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FAKTOR-FAKTOR YANG MEMPENGARUHI KUALITAS MIKROBIOLOGIS JAJANAN BATAGOR DI KECAMATAN TEMBALANG Suci Amalia Febriyanti; Retno Hestiningsih; Praba Ginandjar; M. Arie Wuryanto
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 1 (2019): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Batagor is a category of processed food made from fish or meat which if food processing is not hygiene sanitanitation. The contamination of batagor can be caused by the principle of food sanitation hygiene that is not implemented properly. The purpose of this study was to analyze the relationship between traders' sanitation hygiene with microbiological quality on batagor snacks in Tembalang District. This research was observational analytic with cross sectional study. The study population was all batagor sellers in Tembalang District. The sample technique used saturated sampling techniques as many as 31 traders. Interviews and observations were made on hygiene practices, health conditions, location safety, water sanitation, quality of raw materials, and practice of storing raw materials. Data analysis used fisher exact test. The results obtained 80.6% of the samples had MPN values exceeding the limit, 48.4% were contaminated with Escherichia coli, and 29% of the samples were overgrown with fungi. 80.6% of the samples did not meet food microbiological requirements. The analysis showed that microbiologic quality associated with hygiene practices (p = 0.028), place sanitation (p = 0.021), and water sanitation (p = 0.018) in batagor traders with microbiological quality. It can be assumed that there is a correlation between hygiene practices, place sanitation, and water sanitation with the microbiological quality of batagor. Related institutions are expected to be able to improve supervision and management of street vendors to meet the stipulated health requirements.

GAMBARAN FAKTOR YANG MELATARBELAKANGI PENDERITA KUSTA DALAM MELAKUKAN PRAKTIK PENCARIAN PENGOBATAN KUSTA (Studi Pada Penderita Kusta Baru Tahun 2016 di Kabupaten Blora) Ria Nur Madyasari; Lintang Dian Saraswati; Mateus Sakundarno Adi; M. Arie Wuryanto
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Multi Drug Therapy (MDT) for leprosy patient is an efforts to prevent transmission and disability of leprosy. Data of Health Department Office in Blora District in 2015 showed that multibacillary cases have a high proportion than paucibacillary and there found grade 2 disability on new case, this condition may indicates delay treatment of leprosy. This research aimed to describe factors that related to health seeking behaviour of leprosy. This study type was descriptive observational with cross sectional design. Subject of this study were 59 people that recorded as new leprosy patient in 2016 in Blora District. These results indicated the proportion of health seeking behaviour of leprosy with bad category was higher in leper with non productive age (75,0%), male (42,9%), low educational level (50,0%), poor knowledge (52,2%), low income (45,8%), bad attitude (48,3%), poor perception of susceptibility and seriousness of the disease (56,0%), good family support (46,2%) and difficult transportation access (53,6%). This research concluded that proportion of health seeking behaviour of leprosy with bad category found higher in leper with non productive age, male, having low education, having poor knowledge, having low income, having bad attitude, having poor perception of susceptibility and seriousness of the disease, having good family support and having difficult transportation access. PHCs are expected to give more counseling in community about signs, mode of transmission and impact if leprosy untreated, it can be useful to improve health seeking behaviour of leprosy in a good way.

PENENTUAN KAPASITAS VEKTORIAL Anopheles spp. DI DESA REJEKI KECAMATAN PALOLO KABUPATEN SIGI SULAWESI TENGAH Yuyun Srikandi; M. Arie Wuryanto; Martini Martini
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 1 (2015): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Malaria remains a public health problem public health problem in Sulawesi, especially in Rejeki Village, Palolo Subdistrict, Sigi District. Rejeki village was a high endemic area of malaria from 2009 until 2012. In 2013, there was no positive case malaria, but the environmental condision there were very approriate to malaria transmission. Recently, in Indonesia there was lack of data about vectorial status and host identification as Anopheles bloodmeal. This research aimed to determine the vectorial capacity value of Anopheles spp. This Study was descriptive obsevational analysis with cross sectional design. The sample was female Anopheles spp. that caught allnight from 06.00 pm up to 06.00 am, and the mosquitoes that caught at the rest time in early morning. The collection was held for 6 times start from April until September. The mosquitoes that collected in Rejeki village were An. barbirostris, An. nigerrimus, An. tesselatus, An. vagus, An. indifinitus, and An. umbrosus. The result showed the species which potency as malaria vector that An. barbirostris (0,001-0,003) and An. nigerrimus (0,001-0,058). The average age of An. barbirostris was 8,58-13,78 days and An. nigerrimus was 4,24-13,78 days. ELISA bloodmeals test resulted mosquitoes which consumed human bloodmeals are An. barbirostris and An. nigerrimus, include in anthropophilic and tend to endophagic. Integrated vector control method is recommended to be applied in effort to maintained low malaria endemicity. Cattle barrier was a good solution for the control of malaria.

GAMBARAN FAKTOR RESIKO LEPTOSPIROSIS PADA DATARAN TINGGI MENGGUNAKAN PEDOMAN KERAWANAN LEPTOSPIROSIS DI DATARAN TINGGI DENGAN LOKASI PENELITIAN KABUPATEN SEMARANG Raysha Afiff; Mateus Sakundarno Adi; Lintang Dian Saraswati; M. Arie Wuryanto
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 3 (2019): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Leptospirosis is a disease caused by the bacteria Leptospira sp. which can be transmitted from animals through blood or urine. This disease, which was originally developed in the lowlands in recent years, has begun to reach the highlands. The aim of this study is to describe the risk factors for Leptospirosis in the highlands by using guidelines for determining Leptospirosis susceptibility in the highlands. This type of research is descriptive, with the survey method and observation using a cross-sectional design, which is a research method carried out only in a certain period. The population of this study was 300 houses spread over 5 sub-districts in the Semarang highlands. Risk factors that are used as indicators include; temperature, humidity, altitude, condition of the walls of the house, ownership of livestock, the presence of rats, waste disposal facilities, vegetation, and sources of clean water supply. From these indicators, we conclude there is still many risk factors of Leptospirosis even in highland. Which mean Leptospirosis has developed and need early system to prevent the occurrence.

HUBUNGAN KARAKTERISTIK INDIVIDU DAN PERILAKU PADA PETUGAS MANAJEMEN TERPADU BALITA SAKIT (MTBS) DENGAN CAKUPAN PENEMUAN PNEUMONIA DI PUSKESMAS KABUPATEN KEBUMEN Patria Silviana; Retno Hestiningsih; M. Arie Wuryanto
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 1 (2015): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Pneumonia is an acute infection of the lung tissue (alveoli). The purpose of research is to know relation of individual characteristics and behavior in integrated management of childhood illness (IMCI) official to the coverage detection of pneumonia in Public Health Center in Kebumen Regency. Type of research is analytic observational with cross sectional approach. The population of research are all IMCI official in 35 Public Health Center in Kebumen Regency total number of 556 IMCI official and the number of samples is 93 samples use to the sampling technical is accidental sampling. Univariat analysis is table of frecuency distribution and narrative. Bivariate analysis use the chi-square test and kendall’s tau b test correlation. The result of research shows that respondents aged over ≥36 years (55,9%), female (95,7%), background in DIII obstetrics education (80,6%), long years of work (53,8%), good knowledge (75,3%), good attitude (61,3%), poor practice (53,8%), good perception of public health leadership supervision (64,5%), good perception of motivation (55,9%). There is one variable that related is good perception of public health leadership supervision (p=0,002). In while, there are eight variables that not related are official ages (p=0,105), sex (p=0,569), education (p=0,112), years of work (p=0,371), knowledge (p=0,378), attitude (p=0,457), practice (p=0,597) and good perception of motivation (p=0,258). Recommended to the Department of Health increase on the job training and to the Public Health Center more intensive in the implementation of supervision.

STUDI LABORATORIUM UJI TOKSISITAS ISOLAT Bacillus thuringiensisisraelensis DALAM MEDIA AIR PERASAN SINGKONG TERHADAP LARVA NYAMUK Aedes aegypti Wulan Kusuma Jati; M. Arie Wuryanto; Dwi Sutiningsih
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 1 (2015): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Bacillus thuringiensis israelensis is a toxic bacteria for Aedes aegypti. However, raw materials of media for biopesticide production still imported . So, we need an alternative grower media, one of them by using the juice of cassava.The purpose was to determine the toxicity of B. thuringiensis israelensis isolates were cultured in the cassava juice against larvae of Ae. aegypti. This type of research is experimental research with posttest - only control group design. The population in this study were all third instar larvae of Aedes aegypti. Parameters observed that the number of spores of Bacillus thuringiensis israelensis were grown on cassava juice and mortality LC50 and LC90 of Ae. aegypti with probit regression analysis . The concentration used in toxicity tests is 0,89 x10-3 ppm; 1,30 x10-3ppm; 1,49 x10-3ppm; 1.69 x10-3 ppm; x10-3 2,20 ppm ; 3,22 x10-3 ppm and 5,43 ppm x10-3. The results showed the number of spores that grow on the medium cassava juice of 1 % 230 x105 spores / ml . LC50 and LC90 concentration of B. thuringiensis israelensis which 3,674 x10-3ppm and 14,254 x10-3 ppm. From this study it can be concluded that B. thuringiensis israelensis were cultured in the cassava juice toxic to the larvae Ae . aegypti.

HUBUNGAN IMT DAN TINGKAT AKTIVITAS FISIK DENGAN KEJADIAN KOMORBID TB-DM DI KOTA SEMARANG Mia Rahmania; Lintang Dian Saraswati; M. Arie Wuryanto
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 2 (2019): APRIL
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Tuberculosis in an infectious disease resulted in a high number of mortality in Indonesia. Diabetes melitus recognized as an important risk factors to tuberculosis. The aim of the study was to analyze relationship BMI and physical activity level with the incidence of comorbid TB-DM in Semarang city. This study is an analytical observational study with cross sectional study design. The study population was 286 positive smear TB patients who still TB treatment from April to August 2018. The sample size in the study was 100 TB patients who selected using proportional probability with sample size and simple random sampling technique. Primary data obtained directly through interviews with respondents using questionnaires, and measurement of blood sugar to diagnose DM. Bivariate analysis using chi-square with 95% significance. The results of measurements with fasting blood sugar levels found that 29% of respondents were diagnosed with DM. The majority of respondents were 46-55 years old (27%) with mean age 44.05 years and male sex (53%). The majority of TB-DM patients have overweight IMT (72.7%) and have moderate physical activity (43.3%).Bivariate analysis showed that BMI (p=0,000) and physical activity level ((p=0,081). It can be concluded there is a relationship between BMI with the incidence of comorbid TB-DM. DM patients are expected to control increasing body weight and food intake.

ANALISIS ANALISIS HUBUNGAN ANTARA SEDENTARY LIFESTYLE DENGAN KEJADIAN OBESITAS PADA USIA SEKOLAH DASAR KELAS 4-6 (Studi di Kota Salatiga) Yemema Victory Sandi Saputra; Henry Setyawan; M. Arie Wuryanto; Ari Udiyono
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 1 (2019): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Background: Obesity is the form of abnormality or the accumulation of fat that can impact on health. For children and adolescent aged 5-18 years old, said to be obese if BMI (Body Mass Index) according to age more than 2 according to Z score. Obesity occurs if the intake of energy is greater than energy used. In Indonesia, the prevalence of obesity chilren aged 5-12 years old was 8,8%, 7,9% for Central Java, and 5,1% for Salatiga. Purpose: The purpose of this study was to analyze the risk factors that associated to obesity children in elementary school grade 4-6. Method: The method was quantitative method and the type of the research was observational analytical with a cross sectional approach. The population of this study was the students of elementary school grade 4-6 in Salatiga. The reached population was the students of Marsudirini 77 Elementary School grade 4-6 then the sample was taken as many as 60 resopondents using random sampling system. Result: The result indicated that as many as 22 (36,7%) respondents suffered from obesity with 13 (59,1%) respondents were male and 9 (40,9%) respondents were female. Conclusion: For bivariate analytical used Chi-square correlation test showed a correlation between familial (p=0,038; POR=3,6) dan sedentary lifestyle (p=0,022; POR=4,6) with obesity children in elementary school grade 4-6 and there was no correlation between physical activity (p=0,543) and energy intake (p=0,436) with obesity children in elementary school grade 4-6.

HUBUNGAN HIGIENE SANITASI DENGAN KUALITAS MIKROBOLOGIS PADA MINUMAN ES THAI TEA DI KECAMATAN TEMBALANG Nurtiyana Mawarni; Retno Hestiningsih; Nissa Kusariana; M. Arie Wuryanto
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 1 (2019): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

This time, tea has been modified to kinds of drinks, one of them was ice Thai Tea. Based on the components and process of Thai Tea making is very possible occurrence of bacterial and fungal contamination. The purpose of this research is to analyze relations between hygiene sanitation with microbiological quality in ice Thai Tea in Tembalang. This study is observational-analytic with using cross sectional design. The samples were 31 samples of ice Thai Tea. Data were analyzed using Fisher Exact. The results showed that most of ice Thai Tea did not quality with 26 samples (83,9%) of unqualitified Coliform status, 21 samples (67,7%) were contaminated with Escherichia coli, and 5 samples (16,1%) were contaminated with yeast/ mold/ fungi. This study shows there is relations between personal hygiene (p=0,043) and sanitation equipment (p=0,043) with microbiological quality in ice Thai Tea but there is not relations between storage of raw materials (p=0,058) and sanitation place (p=0,631) with microbiological quality in ice Thai Tea. Traders should pay attention to personal hygiene and sanitation equipment when making ice Thai Tea so that bacterial contamination can be minimized.

HUBUNGAN FAKTOR HOST, FAKTOR LINGKUNGAN, DAN STATUS GIZI DENGAN KEJADIAN DEMAM BERDARAH DENGUE DI WILAYAH KERJA PUSKESMAS KAYEN KABUPATEN PATI Lirin Novitasari; Sri Yuliawati; M. Arie Wuryanto
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 5 (2018): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Background: DHF is an endemic disease, which in a certain period able to cause an outstanding incident (KLB). The Public-Health Centre of Kayen is one of 25 health centers in Pati District with the highest coverage of DHF cases compared to other health centers. The purpose of this study is to analyze the relationship between host factors, environmental factors, and nutritional status to the incidence of DHF in the work area of Kayen Public-Health Center, Pati Regency.Method: Observational analytic study with case control research design. The total sample is 76 respondents with the total sampling method. Data analysis used chi square test with a 95% significance level, and a large risk calculation used the value of Odd Ratio (OR).Results: The results of univariate analysis showed that most of the case and control respondents were ≤11 years old (68.4%), most of the respondents had last education in secondary and high school (73.6%), most of the respondents had jobs as housewives (47.4%), respondents also had poor knowledge (43.4%), 3M practice level was not good (32.9%), did not install wire (81.6%), the existence of a landfill in the respondent's house ( 100.0%), the presence of larvae in the respondent's houses (48.7%), and respondents with thin nutritional status (19.7%).Conclusion: From the results of the study, it can be concluded that there is no relationship between knowledge, presence of net wire, and nutritional status to DHF incidence, while 3M practice (p = 0.015; OR = 3.986) and the presence of larvae (p = 0.012; OR = 3.297) have a relation to the incidence of DHF.

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