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EVALUASI PELAKSANAAN PILAR PERTAMA STOP BUANG AIR BESAR SEMBARANGAN PADA PROGRAM SANITASI TOTAL BERBASIS MASYARAKAT DI KABUPATEN NAGEKEO Charles foeh Foeh; Tri Joko; Yusniar Hanani Darundiati
Jurnal Kesehatan Masyarakat Vol 7, No 4 (2019): OKTOBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (220.955 KB) | DOI: 10.14710/jkm.v7i4.24518

Abstract

Community-Led Total Sanitation (CLTS) is an approach to influence hygiene and sanitation behavior by triggering in the community. CLTS includes 5 pillars, Open Defecation Free (ODF), washing hands with soap, managing safe drinking water and food, securing household waste, managing household waste water safely. Within 6 years of CLTS implementation in Nagekeo District there were 18 villages that had reached the ODF (Open Defecation Free) village. This shows that there are 95 villages that have not yet reached ODF (Open Defecation Free). This study aims to evaluate the implementation of the first pillar to stop open defecation free in a community led total sanitation program in Nagekeo District which includes the stages of input, process and output. This study uses an evaluation method with a qualitative approach. The sampling technique was purposive sampling and carried out by in-depth interviews. The number of samples in this study were 7 people who managed CLTS primary health center. The study was conducted in 7 primary health center in Nagekeo District, NTT Province in May 2019. The results of this study show such a lack of quantity and quality of human resources, budget constraints, limited facilities, lack of monitoring evaluation, inactivity of village facilitator teams, lack of cross-sectoral cooperation. The conclusion of the sanitation program implementation of the first CLTS pillar, which is to stop open defecation free in Nagekeo Regency, has not been able to work properly because there are several conditions in the implementation. It is expected that assistance from the Nagekeo District Health Office in implementing the CLTS Program in the first pillar is to stop open defecation free and provide training for the CLTS facilitator team.Keywords: evaluation, clts, odfReferesnce: 42 (1996-2016)
The Association Between Physical Environmental Condition Of House With The Pneumonia On Children Under Five Years At Working Area Pati I Public Health Center Subdistrict Pati Regency Eka Luvita Sari; - Suhartono; Tri Joko
Jurnal Kesehatan Masyarakat (Undip) Vol 2, No 1 (2014): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (272.449 KB) | DOI: 10.14710/jkm.v2i1.6375

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Background: Pneumonia is inflammation and swelling of lung tissue  infection caused by inhalation of foreign particles or radiation. In 2012-2013, there were 1.096 pneumonia cases on children under five years at Pati regency. I Pati Public Health Center had the highest pneumonia cases on children under five years with total 524 cases. One of risk factor that influence pneumonia incidence on children under five years was physical environmental condition of house. This study aimed to determine the association between physical environmental condition of housing with pneumonia incidence on children under five years. Method: It was the explanatory research observational with case control approach. The sample in this research was children ages 12-59 months with pneumonia and take a medicine Pati I Public Health Center on September 2012-August 2013. Data collecting through survey used questioner, observation and direct measurement at field. Data analytical used Chi-Square statistic examination and the risk with Odds Ratio (OR). Result: The result showed significant association with  room of density (p=0,000; OR=9,804), house of temperature (p= 0,010; OR= 12,571) natural lighting of house (p=0,000; OR=6,588), house of humidity (p=0,005; OR=8,734), room of humadity (p=0,001; OR=11,862) While house of density (pvalue= 0,609; OR=3,143), type of walls (p value = 0,053; OR=5,375), type of floors(p =0,064; OR=8,105), ventilation wide (p= 0,833; OR=0,836),  room of  temperature (p = 0,072; OR=4,000), dan natural lighting of room (p= 0,0091; OR=6,588)  did not show significant association. Conclusion: This study concludes that the need to improve the physical condition of the home environment, especially the habit of opening the window and healthy home ventilation standards
PENGARUH FAKTOR-FAKTOR KESEHATAN LINGKUNGAN INDUSTRY TERHADAP TEKANAN DARAH PADA PEKERJA DI PT. X CIBITUNG, BEKASI Asma Afifah; Tri Joko; Hanan Lanang Dangiran
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (119.362 KB) | DOI: 10.14710/jkm.v4i4.14374

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In every production process in the workplace, labor can gain exposure from environmental health factors industries such as noise, heat stress, and lighting. When the noise, heat stress, and the lighting uncompliancewithThreshold Limit Value (TLV) may cause health problems, one of them is the change in blood pressure level. This study aimed to determine the effect of environmental health factors on blood pressure in workers in PT.X Cibitung, Bekasi. The type of research was observational with cross sectional approach. The sample used in this study was the whole of population in line B and line G in PT. X Cibitung, Bekasi with non-probability sampling technique and 32 population. Analysis of data used univariate and bivariate analysis with paired T-test. The results of this study showed that there are effects of environmental health the industry on systolic (p = 0.036) and diastolic (p = 0.023)blood pressure workers. The conclusion of this study was there were the effects of environmental health industry factors on systolic and diastolic blood pressure workers. Researcher gave recommendation to companyfor having counseling programe about the effects of environmental industry to health factors (noise, lighting, and heat stress).
HUBUNGAN TINGKAT PENGETAHUAN HYGIENE DENGAN KEBERADAAN Escherichia coli PADA JAMU TRADISIONAL (BERAS KENCUR) DI MANGKANG SEMARANG Purnomo Purnomo; Tri Joko; Niki Astorina Yunita Dewanti
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 5 (2016): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (246.632 KB) | DOI: 10.14710/jkm.v4i5.14488

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Traditional herbal medicine is one product of home industry, the manufacturing process is often less attention to sanitation and Higiene. Behavior seller and manufacturer of traditional herbal medicine in treating herbal medicine is still less attention to hygiene factors, as the indicator is still the existence of microbial contamination in carrying medicinal. Detection Escherichiacoli in carrying medicinal in 10 (ten) market in Semarang stated that of the 40 (forty) samples carrying medicinal examined 22 (twenty two) samples contaminated with bacteria Escherichia coli, four (4) samples are not contaminated and 14 (fourteen) samples were contaminated with bacteria. To study was to analyze the correlation between knowledge of hygiene and identification of the presence of Escherichia coli, describing the characteristics of the respondent, processing, quality of water, personal hygiene, hygiene knowledge level, identification of Escherichia coli in traditional herbal rice kencur. The method used is observational with cross sectional approach. The results obtained from 20 respondents obtained a good knowledge level results 12 (60%), lack of knowledge 8 (40%), the presence of Escherichia coli positive 8 (40%), negative 12 (60%). The level of knowledge badly contaminated with Escherichia coli as much as 6 samples, while the level of knowledge of both the contaminated Escherichia coli 2 samples. The results of the statistical test using chi square p value of 0.009 means that there is a correlation between the level of hygiene knowledge of traditional herbalist with the presence of Escherichia coli in herbal rice kencur.In conclusion the level of knowledge of good hygiene as many as 12 people (60%), lack of knowledge level of 8 people (40%). A total of 40% of traditional herbal rice kencur experience microbes Escherichia coli contamination. There is a relationship with the level of hygiene knowledge of the existence of Escherichia coli in herbal rice kencur (p value = 0.009)
ANALISIS RISIKO KESEHATAN LINGKUNGAN PAJANAN GAS KARBON MONOKSIDA (CO) PADA PETUGAS PENGUMPUL TOL DI SEMARANG Devita Nur Aprilia; Nurjazuli Nurjazuli; Tri Joko
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 3 (2017): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (84.212 KB) | DOI: 10.14710/jkm.v5i3.17250

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Semarang has a toll way with a traffic growth rate of 6% per year. Since 2009 to 2013, there has been an increase in average daily vehicle traffic from 78.335 to 133.165 vehicles per day. Most of CO concentrations at four Semarang toll gates, Tembalang, Manyaran, Gayamsari and Muktiharjo toll gates, exceed the quality standard set by WHO and are close to the air quality standard specified in Decree of the Governor of Central Java Number 8 of 2001. The purpose of this study is to analyze the environmental health risks of Carbon Monoxide gas (CO) exposure to the toll collectors in Semarang. The type of this research is a Cross Sectional study with Environmental Health Risk Analysis method (ARKL). The subject sample of this study was the toll collectors who have worked for more than one year, while the object sample was the concentration of CO gas in toll collecting booth at each toll gate. The results showed that the concentration of Carbon Monoxide gas (CO) in ambient air of Semarang toll booths ranged from 3.45 mg/m3 up to 26.97 mg/m3, with an average of 10.61 mg/m3. The average of exposure time was 8 hours, with the frequency of exposure was 264 days, and the duration of exposure was 15.5 years. The calculation of individual risk values to the toll collectors showed the value of RQ <1 for real-time and lifetime exposure. The conclusion of this study was that the average concentration of CO was below the standards. The risk of Carbon Monoxide gas (CO) exposure in present (realtime) and in 30 years (lifetime) has not shown a risk of non carcinogenic.
STUDI KANDUNGAN DAN BEBAN PENCEMARAN LOGAM TIMBAL (Pb) PADA AIR BALAS KAPAL BARANG DAN PENUMPANG DI PELABUHAN TANJUNG EMAS SEMARANG Azmi Umi Anisyah; Tri Joko; Nurjazuli Nurjazuli
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (89.53 KB) | DOI: 10.14710/jkm.v4i4.14376

Abstract

The increasing of port activities causes increased pollution in the waters of the port due to ship waste. The ballast water is one of ship less waste monitored in the exchange activity.  The purpose of this research is to determine content and the burden of the heavy metal pollution Lead (Pb) in the ballast water cargo and passenger ships. The type of research that used is descriptive survey with cross sectional approach. The variables of this research is content and pollution load by Lead (Pb) from ship ballast water. The research subjects are cargo and passenger ships that rely on the port of Tanjung Emas Semarang and carry ballast water which is limited by the inclusion and exclusion criteria as many as 30 ships. Measuring the levels of Lead using Atomic Absorption Spectrophotometry (AAS) methode get a result that there are 1,12 to 4,12 mg/l with an average value of 2,59 mg/l of lead metal in ship ballast water. Calculation of lead pollution load due to the disposal of ship ballast water get an average value up to 0,83 kg/day with range value 0,01-5,46 kg/day. There are 8 ships consist of 1 passenger ship and 7 cargo ships that have a value of more than average pollution loads.The conclusion of this study is the lead content in all samples of cargo and passenger ships ballast water have a value above the quality standart by Permen LH No 5 of 2014 on Industrial Waste Quality Standart that is equal to 0,01 mg/l. Ship ballast water discharge to some extent has contributed to lead pollution in the waters of Tanjung Emas in Semarang.
ANALISIS RISIKO KESEHATAN LINGKUNGAN PENCEMARAN NITRAT (NO3) PADA AIR SUMUR GALI DI KAWASAN PERTANIAN DESA TUMPUKAN KECAMATAN KARANGDOWO KABUPATEN KLATEN Sinta Nugraheni Dewi; Tri Joko; Niki Astorina Yunita Dewanti
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 5 (2016): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (104.634 KB) | DOI: 10.14710/jkm.v4i5.14511

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In amount of 67.69% Tumpukan village is an agricultural area where has been contribute nitrate in the groundwater through fertilization activity. The use of urea fertilizer in Indonesia 400-600 kg urea / ha, it exceeds the government's recommendation (200-260 kg urea / ha). The aims of this research is to determine the risk level of exposure nitrate in Tumpukan Village. The research uses a descriptive observational with design study cross sectional and field study  ARKL approach. The analysis of data use ARKL method (hazard identification, dose-response analysis, exposure analysis and risk characteristics). The object of population is all wells in the Tumpukan village and the subjects of population are people who use wells for drinking water . The sample object of research is  16 wells were used as sources of drinking water with a distance <50 meters from the area of agriculture and the sample subjects were 89 respondents who use the sample object  as sources of drinking water. The results showed an average weight, rate, nitrate's concentration is 52.59 kg and 1.89 liter, 21,26 mg/L. There are nine respondents (10.1%) which have RQ> 1. The conclusion is the risk of nitrate exposure in Tumpukan village is quite low (10.1% of research subjects who are at risk of health problems noncarcinogenic), the risk will appear in the next 10 years for children and 52 years for Adult. The suggestions are farmers can fertilize with organic and inorganic N fertilizer in a balanced way and conducted with the dose and the right time.
EVALUASI KINERJA INSTALASI PENGOLAHAN AIR LIMBAH DENGAN SISTEM LUMPUR AKTIF (ACTIVATED SLUDGE) DI RUMAH PEMOTONGAN UNGGAS PENGGARON SEMARANG Santya Nareswari; Nurjazuli Nurjazuli; Tri Joko
Jurnal Kesehatan Masyarakat Vol 7, No 4 (2019): OKTOBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (330.149 KB) | DOI: 10.14710/jkm.v7i4.24195

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Poultry Slaughterhouse is a building that used as a place for the pultry slaughtering process. This process produces organic waste in the solid and liquid form. Poultry slaughterhouse wastewater contains some pollutant parameters including BOD, COD, TSS , and ammonia. Penggaron Poultry Slaughterhouse Wastewater that became the object of this study contains average BOD of 401 mg/l, COD at 829,601 mg/l, TSS at 502 mg/l and ammonia at 1,9738 mg/l. Penggaron Poultry Slaughterhouse already has a Wastewater Treatment Plant with an active sludge system using PAC and alum for coagulant and EM4. This study aims to evaluate the performance of wastewater treatment to reduce BOD, COD, TSS, and ammonia that being done for 3 days. The type of study is descriptive with observational and cross sectional approach. The population in this study is all wastewater produces from slaughtering activity, the sample used are some amount of both wastewater that produce from slaughtering activity and wastewater from treatment plant. The laboratory result shows that outlet  wastewater parameters still higher than the standards with an average for BOD, COD, and TSS is 304 mg/l, 643,56 mg/l, and 566 mg/l. Ammonia is under the standard, 3,1232 mg/l. Based on the effectivity calculation, wastewater treatment can reducing BOD rate by 13% - 29%, COD by 8% - 29%, TSS by 43% and ammonia by 13% - 65% so can be concluded that Penggaron Poultry Wastewater Treatment is less effective for reducing BOD, COD, and amonia.
EFEKTIVITAS SISTEM CONSTRUCTED WETLANDS KOMBINASI MELATI AIR (Echinodorus palaefolius) DAN KARBON AKTIF DALAM MENURUNKAN KADAR COD (Chemical Oxygen Demand) LIMBAH CAIR RUMAH SAKIT BANYUMANIK SEMARANG Restu Andri Setiyanto; Yusniar Hanani Danudianti; Tri Joko
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 1 (2016): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (152.721 KB) | DOI: 10.14710/jkm.v4i1.11844

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Medical liquid waste is all wastewater originating from the activities of the hospital and contains microorganisms, toxic chemicals, hazardous radioactive and other hazardous materials. Wastewater with high organic content can cause environmental pollution. Characteristics of high organic waste water shown by the high parameter Chemical Oxygen Demand (COD) in wastewater. High levels of COD can cause a decrease in dissolved oxygen in water. Then needed alternative biological sewage treatment systems which is a Constructed Wetlands System. This research aims to determine the effectiveness of the combined Constructed Wetlands system mexican sword plant and activated carbon to reduce the COD levels. The research is a quasi experimental study with pretest-posttest design with control group. The total sample is 48 sample which 32 treatment and 16 control samples. Anova test results with significant p-value <0.05 indicates that the treatment combined mexican sword plant and activated carbon and mexican sword plant treatment and control provide varying levels of COD. The average COD level before treatment was 86.18 mg/L, 86.95 mg/L, 87.66 mg/L. The precentage decreased levels of COD in control is 30,37%, and mexican sword plant treatment is 53.98% and combined of mexican sword plant and activated carbon treatment is 69.76%. Constructed Wetlands systems capability mexican sword plant and activated carbon have been effective in lowering COD levels of hospital wastewater because the result is already well below the standards based Central Java Provincial Regulation No. 5 in 2012 of 80 mg/L. Therefore, this system can be applied to hospital wastewater treatment.
HUBUNGAN KADAR DEBU TOTAL DAN MASA KERJA DENGAN GANGGUAN FUNGSI PARU PADA PEDAGANG KAKI LIMA DI JALAN BRIGJEN SUDIARTO KOTA SEMARANG Choirul Luluk Fatimah; Yusniar Hanani Darundiati; Tri Joko
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.368 KB) | DOI: 10.14710/jkm.v6i6.22156

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Respiratory illness is the third most common cause of mortality in the world, following heart problems and cancer. In 2016 as many as 5.5 million people died each year due to respiratory problems exposed to air pollution. One of the groups at risk of air pollution is street vendors in Brigjend Sudiarto Street, Semarang City which has high dust content. The purpose of this study know the prevalence of lung fuction disorders as well as the relationship between the dust exposure (TSP), working period, and duration of exposure. The research of the street vendors in Brigjen Sudiarto Street, Semarang City as many as 40 people. The results of this study showed that 24 respondents have lung fuction disorders (60%). The results of statistical analysis showed between total dust content with pulmonary function disorder with p value of 0,020 (p <0,05). Prevalent Ratio Value (RP) = 2,280; 95% CI (1,078-4,821), and between working period and pulmonary function impairment with p value of 0,018 (p <0,05). Prevalent Ratio Value (RP) = 3,194; 95% CI (0.922-11,067). The conclusion of this research is the relation of total exposure to dust and working period on street vendors with lung function disorders in Brigjen Sudiarto Street Semarang City.
Co-Authors - Suhartono Abdullah, Jilan Tsani Achmadi Priyatmojo Adi, Bayu Kusuma Aditya, Vanessa Rizky Agus Bintara Birawida Ahmad Zaerozi Ani Widiastuti, Ani Annisa Aulia Nurrohmah Anugrah Febrino Balwa Anwar, Wakhid Arif Wibowo Arlyna Budi Pustika Asma Afifah Astorina, Nikie Azmi Umi Anisyah Bariyadi Rifai Bella Arieza Andriyana Bibit Nasrokhatun Diniah Budi Waloyo Budiyono Budiyono Burhanuddin Thohir Candra Rulyana Charles foeh Foeh Choirul Luluk Fatimah Cornelius Saryadi Turnip Delima Kurnia Sari Devita Nur Aprilia Dwimartina, Fina Dyah Agustin Catur Putri Eka Luvita Sari Eko Handoyo Elisa Maharani Elzha Af’idatul Himmah Farida Sugiester S. Fianti andua Fitria, Ida Hanan Lanang Dangiran Hariyanti, Fika Harper, Stephen Haryudi Okta Sofiyanto Hidayanty, Healthy Ijaz ul haq Ilma, Hurin Nabila Aghnia Intan Aulia Putri Irawati, Roosdiana Jalaluddin Abdul Malek, Jalaluddin Abdul Jayawarsa, A.A. Ketut Karroghi, Silmi Aziza Lisa Okta Permatasari Maharani, Puti Maulida Khairunnisa McCann, Honour C. Mohammad Nasir, Mohammad Muhammad Addin Rizaldi Muhammad Habibullah Muhammad Nasir Mursid Rahardjo Mursid Raharjo Mustafiroh Kasanah Nabiha, Puteri Inandin Nabilah Nurhidayanti Nabilah Zahra Nasrokhatun Diniah, Bibit Ngazis, Muhammad Niki Astorina Yunita Dewanti Nikie Astorina Yunita Dewanti Nila Himayati Nilna Fasyya Salsabila Noor Zahrotul Muniroh Nur Endah Wahyuningsih Nur Fajria Safarina, Ismi Nurdiyanto, Miftakhul Nurjazuli Nurjazuli Nurjazuli Nurjazuli Nurjazuli Onny Setiani Pratiwi, Annisa Hasta Purnomo Purnomo Putri, Novi Hervianti Qorina Sabila Fa&#039;iza Raharjo , Mursid Rahman, Muhammad Auliya Rahmi Nur Alifiani Restu Andri Setiyanto Riska Triafryani Putri Rozi, Choirul Ruba, Yohanes Emanuel S. Russeng, Syamsiar Sahiledengle, Biniyam Salahuddin, Nurul Syahriani Santya Nareswari Saraswati, Vivian Thea Savitri Rachmawati Septanti, Elza Muthia Shofa Rakhmatika Shrestha, Akina Sinta Nugraheni Dewi Siti Nurkhayati Siti Subandiyah Slamet Wardoyo Suhartono Sukri Palutturi SULISTIYANI SULISTIYANI Sundari, Dini Suriah Suriah Suryanti Susamto Somowiyarjo Tati Suharti Triwidodo Arwiyanto Turnip, Cornelius Saryadi Ulfah Rahmawati Vinidia Pertiwi Wahiduddin Wahiduddin Wakhid Anwar Wardana, Lalu Muhammad Fikri Wibowo, Eko Prasetyo Wisanggeni, Gen Adi Woldesenbet, Biruk Yuni Pradilla Fitri, Yuni Pradilla Yusniar Hanani Danudianti Yusniar Hanani Darundiati