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ANALISIS TATA LAKSANA KLINIK SANITASI UNTUK PENGENDALIAN ISPA PADA MASA PANDEMI COVID-19 Khairunnisa, Shafira Mutia; Setiani, Onny; Wahyuningsih, Nur Endah; Nurjazuli, Nurjazuli
Jurnal LINK Vol 18 No 2 (2022): NOVEMBER 2022
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v18i2.8830

Abstract

Infeksi Saluran Pernafasan Akut (ISPA) merupakan penyakit berbasis lingkungan dan cenderung dianggap biasa oleh masyarakat, sedangkan ISPA yang tidak ditangani dengan baik dapat berakhir dengan pneumonia atau kematian. Klinik sanitasi merupakan solusi untuk mengatasi penyakit berbasis lingkungan melalui upaya promotif dan preventif. Penelitian ini bertujuan untuk melakukan analisis terhadap aspek input dan proses dalam pelaksanaan klinik sanitasi untuk pengendalian ISPA pada masa pandemi COVID-19 di Puskesmas Kedung Badak Kota Bogor. Metode penelitian ini adalah kualitatif-deskriptif, dengan melakukan observasi lapangan dan wawancara mendalam kepada informan yang dipilih menggunakan teknik purposive sampling. Hasil penelitian menunjukan bahwa belum adanya SOP klinik sanitasi yang disesuaikan dengan situasi pandemi, ketidaksesuaian jadwal dengan regulasi yang berlaku, belum dilengkapinya SDM dengan pelatihan terkait klinik sanitasi, tidak adanya media KIE seputar ISPA, serta tidak dilakukannya konseling, inspeksi, dan intervensi kesehatan lingkungan terhadap pasien ISPA pada masa pandemi COVID-19. Temuan tersebut menunjukan masih terdapat hal-hal yang belum optimal baik dalam aspek input maupun proses pada tata laksana klinik sanitasi di Puskesmas Kedung Badak Kota Bogor.
Spatial Analysis of Drinking Water Quality and Environmental Sanitation on the Incidence of Diarrhea in Toddlers Fernando P, Nickolas; Raharjo, Mursid; Nurjazuli, Nurjazuli
Jurnal Penelitian Pendidikan IPA Vol 10 No 11 (2024): November
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v10i11.8894

Abstract

Diarrhea is a common symptom of gastrointestinal infection caused by various bacterial, viral, and parasitic organisms and is characterized by loose stools and increased frequency when infected. Sanitation factors are closely related to environmental health and can affect the level of public health. The absence of a spatial picture of areas that are vulnerable to an increase in cases of children under five years old diarrhea complicates important case finding efforts to prevent outbreaks. The purpose of the study was to spatially analyze the effect of drinking water quality and sanitation on the incidence of diarrhea in children under five years old in the Administrative City of West Jakarta in 2023. This study used a quantitative method with a Cross Sectional research design and an ecological study with a spatial approach to determine the correlation of risk factors with cases of diarrhea in children under five years old geographically. The results of the study showed that the quality of environmental sanitation between the diarrhea group in the last 3 months and the no diarrhea group in the last 3 months had a value (p value = 0.373), water quality (p value = 0.036) with PR 1.840, CTPS habits (p value = 0.100) with PR 1.509, and type of drinking water source (p value = 1.151) with PR 1.442. And the water quality variable is the most dominant factor related to the incidence of diarrhea in children under five years old  in the West Jakarta Administrative City in 2024. The results of the multivariate analysis of logistic regression with the ward conditional backward method p value = 0.32 with PR = 4.110 CI = Low 1.129 and upper 14.96 which shows that children under five years old with drinking water quality that does not meet the requirements have a 4.110 greater chance than toddlers whose drinking water quality meets the requirements in the ODF sub-district in the West Jakarta Administrative City
Respiratory and Neurological Health Effects of Chromium and PM Exposure among Troso Woven Fabric Workers: A Cross Sectional Study in Jepara Darundiati, Yusniar Hanani; Joko, Tri; Setiani, Onny; Raharjo, Mursid; Nurjazuli, Nurjazuli; Rahman, Muhammad Auliya
Gema Lingkungan Kesehatan Vol. 23 No. 4 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i4.371

Abstract

The Troso weaving industry in Jepara, Indonesia, is a traditional craft sector that relies on synthetic dyes and manual production, thereby exposing workers to chromium (Cr) and particulate matter (PM2.5 and PM10) with potential respiratory and neurological risks. This study aimed to analyze their association with respiratory and neurological disorders among workers. A cross-sectional design was applied involving 101 weaving workers from four production sites. Environmental sampling measured Cr concentrations in wastewater and PM2.5/PM10 in the ambient air, while worker characteristics and health complaints were assessed using the ECSC-87 and Q18 questionnaire. Data were analyzed using chi-square tests and odds ratios. Cr concentrations in wastewater ranged from <0.010 to 0.104 mg/L, remaining below the effluent quality standard of 1.0 mg/L but confirming the continuous use of chromium-based dyes discharged without treatment. Average PM2.5 and PM10 levels were 108.75 µg/m³ and 117.75 µg/m³, both exceeding national air quality standards (55 and 75 µg/m³). Bivariate analysis showed that respiratory disorders were significantly associated with exposure duration ≥40 hours/week (OR=7.333; p=0.0001) and working period >5 years (OR=20.935; p=0.0001), whereas dye type, dyeing frequency, and PPE use were not significant. Neurological disorders were significantly associated with exposure duration (p=0.001), working period (p=0.001), type of dye (p=0.0001), frequency of dyeing (p=0.018), and PPE use (p=0.0001). Environmental monitoring confirmed elevated PM levels and chromium-based dye use, while statistical analysis showed that prolonged exposure and long working periods associated with respiratory disorders, and neurological disorders were linked to multiple occupational factors.
LITERATURE REVIEW HOME PHYSICAL ENVIRONMENT, INDIVIDUAL CHARACTERISTICS, AND PERSONAL HYGIENE WITH THE INCIDENCE OF LEPROSY Silitonga, Irene; Nurjazuli, Nurjazuli; Sulistiyani, Sulistiyani
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Vol. 9 No. 4 (2025): DESEMBER
Publisher : LPPM Univ. Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/abdidos.v9i4.3090

Abstract

Leprosy is a chronic infectious disease caused by Mycobacterium leprae, which affects the skin, peripheral nerves, upper respiratory tract and eyes. According to the Ministry of Health report, in 2022 the prevalence of leprosy in Indonesia increased to 0.55 per 10,000 population. This rise in cases was influenced by various factors that contributed to the higher incidence rate across the country, Indonesia. Purpose of study: The aim of this study was to determine the association of the physical environment of the house, individual characteristics, and personal hygiene with the incidence of leprosy. Method: The method employed in this study is a literature review, with references derived from research articles published in scientific journals within the period of 2019 to 2024. Results:. As a result of the literature search, ten journals were selected based on the established inclusion criteria. While case-control designs dominated the research methodologies, a few studies employed cross-sectional approaches. The outcomes reflected certain consistencies as well as differences; nonetheless, every study documented occurrences of leprosy. Conculsion: Based on the results of the review of 10 journal articles, it can be concluded that there is a relationship between physical home environment factors, knowledge, attitudes and personal hygiene with the incidence of leprosy.
Evaluating Competency-Based Learning Outcomes of Public Health Graduates in Indonesia: A Case Study at Diponegoro University Nurjazuli, Nurjazuli; Arso, Septo Pawelas; Muh, Fauzi
Journal of Health Education Vol. 10 No. 2 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhealthedu.v10i2.32609

Abstract

Background: Public health graduates are increasingly expected to possess not only theoretical knowledge but also practical competencies such as task execution, adaptability, and effective communication. In Indonesia, however, assessment practices predominantly focus on cognitive domains, often overlooking essential workforce competencies. Methods: This study employs a descriptive case study approach at the Faculty of Public Health, Diponegoro University, analyzing 18 group reports from the 2024 Field Learning Practice 2 (FLP_2) program. Assessment focuses on five competency dimensions defined by the Indonesian National Professional Certification Agency (BNSP): Task Skills (TS), Task Management Skills (TMS), Contingency Management Skills (CMS), Transfer Skills (TRS), and Job/Role Environment Skills (JRES). Results: Students demonstrated TS through systematic problem identification using the Multiple Criteria Utility Analysis (MCUA). TMS was evident in the planning and management of community interventions. CMS was reflected in effective responses to health crises, such as dengue outbreaks. TRS was noted for its ability to adapt to different socio-cultural environments. JRES was demonstrated through professional conduct in diverse institutional contexts. Authentic learning activities fostered readiness for complex public health roles. Conclusion: FLP_2 effectively evaluates comprehensive public health competencies. A shift towards performance-based, contextual assessment frameworks is essential for aligning education with workforce needs. Embedding such frameworks into curricula will enhance the quality and preparedness of graduates for addressing real-world challenges
Systematic Review: Impact of Air, Leachate, and Soil Contamination on Health Problems in Landfill Workers and Local Residents Nabilah Zahra; Mursid Raharjo; Sulistiyani, Sulistiyani; Nurjazuli, Nurjazuli; Tri Joko
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 1 (2026): January 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i1.8570

Abstract

Introduction: The rising global production of municipal solid waste (MSW) poses significant ecological challenges. In developing countries, inadequate landfill management results in the uncontrolled release of hazardous gases and leachate, posing significant risks to human health. This systematic review investigated the association between environmental factors at these landfills and adverse human health outcomes. Methods: This review was conducted in accordance with the PRISMA guidelines. A comprehensive search was rapidly conducted across ScienceDirect, Scopus, PubMed, and EBSCOhost for articles published between 2020 and 2025. PECO criteria screening was conducted independently by two reviewers, resulting in the selection of 25 articles for critical synthesis. Results: Hazardous landfill pollutants—including heavy metals, volatile organic compounds (VOCs), and particulate matter—are rapidly escalating severe health issues. Residents and landfill workers face acute respiratory and cardiovascular disorders, heightened cancer risk, reproductive issues, and neurological impairments. Leachate contamination of soil and groundwater compounds these urgent systemic risks. Conclusion:The ongoing failure to manage landfills effectively, particularly in developing countries, has triggered a pressing environmental and public health crisis. Immediate action to improve waste management and enforce stricter environmental policies is critical for preventing further harm.
Faktor-Faktor Yang Berhubungan Dengan Kejadian ISPA Pada Balita Berusia 6-24 Bulan di Wilayah Kerja Puskesmas Lebdosari Semarang Maulida, Devina Alya; Darundiati, Yusniar Hanani; Nurjazuli, Nurjazuli
KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat Vol 7 No 1 (2021): January-June
Publisher : Universitas Widya Gama Mahakam Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24903/kujkm.v7i1.1177

Abstract

Background: Acute Respiratory Infection is an infectious disease that occupies the first position of the top ten diseases of Lebdosari Community Health Center which are mostly suffered by the community, especially in infants with an incidence of 3.32%. Objectives: This Study aims to analyze the relationship sources of indoor air pollution and family practices to the incidence of Acute Respiratory Infection (ARI) in infants aged 6-24 months in the Lebdosari Community Health Center Semarang. Research Metodes: This study used a cross-sectional design. Sample size of about 121 toddlers taken by purposive sampling technique. Data was collected using self-administered questionnaire. Analysis of research was used chi-square test. Results: This study showed that there was a relationship between kitchen smoke (p-value = 0.029 RP = 2,676 95% CI = 1,296-5,527), the use of household insecticides (p-value = 0.045 RP = 2,974 95% CI = 1,329-6,653), presence of smokers in the house (p-value = 0.042 RP = 2,120 95% CI = 1,013-4,434), and opening windows practice (p-value = 0.001 RP = 3,191 95% CI = 1,589-6,409) with the incidence of ARI. There was no relationship between sun-curing bedding practice and hand-washing practice with the incidence of ARI. Conclusion: There was a relationship between kitchen smoke, the use of household insecticides, presence of smokers in the house, and opening windows practice with the incidence of ARI ARI in under five Children in The Works area of Lebdosari Community Health Center Semarang.
Strengthening public health graduate competencies through field-based learning: A case study at Diponegoro University Nurjazuli, Nurjazuli; Widjaranko, Bagoes; Rokhman, Fathur
Jurnal Cakrawala Pendidikan Vol. 45 No. 1 (2026): Cakrawala Pendidikan (February 2026)
Publisher : LPMPP Universitas Negeri Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21831/cp.v45i1.84756

Abstract

Field-Based Learning Practice (FBLP) has become a key component in the curriculum of the Faculty of Public Health, Diponegoro University. This learning model emphasizes hands-on experience through community engagement, aiming to bridge the gap between theory and real-world health challenges. However, evidence remains limited on how public health competencies are systematically demonstrated and assessed within structured field-based learning outputs. FBLP places students directly in community settings, where they engage in a structured problem-solving cycle that includes problem identification, root cause analysis, and the design and implementation of intervention strategies. This study adopts a descriptive case study approach to analyze 20 student group reports from FBLP conducted between 2023 and 2024. Data were collected through documentation review, using the Problem-Solving Cycle stages and Knowledge–Attitude–Practice (KAP) indicators as analytical lenses to assess competency evidence. Findings show that FBLP significantly strengthens both technical and interpersonal competencies. Across reports, students most consistently demonstrated competency in problem prioritization (MCUA), determinant-based causal analysis (fishbone/Blum framework), and action planning, while monitoring and evaluation were less consistently documented. Students demonstrated improved problem-solving abilities, a deeper understanding of public health dynamics, and better readiness to work in multidisciplinary environments. The application of Multiple Criteria Utility Assessment (MCUA), Fishbone, and How-How analysis methods enriched learning and supported holistic intervention design. This study contributes methodological insight by demonstrating how report-based indicators can be used to evaluate competency development within a structured field-learning cycle, with implications for curriculum design and competency-based assessment. FBLP is proven to be an effective pedagogical strategy for preparing students to respond to the complex demands of public health practice. This model may serve as a reference for other institutions seeking to enhance competency-based education through experiential learning.
Literature Review: Factors Affecting the Microbiological Quality of Drinking Water at Drinking Water Depots Ningrum, Cuciatun; Nurjazuli, Nurjazuli; Mursid Raharjo
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 5 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i5.589

Abstract

Introduction: Refillable Drinking Water Depots (DAM) are one of the main alternatives in meeting people's drinking water needs because they are easily accessible and relatively affordable. However, several studies show that the microbiological quality of drinking water in DAM is still a problem, especially related to the presence of Escherichia coli bacteria and total coliform which has the potential to cause waterborne diseases such as diarrhea. Objective: This literature review aims to identify and analyze the factors that affect the quality of drinking water microbiology in DAM based on research in 2022–2025, article search via Google Scholar. Method: The method used was a literature review of five studies with a cross-sectional design that examined the variables of sanitation hygiene, equipment maintenance, processing process, personal hygiene operator, sanitation of the place, raw water source, and water storage time. Result and Discussion: The results of the study showed that the most consistent factors related to the quality of microbiology were equipment sanitation, operator/handler hygiene, and drinking water maintenance and treatment process. Meanwhile, some studies have found that raw water sources and storage times do not necessarily show a significant relationship. Conclusion: These findings confirm that aspects of hygiene, sanitation, and operational management of DAM have an important role in preventing bacteriological contamination. Therefore, routine supervision, coaching, and increased compliance with sanitation hygiene standards are needed to ensure the safety of refillable drinking water for the community
Co-Authors A'yunina, Anggun Abd. Rasyid Syamsuri Abudin, Syafii Afriyanto Afriyanto Agustina Ayu Wulandari, Agustina Ayu Albertus Ata Maran Alfadhylla Rosalina Wibisono Alfan Aulia Alice Ximenis Naben Anak Agung Gede Sugianthara Anies Anies Apriyana Irjayanti Ari Suwondo Aris Santjaka Arum Sari, Anika Arum Siwiendrayanti Ashanur Jenni, Ashanur Astorina Yunita Dewanti, Nikie Atik Mawarni Ayun Sriatmi B Budiyono Bagoes Widjanarko Bahtiar Bahtiar Baji Subagyo Bari'ah, Asti Awiyatul Bayu Chondro Purnomo Billy Zia Napoleon Bayusunuputro Bina Ikawati Budi, Waella Septamari Budiono Budiono Budiyono Budiyono Budiyono Budiyono Cecilia Sri Rahayu David Laksamana Caesar, David Laksamana Deby Hizky Butarbutar Deviandhoko Deviandhoko Dian Nur Afriliani Dinar Matsnanuha Khalista Diyah Nur Ekowati Dorce Mengkidi, Dorce Dwi Saptarini, Swastika Dyah Puji Lestari, Dyah Puji Edo Muhammad Edwina Leonita Pyopyash Eko Handoyo Eko Sediyono El Muzdalifa Elsa Christiana Hutajulu Elvi Sunarsih Elza Muthia Septanti Endang Sukawati, Endang Eni Mahawati Eny Hastuti, Eny Erlina Krisanti Fathur Rokhman Fatma Nur Suryaningrum Fauziyyah, Rizqiana Fernando P, Nickolas Fikri Faidul Jihad Gandha Sunaryo Putra Hanan Lanang Dangiran, Hanan Lanang Hanif Tegar Muktiana Sari Haryati Boimau, Curniasti Duhitantia Humaira Rofidah Zahra Ike Ani Windiastuti Intan Ayuning Astuti irene silitonga, irene Islamiyati, Nur Izza Hananingtyas Jamal Hisham Hashim James Khristian Imbiri Juliana, Cut Karroghi, Silmi Aziza Kartika Dian Pertiwi Khairunnisa, Shafira Mutia Kholilah Samosir Kuswati Kuswati Laliyanto Laliyanto Linda Triana Lubriyana, Triyani M. Sakundarno Adi Marisdayana, Rara Martha Irene Kartasurya Martini Martini Masfufatun Juni, Masfufatun Mateus Sakundarno Adi, Mateus Sakundarno Maulida, Devina Alya Maurend Yayank Lewinsca Maurend Yayank Lewinsca Meta Suryani, Meta MG Catur Yuantari Miftahur Rohim, Miftahur Mochammad Imron Awalludin Muh, Fauzi Muhammad Addin Rizaldi MUHAMMAD ALI Mujiarto, Eko Mursid Rahardjo Mursid Rahardjo Mursid Raharjo Murthya Azhari Nabilah Zahra Nadiva Dzikriyati Nadiva Dzikriyati Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Ningrum, Cuciatun Nopi Reknasari Nopriwan Nopriwan Nur Endah Wahyuningsih Onny Setiani Paramastri, Nerpadita Poppi Nastasia Yunita Dewi Praba Ginanjar Pradnyandari, Ida Ayu Tika Pramudiyo Teguh Sucipto, Pramudiyo Teguh Purnama, Wary Purwanto, Anto Purwita Sari, Purwita Pusaka, Semerdanta Qolifah, Lina Nur Rahanyamtel, Robo Rahman, Muhammad Auliya Rasyid, Khairul Retno Wulandari Richard Victor Ombuh Riyana Husna Riyana Husna Rizka Dwiyovita Rizky Aulia Salsabila AM ro'isah - ayu Rodhwa Asma&#039; Amanina Rositian, Ade Melia Rosmiati Saleh Rozi, Choirul Rusiyati Rusiyati Samal, Rizky Febryan Samsul N Hidayat, Samsul N Sari Lestari Rahmawati Septo Pawelas Arso Sigit Tri Ambarwanto, Sigit Tri Siti Fitriatun, Siti Siti Maisyaroh Bakti Pertiwi Siti Vitria Nurpauji, Siti Vitria Siti Yulaekah, Siti Slamet Budiono Slamet Wardoyo Solly Aryza Sri Handayani Sri Mulyati Sri Ratna Astuti, Sri Ratna Sriratih, Eldrajune Agnes Suci Kurniawati Sudarmanto Sudarmanto, Sudarmanto Suhartono Suhartono, Suhartono Sujarwo Sujarwo Sularno, Suryo Sulistiyani Sulistiyani SULISTIYANI SULISTIYANI Sulistyani Sulistyani Supriyono Asfawi Sutrisno Anggoro Sutrisno, Sutrisno Suwito Suwito Syamsulhuda BM Teguh Budi Prijanto, Teguh Budi Tri Joko Tri Joko Tri Joko Tri Joko Tri Joko Trijoko Trijoko Tuakong, Wigberta Mogi Untari Fajar Suryani Untung Sujianto Vijja Ratano Vira Tika Yuniar Virgianti, Liza Wahyu Widyantoro Wahyudi Wahyudi Wardana, Lalu Muhammad Fikri Watmanlusy, Efraim Widjaranko, Bagoes Wikri Eko Putra Yana Afrina Yana afrina Yigibalom, Nofi Yundari, Yundari Yuni Pradilla Fitri Yusniar Hanani Yusniar Hanani D., Yusniar Yusniar Hanani Darundianti Yusniar Hanani Darundiati Yusniar Hanani Darundiati Zeta Rina Pujiastuti, Zeta Rina