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Spatio-Temporal Analysis of Tuberculosis Clusters in a Region of Topographic Diversity: A Case Study from West Sulawesi Province, Indonesia Islam, Fahrul; Ahmad, Haeranah; Akbar, Fajar; Khaer, Ain; Suryadi, Iwan; Syukri, Muhammad; Ramadhan, Kadar
Journal of Public Health and Pharmacy Vol. 5 No. 2: JULY 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i2.6762

Abstract

Introduction: Several studies on tuberculosis (TB) using spatial and time clustering analyses have been conducted in Indonesia, however none have specifically focused on regions characterized by diverse topography. This study aimed to identify geospatial clusters of TB cases in West Sulawesi Province, Indonesia, an area known for its topographic variability. Methods: An ecological study design was employed. TB case data, including bacteriologically confirmed and clinically diagnosed cases, were obtained from the Tuberculosis Information System (Sistem Informasi Tuberkulosis, SITB) of the West Sulawesi Provincial Health Office, covering the period from January 1, 2020, to December 31, 2023. Spatial visualization was performed using QGIS version 3.40.0. Cluster detection and spatial pattern analysis were conducted using SaTScan version 10.2.5. Results: TB cases in West Sulawesi formed clusters. A total of 17 clusters were identified—4 primary (most likely) clusters and 13 secondary clusters. In 2020, the primary cluster was located in Bambang Village, Bambang Subdistrict. In 2021, the primary cluster was in Lambanan Village, Mamasa Subdistrict. In 2022, the primary cluster was in Ulumambi Barat Village, Bambang Subdistrict, and in 2023, the primary cluster was again in Lambanan Village, Mamasa Subdistrict. Conclusion: This study found that the most likely TB clusters from 2020 to 2023 were consistently located in the eastern part of West Sulawesi Province, specifically in Mamasa Regency, an area characterized by mountainous terrain. This suggests that various environmental, social, and economic factors unique to mountain communities may influence TB transmission dynamics. The findings highlight the need for geographically tailored intervention strategies, including mobile TB services, community-based education, enhanced surveillance systems, the establishment of local TB support networks, and improved healthcare infrastructure adapted to mountainous areas. Future research should consider integrating genotypic, molecular, and geospatial approaches to advance global TB control efforts.
Efektivitas Atraktan Recycled Water terhadap Peningkatan Angka Bebas Jentik: The Effectiveness of Recycled Water Attractants in Improving the Larvae-Free Index Muh. Saleh; Nildawati; Wahid, Isra; Khaer, Ain; Rachmat, Muhammad
Aspirator Vol 15 No 2 (2024): Jurnal Aspirator Volume 15 Nomor 2 2024
Publisher : Perkumpulan Entomologi Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58623/aspirator.v15i2.81

Abstract

The increasing cases of Dengue Hemorrhagic Fever (DHF) in Indonesia demands effective, affordable, and environmentally friendly vector control strategies. This study aimed to evaluate the effectiveness of recycled water-based attractants in improving the Larvae-Free Index (Angka Bebas Jentik/ABJ) compared to conventional water and brown sugar plus yeast attractants. The study was conducted over nine weeks in three hamlets with homogeneous environmental characteristics in Pangkep Regency, South Sulawesi. Simple ovitraps were used to attract gravid female mosquitoes, while ABJ was measured through the inspection of natural containers. The results showed that recycled water significantly increased ABJ, reaching 96.08% in the eighth week, higher than conventional water (53.03%) and brown sugar plus yeast (37.50%). One-way ANOVA revealed a significant difference among attractant groups (p = 0.000), and further analysis using the Post-hoc Tukey test confirmed significant differences between recycled water and the other two attractants. In conclusion, recycled water proved to be an effective attractant for diverting mosquito oviposition from natural containers to ovitraps, thereby increasing environmental ABJ. This method has potential as a practical, sustainable, and community-based solution for vector control in dengue-endemic areas.
Pemberdayaan Masyarakat Menuju Desa Sehat dan Bersinar (Bersih Narkoba) di Desa Tea Malala Kecamatan Ulaweng Kabupaten Bone zaenab, Zaenab; Khaer, Ain; Sudarianto, Sudarianto
Jurnal Abdimas Jatibara Vol 4, No 1 (2025): Jatibara Vol.4 No.1 Agustus 2025
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jaj.v4i1.2228

Abstract

Tea Malala Village faces suboptimal sanitation issues and an increasing threat of drug abuse. The lack of clean water facilities and insufficient education about the dangers of drug abuse are major challenges that need to be addressed. The objective of this community service program is to reduce the risk of disease transmission caused by poor sanitation through education on proper waste management and sanitation, as well as to raise awareness about the dangers of drug abuse and establish anti-drug activist agents within the community. The program was implemented in three stages: preparation, execution, and evaluation. Activities included education on organic and inorganic waste management, drug abuse prevention counseling, and the establishment of anti-drug activist agents in the village. Before the program, only 12% of the community practiced waste segregation, but this number increased after the educational sessions. Additionally, the ownership of waste bins increased to 70%, and all households now have proper latrines. In terms of drug prevention, 100% of participants joined the establishment of the "Bersinar" agents, although participation in drug abuse counseling remained low (20%). This program successfully increased community awareness, but challenges remain in implementing waste segregation and processing, as well as in the availability of wastewater treatment facilities. This program effectively enhances awareness of sanitation and drug prevention. Continuous efforts are needed through the mentoring of anti-drug activist agents and strengthening education on waste management to maximize the program's impact.
Implementasi Teknologi Tepat Guna Jamban Sehat untuk Optimasi Sanitasi Aman di Wilayah Pesisir Kabupaten Pangkep Saleh, Muh.; Amansyah, Munawir; Bujawati, Emmi; Khaer, Ain; Rachmat, Muhammad
Jurnal Abmas Negeri (JAGRI) Vol. 5 No. 1 (2024): Volume 5 Nomor 1 Juni 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jagri.v5i1.997

Abstract

Akses terhadap sanitasi yang aman merupakan kebutuhan dasar manusia yang esensial, khususnya bagi masyarakat pesisir yang rentan terhadap pencemaran lingkungan dan penyakit. Masyarakat di wilayah pesisir kampung nelayan di Kelurahan Pundata Baji, Kabupaten Pangkep, Sulawesi Selatan, masih kekurangan akses terhadap sanitasi yang memadai. Hal ini menyebabkan berbagai masalah kesehatan dan lingkungan. Kegiatan ini bertujuan untuk mengatasi permasalahan sanitasi di wilayah pesisir Kampung Nelayan tersebut dengan menerapkan teknologi tepat guna jamban. Pendekatan Participatory Action Research (PAR) digunakan untuk melibatkan secara aktif masyarakat setempat dan pemangku kepentingan lainnya dalam seluruh tahapan kegiatan, mulai dari perencanaan, implementasi, hingga evaluasi. Melalui proses PAR, pengabdian ini berhasil menyediakan solusi konkret dengan merancang dan membangun contoh jamban model pasang surut yang sesuai dengan lingkungan lokal dan kebutuhan masyarakat. Teknologi jamban pasang surut ini terbukti efektif dan nyaman digunakan oleh masyarakat setempat. Hasil pengabdian ini dapat menjadi panduan bagi pemerintah daerah lainnya untuk mengadopsi praktik terbaik dalam pencapaian Open Defecation Free (ODF) dan akses sanitasi aman, serta mewujudkan lingkungan sehat dan berkelanjutan di wilayah pesisir. Kesimpulannya, implementasi teknologi ini berkontribusi signifikan dalam meningkatkan capaian ODF serta kualitas sanitasi aman dan kesehatan masyarakat pesisir.
Pembuatan Desinfektan Alami Untuk Sterilisasi Ruangan Guna Mencegah Sick Building Syndrome Khaer, Ain; Mulyadi, Mulyadi
Media Implementasi Riset Kesehatan Vol 5 No 2 (2024): Media Implementasi Riset Kesehatan (Desember)
Publisher : Poltekkes Kemenkes Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/mirk.v5i2.928

Abstract

Mikroorganisme tersebar luas di alam dan dapat mencemari produk pangan serta udara dalam ruangan, sehingga berkontribusi terhadap gangguan kesehatan seperti Sick Building Syndrome (SBS). SBS ditandai dengan keluhan kesehatan seperti kelelahan, sakit kepala, iritasi kulit, dan kurang konsentrasi, yang sering terjadi akibat kualitas udara buruk di gedung modern. Faktor utama penyebab pencemaran udara dalam ruangan meliputi ventilasi buruk (52%), kontaminasi struktur dalam (17%), dan kontaminasi bakteri (5%). Standar lingkungan kerja ideal meliputi suhu 18–28°C, kelembaban 40–60%, dan angka bakteri <700 koloni/m³. Penggunaan disinfektan kimia untuk sterilisasi ruangan memiliki risiko kesehatan jangka panjang karena bahan beracun seperti klorin dan hidrogen peroksida. Oleh karena itu, disinfektan alami menjadi alternatif yang lebih aman dan ramah lingkungan. Namun, pengetahuan masyarakat mengenai pembuatan disinfektan alami masih terbatas. Program pengabdian masyarakat ini bertujuan memberikan pelatihan pembuatan disinfektan alami guna mengendalikan mikroorganisme dalam ruangan dan mencegah SBS. Kegiatan ini merupakan tindak lanjut dari penelitian sebelumnya yang menganalisis mikroorganisme di ruang ber-AC dan tidak ber-AC terhadap kejadian SBS di Kota Makassar. Diharapkan pelatihan ini dapat meningkatkan kesadaran dan kemampuan masyarakat dalam menciptakan lingkungan kerja yang lebih sehat. Kata kunci : Desinfektan, Sick Building Syndrome (SBS), Sterilisasi
Pemanfaatan Daun Salam (Syzygium Polyanthum Walp) Dalam Pengendalian Rayap Syamsudin S; Khaer, Ain; Waru, Andi Khaerunnisa Tenrya
Sulolipu: Media Komunikasi Sivitas Akademika dan Masyarakat Vol 23 No 2 (2023): Jurnal Sulolipu: Media Komunikasi Sivitas Akademika dan Masyarakat
Publisher : Jurusan Kesehatan Lingkungan Poltekkes Kemenkes Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/sulo.v23i2.90

Abstract

Termites are one of insects that belong to the order Isoptera with 3 types of castes, namely the worker caste termites, the soldier caste termites, and the reproductive caste termites. Termites can be found in various ecosystems such as plantations or settlements, especially since the area is an area with climatic conditions that support its breeding, such as in Indonesia. Termites can live on the ground or in wood, especially wood containing cellulose. Bay leaf is a plant with a scientific name (Eugenia Polyantha W.) that contains several compounds, one of which is an essential oil that is volatile and is in the form of a liquid that is capable of killing termites by damaging the respiratory system and reducing the appetite of termites. The purpose of this study was to find out the benefits of boiling water from bay leaves (Syzygium Polyanthum Walp) as a natural pesticide in killing termites. The type of research used is quasi-experimental using the spray method. The samples in this study were 20 termites that were exposed to boiling water of bay leaves with concentrations of 40%, 45%, and 50% and controls whose mortality was counted every 40 minutes for 120 minutes for 3 treatments. The results showed that the average percentage of termite mortality using boiled bay leaf water at a concentration of 50% was 17 individuals (85%), at a concentration of 45% as many as 13 individuals (65%), at a concentration of 40% as many as 5 individuals (25%), and in the control, there was no termite death or without giving bay leaf boiled water. Based on the research results, boiled bay leaves can kill termites. The conclusion of this study, water boiled bay leaves at a concentration of 40% and 45% cannot be said to be able to kill termites and 50% can be said to be able to kill termites with a mortality rate of 85%. Suggestions from this study are that bay leaf cooking water can be used as a vegetable insecticide that can be applied by the community using a concentration or dose of 50% of bay leaf cooking water.
Uji Kemampuan Bonggol Pisang Sebagai Nutrisi Mikroorganisme Dalam Mendegradasi Sampah Rumah Tangga Menjadi Kompos Khaer, Ain; Jeans, Gyta; Budirman, Budirman; Rachman, Erwinda Alwi
Media Kesehatan Politeknik Kesehatan Makassar Vol 19 No 1 (2024): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v19i1.533

Abstract

Waste is waste resulting from activities from households, offices and others. The amount of waste generated nationally is 175,000 tons per day or the equivalent of 64 million tons per year if using environmental assumptions, which can cause various problems including: beauty and comfort as well as human health problems, both within the individual, family and community scope.This research aims to determine the ability of local microorganisms from banana weevils in the household waste composting process to speed up decomposition. The type of research used in this research is a field experiment by carrying out treatment tests three times. The results of the research showed that compost with the addition of 150 ml MOL banana weevils took 20 days for composting, whereas for compost with the addition of 100 ml MOL banana weevils the composting time took 21 days and for compost with the addition of 50 ml MOL banana weevils for 21 days. The length of composting time is greatly influenced by the microorganisms present in the MOL added to the compost. Based on SNI 7030- 2004, the size of the material used for compost maturity requirements such as the C/N ratio has a value of (10-20):1. The conclusion of this research is that banana weevil MOL is able to degrade waste into compost according to SNI standards. From the three tests that have been carried out, the most effective result is the addition of 150ml of banana weevil MOL. It is better for people to use banana weevils as compost and for agricultural purposes because they can degrade waste.
Efektivitas Media Video Animasi, Leaflet Dan Metode Demonstrasi Dalam Meningkatkan Pengetahuan Cuci Tangan Pakai Sabun Pada Siswa Sekolah Dasar Inpres Laloasa, Kabupaten.Gowa Rasjid, Ashari; Khaer, Ain; Handayani, Nur
Sulolipu: Media Komunikasi Sivitas Akademika dan Masyarakat Vol 25 No 2 (2025): Jurnal Sulolipu: Media Komunikasi Sivitas Akademika dan Masyarakat
Publisher : Jurusan Kesehatan Lingkungan Poltekkes Kemenkes Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/sulo.v25i2.1786

Abstract

Handwashing is a positive behavior that should be taught to children in elementary schools to maintain cleanliness and avoid various health problems that may arise. Therefore, it is crucial to convey health information to elementary school students through animated videos, brochures, and demonstration methods. This study aims to evaluate the effectiveness of animated videos, brochures, and demonstration methods in increasing knowledge about Handwashing with Soap among students of SD Inpres Laloasa, Gowa Regency. The type of research conducted was an analytical observational study with a quasi-experimental approach using a pre-test and post-test design in one group. The sampling method applied was purposive sampling with a total of 96 respondents, which were then analyzed using the Mc. Nemar test. The findings of the study with the application of the Mc. Nemar test showed that animated videos can increase knowledge about CTPS with an increase of 56.3% and p = 0.001. In addition, pamphlets as a medium were proven effective in increasing understanding of CTPS with a percentage increase reaching 43.7% and p = 0.001. The demonstration method also demonstrated success in improving understanding of CTPS with a 50% increase and p = 0.001. The results of this study indicate that animated videos, brochures, and demonstration techniques are efficient methods for improving understanding of CTPS among elementary school students. It is hoped that effective health promotion techniques and methods can be implemented to broaden students' knowledge.