Article Per Year (5 Year)
p-Index From 2021 - 2026
0.408
P-Index
This Author published in this journals
All Journal Journal of Public Health and Pharmacy Buletin Penelitian Kesehatan
Ain Khaer
Department of Environmental Health, Poltekkes Kemenkes Makassar, South Sulawesi, Indonesia
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

 1 
Bridging Gaps: Cross-Sector Collaboration in Improving Sanitation Access in Last-Miles Communities of South Sulawesi, Indonesia Muh. Saleh; Wildan Setiabudi; Andi Bunga Tongeng; Hamsah Sinring; Nildawati Nildawati; Ain Khaer; Muhammad Rachmat
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.5455

Abstract

ntroduction: According to the Global Burden of Disease study, approximately 775,000 lives were lost prematurely in 2017 due to poor sanitation. In 2020, only 54% of the global population had access to safely managed sanitation. Therefore, this study aimed to explore cross-sector collaboration for improving sanitation access at "last mile" communities in South Sulawesi, Indonesia. Barriers to achieving Open Defecation Free (ODF) status were emphasized, with a focus on the dynamics between health centers (puskesmas) and village governments. Methods: This qualitative case study was conducted with key stakeholders who were directly engaged in the STBM program, such as managers, district government officers, health officers, as well as sub-district, village, and puskesmas heads. Focus group discussions (FGDs) and in-depth interviews were used to collect data. Analysis was conducted thematically to determine patterns and obstacles to collaboration. Results: There was no synergy between puskesmas and village governments in enhancing access to sanitation. Puskesmas operated by modifying the behavior of communities to construct their own latrines, while the village governments operated by providing financial support through village funds. This isolation led to community reliance on outside assistance as well as lowered ODF program effectiveness. FGDs also showed misconceptions among the stakeholders, and external influences on the pathogen spread to water and food sources (e.g., vectors (e.g., flies) spreading pathogens). Conclusion: The synergy between puskesmas and village governments was a critical obstacle to attaining the ideal level of sanitation access and ODF status in the last-mile communities. Enhancing partnership by considering integrated planning, better communication, and participation of the community is necessary. The study showed that the existence of vectors, such as flies, worsened the sanitation issues. This underscores the significance of integrated and sustainable cross-sector partnerships to enhance access to sanitation and control vectors.
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

Abstract

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 Andi Bunga Tongeng Budirman Budirman Hamsah Sinring Inayah Mahmud Muh. Saleh Muhammad Rachmat Nildawati Nildawati Wahyuni Sahani Wildan Setiabudi