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All Journal Jurnal Kesehatan Komunitas JMM (Jurnal Masyarakat Mandiri) Jurnal Kesehatan Manarang Jurnal Dunia Kesmas Jurnal Sehat Mandiri Indonesian Journal of Global Health research Poltekita: Jurnal Pengabdian Masyarakat Jurnal Pengabdian Kesehatan Komunitas (Journal Of Community Health Service) Banua: Jurnal Kesehatan Lingkungan Berita Kedokteran Masyarakat Jurnal Pengabdian dan Pengembangan Masyarakat Indonesia Jurnal Sanitasi Profesional Indonesia Journal of Public Health and Pharmacy Jurnal Penelitian Sains dan Kesehatan Avicenna Poltekita: Jurnal Ilmu Kesehatan Journal of Medicine and Health Jurnal Kesehatan Lingkungan Mapaccing Health Safety Environment Journal Poltekita: Jurnal Pengabdian Masyarakat
Fahrul Islam
Poltekkes Kemenkes Mamuju
Agriculture, Biological Sciences & Forestry Humanities Chemical Engineering, Chemistry & Bioengineering Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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EFEKTIVITAS ECO-ENZYME LIMBAH KULIT PISANG KEPOK DALAM MENURUNKAN ANGKA LEMPENG TOTAL (ALT) KUMAN DI LANTAI Fahrul Islam; Yesriely Dey Singa’; Abdul Ganing; Miftah Chairani Hairuddin
Jurnal Sanitasi Profesional Indonesia Vol 7 No 01 (2026): Juni 2026
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jspi.v7i01.1187

Abstract

The problem of waste is one of the environmental issues that often becomes a public concern and has an impact on environmental damage. Kepok banana peels are one type of organic waste that can be utilized as a raw material in the production of natural floor-cleaning eco-enzymes. This study aims to determine the aroma, color, pH, and the composition of 300g, 450g, and 600g of kepok banana peel waste in reducing the total bacterial plate count on floors. The research method used is a sampling method with pretest and posttest designs. Floor swab samples were taken before and after the use of the eco-enzyme made from kepok banana peel waste. The results showed that the eco-enzyme had a typical acidic fermented smell, was yellowish-brown in color, and had a pH of 3.7–4. The eco-enzyme made from 300g of kepok banana peel waste was able to reduce the total bacterial plate count on the floor by 93%, 450g composition by 99%, and 600g composition by 56%. The LC50 value of the eco-enzyme composition from kepok banana peel waste in this study was 0.18g. The conclusion of this study is that the eco-enzyme with a concentration of 450g is the most effective formulation for reducing bacterial counts on floors. It is suggested that future research add fragrance ingredients to produce a more pleasant aroma.
Factors Affecting Treatment Adherence Among Patients with Tuberculosis in Indonesia: Literature Review Fahrul Islam; Haeranah Ahmad; Nurbaya; Masnaeni Ahmad; Ansar; Kadar Ramadhan; Muhammad Syukri; Syafran Arrazy; Agung Aji Perdana; Deborah Siregar; Nining Ade Ningsih; Ikes Dwi Astuti; St. Kadijah Hamid; Asrul Hamonangan Pasaribu
Journal of Public Health and Pharmacy Vol. 4 No. 1 (2024)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v4i1.5022

Abstract

Introduction: Tuberculosis (TB) is the leading cause of death from infectious diseases in the world and Indonesia is the second largest contributor to TB cases after India. Treatment adherence problems are a major obstacle to TB elimination. The purpose of this Literature Review is to determine the factors that affect treatment adherence among TB patients in Indonesia. Methods: Literature obtained from Science Direct, PubMed, and Google Scholar; published from 2018 – 2023, research from reputable international journals and from national journals at least with SINTA 3, located in Indonesia. Indonesian and English with full text of all types of research designs. Article selection was carried out using the method "Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) and analyzed using descriptive analysis techniques. Results: A total of 225 articels were deemed appropriate for the topic, but only 15 articles were included based on inclusion criteria. It was found that there are several factors that affect treatment adherence in tuberculosis patients in Indonesia, namely: predisposing factors as many as 11 articles (age, education, occupation, knowledge, self-efficacy, concordance, health behavior, motivation, marital status, income level, drug side effects, already feeling cured, and duration of treatment). Reinforcing factors as many as 2 articles (family support). Enabling factors as many as 5 articles (the role of officers, reminder SMS messages from officers, health counseling, and distance of residence to health services). Conclusion: The most dominant factor affecting treatment adherence among tuberculosis patients in Indonesia is the Predesposising factors, namely education and sefl-efficacy.
Spatio-Temporal Analysis of Tuberculosis Clusters in a Region of Topographic Diversity: A Case Study from West Sulawesi Province, Indonesia Fahrul Islam; Haeranah Ahmad; Fajar Akbar; Ain Khaer; Iwan Suryadi; Muhammad Syukri; Kadar Ramadhan
Journal of Public Health and Pharmacy Vol. 5 No. 2 (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.
Pemberdayaan Masyarakat Dusun Bayor-bayor dalam Pengolahan Sampah Organik Rumah Tangga Menggunakan Komposter Ember Tumpuk: Empowering the Bayor-Bayor Hamlet Community to Manage Household Organic Waste Using Stacked Bucket Composters Fahrul Islam; Haeranah Ahmad; Fajar Akbar
Poltekita: Jurnal Pengabdian Masyarakat Vol. 7 No. 1 (2026)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v7i1.4312

Abstract

This community service activity aimed to improve the knowledge and skills of residents in Bayor-Bayor Hamlet, Batupannu Village, in managing household organic waste into compost using stacked buckets. The implementation method consisted of several stages. The initial reflection stage involved coordination with the village government and data collection to identify the main problems. The second stage included participatory planning through Focus Group Discussions (FGDs) with the community to determine the intervention model and activity schedule. The third stage was the implementation phase, covering education, demonstrations, and hands-on compost-making using a participatory training approach. Monitoring was conducted through mentoring and regular visits to evaluate the implementation process. The results showed a significant increase in participants’ knowledge, with the average pre-test post-test score rising from 41.8 (min: 13.3; max: 73.3) to 66.2 (min: 46.7; max: 86.7), and the establishment of two model households independently managing organic waste. In conclusion, this activity effectively enhanced participants’ understanding of waste management. Motivation, self-confidence, and continuous support were key factors in the successful adoption of the technology. To ensure program sustainability, it is recommended to establish local environmental cadres supported by village policies through regulations and incentives.
Faktor Risiko Diabetes Melitus Tipe 2 pada Provinsi dengan Prevalensi Tertinggi di Indonesia: Analisis Data SKI 2023 Yuni Rahmawati; Muhammad Syukri; Hendra Dhermawan Sitanggang; RD. Halim; Kadar Ramadhan; Fahrul Islam
Jurnal Penelitian Sains dan Kesehatan Avicenna Vol 5 No 2 (2026): Jurnal Penelitian Sains dan Kesehatan Avicenna
Publisher : Lembaga Penelitian Dan Pengabdian Kepada Masyarakat (LPPM), Institut Teknologi Dan Kesehatan (ITK) Avicenna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69677/avicenna.v5i2.343

Abstract

Latar Belakang: DM tipe 2 merupakan salah satu penyakit tidak menular yang prevalensinya terus meningkat dan menjadi masalah kesehatan masyarakat di berbagai negara, termasuk Indonesia. Provinsi DKI Jakarta merupakan wilayah dengan prevalensi DM tertinggi berdasarkan Survei Kesehatan Indonesia (SKI) tahun 2023. Tujuan: Penelitian ini bertujuan untuk menganalisis faktor risiko DM tipe 2 pada penduduk usia ≥ 15 tahun di Provinsi DKI Jakarta, menggunakan data SKI 2023. Metode: Penelitian ini menggunakan desain cross-sectional dengan pendekatan kuantitatif. Data bersumber dari data SKI 2023, dengan jumlah sampel sebanyak 24.454 responden yang berusia ≥ 15 tahun di Provinsi DKI Jakarta. Analisis dilakukan dengan mempertimbangkan bobot sampel dan desain Complex Samples. Analisis meliputi analisis univariat untuk mengetahui karakteristik responden, analisis bivariat dilakukan menggunakan uji Chi-Squares serta analisis multivariat dilakukan menggunakan uji regresi logistik ganda. Hasil: Hasil penelitian menunjukkan bahwa setelah dilakukan analisis multivariat menggunakan uji regresi logistik ganda, faktor yang berhubungan secara signifikan dengan kejadian DM tipe 2, yaitu usia dan hipertensi (p < 0,001). Individu berusia ≥ 45 tahun memiliki risiko 11,35 kali lebih besar mengalami DM tipe 2 dibandingkan individu berusia < 45 tahun (OR adjusted 11,35; 95% CI: 5,20–24,78). Selain itu, individu dengan hipertensi memiliki risiko 2,99 kali lebih besar mengalami DM tipe 2 dibandingkan individu yang tidak hipertensi (OR adjusted 2,99; 95% CI: 2,00–4,47). Kesimpulan: Usia dan hipertensi merupakan faktor risiko yang berhubungan dengan kejadian DM tipe 2 pada penduduk usia ≥ 15 tahun di Provinsi DKI Jakarta. Oleh karena itu, diperlukan upaya pencegahan dan deteksi dini terutama pada kelompok usia berisiko serta pada individu dengan hipertensi melalui peningkatan skrining dan pengendalian faktor risiko.
The Relationship Between Lifestyle and Dietary Patterns and the Incidence of Degenerative Diseases Zaki Irwan; Muh Hasyim; Erdiawati Arief; Fahrul Islam; Fajar Akbar; Firman Firman
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i2.4188

Abstract

Degenerative diseases, particularly diabetes mellitus and hypertension, contribute substantially to morbidity in Indonesia, including rural areas undergoing lifestyle transitions. Kalukku Subdistrict in Mamuju Regency is one such region, yet no comprehensive studies have examined the relationship between lifestyle, diet, and nutritional status with these diseases. This study aimed to analyze associations between lifestyle, dietary patterns, and nutritional status with the incidence of diabetes mellitus and hypertension in Kalukku Subdistrict. A cross-sectional design was applied to 150 purposively selected patients with diabetes mellitus and hypertension recorded at Tampapadang Health Center. Data were collected using lifestyle questionnaires, 24-hour dietary recalls, semi-quantitative food frequency questionnaires (SQ-FFQ), and anthropometric measurements. Associations were analyzed using chi-square tests with odds ratios (ORs) and 95% confidence intervals (CIs). Unhealthy lifestyle was strongly associated with diabetes mellitus (p<0.001, OR=12.17) and hypertension (p<0.001, OR=0.016, indicating 98.4% lower risk in individuals with healthy lifestyles). Unhealthy dietary patterns were associated with diabetes mellitus (p=0.040, OR=3.51) but not with hypertension (p=1.00). Nutritional status showed no significant relationship with either condition (p>0.05). Lifestyle is a key determinant of both diabetes mellitus and hypertension, while dietary patterns are associated only with diabetes mellitus. Nutritional status was not significantly linked to either disease. These findings highlight the importance of community-based health promotion and prevention, including daily physical activity through group exercise, dietary modification using local foods (corn, cassava, sweet potatoes) as alternatives to white rice, and salt-reduction campaigns via cooking demonstrations.
Co-Authors Abbas Mahmud Agung Aji Perdana Agus Erwin Ashari Ahmad, Haeranah Ain Khaer Amelya Karnefi Ansar Arjuman Asrun Ashriady, Ashriady Askur Askur, Askur Asrul Hamonangan Pasaribu Ayu Lestari AR Budi Hatono Deborah Siregar DN, Nurhidayah Erdiawati Arief Faisal Mubarak Fajar Akbar Fajar Akbar Fajar Akbar Fajar Akbar Fajar Akbar Firman Firman Ganing, Abdul Gustika Trisiyani Haeranah Ahmad Haeranah Ahmad Haeranah Ahmad Haeranah Ahmad Hendra Dhermawan Sitanggang Ikes Dwi Astuti Indriani Indriani Kadar Ramadhan Kasman Kasman Lestari AR, Ayu Lia Nurdini Mappau, Zrimurti Masnaeni Ahmad Miftah Chairani Hairuddin Miftah Chairani Hairuddin Muh Hasyim Muhammad Farhan Muhammad Syukri Muhammad Syukri Muhammad Syukri Muhammad Syukri Nining Ade Ningsih Nurbaya Nurbaya Nurfadila Nurfadila, Nurfadila Nurita Nurul Aisyiah Pala’langan, Yusri Qadriana, Nurul Rahmat Haji Saeni RD. Halim Rd. Halim Ridhayani Adiningsih Rofiq Alfikri Saddania, Sitti Sitti Saddania Sri Astuti Siregar St. Kadijah Hamid Sukmawati Sukmawati Suryadi, Iwan Syafran Arrazy Yesriely Dey Singa’ Yuni Rahmawati Yusuf, Andi Mukramin zahra, aini siti Zaki Irwan