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ANALISIS FAKTOR RISIKO KONDISI FISIK RUMAH TERHADAP PENYAKIT TB PARU DI WILAYAH KERJA PUSKESMAS BARENGKRAJAN KABUPATEN SIDOARJO TAHUN 2020 Marita Elvina U; Narwati .; Putri Arida Ipmawati
GEMA LINGKUNGAN KESEHATAN Vol 20, No 1 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v20i1.1674

Tuberculosis is an infectious disease caused by the bacteria Mycobacterium tuberculosis. The high rate of pulmonary TB in the working area of the Barengkrajan Health Center can be caused by the physical conditions of the house such as the type of wall, type of floor, ventilation area, lighting, temperature, humidity, and house occupancy density that does not meet the requirements of 17.9% (2,386 houses). The purpose of the study was to analyze the risk factors for the physical condition of the house on pulmonary TB in the Barengkrajan Health Center Work Area.The method used is observational with an analytical approach and case control design. The sample size is 32 cases and 32 controls using simple random sampling method. Data were analyzed using odds ratio.The results showed that the OR for the type of wall was 0.873, the OR for the type of floor was 1.696, the OR for the ventilation area was 1.457, the OR for lighting was 2.647, the OR for humidity was 1.64, the OR for the density of occupancy was 2.896, and the OR for conditions was large. physical house is 2,707.The risk factors for the occurrence of pulmonary TB are the physical condition of the house, type of floor, lighting, humidity, and residential density of the house, and those that are not risk factors for pulmonary TB are the type of wall, ventilation area, and temperature.

Air Kelapa Hijau (Cocos Nucifera L) Meminimasi Logam Berat Timbal (Pb) pada Kerang Hijau Averina Wiratama; Narwati Narwati; Putri Arida Ipmawati
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 3 (2022): Juli 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i3.2163

Pollution of the waters of Kenjeran Beach has resulted in the accumulation of heavy metal lead (Pb) into the body of green mussels, so it is dangerous if consumed in the long term. The purpose of this study was to minimize heavy metals in the body of green mussels by using green coconut water. The design of this research is re-experimental. The sample size was 24 taken at Kenjeran Beach, with variations of 1 hour, 2 hours and 3 hours. The measurement results are compared with the BPOM No. 05 of 2018 concerning the Maximum Limit of Heavy Metal Contamination in Processed Shellfish, which is 0.20 mg/kg. The results showed that the p value = 0.00, so it can be interpreted that green coconut water has the potential to minimize Pb heavy metal green mussel meat. Pb content of green mussel meat was reduced by 0.399 mg/kg; 0.189 mg/kg and 0.67 mg/kg after soaking in green coconut water for 1 hour, 2 hours and 3 hours, respectively. The mean reduction was 37%, 70% and 89% in each treatment. The most effective reduction was in immersion for 3 hours, which was 89%. The use of green coconut water on the market can be an alternative for the community to minimize Pb levels of green mussels by soaking for 3 hours each with an amount of 500 ml.Keywords: green mussels; green coconut water; plumbum ABSTRAK Pencemaran perairan Pantai Kenjeran mengakibatkan terakumulasinya logam berat timbal (Pb) ke dalam tubuh kerang hijau, sehingga berbahaya bila dikonsumsi dalam jangka waktu panjang. Tujuan dari penelitian ini yaitu untuk meminimasi logam berat yang ada di dalam tubuh kerang hijau dengan menggunakan air kelapa hijau. Rancangan penelitian ini adalah eksperimen ulang. Ukuran sampel adalah 24 yang diambil di Pantai Kenjeran, dengan variasi 1 jam, 2 jam dan 3 jam. Hasil pengukuran dibandingkan dengan baku mutu BPOM No. 05 Tahun 2018 Tentang Batas Maksimum Cemaran Logam Berat dalam Olahan Pangan kerang-kerangan yaitu 0,20 mg/kg. Hasil penelitian menunjukkan bahwa nilai p = 0,00, sehingga dapat diinterpretasikan bahwa air kelapa hijau berpotensi dalam meminimasi logam berat Pb daging kerang hijau. Kadar Pb daging kerang hijau berkurang sebesar 0,399 mg/kg; 0,189 mg/kg dan 0,67 mg/kg setelah direndam dengan air kelapa hijau selama 1 jam, 2 jam dan 3 jam secara berturut-turut. Rerata penurunan adalah 37%, 70% dan 89% pada masing-masing perlakuan. Penurunan paling efektif adalah pada perendaman selama 3 jam yaitu 89%. Penggunaan air kelapa hijau yang ada di pasaran dapat menjadi alternatif bagi masyarakat untuk meminimasi kadar logam Pb kerang hijau dengan cara perendaman selama 3 jam tiap dengan jumlah 500 ml.Kata kunci: kerang hijau; air kelapa hijau; plumbum

Pendampingan Kader Karang Taruna Dalam Pembuatan dan Pemeliharaan Kelambu Celup Untuk Meminimalisasi Kasus Malaria Setiawan Setiawan; Ngadino Ngadino; Pratiwi Pratiwi; Narwati Narwati
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 2 No. 2 (2023): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v2i2.162

Malaria merupakan salah satu fokus kritis masalah kesehatan global. Malaria mengancam sekitar 3,2 miliar orang di seluruh dunia, dan 1,2 miliar orang berisiko tinggi. Setiap tahun terdapat 15 juta kasus malaria dengan 38.000 kematian di Indonesia. Tujuan pengabdian dilakukan untuk meningkatkan pemahaman masyarakat terutama kader dalam membuat kelambu celup insektisida dalam pencegahan dan pengendalian malaria sehingga kasus malaria di kecamatan Gumarang Kabupaten Gumarang dapat menurun. Pengabdian dilakukan melalui penyuluhan dan dilanjutkan dengan melakukan praktek kerja. Melalui pelatihan pembuatan jaring celup, kader desa memperoleh keterampilan teknis dalam membuat dan memelihara jaring celup. Berdasarkan wawancara dengan kader desa binaan, terdapat beberapa keluhan terkait pemilihan kader desa yang umumnya ibu rumah tangga untuk mewakili keikutsertaan dalam pelatihan. Padahal, menurut kader, pekerjaan ibu rumah tangga lebih kompleks, dan tenaga kerjanya tidak lagi mumpuni. Sehingga pemilihan peserta diklat perlu lebih memperhatikan usia, pengetahuan, dan waktu luang peserta, Desa Semarang merupakan salah satu desa di Kecamatan Gemarang yang tahun 2020 juga akan menjadi peserta pelatihan pembuatan kelambu pengabdian masyarakat. Penggunaan kelambu ini merupakan kelambu yang telah dicelupkan ke dalam insektisida yang telah diluncurkan oleh Puskesmas Gemarang sejak tahun 2008 – 2016 dan mendapatkan dana anggaran dari lembaga swadaya masyarakat dan bantuan pemerintah. Hasil kegiatan Durlambu telah memberikan hasil yang positif dan signifikan dalam menurunkan malaria, sehingga diharapkan penggunaan Durlambu akan menjadi kebiasaan untuk menekan malaria. Keberlanjutan penggunaan Durlambu ini diharapkan dapat menjadi alasan kemitraan pengabdian masyarakat antara Poltekkes Kemenkes Surabaya dengan Pemerintah Kabupaten Madiun untuk meningkatkan keterampilan masyarakat dalam membuat jaring pewarna.

Penurunan Kadar Timbal Kerang Darah Menggunakan Media Cangkang Telur Ayam Narwati Narwati; Hadi Suryono
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 1 (2023): Januari 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14107

The presence of lead in blood clams has the potential to impact human health in the food chain, including cancer. Efforts have been made including utilizing waste chicken egg shells. Therefore, research is needed which aims to analyze the reduction of lead levels in blood clams using chicken egg shell media through engineering a stirring chamber with intervention of stirring speed and adsorption temperature. This type of research was an experiment using a one group pretest-posttest design. Samples of fresh blood clams came from Kenjeran Beach, Surabaya. A modification of the stirring chamber was used to help reduce lead levels in blood cockles, using the principle of stirring and adsorption temperature. Samples were given 9 treatments with 3 repetitions. Stirring speed was set for 15 minutes at 50 rpm, 150 rpm and 250 rpm; adsorption temperatures were 35°C, 50°C and 65°C; and using 50 grams of chicken eggshell adsorbent in 1 liter of PDAM treated water. The results showed that the average lead content = 1.92 ppm, in the control group = 1.26 ppm and in the treatment group = 0.77 ppm. The decrease in lead content in the treatment group = 0.49 ppm, where the stirring speed and adsorption temperature contributed to the decrease in lead content. It was concluded that the lead content decreased with the intervention of the mixing speed and adsorption temperature.Keywords: lead; blood clams; stirring chambers; stirring speed; adsorption temperature ABSTRAK Keberadaan timbal pada kerang darah berpotensi berdampak bagi kesehatan manusia dalam rantai pangan, di antaranya kanker. Upaya telah dilakukan di antaranya adalah memanfaatkan limbah cangkang telur ayam. Maka diperlukan penelitian yang bertujuan untuk menganalisis penurunan kadar timbal kerang darah menggunakan media cangkang telur ayam melalui rekayasa alat stirring chamber dengan intervensi kecepatan pengadukan dan suhu adsorpsi. Jenis penelitian ini adalah eksperimen menggunakan rancangan one group pretest-posttest. Sampel kerang darah segar berasal dari Perairan Pantai Kenjeran Surabaya. Modifikasi stirring chamber digunakan untuk membantu menurunkan kadar timbal pada kerang darah, menggunakan prinsip pengadukan dan suhu adsorpsi. Sampel diberi 9 perlakuan dengan 3 kali pengulangan. Kecepatan pengadukan di atur selama 15 menit pada 50 rpm, 150 rpm dan 250 rpm; suhu adsorpsi adalah 35°C, 50°C dan 65°C; dan menggunakan 50 gram adsorben cangkang telur ayam dalam 1 liter air olahan PDAM. Hasil penelitian menunjukkan bahwa rerata kadar timbal = 1,92 ppm, pada kelompok kontrol = 1,26 ppm dan pada kelompok perlakuan = 0,77 ppm. Penurunan kadar timbal pada kelompok perlakuan = 0,49 ppm, di mana kecepatan pengadukan dan suhu adsorpsi berkontribusi tehadap penurunan kadar timbal. Disimpulkan bahwa kadar timbal mengalami penurunan dengan adanya intervensi kecepatan pengadukan dan suhu adsorpsi.Kata kunci: timbal; kerang darah; stirring chamber; kecepatan pengadukan; suhu adsorpsi

KONDISI FISIK RUMAH DAN PERILAKU MEMBUANG SAMPAH DI PEMUKIMAN NELAYAN CUMPAT KECAMATAN BULAK KOTA SURABAYA TAHUN 2022 Clara Intan Pratiwi; Imam Thohari; Pratiwi Hermiyanti; Narwati; Putri Arida Ipmawati
Jurnal Hygiene Sanitasi Vol. 2 No. 2 (2022): Oktober 2022
Publisher : Jurusan Kesehatan Lingkungan Poltekkes Kemenkes Surabaya

A healthy house can be assessed from the physical condition of the house and behavior in disposing of waste. The coverage of healthy homes in Kedung Cowek Village in 2019 was 26%, in 2020 and 2021 it was 27%. The Cumpat Fisherman Settlement Community has the behavior of throwing garbage in the sea because of the irregular transportation system. The purpose of this study was to analyze descriptively the physical condition of the house and the behavior of disposing of garbage in the Cumpat Fisherman's Settlement, Bulak District, Surabaya City. This research uses descriptive method, the sample size is 84 houses and 83 respondents using Proportionate Stratified Random Sampling. Collecting data using observation sheets and questionnaire sheets. The results of the study were analyzed and presented through a frequency distribution table. The results of the study on the physical condition of the house met the requirements of a healthy house (97.6%) by reviewing the ceiling, walls, floor, lighting, ventilation, temperature, humidity, and occupancy density. The results of the study regarding the behavior of disposing of waste were in good category (83.3%) but the action component was in the sufficient category (16.7%). The conclusion of the study on the assessment of the physical condition of the house obtained results that met the requirements and the behavior of disposing of garbage obtained a good category. It is necessary to hold outreach on the impact of disposing of waste on marine ecosystems and healthy homes, training on recycling, and making banners containing the prohibition of throwing garbage.

ANALISIS FAKTOR RISIKO KONDISI FISIK RUMAH TERHADAP PENYAKIT TB PARU DI WILAYAH KERJA PUSKESMAS BARENGKRAJAN KABUPATEN SIDOARJO TAHUN 2020 Marita Elvina Ulprastika; Narwati; Putri Arida Ipmawati
Gema Lingkungan Kesehatan Vol. 20 No. 1 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Tuberculosis is an infectious disease caused by the bacteria Mycobacterium tuberculosis. The high rate of pulmonary TB in the working area of the Barengkrajan Health Center can be caused by the physical conditions of the house such as the type of wall, type of floor, ventilation area, lighting, temperature, humidity, and house occupancy density that does not meet the requirements of 17.9% (2,386 houses). The purpose of the study was to analyze the risk factors for the physical condition of the house on pulmonary TB in the Barengkrajan Health Center Work Area. The method used is observational with an analytical approach and case control design. The sample size is 32 cases and 32 controls using simple random sampling method. Data were analyzed using odds ratio. The results showed that the OR for the type of wall was 0.873, the OR for the type of floor was 1.696, the OR for the ventilation area was 1.457, the OR for lighting was 2.647, the OR for humidity was 1.64, the OR for the density of occupancy was 2.896, and the OR for conditions was large. physical house is 2,707. The risk factors for the occurrence of pulmonary TB are the physical condition of the house, type of floor, lighting, humidity, and residential density of the house, and those that are not risk factors for pulmonary TB are the type of wall, ventilation area, and temperature.

PENERAPAN SISTEM HAZARD ANALYSIS AND CRITICAL CONTROL POINT (HACCP) PADA INDUSTRI RUMAH TANGGA TAPE DI WILAYAH KECAMATAN SUKOSARI, KABUPATEN BONDOWOSO Ikhris Syafira rengganis; Narwati; Ernita Sari; Rusmiati; Pratiwi Hermiyanti
Gema Lingkungan Kesehatan Vol. 21 No. 1 (2023): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

In the application of the hazard analysis and critical control point in the tape householdindustry in the Sukosari area, there are still several components that do not meet therequirements, such as the area where the processing is not clean, the use of rusty foodprocessing equipment, food equipment and food ingredients that are not rinsed with cleanwater, the food packaging room that is not tightly packed with vectors, and not wearinggloves when handling food . The purpose of this study is to describe the application ofhazard analysis and critical control points in the household tape industry in the District ofSukosari, Bondowoso Regency.This type of research is descriptive and observational with the object of research beingthe entire home industry of tape production in the District of Sukosari with a population of2 IRTP. The research variables studied included the application of hazard identification,determination of CCP, determination of critical limits, monitoring of CCP, corrective actions,application of hazard analysis and critical control point systems and descriptive dataanalysis.The results showed that the application of hazard identification was in good category(70%), the determination of CCP was in a sufficient category (65%), determination ofcritical limit was in good category (80%), monitoring of CCP was in sufficient category(50%), corrective action was in good category (75%) so that the application of the hazardanalysis and critical control gets a good category (68.41%).The advice given to handlers is to wash their hands regularly after and before theproduction process and not use their hands directly when touching food. The IRTP paysmore attention to hygiene and sanitation in the processing of food production and routinelyperforms cleaning and maintenance at the production site.

Kondisi Sanitasi dan Personal Hygiene Industri Tempe di Desa Sambirembe Kecamatan Karangrejo Kabupaten Magetan Riri Tri cahyani; Rusmiati Rusmiati; Ngadino Ngadino; Narwati Narwati
Jurnal Sanitasi Lingkungan Vol 2 No 2 (2022): Jurnal Sanitasi Lingkungan
Publisher : Jurusan Kesehatan Lingkungan Poltekkes Kemenkes Palembang

IRTP Tempe yang berada di Desa Sambiremebe, diketahui sanitasi lokasi industri dan lingkungan tidak terawat, bangunan dan fasilitas yang kotor, tidak ada fasilitas sanitasi seperti sarana cuci tangan. Personal hygiene penjamah yang tidak menggunakan alat pelindung diri dan makan pada saat proses produksi. Tujuan penelitian ini adalah untuk mengetahui kondisi sanitasi daan personal hygiene penjamah industri tempe di Desa Sambirembe, Kecamatan Karangrejo, Kabupaten Magetan. Jenis penelitian ini adalah deskriptif dengan pendekatan cross sectional. Dalam pengambilan sampel menggunakan teknik total sampling. Populasi sampel industri tempe nomor 5 IRTP.Data yang diperoleh selanjutnya diolah dan disajikan dalam bentuk tabel kemudian dianalisis secara deskriptif.Hasil penelitian menunjukkan bahwa kondisi Sanitasi IRTP Tempe termasuk kategori cukup (40%). Penjamah personal hygiene termasuk kategori cukup (38%).Kesimpulan penelitian adalah kondisi sanitasi dan penjamah personal hygiene termasuk kategori cukup. Saran yang diberikan kepada pemilik IRTP rutin melakukan pemeliharaan lingkungan IRTP, menyediakan sarana cuci tangan, serta kandang sapi diletakkan secara terpisah dari tempat produksi. Penjamah rutin kuku, menggunakan alat pelindung diri, tidak makan pada saat produksi.

Analysis of Elementary School Children's Behavior on the Incidence of Diarrhea in Berbek Village, Sidoarjo Regency Fernanda Radianti Dwi Putri; Narwati; Ferry Kriswandana; Annisa Maulidia Rahayyu
Public Health Research Development Vol. 1 No. 1 (2024): Public Health Research Development
Publisher : Indonesian Association Environmental Health of West Kalimantan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/phrd.v1i1.6

Diarrheal diseases often occur in school children with a frequency of liquid bowel movements three or more times a day. Environmental and behavioural factors affect diarrhea in children. This study aims to analyze the relationship between elementary school children's behaviour and diarrhea in Berbek Village in 2024. Observational analytical research with a cross-sectional approach was conducted in three elementary schools in Berbek Village. The study population was 529 children from grade 4 to grade 6, with samples taken by stratified random sampling. Data were collected through observation and interviews using questionnaires and analyzed with the Chi-square test. The results showed that there was a significant relationship between knowledge (p=0.000), attitude (p=0.000), attitude (p=0.000) and behaviour (p=0.003) on the incidence of diarrhea. Still, there was no relationship between infrastructure facilities (p=0.891) and school policies (p=0.891). It is recommended that schools expand students' knowledge and attitudes about clean and healthy living behaviours (PHBS) with visual media that are attractive and easy to understand, and teachers provide examples of the implementation of PHBS in schools and complete school infrastructure facilities to be more adequate.

Faktor Lingkungan dan Perilaku Orangtua terhadap Penyakit Diare pada Balita di Desa Wonoayu, Sidoarjo Demes Nurmayanti; Tiara Sandriana; Iva Rustanti; Imam Thohari; Narwati Narwati
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 2 (2023): April 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14231

Diarrhea is an environment-based disease that is still a problem in society, especially in toddlers. In Wonoayu Village, Sidoarjo there were 66 cases of diarrhea in toddlers. The purpose of this study was to analyze the influence of environmental factors and parental behavior on the incidence of diarrheal disease in toddlers in Wonoayu Village, Sidoarjo Regency. The design of this study was case-control, which was applied to a sample of 66 respondents, which included 33 respondents for the case group and 33 respondents for the control group. The data were obtained by filling out a questionnaire, then analyzed descriptively in the form of frequency and proportion, then followed by the Chi-squalre test. The results showed that the p-value for each factor was 0.001 for clean water supply facilities, 0.002 for human waste disposal facilities, 0.002 for garbage disposal facilities, 0.002 for waste disposal facilities, and 0.003 for parental behavior. It was concluded that the factors that influence the incidence of diarrhea in toddlers in Wonoayu Village, Sidoarjo Regency are clean water supply facilities, human waste disposal facilities, garbage disposal facilities, waste disposal facilities, and parental behavior.Keywords: diarrhea; toddler; clean water, human waste, garbage, waste, old people's behavior ABSTRAK Diare adalah penyakit berbasis lingkungan yang masih menjadi masalah di masyarakat, terutama pada balita. Di Desa Wonoayu, Sidoarjo terdapat 66 kasus diare pada balita. Tujuan penelitian ini adalah menganalisis pengaruh faktor lingkungan dan perilaku orangtua terhadap kejadian penyakit diare balita di Desa Wonoayu Kabupaten Sidoarjo. Rancangan penelitian ini adlah case-control, yang diterapkan pada sampel sebesar 66 responden, yang meliputi 33 responden untuk kelompok kasus dan 33 responden untuk kelompok kontrol. Data diperoleh melalui pengisian kuesioner, lalu dianalisis secara deskriptif berupa frekuensi dan proporsi, lalu dilanjutkan dengan uji Chi-squalre. Hasil penelitian menunjukkan bahwa nilai p untuk masing-masing faktor adalah 0,001 untuk sarana penyediaan air bersih, 0,002 untuk sarana pembuangan kotoran manusia, 0,002 untuk sarana pembuangan sampah, 0,002 untuk sarana pembuangan limbah, dan 0,003 untuk perilaku orang tua. Disimpulkan bahwa faktor yang mempengaruhi kejadian diare pada balita di Desa Wonoayu Kabupaten Sidoarjo adalah sarana penyediaan air bersih, sarana pembuangan kotoran manusia, sarana pembuangan sampah, sarana pembuangan limbah, dan perilaku orang tua.Kata kunci: diare; balita; air bersih, kotoran manusia, sampah, limbah, perilaku orang tua

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