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GAMBARAN PELAKSANAAN KEGIATAN KIA DI KABUPATEN SERANG Eri Witcahyo; Isa Ma’rufi
Jurnal Ilmu Kesehatan Masyarakat Vol 9 No 1 (2013)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

Serang is ones of district of Banten Province which has problem at maternal, neonatal, child health. Maternal and child mortality rate shows increase trend each years. The purpose of this study was to describe Maternal & Child Health activities implementation at communities. Type of research is descriptive by interview technique. Informants on the study are midwife coordinator and manager line at each Community Health Center (Sub District Pamarayan, Kramat Watu and Tirtayasa). The results showed that according to the informant are partnership between midwives and TBA has to improve, reward system is also give to community to increase their participate at all of Maternal & Child Health activities which held by government. Social activities at community are also the meaning part to improve Maternal & Child Health activities. According to the result, it is suggested to create innovative program for communities. It needs to use effective methods and media so that communities impress to join the activity. Participatory approach is also important to improve community participative.
Efek Pajanan Debu Kayu terhadap Gangguan Faal Paru Isa Ma'rufi
MPI (Media Pharmaceutica Indonesiana) Vol. 1 No. 1 (2016): JUNE
Publisher : Fakultas Farmasi, Universitas Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (414.866 KB) | DOI: 10.24123/mpi.v1i1.53

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Masalah utama pada kesehatan kerja perajin mebel kayu adalah gangguan pernafasan.Tujuan penelitian ini adalah menganalisis hubungan antara kadar debu dengan gangguan faal parupada perajin mebel di Kabupaten Pasuruan. Penelitian ini termasuk penelitian observasional, dilakukanpengamatan, wawancara dan pengisian kuesioner serta melakukan pengukuran pada beberapavariabel yang sedang diteliti, yaitu kadar debu dan keluhan pernafasan. Sampel penelitian adalah 96responden, dengan teknik pengambilan sampel adalah simple random sampling. Teknik analisis datadari penelitian ini adalah analitik. Hasil penelitian menunjukkan bahwa untuk gangguan paru obstruksi,72 responden (75%) normal, sedangkan obstruksi ringan sebanyak 15 responden (15,6%),obstruksi sedang sebanyak 6 responden (6,3%), dan obstruksi berat sebanyak 3 responden (3,1%).Gangguan paru restriksi menunjukkan bahwa responden normal tidak ada (0%), restriksi ringan sebanyak12 responden (12,5%), restriksi sedang sebanyak 39 responden (40,6%), dan restriksi beratsebanyak 45 responden (46,9%) Hasil pengukuran kadar debu kayu di bagian kerja mebel, menunjukkanuntuk bagian pemotongan kadar debunya adalah 0,5985 mg/m3, bagian pengukiran 1,7432mg/m3, dan bagian finishing 8,8426 mg/m3, jika dibandingkan dengan Nilai Ambang Batas (NAB)yang hanya 1,00 mg/m3, maka kadar debu di bagian pengukiran dan finishing melebihi NAB. Dapatdisimpulkan bahwa kadar debu berkorelasi dengan gangguan fungsi paru (p < 0,05).
Analisis Risiko Kesehatan Lingkungan (SO2 , H2S, NO2 dan TSP) Akibat Transportasi Kendaraan Bermotor di Kota Surabaya Isa Ma'rufi
MPI (Media Pharmaceutica Indonesiana) Vol. 1 No. 4 (2017): DECEMBER
Publisher : Fakultas Farmasi, Universitas Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (281.278 KB) | DOI: 10.24123/mpi.v1i4.770

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Analisis Risiko Kesehatan Lingkungan (ARKL) merupakan suatu pendekatan untukmenghitung atau memprakirakan risiko pada kesehatan manusia, termasuk identifikasi terhadapadanya faktor ketidakpastian, penelusuran pada pajanan tertentu, memperhitungkan karakteristikyang melekat pada agen yang menjadi perhatian dan karakteristik dari sasaran yang spesifik. Jenispenelitian ini adalah penelitian deskriptif dengan risk agent adalah SO2, H2S, NO2, dan TSP. Penelitiandilaksanakan di Jalan Bundaran waru, Jalan A. Yani, Jalan Darmo dan Jalan Perak untuk melihat risikokesehatan lingkungan akibat pencemaran udara kendaraan bermotor dengan waktu penelitianadalah bulan Juli 2015. Data yang digunakan adalah data primer. Variabel pada penelitian ini adalahidentifikasi bahaya, identifikasi sumber, analisis pajanan, analisis dosis-respon, karakterisasi risiko,dan manajemen risiko kesehatan lingkungan. Hasil penelitian untuk kadar risk agent menunjukkanbahwa kadar SO2 tertinggi sebesar 7,3 mg/m3, kadar H2S tertinggi yaitu 2,10 mg/m3, kadar NO2tertinggi yaitu 4,1 mg/m3, dan kadar TSP tertinggi yaitu 2,46 mg/m3. Nilai RQ untuk setiap riskagent di lokasi studi seluruhnya menunjukkan di atas 1 (satu), hal itu berarti beberapa gas di udarayang berasal dari kendaraan bermotor sangat berisiko dan membutuhkan pengendalian lingkungan.
RISK MANAGEMENT OF DUE TO EXPOSURE TO PESTICIDE POISONING FOR TOBACCO FARMERS IN THE JEMBER DISTRICT Eri Witcahyo; Isa Ma’rufi
UNEJ e-Proceeding Proceeding of 1st International Conference on Medicine and Health Sciences (ICMHS)
Publisher : UPT Penerbitan Universitas Jember

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Abstract

The main problem is the use of pesticides at thistime when farmers use pesticides and not on thebasis of necessity be indicative, but carried out"blanket cover system", it means there is not a plantpest or noxious poison that is constantly sprayed toplant. Besides spraying technique is sometimesdownwind, causing farmers unknowingly inhalepesticides. Excessive pesticide use behavior as itactually causes new problems that their pesticideresidues in agricultural products, and ultimatelyharm the farmers and the wider community both hissafety and health (MOH, 2006).The issue of pesticide use also occurs in tobaccofarmers in Jember district, most of the farmers donot pay attention to the rules of the use of pesticidesand the use of PPE is not standardized so it is veryrisky to poisoning by pesticides. Jember is one of themajor tobacco-producing areas in Indonesia. Typesof tobacco grown in this region are the na-OogstBesuki tobacco. Besides to its rich aroma, this type oftobacco were famous because of its elastic so it isfitting to be a cigar wrapper. That's what makes thistobacco known in international marketPesticides are chemical substances that are used formaterial used to control, reject, lure, or eradicatepests. Pesticides have a major role in increasingagricultural production. Based on the experience inLatin America with the use of pesticides can increaseproduction up to 40% on cocoa. In Pakistan,pesticides help increase sugarcane production by33%, and based on the record FAO pesticide use cansave 50% on the results of the cotton plant (Sudomo,1992; Mahyuni, 2015)In agriculture, use of pesticides has been perceivedbenefits to increase production. The presence ofpesticides benefits and advantages such as rapidreduce the population of pests of plants with alonger period of control, easy and practical to use it,easily manufactured on a large scale and easilytransported and stored. It was economical beneficialin use of pesticides. However, that does not meanthe use of pesticides does not cause adverse effects.Pesticides enter the body through the skin,absorption through the skin continue for pesticidesstill in the skin, through the mouth (ingestion) due toaccident, negligence or intentional (suicide) wouldresult in severe poisoning and death, throughbreathing can be a powder, droplets or steam cancause serious damage to the nose, through thethroat if inhaled quite a lot. Then through bloodcirculation can finally get into the organssystematically. Organs are usually exposed to toxinsare the lungs, liver (hepatic), central nervous system(brain and spinal cord), bone marrow, kidneys, skin,nervous edge, and blood. The toxic effects on thebody also will give local effects such as irritation,allergic reactions, dermatitis, ulcers, acne and othersymptoms (Ekti, 2007).Manifestations class organophosphate pesticidepoisoning occurs in various organs in the body. Mildsymptoms that often arises is dizziness, blurredvision, hyper saliva, nausea, vomiting, diarrhea, andeven can cause severe bronchospasm andrespiratory muscle paralysis with manifestations ofshortness of breath, as well as abnormalities in theheart, namely the occurrence of cardiac arrhythmias.On acute exposure, class of organophosphatepesticides can cause respiratory problems.Disruption of the respiratory center will cause asymptom that leads to the progressive bradipneubreathing. Health problems occur due to the doseand frequency that do not fit. As an example, a doseof 1 ml of pesticides with high value activeingredients used for 1 ha of crops, farmers usepesticides in their application for theorganophosphate class of ½ ha with a reason topests or plant pests (OPT) that attack die soon. Thefrequency of spraying more than 3 times a month isnot good for health and the standard pesticidespraying (Arifiyanto, 2008).Risk analysis is a process consisting of the steps thathave been formulated, having the sequence (steps)and assist in making better decisions by looking atthe risks and impacts that may occur. Riskmanagement is a systematic method that consists ofProceeding ICMHS 2016 ISBN 978-602-60569-3-1205establishing the context, identifying, researching,evaluating, treatment, monitoring andcommunicating risks associated with any activity,process or function so as to minimize losses of thecompany (AS / NZS 4360; 2004).The process of risk analysis as contained in the RiskManagement Standard AS / NZS 4360, which include(1) Communication and consultation, risk analysisneeds to be communicated to all parties.Communication used may be circular, practicalguidance, communication forums, handbooks orguidelines; (2) define the context (purpose), thisprocess takes place within the framework of theorganization's strategic, organizational and riskmanagement context; (3) Risk identification, thisstep seeks to identify risks to be managed, should beusing a good system. Risk identification shouldinclude either exists or does not exist in theorganization; (4) Risk analysis, aiming to separatesmall and large risks and provide the data evaluationand improvement; (5) Risk evaluation, is to evaluatethe risks if those risks are acceptable or not, (6) Riskmanagement is the realization of a risk managementefforts workplace.The objective of this study was to analyze the risk ofpesticide poisoning in the tobacco farmers inJember.
Hubungan Perilaku Penggunaan Alat Pelindung Diri (APD) dan Perilaku Personal Hygiene dengan Penyakit Kulit Menggunakan TRA (Theory of Reasoned Action) Icha Rohmah Damayanti Agustin; Dewi Prihatini; Isa Ma’rufi
Multidisciplinary Journal Vol 3 No 2 (2020): Desember 2020
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (802.939 KB) | DOI: 10.19184/multijournal.v3i2.24044

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In order to prevent skin disease among worker, both Personal Protective Equipment (PPE) usage and hygiene personal play important role. The objective of this study is to analyse the correlation between PPE usage and hygiene personal toward skin disease among scavenger in TPA Pakusari – Jember. This study was observational analytics, with cross sectional design. The number of participants was 57 scavengers, consist of 36 female and 21 males. The statistical analysis used Cramer’s V by SPSS. The findings of this study is: 1) The PPE usage is correlated toward skin disease, 2) The hygiene personal is correlated toward skin disease. Keyword: skin disease, PPE utilising, hygiene personal
Pengaruh Stress Kerja Terhadap Kejadian Kecelakaan Kerja di Industri Kayu Lapis Bagian Rotary Jember, Indonesia Fihris Maulidiah Suhma; Ancah Caesarina Novi; Isa Ma’rufi
Multidisciplinary Journal Vol 3 No 1 (2020): Juli 2020
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1021.354 KB) | DOI: 10.19184/multijournal.v3i1.23662

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The current industrial development is getting more advanced and developing every year. The business world, including the industry, is increasingly competitive and is making the best of efforts to optimally utilize all resources, including utilizing human resources. However, efforts to optimize and utilize resources have an impact on humans or workers, namely job stress. Work stress on workers that occurs when daily data in the work environment exceeds the worker's ability to cope with or control work stress so that it will improve mental and physical workers. The general objective of this research is to analyze the effect of stress on the incidence of work accidents in one of the plywood industries in the rotary section in Jember Regency. This research is a quantitative study using an analytic observational research design with a cross sectional method. The population includes all the plywood industry workers in PT. X, Jember district, rotary part of 339 workers, with a sample size of 76 people. The sampling technique used in this study was quota random sampling with a multivariate analysis process. Based on the results of the study, it was obtained from the P value that there was no significant effect between work stress and the incidence of work accidents that occurred in the rotary section at PT. X in Jember. This is possible because the workers’ stress level is still in the medium category, and they can still cope with the stress they experience. Keyword: industry, work place accident, unsafe action, workers. Keywords: industry, work place accident, unsafe action, workers
Kebiasaan Merokok dan Umur Terhadap Kejadian ISPA Pada Petani Di Kecamatan Ijen Bondowoso Aditya Sapta Wardana; Isa Ma’rufi; Ristya Widi E Y
Multidisciplinary Journal Vol 3 No 2 (2020): Desember 2020
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.215 KB) | DOI: 10.19184/multijournal.v3i2.24049

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The number of Acute Respiratory Infection (ARI) among farmer showed high in area of Ijen – Bondowoso. There are several risk factors that may contribute of ARI case, such as individual factor, behavior, and environment. This study aims to analyze the correlation between smoking behavior and age toward acute respiratory syndrome among farmer. This was observational analytics, where the study design was cross sectional. The data was primer, where the information was collected from 101 farmer as respondent. This study was analyzed in SPSS 22.0. This study found that: 1) Age is correlated toward ARI case among farmer, and 2) smoking behavior also showed significant toward ARI case among farmer. Keyword: smoking behavior, age, acute respiratory infection
Lumbung Pangan Sebagai Upaya Ketangguhan Pangan Masa Pandemi Covid-19 Desa Kabuaran Bondowoso Merissa Pramudita; Devit Dewi Anggraini; Nurul Hidayat; Erisa Yuniardiningsih; Meri Dwi Apriliyanti; Pandan Wangi; Isa Ma’rufi
Multidisciplinary Journal Vol 3 No 1 (2020): Juli 2020
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1239.359 KB) | DOI: 10.19184/multijournal.v3i1.23685

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Food becomes the main concern in food reliance effort for the society particularly during the COVID19 Pandemic. To guarantee the food supply, village plays the essential role to ensure the food supply for village, regency, province and the nation. The Act 74 regulation no 6/2014 on village provides an authority for villages to prioritize its budget for development, including primary necessity on food. This research aims at revealing the role of food barn as the attempt to achieve food resilience during the pandemic in Kabuaran Village Grujugan District Bondowoso Regency. The method applied is qualitative with case study. Research area cover Kabuatan Village Grujugan District Bondowoso Regency with the subjects including head village of Kabuaran as the key informant, the village secretary, the treasurers and the head of Covid-19 Task Force as the main informant, Food Barn Cadre as well as those related to food barn management in Kabuaran Village as the supporting informants. Purposive Sampling is used and data were collected primarily by check list and interview dan secondary data includes documents or file from village’s archives. The results shows that the food barn located in Semeru Resilient Village Kabuaran is in good condition as evidenced in the food supply, administration, food supply distribution, recipient line up and well-arranged food distribution and the availability of innovation such as Ginger, lemongrass and sugar. Herbs and traditional medicine plants are well taken care of and used by the villagers. To conclude, the food barn constructs resilient in villagers life particularly during the pandemic covid19. The food barn enables village to be resilient and independent. Keywords: COVID-19, food resilience, food barn
Evaluasi Penerapan Protokol Kesehatan Di Kampung Tangguh Semeru Perumahan Mastrip Kabupaten Jember Fariha Mariroh; Ari Rizki Racheshi; Endah Putri; Nonik Aisyah Rohman; Weni Widiyasari; Isa Ma’rufi
Multidisciplinary Journal Vol 3 No 1 (2020): Juli 2020
Publisher : Pascasarjana Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1038.629 KB) | DOI: 10.19184/multijournal.v3i1.23680

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Corona virus is a new variety of virus which shocks the world for its infections on millions of people all over the world in just a short period of time. Indonesian Government has put its greatest effort to deal with COVID19 by Kampung Tangguh Semeru (SEMERU RESILIENT KAMPONG). One of Kampung Tangguh Semeru in Jember Regency is Perumahan Mastrip RW 18-21 Kecamatan Sumbersari. High level of solidarity and communal mutual cooperation has made the area as the pilot area for COVID19 countermeasures. This research has purpose to evaluate the implementation of health protocol in the piloted residential area. Qualitative and descriptive analytic approach is employed during the research. The findings indicate that health protocol has been implemented well in SEMERU TOUGH KAMPONG Mastrip Residence. The good implementation of indicators is evident in its people awareness, security portals, food availability, security, and innovation. Keywords: corona virus, evaluation, Kampung Tangguh (Resilient Kampong)
Determinan Stres Kerja Pada Penjaga Palang Pintu Rel Kereta Api Resmi Resort 9.6 Daerah Operasi IX Di Kabupaten Jember Dhanny Indra Prasetya; Isa Ma’rufi; Reny Indrayani
Jurnal Kesehatan Vol 6 No 2 (2018): Agustus
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-kes.v6i2.13

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Abstract             Transportation sector development is one of the sub sectors that is important to support economic development. Poor transportation sector will develop human activities. One type of transportation is a train that has a special line and avoid congestion, Sometimes the train also cut off the highway, so the railway door is made to function to secure the train journey and guarded the door keepers. The problem in the concern at PT KAI is human error, One example of human error is a door keepers undisciplined in closing the railway door gates. One of the danger areas is Jember Regency which is located in DAOP IX, it is because Jember Regency had the most railway door in DAOP IX and has many crossings in the settlement area. The results of observations before the study found some workers who show symptoms of work stress. Jember regency had 12 official railway door and there are 47 door keepers who are all male. The door keepers are mostly 25-40 years old, have a working period of 1-5 years, have married marriage status, and have children <3, have wage / salary Rp.1.500.000-Rp.3.500.000, almost half of the respondents experienced fatigue and severe stress. The results of the study found there is a relationship between age, employment, marital status, wages / salary with work stress, but fatigue and wages/salary are not related to work stress.Keywords: Work Stress, Human error, Door keepers.