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Gambaran Media Dan Bangunan Rumah Penderita Tuberkulosis Paru Di Wilayah Kerja Puskesmas Gedong Air Kota Bandar Lampung Tahun 2026 Hervina Sari; Mei Ahyanti; Karbito Karbito
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.803

Abstract

Pulmonary tuberculosis (TB) remains a communicable disease and a major public health problem in Indonesia. The media and building conditions of houses occupied by pulmonary tuberculosis patients play an important role in the transmission of this disease. This study aimed to describe the media and building conditions of houses occupied by pulmonary tuberculosis patients in the Working Area of Gedong Air Public Health Center, Bandar Lampung City, in 2026, covering occupancy density, bedroom lighting, bedroom humidity, bedroom temperature, and bedroom ventilation rate. This study employed a quantitative descriptive design with an observational approach. A total of 60 houses of pulmonary tuberculosis patients were selected using a simple random sampling technique. Data were collected through observation and interviews and were analyzed using univariate analysis. The results showed that most of the media and building conditions of houses occupied by pulmonary tuberculosis patients did not meet health requirements in terms of occupancy density, bedroom lighting, bedroom humidity, bedroom temperature, and bedroom ventilation rate. It can be concluded that the media and building conditions of houses occupied by pulmonary tuberculosis patients in the Working Area of Gedong Air Public Health Center, Bandar Lampung City, in 2026 were predominantly not in accordance with healthy housing requirements. Therefore, education for patients and their families regarding health-compliant media and building requirements, particularly related to occupancy density, bedroom lighting, bedroom humidity, bedroom temperature, and bedroom ventilation rate, is needed to help reduce the risk of pulmonary tuberculosis transmission.
Bioinsecticide-based malaria control strategy: epidemiological implications and environmental sustainability Mei Ahyanti; Prayudhy Yushananta
International Journal of Advances in Applied Sciences Vol 15, No 2: June 2026
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijaas.v15.i2.pp634-645

Abstract

Anopheles mosquitoes are the main vector of malaria, which remains a global health problem. This study aims to evaluate the effectiveness of various types of plants as bioinsecticides on the mortality of Anopheles larvae based on variations in extract concentration and exposure time. The experimental study design used a completely randomized factorial design. The variables were studied in bioinsecticide formula consisting of 66 levels; 3 levels of concentration and contact time to Anopheles larvae. The number of replications was four times following the Foreder formula. The study was conducted at the Parasitology Laboratory from January to June 2025. Findings showed the factors of plant type (p <0.001), extract concentration (p <0.001), and exposure time (p <0.001) had a significant effect on the level of larval mortality. The interaction between plant type and concentration showed a synergistic effect, where the effectiveness of the bioinsecticide increased with the right combination. Longer exposure times also significantly increased the larval mortality rate. The results of this study indicate that the use of plants as bioinsecticides can be a potential alternative in malaria vector control. The study suggests that plant-based bioinsecticides can effectively combat malaria by enhancing effectiveness through synergistic interactions between plant species, extract concentration, and exposure duration.
Pengetahuan, Dukungan Tokoh Masyarakat dan Pemaparan Petugas Kesehatan Terhadap Perilaku BABs: Knowledge, Support of Community Figures and Health Workers' Exposure to Open Defecation Behavior Yeni Rosita; Mei Ahyanti
Media Publikasi Promosi Kesehatan Indonesia Vol. 5 No. 6 (2022)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (346.93 KB) | DOI: 10.56338/mppki.v5i6.2315

Abstract

Latar Belakang: Kontaminasi mikroorganisme pada makanan dan minuman dapat berakibat pada peningkatan penyakit diare. Kontaminasi ini dapat terjadi karena manusia buang air besar tidak pada tempatnya dan dihinggapi serangga kemudian serangga hinggap pada makanan atau minuman. Penelitian bertujuan untuk mengetahui dukungan tokoh masyarakat dan pemaparan petugas kesehatan dalam perilaku buang air besar. Tujuan: Penelitian bertujuan mengetahui dukungan tokoh masyarakat dan pemaparan petugas kesehatan dengan perilaku buang air besar (BAB). Metode: Penelitian dengan jenis kuantitatif ini menggunakan rancangan cross sectional (potong lintang). Penelitian dilaksanakan di Kabupaten Lampung Selatan, tepatnya di Desa Taman Baru Kecamatan Penengahan pada bulan Agustus 2020. Subyek penelitian adalah seluruh kepala keluarga di Desa Taman Baru, berjumlah 267 kepala keluarga. Sampel adalah total populasi. Data dikumpulkan menggunakan instrumen yang disusun oleh peneliti dengan merujuk pada instrumen pengumpulan data STBM oleh kementerian kesehatan Republik Indonesia. Hasil: Pengetahuan dan pemaparan petugas kesehatan secara statistik berhubungan signifikan dengan perilaku BABs. Orang yang memiliki pengetahuan kurang baik berisiko BABs sebesar 5,606 kali dibanding orang dengan pengetahuan baik, dan orang yang tidak mendapatkan pemaparan dari petugas kesehatan berisiko BABs sebesar 5,037 kali dibanding orang yang mendapatkan pemaparan dari petugas kesehatan. Peningkatan pengetahuan masyarakat tentang pentingnya BAB pada jamban saniter dapat dikembangkan oleh petugas kesehatan melalui media promosi kesehatan seperti leaflet atau banner yang dipasang pada tempat-tempat dimana masyarakat sering berkumpul atau berhenti. Kesimpulan: Penelitian ini menyimpulkan adanya hubungan yang signifikan antara pengetahuan dan pemaparan petugas kesehatan.
Toxicological Exploration of Tapak Dara Catharanthus roseus as Bioinsecticide Mei Ahyanti
Jurnal Kesehatan Vol 16 No 1 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i1.4773

Abstract

Mosquito control efforts have been done physically, chemically, and through environmental management. However, the use of synthetic chemical insecticides has various negative impacts. Therefore, plant-based alternatives are a solution that needs to be developed. This study explores the toxicological potential of Catharanthus roseus as a botanical bioinsecticide. This systematic review study takes data from the literature in the form of published articles obtained via the internet from Google Scholar, Semantic Sholar, Garuda, PubMed, and Science Direct databases. The subjects of the study were 12 articles that focused on using Catharanthus roseus as a larvicide. The selected journals were eligible based on the study of LC50, zero value, and No Observed Adverse (NOA) of Catharanthus roseus plant extract against mosquito larvae. The data are presented in tabular form. Several studies provided different results regarding LC50 and zero value, but only 1 study reported on NOA. Further research is needed to improve data consistency, especially on LC50 values ​​and control effects, including against non-target organisms.
Analisis Pelaksanaan Kebijakan dalam Upaya Memerangi Tuberkulosis (TB) di Kabupaten Lampung Tengah Aprina Aprina; Anita Anita; Titi Astuti; Eka Sulistianingsih; Mei Ahyanti; Anggun Rusyantia
Malahayati Nursing Journal Vol 8, No 11 (2026): Volume 8 Nomor 11 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i11.27459

Abstract

ABSTRACT Tuberculosis (TB) remains a public health problem requiring effective and sustainable policy implementation. Central Lampung Regency has established Regent Regulation Number 27 of 2023 concerning Tuberculosis Control; however, its implementation needs to be assessed at the policy, healthcare service, and community levels. Objective to analyze policy implementation in efforts to combat TB and identify supporting and inhibiting factors in the implementation of Regent Regulation Number 27 of 2023 in Central Lampung Regency. This study employed an exploratory design with a descriptive qualitative approach. Informants were selected purposively based on their involvement, authority, experience, and knowledge of policy implementation. Data were collected through Focus Group Discussions (FGDs), in-depth interviews, and source triangulation involving policy stakeholders, Health Office program implementers, Primary Health Centers, TB cadres, and three TB patients who had recovered. Data were analyzed thematically based on George C. Edwards III's policy implementation model. Policy communication had been conducted across levels and sectors, but community communication was not yet continuous and still faced stigma and limited communication media. Resources were available, but the number, competency, and distribution of human resources, as well as cadre support, funding, and facilities, were uneven. Implementers demonstrated strong commitment, although sustainability was affected by workload and limited institutional support. The bureaucratic structure had been established and SOPs were available, but technical guidelines were not yet standardized, while monitoring and follow-up were not fully integrated. The implementation of Regent Regulation Number 27 of 2023 has been carried out but remains suboptimal. Strengthening communication, resources, institutional support, technical guidelines, coordination, and monitoring is needed. Keywords: Tuberculosis, Policy Implementation, Communication, Resources, Disposition, Bureaucratic Structure. ABSTRAK Tuberkulosis (TB) masih menjadi masalah kesehatan masyarakat yang memerlukan implementasi kebijakan secara efektif dan berkelanjutan. Kabupaten Lampung Tengah telah memiliki Peraturan Bupati Nomor 27 Tahun 2023 tentang Penanggulangan Tuberkulosis, namun pelaksanaannya perlu dikaji pada tingkat kebijakan, pelayanan kesehatan, dan masyarakat. Tujuan menganalisis pelaksanaan kebijakan dalam upaya memerangi TB serta mengidentifikasi faktor pendukung dan hambatan implementasi Peraturan Bupati Nomor 27 Tahun 2023 di Kabupaten Lampung Tengah. Penelitian menggunakan desain eksploratif dengan pendekatan deskriptif kualitatif. Informan dipilih secara purposiveberdasarkan keterlibatan, kewenangan, pengalaman, dan pengetahuan terhadap implementasi kebijakan. Data dikumpulkan melalui Focus Group Discussion (FGD), wawancara mendalam, dan triangulasi sumber pada stakeholder kebijakan, pelaksana Dinas Kesehatan, Puskesmas, kader TB, serta tiga pasien TB yang telah sembuh. Analisis data dilakukan secara tematik berdasarkan model George C. Edwards III. Komunikasi kebijakan telah berlangsung lintas jenjang dan sektor, tetapi komunikasi di masyarakat belum berkelanjutan dan masih menghadapi stigma serta keterbatasan media. Sumber daya tersedia, namun jumlah, kompetensi, distribusi SDM, dukungan kader, pembiayaan, dan sarana belum merata. Pelaksana menunjukkan komitmen kuat, tetapi keberlanjutannya dipengaruhi beban kerja dan keterbatasan dukungan. Struktur birokrasi telah terbentuk dan SOP tersedia, tetapi juknis belum seragam serta monitoring dan tindak lanjut belum terintegrasi. Implementasi Peraturan Bupati Nomor 27 Tahun 2023 telah berjalan, tetapi belum optimal sehingga diperlukan penguatan komunikasi, sumber daya, dukungan kelembagaan, juknis, koordinasi, serta monitoring. Kata Kunci: Tuberkulosis, Implementasi Kebijakan, Komunikasi, Sumber Daya, Disposisi, Struktur Birokrasi.
Co-Authors Ahmad Fikri Ahmad Fikri Ahmad Fikri Aliyanto, Warjidin Amatiria, Gustop Amrul Hasan Amrul Hasan Amrul Hasan Anggun Rusyantia Anita Anita Anita Anita Anita Anita Anita Annasari Mustafa Aprina Aprina Aprina Aprina, Aprina Ari Nugroho Arie Nugroho Artha Budi Susila Duarsa Astuti, Titi Ayu Mirah Widhisastri, I Gusti Bakara, Arnold Maruli Bambang Ariyadi Bambang Ariyadi, Bambang Bambang Murwanto Bambang Murwanto Chandra, Emilia Dina Dwi Nuryani Dwi Budi Santoso Efa Trisna Efa Trisna Eka Sulistianingsih Emilia Chandra Endah Setyaningrum Enro Sujito Enro Sujito Enro Sujito Enro Sujito Enro Sujito Ferizal Masra Ginting, Daria Br Gustop Amatiria Handayani, Ririn Sri Hastuti, Retno Puji Hervina Sari Imam Santosa Indarwati, Suami Karbito Karbito Khoiriyanti Wulandari Linda Barus M Ridwan Mahendra, Arif Melani, Dian Septi Melinda, Nia Monica, Deta Zalva murwanto, bambang Nawan Prianto Nidia Hilda Nurkhoiriyah, Yustin Oktari, Femi Prayudhy Yushananta Prayudhy Yushananta Prayudhy Yushananta Prayudhy Yushananta Prayudhy Yushananta Prianto, Nawan Purbianto, Purbianto Purwono Purwono, Purwono Putri, Esterina Tiara Putri, Wilda Nindia Reka Lagora Marsofely Retno Puji Hastuti Rini Alita Ririn Sri Handayani Rosita, Yeni Sarino . Sarip Usman Sarip Usman Sarip Usman SARIYANTO, IWAN Sastri, I Gusti Ayu Mirah Widhi Sekar Ayu, Anisa Panca SRI UJIANI Suarni, Lisa Sudiarti, Made Sujito, Enro Sulastri Sulastri Sulastri Sulastri Supriadi Sutrio Sutrio Sutrio Sutrio Tati Baina Gultom Titi Astuti Titi Astuti Tori Rihiantoro Ujiani, Sri Usman, Sarip Utama, Susan Renda Utama, Susan Rendra Wibowo Ady Sapta Winalia Winalia Yeni Rosita Yenni Rosita Yetti Anggraini Yetti Angraini Yusrizal Yusrizal Yusrizal Yusrizal Yustin Nur Khoiriyah Zikril Hakim Zunidra Zunidra Zunidra, Zunidra