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AYON FRIDAY YONAZA
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ANALISIS SPASIAL KEJADIAN LEPTOSPIROSIS DI KABUPATEN BANYUMAS, PROPINSI JAWA TENGAH TAHUN 2014-2016
Abstrak (Bhs. Indonesia)
Latar Belakang: Kabupaten Banyumas merupakan daerah rawan leptospirosis. Sejak dilaporkan tahun 2010 sampai 2016 sebanyak 42 kasus ditemukan dan tersebar di 19 Kecamatan. Pengetahuan tentang analisis spasial sangat diperlukan karena dapat memberikan informasi lokasi populasi yang berisiko dapat segera ditangani. Tujuan penelitian adalah menjelaskan gambaran hasil analisis spasial kejadian leptospirosis di Kabupaten Banyumas, Propinsi Jawa Tengah tahun 2014-2016. Metodologi: Jenis penelitian deskriptif desain studi kasus. Sampel penelitian dengan teknik total sampling sebanyak 25 orang. Analisis data menggunakan metode spasial pendekatan elementary analaysis of disease, Nearest Neighbour Index dan Convex hulls. Hasil Penelitian: Hasil analisis menunjukkan bahwa kejadian leptospirosis tahun 2014 berpola menyebar, tahun 2015 dan 2016 berpola mengelompok. Kasus didominasi oleh kelompok laki-laki dewasa, pekerja petani & IRT. Kasus lebih banyak ditemukan berdekatan dengan vegetasi semak (96%), mempunyai selokan yang tidak memenuhi syarat (68%), memiliki jarak 0-1 km dari tataguna lahan (56%), mempunyai jarak rumah yang kurang dari 500 m dari TPS (100%), mempunyai jarak rumah <300 m dari sungai (64%), desa yang berjarak >2 km dari fasilitas kesehatan (Puskesmas dan Rumah Sakit) hanya ditemukan 1 kasus, zona kerawanan tinggi meliputi 20 Kecamatan. Kesimpulan: Sistem Informasi Geografis dimanfaatkan sebagai sistem surveilans leptospirosis dan sebaiknya dilakukan pemantauan dari waktu ke waktu.
Abtrak (Bhs. Inggris)
Background: Banyumas was a leptospirosis vulnerable region. It has been reported since 2010 till 2016 consist of 42 cases which found and dispersed in 19 subdistrict. Knowledge of spatial analysis was very nescessary because it could give an information about located of pupulation which risk to be addressed soon. The research was aim to explained the results of leptospirosis spatial analysis in Banyumas, Central Java Province on 2014-2016. Method: The descriptive research with case study design. The research used total sampling technique consisted of 25 people. Spatial data analysis used elementary analaysis of disease, Nearest Neighbour Index and Convex hulls approachments. Results: The research showed that the incidence of leptospirosis in 2014 patterned spreads, 2015 and 2016 clumped pattern. The case was dominated by a group of adult men and farmer workers. More cases are found adjacent to the bush vegetation (96%), has a gutter which is not eligible (68%), has a distance of 0 to 1 km from land utilizing (56%), distance of home to TPS was less than 500 m (100 %), distance of home to the river was less than 300 m from the river (64%), distance of village to the health facilities was more than 2 km was finding just one case, the high vulnerability zone covering 20 districts. Conclusion: Geographic Information System can be utilized as part of the surveillance system leptospirosis and monitoring should be done from by the time.
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