Analisis Kondisi Lingkungan pada Kejadian Leptospirosis di Kabupaten Banyumas dengan Pendekatan Spasial

Environmental Conditions Analysis of Leptospirosis Incidence in Banyumas Regency with a Spatial Approach

  • Miftakhul Janah Universitas Jenderal Soedirman
  • Dwi Sarwani Sri Rejeki Universitas Jenderal Soedirman
  • Sri Nurlaela Universitas Jenderal Soedirman
Keywords: spasial, leptospirosis, Banyumas

Abstract

Abstract. Leptospirosis is still becoming a public health problem in Indonesia. Banyumas was one
of the highest cases in Central Java by 2019 so it could be potentially endemic. GIS (Geographic
Information System) is used to determine spatial patt erns related to the environment. This research
aimed to know the distribution and spatial grouping of leptospirosis in Banyumas 2019. The type of
this research is an observational study with a cross-sectional spatial analysis design to observe the
spreading and grouping patt ern. The subjects of this study were 140 leptospirosis cases in Banyumas
2019. House coordinate was collected by using GPS (Global Positioning System). The data collection
is done for a month. Data Analyzes was performed through ArcGIS 10.2, and SaTScan 9.7. The
distribution of leptospirosis in Banyumas was spread over 14 districts, 45% cases in Cilongok, 25,71%
cases were >56 years old, 62,1% cases were male, 40% cases were farmers. The results of the spatial
analysis showed 77.14% cases in residential land use areas, 70% cases with moderate population
density (5.00-1.249 people/km²), 62.85% cases in 0-199 altitude, 63.57% cases with low rainfall 500
meters, and signifi cant grouping patt ern with p-value = 0.009 primary which is located in Cilongok
and Ajibarang. Leptospirosis spread over in residential land use areas, moderate population density,
low altitude, low rainfall, no history of fl ooding, a radius of river 500 meters, and occurs clustering
in Cilongok and Ajibarang. The location intervention of leptospirosis prevention and control can be
prioritized in these areas.

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Published
2021-12-28
How to Cite
1.
Janah M, Rejeki D, Nurlaela S. Analisis Kondisi Lingkungan pada Kejadian Leptospirosis di Kabupaten Banyumas dengan Pendekatan Spasial. ASP [Internet]. 28Dec.2021 [cited 21May2022];13(2):89-00. Available from: https://ejournal2.litbang.kemkes.go.id/index.php/aspirator/article/view/4837