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All Journal JURNAL PENELITIAN KESEHATAN GEMA KESEHATAN LINGKUNGAN
Darjati .
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FASILITAS SANITASI DI PASAR WONOKROMO SURABAYA TAHUN 2013 Dewi Anisa; Rusmiati .; Darjati .
GEMA LINGKUNGAN KESEHATAN Vol 13, No 2 (2015): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v13i2.87

Abstract

A market is the place for the sale and purchase of goods with more than one merchant. It includesshopping centers, traditional markets, shops, malls, palazas, trade centers or other designations.Sanitation conditions are among the important factors in the running of market and poor hygienemay result in a wide range of unfavorable consequences, such as transmission of diseases andvector development. The purpose of the present study was to assess conditions of sanitaryfacilities, including locations, buildings, sanitation, clean and healthy behavior (CHB), security andother facilities of Wonokromo Market Surabaya.The study was a descriptive research. Data were collected by observations, interviews andmeasurements using a healthy market form. Variables included location, buildings, clean waterbathrooms and toilets, waste management, drainage, sinks, animal-borne diseases of vectors, CHBof the merchants and market management, market disinfections, security and other facilities. Datawere calculated for percentage and assingned to healthy, less healthy and unhealthy categories.In overall, conditions of sanitation facilities of Wonokromo Market Surabaya were categorized asunhealthy with a score of 5698 out of a variables, the variables locations and security were categorized as less healthy (66%, 60% and 64%, respectivety) and the variable other facilities was categorized as unhealthy (56%).It is recommended to check, improve and add sanitation facilities or other facilities in accordancewith Regulation of the Health Minister No.519/Menkes/SK/VI/2008 on Guidelines forImplementation of Health Markets.
EVALUASI PENGELOLAAN BANK SAMPAH DI KOTA MOJOKERTO Umrotul Malikah; Darjati .; Demes Nurmayanti
GEMA LINGKUNGAN KESEHATAN Vol 19, No 2 (2021): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v19i2.1548

Abstract

Waste management is one of the problems that needs to be prioritized in preserving the urban environment. The Randegan Final Disposal Site in Mojokerto City is unable to accommodate the volume of waste,  one of the programs by carrying out Waste Bank activities based on Law Number 18 of 2008 concerning Waste Management.  The purpose of this study is to evaluate the planning, organization, implementation, and supervision of waste bank management in Mojokerto City.This study uses a qualitative descriptive approach with interview techniques, field observations and Document Search. The data are grouped based on internal and external environmental factors that exist in the waste banks in 3 (three) sub-districts of Mojokerto City, totaling 25 waste banks. The data obtained were analyzed using SWOT. The results showed that the Strength factor was 1.316 Weakness was 1.361. Opportunity 1.730440232. and Treat 1.147155115. The difference in the total score of the Strenght and Weakness factors (-) is 0.045. The difference in the total score of the Opportunity and Treath factors (+) is 0.583. Position in Quadrant III means that the organization is in a weak position but has a lot of opportunity. The strategy that must be applied in the management of waste banks in Mojokerto City is the WO (Weakness-Opportunity) Strategy, is a combination of internal weakness factors with external opportunity factors.
EVALUASI PENGGUNAAN KOMPOSTER (TAKAKURA DAN DRUM) BANTUAN PEMERINTAH 01 INSTITUSI PENDIDIKAN SURABA YA TAHUN 2013 Robithoh Wahyuliyanti; Darjati .; Irwan Sulistio
GEMA LINGKUNGAN KESEHATAN Vol 12, No 1 (2014): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v12i1.55

Abstract

Garbage is a wasted material that comes from human and nature activities. Processing of organicwaste in educational Institutions at Surabaya use composter. The purpose of research was evaluate theusing of goverment aid composter (takakura and drum) in educational Institutions at Surabaya. Thisresearch was eksploratory research. Data were collected by direct observation and interview. Sampleswere 40 educational Institutions at Surabaya. Data were analyzed descriptive statistics its were presentedin tabular form.The result were BO used takakura and 15 used drum. BO% officers had good level of knowledge, .75% officers had good attitude and 55% officers had good action. It is recommended to optimaze using ofcomposter
PEMANFAATAN KULIT PISANG KEPOK (Musa acuminate L.) SEBAGAI ADSORBEN UNTUK MENURUNKAN KADAR MANGAN PADA AIR SUMUR Alief Fitria RHS; Ferry Kriswandana; Darjati .
GEMA LINGKUNGAN KESEHATAN Vol 16, No 2 (2018): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v16i2.829

Abstract

Air merupakan sumber kehidupan makhluk hidup terutama manusia dengan berbagai macam kebutuhan dasar manusia.Sumber air yang banyak digunakan adalah air tanah yaitu air sumur.Agar memenuhi persyaratan kesehatan perlu dilakukan pengolahan terutama dalam aspek kualitasnya. Air sumur banyak mengandung mineral diantaranya adalah mangan yang apabila konsentarasinya melebihi ambang batas dapat mengganggu kesehatan manusia, oleh karena itu maka diperlukan pengolahan salah satunya dengan proses adsorpsi. Kulit pisang kepok dapat dijadikan sebagai adsorben karena mengandung gugus hidroksil (-OH) dan asam karboksilat yang dapat mengikat ion logam. Penelitian bertujuan untuk mengetahui penurunan kadar mangan dalam air dengan menggunakan kulit pisang kepok (Musa acuminate L.) sebagai bahan adsorben yang dikeringkan. Jenis penelitian ini adalah eksperimen dengan desain penelitia one group pretest-postest design yang membandingkan antara penurunan kadar mangan sebelum dan sesudah proses adsorpsi menggunakan adsorben kulit pisang kepok. Prosentase penurunan kadar mangan setelah dilakukan proses adsorpsi menggunakan adsorben kulit pisang kepok dengan kadar adsorben dan waktu perendaman 10 gr/l, 30 menit; 10 gr/l, 60 menit; 10 gr/l, 90 menit; 20 gr/l, 30 menit; 20 gr/l, 60 menit; 20 gr/l, 90 menit; 30 gr/l, 30 menit; 30 gr/l, 60 menit; 30 gr/l, 90 menit berturut-turut adalah sebesar 17,43%; 40,40%; 59,31%; 23,37%; 68,61%; 80,40%; 47,72%; 78,12%; 91,68%. Hasil maksimum penurunan kadar mangan dalam air sebesar 91,68% untuk kadar adsorben 30gr/l dengan waktu perendaman 90 menit. Pada hasil statistik menghasilkan nilai P0,05 dengan nilai signifikasi untuk kadar adsorben P=0,006 dan waktu perendaman P=0,001 yang artinya ada pengaruh penggunaan adsorben kulit Pisang Kepok untuk menurunkan kadar mangan (Mn) dalam air sumur dengan kadar adsorben dan waktu perendaman yang berbeda. Hal ini artinya kulit Pisang Kepok dapat digunakan sebagai rancangan proses adsorpsiKata Kunci : Mangan (Mn), Kulit Pisang Kepok, Adsorben
EFEK PEMBERIAN EDUKASI HEALTH BELIEF MODEL PADA PENDERITA TUBERKULOSIS PARU TERHADAP PENGETAHUAN DAN PERSEPSI KEPATUHAN PENGOBATAN Nevada Bilqis Patricia; Darjati .; Suprijandani .
GEMA LINGKUNGAN KESEHATAN Vol 18, No 1 (2020): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v18i1.1214

Abstract

Indonesia memiliki salah satu negara berkembang yang berada di peringkat ke-3 dengan kasus infeksi tuberkulosis setelah Cina dan India. Jawa Timur adalah provinsi kedelapan dengan penemuan kasus TB paru BTA positif dan Kota Surabaya yang memiliki jumlah pasien tertinggi. Dari 62 pusat kesehatan kota di Surabaya, Pusat Kesehatan Simomulyo memiliki jumlah kematian tertinggi, 5 kasus. Salah satu upaya untuk meningkatkan angka kesembuhan adalah dengan mematuhi pengobatan dengan memberikan dukungan keluarga untuk memberikan dorongan psikologis. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh penyediaan pendidikan dengan menggunakan teori pengetahuan dan persepsi Health Belief Model terhadap pengobatan TB paru.Penelitian ini menggunakan one group pre post desain dengan jumlah sampel penelitian adalah 39 pasien TB paru. Teknik pengumpulan data adalah dengan observasi, wawancara dan kuesioner. Analisis data yang digunakan adalah analisis univariat dan bivariat menggunakan Paired T Test.Hasil penelitian ini adalah bahwa ada perbedaan peningkatan rata-rata dalam pengetahuan dan persepsi sebelum dan sesudah diberikan pendidikan. Dengan hasil data dari uji T berpasangan menunjukkan angka p =0.000 pada pengetahuan, persepsi kerentanan p = 0.000, persepsi keseriusan p = 0.000, persepsi manfaat dan hambatan p = 0.000 dan persepsi pengemudi p =0.000Disimpulkan bahwa ada peningkatan perbedaan rata-rata dalam pengetahuan dan persepsi sebelum dan sesudah diberikan pendidikan. Bagi peneliti maka disarankan untuk menggunakan intervensi lain.
PENGARUH KONSTRUKSI SUMUR GALI TERHADAP KUALITAS BAKTERIOLOGIS AIR BERSIH DI PUSKESMAS TEKUNG KABUPATEN LUMAJANG TAHUN 2017 Cardina Apriliana; Darjati .; Bambang Sunarko
GEMA LINGKUNGAN KESEHATAN Vol 15, No 3 (2017): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v15i3.695

Abstract

Penduduk di wilayah kerja Puskesmas Tekung sarana air bersih yang digunakan adalah sumur gali. Sumur gali berjumlah 7.320 , namun yang memenuhi syarat kesehatan yaitu 103. Konstruksi sumur yang tidak memenuhi syarat kesehatan dapat menyebabkan pencemaran pada air bersih. Tujuan penelitian ini adalah untuk mengetahui pengaruh konstruksi sumur gali terhadap kualitas bakteriologis air bersih.Penelitian ini merupakan penelitian survei analitik dengan menggunakan pendekatan cross sectional. Variabel pada penelitian ini yaitu kualitas bakteriologis air bersih, lokasi, dinding sumur, bibir sumur dan lantai. Populasi pada penelitian ini yaitu sebanyak 995. Teknik pengambilan sampel menggunakan proporsional random sampling. Jumlah sampel yang diambil sebanyak 91. Analisa data menggunakan uji regresi berganda.Hasil penelitian menunjukkan bahwa air bersih yang memenuhi syarat bakteriologis yaitu 27 sampel dan 64 tidak memenuhi syarat. Konstruksi sumur yang memenuhi syarat adalah 19 dan 72 tidak memenuhi syarat kesehatan. Sumber pencemar yang meliputi resapan septictank, air kotor, tempat pembuangan sampah, dan kandang ternak. Hasil analisa statistik diketahui bahwa lokasi, dinding sumur dan lantai memiliki pengaruh terhadap kualitas bakteriologis air bersih. Bibir sumur tidak memiliki pengaruh terhadap kualitas bakteriologis air bersih.Kontruksi sumur meliputi lokasi, dinding sumur dan lantai mempengaruhi kualitas bakteriologis air bersih. Disarankan kepada puskesmas untuk melakukan penyuluhan mengenai konstruksi sumur yang memenuhi syarat kesehatan dan penyakit yang dapat ditularkan oleh air yang tercemar. Dan puskesmas hendaknya melakukan pemeriksaan kualitas bakteri secara rutin. Kata Kunci : Air Bersih, konstruksi sumur gali, kualitas bakteriologis
FERMENTASI JERAMI PADI UNTUK KOMPOS DENGAN BEBERAPA AKTIVATOR KOTORAN TERNAK DI DUSUN SUGIHAN TUBAN TAHUN 2016 Eliya Malika Oktavia; Darjati .; Mamik .
GEMA LINGKUNGAN KESEHATAN Vol 14, No 2 (2016): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v14i2.251

Abstract

Dusun Sugihan has thewidest area of paddy field in Desa Sumberejo with post-harvest rice straw of 12 tons/ha.Those rice straw have not used optimally.Ifleft untreated, it can spoil the aesthetics of the environment, generates odor and becomes a den of disease vectors. The purpose of the present study was to determine the fermentation process of composts and the quality of composts produced with regard to temperature, humidity, pH, water content, C/N ratio and levels of Pb in composts.The present study was a pre-experiment usinga statistical group comparison. Data were analyzed descriptively in order to describe the results of the field inspection and laboratory testing in accordance with SNI 19-7030-2004 on Compost Quality Standards. Results of this 8-wk study showed that the fastest composting time was for the compost with chicken manure was the activator at a dose of 30% for 3 weeks.In terms of compost quality, which includes temperature, pH, humidity, water content and levels of Pb,all of the composts fulfilled the requirements. However, with regard to C/N ratio,those composts with activator of 10% cow manure,10% goat manure and no manure did not fulfill the requirements with a C/N ratio of 27.36, 23.64 and 26.75, respectively. Therefore, it is recommended to make composts using manure as an activatorat a dose ≥20% in order for fulfillment of C/N ratio and shorter composting time. Keywords: Compost fermentation, rice straw, manure as activator
EVALUATION STUDY MANAGEMENT OF SOLID MEDICAL WASTE AT DR. H. SLAMET MARTODIRDJO HOSPITAL PAMEKASAN Nazilatul Fadhoilah; Waluyo Jati; Darjati .
GEMA LINGKUNGAN KESEHATAN Vol 11, No 3 (2013): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v11i3.211

Abstract

Results of the conducted initial survey found that there were some issues where medicalwaste containers were not in place and incineration of solid medical waste was not done withinthe usual 5 day period. This study was aimed at evaluating the management of solid medicalwaste at Dr. H. Siamet Martodirdjo hospital in Pamekasan.This study was designed as a descriptive study, conducted in February - June of 2013.Data were analyzed descriptively and to be discussed with reference to the KepMenKes NO.1204/Menkes/SK/X/2004 on Hospital Environmental Health Requirements.Results of this study indicated that solid medical waste at hospital of Dr. H. SiametMartodirdjo Pamekasan was generated from health care activities performed in the emergencyroom, leu and other units in the form of infectious materials and sharps. Largest amount ofsolid medical waste was produced usually on Monday at 50kg, while the smallest amountgenerated in any other day of the week wasapproximately 12kg. Evaluation on the solid medicalwaste management resulted in a score of 75.64% and considered as a non-compliance. Thesmallest percentage achieved in the assessment was 28.6% obtained by janitorial service andthe largest percentage was from the transportion as much as 90%.The study concluded that the management of solid medical waste in Pamekasan hospitalsis not complying to the desiqnated standards. The study suggested that Dr.H.SlametMartodirdjo Pamekasan hospital should make immediate corrections pertaining to medical solidwaste management and improvement of the janitorial service, the system, and a schedule thatis in compliance to the KepMenKes NO.1204/Menkes/SK/X/2004 on Hospital EnvironmentalHealth Requirements.Keywords: Solid medical waste, Hospital
UJI KADAR FLUORIDA DALAM AIR MINUM KEMASAN TAHUN 2015 Fadella Vilutama; Ferry Kriswandana; Darjati .
GEMA LINGKUNGAN KESEHATAN Vol 14, No 1 (2016): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v14i1.121

Abstract

Studies in the Harvard School of Public Health (HSPH) and the China Medical University of Shenyang in 2012 showed that fluorides beyond the standard levels defined in the United States (0.7 to 1.2 mg/L) are capable of affecting IQ of children. Therefore, fluoride levels in drinking water in Indonesia need to be controlled. The purpose of the present study was to determine the levels of fluoride in drinking water in accordance with the SNI 01-3553-2006 regarding Bottled Drinking Water.  The present study was a descriptives research. Samples were taken at Supermarket C and examined at the Center for Health Laboratory Surabaya. Data were tabulated and descriptively analyzed.  Result showed that the samples examined did not qualify the SNI 01-3553-2006 regarding Bottled Drinking Water. The excessive levels of fluoride may cause public health problems. One of these health problems is dental fluorosis, a decrease in IQ of children and an increase in the risk of fractures. The levels of fluoride in bottled drinking water in the study ranged from the smallest 0.907 mg/L to the largest 1.498 mg/L. The future researchers are recommended to study the effectiveness of bio-carbon filters from the plant Tridax procumbens to eliminate the levels of fluoride in drinking water with temperature variations.
PENGElOlAAN lIM BAH MEDIS PADAT DI RSUD DR. R. SOSODORO DJATIKOESOEMO BOJONEGORO Putri Nursuma Dewi; Darjati .; Demes Nurmayanti
GEMA LINGKUNGAN KESEHATAN Vol 13, No 1 (2015): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v13i1.80

Abstract

RSUDR. Sosodoro Djatikoesoemo Bojonegoro is a grade B government hospital operating a number of healthfacilities and beds, therefore it generates large amount of solid medical wastes. A preliminary survey foundthat there were some issues, such as that officers did not wear full PPE,plastic bags for medical waste that isnot in accordance with the guidelines were being used, and combustion residue from the incinerator weredirectly dumped into a landfill. The study aimed to describe the management of solid medical wastes in RSUDR. Sosodoro Djatikoesoemo Bojonegoro.This is a descriptive type of study, involving several variables to be researched including the generation,sources and types, amount (weight), temporary storage facility, collection methods, 'transportation,destruction, factors that affect amount of waste generated and factors that support the management of solidmedical waste. Primary data were obtained from through observations, interviews, measurement of theamount (weight) of solid medical waste; as well as relevant secondary data. Presentation of data are mostly inthe form of tabulation and analyzed descriptively with 80% compliance standard.The result showed that solid medical wastes originated from health care activities (infectious wastes, sharps,pathological matters, radioactive, and pharmaceutical wastes). The largest amount turned out to be medicaland infectious wastes (± 139.04 kgs/day) and the smallest amount of waste was pharmaceutical wastes (0.07kgs/day); these are influenced by the number vicitors, the number of patients and number of services seekedand provided. Medical waste management made a score of 73.9% (below standard) and smallest percentageswere found in the organizational factors, manpower, equipments and record keeping, costs and budgets,regulations and legal foundation.The study concluded that RSUD R. Sosodoro Djatikoesoemo Bojonegoro is below standard (73.9%). TheHospital was adviced to treat combustion ashes before disposal to landfill, conduct monitoring of toxicchemicals, to sort medical solid wastes according to its type, replacing waste bins according to therequirements, use proper color plastic bags in accordance with the guidelines.
Co-Authors Agnes Theresia DN Alief Fitria RHS Andy Susilo Anggit Prameitya Bambang Sunarko Betryana Agnes Pratiwi Cardina Apriliana Deddy Adam Demes Nurmayanti Dewi Anisa Eliya Malika Oktavia Fadella Vilutama Ferry K Ferry Kriswandana Hermiyanti, Pratiwi Intan Anggun Permata WWY Iqbal Abdi G Irwan Sulistio Khambali, Khambali Lintang Eka Mamik . Muhammad Muchson Muhammad Wildan Nazilatul Fadhoilah Nevada Bilqis Patricia nur haidah Putri Nursuma Dewi Rahmi Megarina Istighfarin Rahmidha Dwijayanti Reksa Nirmala Sandy Robithoh Wahyuliyanti Rusmiati Sari, Ernita Setiawan . Sukiran Al-Jauhari Umrotul Malikah Waluyo Jati