of Malaria must be regularly and active to decrese the number of malaria cases.   Kata Kunci : Malaria, Plasmodium, Epidemiology, Deskripsi Jurnal Kesmasindo  Volume 5( 1)  Januari 2012,  hlm. 75-87  
Persepsi, Peluang Aksi, dan Infomasi serta Perilaku Pencegahan Malaria Gamelia, Elviera; Wijayanti, Siwi Pramatama Mars
Jurnal Kesehatan Masyarakat Nasional Vol. 7 No. 8 Maret 2013
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (810.003 KB) | DOI: 10.21109/kesmas.v7i8.20

Abstract

Di dunia, malaria masih menjadi masalah kesehatan masyarakat terutama di negara-negara tropis termasuk Indonesia. Di Jawa Tengah, kasus malaria terus memperlihatkan kecenderungan yang meningkat, salah satu daerah endemis malaria di Banyumas adalah Puskesmas II Sumpiuh. Berdasarkan survei pendahuluan masih banyak ditemukan perilaku berisiko yang dapat mengakibatkan terjadi malaria. Penelitian ini bertujuan mengetahui persepsi masyarakat, kemungkinan aksi, dan informasi tentang malaria yang berpengaruh terhadap perilaku pencegahan malaria di Puskesmas Sumpiuh II Banyumas. Penelitian observasional dengan pendekatan cross sectional ini dilakukan pada populasi kepala keluarga di Puskesmas II Sumpiuh. Jumlah sampel sebanyak 95 kepala keluarga ditarik menggunakan metode simple random sampling. Pengumpulan data dilakukan menggunakan kuesioner. Analisis data dilakukan menggunakan metode analisis univariat dengan statistik deskriptif, analisis bivariat dengan kai kuadrat, serta analisis multivariat dengan regresi logistik. Persepsi masyarakat tentang kerentanan, persepsi tentang kegawatan, kemungkinan aksi hambatan dan informasi tidak berhubungan dengan perilaku pencegahan malaria, kecuali kemungkinan aksi manfaat berhubungan dengan perilaku pencegahan malaria. Variabel yang berpengaruh pada perilaku pencegahan malaria adalah manfaat pencegahan malaria.Malaria has still been a threatening of health problem in the world, particularly in tropical countries including Indonesia. The malaria cases in Central Java continued to increase. One of the Malaria endemic areas in Banyumas is Sumpiuh Primary Health Care II. Based on preliminary survey, It was found that there were risky behavior affecting the emerge of malaria. This study aimed to find out the community perception, action probabilility and information about malaria which influenced to preventive behavior in Primary Health Care II Sumpiuh.Cross sectional study was conducted to head of household in primary health care II Sumpiuh. The number of sample that was selected with simple random sampling method was 95 household heads. Data analysis methods used in this study were univariate analysis with descriptive statistic, bivariate with chi square and multivariate with logistic regression. Community perceptions about vulnerability, seriousity of disease, obstruction and perception about information did not relate to preventive behavior of Malaria, except perception about the benefit related to preventive behavior.The influenced variable for malaria preventive behavior was prevention benefit taken by community.
PERBEDAAN EFEKTIFITAS PENGGUNAAN ATRAKTAN LARUTAN FERMENTASI GULA-RAGI DAN AIR RENDAMAN CABAI MERAH (Capsicum Annum) TERHADAP JUMLAH TELUR Aedes Sp. YANG TERPERANGKAP Sari, Arvita Kumala; Octaviana, Devi; Wijayanti, Siwi Pramatama Mars
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 9 No 2 (2017): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Oviposition trap (Ovitrap)  is one of the Aedes sp mosquito controlling method without insectide. The purpose of this study was to determine the effectiveness of the use of attractant solution of yeast- sugar and water soaking red chilii to the number of trapped eggs of Aedes sp. Type of this research was experimental study. The subject of this research were all the eggs were trapped on ovitrap, while the research unit was a group of houses, building / construction in the research area which consisted of 15 houses. The study was conducted in kelurahan Mersi,Mersi District of Purwokerto. This research applies 3 treatment, so that the object consists of 15 houses with the total number of installed ovitrap 45 indoors and 45 outdoors. Total number of eggs of Aedes sp which trapped in ovitrap were 1021 grain. Number of trapped eggs in control (water wells), water of soaking red chili attractant and solution of yeast-sugart attractant were 929 grains (91%), 60 grains (5,9%) and 32 grains (3.1%) respectively. Number of eggs which trappped in ovitrap outdoor were 639 grains (62.6%) while in ovitrap indoor wwere 382 grains (37.4%). There was significant difference in the number of eggs that trapped in each type of attractant, however there was no significant difference in the number of eggs that are trapped on the basis of location.
STUDI DESKRIPTIF KEJADIAN MALARIA DI PUSKESMAS II SUMPIUH KABUPATEN BANYUMAS TAHUN 2010-2011 Wijayanti, Siwi Pramatama Mars; Gamelia, Elviera
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 5 No 1 (2012): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRACT   Continuing the Malaria cases in Primary health Care II Sumpiuh rise a problem every year. The aims of this research was to find out the description of malaria cases based on people, place and time in primary helath care II Sumpiuh during 2010 and 2011. This research was descriptive, and sample was all of the population. Data obtained by took secondary data from primary helath care II Sumpiuh and then analysed by univariat. The result of this research showed that 106 people (33.44% from the sample identified), and in 2011 until April, 17 people (11.26% from sample identified) were infected by Malaria. Man more have a risk to get malaria, because from the result showed that the number of patient of Malaria is more in man that women. Group of age which showed the highest number of positive malaria is 30-45 yearsold in 2010 and between 45-60 yearsold in 2011. Banjarpanepen is the village which has a highest number of malaria cases comparing with other village in primary health care II Sumpiuh. Suggestion from this result is the need of complete data, regarding the location of patient, type of plasmodium which infected, and also the surveillance of Malaria must be regularly and active to decrese the number of malaria cases.   Kata Kunci : Malaria, Plasmodium, Epidemiology, Deskripsi Jurnal Kesmasindo  Volume 5( 1)  Januari 2012,  hlm. 75-87