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HUBUNGAN KUALITAS SANITASI LINGKUNGAN DAN BAKTERIOLOGIS AIR BERSIH TERHADAP KEJADIAN DIARE PADA BALITA DI WILAYAH KERJA PUSKESMAS ADIWERNA KABUPATEN TEGAL Alfia Nugrahani Sidhi; Mursid Raharjo; Nikie Astorina Yunita Dewanti
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 3 (2016): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (98.82 KB) | DOI: 10.14710/jkm.v4i3.13480

Abstract

Quality of sanitation in Puskesmas Adiwerna is still bad. Quality of bad environmental sanitation can cause various diseases such as diarrhea and become a problem in Indonesia, especially diarrhea in infants. One area that is still a high incidence of diarrhea which Tegal district with diarrhea Incidence Rate of 39.74 per 1000 population and Adiwerna Public Health Center has the highest Prevalence Rate infants in 2015 amounted to 20.64 per 100 infants. The purpose of this study to determine the relationship of environmental sanitation and bacteriological quality of water on the incidence of diarrhea in infants in Adiwerna Public Health Center. This study used cross sectional design with the kind of analytical observation. The population is all children under five by 2015 as many as 4320 with a total sample of 42 respondents drawn by simple random sampling. Data were obtained from interviews and observations are then analyzed with chi square. Univariate analysis showed there were 54.8% incidence of diarrhea. There are toilets to 69.0%, 50.0% garbage disposal facilities, SPAL 76.1%, and 78.6% bacteriological quality of water is not eligible. Incidence of diarrhea has a significant relationship with latrine facility conditions, SPAL, and the bacteriological quality of the water (p = 0.02, p = 0.03 and p = 0.02) and was not associated with garbage disposal facilities (p = 0.063). In conclusion latrine facility conditions, SPAL, and the bacteriological quality of water associated with the incidence of diarrhea in infants in Adiwerna Public Health Center.
ANALISIS POSISI STAKEHOLDERS PROGRAM PENANGGULANGAN TB DI LAPAS KLAS I SEMARANG Shinta Trinovia Kumalasari; Sutopo Patria Jati; Nikie Astorina Yunita Dewanti
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 5 (2018): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (207.451 KB) | DOI: 10.14710/jkm.v6i5.21999

Abstract

Tuberculosis in Indonesia’s Correctional Institution  is not a new case. Semarang Class I Correctional Institution on March 2018 has an excess capacity of 114%, and this condition causes a high risk of TB disease. In 2016 until early 2018 has found 25 cases of TB in this Correctional Institutions, although they have been using DOTS strategy. The success of TB program is influenced by multi factors such as the involvement of the stakeholders. This study aims to mapping the position of stakeholders of TB control in Semarang Class I Correctional Institution. This type of research is qualitative with in-depth interviews. The main informants are Doctor, Monev Officer, and Cadres. The Triangulation informants are TB Wasor, Kasi Perawatan, Head of TB Team, and Prisoner as program targets. Stakeholder positions are reviewed based on attitude, influence and interest. The results shows that all stakeholders support the TB control program in Semarang Class I Correctional Institution and all stakeholders except  prisoner who have pasive interest in the program. The influence of stakeholders in the program greatly influences its strategic position, particularly its ability to influence through advocacy and supervision. From all stakeholders, only the Wasor, Kasi Perawatan, and Head of TB Team who have strong influence. The conclusion of this study is the position of Wasor, Kasi Perawatan, and Head of TB Team has a supportive attitude, strong influence and active interest in the position of the "Saviour" program. Doctor, Monitoring and Evaluation Officer and Cadres has  a supportive attitude, has a weak influence and active interest tend to be "friends". Prisoner as program target has supportive attitude, involved passively and has a weak influence on the position of "Acquintance".
ANALISIS TEKNIK PENGENDALIAN KOLABORASI BALAI BESAR POM DAN DINAS KESEHATAN DALAM PENERBITAN SERTIFIKAT PANGAN INDUSTRI RUMAH TANGGA DI KOTA SEMARANG Dhwi Ba diya Maulina Ikhsani; Sutopo Patria Jati; Nikie Astorina Yunita Dewanti
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 3 (2019): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (197.097 KB) | DOI: 10.14710/jkm.v7i3.25789

Abstract

In 2017, (BB POM) Food and Drug Administration Office of Central Java reported Semarang City as the one of 5 cities experiencing poisoning from 253 cases at Central Java. A preliminary survei found that some household food industry products (IRTP) that have obtained certificates for home industry food management (SP-PIRT) potentially cause poisoning because they are not in accordance with the food types permitted by law. Instead, the purpose of this study traces the problem causes using interorganizational collaboration theory, through an interaction approach between BBPOM and Health Department Office of Semarang City regarding this issuance of SP-PIRT. The method used is qualitative with in-depth interview technique to 8 informants, observation and document review assistance. The result of the study shows, there are two types of constraints faced by collaborators: The first obstacle in the initial elements, namely: the lack of communication design and human resource. Meanwhile the constraints of emergent elements are in the form of not yet determined work plans and shared targets, weak mutal trust both institutions then inconsistent and obscure communication as well as collective identity. Furthermore, the constraint control strategies used by collaborators are retreating, reconfiguring restructuring and resolving. The conclusion of this analysis describes 2 constraints that do not have the control strategy, 1 constraint was controlled inappropriately (underadjusting) and the rest has been controlled appropriately. Based on the results above, collaboration in food security could be increased by considering the compatibility between constraints and the adjustment strategy.
HUBUNGAN KONDISI LINGKUNGAN DALAM RUMAH DENGAN KEJADIAN PNEUMONIA PADA BALITA DI WILAYAH KERJA PUSKESMAS PATI I KABUPATEN PATI Dinda Rachma Anggiani; Suhartono Suhartono; Nikie Astorina Yunita Dewanti
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 3 (2016): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (68.301 KB) | DOI: 10.14710/jkm.v4i3.13536

Abstract

Pneumonia is one of the biggest killers of children worldwide who is one of five deaths among children, with an estimated 1.8 million deaths annually. In 2015, the incidence of pneumonia in children under five years old in Pati regency of 191 cases. Puskesmas Pati I always ranked first incidence of pneumonia in Pati Regency, in 2015 children under five years old with pneumonia coverage handled Puskesmas Pati I still reached 58.8%, so it is less than the national target (100%). This study aims to determine the relationship of environmental conditions in the home with the incidence of pneumonia in children under five years old in Puskesmas I Pati Pati regency. This research uses observational analytic study with case control study design. The population of 5878 souls with a toddler age of the samples obtained 40 respondents case group and the control group of 40 respondents. Analyzed using univariate and bivariate with Chi Square test, and multivariate analysis with logistic regression test.The results show from 9 independent variables studied, there are 3 variables associated with the incidence of pneumonia in children under five years old, namely the presence of smokers in the home (p-value = 0.042; OR = 3.400; 95% CI = 1.156 to 9.996), use of mosquito coils (p Value-= 0.000; OR = 9.000; 95% CI = 2.698 to 30.021), and the type of house floor (p-value = 0.009; OR = 4.265; 95% CI = 1.531 to 11.886). It can be concluded that the condition of the home environment associated with pneumonia in children under five years old in Puskesmas I Pati Pati Regency is the presence of a smoker in the house, use of mosquito coils, and the type of house floor.
HUBUNGAN JARAK RUMAH KE INSTALASI PENGOLAHAN AIR DENGAN KADAR SISA CHLOR PADA JARINGAN DISTRIBUSI IPA PUCANG GADING PDAM KOTA SEMARANG Wilujeng Ginanjarwati; Onny Setiani; Nikie Astorina Yunita Dewanti
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (212.765 KB) | DOI: 10.14710/jkm.v6i6.22210

Abstract

Pucang Gading Water Treatment Plant (WTP) is the smallest capacity of PDAM Semarang City which has a wide area, including Sendangmulyo, Klipang, Dinar Mas, Dinar Elok, Meteseh, and Bukit Kencana Jaya. The measurement results by the PDAM from January to March 2018 showed that chlorine residual level at the customer's home of the Pucang Gading WTP distribution is below from the recommended chlorine residual limit (0.2-0.5 mg/l). Decrease in chlorine residual levels also occurs from the WTP to the customer's home. The purpose of this study was to determine the relationship between the distance of the house to the Water Treatment Plant (WTP) with chlorine residual levels in the Pucang Gading Water Treatment Plant distribution in PDAM Semarang City. This research was an explanatory research with a cross sectional study. The sample of this study were 45 customers who were taken based on purposive sampling. Data analysis using Spearman Rank Correlation Test. The results of the measurement of the average chlorine residual level in the customer's home is 0.08 mg/l and the closest distance of the house to the Pucang Gading Water Treatment Plant (WTP) is 150 m with the furthest distance is 6000 m. There is a relationship between the distance of the house to the Water Treatment Plant (WTP) and the chlorine residual level with p value= 0,000 and r count= -0,604. The farther distance of the house to the WTP will affect the decrease in chlorine residual level. So it is necessary to do additional chlorine injection for distant distribution areas from the Water Treatment Plant (IPA).
HUBUNGAN MASA KERJA, LAMA KERJA, LAMA PENYEMPROTAN DAN FREKUENSI PENYEMPROTAN TERHADAP KADAR KOLINESTERASE DALAM DARAH PADA PETANI DI DESA SUMBEREJO KECAMATAN NGABLAK KABUPATEN MAGELANG Fitrisya Lucki Dwiyanti; Yusniar Hanani Darundiati; Nikie Astorina Yunita Dewanti
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (226.907 KB) | DOI: 10.14710/jkm.v6i6.22167

Abstract

The high use of pesticides on farmers in Sumberejo village and exposure to pesticides for a long time can accumulate in the body to affect blood cholinesterase levels. Low cholinesterase levels indicate pesticide poisoning. The purpose of this study was to determine the relationship between length of service, duration of work, duration of spraying and spraying frequency with blood cholinesterase activity on farmers in the Sumberejo village. The type of research used is observational analytic with cross sectional approach. Data were obtained through interviews using questionnaires and blood cholinesterase level examination. Data were analyzed using Spearman rank correlation test. The variables observed were period of work, duration of work, duration of spraying, frequency of spraying, and blood cholinesterase levels. The average cholinesterase level of respondents was 7146.7 U / L. The result of statistical test showed that there was correlation between length of service(p = 0,008) and spraying frequency (p = 0,026) to cholinesterase level. Duration of work (p = 0,526) and duration of Spraying (p = 0,678) did not show any association with cholinesterase level. The conclusion of this study is that there is a relationship between the working period and the frequency of spraying with cholinesterase levels, there is no relationship between the length of work and spraying with cholinesterase
HUBUNGAN PAPARAN PESTISIDA DENGAN KEJADIAN MENOPAUSE DINI PADA PEREMPUAN PETANI DI DESA GIRIREJO KECAMATAN NGABLAK KABUPATEN MAGELANG Zaedatul Farida; Onny Setiani; Nikie Astorina Yunita Dewanti
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 3 (2017): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (111.018 KB) | DOI: 10.14710/jkm.v5i3.17262

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Pesticides in farming play a role in improving the results of planting but on the other hand has a negative impact on health, causing exposure to population living in sorrounded area, including women. One of these can interfere the reproductive hormones in women. The aims of this study to determine association between peticides exposure and early menopause on women farmers in Girirejo village, Ngablak district, Magelang regency. This was an observational analytic study using cross sectional approach. Population in this study were women farmers aged 30-45 years and do not use hormonal contraceptives. The samples of 83 women farmers were taken using purposive sampling method. Data were analyzed using frequency distribution and Chi-Square test. The results of this study showed significant association between working period (p=0.001), working duration (p=0.025), method of pesticides storage (p=0,022), and completeness of using personal protective equipment (p=0,016) with early menopause incidence. While involvement in agriculture (p=0,289), spraying frequency (p=0,219), act of spraying on the wind direction (p=0,161), method of pesticides mixing (p=0,546), and personal hygiene (p=0,594) do not showed significant association with early menopause incidence. There were 31 women farmers who suffered early menopause. The average age of early menopause was 42.48 years. The Conclusions in this study were important to protect women from pesticides exposure in agriculture area because it may cause long term negative effects. Women farmers should decrease working duration, use pesticides properly and wisely, increase  the use of personal protective equipment to avoid pesticides exposure into the body.
ANALISIS RISIKO KESEHATAN LINGKUNGAN PAJANAN GAS AMONIA (NH3) PADA PEMULUNG DI TPA JATIBARANG, SEMARANG Wahyu Sekar Harjanti; Yusniar Hanani Darundiati; Nikie Astorina Yunita Dewanti
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 3 (2016): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (98.365 KB) | DOI: 10.14710/jkm.v4i3.13698

Abstract

TPA Jatibarang, Semarang with landfills system of garbage disposal, so garbage that piled up to experience the decomposition in anaerobic and produce a variety of harmful gases i.e. amomonia gas. The unavailability of gas processing installation of ammonia gas causes pollutes the air at TPA Jatibarang and inhaled by the scavenger. The purpose of this research is to analyze the environmental health risk assessment exposure of ammonia gas to scavenger at TPA Jatibarang, Semarang. This research is observational research with cross sectional method. The approach is being used, namely Environmental Health Risk Analysis (EHRA) with a population of subjects are scavengers in TPA Jatibarang as many as 245 people and the population of objects are ambient air at TPA Jatibarang. The sample of this research subjects are 72 people and samples of objects had taken at three point measurements. The results showed that scavengers who live in TPA Jatibarang more risky exposure affected gas ammonia compared with scavenger who resides outside the TPA Jatibarang. The level of risk on a scavenger who resides in TPA Jatibarang for real time projection, is said to be insecure on a scavenger as many as 12 people, while the projection for life time, is said to be insecure on a scavenger as many as 34 people. On a scavenger who resides outside the TPA  Jatibarang good projection in real time as well as life time, is said to be still safe on a scavenger as many as 22 people
HUBUNGAN PAJANAN PESTISIDA SEBELUM MASA KEHAMILAN DENGAN KEJADIAN HIPERTENSI PADA IBU HAMIL DI WILAYAH PERTANIAN KECAMATAN SUMOWONO KABUPATEN SEMARANG Dwi Septiana; Suhartono Suhartono; Nikie Astorina Yunita Dewanti
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 2 (2021): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (42.162 KB) | DOI: 10.14710/jkm.v9i2.29440

Abstract

The use of pesticides in Sumowono District was based on a statement by the Agricultural Extension Center that was not according to the correct dosage and regulations. The practice of mixing pesticides and the high frequency of pesticide use is detrimental to women who are involved in agricultural activities with the potential for long-term exposure to pesticides, which can cause health problems during pregnancy, hypertension during pregnancy. Hypertension is the main priority disease in Sumowono District. Hypertension is a major health problem during pregnancy, causing 2-3% of complications in pregnancy. The Purpose of the study was to analyze the relationship of pesticide exposure before pregnancy with hypertension in pregnant women in the agricultural area of Sumowono sub-district, Semarang district. This research is a analysis with a case control study design. The sample of this study was 102 respondents with a case sample of 34 respondents and a control sample of 68 respondents. Data analysis used the chi-square test and T-test. The results of the relationship analysis showed that work was related to pesticides (p = 0,011), pesticide exposure period (p = 0,008), length of pesticide exposure (p = 0,008), frequency of pesticide use (p = 0,002), pesticide mixing practices (p = 0,01), use of Apersonal protective equipment (p = 0,007) associated with the incidence of hypertension in pregnancy. This study recommends stopping the practice of mixing pesticides and reducing the length of time working in agricultural areas and the use of personal protective equipment standards to avoid pesticide exposure.
HUBUNGAN PENGGUNAAN DAN PENANGANAN PESTISIDA PADA PETANI BAWANG MERAH TERHADAP RESIDU PESTISIDA DALAM TANAH DI LAHAN PERTANIAN DESA WANASARI KECAMATAN WANASARI KABUPATEN BREBES Regita Damayanti Saputri; Yusniar Hanani Darundiati; Nikie Astorina Yunita Dewanti
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 3 (2016): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (81.538 KB) | DOI: 10.14710/jkm.v4i3.13691

Abstract

Excessive use of pesticides causing pollution and environmental damage agriculture. Examination in Brebes on 31 samples of fruits and vegetables, found 22% of samples contain detectable residues of organophosphate and found two soil samples (10%) contained residues organochlorin. The purpose of this study was to determine the relationship of the use and handling of pesticides on their onion farmers against pesticide residues in the soil on agricultural land Wanasari Village, District Wanasari, Brebes. This study is observational method with cross sectional approach. The population in this study were all farmers in the Wanasari conducting spraying. Collecting data using the tool Banu questionnaire and examination of pesticide residues in soil using GC-MS Gas Chromatography - Mass Spectrometry. The results of this study are of 55 69.1 onion farmers use pesticides are not good. The use of pesticides covering 80% is not good in mixing pesticides, 87.3% use a smaller dose, 49.1% use pesticides that are not registered with the Ministry of Agriculture, 87.3% is not good in the way of spraying and 87.3 does well in frequency spraying. Handling pesticides in agricultural land is not good 59.1%, ie 74.5% is not good in handling pesticide containers, 90.9% is not good in storage of pesticides, 89.1% is not good in handling a spill and 87.3% did not either in place to clean pesticide containers. The research result is negative soil samples pesticide residues. The conclusion was that no pesticide residue class organochlorin.
Co-Authors Abd. Rasyid Syamsuri Achmad Rizki Azhari Ailsa Devina Rosahada Alfia Nugrahani Sidhi Ali Djamhuri Alya Nida Tahera Mahardika Annisa Rachmawati Ayun Sriatmi Azhari, Achmad Rizki Budiono Budiono Budiyono Budiyono Budiyono Budiyono Darundiati , Yusniar Hanani Dhita Ayu Fauziah Dhwi Ba diya Maulina Ikhsani Dian Indriyani Diana Islamawati Dinar Matsnanuha Khalista Dinda Rachma Anggiani Diyah Putri Permata Dwi Septiana Ekky Resha Pradita Farid Agushybana Firdaus Duwila Fitrisya Lucki Dwiyanti Fransiska Vony Wicheisa Ghinaa Maniiah Hanan Lanang Dangiran Handayani, Novia Laila Fitria Lestari, Dinda Tri Lubriyana, Triyani Mahotama Kumara Dipta Martini Martini Mawaddah Muhajjar Mitha Karunia Baeti Muhammad Auliya Rahman Muhammad Sulthan Mubarok Muhlisan Muhlisan Mursid Rahadjo Mursid Rahardjo Mursid Raharjo Nia Dhesti Arindita Nisa Zakiyah Nissa Kusariana Novi Isnasari Nurhasmadiar Nandini Nurjazuli Nurjazuli Nurjazuli Onny Setiani Paramitha, Sekar Sandya Pratiwi Ika Noviarti, Pratiwi Ika Puspita, Yashinta Dwi Raharjo , Mursid Rahmah, Syifa Rifqa Ainur Rani Tiyas Budiyanti Regita Damayanti Saputri Retno Murwani Risa Kartika Putri Rizqiana Fauziyyah Rona Arundina Rahmadiani Ronna Atika Tsani Savitri Rachmawati Shinta Trinovia Kumalasari Siswi Jayanti Suhartono Suhartono Suhartono Suhartono, Suhartono Sulistiyani SULISTIYANI SULISTIYANI Sulistiyani Sulistiyani Sulistyani Sulistyani Sunindy Wahyunita Sutopo Patria Jati Tika Adelia Nurkholis Puteri Tri Amdani Kumbasari Tri Joko Tri Joko Ulfa, Elok Fadila Wahyu Sekar Harjanti Wahyunita, Sunindy Wilujeng Ginanjarwati Wiwin Tipuk Dwi Astuti, Wiwin Tipuk Dwi Yulia Aryanti Yuliani Setyaningsih Yundari, Yundari Yusniar Hanani Darundiati Zaedatul Farida Zaerina, Siti Zaerina, Siti Zaerina Zahrotun Hasanah