Vector-Borne Diseases; Food Safety-Security and Hygiene
49
Scopus Publications
Scopus Publications
Barriers to treatment completion among drug-sensitive tuberculosis patients: evidence from Indonesia's tuberculosis surveillance system Mahalul Azam, Latifa Hanan, Muhammad Azinar, Amelia Fitra Khasanah, Arulita Ika Fibriana, et al. Osong Public Health and Research Perspectives, 2026 BACKGROUND: This study aimed to estimate the prevalence of loss to follow-up (LTFU) among tuberculosis (TB) patients in Indonesia and to identify associated factors. METHODS: This study analyzed data from the 2022 Tuberculosis Information System in Indonesia. A total of 71,665 drug-sensitive TB patients were included in the analysis. Age, sex, employment status, diagnosis type, human immunodeficiency virus (HIV) status, diabetes mellitus, TB type, mode of treatment, treatment standard, referral status, and type of residence. Categorical variables were analyzed using chi-square tests, followed by multivariable logistic regression to identify confounder-adjusted independent predictors of LTFU. RESULTS: The prevalence of LTFU was 18.4%. A higher likelihood of LTFU was observed among older adults aged ≥65 years (adjusted-prevalence-odds-ratio [aPOR], 1.862), men (aPOR, 1.187), unemployed individuals (aPOR, 1.136), non-referred patients (aPOR, 1.547), patients with HIV (aPOR, 3.712), and those obtaining TB drugs out of pocket (aPOR, 4.998). The strongest predictor was receipt of non-standard treatment, which was associated with a markedly increased likelihood of LTFU (aPOR, 26.912). In contrast, rural residence demonstrated a protective association (aPOR, 0.610). All associations were statistically significant (p<0.001). CONCLUSION: This study highlights a substantial burden of LTFU among TB patients in Indonesia, with nearly one in five patients discontinuing treatment. Multiple sociodemographic and clinical factors-particularly non-standard treatment, non-referral status, and HIV co-infection-were strongly associated with LTFU, underscoring gaps in the TB care continuum. These findings emphasize the need for targeted, patient-centered interventions, strengthened referral pathways, improved communication, and enhanced care coordination to reduce LTFU in high-risk groups.
Factors Affecting Irritant Contact Dermatitis Among Horticulture Farmers in Semarang District, Indonesia Kesmas Jurnal Kesehatan Masyarakat Nasional, 2026 Irritant contact dermatitis is a common condition among farmers, but its underlying causes remain poorly understood. This study aimed to identify factors associated with irritant contact dermatitis among horticulture farmers in Semarang District, Indonesia. A cross-sectional survey was conducted among 427 farmers using a validated, reliable structured questionnaire. The results indicated complaints of dermatitis related to contact with irritants. Data were analyzed using the Chi-square test and logistic regression. Analysis revealed that sex, personal hygiene habits, education level, and the number of pesticide types used were significantly associated with irritant contact dermatitis. Female farmers were less likely to develop irritant contact dermatitis. Conversely, farmers with poor personal hygiene habits or lower levels of education were more likely to develop the condition. Farmers who used fewer types of pesticides had a lower risk of irritant contact dermatitis than those who used a greater variety. In conclusion, irritant contact dermatitis among farmers is influenced by both work-related exposures and hygiene practices. Improving personal hygiene habits and limiting the use of multiple pesticide types may help prevent irritant contact dermatitis under typical farming conditions.
Effectiveness of a Diabetic Educational Module for the Management of Type 2 Diabetes Mellitus: A Systematic Review Dwi Agustina, Johari Daud Makajil, Baidi Baddiri, Dewi Susanna, Winda Maolinda, Muthmainnah Muthmainnah Malaysian Journal of Nursing, 2026 Background: Self-management is a cornerstone of effective type 2 diabetes mellitus (T2DM) care, yet many patients face challenges due to low health literacy, poor self-efficacy, and lack of psychosocial support. Several intervention models have emerged to address these barriers, including educational programs, digital platforms, family-based support, and community engagement strategies. Objectives: This study evaluates the effectiveness of a module with multidimensional self-management interventions to improve clinical and behavioral outcomes in patients with T2DM. Methods: This review identifies 13 studies from 2016-2025, using designs like RCTs, quasi-experimental, and participatory research. They were examined thematically to evaluate their influence on diabetes self-management, clinical outcomes, and patient empowerment. Results: The findings revealed that interventions targeting health literacy, peer support, and digital education platforms resulted in statistically significant self-care behaviors and psychological outcomes. Family involvement and nurse-led initiatives improved the long-term success and effectiveness of the intervention. However, low-intensity or entertainment-based strategies showed limited impact on knowledge acquisition. Digital tools demonstrated potential, but their success depended on user engagement and context relevance. Conclusion: Multidimensional, culturally sensitive interventions integrating education, emotional support, and social structures substantially improve diabetes self-management outcomes. The hypothesis that such interventions are effective was supported. Future studies should evaluate long-term sustainability, cost-effectiveness, and scalability across healthcare systems.
Knowledge, Attitude, and Practice Towards Booster Vaccination for COVID-19 Dewi Susanna, Laura Rozek, Herdianti, Annisa Melianriza, Rafi Aflah Fadlirahman Sage Open, 2025 This study aimed to determine the factors influencing the community’s acceptance of booster vaccination, focusing on sociodemographic characteristics, knowledge, media exposure, and attitude. An analytical observational design was used with a quantitative method and cross-sectional study. The data were collected in September and October 2023 through a digital questionnaire using the Google Forms platform distributed by Line, WhatsApp, Instagram, Twitter, and TikTok, and 425 respondents from Indonesia were selected. Data analysis included univariate, bivariate (Chi-Square Test), and multivariate analyses (Multiple Logistic Regression Test) using IBM SPSS Statistics. The results showed that the majority of respondents possessed good knowledge (51.8%), were actively exposed to the media (99%), and showed a positive attitude toward booster vaccination (57.9%). Furthermore, this study showed that gender, education, knowledge, and attitude had a statistically significant relationship with the community acceptance of booster vaccination and education was found to be the most influential variable in the community acceptance of booster vaccination. The education levels and knowledge were found to have a significant relationship with the attitude and actions of the community. To face the threat of a future pandemic, the government can focus on equal distribution of education and dissemination of information related to disease (prevention, symptoms, treatment, and more) while also building public trust in the government and health workers. This study aims to see the overview of public knowledge, attitudes, and behavior towards booster vaccines in Indonesia. The factors that influence people to do or not do booster vaccines are very diverse. Therefore, the results of this research can be used for future learning when a pandemic is possible. This research was conducted using online questionnaires and shared through social media. The respondents in this study are Indonesian citizens who are adults or over 18 years old the results of this research indicate that education is the dominant factor influencing people to get a booster vaccine Therefore, education should be maximized to enhance booster vaccination in case of future pandemics
Improving the effectiveness of DHF prevention: Lessons from Pariaman City , Harisnal -, Tri Yunis Miko Wahyono, , Ratna Djuwita, , Dewi Susanna, , Cici Apriza Yanti, and Journal of Associated Medical Sciences, 2025 Background: The Aedes aegypti mosquito transmits the viral disease dengue hemorrhagic fever (DHF), a significant public health problem in many tropical countries. The 1 House 1 Larva Monitoring (G1R1J) Movement, which involves every household as a mosquito larva monitoring agent, is one of the efforts to help communities control mosquito growth. Dengue Hemorrhagic Fever (DHF), transmitted by the Aedes aegypti mosquito, remains a significant public health issue in many tropical regions. The “1 House 1 Larva Monitoring” (G1R1J) movement, which mobilizes households as mosquito larvae monitoring agents, represents a community-based approach to controlling mosquito proliferation. Objective: This study highlights a knowledge gap regarding the effectiveness of the G1R1J program with larvae-monitoring students compared to a program solely relying on larva-monitor cadres. This study addresses a knowledge gap by comparing the effectiveness of the G1R1J program integrated with larva-monitoring students against the traditional approach relying solely on larva- monitor cadres. Materials and methods: This study used a comparative design to compare the efficiency of the G1R1J program with the number of DHF cases in two DHF-endemic areas in Pariaman City, West Sumatra. A comparative study was designed to evaluate the efficiency of the G1R1J program concerning the incidence of DHF cases in two endemic areas in Pariaman City, West Sumatra. The researchers focused on field surveys and community attitudes because these aspects are directly linked to the implementation and success of the G1R1J program. Results: The main results, with p=0.000 and OR 0.03, showed that comprehensive field-based interventions can significantly reduce the risk of vector presence. The study also demonstrated the importance of community attitudes in vector control, with p=0.002 and OR=0.15, suggesting that positive attitudes towards vector control practices can enhance the program’s effectiveness. Statistical analysis revealed significant results, with a p-value of 0.000 and an odds ratio (OR) of 0.03, indicating that comprehensive, field-based interventions markedly reduce vector presence. Additionally, the study highlighted the role of community attitudes, with p=0.002 and OR=0.15, underscoring that positive perceptions and practices towards vector control significantly enhance program effectiveness. Conclusion: This study shows that integrating the G1R1J program with larvamonitoring students can reduce the density of Aedes Aegypti mosquito vectors and dengue fever incidence. In addition, it offers strategic guidance for building more sustainable and efficient vector control policies in other endemic areas. Integrating the G1R1J program with larvae-monitoring students reduces Aedes aegypti vector density and DHF incidence. This approach offers strategic insights for developing sustainable and efficient vector control policies in other endemic regions.
Hygiene and Sanitation Towards the Incidence of Stunting in Children Under Five Years Old in Bidara Cina Villege, East Jakarta in 2024 Alifa Ayuni Prasetyo, Dewi Susanna International Journal of Advancement in Life Sciences Research, 2025 Stunting remains a critical public health issue in East Jakarta, with Bidara Cina Village identified as one of the areas facing significant challenges related to hygiene, sanitation, and nutrition among toddlers. This study aimed to analyze the relationship between hygiene and sanitation practices and stunting, while also considering individual and family factors among children under five years old (0–60 months) in Bidara Cina Village, East Jakarta, in 2024. A cross-sectional study design was employed, involving 126 respondents, with data collected through observations and interviews. Data analysis included bivariate analysis (Chi-square test) and multivariate analysis (Multiple Logistic Regression). The bivariate analysis revealed significant associations between stunting and hygiene and sanitation practices, including handwashing with soap (p = 0.01; OR = 9.828), ownership of personal toilet facilities (p < 0.001; OR = 9.750), and the physical quality of water (p < 0.001; OR = 4.713). Individual factors such as age (49–60 months; p < 0.001; OR = 0.350) and history of illness or infection (p < 0.001; OR = 4.631), as well as family factors such as socioeconomic status (p = 0.003; OR = 6.00) and smoking behavior (p = 0.004; OR = 4.245), also showed significant associations. The conclusion of this study is based on the multivariate analysis identified ownership of toilet facilities (p = 0.004; OR = 5.068) and the age range of 49–60 months (p = 0.011; OR = 1.528) as the most influential factors, contributing to 33.2% of stunting cases among toddlers in Bidara Cina Village. Efforts to address stunting in this area should prioritize improving access to sanitation facilities and targeting interventions for older toddlers.
Climate Change and Health Risk Perception in the Community: A Study in the Jakarta Metropolitan Area Dewi Susanna, Hasmah Abdullah, Herdianti, Rafi Aflah Fadlirahman Urban Science, 2025 (1) Introduction: Indonesia is vulnerable to climate change’s impact. To adapt better, a study about community knowledge, attitudes, and behavior toward climate change is needed. This research aims to determine the perception of the health impacts caused and how urban communities (in the Jakarta area) respond to climate change, using a cross-sectional study to see the relationship between knowledge and attitudes towards behavior related to climate change. (2) Methods: This study used descriptive, analytical, observational, and quantitative methods with a cross-sectional design. In addition, the procedures were conducted in the Jakarta metropolitan area using a Google Form platform distributed through social media. Univariate, bivariate, and multivariate analyses were performed using IBM SPSS Statistics 22 software. (3) Results: The results showed that attitudes had a significant association with behavior toward climate change. Respondents had good knowledge of climate change but had negative attitudes and bad behavior. In addition, the impacts felt by the community were increasing heat waves, air pollution, and worsening health conditions. Most respondents were confident and believed that Indonesia could withstand these impacts. (4) Conclusions: Respondents in this study showed good knowledge of climate change and had a positive attitude towards adaptation and mitigation of climate change impacts. However, this is not reflected in their behavior because they predominantly show poor results. The government should be able to encourage changes in people’s behavior so that they are better prepared to deal with the impacts of climate change.
Possible Neglected Case Detection of COVID-19 in a Boarding School Tipping the Boundaries Health and Well Being of Sustainable Development, 2025
Public Health Concerns About the Effect of Solid Waste on Soil Pollution Tipping the Boundaries Health and Well Being of Sustainable Development, 2025
The Relationship Between Climate Change and Indonesia's Malaria Burden Ardhi Arsala Rahmani, Dewi Susanna, Tris Eryando Environmental Quality Management, 2024 Malaria has been with humans for thousands of years. It is caused by parasites of the genus Plasmodium that are transmitted by female Anopheles mosquitoes. The variation of global malaria distribution has recently been associated with changing climatic conditions, such as temperature, precipitation, windspeed, and humidity. One country where malaria transmission remains high in select subnational areas is Indonesia. Founded upon previous findings on the relationship between climate change and malaria, this research delves into the same equation for the case of Indonesia through a structural model which overcomes the variable co‐interaction between temperature, precipitation, windspeed, and humidity. This study follows an ecological study design with yearly longitudinal data (t = 20, n = 432). The method of analysis employed is a structural equation modelling approach for panel datasets with an output of factor loading values to determine association levels. The independent variable is a climate change construct of maximum, minimum, and average values from temperature, windspeed, relative humidity and precipitation as observables taken from the NASA Langley Research Center (LaRC) POWER Project. Meanwhile, the dependent variable is yearly malaria incidence rates at the city and regency level extracted from the Malaria Atlas Project dataset. All variables are standardized to account for unit differences. The SEM results indicate a standardized relationship between a latent climate variable with malaria incidence in a statistically significant manner. However, differences in coefficient directions between the three models indicate that the relationship remains elusive. In the maximum value model, a standard deviation increase in the climate change construct from its mean is associated with a 0.04 standard deviation increase in malaria incidence from its own mean (p < 0.001). On the other hand, in the minimum and average value models, a standard deviation increase in limate change construct from its mean is associated with a 0.12 and 0.09 standard deviation decrease of malaria incidence from its own mean respectively (p < 0.001). Although statistical significance was established across all models which indicated relatively good fit across select indices, the standardized coefficient values presented in this study suggest that any associations between long term climatic variations (measured by yearly data) and malarial incidences are modest at best. The results of the structural equation models also indicate that other factors are at play when it comes to malaria case variations—as explained by the residual terms across all models.
The correlation between the storage of food ingredients before preparation and leftover or unprocessed ingredient storage to Escherichia coli contamination in campus' food service International Journal of Tropical Medicine, 2015
