Pemanfaatan Data Rekam Medis Kasus Penyakit TBC Secara Spasial di Wilayah Kecamatan Wonosari Utilization of Tuberculosis Case Medical Record Data Spatially in the Wonosari District Area
Main Article Content
Abstract
This research is motivated by the large number of Tuberculosis (TB) that is spreading and rampant in the community, including in Wonosari sub-district. The purpose of this study is to analyze the spread of TB cases in Wonosari District using a spatial approach. This study used medical record data from tuberculosis patients treated at the Wonosari Public Health Center over a certain period. The analysis methods used were Average Nearest Neighbor (ANN) to evaluate the spatial distribution pattern of TB cases, and Moran's Index to identify the presence of spatial autocorrelations in the spread of cases. The results of the analysis showed that TB cases in Wonosari City had an ANN of less than 1, indicating that TB cases were clustered patterns. Based on the results of Moran's I Global analysis for TB cases, a p-value greater than 0.05 indicates that this distribution pattern occurs by chance and does not reflect a real spatial correlation. The ANN of health care facilities in Wonosari City is above 1 and a positive z-score which indicates that health facilities tend to be more dispersed. The conclusion of this analysis provides an important picture of the distribution of diseases and health facilities in Wonosari City, which can be the basis for more effective public health intervention planning. With the use of spatial medical record data, it is hoped that efforts to control tuberculosis in Wonosari District can be improved. The implications of this research are expected to be one of the solutions for local governments and public knowledge about understanding the spread of TB cases. This research also opens up opportunities for further studies, especially examining the factors and causes of tuberculosis in this region.
Downloads
Article Details

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
References
Athosra, A., Maisyarah, M., Satria, E. B., & Suwito, A. (2023). Prevalensi Penyakit Tuberkulosis Di Wilayah Kerja Puskesmas Lasi Kab Agam Tahun 2022. Human Care Journal, 7(3), 749. https://doi.org/10.32883/hcj.v7i3.2308
Aulia, F., Dwianggraeni, P. R., & Ishak, A. R. (2023). Peran Organisasi Mahasiswa dalam Meningkatkan Kemampuan Komunikasi Interpersonal yang Efektif. Jurnal Mahasiswa Komunikasi Cantrik, 3(2), 141–150. https://doi.org/10.20885/cantrik.vol3.iss2.art5
Dewi, T. L., Saraswati, D., & Maywati, S. (2024). Faktor Risiko yang Berhubungan dengan Kejadian Tuberkulosis Paru di Wilayah Kerja UPTD Puskesmas Purbaratu Kota Tasikmalaya Tahun 2023. Jurnal Kesehatan Komunitas Indonesia, 20(1), 9–19.
DINKES. (2019). Apa itu TBC. Dinas Kesehatan Kabupaten Deli Serdang.
Faidah, N., Hartini, S., Dwi Winarsih, B., Widyaningsih, H., Yusianto, W., Setiyo Wulan, E., Studi Keperawatan, P., & Teknologi Kesehatan Cendekia Utama Kudus, I. (2024). Pendidikan Kesehatan untuk Meningkatkan Pengetahuan tentang Pencegahan Penularan Tuberculosis (TB ) Paru di Puskesmas Randublatung Blora. Jurnal Pengabdian Dan Pemberdayaan Kesehatan, 1(1), 48–58. https://doi.org/10.70109/JUPENKES.V1I1.8
Fauzi, M., & Yudi. (2017). PENERAPAN ALGORITMA K-MEANS CLUSTERING UNTUK MENDETEKSI PENYEBARAN PENYAKIT TBC (STUDI KASUS: DI KABUPATEN DELI SERDANG). JTIK (Jurnal Teknik Informatika Kaputama), 1(2), 1–7. https://doi.org/10.59697/jtik.v1i2.575
Fitriani, E. (2015). FAKTOR RISIKO YANG BERHUBUNGAN DENGAN KEJADIAN TUBERKULOSIS PARU. Unnes Journal of Public Health, 2(1), 136. https://doi.org/https://doi.org/10.15294/ujph.v2i1.3034
Ghodousi, M., Sadeghi-Niaraki, A., Rabiee, F., & Choi, S. M. (2020). Spatial-Temporal Analysis of Point Distribution Pattern of Schools Using Spatial Autocorrelation Indices in Bojnourd City. Sustainability 2020, Vol. 12, Page 7755, 12(18), 7755. https://doi.org/10.3390/SU12187755
Gumunggilung, D., Doda, D. V. D., & Mantjoro, E. M. (2021). Hubungan Jarak Dan Durasi Pemakaian Smartphone Dengan Keluhan Kelelahan Mata Pada Mahasiswa Fakultas Kesehatan Masyarakat Unsrat Di Era Pandemi Covid-19. Jurnal Kesehatan Masyarakat, 10(2), 234. https://ejournal.unsrat.ac.id/index.php/kesmas/article/view/32270
Ibrahim, M. M., & Yundri, Y. (2021). Kajian Deskriptif Epidemiologi Kejadian Tuberculosis Di Puskesmas Pijoan Baru Dinas Kesehatan Kabupaten Tanjung Jabung Barat. Judika (Jurnal Nusantara Medika), 5(1), 72–84. https://doi.org/10.29407/JUDIKA.V5I1.16301
Jazuli, A., Salsabila, A. Y., Assidiqi, A. H., & Sadiyah, D. (2023). The Strategy of the Head of Madrasah in Cultivating Fastabiqul Khoirot Culture in the State High School Environment in Batu City. EDHJ Unnusa, 8(April), 56–65. https://journal2.unusa.ac.id/index.php/EHDJ/article/view/4849
Li, J., Xu, Z., Wang, H., Li, L., & Zhu, H. (2024). Geospatial analysis of spatial distribution, patterns, and relationships of health status in the belt and road initiative. Scientific Reports, 14(1), 204. https://doi.org/10.1038/S41598-023-50663-7
Libunelo, E., Paramata, Y., & Rahmawati. (2018). Hubungan Karakteristik Ibu dan Jarak Pelayanan Kesehatan Dengan Kelengkapan Imunisasi Dasar di Puskesmas Dulukapa. Journal Of Public Health, 1(1), 8–23. https://jurnal.unigo.ac.id/index.php/gjph/article/viewFile/142/138
Maulana, A. P., Delani, S., Ardiansyah, A., Agusman, R., & Handawati, R. (2024). Analisis Autokorelasi Global dan Lokal Tuberkulosis Paru di Provinsi Nusa Tenggara Timur. Jurnal Kesehatan Vokasional, 9(2), 99–114. https://doi.org/10.22146/JKESVO.92819
Muryani, M., & Sumartono, B. (2020). Gambaran Karakteristik Penderita Tbc Di Wilayah Kerja Puskesmas Wonosari 1 Gunungkidul. MIKKI (Majalah Ilmu Keperawatan Dan Kesehatan Indonesia), 9(1), 38–46. https://doi.org/10.47317/mikki.v9i1.262
Nurvita, S., & Meyshella, A. (2024). Analisis Epidemiologi Insiden Tuberculosis Paru Di Kedungmundu Dengan Gis. Prepotif: Jurnal Kesehatan Masyarakat, 8(1), 920–929. https://doi.org/10.31004/prepotif.v8i1.26689
RAJAK, S. S., ISMAIL, S., & RESMAWAN, R. (2021). METODE CONDITIONAL AUTOREGRESSIVE DALAM ANALISIS PENYEBARAN KASUS PENYAKIT TUBERCULOSIS. Jambura Journal of Probability and Statistics, 2(1), 28–34. https://doi.org/10.34312/jjps.v2i1.9771
Rolleh, C. E., Mantjoro, E. M., & Asrifuddin, A. (2025). HUBUNGAN ANTARA VARIABILITAS IKLIM DENGAN KEJADIAN TUBERKULOSIS (TBC) DI MINAHASA UTARA TAHUN 2021-2023. Jurnal Kesehatan Masyarakat, 9(1), 43. https://doi.org/10.31004/prepotif.v9i1.43500
S, M. A. S., & Roziah. (2021). Hubungan Jarak Tempat Tinggal Dan Pengetahuan Masyarakat Dengan Pemanfaatan Pelayanan Kesehatan. Jurnal Kesehatan Terapan, 8(1), 27. https://ojs.ukb.ac.id/index.php/Jk/article/view/251
Saidah, K., & Hasanah, N. (2023). Analisis Tingkat Kesehatan Bank Menggunakan Metode Risk Based Bank Rating (RBBR) dan Metode Altman Z-Score Modifikasi (Studi Kasus Bank Muamalat Indonesia). Seminar Akutansi Dan Manajemen, 4(2), 137. https://prosiding.pnj.ac.id/SNAM/article/view/846
Salari, N., Kanjoori, A. H., Hosseinian-Far, A., Hasheminezhad, R., Mansouri, K., & Mohammadi, M. (2023). Global prevalence of drug-resistant tuberculosis: a systematic review and meta-analysis. Infectious Diseases of Poverty, 12(1), 57. https://doi.org/10.1186/S40249-023-01107-X
Sipayung, J. S., Hidayat, W., & Silitonga, E. M. (2023). Faktor Risiko yang Memengaruhi Kejadian Tuberkulosis (TB) Paru di Wilayah Kerja Puskesmas Perbaungan. Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat, 15(2), 55–63. https://doi.org/10.52022/jikm.v15i2.444
Susanti, E. L., Hasnaini, A., & -, M. (2024). Karakteristik dan Analisis Risiko Kasus Tuberkulosis di Puskesmas Senen Jakarta Pusat tahun 2023. Jurnal Epidemiologi Kesehatan Indonesia, 8(2), 12. https://doi.org/10.7454/epidkes.v8i2.1130
Tanjung, R., Mahyuni, E. L., Tanjung, N., Simarmata, O. S., Sinaga, J., & Nolia, H. R. (2021). The spatial distribution of pulmonary tuberculosis in Kabanjahe District, Karo regency, Indonesia. Open Access Macedonian Journal of Medical Sciences, 9, 817–822. https://doi.org/10.3889/oamjms.2021.6808
Tim Kemenkes. (2019). Sistem Informasi Kesehatan. Politeknik Kesehatan Kemenkes Palangka Raya.
Tuntun, M., Aminah, S., & Yusrizal, C. H. (2023). Distribution pattern and spatial analysis of factors for tuberculosis (TB) cases in Bandar Lampung City in 2022. Bali Medical Journal, 12(1), 50–58. https://doi.org/10.15562/BMJ.V12I1.3918
Villar-Hernández, R., Ghodousi, A., Konstantynovska, O., Duarte, R., & Karazin, V. N. (2023). Tuberculosis: current challenges and beyond. BREATHE, 19. https://doi.org/10.1183/20734735.0166-2022
WHO. (2024). Tuberkulosis. World Health Organization.
Zaenab, S., Ronoatmodjo, S., & Putri, M. (2024). Gambaran Diagnosis TBC di Indonesia Tahun 2020-2022. Jurnal Epidemiologi Kesehatan Indonesia, 8(1). https://doi.org/10.7454/epidkes.v8i1.1099




















