Angga Mardro Raharjo
Departemen Kesehatan Masyarakat, Fakultas Kedokteran Universitas Jember, Jember 68121

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Bacterial and parasitic contamination of raw vegetable in Jember regency, Indonesia : potential risk for food-borne diseases Diana Chusna Mufida; Elvia Rahmi Marga Putri; Dini Agustina; Enny Suswati; Muhammad Ali Shodikin; Yunita Armiyanti; Bagus Hermansyah; Wiwien Sugih Utami; Angga Mardro Raharjo
International Journal of Public Health Science (IJPHS) Vol 11, No 4: December 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i4.21875

Abstract

A raw vegetable is one of the transmission factors in human food-borne infection. Contamination might start from the plantation, distribution, until at serving time in the dining table. A higher level of contamination will increase the risk of food-borne illness. The study aims to determine bacteria and parasite contamination in some raw vegetables that people usually consume in Jember Regency, East Java, Indonesia. In this study, we collected raw vegetable from eight traditional markets. We chose randomly at each market five samples of vegetables that usually directly consumed, like lettuce, tomato, cabbage, basil, long bean, and cucumber. Pathogens we identified limited on bacteria and parasite like helminth and protozoan group. This study showed that 91% contaminated by E. coli, 84% by Staphylococcus aureus, and 79% contaminated by Vibrio cholerae. Besides bacteria, 36% of samples contaminated by the helminth group, and protozoa contaminated 27%. The most vegetables contaminated was lettuce, even in bacterial or parasitic contamination. This study concluded that there is contamination in raw vegetables usually directly consumed in Jember Regency. It will be a potential risk factor for food-borne illness in the future.
Hubungan Pengetahuan Keamanan Pangan dengan Higiene Penjual dan Kontaminasi Salmonella spp Pada Lalapan Mentah di Kecamatan Patrang Adilah Julinar Irianti; Diana Chusna Mufida; Muhammad Ali Shodikin; Yudha Nurdian; Bagus Hermansyah; Angga Mardro Raharjo
Jurnal Kesehatan Lingkungan Indonesia Vol 21, No 2 (2022): Juni 2022
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.21.2.180-187

Abstract

Latar belakang: Berdasarkan data Wilayah Kerja Puskesmas Patrang didapatkan sebanyak 2964 kasus diare pada tahun 2020 di Kabupaten Jember. Diare dapat terjadi akibat infeksi bakteri Salmonella spp. yang menular secara oral fecal. Bakteri Salmonella spp seringkali mencemari bahan pangan terutama sayuran. Sementara itu, masyarakat Indonesia sering mengonsumsi sayuran mentah yang disebut dengan lalapan mentah. Kontaminasi bakteri pada lalapan mentah dapat disebabkan oleh kondisi higiene penjual yang kurang baik yang dipengaruhi oleh beberapa faktor, seperti pengetahuan keamanan pangan penjual. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan keamanan pangan dengan higiene penjual dan kontaminan Salmonella spp pada lalapan mentah di Kecamatan Patrang.Metode: Penelitian ini menggunakan metode observasional analitik dengan desain penelitian cross sectional, dan data dianalisis menggunakan uji Spearman Rank. Sampel ditentukan dengan teknik simple random sampling dengan jumlah sampel 30 penjual.Hasil: Hasil penelitian menemukan bahwa 83,3% penjual memiliki pengetahuan keamanan pangan yang baik, 46,7% penjual memiliki higiene personal yang cukup, dan 80% lalapan mentah terkontaminasi Salmonella spp. Pada uji analisis Spearman Rank tidak didapatkan hasil yang signifikan antara pengetahuan keamanan pangan dengan higiene penjual (0,721>0,05) dan tidak ada hasil yang signifikan antara pengetahuan keamanan pangan dengan Salmonella spp (0,235>0,05).Simpulan: Dapat disimpulkan bahwa tidak ada hubungan pengetahuan keamanan pangan dengan higiene penjual dan Salmonella spp pada lalapan mentah di Kecamatan Patrang. ABSTRACT Title: Relation of Food Safety Knowledge, Seller Hygiene, and Salmonella spp on Raw Lalapan in Patrang DistrictBackground: Based on data from the Patrang Health Center Work Area, there were 2964 cases of diarrhea in 2020 in Jember Regency. Diarrhea can occur due to infection with Salmonella spp. which is transmitted oral fecal. Salmonella spp can contaminate food especially vegetables. Meanwhile, Indonesian people often consume vegetables salad called raw lalapan. Raw lalapan contamination can caused by seller poor hygiene that influenced by several factors, such as their food safety knowledge. This study aims to determine the relation of food safety knowledge with seller hygiene and Salmonella spp contaminants on raw lalapan in Patrang District.Method: This study used an analytical observational method with a cross sectional study design, and the data were analyzed using Spearman Rank test. The sample was determined by a simple random sampling technique with a sample of 30 sellers.Result:  The study found that 83.3% seller had good food safety knowledge, 46.7% seller had sufficient personal hygiene, and 80% of raw lalapan  were contaminated with Salmonella spp. In the Spearman Rank analysis test, there were no significant results between food safety knowledge and seller hygiene (0.721>0.05) and no significant results between food safety knowledge and Salmonella spp contaminants (0.235>0 ,05).Conclusion: So, it can be concluded that there was no relation of food safety knowledge with seller hygiene and Salmonella spp contaminants in raw vegetables in Patrang District.
Environmental Sanitation as Risk Factors for Intestinal Protozoa Infection among Stunted Children in Sugerkidul Village, Indonesia Hanu Neda Septian; Erma Sulistyaningsih; Angga Mardro Raharjo; Bagus Hermansyah; Wiwien Sugih Utami; Yunita Armiyanti
Al-Sihah : The Public Health Science Journal Volume 15, Nomor 1, January-June 2023
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/al-sihah.v15i1.35378

Abstract

Stunting, a prevalent health issue in Indonesia, has been found to have a significant impact on the overall well-being of children, with a prevalence rate of 24.4%. This condition not only affects physical growth but also puts children at a heightened risk of various infections, including those caused by intestinal protozoa. Therefore, this study aimed to determine the relationship between personal hygiene parenting style and environmental sanitation with intestinal protozoa infection among stunted children in Sugerkidul Village, Jember District, Indonesia. The participants included were 30 stunted children. Questionnaires were used to collect data on personal hygiene parenting style and environmental sanitation, while microscopic stool examination was conducted to identify intestinal protozoa infection. The results showed that 26.7% of stunted children were infected with intestinal protozoa such as Giardia lamblia (13.3%), Blastocystis hominins (3.3%), and Cryptosporidium parvum (10%). Statistical analysis using Fisher's exact test showed a significant association between environmental sanitation and intestinal protozoa infection. However, there was no association between personal hygiene parenting style and this infection among stunted children in Sugerkidul Village. Therefore, to prevent intestinal protozoa infection, it is necessary to improve environmental sanitation.
Hubungan Tingkat Aktivitas Fisik dengan Tekanan Darah pada Buruh Tani Wanita Hipertensi di Wilayah Kerja Puskesmas Mumbulsari Jember Aisya, Meutia Citra; Jauhar Firdaus; Angga Mardro Raharjo; Aris Prasetyo; Irawan Fajar Kusuma; Ida Srisurani Wiji Astuti
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 5 No. 2 (2024): Oktober
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/comphijournal.v5i2.256

Abstract

Hipertensi pada pekerja pertanian di Indonesia menempati urutan ke-3 teratas berdasarkan Riskesdas, 2018. Tingginya angka tersebut, dipengaruhi oleh banyak faktor, termasuk tingkat aktivitas fisik. Stigma mengenai tingginya aktivitas fisik pada pekerja pertanian sejatinya hanyalah aktivitas kerja, namun tidak untuk aktivitas lainnya, terlebih pekerja wanita yang memiliki peran ganda sehingga tidak ada waktu untuk berolahraga secara rutin. Padahal aktivitas olahraga  dapat mengontrol tekanan darah pada penderita hipertensi. Penelitian ini bertujuan untuk menganalisis ada tidaknya hubungan antara tingkat aktivitas fisik dengan tekanan darah pada buruh tani wanita hipertensi di wilayah kerja Puskesmas Mumbulsari Jember. Penelitian ini merupakan penelitian analitik observasional dengan desain cross-sectional. Sampel penelitian adalah buruh tani wanita hipertensi primer yang tinggal dan pernah melakukan kunjungan di wilayah kerja Puskesmas Mumbulsari Jember. Teknik pengambilan sampel yang digunakan yaitu total sampling sebanyak 42 sampel. Data diambil melalui wawancara kuesioner aktivitas fisik Baecke dan juga pengukuran tekanan darah menggunakan sphygmomanometer digital. Periode sampel yang diteliti adalah buruh tani wanita hipertensi yang melakukan kunjungan ke Posbindu PTM Puskesmas Mumbulsari Jember selama bulan November 2022. Data diolah menggunakan uji statistik regresi linear berganda dengan terlebih dahulu dilakukan uji asumsi klasik. Hasil uji statistik didapatkan  p-value sebesar 0,01 (p<0,05) yang menunjukkan terdapat korelasi signifikan dengan arah negatif antara aktivitas olahraga dengan tekanan darah sistolik pada buruh tani wanita hipertensi di wilayah kerja Puskesmas Mumbulsari Jember.
Determinant of Water Source Contamination by Soil Transmitted Helminths in Rural Areas of Jember District Armiyanti, Yunita; Mash’ab Zirrun Al-Qomah; Angga Mardro Raharjo; Bagus Hermansyah; Wiwien Sugih Utami
BKM Public Health and Community Medicine The 12th UGM Public Health Symposium
Publisher : Universitas Gadjah Mada

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

Abstract

Purpose: This study aims to identify STH eggs and larvae that contaminate water sources in rural areas of Jember and their risk factors. Method: This type of study is an observational analytic study with a cross-sectional approach. Samples from water sources in Mumbulsari and Sukowono districts were taken on inclusion criteria under flotation and sedimentation methods and totaled 56 samples. Respondents were interviewed on account of risk factors related to the presence of STH in water sources using a questionnaire and a total of 56 respondents. Result: The results showed that the common type of STH found was Hookworm (92.31%). The most polluted water source is river (53.84%). Based on the characteristics, the majority of respondents are female (67.86%), aged over 40 years (58.93%), have low education (57.15%), and have no job (51.79%). Found a relationship using chi-square between bowel habits and the presence of STH eggs and larvae (ρ > 0.05). Conclusion: This study proved that STH eggs and larvae can contaminate water sources such as rivers and wells The contamination is related to the habit of defecating not in latrines, so the important prevention for STH infection in water sources is to change the habit of defecation into a healthy habit.