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All Journal Jurnal Kesehatan Masyarakat Indonesia Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Kedokteran dan Kesehatan Journal of Public Health for Tropical and Coastal Region Jurnal Manajemen Informasi dan Administrasi Kesehatan Journal of Epidemiology and Public Health Manuju : Malahayati Nursing Journal Jurnal Medika Malahayati Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Budimas : Jurnal Pengabdian Masyarakat IJECS: Indonesian Journal of Empowerment and Community Services MAHESA : Malahayati Health Student Journal Journal Research of Social Science, Economics, and Management Jurnal Kesehatan
Maharani, Nine Elissa
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Hubungan Sanitasi Lingkungan dengan Kejadian Stunting pada Balita Pratiwi, Aulia Putri Eka; Maharani, Nine Elissa
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 3 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Juli 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i3.3689

Abstract

Stunting adalah permasalah terkait pertumbuhan anak balita yang dipengaruhi oleh beberapa penyebab, salah satunya sanitasi lingkungan. Hasil input data bulan September 2024 menunjukkan bahwa kasus tertinggi di Desa Mranggen adalah 94 balita. Penelitian ini bertujuan untuk mengetahui hubungan sanitasi lingkungan dengan kejadian stunting pada balita di Desa Mranggen, Kecamatan Polokarto, Kabupaten Sukoharjo. Jenis penelitian ini observasional analitik menggunakan pendekatan cross-sectional. Teknik sampel penelitian ini diambil dengan total sampling yaitu 94 ibu balita. Alat ukur yang digunakan berupa lembar observasi, buku KMS balita, alat tulis, dan kamera. Menganalisis data menggunakan uji Chi-Square pada taraf signifikansi 5% (α=0.05). Hasil analisis menyatakan ada hubungan signifikan antara sanitasi lingkungan seperti jamban keluarga (p=0.008), pengolahan sampah (p=0.036), pengolahan air minum (p=0.001), serta anggota keluarga merokok (p=0.005) terhadap kejadian stunting pada balita sedangkan pengolahan limbah (p=0.125) tidak terdapat hubungan signifikan terhadap kejadian stunting. Upaya perbaikan sanitasi melalui penyediaan air bersih, pengelolaan air minum, pengolahan sampah, pengelolaan limbah yang baik, dan edukasi masyarakat tentang kebersihan dapat menjadi langkah efektif untuk menurunkan prevalensi stunting di desa tersebut.
The Effect of Neoalgae Spirulina Supplements Intakes on Increasing Body Height and Weight of Stunting Children in Mranggen, Sukoharjo, Central Java Ani, Nur; Maharani, Nine Elissa; Nugraho, Farid Setyo; Rahardjo, Budhi; Utami, Amrih Gancar
Journal of Epidemiology and Public Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.03.12

Abstract

Background: Children who are stunted have a higher risk of experiencing health and brain development disorders, and have a lower likelihood of achievement and a bright future. Spirulina is one of the food sources enriched with nutrients that affect the nutritional status of children. The study aims to discover the effect of the administration of Spirulina Neoalgae supplements on increasing the height and weight of stunting toddlers in Mranggen village. Subjects dan Method: The study used a quasi-experimental design conducted in Mranggen Village, Sukoharjo, Central Java. A total of 100 toddlers selected using total sampling were included in this study. The independent variable in this study was the intervention of Spirulina Neoalgae supplements and the dependent variables in this study were body weight and height. Toddlers were given supplement interventions for 4 weeks. The collected data were subsequently analyzed using the Paired-Test. Results: Before the intervention the average height was (Mean= 82.92; SD = 8.77) and body weight was (Mean= 9.97; SD= 2.09). After the supplement intervention for 2 weeks, the average height was (Mean= 83.56; SD = 8.61) and body weight was (Mean= 10.11; SD= 2.07). Average height (Mean= 84.56; SD= 8.57) and body weight (Mean= 11.04; SD = 2.10) in week four increased and the result was statistically significant (p <0.001). Conclusion: The administration of neoalgae supplements affects increasing height and weight in stunted children in Mranggen Village, Sukoharjo, Central Java.   Keywords: Supplements, Neoalgae, Nutritional Status, Height, Weight, Stunting
Type 2 Diabetes Mellitus is the Risk Factor for Multi-drug Resistance Tuberculosis: A Meta-Analysis Irawan, Bibit; Nugroho, Farit Setyo; Maharani, Nine Elissa
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.12

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) has a significant risk of developing active Tuber-culosis (TB) and complicates its treatment. There is no conclusive evidence on whether TB-T2DM comorbidities are associated with an increased risk of Multidrug Resistant Tuberculosis (MDR-TB). The study aims to analyze and estimate the relationship of T2DM to MDR-TB incidence and to estimate the size of the combined effect. Subjects and Method: This study was a meta-analysis with PICO, Population: patients actively undergoing MDR-TB treatment. Intervention: Patients with comorbid Type 2 Diabetes Mellitus. Comparison: Tuberculosis patients without comorbid Type 2 diabetes mellitus. Output: MDR-TB (Multidrug Resistant Tuberculosis). The articles used in this study were obtained from databases with keywords to search for articles were ("Diabetes Mellitus, Type 2" OR "diabetic" OR "diabetes") AND "tuberculosis" AND ("Tuberculosis, Multidrug-Resistant" OR "drug resistance" OR "multidrug-resistant" OR "multidrug resistant" OR "multidrug resistance" OR "drug-resistant" OR "drug resistant"). Articles were selected based on inclusion criteria, is published in the form of an English full-text article from January 2015 to January 2025, reporting the relationship between T2DM and MDR-TB among TB patients. The articles were selected using the PRISMA flow diagram and analyzed using the Review Manager 5.3 application. Results: This meta-analysis consisted of 9 articles originating from Europe, Asia, Africa and America. Results of the meta-analysis showed that the cohort study of type 2 diabetes mellitus had a 4.11 times greater risk of developing MDR-TB compared to people who did not have type 2 diabetes mellitus. In a control case study of type 2 diabetes mellitus, there was a 3.11 times greater risk of developing MDR-TB than people without type 2 diabetes mellitus, and both were statistically significant (aOR= 3.39; CI 95%= 2.05 to 8.24; p= 0.001). Conclusion: Type 2 diabetes mellitus is a risk factor for MDR TB.
Hubungan Sanitasi Lingkungan dengan Keberadaan Jentik Nyamuk Aedes di Wilayah Kerja Puskesmas Umbulharjo I Kota Yogyakarta Maharani, Nine Elissa; Nurbaya, Fiqi; Sari, Dewi Puspito
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14596

Abstract

ABSTRACT Umbulharjo has highest Dengue High Fever cases every year. Larvae Free Index of Umbulharjo I Health Center area on 2022 below quality standard value from Indonesian Ministry of Health (89.78%). Preliminary survey 2 of 10 houses with no cover water storage and trash bins, not all ventilation equipped with wire mesh. Research objective to determine relationship of environmental sanitation and presence of Aedes larvae in working area of Umbulharjo I Public Health Center. Research design observational analytic study, cross-sectional approach. Population community in Umbulharjo I Health Center area, total 15.112 families. Sample 100 families. Sampling technique stratified random sampling. Independent variables environmental sanitation (water storage conditions, trash bin conditions, home environment conditions), dependent variable presence of Aedes larvae. Research instrument questionnaire, observation sheet. Data analysis method chi square test, α = 0.05. Univariate analysis condition of water storage container was quite good 82%, condition of trash bin was good 83%, condition of house environment was quite good 94%. Bivariate analysis there’s relationship between condition of water storage and presence of Aedes larvae in working area of Umbulharjo I Public Health Center, p-value = 0.007. There’s no relationship between condition of trash bin and presence of Aedes larvae, p-value = 0.963. There’s relationship between condition of home environment and presence of Aedes larvae, p-value = 0.017. The environment conditions of the house and water reservoirs are related to the presences of Aedes mosquito larvae. Keywords: Environmental Sanitation, Aedes, Mosquito Larvae  ABSTRAK Kecamatan Umbulharjo memiliki kasus Demam Berdarah Dengue tertinggi setiap tahun. Angka Bebas Jentik di wilayah Puskesmas Umbulharjo I tahun 2022 di bawah nilai baku mutu yang ditetapkan Kemenkes RI (89,78%). Survei pendahuluan 2 dari 10 rumah kondisi tempat penampungan air dan tempat sampah tidak berpenutup, ventilasi belum seluruhnya dilengkapi kawat kasa. Tujuan penelitian untuk mengetahui hubungan sanitasi lingkungan dengan keberadaan jentik nyamuk Aedes di wilayah kerja Puskesmas Umbulharjo I Kota Yogyakarta. Desain penelitian studi analitik observasional, pendekatan cross sectional. Populasi penelitian adalah masyarakat wilayah Puskesmas Umbulharjo I, total 15.112 KK. Sampel penelitian 100 KK. Teknik sampling stratified random sampling. Variabel bebas sanitasi lingkungan (kondisi tempat penampungan air, kondisi tempat sampah, kondisi lingkungan rumah) dan variabel terikat keberadaan jentik nyamuk Aedes. Instrumen penelitian kuesioner dan lembar observasi. Analisis data menggunakan uji chi square dengan α = 0,05. Analisis univariat kondisi tempat penampungan air cukup baik 82%, kondisi tempat sampah baik 83%, kondisi lingkungan rumah cukup baik 94%. Analisis bivariat ada hubungan antara kondisi tempat penampungan air dengan keberadaan jentik nyamuk Aedes di wilayah kerja Puskesmas Umbulharjo I, p-value = 0,007. Tidak ada hubungan antara kondisi tempat sampah dengan keberadaan jentik nyamuk Aedes, p-value = 0,963. Ada hubungan antara kondisi lingkungan rumah dengan keberadaan jentik nyamuk Aedes, p-value = 0,017. kondisi lingkungan rumah dan tempat penampungan air mempunyai hubungan dengan keberadaan jentik nyamuk Aedes. Kata Kunci: Sanitasi Lingkungan, Aedes, Jentik Nyamuk
Gambaran Pengetahuan Ibu yang Memiliki Balita Tentang Sanitasi Lingkungan dan Stunting di Desa Mranggen Wibowo, Ibnu Setyo; Maharani, Nine Elissa; Nugroho, Farid Setyo
Malahayati Nursing Journal Vol 6, No 7 (2024): Volume 6 Nomor 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i7.14797

Abstract

ABSTRACT Poor environmental sanitation is an indirect stunting risk factor as it can cause infectious diseases, which are a direct factor in stunting nutrition problems.  is to describe the respondent's knowledge of environmental sanitation and stunting in Mranggen Village. Type of research used is quantitative descriptive. Respondents in this study are all mothers who have toodler in Mranggen Village as many as 112 respondents and sampling methods using total samplings. The research shows that respondents' knowledge about environmental sanitation is good, with a result of 66%, indicated by the type of drinking water consumed, knowledge and type of toilet used, but there is still a lack of waste management in the environment. The research results show that the level of knowledge of respondents about stunting is good with a result of 84%.Based on the results of research related to sanitation, the majority of respondents have good knowledge about environmental sanitation (66%), there is a gap with behavior in waste processing which is still not good. The research results show that the majority of respondents (84%) have good knowledge about stunting. Keyword: Stunting, Sanitation, Enviroment  ABSTRAK Sanitasi lingkungan yang kurang baik merupakan faktor resiko tidak langsung stunting karena dapat menyebabkan penyakit infeksi, yang merupakan faktor secara langsung dari masalah gizi stunting. adalah untuk menggambaran pengetahuan responden tentang sanitasi lingkungan dan stunting di Desa Mranggen. Jenis penelitian yang digunakan adalah deskriptif kuantitatif. Responden dalam penelitian ini yaitu semua ibu yang memiliki balita di Desa Mranggen sebanyak 112 responden dan metode pengambilan sampel menggunakan total sampling. Hasil penelitian menunjukkan pengetahuan responden tentang sanitasi lingkungan sudah baik diperoleh hasil sejumlah 66% ditunjukkan dengan jenis air minum yang dikonsumsi, pengetahuan, jenis jamban yang digunakan namun masih kurang dalam pengeloaan sampah di lingkungan. Hasil penelitian menujukkan tingkat pengetahuan responden tentang stunting adalah baik dengan hasil 84%. Berdasarkan hasil penelitian terkait dengan sanitasi, mayoritas responden memiliki pengetahuan yang baik tentang sanitasi lingkungan (66%), terdapat kesenjangan dengan perilaku dalam pengolahan sampah yang masih kurang baik. Hasil penelitian menunjukkan  pengetahuan yang baik tentang stunting yang dimiliki mayoritas responden (84%). Kata Kunci: Stunting, Sanitasi, Lingkungan 
TRAINING IN MAKING AVOCADO LEAF TEA AND APPROPRIATE OVITRAP TECHNOLOGY AS A PREVENTIVE MEASURE FOR HYPERTENSION AND DENGUE HEMORRHAGIC FEVER (DHF) IN SANGKRAH VILLAGE, SURAKARTA Sari, Dewi Puspito; Nurbaya, Fiqi; Maharani, Nine Elissa; Haryanti, Titik; Suryaningsih, Annisa Dewi; Romadhoni, Desti Pramudika
BUDIMAS : JURNAL PENGABDIAN MASYARAKAT Vol. 6 No. 1 (2024): BUDIMAS : Jurnal Pengabdian Masyarakat
Publisher : LPPM ITB AAS Indonesia Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Indonesia is still burdened with increasing hypertension and Dengue Hemorrhagic Fever (DHF). prevention of hypertension and DHF is needed. Sangkrah Surakarta Sub-District is an area where some of the people pay less attention to health conditions and environmental hygiene, thus triggering an increase in the number of more serious stroke cases. It is necessary to take steps to control hypertension, stroke and DHF that are easy and can be carried out. Objective: To increase partners' knowledge and skills through training in making ovitrap and avocado leaves as a preventive measure for hypertension, stroke and dengue. Method: This community service partner is the PKK Women's Group in RT 01 RW 13, Sangkrah Village, Surakarta, with a total of 20 people. This community service activity begins with identifying the needs of partners, preparing and permitting, counseling on hypertension, stroke and DHF, training on avocado leaves and making ovitrap, evaluating the implementation and sustainability of activities. At the counseling stage to measure the understanding of partners the service team distributed pretest and posttest questionnaires with the aim of whether there was an increase in partners' understanding. Results: The results of outreach activities for partners experienced an increase in participants' understanding of 23.45%, partners were able to make avocado and ovitrap tea during community service activities. Conclusion: Partners are very enthusiastic about participating in the counseling and training program, this is realized through increasing partners' understanding of efforts to prevent hypertension, stroke and DHF and being able to independently produce avocado and ovitrap leaves. Keywords: Avocado Leaf Tea, Ovitrap, Stroke, DHF, Sangkrah
Overview of Food Handler Sanitation Hygiene and the Presence of Bacteria Escherichia Coli on Prepared Food at Hospital X Surakarta Wardhany, Ruthy Ayu; Maharani, Nine Elissa
Jurnal Kesehatan Vol 18, No 3 (2025): Jurnal Kesehatan
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jk.v18i3.9224

Abstract

Pendahuluan: Rumah sakit X Surakarta dalam pelaksanaan higiene penjamah makanan belum terlaksana secara optimal, sesuai dengan SOP yang mewajibkan penjamah makanan menggunakan APD selama bekerja, namun kenyataannya tidak sesuai dengan standar prosedur. Bakteri E.coli adalah salah satu kontaminasi makanan yang sering ditemui, terutama akibat perilaku penjamah makanan yang tidak higienis, kontaminasi dapat menyebabkan gejala diare, muntah, kram perut, demam dan diare berdarah. Tujuan penelitian ini untuk mendeskripsikan higiene sanitasi penjamah makanan dan keberadaan bakteri E.coli pada makanan jadi di rumah sakit X Surakarta. Metode : Jenis penelitian ini deskriptif kualitatif. Populasi penelitian ini seluruh penjamah makanan yaitu 16 orang penjamah makanan dan sampel dalam penelitian ini 9 makanan jadi di Rumah Sakit X Surakarta yang dipilih secara purposive random sampling . Pengumpulan data penelitian ini menggunakan kuesioner, observasi dan pemeriksaan laboratorium. Hasil: menunjukkan bahwa 31,2% penjamah makanan di Rumah Sakit X Surakarta tidak memenuhi syarat higiene sanitasi pada Permenkes RI No. 1096/MENKES/PER/VI/2011 tentang higiene sanitasi jasaboga dan berdasarkan uji laboratorium 9 sampel makanan tidak mengandung Escherichia coli . Kesimpulan: bahwa 31,2% penjamah makanan tidak memenuhi syarat higienitas , sedangkan hasil laboratorium 100% sampel makanan jadi negatif Escherichia coli.   Introduction: Hygiene and sanitation of food handlers and food quality in hospitals are crucial for preventing the spread of disease. Although SOPs mandate that food handlers use Personal Protective Equipment (PPE) during work, the reality on the ground still does not meet established standards. E. coli is one of the most frequently encountered bacterial food contaminants. The aim of this study was to describe the sanitation hygiene of food handlers and the presence of E. coli bacteria in ready to eat food at Hospital X Surakarta. Method: This research is a quantitative descriptive study conducted in January–February 2025 at Hospital X Surakarta. The sample consisted of 16 food handlers (total sampling) and 9 processed food samples (purposive sampling). Data were collected through observation, questionnaires, and laboratory tests using the Most Probable Number (MPN) method according to SNI 2897:2008. The analysis was conducted descriptively and quantitatively based on the standards of the Indonesian Minister of Health Regulation No. 1096 of 2011. Results: The results showed that 31.2% of food handlers at Hospital X Surakarta did not meet hygiene and sanitation requirements. Based on laboratory tests, 9 food samples did not contain Escherichia coli bacteria. Conclusion: A total of 31.2% of food handlers were found not to meet hygiene requirements; however, laboratory test results showed that 100% of finished food samples were free from Escherichia coli.
Hubungan Obesitas Dan Aktivitas Fisik Dengan Kejadian Diabetes Mellitus Tipe 2 Di Puskesmas Wonogiri I Maharani, Nine Elissa; .dr, Suryono; Ardiyanto, Bagus Fandy
Jurnal Manajemen Informasi dan Administrasi Kesehatan Vol. 1 No. 1 (2018): JMIAK
Publisher : Program Studi D3 Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jmiak.v1i1.124

Abstract

Prevalensi diabetes mellitus tipe 2 di puskesmas Wonogiri 1 dalam dua tahun terakhir dari tahun 2014 sampai 2015 meningkat yaitu tahun 2014 sebanyak 269 orang dan tahun 2015 meningkat menjadi 278. Tujuan penelitian ini adalah untuk mengetahui hubungan obesitas dan aktivitas fisik dengan kejadian diabetes mellitus tipe 2 di Puskesmas Wonogiri 1. Jenis penelitian ini adalah survey analitik dengan pendekatan kasus kontrol. Populasi dalam penelitian ini semua pasien diabetes mellitus tipe 2 di Puskesmas Wonogiri 1 yang berobat dari bulan Januari sampai Mei 2016 sebanyak 236 pasien. Sampel dalam penelitian ini sebanyak 42 orang yag terdiri dari 21 sampel kasus diabetes mellitus tipe 2 dan 21 sampel kontrol yang bukan penderita diabetes mellitus tetapi memiliki karakteristik yang sama. Teknik pengambilan sampel menggunakan si mpel random sampling. Variabel bebas adalah obesitas dan aktivitas fisik. Variabel terikat kejadian diabetes mellitus tipe 2. Analisis data menggunakan chi square dengan ? 5% dan OR. Hasil penelitian ini menunjukkan tidak ada hubungan obesitas (p = 0.001; OR = 12,000) dan aktivitas fisik (p = 0.015; OR = 0.200) dengan kejadian diabetes mellitus tipe 2 di Puskesmas Wonogiri 1. Disarankan pihak puskesmas melakukan sosialisasi tentang faktor-faktor penyebab diabetes mellitus, gejala, komplikasi dan usaha mencegah diabetes mellitus.Kata kunci: obesitas, aktifitas fisik, diabetes mellitus tipe II
Analysis of the Implementation of the SAP (Safety Accountability Program) Digital Reporting Application in Reducing Workplace Accidents at the PT Energi Batubara Lestari Coal Mine Aminuddin, Arief; Maharani, Nine Elissa; Ani, Nur; Wartini, Wartini
Journal Research of Social Science, Economics, and Management Vol. 5 No. 2 (2025): Journal Research of Social Science, Economics, and Management
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jrssem.v5i2.1097

Abstract

This study aims to evaluate the effectiveness of the digital SAP application in reducing workplace accidents in a coal mining company in South Kalimantan. The research method employed a descriptive quantitative case study approach, involving 150 respondents from various departments. Data were collected through accident documentation over a 12-month period (6 months before and 6 months after implementation of the application), questionnaires, interviews, and field observations. Data analysis was carried out using descriptive comparisons and paired t-tests to examine the significance of accident reduction. The results show a 75% decrease in workplace accidents after the application was implemented. The number of SAP reports in 2025 was consistently higher compared to 2024, with a significant difference of around 2.000–3.000 reports per month, reflecting a more consistent reporting culture. This indicates system improvement and increased worker participation following the full implementation of the digital SAP application in 2025. Surveys revealed that 85% of respondents found the application easy to use, 78% stated it encouraged them to be more proactive in maintaining safety, 75% reported an improved safety culture, and 85% felt the application helped reduce potential hazards. In conclusion, the digital SAP application has proven effective in strengthening the OSH reporting system, increasing worker participation, accelerating follow-up actions, and significantly reducing workplace accidents. This study recommends the broader adoption of the digital SAP application in the mining industry as part of a strategy towards a proactive and sustainable safety culture.
Co-Authors .dr, Suryono Aminuddin, Arief Ardhiyanto, Rise Vivid Ardiyanto, Bagus Fandy Ariyani, Nurul Asriati, Yul Dewi Puspito Sari, Dewi Puspito Fiqi Nurbaya Iik Sartika Indhun, Qomariah Irawan, Bibit Kusumaningpanglipur, Syallom Nugraho, Farid Setyo Nugroho, Farid Setyo Nugroho, Farit Setyo Nur Ani Pratiwi, Aulia Putri Eka Rahardjo, Budhi Rahayu, Diah Siwi Romadhoni, Desti Pramudika Sari, Noviana Ristika Suryaningsih, Anisa Dewi Suryaningsih, Annisa Dewi Susanti, Fitri Aprilia Titik Haryanti Utami, Amrih Gancar Wardhany, Ruthy Ayu Wartini Wartini, Wartini Wibowo, Ibnu Setyo Yuliatin yuliatin