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Healthy Latrines Prevent Diarrhea as an Effort to Reduce STOP Defecation in Kutalimbaru Village, Deli Serdang Regency M. Aslam Al Qadri Barito; Sri malem Indirawati; Mykel Johannes Situmeang; Fathiyah Aqila Hasibuan
Jurnal Pengabdian Masyarakat Bestari Vol. 2 No. 11 (2023): November 2023
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/jpmb.v2i11.6331

Abstract

The case of diarrhea reached 18.39% in the village of Kutalimbaru where the people are still having open defecation in the river. Open defecation causes clean water resources contaminated by e’coli bacteria since people in Kutalimbaru still use rivers as a source of clean water. 17,1% of the head of the family have not yet had a latrine while the public latrine facility in this village is no longer functioning.  The methods used to solve the problems were community approach, diagnosis of action, socialization, education and action to build a healthy latrine in Dusun III Kutalimbaru. The built latrine was a model latrine. The latrine meets 10 indicators of a healthy latrine and is equipped with environmentally friendly innovations, has a fiber roof and has a vertical garden using used bottles. Evaluation is still ongoing to improve and maintain the sustainability program.
ANALISIS FAKTOR LINGKUNGAN RUMAH DAN KEBERADAAN JENTIK AEDES AEGYPTI DI KELURAHAN TEBING TINGGI TAHUN 2022 Chahaya, Indra; Indirawati, Sri Malem; Salmah, Umi; Bukit, Dhani Syahputra; Hutagalung, Dodi Saputra; Saragih, Anggi Andini
Jurnal Ilmu Kesehatan Masyarakat Vol 19 No 4 (2023)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v19i4.39069

Abstract

Kelurahan Tebing Tinggi merupakan salah satu daerah tinggi kasus DBD, sejak Januari hingga September tahun 2022 kasus DBD mencapai 32 kasus. Kondisi lingkungan rumah dapat menjadi faktor pemicu perkembangan Larva nyamuk Aedes Aegypti di wilayah endemis DBD. Tujuan penelitian ini untuk menganalisis berbagai faktor lingkungan rumah masyarakat dan hubungannya dengan kepadatan larva Aedes Aegypti di Kelurahan Tebing Tinggi. Penelitian adalah penelitian kuantitatif dengan desain cross-sectional. Lokasi penelitian di Kelurahan Tebing Tinggi dengan populasi penelitian seluruh rumah tangga. Jumlah sampel yaitu 100 rumah dipilih secara acak dengan rumus slovin. Pengumpulan data, data primer dilakukan dengan wawancara menggunakan kuisioner Kobotoolbox, data sekunder diambil dari data profil Kesehatan Puskesmas Satria. Data dianalisis secara univariat dan bivariat menggunakan uji Chi-Square dengan taraf signifikansi 95%. Hasil Studi menemukan bahwa 34 rumah ditemukan larva nyamuk Aedes Aegypti. Berdasarkan hasil uji statistic dengan uji Chi-Square bahwa variabel Jumlah TPA menjadi satu-satunya faktor lingkungan yang mempengaruhi keberadaan larva Aedes Aegypti di Kelurahan Tebing Tinggi (p value 0,009). Dapat disimpulkan bahwa penanganan lingkungan rumah yang baik dapat dijadikan sebagai tindakan protektif dalam mencegah perkembangan larva Aedes Aegypti di Kelurahan Tebing Tinggi.
Analisis Risiko Sanitasi dan Kejadian Penyakit Kulit di Kecamatan Medan Belawan Kota Medan Malau, Pitto Malau; Naria, Evi; Indirawati, Sri Malem
Jurnal Kesehatan Komunitas Vol 10 No 3 (2024): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol10.Iss3.2005

Abstract

Introduction: Skin diseases are among the most common ailments found in tropical countries. According to BPS data 2019, skin diseases were ranked among the top 10 diseases in Medan City. Based on disease data from the Medan Belawan Health Center, skin diseases were among the top 10 highest diseases from 2022 to 2023, with 1,751 cases and a percentage of 24 percent. According to data and observations, many households still lack access to complete basic sanitation that meets health standards, one of which is wastewater disposal systems (SPAL). The majority of household SPALs are open and pollute the environment. Methods: his study aims to analyze the sanitation risk of wastewater disposal system variables with the incidence of skin diseases. The population consists of 27,114 households, with a sample size of 100 households. The study was conducted from December 2023 to June 2024. Data were collected through interviews using a questionnaire, which were then calculated using the Sanitation Risk Index (IRS) formula to obtain a score indicating sanitation risk. A chi-square statistical analysis was used to assess the relationship between wastewater disposal system variables (SPAL) and the incidence of skin diseases. Results/Finding: The statistical analysis results showed a relationship between wastewater discharge and the incidence of skin diseases with a p-value = 0.028 and an Exp-B value of 4.01.  Based on the research results, the wastewater sewer sanitation risk index is in the very high-risk category, with a score index of 67. A relationship between wastewater discharge and skin disease incidence was obtained based on statistical analysis (p-value 0.028, prevalence ratio = 1.7). The management of household SPAL needs to be improved, namely with the type of SPAL that is closed/meets health requirements and does not cause environmental pollution.
Hubungan Faktor Pekerjaan, Pendapatan Keluarga, dan Dukungan Tokoh Masyarakat dengan Kepemilikan Jamban Yulizar, Yulizar; Santosa, Heru; Nurmaini, Nurmaini; Indirawati, Sri Malem; Pramesona, Bayu Anggileo
Jurnal Kesehatan Vol 13 No 1 (2022): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v13i1.3161

Abstract

Based on BPS data in 2017, around 25 million Indonesians still defecate openly. Many factors influence the ownership of latrines, but research related to factors of employment, family monthly income, and support from community leaders for latrine ownership in Aceh Barat Daya Regency is still rarely done. This study aimed to determine the relationship between employment, family monthly income, and support from community leaders on latrine ownership. This cross-sectional study with a sample of 100 respondents who were randomly selected and scattered in sub-districts was conducted in the urban area of Aceh Barat Daya Regency, Nanggroe Aceh Darussalam province. Questionnaires related to respondent characteristics, employment, family monthly income, and support from community leaders, as well as latrine ownership, were collected directly by the researchers through face-to-face interviews from September-October 2021. The statistical tests used were Chi-Square and Mann-Whitney with a significance level of p-value<0.05. The results showed that there was no significant relationship between employment (p-value=0.604), family monthly income (p-value=0.118), and support from community leaders (p-value=0.615) on latrine ownership. In conclusion, there is no relationship between employment factors, family monthly income, and support from community leaders for latrine ownership in Aceh Barat Daya District, Nanggroe Aceh Darusalam province. Village to district governments can offer policies that ensure that every house, owned or rented, must be equipped with proper sanitation facilities. This program can work well if it involves the community, local stakeholders, and landowners.
Analisis perilaku peternak, sanitasi kandang ayam dan kepadatan lalat di peternakan ayam di Nagari Sungai Kamuyang tahun 2021 Syafitri, Margita; Indirawati, Sri Malem
TROPHICO: Tropical Public Health J. Vol. 2 No. 1 (2022): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (186.929 KB) | DOI: 10.32734/trophico.v2i1.8653

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Sanitasi kandang peternakan ayam sangat penting karena merupakan salah satu tempat potensial sebagai penularan penyakit. Penelitian bertujuan untuk mengetahui perilaku peternak, sanitasi kandang ayam dan kepadatan lalat di peternakan ayam di Nagari Sungai Kamuyang tahun 2021. Metode dalam penelitian adalah survei deskriptif dengan jumlah sampel sebanyak 13 peternakan ayam. Hasil penelitian menunjukkan bahwa pengetahuan peternak tentang sanitasi kandang dikategorikan kurang sebanyak 5 peternak (38,4%) khususnya mengenai tindakan yang tidak boleh dilakukan di kandang, tindakan desinfeksi dan pengolahan kotoran ayam. Sikap peternak tentang sanitasi kandang dikategorikan cukup sebanyak 8 peternak (61,5%) khususnya mengenai penggunaan alat pelindung diri,tindakan yang tidak boleh dilakukan di kandang, dan pengolahan kotoran ayam. Tindakan peternak dikategorikan cukup sebanyak 11 peternak (84,6%) khususnya mengenai mencuci tangan sebelum dan sesudah bekerja, penggunaan alat pelindung diri, tindakan yang tidak boleh dilakukan di kandang, melakukan desinfeksi, dan pengolahan kotoran ayam. Hasil observasi sanitasi kandang ayam dapat disimpulkan bahwa semua peternakan ayam di Nagari Sungai Kamuyang belum memenuhi syarat yang sesuai dengan Permentan Nomor 31 Tahun 2014. Hasil pengukuran kepadatan lalat pada rumah yang berjarak 250 meter dari peternakan memiliki kepadatan lalat tinggi dan sebanyak 9 rumah penduduk (69,2%). Berdasarkan hasil penelitian diharapkan kepada dinas peternakan dan dinas kesehatan untuk memberikan sosialisasi kepada peternak khususnya mengenai sanitasi kandang ayam dalam hal desinfeksi, pembersihan kandang, dan pengolahan limbah.
Analisis pengelolaan sampah dengan prinsip 3R sebagai upaya penurunan volume sampah pada ibu rumah tangga di Kelurahan Labuhan Deli Rahim, Zikrina Irmaya; Indirawati, Sri Malem
TROPHICO: Tropical Public Health J. Vol. 2 No. 2 (2022): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v2i2.10041

Abstract

Permasalahan lingkungan yang menjadi isu nasional adalah permasalahan sampah. Upaya penurunan volume sampah ditingkat rumah tangga dapat dilakukan dengan penerapan prinsip 3R (Reduce, Reuse dan Recycle) dengan melibatkan partisipasi ibu rumah tangga. Penelitian ini dilakukan untuk mengetahui implementasi pengelolaan sampah dengan prinsip 3R sebagai upaya penurunan volume sampah pada ibu rumah tangga di Kelurahan Labuhan Deli. Metode dalam penelitian ini merupakan survei yang bersifat deskriptif untuk melihat gambaran pengelolaan sampah dengan prinsip 3R pada ibu rumah tangga di Kelurahan Labuhan Deli. Hasil penelitian menunjukkan responden merupakan ibu rumah tangga berumur 55-56 tahun (37,8%), pendidikan terakhir SD (51%), pendapatan keluarga di bawah Rp. 3.000.000 (63,3%), suku melayu (72,4%) dan memiliki jumlah anggota keluarga <5 orang (77,6%) dengan timbulan sampah rumah tangga yang dihasilkan dalam 6 hari adalah 397,5 Kg atau setiap harinya dihasilkan sampah rumah tangga 0,676 Kg/hari dan 0,166 Kg/orang/hari dengan jenis sampah organik sebanyak 90% dan sampah anorganik 10%. Komposisi sampah terbanyak adalah sampah makanan sebanyak 83,3%. Pengelolaan sampah dengan prinsip reduce pada sebagian besar ibu rumah tangga masuk kategori rendah yaitu 75 ibu rumah tangga (76,5%), pengelolaan sampah dengan prinsip reuse pada sebagian ibu rumah tangga masuk kategori sedang yaitu 46 ibu rumah tangga (46,9%), pengelolaan sampah dengan prinsip recycle pada sebagian besar ibu rumah tangga masuk kategori rendah yaitu 96 ibu rumah tangga (98%), dan pengelolaan sampah dengan prinsip 3R pada sebagian besar ibu rumah tangga masuk kategori rendah yaitu 88 ibu rumah tangga (89,8%). Kemudian hampir semua ibu rumah tangga tidak mengetahui adanya Peraturan Daerah dan Peraturan Wali Kota Medan berkaitan dengan pengelolaan Sampah Rumah serta adanya denda sebesar 10.000.000 atau kurungan penjara selama 3 bulan bagi setiap orang yang membuang sampah sembarangan.
Sadar pilah sampah dengan konsep 4R (Reuse, Reduce, Recycle, Replace) dalam upaya penurunan volume sampah Desa Pantai Gemi tahun 2022 Putri, Syafreni Annisa Ayu; Santi, Devi Nuraini; Indirawati, Sri Malem; Naria, Evi
TROPHICO: Tropical Public Health J. Vol. 3 No. 2 (2023): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v3i2.10486

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Diseases can be spread directly or indirectly via unprocessed garbage. Garbage management is crucial if we want to reduce the negative effects that waste has on our health. The community of Pantai Gemi lacks waste-processing infrastructure. The Sanitation Service's inaccessible trash transportation system, which forces people to process waste on their own, is the root of this issue. One significant effort that can be made is to educate the community. This study sought to ascertain how public perception has changed as well as how much less inorganic and organic trash was being produced as a result of the extension intervention. A pre-test-post-test design with one group is used in this kind of research. All of the 2,179 family heads who make up the study's population make up its sample of 30 families. Seven respondents, according to data on changes in respondents' knowledge, report changes in their knowledge of waste management. The results of the normality test demonstrate the homogeneity of the waste generation statistics. The Dependent Sample T-Test method was used to examine waste generation. The analysis of the volume of inorganic waste yielded t = 0.00<0.05, indicating that intervention has an effect on decreasing the volume of inorganic waste in Pantai Gemi Village. The analysis of the weight loss of organic waste yielded t = 0.00<0.05, indicating that intervention has an effect on weight loss of organic waste in Pantai Gemi Village. Residents of Pantai Gemi Village should be given advice by the Department of Cleanliness and the Environment. For the Gemi Beach Village Apparatus to be able to connect the neighborhood's trash management efforts with relevant organizations. For Pantai Gemi Village inhabitants to become accustomed to and learn more about handling waste on their own.
Analisis paparan karbon monoksida (CO) dengan keluhan subjektif pernapasan pada penjual satai di Kota Duri tahun 2023 Veronica, Yohana; Nurmaini; Chahaya, Indra; Indirawati, Sri Malem
TROPHICO: Tropical Public Health J. Vol. 4 No. 1 (2024): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v4i1.16126

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Nowadays, buying food from outside is one of the choices people make when busy. Satai is one of the culinary favorites of many people. Many people are not aware and do not know that the process of burning satai involving carbon materials in the form of charcoal can produce smoke containing carbon monoxide which is risky for buyers and sellers. The smoke produced from burning satai contains carbon monoxide, making satai sellers a profession that is very at risk of subjective respiratory complaints. A preliminary survey found that 6 out of 10 satai sellers in Duri City experienced subjective respiratory complaints due to smoke from burning satai. The purpose of this study was to analyze the exposure to carbon monoxide concentrations with subjective respiratory problems among satai sellers. This research uses a cross-sectional approach. Sampling was utilized using a research sample of 40 respondents. The study found that the variables associated with subjective respiratory complaints were carbon monoxide concentration (p=0.010) and work period (p= 0.023). The unrelated variables are body mass index (p= 0.412), length of exposure (p= 0.182), and smoking behavior (p= 0.608). The recommendation offered to satai vendors is to get used to using Personal Protection Equipment (PPE), take out lung health checks, implement shifting tasks, eat lots of drinking water, and pay attention to working hours and the distance between the seller and the satai burning location.
Improving the Nutritional Status of Stunted Toddlers by Utilizing Local Food in Coastal Labu Beach, Deli Serdang Regency Nurandini, Nabilah; Indirawati, Sri Malem; Putri, Najwa Azlisna; Siregar, Hijriyatun Alhikmah
Journal of Community Research and Service Vol 8, No 2: JULY 2024
Publisher : Universitas Negeri Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24114/jcrs.v8i2.62527

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Pantai Labu sub-district is one of the sub-districts located on the coast but has a high number of stunting cases, stunting cases in Paluh Sibaji village are 5 toddlers. Health problems in Paluh Sibaji village have stunting cases that are very concerning even though it has marine potential with protein sources from fish. The village has a variety of abundant fisheries and marine resources. Local food diversity has the potential to be utilised as a source of cheap and easily available nutrition. The village has an abundant variety of fisheries and marine resources. The existence of tamban fish as a local food product has a low selling price and is underutilised as a source of animal protein. This community service aims to utilise local food ingredients as a source of protein for the community. The methods used are atmosphere building, socialisation, community empowerment and the formation of family groups concerned about stunting. This community service activity produced two local food innovations, namely characterised spinach tamban fish balls and moringa leaf tamban fish sticks. Both products are processed from cheap and easily available local raw materials in the village, namely tamban fish and moringa leaves.
Coastal Settlement Sanitation Facilities In an Effort to Alleviate Environmental Factors to Overcome Stunting In Paluh Sibaji Village Indirawati, Sri Malem; Salmah, Umi; Mahyuni, Eka Lestari; Saragih, Izzah Djenillah; Lestari, Annisa Rizka; Sembiring, Meryntha Andrey Tiara; Hutagaol, Stepani Angeline
Journal of Community Research and Service Vol 8, No 2: JULY 2024
Publisher : Universitas Negeri Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24114/jcrs.v8i2.62529

Abstract

Sanitation of the residential environment, people in Paluh Sibaji village experience limited basic sanitation in the form of limited clean water facilities and minimal toilet facilities far from health requirements. Based on this, the community of Paluh Sibaji village is experiencing health problems related to environment-based diseases and stunting was found to be 60 cases of stunting in Pantai Labu sub-district in 2023. The methods used in handling the problem are atmosphere building, action diagnosis, socialisation, education and intervention to revitalise latrines and clean water sources in hamlet IV of Paluh Sibaji Village. The latrines and clean water sources that have been renovated have met the requirements of healthy latrines and clean water. Evaluation continues to be conducted regularly to improve and maintain the sustainability of the programme.
Co-Authors Ami sary veronika Tinambunan Angellika Sarumaha Annisa Rizka Lestari Annisa Rizka Lestari Arfah Mardiana Lubis Arifa Masyitah Panjaitan Arizona, Martha Azrasha Hanna Febri Mawaddah Azrina Sufi Nasution Bayu Anggileo Pramesona Bethani Novi Tessalonika Bukit, Dhani Syahputra Cindhy Giovanni Delvian, D. Devi Nuraini Santi Dhany Syahputra Bukit Dimas Aditya Syahputra Dinda Fachrani Akri Dinda Fachrani Akri Dodi Saputra Hutagalung Evi Naria Fathiyah Aqila Hasibuan Haesti Sembiring Halinda Sari Lubis Hamdani, Dinda Putri Hasanal Bolqia Siregar Heru Santosa Hetti Citra Marbun Hiskia D’timosky Pratama Hutagalung, Dodi Saputra Hutagaol, Stepani Angeline indra cahaya Indra Chahaya Irnawati Marsaulina Irnawati Marsaulina Irwansyah Lubis Ismili, Israyani Khairani, Fitri Khairunnisa Khairunnisa Lanova Dwi Arde Lestari, Annisa Rizka Lubis , Zulkifli M. Aslam Al Qadri Barito Mahyuni, Eka Lestari Manurung, Cristo Mori Romario Marbun, Hetti Citra Meireni Monitria Meirindany, Tina Mery Christiyani Murni Noviani Nasution Mykel Johannes Situmeang naifah, najmi putri Nainggolan, Pauzi Ibrahim najmi putri naifah Najwa Nandita Dwinda Najwa Nandita Dwinda Nisa Fadilla Nurandini, Nabilah Nurmaini Khalik Nurmaini Nurmaini Nurmaini Nurmaini Panjaitan, Arifa Masyitah Pauzi Ibrahim Nainggolan Pauzi Ibrahim Nainggolan Pitto Pratiwi Malau Putri Ayu Patricia Manurung Putri, Najwa Azlisna Putri, Syafreni Annisa Ayu Rahayu Lubis Rahim, Zikrina Irmaya Risanti Febrine Ropita Situmorang Risanti FR Situmorang Risanti FR Situmorang Rusmalawaty Rusmalawaty Saragih, Anggi Andini Saragih, Izzah Djenillah Satra , Yenny Obsi Sembiring, Meryntha Andrey Tiara Sirait, Paul Siregar, Hijriyatun Alhikmah Siti Khairuni Taniah Sulastri Purba Surya Darma Syafitri, Margita Syafreni Annisa Ayu Putri Syahputra, Adi Kurniawan Taufik Ashar Taufik Ashar Tina Meirindany Tumanggor, Winni R.E. Umi Salmah Umi Salmah Vania Gita Ramadhan Veronica, Yohana Winni R.E Tumanggor Yenny Obsi Satra Yulizar Yulizar