Implementation of Moran Index-Based Geographic Information System on Tuberculosis Case Distribution: Case Study at Batujajar and Bayongbong Community Health Centers, Indonesia

Yura Witsqa Firmansyah, Clarissa Zevanya Putri, Reni Reni

Abstract


This study explores the spatial distribution of tuberculosis (TB) cases using the Global Moran’s I Index in two contrasting regions: Batujajar and Bayongbong Community Health Centers in West Java, Indonesia. TB remains a major global health concern, and understanding its spatial dynamics is essential for effective control strategies. A correlational design using secondary data from 2023 (Batujajar) and 2024 (Bayongbong) was employed, with case data analyzed through a Geographic Information System (GIS). Results showed that the Batujajar region exhibits statistically significant spatial clustering (Moran’s I = 0.329, z = 4.038, p < 0.01), with TB cases concentrated near industrial zones and water bodies. This suggests the influence of environmental and demographic factors. In contrast, the Bayongbong region showed no significant spatial autocorrelation (Moran’s I = -0.131, z = -0.022, p = 0.982), indicating a random distribution of cases. These differences imply that targeted interventions are necessary in clustered regions, while more generalized, equitable strategies are needed where cases are spread randomly. The findings of this study can help local health agencies and tuberculosis programs to optimize resource allocation, surveillance, and intervention strategies tailored to spatial patterns. For communities, the results raise awareness of environmental and geographical factors that influence TB risk and highlight the importance of early detection and prevention efforts.  This research demonstrates the value of integrating GIS and spatial statistics in enhancing TB surveillance and aligns with national efforts to eradicate TB by 2030 under the Sustainable Development Goals (SDGs).


Keywords


Batujajar; Bayongbong; Geographic information system; Moran Index; Tuberculosis

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References


Adewole, D. A. (2021). Geospatial patterns and determinants of choice of secondary healthcare facilities among National Health Insurance enrolees in Ibadan, Nigeria (Master’s thesis, University of Cape Town). http://hdl.handle.net/11427/35577

Barletta, R. G., & Steffen, D. J. (2022). Mycobacteria. In Veterinary Microbiology (pp. 345–359). https://doi.org/10.1002/9781119650836.ch36

Debnath, S. K., Debnath, M., & Srivastava, R. (2022). Opportunistic etiological agents causing lung infections: Emerging need to transform lung-targeted delivery. Heliyon, 8(12), e12620. https://doi.org/10.1016/j.heliyon.2022.e12620

Fikri, E., Firmansyah, Y., Ramadhansyah, M., Husna, R., Widyantoro, W., Lewinsca, M., Arumdani, I., Berlian, A., Novitasari, K., & Mahendra, P. (2021). Analysis autocorrelation spatial diarrhea, typhoid and leptospirosis on the East Flood Canal, Semarang City: Moran Index Method. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 6(4), 747–752. https://doi.org/10.30604/jika.v6i4.734

Firmansyah, Y. W., Parulian, A. A., Kristiawan, H., & Prasaja, B. J. (2024). Occurrences of dengue fever, dengue hemorrhagic fever, dengue shock syndrome, severe dengue, dengue warning signs in Bandung City: A spatial study based on Moran Index. Lontarariset, 5(2), 154–170. https://jurnal.poltekmu.ac.id/index.php/lontarariset/article/view/495

Iryanto, A. A., Firmansyah, Y. W., Widyantoro, W., & Zolanda, A. (2022). Spatial patterns of environmental sanitation factors as determinants of toddlers’ diarrhea in Pauh District, Padang City in 2021. Jurnal Kesehatan Lingkungan, 14(2), 71–81. https://doi.org/10.20473/jkl.v14i2.2022.71-81

Kanabalan, R. D., Lee, L. J., Lee, T. Y., Chong, P. P., Hassan, L., Ismail, R., & Chin, V. K. (2021). Human tuberculosis and Mycobacterium tuberculosis complex: A review on genetic diversity, pathogenesis and omics approaches in host biomarkers discovery. Microbiological Research, 246, 126674. https://doi.org/10.1016/j.micres.2020.126674

Khorshid, M. R., Behzadi, S., Sharifi, A., Vafaeinejad, A., Abasian, Z., & Naderi, H. (2025). Evaluation of spatial and non-spatial factors on tuberculosis using geospatial information system and fuzzy logic. Spatial and Spatio-temporal Epidemiology, 100729. https://doi.org/10.1016/j.sste.2025.100729

Khundi, M. (2023). Towards a framework for improved targeting of tuberculosis interventions: A spatial analysis of patient notification and prevalence survey data from urban Blantyre, Malawi (Doctoral dissertation, London School of Hygiene & Tropical Medicine). https://doi.org/10.17037/PUBS.04670919

Liyew, A. M., Clements, A. C., Akalu, T. Y., Gilmour, B., & Alene, K. A. (2024). Ecological-level factors associated with tuberculosis incidence and mortality: A systematic review and meta-analysis. PLOS Global Public Health, 4(10), e0003425. https://doi.org/10.1371/journal.pgph.0003425

Long, R., Divangahi, M., & Schwartzman, K. (2022). Chapter 2: Transmission and pathogenesis of tuberculosis. Canadian Journal of Respiratory, Critical Care, and Sleep Medicine, 6(sup1), 22–32. https://doi.org/10.1080/24745332.2022.2035540

Malik, A. A., Sheikh, J. A., Ehtesham, N. Z., Hira, S., & Hasnain, S. E. (2022). Can Mycobacterium tuberculosis infection lead to cancer? Call for a paradigm shift in understanding TB and cancer. International Journal of Medical Microbiology, 312(5), 151558. https://doi.org/10.1016/j.ijmm.2022.151558

Ministry of Health of the Republic of Indonesia. (2024). Indonesian Tuberculosis Control Program (PPM) Dashboard. https://www.tbindonesia.or.id/dashboard-ppm/

Mohidem, N. A., Osman, M., Hashim, Z., Muharam, F. M., Mohd Elias, S., & Shaharudin, R. (2021). Association of sociodemographic and environmental factors with spatial distribution of tuberculosis cases in Gombak, Selangor, Malaysia. PLOS ONE, 16(6), e0252146. https://doi.org/10.1371/journal.pone.0252146

Nagaraja, T. G. (2022). Basic bacteriology. In Veterinary Microbiology (pp. 11–28). https://doi.org/10.1002/9781119650836.ch2

Roy, D., Ehtesham, N. Z., & Hasnain, S. E. (2021). Is Mycobacterium tuberculosis carcinogenic to humans? The FASEB Journal, 35(9), e21853. https://doi.org/10.1096/fj.202001581RR

Verma, A., Singh, V., Singh Chouhan, A. P., & Dutt, P. K. (2024). Tuberculosis: Symptoms, diagnosis and the fight against drug resistance. Biochemical & Cellular Archives. https://doi.org/10.51470/bca.2024.24.1-S.3337

World Health Organization. (2025, March 14). Tuberculosis. https://www.who.int/news-room/fact-sheets/detail/tuberculosis

Xia, L., Wei, W., Zhou, Z. L., Zhang, W. Q., & Luan, R. S. (2024). The environmental and socioeconomic effects of tuberculosis patients in the southwest of China: A population-based study. Public Health, 227, 131–140. https://doi.org/10.1016/j.puhe.2023.10.043




DOI: https://doi.org/10.17509/gea.v26i1,%20April.86396

DOI (PDF): https://doi.org/10.17509/gea.v26i1.86396.g36235

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