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All Journal Media Kesehatan Politeknik Kesehatan Makassar Buletin Penelitian Kesehatan
Wahyuni Sahani
Department of Environmental Health, Poltekkes Kemenkes Makassar, South Sulawesi, Indonesia
Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Determinants of the Implementation of the One House One Jumantik Movement for Dengue Vector Control at Kota Ende Health Center Pius Kopong Tokan; Krispina Owa; Sulasmi Sulasmi; Hamsir Ahmad; Wahyuni Sahani; Inayah Inayah
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1607

Abstract

Background: Dengue fever is a public health issue in Ende Regency at Kota Ende Health Center, an endemic area. Since 2015, the One House One Jumantik movement empowers families, but low awareness and resources hinder implementation. Methods: A qualitative case study with a phenomenological approach  from January to June 2025 with six purposively selected informants: technical officers, health center leaders, health office officials, three urban village head. Sample size was determined based on information power and theoretical saturation. Data were collected via observation, open interviews, and document review, then analyzed thematically. Triangulation of sources and techniques ensured validity. Ethical approval was obtained from Poltekkes Kemenkes Kupang (LB.02.03/1/0036/2025). Results: Implementers’ positive understanding supports adoption of the One House One Jumantik program. Nonetheless, budget constraints, limited monitoring structures, weak cross-sector communication, and low community engagement reduce effectiveness. Strengthening coordination, providing training, and applying participatory approaches are key to improving sustainability. Conclusion: The implementation of the One House, One Jumantik movement at Kota Ende Health Center remains limited by resource shortages, organizational structure, and cross-sector coordination. Program effectiveness is affected by organizational capacity, communication, and resource distribution. Addressing these challenges requires concrete actions: conducting cadre training and establishing coordination forums at the Health Center level; providing technical guidance, supervision, and budget support at the District Health Office level; integrating formal policies, planning, and performance monitoring at the Regional Government level; and actively involving the community in inspections and mosquito surveillance
Effectiveness of Integration of Moving Bed Biofilm Reactor and Activated Carbon in Treating Wastewater from Health Center Inayah Mahmud; Budirman Budirman; Wahyuni Sahani; Ain Khaer
Buletin Penelitian Kesehatan Vol. 54 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i1.4407

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Background: The integration of MBBR and activated carbon merges effective biological degradation with superior adsorption capabilities, enhancing pollutant removal while addressing the limitations of each technology individually. This hybrid system is ideal for small facilities, offering comprehensive, cost-effective wastewater treatment with a flexible design and low operational costs. This study aims to evaluate the effectiveness of hybrid Moving Bed Biofilm Reactor (MBBR) and activated carbon technology for wastewater treatment of health centers in Makassar City. Methods: The research was conducted experimentally using three variations of contact time (2, 4, and 6 hours), and the physical and chemical parameters measured, namely Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), ammonia (NH₃), temperature, and pH, were measured before and after treatment. The data were analyzed using the Kruskal-Wallis statistical test to test differences between treatments and the Wilcoxon Signed-Rank Test to evaluate the significance of differences before and after treatment. Results: The results showed that this hybrid system reduced BOD by 80.41%, COD by 81.40%, and NH₃ by 79.38%, with the highest efficiency achieved at a contact time of 6 hours. Temperature (28-28.5°C) and pH (7.2-7.9) remained stable throughout the treatment process, supporting the performance of microorganisms in MBBR. The novelty of this research lies in the combination of MBBR biodegradation mechanism with activated carbon adsorption, which not only improves the pollutant removal efficiency but also enables its application to small-scale health facilities such as public health center with simple design and low operational cost. Conclusion: This technology offers a practical and sustainable solution for wastewater management in primary healthcare facilities, significantly contributing to developing environmentally friendly technologies and supporting policy-making related to wastewater management in Indonesia.
Co-Authors Ain Khaer Budirman Budirman Hamsir Ahmad Inayah Inayah Inayah Mahmud Krispina Owa Pius Kopong Tokan Sulasmi Sulasmi