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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kesehatan Lingkungan indonesia Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Jurnal Info Kesehatan
Hikmah, Kholisotul
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Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Environmental Science Health Professions Immunology & microbiology Public Health

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Biofiltration Performance of Coconut Shell and Plastic Waste Made from Egg Holders for Medical Wastewater Treatment Akhmadi, Zainal; Suharno, Suharno; Hikmah, Kholisotul
Jurnal Kesehatan Lingkungan Indonesia Vol 19, No 1 (2020): April 2020
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.19.1.62-67

Abstract

Latar belakang: Pengelolaan limbah cair medis dari fasilitas pelayanan kesehatan memegang peran penting bagi lingkungan dan keamanan masyarakat luas. Pencemar yang terkandung di dalamnya harus diolah terlebih dahulu sebelum dibuang ke lingkungan. Penelitian ini bertujuan untuk menunjukkan hasil dari pengolahan limbah cair medis (IPAL) dengan menggunakan tempurung kelapa dan plastic bekas tempat telur sebagai media biofiltrasi untuk menurunkan kadar BOD dan COD di Puskesmas Siantan Hulu.Metode: Penelitian ini merupakan jenis quasi-eksperimen. IPAL yang diaplikasikan adalah continuous flow dengan volume 2000 liter dan dibagi menjadi 4 tahapan, yaitu pengendapan awal, bak anaerob, bak aerob dan bak pengendapan akhir. Proses pembiakan mikroorganisme dilakukan secara alami dengan membiarkan media direndam dalam bak anaerob dan aerob selama 14 hari. Penelitian inti dilakukan secara kontinyu dengan lama tinggal 6 hari sesudah melewati ketebalan media tempurung kelapa dan plastic bekas yang berbeda, yaitu 20:40 cm, 40:40 cm dan 60:20 cm. Hasil dianalisis menggunakan uji t berpasangan dan uji One-Way Anova serta rumus efisiensi penurunan parameter.Hasil: Diperoleh hasil bahwa ada perbedaan kadar BOD dan COD sebelum dan sesudah melewati media biakan lekat (p=0,000) dengan berbagai ketebalan media. Berdasarkan waktu tinggal, tidak ditemukan perbedaan yang signifikan terhadap kadar BOD dan COD (p=0,985 dan p=0,142).  Hasil penelitian menunjukkan bahwa di antara kombinasi anaerobic dan aerobic, aplikasi 20 cm tempurung kelapa dan 60 cm plastic bekas selama 6 hari menghasilkan penurunan tertinggi, yaitu dengan efisiensi rata-rata 94,3% dari rata-rata 130 mg/l menjadi 6,2 mg/l dan COD 96,6% dari rata-rata 217,2 mg/l menjadi 7,3 mg/l..Simpulan: Penelitian ini menghasilkan kadar BOD dan COD yang sesuai (<NAB), menjadi 6,2 md/l dan 7,3 mg/l. Modifikasi ini menurunkan BOD dengan rata-rata efisiensi 94,3% dan COD 96,6%. Disimpulkan bahwa ketebalan media yang terbaik adalah 20:60 cm tempurung kelapa dan plastik bekas dan waktu tinggal 1 hari.ABSTRACT Background: Health facilities waste water management is a crucial environmental and public safety issue. These pollutants should be treated by the proper treatment before release to the municipal drainage. This study aims at presenting the results of waste water treatment modification which used coconut shell and plastic as biofiltration media to decrease organic pollutants (BOD and COD) at Public Health Center of Siantan Hulu.Methods: This study is a quasy experiment. The type of wastewater treatment that is used in this research is a continuous flow which has total volume 2000 litter and divided into 4 zones, i.e presedimentation, anaerob zone, aerobic zone and post sedimentation zone. Seeding microorganism has done naturally by letting media in anaerob and aerob zone for 14 days. The main research were conducting by continuous operation under 6 days retention time after treated by different media depth of coconut shell and plastic, i.e 20:60cm, 40:40cm and 60:20cm. The results analyzed by paired sample t-test, one-way anova, and also proportional efficiency formula. Results: It obtained that there was difference of BOD and COD level before and after through various bed depth of media (p=0,000). Based on retention time, it was not found any difference towards BOD and COD content (p=0,985 and p=0,142). The result of experiment shows that within the combined anaerobic and aerobic process using 20 cm coconut shell and 60 cm of plastic media under condition 6  days retention time, the average of removal efficiency of BOD reached to 96,6% from 130 mg/l into 6,2 mg/l and COD 94,3% which 217,2 mg/l down to 7,3 mg/l.. Conclusion: Application of coconut shell and plastic waste media filtration for medical wastewater treatment resulted  appropriate BOD and COD content, into 6,2 mg/l and 7,3 mg/l respectively. This modification decreases BOD with the average of percentage efficiency stood at  94,3% and COD at 96,6%. It was found to be the best media with an appropriate coconut shell:plastic waste bed depth of 20:60 cm with 1 day of retention time.
Spatial study of the implementation of ivermectin, diethylcarbamazine citrate, and albendazole in an urban area Nafilata, Ikrimah; Supali, Taniawati; Wahyono, Tri Yunis Miko; Prihartono, Nurhayati Adnan; Hikmah, Kholisotul; Devi, Yuli Puspita
International Journal of Public Health Science (IJPHS) Vol 14, No 1: March 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i1.24822

Abstract

Studies on lymphatic filariasis (LF) in Indonesia have mostly focused on the disease determinants with limited focus on spatial-based and the determinants of implementing ivermectin, diethylcarbamazine citrate, and albendazole (IDA). This study aimed to identify the causes of program failure. A cross-sectional survey was conducted from November to December 2022 in nine urban villages with high endemic records and one sentinel village in Pekalongan City, Central Java, Indonesia. The analysis using Quantum Geographical Information System (QGIS) and Pearson correlation. Slum settlements were linked to the presence of open sewers (p=0.000; r=0.974) and overcrowding (p=0.033; r=0.672), while the first round of IDA medication adherence correlated with knowledge of medication (p=0.054; r=-0.623) and willingness to take the medication in the second round (p=0.051, r=0.603). Adverse effects of the treatment are strongly correlated with drug boredom from taking medication (p=0.003; r=0.828) and assistance from health workers (p=0.027; r=0.791). We identified gaps in slum settlements, open sewers, overcrowding and medication adherence, including low knowledge of medication, unwillingness to take second-round medication, adverse effects, and boredom with taking medication. We recommend effective strategies by engaging health education between health workers, local leaders, and private sectors as key to ensuring elimination program.
Container characteristics and density of Aedes aegypti larvae: a field trial of Ziziphus mauritiana leaf extract Amaliyah, Nurul; Fathmawati, Fathmawati; Yulia, Yulia; Hikmah, Kholisotul
International Journal of Public Health Science (IJPHS) Vol 12, No 3: September 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i3.22811

Abstract

The application of larvicide from botanical origin was extensively studied as an essential part of mosquito prevention. This study aimed to assess the difference in container index (CI) based on the characteristics of water containers using Ziziphus mauritiana leaf extract solution. A quasi- experiment research was done among 300 selected containers with temephos as a control and 9% of Ziziphus mauritiana leaf extract solution as a treatment. The types of containers observed in this study were the type of water, container materials, location, container lids, and community behavior regarding immature Aedes aegypti breeding eradication. Water containers without lids and outside the house had a significantly higher CI among treatment (OR=26; 3.69–18.34; p=0.001 and OR=20; 2.04–19.64; p=0.003) and control group (OR= 10.83; 95% CI=1.96–59.83; p=0.005 and OR=6.43; 95% CI=1.02–40.26; p=0.04). Negative community behavior regarding the prevention and eradication of Aedes immatures was significantly associated with greater odds of high CI among treatment and control, with OR=37.5; 3.64–38.65; p=0.001 and OR=16.88; 2.56-11.4; p=0.002, respectively. Furthermore, containers with rainwater out of the treatment group had a higher presence of Aedes larvae (OR=11.25; 1.15–11.05; p=0.03).
Determinants of Contraceptive Use at The First Sexual Intercourse among Unmarried Adolescents in Indonesia: 2017 IDHS Analysis Sugiarti, Restya Sri; Helda, Helda; Hikmah, Kholisotul
JURNAL INFO KESEHATAN Vol 20 No 1 (2022): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol20.Iss1.684

Abstract

Adolescents confront boundaries in obtaining contraception counting prohibitive policies and adolescents possess failure to obtain contraceptives since of information, transportation, and monetary limitations. The objective of this study is to assign the variables which impact on the use of contraception for the first sexual intercourse among unmarried adolescents. Quantitative research employing cross sectional analysis was implemented in this study, by processing 2017 Indonesian Health Demographic Survey (IDHS) data. Cox regression was utilized to examine the association between sociodemographic, peer and social influences, contraceptive knowledge and contraceptive use. The study populace encompassed 705 single young people; 15 to 24 years old. The study resulted that contraceptive use at the primary sexual intercourse by single young people in Indonesia was approximately 50.35%. After bivariate analysis was applied, it was revealed that there is a significant relationship between education with the contraceptive use at the first sexual intercourse among unmarried adolescents in Indonesia (p-value = 0.049). In the final model, we discovered that the level of education and contraceptive use was statistically significant, and the contraceptive use was higher in adolescents with high education than adolescents with middle and primary education (PR 1.51, 95% CI 1.09 – 2.07, p = 0.012). Therefore, this finding provides information that education is a prominent variable for understanding contraceptive use in adolescents.
Assessing Interventions for Declining Childhood Immunization Dropout - A Systematic Review Jaleha, Jaleha; Widjarnarko, Bagoes; Susanto, Henry Setyawan; Margawati, Ani; Hadisaputro, Suharyo; Hikmah, Kholisotul
JURNAL INFO KESEHATAN Vol 21 No 3 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss3.1271

Abstract

Childhood routine immunization is a critical stage to ensure the health of infants and protect against serious diseases. Therefore, adequate strategies are urgently needed to increase childhood immunization coverage to prevent global disease and death. This review has identified the effect of interventions to increase immunization coverage among children in developing countries. A review included published studies from 2013 to 2023 on randomized controlled trials (RCT) and pre-post intervention that met eligible criteria. All included studies had been conducted in English-published articles on Pub Med and Google Scholar, without being limited to geographical sites. A total of 1107 published articles were accessed and 12 final eligible articles were reviewed. 66.67% of the included studies were conducted in Africa, 16.67% in South East Asia countries, and others were conducted in East Asia and America. These studies demonstrated that different interventions (SMS and call reminders, sticker reminders, immunization education, home-based records, and community-centered) had significant increases in immunization coverage for childhood compared to the control group with standard care or without any interventions. The present findings suggest that interventions including implementing SMS and call reminders, sticker reminders, education both from health workers and local leaders, and home-based records can potentially reduce immunization dropout. However, strategies to improve coverage for immunization uptake should also be considered preferred community-based to extend the marginal groups.
Analisis Deskripsi Faktor Risiko Infeksi Hepatitis C : A Descriptive Analysis of Risk Factors for Hepatitis C Infection Selfitriana; Djuwita, Ratna; Hikmah, Kholisotul; Hermanto, Judhi; Nurdiansyah, Indra
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 6 No. 6 (2023): June 2023
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v6i6.3383

Abstract

Latar belakang: Infeksi Virus Hepatitis C (HCV) menimbulkan masalah yang signifikan dalam kesehatan masyarakat. Tingkat infeksi HCV tetap tinggi, terutama di kalangan pengguna narkoba suntikan usia dewasa muda. Tujuan: Penelitian ini bertujuan untuk mendeskripsikan beberapa faktor risiko terhadap terjadinya infeksi HCV. Metode: Desain penelitian adalah cross-sectional. Pengambilan data dilakukan di RSUD Tebet, dimana sampelnya adalah seluruh pasien yang melakukan pemeriksaan anti-HCV di laboratorium dari Januari 2018-Desember 2020 dan berusia di atas 15 tahun. Peneliti menilai faktor seperti usia, jenis kelamin, tingkat pendidikan, pekerjaan, status pernikahan, tempat tinggal, pengguna narkoba suntik (Penasun), dan status serologis HCV. Hasil: Hasil menunjukkan berdasarkan jenis kelamin, 41,3% kasus positif ditemukan diantara pasien laki-laki dan 21,1% diantara pasien perempuan. Pada kelompok pasien usia 40-49 tahun, sebagian besar dinyatakan positif HCV (51,4%). Berdasarkan status pernikahan pasien, pendidikan, dan pekerjaan sebagian besar ditemukan negatif. Sebanyak lebih dari 50% pasien yang berasal dari luar DKI Jakarta ditemukan positif HCV. Kesimpulan: Karakteristik pasien (usia, jenis kelamin, menikah, pendidikan, pekerjaan dan tempat tinggal) dan riwayat penasun ditemukan sebagai faktor risiko potensial terhadap terjadinya infeksi HCV.
Co-Authors Akhmadi, Zainal Ani Margawati Fathmawati Fathmawati Helda Helda Henry Setyawan Susanto Henry Setyawan Susanto Hermanto, Judhi Jaleha, Jaleha Nafilata, Ikrimah Nurdiansyah, Indra Nurul Amaliyah Prihartono, Nurhayati Adnan Ratna Djuwita S.Pd. M Kes I Ketut Sudiana . Selfitriana Sugiarti, Restya Sri Suharyo Hadisaputro Taniawati Supali Tri Yunis Miko Wahyono Widjarnarko, Bagoes Yuli Puspita Devi Yulia Yulia