Investigating a DHF Outbreak in Batuan Village, Gianyar

Ni Luh Putu Sri Lahari, I Wayan Gede Artawan Eka Putra, Ni Wayan Septarini — Mon, 26 Jan 2026 00:00:00 +0000

Background: In March–April 2025, an unusual increase in Dengue Hemorrhagic Fever (DHF) cases was reported in Banjar Dentiyis, Batuan Village, Sukawati District, Gianyar, Bali. The case count rose from 8 in the previous year to 20 within two months, including one death. The sharp increase in incidence and mortality met the criteria for a Kejadian Luar Biasa (KLB), or outbreak, as defined by the Indonesian Ministry of Health. This investigation was conducted to characterize the outbreak, identify contributing risk factors, and evaluate the public health response.

Objective: To determine the epidemiological profile and environmental risk factors associated with the DHF outbreak in Banjar Dentiyis and to provide recommendations for prevention and control.

Methods: A descriptive cross-sectional investigation was carried out from April 4 to 30, 2025. Data collection included secondary surveillance data from Puskesmas Sukawati I and primary field investigations involving interviews, environmental inspections, and larval surveys. Cases were analyzed based on demographic characteristics, spatial distribution, temporal trends, and risk factors such as the presence of larvae and container density.

Results: Twenty DHF cases and one death were confirmed, with the highest concentration (12 cases) in Gang Bunut, yielding an attack rate of 12.9% and a local CFR of 8.3%. Most patients were female (60%) and over the age of 15, although the highest attack rate (3.79%) occurred among children under 15. Clinical symptoms were consistent across cases, with all patients experiencing fever and most reporting headaches and nausea. Environmental assessment revealed mosquito larvae in 35% of case households, with bromeliad plants and uncovered containers serving as primary breeding sites. Fogging and vector control interventions were delayed and did not follow recommended intervals.

Conclusion: The outbreak in Banjar Dentiyis highlights the need for timely response, routine vector surveillance, and sustained community engagement. Delays in fogging and inadequate container management contributed to the persistence of transmission. Strengthened preventive measures, improved health literacy, and adherence to dengue control protocols are critical to mitigating future outbreaks.

The Effect of Diabetes Self-Management Education on Self-Empowerment of Patients with Type 2 Diabetes Mellitus in the Susut I Public Health Center

I Ketut Arya Pawitra, Theresia Anita Pramesti, Ni Luh Gede Intan Saraswati — Wed, 31 Dec 2025 00:00:00 +0000

Introduction: The increasing cases of diabetes mellitus (DM) every year indicate suboptimal disease management by DM patients. One contributing factor is the lack of confidence among patients in conducting self-health care (self-empowerment). Education through DSME is believed to improve the self-empowerment of DM patients.

Objective: This study aims to determine the effect of DSME on the self-empowerment of type 2 DM patients in the Susut I Community Health Center working area.

Methods: This study employs a pre-experimental design with a one-group pre-posttest approach, where respondents received DSME intervention four times. The population consisted of 93 individuals, and a sample of 22 respondents was selected using purposive sampling. Data collection was conducted using the Diabetes Empowerment Scale (DES) questionnaire and analyzed using the Wilcoxon Signed-Rank Test with a significance level of 0.05%.

Results: The pretest results showed that the majority of respondents had moderate self-empowerment, accounting for 16 individuals (72.73%), while six individuals (27.27%) had low self-empowerment. The posttest results indicated that the majority of respondents had moderate self-empowerment, accounting for 17 individuals (77.27%), while five individuals (22.73%) achieved good self-empowerment. Data analysis revealed a p-value of 0.001 (p < α; α = 0.05), indicating a significant effect of DSME implementation on type 2 diabetes mellitus patients in the Susut I Community Health Center working area.

Conclusion: Providing appropriate education can enhance the confidence of diabetes patients in making informed decisions tailored to their needs, expand their knowledge to foster new mindsets, and increase their willingness and readiness to prevent complications, plan meals, engage in regular physical activity, and take medication consistently. This can guide diabetes patients toward a state of well-being with good empowerment.

Basic and Applied Nursing Research Journal

Investigating a DHF Outbreak in Batuan Village, Gianyar

The Effect of Diabetes Self-Management Education on Self-Empowerment of Patients with Type 2 Diabetes Mellitus in the Susut I Public Health Center