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All Journal Jurnal Kesehatan Lingkungan indonesia KOMUNITAS: INTERNATIONAL JOURNAL OF INDONESIAN SOCIETY AND CULTURE Jurnal Kesehatan Masyarakat Unnes Journal of Public Health Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Adi Heru Husodo
Fakulty of Medicine Gadjah Mada University Yogyakarta
Environmental Science Health Professions Languange, Linguistic, Communication & Media Public Health Social Sciences

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ANALISIS SITUASI PERMASALAHAN SAMPAH KOTA YOGYAKARTA DAN KEBIJAKAN PENANGGULANGANNYA Mulasari, Surahma Asti; Husodo, Adi Heru; Muhadjir, Noeng
Jurnal Kesehatan Masyarakat Vol 11, No 2 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JANUARY 2016
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v11i2.3989

Abstract

Kontak langsung dengan sampah dapat berisiko mengalami gangguan kesehatan. Volu-me sampah dipengaruhi oleh jumlah penduduk, aktivitas, dan gaya hidup. Pemerintah daerah memberlakukan berbagai kebijakan untuk mengatasi permasalahan sampah sebagai bentuk tanggung jawab pelayanan publik. Tujuan dari penelitian ini adalah untuk mengetahui permasalahan sampah dan upaya penanganan di Kota Yogyakarta. Metode penelitian adalah deskriptif kualitatif. Teknik pengambilan sampel dengan cara purposive sampling. Informan merupakan stakeholder pengelolaan sampah di Yogyakarta. Data diolah dan disajikan dengan metode explanation building. Sampah di TPA Piyungan tertinggi pada Maret 2014 dan terendah pada Juli 2014. Kota Yogyakarta penyumbang sampah terbanyak di TPA Piyungan, kemudian Kabupaten Sleman dan Bantul. Volume sampah tertinggi pada 2012 dan terus menurun sampai tahun 2014. Semua permasalahan ada dari sisi hilir (masyarakat), proses (pengelola sampah) dan hulu (TPA). Setelah semua diidentifikasi, dibuat suatu kebijakan pengelolaan sampah secara optimal dengan melibatkan semua lintas sektoral dan program-program pemberdayaan oleh stakeholder terkait.Direct contact with the waste can be increasing health problems risk. The volume of waste is affected by population, population activities, and lifestyle. Government enforces many policy in order to address the waste problems. The purpose of this study was to find out the waste problem in the Yogyakarta Municipality and to know the strategy to handling it. Qualiative study was applied in this research. The informant was a delegation of stakeholder regarding waste management, with purposive sampling. Analysis data were performed by using explanantion building using content analysis. The highest number of waste was produced on March 2014 and the lowest on July 2014.. In Yogyakarta municipality,  TPA Piyungan gave biggest waste contribution. . The peak of waste volume was in 2012 and tend to decrease until 2014. All the waste problems started from the downstream (community) , process (government who manage waste) and upstream (TPA). All problem were identified and government made a policy about manage waste that involved all sectoral empowering program by stakeholder on waste management.
The Effectiveness of Health-Community-Based Waste Management in Yogyakarta Mulasari, Surahma Asti; Husodo, Adi Heru; Muhadjir, Noeng
KOMUNITAS: INTERNATIONAL JOURNAL OF INDONESIAN SOCIETY AND CULTURE Vol 8, No 1 (2016): Komunitas, March 2016
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/komunitas.v8i1.4726

Abstract

The people’s understanding of waste affects their attitudes and modes in waste management. The attitudes towards health-community-based waste management has their positive impact i.e. improving environmental and community health and in the end promoting community’s economy. This research aimed at understanding the effectiveness of health-community-based waste management in Yogyakarta indicated by the residents’ knowledge of waste, attitude, behavior, and the existence of desease vector and economical condition. This was a social action research, which applied a quantitative method. The research was conducted through implementing waste management based on community health perception. The data-collecting technique involved observation participant technique. There was a significant difference between people’s knowledge on waste management before and after waste management counselling with p value 0.000 < 0.05. There was a significant difference between the people’s attitude before and after waste management counselling with p value 0.021 < 0.05. There was a significant difference between the people’s behavior before and after waste management counselling with 0.033 < 0.05. There was a significant difference between the density of fly population before and after waste management counselling with p value 0.013 < 0.05. The average of 30 participants’ income earned from garbage is IDR 55.952.83 quarterly or IDR 18.650.61 (IDR 13.450.00 = 1 US$). The conclusion is knowledge, attitude, behavior indicators and vector density improved after the training of health-communicty based waste management.
The Effectiveness of Health-Community-Based Waste Management in Yogyakarta Mulasari, Surahma Asti; Husodo, Adi Heru; Muhadjir, Noeng
KOMUNITAS: International Journal of Indonesian Society and Culture Vol 8, No 1 (2016): Komunitas, March 2016
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/komunitas.v8i1.4726

Abstract

The people’s understanding of waste affects their attitudes and modes in waste management. The attitudes towards health-community-based waste management has their positive impact i.e. improving environmental and community health and in the end promoting community’s economy. This research aimed at understanding the effectiveness of health-community-based waste management in Yogyakarta indicated by the residents’ knowledge of waste, attitude, behavior, and the existence of desease vector and economical condition. This was a social action research, which applied a quantitative method. The research was conducted through implementing waste management based on community health perception. The data-collecting technique involved observation participant technique. There was a significant difference between people’s knowledge on waste management before and after waste management counselling with p value 0.000 < 0.05. There was a significant difference between the people’s attitude before and after waste management counselling with p value 0.021 < 0.05. There was a significant difference between the people’s behavior before and after waste management counselling with 0.033 < 0.05. There was a significant difference between the density of fly population before and after waste management counselling with p value 0.013 < 0.05. The average of 30 participants’ income earned from garbage is IDR 55.952.83 quarterly or IDR 18.650.61 (IDR 13.450.00 = 1 US$). The conclusion is knowledge, attitude, behavior indicators and vector density improved after the training of health-communicty based waste management.
ANALISIS SITUASI PERMASALAHAN SAMPAH KOTA YOGYAKARTA DAN KEBIJAKAN PENANGGULANGANNYA Mulasari, Surahma Asti; Husodo, Adi Heru; Muhadjir, Noeng
KEMAS: Jurnal Kesehatan Masyarakat Vol 11, No 2 (2016)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v11i2.3989

Abstract

Kontak langsung dengan sampah dapat berisiko mengalami gangguan kesehatan. Volu-me sampah dipengaruhi oleh jumlah penduduk, aktivitas, dan gaya hidup. Pemerintah daerah memberlakukan berbagai kebijakan untuk mengatasi permasalahan sampah sebagai bentuk tanggung jawab pelayanan publik. Tujuan dari penelitian ini adalah untuk mengetahui permasalahan sampah dan upaya penanganan di Kota Yogyakarta. Metode penelitian adalah deskriptif kualitatif. Teknik pengambilan sampel dengan cara purposive sampling. Informan merupakan stakeholder pengelolaan sampah di Yogyakarta. Data diolah dan disajikan dengan metode explanation building. Sampah di TPA Piyungan tertinggi pada Maret 2014 dan terendah pada Juli 2014. Kota Yogyakarta penyumbang sampah terbanyak di TPA Piyungan, kemudian Kabupaten Sleman dan Bantul. Volume sampah tertinggi pada 2012 dan terus menurun sampai tahun 2014. Semua permasalahan ada dari sisi hilir (masyarakat), proses (pengelola sampah) dan hulu (TPA). Setelah semua diidentifikasi, dibuat suatu kebijakan pengelolaan sampah secara optimal dengan melibatkan semua lintas sektoral dan program-program pemberdayaan oleh stakeholder terkait.Direct contact with the waste can be increasing health problems risk. The volume of waste is affected by population, population activities, and lifestyle. Government enforces many policy in order to address the waste problems. The purpose of this study was to find out the waste problem in the Yogyakarta Municipality and to know the strategy to handling it. Qualiative study was applied in this research. The informant was a delegation of stakeholder regarding waste management, with purposive sampling. Analysis data were performed by using explanantion building using content analysis. The highest number of waste was produced on March 2014 and the lowest on July 2014.. In Yogyakarta municipality,  TPA Piyungan gave biggest waste contribution. . The peak of waste volume was in 2012 and tend to decrease until 2014. All the waste problems started from the downstream (community) , process (government who manage waste) and upstream (TPA). All problem were identified and government made a policy about manage waste that involved all sectoral empowering program by stakeholder on waste management.
Transformation Prospect of Inclusive Elementary School Non-Disaster Preparedness Schools in Implementing Management of Child Safety Education Widowati, Evi; Sugiharto, Sugiharto; Wahyuningsih, Anik Setyo; Husodo, Adi Heru; Istiono, Wahyudi
Unnes Journal of Public Health Articles in Press
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v0i0.34378

Abstract

Children is a person aged 0 to 18 years old, including fetus. Primary School X is an inclusive primary school that enrolls children with special needs, located in a disaster-prone area and never been exposed to information and training related to child safety education. The purpose of this study is to investigate the readiness of Primary School X as Inclusive Primary School Non-Disaster Preparedness Schools in implementing child safety education management in schools. This study combines descriptive and analytic studies. Descriptive study was used to assess school management condition through 28 assessment and was conducted through interviews, document study and observation. The analytic study used was quasi-experimental study with one group pre- and post-test design. The result showed that the readiness level of Primary School X to transform into multi-disaster-based child safety was 36%, which is included into transformation ?ready? category.
Pengaruh Teknik Aplikasi Pestisida terhadap Derajat Keparahan Penyakit Paru Obstruktif Kronis (PPOK) pada Petani Mahawati, Eni; Husodo, Adi Heru; Astuti, Indwiani; Sarto, Sarto
Jurnal Kesehatan Lingkungan Indonesia Vol 16, No 2 (2017): Oktober 2017
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.16.2.37-45

Abstract

Judul: Pengaruh Teknik Aplikasi Pestisida Terhadap Derajat Keparahan Penyakit Paru Obstruktif Kronis (PPOK) Pada PetaniLatar Belakang: Kabupaten Grobogan  sebagai sentra utama pertanian di Jawa Tengah yang banyak menggunakan pestisida mengalami peningkatan kasus PPOK sejak tahun 2010, dimana  etiologi PPOK berasal dari gene-enviroment interaction dan salah satu penyakit akibat kerja utama terkait paparan zat toksik di tempat kerja. Persentase terbesar (71%) penderita PPOK berdasarkan data rekam medis 2009-2012 di RS PKU Muhammadiyah Gubug Kabupaten Grobogan adalah petani. Penelitian ini bertujuan menganalisis  pengaruh teknik aplikasi pestisida terhadap derajat keparahan PPOK pada petani.Materi dan Metode: Penelitian ini merupakan studi kasus kontrol yang dilakukan di  Kabupaten Grobogan dengan 100 petani sebagai responden yang dipilih secara purposive. Pengumpulan data melalui wawancara, observasi, pemeriksaan klinis dan spirometri. Analisis data menggunakan uji korelasi rank spearman dan  regresi logistik ordinal.Hasil: Hasil penelitian menunjukkan bahwa 23% responden termasuk PPOK Sedang, 17% PPOK sangat berat, 7% PPOK ringan dan 3% PPOK berat. Sebagian besar responden menyatakan lama penyemprotan pestisida lebih dari 5 jam per hari (69%), seminggu lebih dari 1 kali (72%), waktu penyemprotan pada pagi/sore hari (95%). Sebagian besar responden (85%) sering melakukan penyemprotan pestisida tanpa memperhatikan arah angin dan melakukan penyemprotan pestisida melawan arah angin (42%),  saat angin kencang (36%) dan menggunakan baju/kain yang sudah terpapar pestisida untuk menyeka keringat (42%). Hasil uji statistik menunjukkan ada hubungan signifikan antata derajat keparahan PPOK dengan lama paparan pestisida per hari (p value=0,003) dan kesesuaian arah penyemprotan pestisida (0,000). Ada pengaruh signifikan lama paparan pestisida per hari (p value=0,004) dan kesesuaian arah penyemprotan pestisida (p value=0,000) terhadap derajat keparahan PPOK.Simpulan: Temuan baru dalam penelitian ini adalah teknik aplikasi pestisida yang terbukti berpengaruh terhadap derajat PPOK adalah lama paparan per hari dan kesesuaian arah penyemprotan pestisida. Implikasi hal tersebut terhadap kesehatan masyarakat yaitu diperlukannya sosialisasi prosedur kerja aman petani dalam menggunakan pestisida dengan menyempurnakan teknik aplikasi pestisida secara baik dan benar dalam pencegahan  PPOK. Disarankan lama paparan pestisida disarankan tidak melebihi 5 jam per hari dan dihindarkan penyemprotan pestisida melawan arah angin. AbstractTitle: Effect of Pesticide Application Technical to The Severity Degree of Chronic Obstructive Pulmonary Disease (COPD) on FarmersBackground: Chronic Obstructive Pulmonary Disease (COPD) is a disease whose etiology derives from gene-enviroment interaction and has been one of the major occupational diseases associated with exposure to toxic substances in the workplace. Result of analysis of medical record data 2009-2012 in PKU Muhammadiyah Gubug Sub-Province of Grobogan Regency, it is known that the biggest percentage of COPD patients (71%) are farmers. This research aimed to analyze the effect of technical pesticide application on the severity degree of COPD to farmers.Methods: This research is a case-control study which was conducted in Grobogan District with 100 farmers repondents, had been selected by purposive method sampling. Data was collected by interviews, observation, clinical examination and spirometry. Data was analysed by rank spearman correlation and ordinal logistic regression.Results: The results showed that were 23% respondents in moderate COPD, 17% very severe COPD, 7% mild COPD and 3% severe COPD. Most respondents had spraying time pesticide  more than 5 hours daily (69%), more than 1 time weekly (72%), mostly in morning/afternoon (95%). Most of respondents (85%) frequently sprayed pesticides regardless of wind direction, sprayed pesticides against wind direction (42%), sprayed pesticides when high speed winds (36%) and used “pesticide-exposed clothes” to wipe sweat ( 42%). The result of statistical test showed significant correlation of the severity degree of COPD with pesticide exposure daily (p value = 0,003) and suitability of pesticide spraying direction (0,000). There were significant effect of pesticide exposure daily (p value = 0,004) and suitability of pesticide spraying direction (0,000) to the severity degree of COPD.Conclusion: The new findings in this study are the technical application of pesticide that has been shown to affect the severity degree of COPD is the length of exposure daily and the suitability of the pesticides spraying direction. The implications of this to public health is the need for socialization of safe work procedures of farmers in using pesticides by perfecting technical aspects of pesticide applications properly and correctly in the prevention of COPD. It was recommended not to exceed 5 hours daily and avoid spraying pesticides against the wind direction. 
The Effectiveness of Health-Community-Based Waste Management in Yogyakarta Mulasari, Surahma Asti; Husodo, Adi Heru; Muhadjir, Noeng
Komunitas Vol 8, No 1 (2016): March 2016
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/komunitas.v8i1.4726

Abstract

The people’s understanding of waste affects their attitudes and modes in waste management. The attitudes towards health-community-based waste management has their positive impact i.e. improving environmental and community health and in the end promoting community’s economy. This research aimed at understanding the effectiveness of health-community-based waste management in Yogyakarta indicated by the residents’ knowledge of waste, attitude, behavior, and the existence of desease vector and economical condition. This was a social action research, which applied a quantitative method. The research was conducted through implementing waste management based on community health perception. The data-collecting technique involved observation participant technique. There was a significant difference between people’s knowledge on waste management before and after waste management counselling with p value 0.000 0.05. There was a significant difference between the people’s attitude before and after waste management counselling with p value 0.021 0.05. There was a significant difference between the people’s behavior before and after waste management counselling with 0.033 0.05. There was a significant difference between the density of fly population before and after waste management counselling with p value 0.013 0.05. The average of 30 participants’ income earned from garbage is IDR 55.952.83 quarterly or IDR 18.650.61 (IDR 13.450.00 = 1 US$). The conclusion is knowledge, attitude, behavior indicators and vector density improved after the training of health-communicty based waste management.
Relationship Model for Occupational Safety and Health Climate to Prevent Needlestick Injuries for Nurses Ismara, Ketut Ima; Husodo, Adi Heru; Prabandari, Yayi Suryo; Hariyono, Widodo
Kesmas Vol. 13, No. 3
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The risk of accidents and disease transmission when working at hospitals is quite high, especially in Indonesia. This study aimed to analyze the relationship model between the Occupational Safety and Health (OSH) climate and behavior intention in OSH performance to prevent needlestick injuries (NSI) based on a theory of planned behavior. A mixed approach using qualitative and quantitative methods was applied. Data were obtained from Structural Equation Model questionnaires, observation, and documentation, and interviews were analyzed qualitatively. The population was 1,042 nurses at Dr. Sardjito General Hospital in Yogyakarta. The sample consisted of 289 respondents determined by purposive random sampling with an accuracy level of 5%. The OSH climate consisted of attitude, norm, and perceived behavioral control effect on safety intention. An indirect OSH climate can influence safety performance, but it must be followed by intention. Intention directly affects safety performance in the form of behavior to implement NSI prevention procedures. Attitudes toward risk, attitudes toward leader commitment as role models, group norms, and beliefs in the ability to perform safety and health procedures determine the safety climate that leads to the intention for safe and healthy behavior in OSH performance.
Kebijakan Pemerintah dalam Pengelolaan Sampah Domestik Mulasari, Surahma Asti; Husodo, Adi Heru; Muhadjir, Noeng
Kesmas Vol. 8, No. 8
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Sampah berpotensi menciptakan masalah kesehatan lingkungan. Pemerintah mengupayakan berbagai kebijakan pengelolaan sampah seperti pelayanan sampah dan memberdayakan masyarakat untuk mengelola sampah secara mandiri. Tujuan penelitian adalah untuk mengetahui kebijakan pemerintah dalam mengelola sampah domestik di Daerah Istimewa Yogyakarta (DIY), perubahan kualitas lingkungan dan masyarakat akibat kebijakan pengelolaan sampah, dan untuk mengetahui metode pemantauan dan pengelolaan sampah yang ada di DIY. Jenis penelitian ini adalah kualitatif dengan rancangan studi kasus. Fenomena yang menjadi studi dalam penelitian ini adalah kebijakan pengelolaan sampah di DIY. Permasalahan sampah yang ada di DIY adalah cakupan pelayanan pemerintah kabupaten yang masih sangat rendah, kecuali Kota Yogyakarta (90%). Sampah terangkut ke tempat pembuangan akhir masih rendah dibandingkan volume sampah yang dihasilkan. Kebijakan untuk pengelolaan sampah adalah di seluruh kabupaten/kota DIY telah terbentuk badan/unit yang bertanggung jawab mengelola sampah. Perubahan kualitas lingkungan dan masyarakat adalah lingkungan dan jalan menjadi bersih, asri, dan nyaman. Metode pemantauan dan evaluasi kebijakan pengelolaan sampah di DIY belum dituangkan dalam prosedur baku. Permasalahan sampah sudah menjadi perhatian bagi pemerintah daerah DIY. Kebijakan telah didukung dengan program layanan, proyek, regulasi, dan insentif khusus untuk pengelolaan sampah. Waste had great potential in creating environmental health issues. The government had tried various ways of waste management policy such as waste management services and people empowerment to manage their waste independently. The objectives of this study is to observe the problem of garbage in the Daerah Istimewa Yogyakarta (DIY), the Government’s policy in managing domestic waste in DIY, the changes in environmental Kebijakan Pemerintah dalam Pengelolaan Sampah Domestik Government Policy in Domestic Waste Management Surahma Asti Mulasari* Adi Heru Husodo** Noeng Muhadjir*** quality and community impact of the waste management, and the methods of monitoring and managing waste in DIY. This research was a qualitative case study design. The phenomenon in this research was the waste management policy in DIY. Waste problem in the province DIY was the district service coverage which was still very low, except for the city of Yogyakarta (90%). The waste transported to landfill was still low compared to the volume of waste generated. The policy in DIY for waste management was that in all districts/cities in DIY there had been units formed, responsible for managing waste. The changes in the quality of environment and community were that the environment and roads are getting clean, beautiful, and comfortable. The methods for monitoring and evaluation of waste management policy in the province had not been set forth in the standard procedure. Waste problem had been a concern for local government of DIY. The policy had been supported by the service program, project, regulatory, and special incentives for waste management.
Co-Authors Anik Setyo Wahyuningsih Eni Mahawati Evi Widowati Indwiani Astuti Ketut Ima Ismara Noeng Muhadjir S.Pd. M Kes I Ketut Sudiana . Sarto Surahma Asti Mulasari Wahyudi Istiono Widodo Hariyono Yayi Suryo Prabandari