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PENGARUH KADAR TIMBAL DALAM DARAH TERHADAP LAJU ENDAP1DARAH PADA1IBU HAMIL DI1DAERAH PANTAI KABUPATEN1BREBES Muhammad Sulthan Mubarok; Suhartono Suhartono; 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 (208.677 KB) | DOI: 10.14710/jkm.v6i6.22181

Abstract

Low hemoglobin in pregnant women will cause health problems. Lead can inhibit synthetic heme pathway so that it can affect the sedimentation rate The average lead level in pregnant women was 19.74 + 9.417 μg / dL which had exceeded the normal limit (5 μg / dL).. This study aimed to determine the correlation between blood lead level and erythrocyte sedimentation rate in pregnant women in the coastal district of Brebes. This type of research was an analytic observational study with cross sectional approach. The population in this study were all pregnant women in the working area of Puskesmas Wanasari, Puskesmas Kluwut, Puskesmas Bulakamba, Puskesmas Tanjung, Puskesmas Kecipir, and Puskesmas Losari 1734 people. Samples used as many as 98 pregnant women used purposive sampling technique. The result of the study by Spearman rank correlation test showed that there was no correlation between the levels of lead in the blood and erythrocyte sedimentation rate in 1 hour (p = 0,198; r = 0,123) even to the erythrocyte sedimentation rate in 2 hours (p = 0,292; r = 1,00). The conclusion that the majority of pregnant women who have blood levels above normal also have above normal blood sedimentation rates.
LITERATUR REVIEW : APA SAJA FAKTOR RISIKO KEBERADAAN BAKTERI ESCHERICHIA COLI PADA ES BATU? Mahotama Kumara Dipta; Budiyono Budiyono; Nikie Astorina Yunita Dewantii
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 3 (2021): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (127.292 KB) | DOI: 10.14710/jkm.v9i3.29585

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Es merupakan hasil pembekuan air yang sering di temukan pada pedagang kaki lima hingga restoran, tetapi es yang dikonsumsi dapat menjadi sumber kontaminasi oleh mikoorganisme patogen Escherichia coli atau coliform. Keberadaan bakteri pada es ini dapat menyebabkan penyakit diare. Tujuan penelitian ini yaitu mengetahui faktor keberadaan bakteri Escherichia coli pada es yang dijual pedagang. Penelitian ini menggunakan metode literatur review. Penelusuran artikel dilakukan melalui database Google Scholar, Mendeley, DOAJ, dan Jurnal Kesehatan Masyarakat, pada bulan Mei 2020. Artikel yang digunakan adalah artikel dengan desain penelitian obsevasional. Hasil penelitian menemukan 12 artikel yang dikaji. Terdapat 83% yang menyatakan bahan baku air yang tidak matang dan 67% hygiene sanitasi juga dapat berpengaruh bakteri Escherichia coli pada es. Bahan baku menjadi faktor utama dalam mempengaruhi keberadaan Bakter Escherichia coli pada es.
PERBEDAAN FAKTOR-FAKTOR KEJADIAN DIARE PADA BALITA DI DESA ODF (OPEN DEFECATION FREE) DAN NON ODF DI WILAYAH KERJA PUSKESMAS SAPE KABUPATEN BIMA M Muhlisan Muhlisan; Tri Joko; 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 (121.818 KB) | DOI: 10.14710/jkm.v9i2.28714

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Kejadian diare pada balita masih tergolong tinggi di Desa ODF dan non ODF di Kecamatan Sape. Dalam kurun waktu dua tahun terakhir mengalami peningkatan dari 47,87% menjadi 63,98%. Penelitian ini bertujuan untuk mengetahui perbedaan kondisi kejadian diare pada balita di Desa ODF dan non ODF. Penelitian ini menggunakan pendekatan cross sectional. Populasi dalam penelitian ini seluruh balita rentang usia 1-5 tahun yang ada selama tahun 2019, sampel dalam penelitian ini sebanyak 57 balita yang menderita diare 3 bulan terakhir di Desa ODF maupun di Desa non ODF. Hasil penelitian menunjukkan bahwa responden memiliki rata-rata usia 32 tahun, dengan mayoritas tamatan SMA 48,2%, dan 95,6% lainnya merupakan ibu rumah tangga. Hasil uji statistik menunjukkan bahwa terdapat perbedaan  antara jenis jamban leher angsa dan jamban cemplung dengan kejadian diare pada balita di Desa ODF dan non ODF (p= 0,038), praktek cuci tangan pakai sabun tidak ada perbedaan dengan kejadian diare pada balita (p=0,844), pengolahan air minum tidak memiliki perbedaan terhadap kejadian diare pada balita di desa ODF maupun Non ODF (p=0,239), hasil pemeriksaan bakteriologis  tidak memiliki perbedaan terhadap kejadian diare pada balita di desa ODF maupun Non ODF (p= 0,246), jenis sumber air tidak memiliki perbedaan  terjadinya diare pada balita di desa ODF maupun non ODF (p=0,236). Kesimpulan ada perbedaan kondisi di desa ODF dan Non ODFpada keluarga yang memiliki balita diare di wilayah Puskesmas Sape pada penggunaan jamban, sedangkan sumber air minum, pengolahan air minum, perilaku cuci tangan pakai sabun dan kualitas bakteriologis tidak ada perbedaan kondisi secara signifikan. 
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

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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

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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

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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

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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

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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

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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.
Co-Authors Abd. Rasyid Syamsuri Ailsa Devina Rosahada Alfia Nugrahani Sidhi Ali Djamhuri Alya Nida Tahera Mahardika Annisa Rachmawati Ayun Sriatmi Azhari, Achmad Rizki 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 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 Raharjo , Mursid Rahmah, Syifa Rifqa Ainur Rani Tiyas Budiyanti Regita Damayanti Saputri 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 Sulistyani Sulistyani Sunindy Wahyunita Sutopo Patria Jati Tika Adelia Nurkholis Puteri Tri Amdani Kumbasari Tri Joko Tri Joko Ulfa, Elok Fadila Wahyu Sekar Harjanti Wilujeng Ginanjarwati Wiwin Tipuk Dwi Astuti, Wiwin Tipuk Dwi Yulia Aryanti Yuliani Setyaningsih Yundari, Yundari Yusniar Hanani Darundiati Zaedatul Farida Zaerina, Siti Zaerina Zahrotun Hasanah