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<![CDATA[EVALUASI PENGELOLAAN LIMBAH MEDIS PADAT BAHAN BERBAHAYA DAN BERACUN (B3) DI RUMAH SAKIT TK. II 04.05.01 dr. SOEDJONO MAGELANG ]]>
<![CDATA[Nila Himayati]]>;
<![CDATA[Tri Joko]]>;
<![CDATA[Hanan Lanang Dangiran]]>
<![CDATA[ Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 4 (2018): JULI ]]>
Publisher : <![CDATA[Fakultas Kesehatan Masyarakat Universitas Diponegoro ]]>
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DOI: 10.14710/jkm.v6i4.21457
<![CDATA[Hospital TK. II 04.05.01 dr. Soedjono Magelang is a grade B hospital which already has accreditation plenary. Health care facilities has side result was medical and non medical waste. Medical waste generated belongs to the hazardous materials and toxic waste. Hazardous and toxic medical solid waste has mandatory be well managed must be managed properly in the waste began to phase reduction and sorting, storage phase and the transport phase to reduce the risk of employment, health, and environmental impact. The purpose of this research was to evaluate the management of hospital B3 solid waste from reduction and sorting stage, the storage stage, carriage stage under Regulation Ministry of Environment and Forestry No. 56 in 2015 on Procedures and Technical Requirements for the management of hazardous and toxic of Health Care Facilities. This research is observational research which has qualitative descriptive with cross sectional approach. This research subject is taken using purposive sampling technique that consists of 9 key informants and 3 triangulation informants. The results of this research showed that the average B3 solid medical waste generated each day reach 82.37 kg. Assessment of the evaluation based on the regulation of the Minister of environment and Forestry Number 56 year 2015 get a percentage of 76,39%, which means do not meet the standard of 100%. Problems were found in the stages of management, such as there is no system of labelling on the containers and bags of waste, errors in the storage and transport, as well as negligence officer in usage self tool protection (APD) in the storage and carriage stage.]]>
<![CDATA[EVALUASI PENGELOLAAN LIMBAH BAHAN BERBAHAYA DAN BERACUN (LB3) DI RSUD Dr. SOEDRIMAN KABUPATEN SEMARANG ]]>
<![CDATA[Elisa Maharani]]>;
<![CDATA[Tri Joko]]>;
<![CDATA[Hanan Lanang Dangiran]]>
<![CDATA[ Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 5 (2017): SEPTEMBER ]]>
Publisher : <![CDATA[Fakultas Kesehatan Masyarakat Universitas Diponegoro ]]>
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DOI: 10.14710/jkm.v5i5.19182
<![CDATA[Regional General Hospital Dr. Soedirman Kebumen is one of the Government’s assests that provide health services in Kebumen Regency area. A wide range of health services provided have an impact on the high hospital waste is generated. One of the hospital waste is hazardous materials and toxic waste (LB3). Hazardous materials and toxic waste (LB3) that are not managed properly will cause the impact of environmental pollution, work accident as well as the transmission of the disease. The purpose of this research was to evaluate the management of hazardous materials and toxic waste on sorting, storage, and transport based on the regulation of the Minister of Environment and Foresty Number 56 Year 2015 of Ordinances and Technical Requirements of Waste Management Hazardous Materials and Toxic from Healthcare Facilities. The method of this research is descriptive research with cross sectional approach using kualitatif analysis. The object of this research is the management of hazardous materials and toxic waste (LB3) stage of sorting, storage, and transport. The results showed that most of management of hazardous materials and toxic waste (LB3) were in accordance with the standards eztablished. The requirements have not been met on the stage of sorting, storage and transport is not yet the presence of labeling and symbol on the pastic bag waste, waste pharmaceutical and chemical wastes are categorized using the pastic bag brown, storage of waste that is stored for more than 2 days in a polling station, a temporay storage area that does not yet have an alaarm alerting and first aid facilities, still found the presence of compaction or emphasis on waste using feet, and negligence of the officers against the use of protective tools myself in the process of transporting the waste.]]>
<![CDATA[Aplikasi Pengelolaan Sampah Terpadu Di Kelurahan Tembalang Kota Semarang ]]>
<![CDATA[Elzha Af’idatul Himmah]]>;
<![CDATA[Nur Endah Wahyuningsih]]>;
<![CDATA[Tri Joko]]>
<![CDATA[ Jurnal Kesehatan Masyarakat (Undip) Vol 2, No 1 (2014): JANUARI ]]>
Publisher : <![CDATA[Fakultas Kesehatan Masyarakat Universitas Diponegoro ]]>
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DOI: 10.14710/jkm.v2i1.6376
<![CDATA[Garbage is a classic problem for developing countries such as Indonesia, high population density and human activities lead to a growing amount of waste that is produced also increased and varied. The total population of around 47,763 souls Tembalang Village consists of 5,334 natives and newcomers. High number of population and environmental impacts of solid waste problems especially. Everyday TPS got a shipment exceeding 24 m3 of garbage containers. So that not all waste can be transported to the landfill. Based on data from Semarang City Health Office in 2012-August 2013 in the village Tembalang there were 43 cases of Dengue Hemorrhagic Fever. As for cases of diarrhea based on the data of Semarang City Health Office in 2012 to April 2013 there were 198 cases of diarrhea. This study aims to identify the application of integrated waste management in Sub Tembalang This study is a descriptive study using a qualitative approach to the collection of data through observation depth interview. Subjects taken by purposive sampling, a total of 8 people each RW is in the Village Tembalang, 2 officers garbage collector and three informants triangulation. Analysis of the data using interactive model analysis technique used is content analysis. These results are the source of waste generation from the activities of the household population and non- domestic activities. Operating technic is by shelter, the collection, and transportation. Organic waste processing activities carried residents from 8 RW 2 RW available (25%) and inorganic waste processing done PKK. Community participation in the form of retribution for the collection, sorting garbage, sewage treatment, and the provision of bins. The integration of waste management is a form of guidance, cooperation and partnership in supply/procurement of waste management facilities]]>
<![CDATA[STUDI BEBAN PENCEMARAN LOGAM BERAT KADMIUM (Cd) PADA BALLAST WATER KAPAL BARANG DAN KAPAL PENUMPANG DI PELABUHAN TANJUNG EMAS SEMARANG ]]>
<![CDATA[Anugrah Febrino Balwa]]>;
<![CDATA[Nurjazuli Nurjazuli]]>;
<![CDATA[Tri Joko]]>
<![CDATA[ Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI ]]>
Publisher : <![CDATA[Fakultas Kesehatan Masyarakat Universitas Diponegoro ]]>
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DOI: 10.14710/jkm.v4i4.14347
<![CDATA[Ballast water exchange is one of the operations of the ship. The more number of vessels that lean to make the amount of ballast water that is dumped in the waters of the port of Tanjung Emas the more higher. Ballast water pollution due to the cargo and passenger ships at the Port of Tanjung Emas cause pollution load which impact indirectly on the quality of water.The purpose of this study was to determine the burden of the heavy metal cadmium pollution of water ballast cargo and passenger ships in the Port of Tanjung Emas in Semarang.This type of research is descriptive survey with cross sectional approach. The variables in this research include the number of vessels, the type of ship, age of ship, cadmium levels ship ballast water, sewage discharge ballast water of ships and ship ballast water pollutant load. Population and sample in this research were 30 cargo and passenger ships with criteria that ship rely at the port of Tanjung Emas in Semarang and have a ballast water tank. The results showed cadmium levels of 30 samples ship ballast water (100%) is above the threshold value with the highest level of 2,457 mg/l and the lowest level of 1,076 mg/l. Waste discharge ballast water ships at the Port of Tanjung Emas highest level of 350 m3/hour and the lowest level of 1.00 m3/hour. The results of pollutant load calculations ship ballast water of 30 samples cargo and passenger ships at the Port of Tanjung Emas shows that the highest pollutant load of 0,782 kg/day and most lower pollutant load 0,002 kg/day. The conclusion of this study is the pollutant load of cadmium from the cargo and passenger ships at the Port of Tanjung Emas has a varies value depending on the type of ship and vessel age.]]>
<![CDATA[HUBUNGAN RIWAYAT PAPARAN PESTISIDA IBU SAAT HAMIL DENGAN KEJADIAN STUNTING ANAK USIA 2- 5 TAHUN (Studi Kasus di Wilayah Kerja Puskesmas Sawangan 1, Kabupaten Magelang) ]]>
<![CDATA[Annisa Aulia Nurrohmah]]>;
<![CDATA[Nurjazuli Nurjazuli]]>;
<![CDATA[Tri Joko]]>
<![CDATA[ Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER ]]>
Publisher : <![CDATA[Fakultas Kesehatan Masyarakat Universitas Diponegoro ]]>
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DOI: 10.14710/jkm.v6i6.22153
<![CDATA[Background: Stunting is identified by Z score index body-length-for-age. Z score index body-length-for-age children with stunting is lower than -2SD. Children with stunting have a risk of decreasing learning achievement, productivity and degenerative diseases in the future. Chemicals in the environment (xenobiotics) such as pesticides might cause stunting.Methods: It was an observational analytic research with case-control study design. The population in this study were mothers who had children aged 2-5 years in the Puskesmas Sawangan 1 work area. Samples were grouped into cases and controls with 51 subjects in each group. Primary data was obtained through interviews. Data were analyzed by univariate and bivariate using contingency coefficients.Results: Mixing pesticides (p = 0,022), washing spraying equipment (p = 0,021), spraying (p = 0,021) and completeness of PPE (p = 0,041) are associated with the incidence of stunting in children aged 2-5 years. While the duration of work (p = 0.061) and the presence of pesticides in the house (p = 0.208) does not associated with the incidence of stunting of children aged 2-5 years.]]>
<![CDATA[HUBUNGAN ANTARA KADAR DEBU TOTAL DAN PERSONAL HYGIENE DENGAN GANGGUAN FUNGSI PARU PADA PEKERJA PENGOLAHAN KAYU DI CV INDO JATI UTAMA SEMARANG ]]>
<![CDATA[Lisa Okta Permatasari]]>;
<![CDATA[Mursid Rahardjo]]>;
<![CDATA[Tri Joko]]>
<![CDATA[ Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 5 (2017): SEPTEMBER ]]>
Publisher : <![CDATA[Fakultas Kesehatan Masyarakat Universitas Diponegoro ]]>
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DOI: 10.14710/jkm.v5i5.19194
<![CDATA[The wood processing industry has the potential to cause air pollution in the workplace in the form of wood dust. The purpose of this study was to analyze the relationship between total dust content and personal hygiene with pulmonary function disorder in wood processing workers in CV Indo Jati Utama Semarang using cross sectional design. The population in this study is the air that exists in the work environment of the company along with 65 workers from five parts in the wood processing industry. The sample of this research is 5 point of air sample location with 38 respondents who have fulfilled the inclusion criteria. Of the 38 workers it was found that 9 workers had normal function (23.7%), 2 workers had severe restriction (5.3%), 10 workers had moderate restriction disorder (26.3%), 15 workers had mild restriction (39, 5%) and 2 workers had severe obstruction (5.3%). The result of the research with fisher exact test showed that there was correlation of total dust content (p = 0,040), respirable dust level (p = 0,036), and use of Personal Protective Equipment (PPE) (p = 0,021). Inhaled dust levels are risk factors for lung function impairment (RP = 2.714; RP> 1). The conclusion in this research is there is correlation of total dust content, respirable dust level, and usage of PPE in wood processing worker at CV Indo Jati Utama Semarang.]]>
<![CDATA[GAMBARAN RUMAH SAKIT UMUM DAERAH KABUPATEN BATANG DALAM PENERAPAN GREEN HOSPITAL DI KABUPATEN BATANG ]]>
<![CDATA[Rahmi Nur Alifiani]]>;
<![CDATA[Mursid Rahardjo]]>;
<![CDATA[Tri Joko]]>
<![CDATA[ Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER ]]>
Publisher : <![CDATA[Fakultas Kesehatan Masyarakat Universitas Diponegoro ]]>
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DOI: 10.14710/jkm.v6i6.22190
<![CDATA[Batang District Hospital is a type C hospital that haven’t entirely applied environmental friendly hospital building concept that empowering the power of nature as a main resource with the result as feared in environmental management could pollute the environment. The purpose of this study is to review the quality of environmental in RSUD Kabupaten Batang toward the implementation of green hospital. This study is qualitative study with descriptive approach. Sampling for this study using purposive technique sampling consist of 8 main informants and 1 triangulation informant. Result for 10 assessment aspects show that leadership aspect had achieved 2 points, location and landscape had achieved 3 points, hospital building had achieved 2 points, energy efficiency had achieved 1 point, water conservation had achieved 2 points, hospital waste had achieved 4 points, chemical material had 0 poin, environmental hygiene and vector control had achieved 3 points, food processing had achieved 2 points, and air quality had achieved 2 points. Based on data that have been collected and point counting refers to Green Building Council Indonesia, WHO guidance, hospital PROPER assessment, Goverment Regulation of Public Works No. 02 year 2015, and Health Minister Decision No. 1204 year 2004 with percentage as much as 48,84% that had fulfilled standard score 21 points from maximal 43 points. Batang District Hospital had fulfilled the criteria as building that applied Green Hospital concept as the assessment from GBCI and had fulfilled minimum standard rating fulfillment as much as 20 points for the Silver rate. Gold rank can be achieved if it has met 25 points and Platinum rank with a minimum achievement of 31 points.]]>
<![CDATA[HUBUNGAN SANITASI KAPAL DENGAN KEBERADAAN VEKTOR PENYAKIT DAN RODENT PADA KAPAL PENUMPANG DI PELABUHAN MERAK PROVINSI BANTEN ]]>
<![CDATA[Burhanuddin Thohir]]>;
<![CDATA[Tri Joko]]>;
<![CDATA[Hanan Lanang Dangiran]]>
<![CDATA[ Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 4 (2018): JULI ]]>
Publisher : <![CDATA[Fakultas Kesehatan Masyarakat Universitas Diponegoro ]]>
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DOI: 10.14710/jkm.v6i4.21449
<![CDATA[Merak Port Banten Province is the most populous crossing port in Indonesia. Data of sanitation supervision of passenger ship transportation equipment at Merak harbor conducted by officer of Port Health Office (KKP) Class II Banten, during the period of 2015-2016 the number of vessels that have been inspected free of vector and rodent and carried out sanitary ship free from vector and rodent tends to increase from 28 ships to 75 ships. In the examination of some places that are found are kitchen, passenger room, warehouse and bed of crew. The purpose of this research is to know relation of ship sanitation with existence of vector and rodent on passenger ship. This type of research is quantitative with global observational analytical method and cross sectional design. The data collecting is done by observation on passenger ship that is 30 passenger vessel, data processing is done by Chi Square test between independent variable and dependent variable. The results showed that sanitation of kitchen, warehouse and bed room is related to the existence of vector and rodent. While the sanitation of the passenger room is all well categorized and can not be tested because it is homogeneous. Sanitation vessels by checking overall with good category 15 and bad 15 and chi square test results obtained p value = 0,009 that can be concluded that the existence of relation between sanitary vessel with existence of disease vector and rodent on passenger ship.]]>
<![CDATA[PENGELOLAAN LIMBAH BAHAN BERBAHAYA DAN BERACUN (B3) BERDASARKAN PERINGKAT PROPER DI RSUD UNGARAN ]]>
<![CDATA[Bella Arieza Andriyana]]>;
<![CDATA[Tri Joko]]>;
<![CDATA[Hanan Lanang Dangiran]]>
<![CDATA[ Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 5 (2017): SEPTEMBER ]]>
Publisher : <![CDATA[Fakultas Kesehatan Masyarakat Universitas Diponegoro ]]>
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DOI: 10.14710/jkm.v5i5.19173
<![CDATA[The hospital is one of the agencies that must perform the assessment for PROPER, this is because it has risks in water pollution, air pollution, and the management of B3 waste generated from health service activities in the hospital. RSUD Ungaran is a type C hospital that has not received PROPER assessment in B3 waste management. The management is still not in accordance with Government Regulation No. 101 in 2014, Health Minister Decision No. 1204 in 2004, Environment and Forestry Minister No 56 in 2015 and Environment Minister Decision 03 in 2014. The purpose of this research is to know the management of Hazardous and Toxic Waste based on PROPER rate in RSUD Ungaran. This research is a qualitative research with cross sectional approach. The sample uses a total sampling technique consisting of 3 main informants and 1 triangulation informant. The results showed that the source of the waste came from 14 hospital service rooms with the volume of B3 waste produced per day average of 91.65 kg/day. Assessment of waste management related to sorting, storage, and transportation got percentage of 57,1% which mean still less than requirement that is 100%. The result of PROPER assessment get red rating with percentage 32,26%.]]>
<![CDATA[HUBUNGAN PAPARAN DEBU DENGAN KAPASITAS FUNGSI PARU PADA MASYARAKAT BERISIKO DI JALAN SILIWANGI – WALISONGO KOTA SEMARANG ]]>
<![CDATA[Nabilah Nurhidayanti]]>;
<![CDATA[Nurjazuli Nurjazuli]]>;
<![CDATA[Tri Joko]]>
<![CDATA[ Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER ]]>
Publisher : <![CDATA[Fakultas Kesehatan Masyarakat Universitas Diponegoro ]]>
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DOI: 10.14710/jkm.v6i6.22184
<![CDATA[Semarang is the sixth largest city in the world with high vehicle growth. High road density on the street has an impact on increasing levels of air pollution on area. One of the high road density street in Semarang is Siliwangi – Walisongo street. The result of dust measurement showed Siliwangi=533 µg/m3 and Walisongo=487 µg/m3. This study aimed to analyze the relationship of dust exposure with lung function in community at risk in Siliwangi – Walisongo sreet, Semarang City. This research was an observational analytic research using cross-sectional approach. It was conducted on 30 risky communities at Siliwangi-Walisongo Street which was feasible by purposive sampling to be respondents. Measurement of inhaled dust levels using Personal Dust Sampler (μ = 1.86 and SD = 1.192). Measurement of lung function of the community at risk using spirometer (μ% FVC = 73.87, SD% FVC = 20.88 and μ% FEV1 = 76.6, SD% FEV1 = 21,961). Data were analyzed by using Rank Spearman test with (= 0,05). There was no statistically significant correlation between inhaled dust content and lung function capacity (FVC prediction value (p = 0.078) and average FEV1 (p = 0.097) in risky communities at Siliwangi - Walisongo Street, Semarang City. The use of cross-sectional study is not capable to represent a history of dust exposure before the study. Environmental factors and characteristics of respondents can be a potential factor in strengthening lung function disorders. This study recommends the community to use mask to reduce dust exposure. Health Office is expected to give the information of the dangers of air pollution and the prevention of the dust exposure risks by using proper mask and a better lifestyle.]]>
