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Community empowerment through solid waste management using takakura and composting in Huta Gugung village, Sumbul district Dairi province of North Sumatera Panjaitan, Arifa Masyitah; Indirawati, Sri Malem
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2019): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (509.846 KB) | DOI: 10.32734/abdimastalenta.v4i2.4274

Abstract

Garbage is now a global problem facing the world. Indonesia is also one of the biggest contributors to waste in the world. Garbage is goods that are considered to be unused and discarded by the previous owner / user, but for some people can still be used if managed with the correct procedures (Panji Nugroho, 2013). Garbage accumulation is caused by several factors, including a very large volume of waste but there is no capacity for landfills in the village. According to Slamet (2004), both quality and quantity of waste is highly influenced by various activities and living standards of the community. Some important factors include: Population, Socio-economic conditions, Technological Progress, Education level. The waste problem includes 3 parts, namely downstream, process and upstream. In the downstream, waste disposal continues to increase.
Jarak Sumber Air Baku Air Minum dari Pusat Erupsi dan Risiko Kesehatan Masyarakat di Wilayah Pasca Erupsi Sinabung Indirawati, Sri Malem; Sembiring, Haesti
Jurnal Kesehatan Lingkungan Indonesia Vol 19, No 2 (2020): Oktober 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.19.2.103-110

Abstract

Latar belakang: Gunung sinabung sudah mengalami erupsi selama 9 tahun sejak  bulan Agustus tahun 2010, hal ini menyebabkan perubahan ekosistem karena  telah merubah struktur tanah dan mempengaruhi kualitas air di wilayah erupsi. Kondisi ini menimbulkan faktor risiko kesehatan pada masyarakat yang mengkonsumsi sumber air baku air minum yang tercemar. Penelitian ini bertujuan untuk menganalis kualitas air minum masyarakat dan mengukur risiko kesehatan lingkungan yang timbul sebagai dampak dari erupsi berdasarkan jarak sumber air baku .Metode: Penelitian survei dengan design cross sectional berlokasi di hunian tetap desa Nang belawan kecamatan Simpang Empat kabupaten Karo propinsi Sumatera utara.   Sampel meliputi air baku air minum yang diambil di empat lokasi. Air baku dianalisis dengan alat photometer water test kit AYI-IO, dan kemudian  hasilnya dipetakan dengan analisis spasial berdasarkan jarak dari sumber erupsi ke sumber air baku. Sejumlah 56 kepala keluarga  diambil secara purposive sampling di wilayah penelitian berdasarkan cemaran Pb tertinggi, selanjutnya dianalisa dengan  metode Analisa Risiko Kesehatan Lingkungan.Hasil: Seluruh sampel air tercemar Pb dengan rentang 0.17 -0.9 mg/L. Masyarakat dengan masa tinggal 4 tahun dan rerata berat badan 55 Kg dan mengkonsumsi 2 L/hari memiliki risiko kesehatan.Simpulan: Masyarakat yang bermukim di lokasi hunian tetap Nang Belawan 1 memiliki konsentrasi Pb maksimum 0,9 mg/L dan memiliki risiko kesehatan akibat  mengkonsumsi air minum yang tercemar Pb.  Pengelolaan air baku dengan metode penyaringan khusus dalam upaya menurunkan konsentrasi Pb perlu dilakukan agar dapat menurunkan risiko kesehatan. ABSTRACT Title: The Raw Water Source Distance  From The Center Of Eruption And  Public Health Risks in The Area of Sinabung Post-EruptionBackground: Mount Sinabung has been erupted  for 9 years since August 2010, it caused  ecosystem changing because it changed the soil structure and will affecting water quality in the eruption area. This condition raises environmental health risks for people who consume drinking water sources contaminated with volcanic dust pollutants. This study aims to analyze the quality of Pb in community drinking water and environmental health risks that arise as a result of eruptions and knowing  the status of raw water quality based on the distance from the eruption center.Method: This is survey study with cross-sesctional design was located in Nang Belawan village Simpang Empat sub-District Karo District in North Sumatera Province with four locations for drinking water source samples. The raw water is analyzed by the AYI-IO water test kit, and then the results are mapped with spatial analysis based on the distance from the point of Mount Sinabung. 56 samples were taken by purposive sampling in the area with the highest Pb contamination, then analyzed by enviromental health risks assesmentResult:  All samples of Pb polluted water ranged from 0.17 to 0.9 mg / L. People with a 4-year stay and average body weight of 55 kg and consuming 2 L / day had risks.  Raw water with a distance of 9.66 - 11.43  Km from Sinabung is not safe for consumption.Conclusion: This indicates that people living in the Nang Belawan 1 Huntap location with maximum Pb concentration of 0.9 mg / L had a health risk due to contaminated raw water. Need to manage raw water as a source of drinking water with a special screening method, in an effort to reduce the concentration of Pb. The distance of the well 11.43 Km from the eruption center is not safe for consumption  
Hubungan Karakteristik Penjamu dan Breeding Place dengan Kejadian DBD Di Kabupaten Serdang Bedagai Marbun, Hetti Citra; Indirawati, Sri Malem; Nurmaini, Nurmaini
Syntax Idea Vol 3 No 4 (2021): Syntax Idea
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-idea.v3i4.1144

Abstract

DBD (Dengue Hemorrhagic Fever) is atransmitted disease caused by dengue virus and transmitted by Aedes aegypti mosquito. There were 183 cases of DBD in Serdang Bedagai Regency with one of them died in 2019 (Incidence Rate of 29.6 per 100,000 inhabitants and CFR = 0,5). The objective of the research was to analyze the correlation of age factor (0 months - 17 years) and breeding places with the incidence of DBD in children in Serdang Bedagai Regency, in 2020. The research used observational analytic method with case control design. The samples were 24 respondents in the case group and 24 respondents in the control group. The data were gathered by conducting observation and interviews and analyzed by using univariate analysis and bivariate analysis with chi square test. The result of bivariate analysis showed that there was the correlation of using mosquito coils at (OR= 4,580), behavior of combating mosquito breeding place at (OR= 3,100) and breeding places at (OR = 4,000) with the incidence of DBD. Meanwhile, there is no correlation of age at (p=1,000) and gender at (p= 0,511) with the incidence of DBD. So, that it is recommended that people of Serdang Bedagai Regency always use mosquito repellent at home but is not recommended to use mosquito coils because it is not environmentally friendly and people should use lotion, electric, spraying and preferably at home using gauze. Reducing water reservoirs, drain TPA routinely, and eradicating mosquito nests once a week.
ANALISIS FAKTOR LINGKUNGAN RUMAH DAN KEBERADAAN JENTIK AEDES AEGYPTI DI KELURAHAN TEBING TINGGI TAHUN 2022 Chahaya, Indra; Indirawati, Sri Malem; Salmah, Umi; Bukit, Dhani Syahputra; Hutagalung, Dodi Saputra; Saragih, Anggi Andini
Jurnal Ilmu Kesehatan Masyarakat Vol 19 No 4 (2023)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v19i4.39069

Abstract

Kelurahan Tebing Tinggi merupakan salah satu daerah tinggi kasus DBD, sejak Januari hingga September tahun 2022 kasus DBD mencapai 32 kasus. Kondisi lingkungan rumah dapat menjadi faktor pemicu perkembangan Larva nyamuk Aedes Aegypti di wilayah endemis DBD. Tujuan penelitian ini untuk menganalisis berbagai faktor lingkungan rumah masyarakat dan hubungannya dengan kepadatan larva Aedes Aegypti di Kelurahan Tebing Tinggi. Penelitian adalah penelitian kuantitatif dengan desain cross-sectional. Lokasi penelitian di Kelurahan Tebing Tinggi dengan populasi penelitian seluruh rumah tangga. Jumlah sampel yaitu 100 rumah dipilih secara acak dengan rumus slovin. Pengumpulan data, data primer dilakukan dengan wawancara menggunakan kuisioner Kobotoolbox, data sekunder diambil dari data profil Kesehatan Puskesmas Satria. Data dianalisis secara univariat dan bivariat menggunakan uji Chi-Square dengan taraf signifikansi 95%. Hasil Studi menemukan bahwa 34 rumah ditemukan larva nyamuk Aedes Aegypti. Berdasarkan hasil uji statistic dengan uji Chi-Square bahwa variabel Jumlah TPA menjadi satu-satunya faktor lingkungan yang mempengaruhi keberadaan larva Aedes Aegypti di Kelurahan Tebing Tinggi (p value 0,009). Dapat disimpulkan bahwa penanganan lingkungan rumah yang baik dapat dijadikan sebagai tindakan protektif dalam mencegah perkembangan larva Aedes Aegypti di Kelurahan Tebing Tinggi.
Analisis Risiko Sanitasi dan Kejadian Penyakit Kulit di Kecamatan Medan Belawan Kota Medan Malau, Pitto Malau; Naria, Evi; Indirawati, Sri Malem
Jurnal Kesehatan Komunitas Vol 10 No 3 (2024): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol10.Iss3.2005

Abstract

Introduction: Skin diseases are among the most common ailments found in tropical countries. According to BPS data 2019, skin diseases were ranked among the top 10 diseases in Medan City. Based on disease data from the Medan Belawan Health Center, skin diseases were among the top 10 highest diseases from 2022 to 2023, with 1,751 cases and a percentage of 24 percent. According to data and observations, many households still lack access to complete basic sanitation that meets health standards, one of which is wastewater disposal systems (SPAL). The majority of household SPALs are open and pollute the environment. Methods: his study aims to analyze the sanitation risk of wastewater disposal system variables with the incidence of skin diseases. The population consists of 27,114 households, with a sample size of 100 households. The study was conducted from December 2023 to June 2024. Data were collected through interviews using a questionnaire, which were then calculated using the Sanitation Risk Index (IRS) formula to obtain a score indicating sanitation risk. A chi-square statistical analysis was used to assess the relationship between wastewater disposal system variables (SPAL) and the incidence of skin diseases. Results/Finding: The statistical analysis results showed a relationship between wastewater discharge and the incidence of skin diseases with a p-value = 0.028 and an Exp-B value of 4.01.  Based on the research results, the wastewater sewer sanitation risk index is in the very high-risk category, with a score index of 67. A relationship between wastewater discharge and skin disease incidence was obtained based on statistical analysis (p-value 0.028, prevalence ratio = 1.7). The management of household SPAL needs to be improved, namely with the type of SPAL that is closed/meets health requirements and does not cause environmental pollution.
Hubungan Faktor Pekerjaan, Pendapatan Keluarga, dan Dukungan Tokoh Masyarakat dengan Kepemilikan Jamban Yulizar, Yulizar; Santosa, Heru; Nurmaini, Nurmaini; Indirawati, Sri Malem; Pramesona, Bayu Anggileo
Jurnal Kesehatan Vol 13 No 1 (2022): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v13i1.3161

Abstract

Based on BPS data in 2017, around 25 million Indonesians still defecate openly. Many factors influence the ownership of latrines, but research related to factors of employment, family monthly income, and support from community leaders for latrine ownership in Aceh Barat Daya Regency is still rarely done. This study aimed to determine the relationship between employment, family monthly income, and support from community leaders on latrine ownership. This cross-sectional study with a sample of 100 respondents who were randomly selected and scattered in sub-districts was conducted in the urban area of Aceh Barat Daya Regency, Nanggroe Aceh Darussalam province. Questionnaires related to respondent characteristics, employment, family monthly income, and support from community leaders, as well as latrine ownership, were collected directly by the researchers through face-to-face interviews from September-October 2021. The statistical tests used were Chi-Square and Mann-Whitney with a significance level of p-value<0.05. The results showed that there was no significant relationship between employment (p-value=0.604), family monthly income (p-value=0.118), and support from community leaders (p-value=0.615) on latrine ownership. In conclusion, there is no relationship between employment factors, family monthly income, and support from community leaders for latrine ownership in Aceh Barat Daya District, Nanggroe Aceh Darusalam province. Village to district governments can offer policies that ensure that every house, owned or rented, must be equipped with proper sanitation facilities. This program can work well if it involves the community, local stakeholders, and landowners.
Analisis perilaku peternak, sanitasi kandang ayam dan kepadatan lalat di peternakan ayam di Nagari Sungai Kamuyang tahun 2021 Syafitri, Margita; Indirawati, Sri Malem
Tropical Public Health Journal Vol. 2 No. 1 (2022): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (186.929 KB) | DOI: 10.32734/trophico.v2i1.8653

Abstract

Sanitasi kandang peternakan ayam sangat penting karena merupakan salah satu tempat potensial sebagai penularan penyakit. Penelitian bertujuan untuk mengetahui perilaku peternak, sanitasi kandang ayam dan kepadatan lalat di peternakan ayam di Nagari Sungai Kamuyang tahun 2021. Metode dalam penelitian adalah survei deskriptif dengan jumlah sampel sebanyak 13 peternakan ayam. Hasil penelitian menunjukkan bahwa pengetahuan peternak tentang sanitasi kandang dikategorikan kurang sebanyak 5 peternak (38,4%) khususnya mengenai tindakan yang tidak boleh dilakukan di kandang, tindakan desinfeksi dan pengolahan kotoran ayam. Sikap peternak tentang sanitasi kandang dikategorikan cukup sebanyak 8 peternak (61,5%) khususnya mengenai penggunaan alat pelindung diri,tindakan yang tidak boleh dilakukan di kandang, dan pengolahan kotoran ayam. Tindakan peternak dikategorikan cukup sebanyak 11 peternak (84,6%) khususnya mengenai mencuci tangan sebelum dan sesudah bekerja, penggunaan alat pelindung diri, tindakan yang tidak boleh dilakukan di kandang, melakukan desinfeksi, dan pengolahan kotoran ayam. Hasil observasi sanitasi kandang ayam dapat disimpulkan bahwa semua peternakan ayam di Nagari Sungai Kamuyang belum memenuhi syarat yang sesuai dengan Permentan Nomor 31 Tahun 2014. Hasil pengukuran kepadatan lalat pada rumah yang berjarak 250 meter dari peternakan memiliki kepadatan lalat tinggi dan sebanyak 9 rumah penduduk (69,2%). Berdasarkan hasil penelitian diharapkan kepada dinas peternakan dan dinas kesehatan untuk memberikan sosialisasi kepada peternak khususnya mengenai sanitasi kandang ayam dalam hal desinfeksi, pembersihan kandang, dan pengolahan limbah.
Analisis pengelolaan sampah dengan prinsip 3R sebagai upaya penurunan volume sampah pada ibu rumah tangga di Kelurahan Labuhan Deli Rahim, Zikrina Irmaya; Indirawati, Sri Malem
Tropical Public Health Journal Vol. 2 No. 2 (2022): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v2i2.10041

Abstract

Permasalahan lingkungan yang menjadi isu nasional adalah permasalahan sampah. Upaya penurunan volume sampah ditingkat rumah tangga dapat dilakukan dengan penerapan prinsip 3R (Reduce, Reuse dan Recycle) dengan melibatkan partisipasi ibu rumah tangga. Penelitian ini dilakukan untuk mengetahui implementasi pengelolaan sampah dengan prinsip 3R sebagai upaya penurunan volume sampah pada ibu rumah tangga di Kelurahan Labuhan Deli. Metode dalam penelitian ini merupakan survei yang bersifat deskriptif untuk melihat gambaran pengelolaan sampah dengan prinsip 3R pada ibu rumah tangga di Kelurahan Labuhan Deli. Hasil penelitian menunjukkan responden merupakan ibu rumah tangga berumur 55-56 tahun (37,8%), pendidikan terakhir SD (51%), pendapatan keluarga di bawah Rp. 3.000.000 (63,3%), suku melayu (72,4%) dan memiliki jumlah anggota keluarga <5 orang (77,6%) dengan timbulan sampah rumah tangga yang dihasilkan dalam 6 hari adalah 397,5 Kg atau setiap harinya dihasilkan sampah rumah tangga 0,676 Kg/hari dan 0,166 Kg/orang/hari dengan jenis sampah organik sebanyak 90% dan sampah anorganik 10%. Komposisi sampah terbanyak adalah sampah makanan sebanyak 83,3%. Pengelolaan sampah dengan prinsip reduce pada sebagian besar ibu rumah tangga masuk kategori rendah yaitu 75 ibu rumah tangga (76,5%), pengelolaan sampah dengan prinsip reuse pada sebagian ibu rumah tangga masuk kategori sedang yaitu 46 ibu rumah tangga (46,9%), pengelolaan sampah dengan prinsip recycle pada sebagian besar ibu rumah tangga masuk kategori rendah yaitu 96 ibu rumah tangga (98%), dan pengelolaan sampah dengan prinsip 3R pada sebagian besar ibu rumah tangga masuk kategori rendah yaitu 88 ibu rumah tangga (89,8%). Kemudian hampir semua ibu rumah tangga tidak mengetahui adanya Peraturan Daerah dan Peraturan Wali Kota Medan berkaitan dengan pengelolaan Sampah Rumah serta adanya denda sebesar 10.000.000 atau kurungan penjara selama 3 bulan bagi setiap orang yang membuang sampah sembarangan.
Sadar pilah sampah dengan konsep 4R (Reuse, Reduce, Recycle, Replace) dalam upaya penurunan volume sampah Desa Pantai Gemi tahun 2022 Putri, Syafreni Annisa Ayu; Santi, Devi Nuraini; Indirawati, Sri Malem; Naria, Evi
Tropical Public Health Journal Vol. 3 No. 2 (2023): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v3i2.10486

Abstract

Diseases can be spread directly or indirectly via unprocessed garbage. Garbage management is crucial if we want to reduce the negative effects that waste has on our health. The community of Pantai Gemi lacks waste-processing infrastructure. The Sanitation Service's inaccessible trash transportation system, which forces people to process waste on their own, is the root of this issue. One significant effort that can be made is to educate the community. This study sought to ascertain how public perception has changed as well as how much less inorganic and organic trash was being produced as a result of the extension intervention. A pre-test-post-test design with one group is used in this kind of research. All of the 2,179 family heads who make up the study's population make up its sample of 30 families. Seven respondents, according to data on changes in respondents' knowledge, report changes in their knowledge of waste management. The results of the normality test demonstrate the homogeneity of the waste generation statistics. The Dependent Sample T-Test method was used to examine waste generation. The analysis of the volume of inorganic waste yielded t = 0.00<0.05, indicating that intervention has an effect on decreasing the volume of inorganic waste in Pantai Gemi Village. The analysis of the weight loss of organic waste yielded t = 0.00<0.05, indicating that intervention has an effect on weight loss of organic waste in Pantai Gemi Village. Residents of Pantai Gemi Village should be given advice by the Department of Cleanliness and the Environment. For the Gemi Beach Village Apparatus to be able to connect the neighborhood's trash management efforts with relevant organizations. For Pantai Gemi Village inhabitants to become accustomed to and learn more about handling waste on their own.
Analisis paparan karbon monoksida (CO) dengan keluhan subjektif pernapasan pada penjual satai di Kota Duri tahun 2023 Veronica, Yohana; Nurmaini; Chahaya, Indra; Indirawati, Sri Malem
Tropical Public Health Journal Vol. 4 No. 1 (2024): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v4i1.16126

Abstract

Nowadays, buying food from outside is one of the choices people make when busy. Satai is one of the culinary favorites of many people. Many people are not aware and do not know that the process of burning satai involving carbon materials in the form of charcoal can produce smoke containing carbon monoxide which is risky for buyers and sellers. The smoke produced from burning satai contains carbon monoxide, making satai sellers a profession that is very at risk of subjective respiratory complaints. A preliminary survey found that 6 out of 10 satai sellers in Duri City experienced subjective respiratory complaints due to smoke from burning satai. The purpose of this study was to analyze the exposure to carbon monoxide concentrations with subjective respiratory problems among satai sellers. This research uses a cross-sectional approach. Sampling was utilized using a research sample of 40 respondents. The study found that the variables associated with subjective respiratory complaints were carbon monoxide concentration (p=0.010) and work period (p= 0.023). The unrelated variables are body mass index (p= 0.412), length of exposure (p= 0.182), and smoking behavior (p= 0.608). The recommendation offered to satai vendors is to get used to using Personal Protection Equipment (PPE), take out lung health checks, implement shifting tasks, eat lots of drinking water, and pay attention to working hours and the distance between the seller and the satai burning location.