Sri Yusnita Irda Sari, Sri Yusnita Irda
Department of Public Health, Faculty of Medicine, Universitas Padjadjaran

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FACTORS INFLUENCING THE CERVICAL CANCER SCREENING UPTAKE AMONG MEDICAL LECTURERS AT FACULTY OF MEDICINE UNIVERSITAS PADJADJARAN Sari, Sri Yusnita Irda; Rathakirushnan, Phavithra; Armawan, Edwin
Althea Medical Journal Vol 6, No 4 (2019)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v6n4.1718

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Background: Cancer is the leading cause of death worldwide. In Indonesia, cervical cancer is one of the most occurring types of cancer. It is acknowledged that early screening can prevent cervical cancer. This study aimed to explore what factors influenced the screening uptake and to correlate characteristics, perceived susceptibility, and self-efficacy of Pap smear uptake among medical faculty lecturers.Methods: This was a cross-sectional analytical study conducted among female lecturers in the Faculty of Medicine, Universitas Padjadjaran from October to November 2013. The questionnaire was used to collect data using a purposive sampling method. Data collected were tabulated into frequency and percentage and the correlation was performed using Pearson chi-square. Results: From a total of 79 respondents who participated, only 55.7% of medical lecturers had ever taken Pap smear. Reasons for not taking Pap smear were time (77.1%) and the perception of not being at risk (22.9%). However, most of the respondents (84.8%) were willing to have a screening test for cervical cancer routinely. There was a significant correlation between age (p=0.001), level of education (p=0.003) and duration of marriage (p=0.001) with the uptake of Pap smear.Conclusions: The factors that are influencing the uptake of screening are not having the time to take the test and the perception of not being at risk of the disease. There is a correlation between age, level of education and duration of marriage with screening uptake. Awareness of the importance of screening should also be promoted among female doctors.
Incidence of Dengue Hemorrhagic Fever Related to Annual Rainfall, Population Density, Larval Free Index and Prevention Program in Bandung 2008 to 2011 Karina, Anggia; Sari, Sri Yusnita Irda; Sumardi, Uun; Setiawati, Elsa Pudji
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (649.403 KB)

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Background: Dengue Hemorrhagic Fever (DHF) remains one of health problems in all provinces in Indonesia including West Java. Bandung as the capital of West Java province has dengue prevalence that is above the average prevalence of all provinces. This study aimed to describe the pattern of dengue incidence rate, annual rainfall, population density, and larval free index as well as the implementation of prevention program in sub-districts with the highest incidence rate in Bandung between 2008 and 2011.Methods: A descriptive retrospective study was conducted in September 2012 using secondary data during the period of January 2008 to December 2011. The incidence rate was calculated based on DHF patients who live in Bandung. Data were analyzed using computer and Arc View 3.3. Pattern of incidence rate was characterized with red, yellow, and green region respectively. Results: The highest incidence rate of DHF occurred in 2009. Incidence increased in January to February and declined in the end of the year. Subdistricts with highest incidence had no highest annual rainfall and the population density below the average of population density in Bandung. The highest implementation of fogging program was not only performed in high incidence subdistricts but also in area with larval free index less than 95%. Larval free index in subdistricts with highest incidence were not all below 95%.Conclusions: Incidence of DHF increases after months of highly rainfall. The pattern of incidence rate in all subdistrict is dynamic and suspected do not related to annual rainfall, population density, high larva free index, and frequency of fogging. [AMJ.2015;2(1):262–7]
DETEKSI KEBERADAAN NYAMUK BERDASARKAN KETINGGIAN GEDUNG DI KAWASAN KAMPUS UNIVERSITAS PADJADJARAN JATINANGOR Faridah, Lia; Leonita, Inggrid; Sari, Sri Yusnita Irda
Majalah Kedokteran Bandung Vol 50, No 1 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (280.427 KB) | DOI: 10.15395/mkb.v50n1.1158

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Demam berdarah dengue (DBD) di Indonesia menurut data Kemenkes telah menjadi masalah kesehatan selama 45 tahun terakhir, sejak tahun 1968 sampai saat ini. Pada tahun 1973 dan 1983 progresivitasnya meningkat hingga lebih dari 50% kabupaten/kota telah terjangkit kasus DBD. Kabupaten Sumedang sendiri memiliki insidensi 63,75 per 1.000 penduduk dengan jumlah kasus DBD sekitar 715 kasus pada tahun 2012. Tujuan penelitian ini adalah mengevaluasi persebaran nyamuk berdasarkan ketinggian gedung menggunakan media ovitrap dan mosquitoes light trap pada tujuh gedung bertingkat di kawasan kampus Universitas Padjadjaran Jatinangor yang memiliki ketinggian hingga level empat (9,1?12,0 m). Penelitian ini dilakukan pada bulan Mei?Juni 2017. Semua ovitrap diletakkan pada lokasi yang berpotensi sebagai breeding site di dalam ruangan selama satu minggu, tiap-tiap lantai terdapat tiga ovitrap dengan jarak antar ovitrap 1,5 m. Perangkap nyamuk diletakkan pada setiap sudut ruangan yang memiliki sumber arus listrik selama 24 jam dan pengumpulan sampel dilakukan dalam kurun waktu tiga hari berikutnya. Semua sampel kemudian diidentifikasi di Laboratorium Parasitologi Fakultas Kedokteran Universitas Padjadjaran Jatinangor. Culex spp dan Aedes spp genus nyamuk yang dapat ditemukan pada gedung bertingkat di kawasan kampus Universitas Padjadjaran Jatinangor dengan jumlah terbanyak adalah Culex spp, sedangkan Aedes spp ditemukan dapat bertelur hingga tingkat tiga pada pemukiman yang padat.Kata kunci: Gedung bertingkat, genus, light trap, nyamuk, ovitrap Detection of Mosquito Presence based on Building Elevation in Universitas Padjadjaran JatinangorAccording to the Ministry of Health (KMoH), Dengue­ Hemorrhagic Fever (DHF) has been a big problem in Indonesia  since 1968.  In 1973 and 1983, the progressivity of DHF has increased. DHF cases have spread to more than 50% of districts/cities.  Sumedang District has an incidence rate of 63.75 per 1,000 residents with the number of dengue cases of 715 in 2012. The purpose of this study was to evaluate of the presence of mosquito based on building elevation using ovitraps and mosquito light traps. A survey was conducted in seven locations with four different elevations (9.1?12.0 m)  in Universitas Padjadjaran Jatinangor campus during the period of May to June 2017.  All ovitraps were each placed in a potential location for mosquito breeding site for one week. For each elevation, in this case, each floor, three ovitraps were placed with a distance 1.5 m from each other. Modified mosquito light trap was turned on for 24 hours and sample collection was performed after three days. All samples were brought to the Parasitology Laboratory of the Faculty of Medicine, Universitas Padjajaran for identification. This study showed that two genera of mosquitoes were identified i.e. Culex spp and Aedes spp with Culex spp as the most frequently found genera. The eggs of Aedes spp can be found up to the third floor  in dense settlements.Key words: Genera, high level building, light trap, mosquito, ovitrap
Identification of Pathogen Protozoans (Cryptosporidium spp and Giardia lamblia) from Canteen’s Water-sources at Jatinangor, West Java, Indonesia Murugesan, Komathi Nair; Agoes, Ridad; Sari, Sri Yusnita Irda
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (363.427 KB)

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Background: The prevalence of intestinal protozoan infection caused by Cryptosporidium spp and Giardia lamblia has been rapidly increasing in developing countries. Contamination of water-sources by intestinal protozoans can spread infection to humans when it is consumed without any specific treatment. Jatinangor is an educational area where many universities are located and many students live in this area. This study aimed to identify the presence of intestinal protozoa (Cryptosporidium spp and Giardia lamblia) in water-sources used by canteens at Jatinangor area to detect the magnitude of protozoans intestinal infections.Methods: A descriptive cross sectional study was carried out from August to September 2014. Raw water samples from reservoir tanks, water containers and tapwater were taken from all canteens located along the main road of Jatinangor. Samples were centrifuged and divided into two portions; two drops from the first test tube was stained with Lugol solution and observed by 2 observers under a light microscope for Giardia lamblia, and sediments from the second test tube was stained using acid fast staining then observed for Cryptosporidium spp under the light microscope. Results: Out of 50 samples, 26 were positive for parasites, of which 22 (44%) were contaminated by Cryptosporidium spp and 4 (8%) were contaminated by Giardia lamblia.Conclusions: Half of the raw water-sources in Jatinangor are contaminated by Cryptosporidium spp and Giardia lamblia. Proper water treatment should be implemented by the owners of the canteens before it is consumed as drinking water. 
Characteristic and Knowledge among Treatment Supporter of Children Patients with Tuberculosis at Lung Clinic Bandung October–November 2012 Suhada, Kamelia Utami; Sari, Sri Yusnita Irda; Wulandari, Diah Asri; Setiawati, Elsa Pudji
Althea Medical Journal Vol 2, No 2 (2015)
Publisher : Althea Medical Journal

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Background: Children are the most vulnerable to get TB infection and infected by adult patients. One of the components of Directly Observed Treatment Short Course (DOTS) is direct observation by treatment supporter who has important role in the success of TB’s treatment. The aim of this study was to identify the characteristics and knowledge among treatment supporter of children patients with TB at Lung Clinic Bandung.Methods: A descriptive study was conducted in October-November 2012 to 96 treatment supporters of child patients who were diagnosed with TB, either new or old cases. They were selected by consecutive sampling at Lung Clinic Bandung. Validated questionnaire with 14 questions was administered. The percentage of the correct answers was categorized as good, moderate, and poor. The Characteristic variables included age, sex, education, occupation, relation with the patients, living at the same house, presence of other TB patients, and counseling given by providers. Data was analyzed using frequency distribution.Result: Most of the respondents were 21-30 years old (42.7%), female (84.4%), elementary school graduate (33.3%), unemployed (69.8 %), mother of the child, living in the same house, had other TB patients, and had received counseling by providers at Lung Clinic. The knowledge about TB among the respondents was moderate (56.3%). The respondents who had good knowledge had underwent the counseling session.Conclusions: The knowledge of the respondents was moderate. Further study on the relationship between the level of knowledge of treatment supporter and the adherence of TB treatment should be conducted. [AMJ.2015;2(1):167–71]
Environmental Factors, Knowledge, and Hygiene Behaviour among Mothers: A Slum Area in Bandung City, West Java, Indonesia Putri, Gusti Adintya; Sari, Sri Yusnita Irda; Syukriani, Yoni Fuadah
Althea Medical Journal Vol 4, No 4 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (629.163 KB) | DOI: 10.15850/amj.v49n4.1264

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Background: The increased number of population living in urban areas causes the increase of requirement of basic life needs as well as the increase of household and human excreta waste. If these wastes were not well managed, this situation would contaminate the environment. This study aimed to analyze the relatioship between environmental factors, knowledge and hygiene behavior among mothers who lives in Bandung slum area.Methods: An analytic cross sectional study was carried out on 132 mothers who lived in Tamansari subdistrict in Bandung city (RW 06, 07, 15, and 16) from  May to October 2014. The primary data were collected using 2 sets of  questionnaire and an observation checklist. The environmental factors and knowledge variables were catagorized into good and poor, while hygiene behavior was catagorized into good, moderate, and poor. The collected data were statistically analyzed using Chi-Square test.Results: More than half of the participants had good environmental factors (60.6%), 59 participants (44.6%) had good knowledge about hygiene and 83 participants (62.9%) had good hygiene behavior, 43 participants (32.6%) had a moderate hygiene behavior, and 6 participants (4.5%) bad hygiene behavior. Environmental factors was related to hygiene behavior (p=0.002). However, knowledge was not related to hygiene behavior (p=0.539). Conclusions: Environment is a significant factor to hygiene behavior
INTERNAL AND EXTERNAL ASPECTS TOWARD THE QUALITY OF REFILL WATER STATION PRODUCTION; QUALITATIVE STUDY IN BANDUNG CITY Raksanagara, Ardini Saptaningsih; Fitriyah, Sukhriyatun; Afriandi, Irvan; Iskandar, Hadyana; Sari, Sri Yusnita Irda
Majalah Kedokteran Bandung Vol 50, No 1 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (643.267 KB) | DOI: 10.15395/mkb.v50n1.1143

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The quality of water production in drinking water refill station (DWRS) has recently been degraded, maintaining the quality of DWRS not only the responsibility of  the owners, the government should also played an active role as external supervisor. This study aimed to explore internal and external aspects related to quality of drinking water production in DWRS. It was qualitative research using phenomenology approach with constructivism paradigm. Technique of collecting data by doing observation, indepth interview and study document. Data analysis was using theme analysis. Place of study was at Bandung Health Office Department, Trade Service Unit, Primary Health Center, and some DWRS which the water quality not elligible. The result showed that internal aspects which related to drinking water quality were human resources, proper processing, appropiate equipments, and hygiene environment.  Low human resource factors can cause unstandardized process production. External aspects included government supervision, sanctions and law enforcement, as well as collaboration of the owner and local government. In conducting DWRS supervisory activities, the government has obstacles such as lack of human resources, lack of funding allocation, and multiple workloads. In addition, the absence of strict sanctions and the lack of cross-sectoral cooperation also contribute to the quality of refill drinking water becoming ineligible. New innovation should be developed to increase the quality of DWRS particularly development of integrated supervison system which incorporate not only the local government but also the commmunity and consumers.
FAKTOR YANG MEMENGARUHI PERILAKU PENGGUNAAN AIR BERSIH PADA MASYARAKAT KUMUH PERKOTAAN BERDASAR ATAS INTEGRATED BEHAVIOR MODEL Raksanagara, Ardini S.; Santanu, Ayu Mutiara; Sari, Sri Yusnita Irda; Sunjaya, Deni K.; Arya, Insi Farisya Deasy; Agustian, Dwi
Majalah Kedokteran Bandung Vol 49, No 2 (2017)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v49n2.1059

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Kebutuhan air bersih semakin meningkat terutama di wilayah perkotaan. Kelurahan Tamansari merupakan wilayah kumuh yang berlokasi di tengah Kota Bandung, 60% penduduk menggunakan air bersih perpipaan sisanya menggunakan sumber air tanah, namun tidak semua sumber air dilindungi secara benar sehingga berpotensi terkontaminasi. Penelitian ini bertujuan menganalisis faktor yang memengaruhi perilaku penggunaan air bersih pada masyarakat kumuh perkotaan dengan mengaplikasikan teori Integrated Behavior Model. Penelitian potong lintang dilakukan pada 188 rumah tangga di 10 RW pada bantaran sungai Cikapundung di Kelurahan Tamansari. Survei dilakukan menggunakan kuesioner dan ceklist observasi pada sumber air perpipaan (PDAM), sumur terlindungi (ST), dan sumur tidak terlindungi (STT). Hasil penelitian menunjukkan sikap, norma yang dipersepsikan dan faktor personal memengaruhi niat untuk menggunakan air bersih pada ketiga jenis sumber air yang digunakan. Pada pengguna PDAM tidak ada faktor yang signifikan memengaruhi perilaku. Pada pengguna ST perilaku dipengaruhi oleh faktor kepentingan menggunakan air bersih. Pada pengguna STT faktor niat, hambatan lingkungan dan kebiasaan memengaruhi perilaku menggunakan air bersih. Faktor-faktor yang memengaruhi perilaku khususnya di wilayah kumuh perkotaan berbeda-beda berdasar atas sumber air bersih yang digunakan sehingga upaya promosi kesehatan untuk melakukan perubahan perilaku harus dikembangkan sesuai dengan jenis sumber air yang digunakan. [MKB. 2017;49(2):122?31]Kata kunci: Air bersih, integrated behavior model , kumuh perkotaan, perilaku  Integrated Behavior Model: Factors Influencing Clean Water Use among  Urban Slum DwellersThe increasing need for clean water, especially in urban area, is becoming more prominent. Tamansari Urban Village is a slum area located in the center of Bandung City. Sixty percents of its dwellers use pipe water as the clean water source while the rest uses ground water. However, not all water sources are protected correctly that there is a potential for contamination. This study aimed to analyze factors influencing clean water use behavior among urban slum dwellers by applying the Integrated Behavior Model. A cross-sectional study was performed on 188 households in 10 RW (neighborhood unit) on Cikapundung River Bank in Taman Sari Urban Village. Questionnaires and observation checklists were used for piping water source (Local Water Company, PDAM), protected wells, and unprotected wells. The results of this study showed that the attitude, perceived norms, and personal factors influenced the intention to use clean water for the three clean water sources. Among PDAM users, no significant factor was seen to influence behavior. Among protected well users, the behavior was influenced by the interest factor in using clean water. Among unprotected well users, attitude, environmental barriers, and habit influenced the behavior of using clean water. Factors influencing behaviors, especially in urban slum areas, are different based on the source of clean water used; hence, the implementation health promotion through behavioural change should be adapted to the type of water source used. [MKB. 2017;49(2):122?31]Key words: Behavior, clean water, integrated behavior model, urban slum 
Effectiveness of Print and Audiovisual Media in Breast Cancer Education to High-School Students Wardhani, Amanda Carissa; Sari, Sri Yusnita Irda; Badudu, Dharmayanti Francisca
Althea Medical Journal Vol 4, No 4 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (568.469 KB) | DOI: 10.15850/amj.v49n4.1261

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Background: Breast cancer education could be a non-formal education to achieve a proper understanding about early detection of breast cancer. Optimal results need right methods and instruments. Recently, technology development can be implemented to support the non-formal education process. The purpose of this study was to determine the effectiveness between print and audiovisual media in health education on prevention and early detection of breast cancer.Methods: It was a quasi-experimental study, comparing two intervention and one control groups, which was carried out from August to November 2013. The population was senior high school students in Jatinangor subdistrict West Java, Indonesia. The sample was taken by cluster sampling method; each group consisted of 120 female students. Students from Sekolah Menengah Atas Negeri Jatinangor were given printed media, students from Sekolah Menengah Kejuruan Padjadjaran were given audiovisual media and students from Pesantren Al Ma’soem as control group were not given any intervention. The knowledge of respondents was measured with pre-test and post-test questioner. Mean scores of knowledge were further analyzed by paired and independent t-test.Results: The average of pre-test between intervention and control groups were similar (8.125, 8.725 and 8.450, respectively). The result showed that the average scores of post-test increased compared to pre-test both in the print  and audiovisual media group (p=0.001).Conclusions: Print and audiovisual media can increase the knowledge of respondents on prevention and early detection of breast cancer. However, audiovisual media is more effective as a tool for health education especially among teenagers.
PILIHAN DAN PERSEPSI RISIKO TERHADAP JENIS SUMBER AIR MINUM PADA MASYARAKAT KUMUH PERKOTAAN DI BANTARAN SUNGAI CIKAPUNDUNG KOTA BANDUNG Sari, Sri Yusnita Irda; Raksanagara, Ardini
Majalah Kedokteran Bandung Vol 50, No 3 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (736.773 KB) | DOI: 10.15395/mkb.v50n3.1433

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Sistem penyaluran air di wilayah kumuh perkotaan sangat terbatas dan tidak dapat diandalkan baik kuantitas dan kualitas terutama di negara-negara berkembang. Pilihan terhadap jenis sumber air dan tipe pengolahan akan berdampak pada status kesehatan masyarakat. Penelitian ini bermaksud menggali hubungan faktor demografi dan persepsi risiko terhadap pilihan sumber air minum pada masyarakat kumuh perkotaan. Studi potong lintang dilaksanakan pada bulan September?Oktober 2015 pada masyarakat kumuh perkotaan di 20 RW yang berada di bantaran sungai Cikapundung Kota Bandung. Sampel dipilih dengan metode acak sistematis. Data dikumpulkan melalui kuesioner dan kualitas sampel air minum diperiksa dengan Suncoli test kit untuk mendeteksi dan menghitung jumlah bakteri Coliform. Jenis air minum yang dikonsumsi masyarakat kumuh perkotaan adalah merebus air minum yang bersumber air sumur dan air perpipaan atau membeli air minum dalam kemasan. Faktor yang berhubungan dengan pilihan jenis air minum yang dikonsumsi adalah faktor status ekonomi, ketersediaan jenis sumber air bersih yang dimiliki, dan faktor pendidikan kepala keluarga (p<0,001). Persepsi terhadap risiko keamanan sumber air bersih berhubungan dengan pilihan jenis sumber air minum yang dikonsumsi (p<0,001). Upaya promosi kesehatan mengenai cara pengolahan air minum perlu ditingkatkan dan perbaikan penyediaan air perpipaan harus diupayakan. Choice and Risk Perception on Drinking Water source among Urban Slum Dwellers Living on Cikapundung River Basin in Bandung CityWater supply system in urban slum area is often unreliable in terms of water quality and quantity, particularly in developing countries. Choices on the type of water source and water treatment may be associated with public health outcomes. This study aimed to investigate correlation between demographic factors and risk perception on the choice of water source type in urban slum area. A cross-sectional study was conducted during September?October 2015 in 20 neigborhood (Rukun Warga, RW) living on Cikapundung river basin in Bandung City. Households were sampled using systematic random sampling method. Data were collected through a questionnaire and water quality was assessed using Suncoli test kit to examine total Coliform level in drinking water. Drinking water consumed by the urban slum dweller included boiled water from ground well and piped water as well as commercial drinking water. Factors influencing the choice of drinking water were economic status, availability of clean water source, and education level of head of household (p<0.001). Perception towards health risks carried by clean water correlates with the choice of drinking water to be consumed (p<0.001). Health promotion efforts on how to process drinking water need to be improved and piped water provision should be improved.