Analisis spasial untuk penentuan wilayah berisiko campak di Kabupaten Bantul tahun 2014

https://doi.org/10.22146/bkm.11416

Rosa Devitha Ayu(1), Agung Nugroho(2*), Hari Kusnanto(3)

(1) Departemen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(2) Departemen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(3) Departemen Biostatistik, Epidemiologi, dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Spatial analysis of measles risk areas in Bantul District of Yogyakarta Province in 2014 

Purpose

The purpose of this study was to determine the area of measles risk.

Methods

This research used a cross-sectional design and was performed from June to August 2015. The data on measles patients were obtained from Case-Based Measles Surveillance (CBMS) activities in Health Office of Bantul District. The coordinate locations of patients’ homes were obtained by direct visits. Meanwhile, the information regarding village/ward areas was derived from all village/ ward offices and Public Health Centers in Bantul Districts. The data were analyzed by spatially weighted regression tests.

Results

There were 185 measles cases and 6 outbreaks spread-out in 50 (67%) villages/wards. The entire villages/wards have achieved immunization coverage of >90%, 66% with good nutritional status, 51% with high education status, 37% with high population density, and 24% with low economic status. The variable of population density was spatially associated with measles incidents while immunization coverage, nutritional status, education level, and economic status were not spatially associated with measles incidents. Measles case clustering was found in the areas of Banguntapan Sub-district.

Conclusion

The immunization program in Bantul District should be evaluated in the light that the villages/wards have achieved immunization coverage of 90% but 185 measles cases and 6 outbreaks were still found in 2014. In addition, the improvement of the immunization recording system needs be conducted for CBMS activities.


Keywords


measles; risk factors; spatial analysis



References

  1. Perry RT, Gacic-Dobo M, Dabbagh A, Mulders MN, Strebel PM, Okwo-Bele JM, Rota PA, Goodson JL. Global control and regional elimination of measles, 2000-2012. Morbidity and Mortality Weekly Report. 2014 Feb;63(5):103-7.
  2. WHO/IVBP. Provisional Estimates, 21 Oktober 2013. (Disampaikan pada lokakarya Campak, Rubella, dan CRS Di Yogyakarta 8 Desember 2014).
  3. Depkes RI. Imunisasi Efektif Menekan Angka Kesakitan dan Kematian Bayi. Jakarta: Departemen Kesehatan RI, 2012. Tersedia di <http://www.depkes.go.id/article/print/1239/imunisasi-efektif-menekan-angka-kesakitan-dan-kematian-bayi.html> [10 Maret 2014].
  4. Kemenkes RI. Petunjuk Teknis Surveilans Campak (Edisi Revisi), Jakarta: Sub Direktorat Surveilans Epidemiologi; 2012.
  5. Dinas Kesehatan Provinsi DI Yogyakarta. Profil Kesehatan Provinsi Daerah Istimewa Yogyakarta Tahun 2012. Yogyakarta: Dinas Kesehatan Provinsi DI Yogyakarta;2013.
  6. Goodson, JL. ‘Meeting report: Research priorities for global measles and rubella control and eradication”. Vaccine Juni 2010. Elsevier (www.sciencedirect.com) (Diakses Tanggal 3 Oktober 2014)
  7. Suardiyasa, I M. Faktor-faktor Risiko Kejadian Penyakit Campak Pada Anak Balita di Kabupaten TOLITOLI Propinsi Sulawesi Tengah. Tesis: Fakultas Kedokteran Universitas Gadjah Mada; 2008
  8. Kidd S, Ouedraogo B, Kambire C, Kambou JL, McLean H, Kutty PK, Ndiaye S, Fall A, Alleman M, Wannemuehler K, Masresha B. Measles outbreak in Burkina Faso, 2009: a case–control study to determine risk factors and estimate vaccine effectiveness. Vaccine. 2012 Jul 13;30(33):5000-8. (www.scinecedirect.com) (Diakses 5 oktober 2014).
  9. Asdar, M. Analisis Spasial Kejadian Penyakit Campak di Kota Gorontalo, Provinsi Gorontalo. Tesis: Fakultas Kedokteran Universitas Gadjah Mada; 2012.
  10. Casaeri. Faktor-Faktor Risiko Kejadian Penyakit Campak di Kabupaten Kendal Tahun 2002. Tesis: Universitas Diponegoro; 2002.
  11. Strebel, PM, Papania, MJ, Fiebelkorn AP, Halsey, NA. Measleas Vaccine. Vaccinees: Sixth Edition.(pp. 352-387, 2012
  12. Rammohan, A, Awofeso, N. Fernandes, RC. Peternal Education Status Significantly influences Infants Measles Vaccination Uptake, Independent of Maternal Education Status’. BMC Public Health. 2012;12:336. Tersedia di <http:/biomedcentral .com> (9 Februari 2015)
  13. Goodson, James L. Measles Outbreak in Tanzania, 2006 – 2007. Vaccine. 2010 Juni . (Tersedia di www.sciencedirect.com) (Diakses Tanggal 3 Oktober 2014)
  14. Filia A, Bella A, Rota MC, Tavilla A, Magurano F, Baggieri M, Nicoletti L, Iannazzo S, Pompa MG, Declich S. Analysis of national measles surveillance data in Italy from October 2010 to December 2011 and priorities for reaching the 2015 measles elimination goal. Eurosurveillance. 2013 May 16;18(20):20480.
  15. Yoshikura H. Relation between measles incidence and population size under the advanced vaccine program. Jpn. J. Infect. Dis. 2012 Jan 1;65(1):88-91.
  16. Li X, Kang D, Zhang Y, Wei G, Liu W, Fang L, Yang H, Cao W. Epidemic trend of measles in Shandong Province, China, 1963–2005. Public Health. 2012 Dec 1;126(12):1017-23. (Tersedia di www.elsevier. com/puhe) (28 April 2016).



DOI: https://doi.org/10.22146/bkm.11416

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