Narwati Narwati
Department Of Environmental Health, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia

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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 Ulprastika; 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/gelinkes.v20i1.3

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v21i1.42

Abstract

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.
Analisis Kualiatas Mikrobiologi Air Sumur Sekitar Kandang Ternak Ayam (Studi di Desa Bleber Kecamatan Kras Kabupaten Kediri Tahun 2022) Alvy Shafina Sundusin; Khambali; Winarko; Iva Rustanti; Narwati; Ferry Kriswandana; Angga Nurdianto
Gema Lingkungan Kesehatan Vol. 21 No. 2 (2023): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v21i2.49

Abstract

Kandang ternak ayam yang berdekatan dengan sumur menimbulkan risiko terjadinya pencemaran air. Pencemaran air sumur dapat terjadi akibat kondisi fisik sumur yang buruk. Penelitian ini bertujuan untuk mengetahui kualitas Total Coliform dan Escherichia coli dalam air sumur sekitar kandang ternak ayam di Desa Bleber Kecamatan Kras Kabupaten Kediri Tahun 2022. Jenis penelitian adalah observasional dengan pendekatan cross sectional dan dianalisis secara deskriptif. Seluruhssumur dengan jarak ≤ 11 meter dari kandang ternak ayam sejumlah 5 sumur dan sumur kontrol dengan jarak yaitu > 11 meter - ≤ 15 meter. Teknik pengambilan sampel menggunakan teknik total sampling. Variabel yang diteliti kualitas air sumur, kondisi fisik sumur, jarak sumur dan arah aliran air tanah dari kandang ternak ayam. Teknik pengumpulan data dengan cara observasi langsung, pengambilan sampel, dan pemeriksaan laboratorium.  Hasil penelitian menunjukkan jarak kandang ternak ayam dengan sumur tidak memenuhi syarat, kondisi fisik sumur tidak memenuhi syarat, arah aliran air tanah mengalir dari selatan ke utara dan timur ke barat. Kandungan Total Coliform dan Escherichia coli di air sumur tidak memenuhi syarat. Jarak sumur, kondisi fisik sumur, arah aliran air tanah dapat menimbulkan terjadinya pencemaran air tanah. Air sumur Desa Bleber mengandung Total Coliform dan Esherichia coli. Jarak kandang ternak ayam, kondisi fisik sumur dan arah aliran air tanah dapat menimbulkan risiko terhadap penurunan kualitas mikrobiologi air sumur di Desa Bleber. Masyarakat perlu memerhatikan jarak sumur, kondisi fisik sumur, dan arah aliran air tanah dalam pembangunan sumur maupun kandang ternak ayam untuk menghindari pencemaran air.
Borax Content of Meatballs in Market X Area Surabaya Indonesia Liza Fajrin Zukrisningtyas; Narwati Narwati; Pratiwi Hermiyanti; Marlik Marlik; Seow Ta Wee
International Journal of Advanced Health Science and Technology Vol. 3 No. 6 (2023): December
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v3i6.302

Abstract

Borax was still utilized in the process of making food, one of which was making meatballs. Meatball traders added borax to extend the short shelf life of meat and increase the chewy texture, as well as to give the meatballs a more white color. The research objective was to analyze the borax content of meatball samples in market X Surabaya, Indonesia in 2023. Analytical observational research method, the variables studied were the physical quality of meatballs and the borax content in meatballs. The object of this research was 12 meatballs sold by all vendors in Market X Surabaya, Indonesia. The results of the organoleptic test researched obtained 4 meatball samples (34%) with good assessment criteria, most of the 7 meatball samples (58%) with sufficient assessment criteria, and 1 meatball sample (8%) with poor assessment criteria. Laboratory test results 1 meatball sample (8%) contained borax, with physical characteristics of chewy texture, pale gray color, tart taste, and fishy smell. The conclusion of this studied was that 1 out of 12 samples had physical characteristics of meatballs containing borax and borax content was related to the organoleptic test with a significant valued of p-value = 0. 032. Suggestions for traders to used alternative ingredients to replaced borax, namely carrageenan (seaweed) to improved the physical quality of meatballs in terms of texture, color, and smell.
Assessing the Correlation Between Basic Sanitation and Diarrhea Prevalence in Bulurejo Village, Gresilk: A Geographic Information System (GIS) Approach Silvia Retna Ning Tyias; Narwati Narwati; Demes Nurmayanti; Suprijandani; Leila Florento
International Journal of Advanced Health Science and Technology Vol. 4 No. 1 (2024): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i1.310

Abstract

In 2022, the number of diarrhea cases increased to 958 sufferers, with the highest incidence occurring in Bulurejo village. Physically, the sources of clean water still exhibit discoloration and unpleasant odor. The latrine construction lacks a roof, and the walls are made of cloth. The construction of waste bins lacks covers, and the wastewater disposal facilities (SPAL) are open. This research aims to determine the correlation between basic sanitation and the prevalence of diarrhea using the Geographic Information System (GIS) method. The study is descriptive-analytical through observations and a GIS approach in the form of a map. From the observations, bivariate and univariate analyses were conducted using the chi-square test. The results show that basic household sanitation is related to the prevalence of diarrhea in Bulurejo. Clean water facilities, with a p-value of 0.014, indicate a significant relationship. Toilet facilities, with a p-value of 0.347, show no significant relationship. SPAL facilities, with a p-value of 0.009, indicate a significant relationship. Waste disposal facilities, with a p-value of 0.029, indicate a significant relationship. After analysis, the results were represented in the form of a map. The Geographic Information System (GIS) approach was utilized to develop more effective mapping strategies for the improvement of sanitation and diarrhea control in the area. These findings indicate the necessity for enhancing basic sanitation facilities and implementing programs at community health centers to reduce diarrhea cases in Bulurejo.
Physical House Condition and Individual Characteristics Influence the Incidence of Leprosy Dhea Vara Adellya; Narwati Narwati; Sri Anggraeni; Imam Thohari
International Journal of Advanced Health Science and Technology Vol. 4 No. 5 (2024): October
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i5.409

Abstract

Angka penemuan kasus tahun 2023 di Wilayah Kerja Puskesmas Singgahan sebesar 6,87 per 100.000 penduduk masih belum memenuhi target CDR <5 per 100.000 penduduk. Faktor-faktor yang mempengaruhi kejadian kusta yaitu faktor lingkungan dan karakteristik individu. Menganalisis hubungan kondisi fisik rumah tangga dan karakteristik individu dengan kejadian kusta di Singgahan Kabupaten Tuban tahun 2024. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan Kasus Kontrol. Penelitian ini melibatkan 15 kasus; 15 kontrol. Variabel bebas yang diteliti adalah kondisi fisik rumah tangga dan karakteristik individu; sedangkan variabel terikatnya adalah kejadian kusta; pengumpulan data dilakukan dengan kuesioner dan observasi; analisis data menggunakan uji chi-square. Analisis bivariat menunjukkan adanya hubungan antara kondisi fisik rumah tangga ( p-value = 0,023): kelembaban udara ( p-value = 0,014); luas ventilasi ( p-value = 0,014); dan kepadatan penduduk ( p-value = 0,009). Tidak ditemukan hubungan bermakna antara suhu ( nilai-p = 0,130) dan pencahayaan ( nilai-p = 0,264). Analisis bivariat juga menunjukkan adanya hubungan antara karakteristik individu: jenis kelamin ( nilai-p = 0,023); pekerjaan ( nilai-p = 0,001); tingkat pendidikan ( nilai-p = 0,003); tingkat pengetahuan ( nilai-p = 0,027); dan riwayat kontak ( nilai-p = 0,000). Usia tidak menunjukkan hubungan bermakna ( nilai-p = 0,598). Ada hubungan antara kondisi fisik rumah tangga termasuk kelembaban; area ventilasi; kepadatan penduduk; dan karakteristik individu seperti jenis kelamin; pekerjaan; tingkat pendidikan; tingkat pengetahuan; dan riwayat kontak dengan kejadian kusta. Namun; tidak ada hubungan bermakna antara suhu; pencahayaan; dan usia terkait kejadian kusta. Disarankan untuk meningkatkan ventilasi sehingga suhu; kelembaban; dan pencahayaan terjaga dan untuk mengikuti langkah-langkah pencegahan campak dan partisipasi aktif dalam upaya pencegahan penyakit campak.
Soaking Water Of Pineapple Peel (Ananas comocus L. Merr) Solution On Reducing Formaldehyde Levels In Salted Fish Sugiana; narwati; Marlik; Rusmiati
International Journal of Advanced Health Science and Technology Vol. 4 No. 5 (2024): October
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i5.413

Abstract

ABSTRACT Formaldehyde in salted fish processing is used to extend the shelf life of salted fish, potentially causing harmful effects on health. Before processing, such as soaking using pineapple peels can be done to reduce formaldehyde levels so that it is not harmful to health. The purpose of the study was to determine the decrease in formaldehyde levels in salted fish before and after soaking using a pineapple peel solution. This research is a pre-experimental study with a group Pretest and Posttest Design. The object of research is salted fish soaked in pineapple peel solution concentrations of 20%, 40%, 60%, and 80% with 4 replications. Soaking time is done for 60 minutes. The method of checking formaldehyde levels using the spectrophotometer method. The data that has been obtained is then analyzed using a paired t-test. The results of the examination of formaldehyde levels of salted fish before soaking amounted to 13.30 mg/kg. In contrast, after soaking the pineapple peel solution concentration of 20%, 40%, 60%, and 80% respectively amounted to 6.58 mg/kg, 4.16 mg/kg, 0.15 mg/kg, and 0.11 mg/kg, and tap water of 8.14 mg/kg. The Paired t-test obtained the P < α (0.05), meaning there is a significant difference in decline. The highest formaldehyde content reduction of 99.14% occurred in the treatment of soaking in pineapple peel solution with a concentration of 80% with a soaking time of 60 minutes. There is a significant difference between formaldehyde levels in salted fish before and after soaking using a pineapple peel solution. The use of pineapple peel solution can be an alternative effort in reducing formaldehyde levels in salted fish before processing for consumption and using other fruit peels with different concentration variations and different soaking times in salted fish.