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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.
Perancangan Aplikasi Edukasi Interaktif Baca dan Tulis Untuk Usia Prasekolah Berbasis Android Saputra, Dedi; Akbar, Fajar; Meilinda, Eva; Sudibyo, Aji; Nuryadi, Nanang
Jurnal Metaedukasi: Jurnal Ilmiah Pendidikan Vol 7, No 1 (2025): Metaedukasi
Publisher : Universitas Siliwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37058/metaedukasi.v7i1.16377

Abstract

Penelitian ini bertujuan untuk merancang dan mengembangkan sebuah aplikasi edukasi interaktif berbasis Android yang berfokus pada pembelajaran membaca dan menulis untuk anak usia prasekolah, khususnya pada rentang usia 0 hingga 6 tahun yang sudah terdaftar di PAUD atau TK. Pada usia ini, perkembangan kognitif dan motorik anak sangat pesat, sehingga membutuhkan stimulasi yang tepat dan menyenangkan. Aplikasi ini dirancang menggunakan pendekatan multimedia interaktif, mengintegrasikan elemen visual, audio, dan sentuhan untuk menciptakan pengalaman belajar yang menarik dan efektif. Metode perancangan yang digunakan meliputi analisis kebutuhan pengguna, perancangan antarmuka, pengembangan konten edukasi yang sesuai dengan kurikulum prasekolah, serta implementasi pada platform Android. Aplikasi ini akan menyajikan berbagai aktivitas seperti pengenalan huruf, latihan menulis dasar, permainan menyusun kata, dan aktivitas interaktif lainnya yang mendukung literasi dini. Hasil perancangan diharapkan menghasilkan aplikasi yang intuitif, mudah digunakan oleh anak-anak, serta mampu meningkatkan minat belajar mereka dalam membaca dan menulis. Dengan demikian, aplikasi ini diharapkan dapat menjadi alat bantu yang signifikan bagi orang tua dan pendidik dalam mendukung perkembangan anak usia dini secara holistik.
Pemberdayaan Kepala Keluarga Tentang Pengelolaan Sampah Metode Maggot Composter Dan Ecobrick Akbar, Fajar; Chairani, Miftah; Rusdi, Muhammad
Reswara: Jurnal Pengabdian Kepada Masyarakat Vol 6, No 2 (2025)
Publisher : Universitas Dharmawangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46576/rjpkm.v6i2.5364

Abstract

Pesisir pantai merupakan salah satu wilayah yang kerap menjadi tempat pembuangan sampah oleh masyarakat yang bermukim di sekitarnya. Kawasan ini dipenuhi oleh sampah, baik yang secara langsung dibuang ke laut maupun yang terbawa aliran sungai hingga mencapai pesisir. Masyarakat di Dusun Babana Pantai, Kabupaten Mamuju terbiasa membuang sampah ke laut. Kegiatan ini bertujuan untuk meningkatkan pemahaman masyarakat pesisir mengenai pengelolaan sampah dengan menggunakan metode maggot composter dan ecobrick. Pelaksanaan kegiatan mencakup edukasi kepada masyarakat mengenai kedua metode tersebut, yang diawali dengan pre-test dan diakhiri dengan post-test untuk mengukur peningkatan pemahaman. Setelah sesi edukasi, masyarakat didampingi dalam praktik pembuatan maggot composter dan ecobrick. Hasil penyuluhan menunjukkan adanya peningkatan pengetahuan mitra terkait pengelolaan sampah rumah tangga di pesisir pantai, yang tercermin dari peningkatan skor pre-test dan post-test. Hasil analisis statistic menggunakan uji Wilcoxon diketahui bahwa Asymp.Sig.(2-tailed), 0,000<0,05, terjadi peningkatan poin pengatahuan 9,94. Setiap peserta pelatihan berhasil membuat maggot composter dan ecobrick, yang dibuktikan dengan hasil praktik yang telah mereka kerjakan. Evaluasi dan monitoring lebih lanjut menunjukkan bahwa masyarakat masih memanfaatkan alat komposter maggot tersebut dalam pengelolaan sampah rumah tangga mereka
Faktor Risiko Kejadian Scabies pada Santri Pondok Pesantren Sukmawati, Sukmawati; Ahmad, Haeranah; Islam, Fahrul; Akbar, Fajar
Journal of Medicine and Health Vol 7 No 2 (2025)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v7i2.9245

Abstract

Scabies remains a significant public health issue in Indonesia, with prevalence rates of 5.6-12.9%, ranking as the third most common skin disease. Poor personal hygiene and limited knowledge of prevention are key contributing factors. This study aimed to analyze the relationship between room occupancy density and personal hygiene with the incidence of scabies among students at Mts Raudhatut Tholibin Tohri Islamic Boarding School located in Mamuju Subdistrict, Mamuju Regency, Indonesia. An analytic observational study using a cross-sectional design was conducted with 109 respondents selected through purposive sampling. Data were collected via field observations and structured interviews, then analyzed using chi-square tests. Results showed significant associations between scabies and skin cleanliness (p=0.001), nail hygiene (p=0.001), clothing cleanliness (p=0.001), mattress hygiene (p=0.001), pillow cleanliness (p=0.001), bedsheet hygiene (p=0.001), and towel cleanliness (p=0.001). No significant association was found between scabies and prayer equipment cleanliness (p=0.328). All dormitories exceeded recommended occupancy standards. In conclusion, personal hygiene factors (particularly skin, clothing, and bedding cleanliness) significantly correlate with scabies incidence. In conclusion, reducing scabies prevalence in boarding schools requires targeted hygiene interventions, better room occupancy management, strengthened health education, and active collaboration with local health services to ensure long-term prevention.
Gambaran Pengelolaan Bank Sampah Di Kabupaten Mamuju Putri, Nur Amanda; Ganing, Abdul; Akbar, Fajar; Haeruddin, Miftah Chairani
Jurnal Kesehatan Lingkungan Mapaccing Vol. 2 No. 1 (2024): April 2024
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/mpc.v2i1.1060

Abstract

Garbage is still a problem for the environment to this day, and if waste is not handled properly it will have an impact that can harm living things, especially humans. The waste bank is a waste management system that has been developed by the Mamuju district government since 2019. Currently, 6 active BSUs have been formed. BSU is only 25% and has reduced waste by 13% of the total generation. The type of research used in this research is qualitative research, using in-depth interviews. Informants in this study were taken from the Head of the Mamuju Regency Environment and Sanitation Service and the leadership of the BSI Manakarra Keren Bank and BSI waste bank customers . The results of research on the service performance of the Mamuju Regency waste bank related to productivity, service quality and responsibility found that the waste production that can be reduced over the last 2 years is 9,203.3 kg. The aspect of service quality seen from the provision of waste storage facilities and infrastructure at the waste bank has not yet increased efforts to sort waste, services carried out by the waste bank with the aspirations of the community. Of the total population of 293,326 people (2019) only 238 are customers at the Garbage Bank who participate in BSI as customers, where the success indicator for the performance of the main Garbage Bank service is also based on the number of customers and activity The unit waste bank, the research shows that the performance of BSI is still low. The suggestion from this study is that BSI needs assistance with the management of the unit waste bank providing infrastructure facilities, awareness and campaigns about the existence of a waste bank through outreach.
Gambaran Lingkungan Fisik Rumah Penderita Penyakit Tb Paru Bulan, Adiba; Ashari, Agus Erwin; Akbar, Fajar; Ahmad, Haeranah
Jurnal Kesehatan Lingkungan Mapaccing Vol. 2 No. 2 (2024): Oktober 2024
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/mpc.v2i2.1062

Abstract

Pulmonary tuberculosis is an infectious and contagious disease caused by Mycobacterium tuberculosis and the lung organs are attacked by these bacteria. Tuberculosis treatment must be optimal and thorough so as not to cause various complications and even death in sufferers. Transmission of tuberculosis is greater in patients with AFB (+) pulmonary tuberculosis. Humidity, temperature, lighting and occupancy density as part of several risk factors for the physical environment of the house are excellent means of transmission of pulmonary TB when air conditions do not meet the requirements. The purpose of this study was to describe the physical environment of the house with the incidence of pulmonary tuberculosis. This research method is descriptive research, measuring and directly observing the physical condition of the house to find out the description of the incidence of pulmonary tuberculosis (tuberculosis).The results of this study show that the density of residents who do not meet health requirements is 118 houses (97.5%). Roomization or room division that met the requirements was 118 houses (97.5). Room ventilation that does not meet health requirements is 83 houses (68.6%). Lighting that did not meet the requirements was 89 houses (73.6%).The conclusion in this study is that the condition of occupant density, ventilation and lighting does not meet the requirements and only roomization is eligible. Pulmonary TB disease.
Pemanfaatan Limbah Kotoran Ayam Dan Sapi Menjadi Biogas Sebagai Sumber Energi Alternatif Rumah Tangga syah, zulfadri; Hairuddin, Miftah Chairani; Adiningsih, Ridhayani; Akbar, Fajar
Jurnal Kesehatan Lingkungan Mapaccing Vol. 2 No. 1 (2024): April 2024
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/mpc.v2i1.1114

Abstract

The droppings produced by chickens and cows cause odors that can harm the health of people around the cage, especially the psychosomatic symptoms that people complain about. The odor emitted comes from the nitrogen and sulfide elements in chicken droppings, which during the decomposition process will form ammonia, nitrite and hydrogen sulfide gas. Gas can come from various kinds of organic waste, animal waste can be used for energy through the process of anaerobic digestion. The research method used was experimental research. This biogas research produces biogas from a mixture of chicken and cow manure with a ratio of 3:1, namely 3 kg of chicken manure and 1 kg of cow manure and water as a diluent. The fermentation process in biogas lasts for 17 days and monitoring is carried out regarding the development of methane gas production in the digester and temperature measurements are carried out every day. Based on the data and results of measurements of the temperature and quality of the gas produced, it was found that the average temperature in the digester was in mesophilic conditions at a temperature of 24 – 32 ˚C. This temperature is considered optimal so that it produces good quality methane gas The conclusion of this research is that chicken and cow manure waste can produce good methane gas and produce a blue flame with a flame duration of 11 seconds. Suggestions for researchers are to use a larger digester and use more waste so that more methane gas is produced.
Perilaku Mahasiswa Poltekkes Kemenkes Mamuju Terhadap Pengelolaan Sampah Simba, Julia Elisa; Ashari, Agus Erwin; H, Miftah Chairani; Akbar, Fajar
Jurnal Kesehatan Lingkungan Mapaccing Vol. 2 No. 2 (2024): Oktober 2024
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/mpc.v2i2.1160

Abstract

Human activities always produce residues, one of which is in solid form which is commonly referred to as solid waste or garbage. One place that has a high potential for waste production in a city is a college or university campus. The waste that is usually generated in educational buildings, such as a campus, is in the form of organic waste, recyclable waste and non-recyclable waste. This study aims to determine the level of knowledge, attitudes and actions of students at the Mamuju Ministry of Health Poltekkes regarding waste management where the number of respondents was 92 level 2 students at the Mamuju Ministry of Health Polytechnic. This research includes descriptive research. Held during June 2023 at the Mamuju Ministry of Health Polytechnic on the Mamuju-Kalukku axis road Km.16 Tadui, West Sulawesi. Based on the research results obtained, it shows that the level of knowledge value of Mamuju Ministry of Health Polytechnic students is low (33.7%) regarding waste management. While the level of attitudes and actions of the Mamuju Ministry of Health Poltekkes students is the attitude value (81.5%) and the action value (95.7%). The conclusion of this study is that the knowledge of students at the Mamuju Health Polytechnic regarding waste management is still relatively low, while the attitudes and actions of students regarding waste management are high. It is recommended to conduct counseling for each department regarding waste management to increase students' knowledge of waste management, increase awareness in sorting waste based on its characteristics.
Uji Efektivitas Dahan Dan Daun Kelor (Moringa Oleifera) Dalam Membunuh Larva Aedes Aegypti Mappau, Zrimurti; Amalia, A. Reski; Askur, Askur; Akbar, Fajar
Jurnal Kesehatan Lingkungan Mapaccing Vol. 2 No. 2 (2024): Oktober 2024
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/mpc.v2i2.1165

Abstract

Penggunaan bahan kimia dalam pengendalian nyamuk DBD tidak hanya efektif terhadap vector namun kerusakan terhadap lingkungan perlu menjadi perhatian. Penelitian ini bertujuan untuk mengetahui efektivitas ekstrak dahan dan daun kelor (Moringa oleifera) dalam mematikan larva nyamuk Aedes aegypti dan waktu kontak. Penelitian ini merupakan penelitian eksperimen dengan metode ekstraksi dengan cara infusa panas, Pengujian akan dilakukan 3 kali dengan konsentrasi 10%, 20%, 30%, 40%, 50%, dengan jumlah sampel yang digunakan sebanyak 20 larva Aedes aegypti setiap konsentrasinya, diamati setiap 6 jam sekali selama 24 jam. Hasil penelitian menunjukkan bahwa konsentrasi tertinggi ekstrak simplisia dahan kelor yang mampu membunuh larva Aedes aegypti yaitu konsentrasi 50% dan yang terendah yaitu 10% dengan rata-rata kematian 10 ekor (50%) sampai 11 ekor (55%). Sedangkan pada ekstrak simplisia daun kelor (Moringa oleifera) pada konsentrasi 40% dan 50% mampu membunuh 20 ekor (100%) larva Aedes aegypti dan yang terendah yaitu konsentrasi 10% dengan rata-rata kematian 10 ekor (50%) sampai13 ekor (65%).Berdasarkan hasil tersebut disimpulkan bahwa dahan kelor mampu membunuh 100% larva Aedes aegypti pada konsentrasi 50% dalam 24 jam dan daun kelor (Moringa oleifera) mampu membunuh 100% larva Aedes aegypti pada konsentrasi 40% da 50%. Disarankan agar pihak pemerintah mensosialisasikan potensi sumber daya alam, untuk pemanfaatan dahan dan daun kelor (Moringa oleifera) sebagai insektisida nabati.
Gambaran Kepatuhan Karyawan Terhadap Penggunaan Alat Pelindung Diri Di PT. Rekind Daya Mamuju Herman, Surya Pratama; Adiningsih, Ridhayani; Akbar, Fajar
Jurnal Kesehatan Lingkungan Mapaccing Vol. 3 No. 1 (2025): April 2025
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/mpc.v3i1.1738

Abstract

The high number of accidents and occupational diseases in the workplace is a problem that must be considered. One way to prevent accidents and occupational diseases is by using PPE. Based on data on work accident cases in west Sulawesi from 2021 to 2023, the number of work accident cases was recorded as many as 80 cases. This study was conducted in january-june 2024 at PT. Rekind Daya Mamuju. The research method used in this study is a descriptive research method. Determination of the sample in this study used the purposive sampling method with the criteria, workers who work in an environtment that produces potential hazard, and workers who are willing to be samples in this study. The data collection technique used was by conducting interviews using a questionnaire. Based on the data and results of the analysis carried out, it’s known that employees of the PT. Rekind Daya Mamuju comply with the use of PPE. This can be seen from the cnowladge, attitudes, and actions of employees regarding the use of PPE which is very good with a percentage of 100%. The conclusion of this study is compliance with the use of Personal Protective Equipment for employees at PT. Rekind Daya Mamuju can be said to be good, seen from the result of interviews regarding employees cnowladge, attitudes, and acion which are very good as much as 100%. The suggestion from this study is for employees to continue to improve their compliance in using PPE, and for the company to continue to supervise the use of PPE.
Co-Authors Aan Rahman Abbas Mahmud Ade Ramdan Ade Ramdan Agus Erwin Ashari Ahmad, Haeranah Ali Mahmudi Amalia, A. Reski Amin Nur Rais Andi Taufik Andreyestha Andreyestha Ari Abdillah Arief Hanif, Hamdan Artika Surniandari Askur, Askur Aswandi, M Bagus Masruri Biktra Rudiarto Bulan, Adiba Chairani, Miftah Dadan Heryada Wigenaputra Dedi Saputra Deni Gunawan Dian Ardiansyah DN, Nurhidayah Dwiza Riana Eko Pramono Eko Pramono Erdiawati Arief Erlani Erlani, Erlani Erna Agustine Eva Meilinda Fahrul Islam Faisal Mubarak Firman Firman Fitra, Cahya Ganing, Abdul Haderiah Haidah, Nur Haliatur Rahma, Haliatur Handayani, Rika Haninggar, Rizki Dyah Haryani Hasyim, Muh Herman, Surya Pratama Imam Nawawi Irwan, Zaki Jenie Sundari Juan Fahrizal Kadar Ramadhan Khaer, Ain Lisnawanty Mahmud Safudin Mandiri, Wandi Mappau, Zrimurti Martias Martias Martias Martias Mifta, Nurul Miftah Chairani Hairuddin Miftah Chairani Hairuddin, Miftah Chairani Mochamad Wahyudi Muhammad Rusdi Muhammad Syukri Mulyadi Mulyadi Musriatun Napiah Nanang Nuryadi, Nanang Nurita Oky Kurniawan Putri, Nur Amanda Richky Faizal Amir Ridhayani Adiningsih Riswandi Ishak Robi Aziz Zuama SALMAN ALFARIZI Saputra, Elpan Sarmila, Sarmila Sentot Achmadi Setiaji Setiaji Setiaji Setiaji Setiaji Setiaji Sidauruk, Juniato Simba, Julia Elisa Siti Rahmah Sobari, Irwan Agus Sudibyo, Aji Sukmawati Sukmawati Sulasmi Sulasmi Sumanto, Sumanto Suryadi, Iwan Susafa&#039;ati Susafa&#039;ati Susafa'ati Susafa'ati Susafa’ati, Susafa’ati syah, zulfadri Trisna Yulianti, Nila Veithzal Rivai Zainal Wahyu Hardianti Saputri Winarto Winarto Winarto Winarto yunita yunita Yunita Yunita