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Analisis Faktor Risiko Dalam Penggunaan Pestisida Terhadap Keluhan Hipertensi Pada Petani Holtikurtura Di Desa Jembayan Kecamatan Loa Kulu Anggi Bagus Setiawan; Riyan Ningsih; Vivi Filia Elvira
Buletin Keslingmas Vol 44, No 1 (2025): BULETIN KESLINGMAS VOL. 44 NO. 1 TAHUN 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/keslingmas.v44i1.12812

Abstract

Peningkatan permintaan hasil hortikultura mendorong petani menggunakan pestisida kimia untuk mengendalikan hama. Namun, penggunaan yang tidak tepat, berlebihan, tanpa mengikuti aturan, dan tanpa APD menimbulkan risiko kesehatan, seperti hipertensi, serta mencemari lingkungan. Di Desa Jembayan, mayoritas penduduk bekerja sebagai petani, dengan lonjakan penggunaan pestisida akibat ledakan hama dalam beberapa tahun terakhir.  Penelitian ini menggunakan desain cross-sectional untuk menganalisis faktor risiko penggunaan pestisida terhadap hipertensi pada 50 petani hortikultura. Variabel yang diteliti meliputi jenis pestisida, frekuensi dan durasi penyemprotan, penggunaan APD, masa kerja, serta metode penyemprotan. Hasil penelitian menunjukkan bahwa 74% petani tidak menggunakan APD sesuai standar. Faktor risiko signifikan terhadap hipertensi meliputi durasi penyemprotan lebih dari tiga jam (P = 0,00), masa kerja 10 tahun (P = 0,015), arah angin (P = 0,00), dan kebiasaan merokok (P = 0,00), sedangkan penggunaan APD yang memadai (P = 0,021) mengurangi risiko.  Mayoritas responden adalah laki-laki produktif dengan pendidikan atas, namun tingkat kepatuhan terhadap penggunaan APD masih rendah karena alasan ketidaknyamanan. Meskipun frekuensi penyemprotan rendah, durasi lama serta paparan pestisida akibat arah angin dan kebiasaan merokok meningkatkan risiko. Pestisida yang paling sering digunakan adalah fungisida dan insektisida, dengan sebagian besar petani memiliki masa kerja lebih dari 10 tahun dan lahan kurang dari satu hektar. Oleh karena itu, diperlukan edukasi, penyediaan APD yang ergonomis, serta praktik pertanian aman untuk mengurangi dampak pestisida.
UPAYA PENINGKATAN KUALITAS MAKANAN MELALUI KURSUS HYGIENE SANITASI MAKANAN DI KANTIN UNIVERSITAS MULAWARMAN Riyan Ningsih; Blego Sedionoto; Ade Rahmad Firdaus
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 1 (2024): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i1.20457

Abstract

Abstrak: Masalah penjamah kantin Universitas Mulawarman banyak yang tidak memiliki sertifikat hygiene sanitasi makanan dan minuman padahal itu merupakan syarat jika mau mendirikan jasa makanan dan minuman salah satu penanggung jawabnya harus mempunyai sertifikat dari dinas yang berwenang. Tujuan dilaksanakan pengabdian ini adalah memberikan kursus hygiene sanitasi makanan pada penjamah kantin Unmul untuk meningkatkan kebersihan dan kualitas makanan di kantin unmul menjadi lebih baik. Pengabdian ini menggunakan metode pelatihan hygiene sanitasi makanan dan minuman kepada penjamah makanan di kantin Universitas Mulawarman sebelum dilakukan pelatihan diberikan pretest dan sesudah pelatihan diberikan posttest yang terdiri dari 10 pertanyaan pilihan ganda terkait dengan materi pelatihan. Mitra pendukung pengabdian ini adalah Dinas Kesehatan Kota Samarinda selaku pemateri 1 team yang terdiri dari 3 orang dan mitra peserta penjamah makanan kantin Unmul sebanyak 10 orang. Hasil sudah terlaksana pengabdian dengan baik dan lancar terjadi peningkatan skor pengetahuan 25,6%.Abstract: Food and beverage sanitation hygiene certificate even though it is a requirement if you want to establish a food and beverage service, one of the persons in charge must have a certificate from the authorized agency. The purpose of this service is to provide food sanitation hygiene courses to Unmul canteen handlers to improve the cleanliness and quality of food in the Unmul canteen for the better. This service uses a food and beverage sanitation hygiene training method to food handlers in the canteen of Mulawarman University before the training is given a pretest and after the training is given a posttest consisting of 10 multiple-choice questions related to the training material.this service partner is the Samarinda City Health Office as the speaker of 1 team consisting of 3 people and Unmul canteen food handlers as many as 10 people. The results have been carried out well and there has been an increase in knowledge score of 25.6%.
Dampak Kesehatan Masyarakat dari Kegiatan Pertambangan Batubara di Desa Bintang Ara Barito Selatan, Kalimantan Tengah: Public Health Impact of Coal Mining Activities in Bintang Ara Village, South Barito, Central Kalimantan Ningsih, Riyan; Rahayu, Eka Putri
Jurnal Kesmas Untika Luwuk : Public Health Journal Vol. 16 No. 1 (2025): Jurnal Kesmas Untika Luwuk: Public Health Journal
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51888/phj.v16i1.265

Abstract

Kegiatan pertambangan batubara telah menjadi usaha pemerintah untuk meningkatkan pendapatan negara. Namun, penggunaan sumber daya alam tanpa memperhatikan lingkungan dapat menyebabkan berbagai dampak negatif baik dalam jangka pendek maupun jangka panjang. Penelitian ini bertujuan untuk menganalisis dampak kesehatan masyarakat yang ditimbulkan oleh kegiatan pertambangan batubara. Metode penelitian yang digunakan adalah observasional deskriptif dengan populasi seluruh masyarakat Desa Bintang Ara dan sampel sebanyak 36 responden menggunakan teknik purposive sampling. Hasil penelitian menunjukkan bahwa kegiatan pertambangan batubara menyebabkan pencemaran udara akibat debu batubara yang dapat menimbulkan gangguan pernapasan, serta pencemaran air akibat limbah pertambangan yang mengandung logam berat berbahaya. Tailing atau sisa hasil pertambangan juga berpotensi mencemari lingkungan dengan logam berat seperti kadmium, merkuri, dan timbal yang dapat menyebabkan toksisitas akut dan kronis pada manusia. Untuk mengatasi dampak negatif tersebut, diperlukan upaya pengelolaan lingkungan yang komprehensif, termasuk riset dan survei kondisi lingkungan, evaluasi dan monitoring secara berkala, serta pengolahan limbah pertambangan dengan prosedur yang benar. Coal mining activities have become the government's effort to increase state revenue. However, the use of natural resources without paying attention to the environment can cause various negative impacts both in the short and long term. This study aims to analyze the public health impact caused by coal mining activities. The research method used was descriptive observation with the population of the entire community of Bintang Ara Village and a sample of 36 respondents using the purposive sampling technique. The results of the study show that coal mining activities cause air pollution due to coal dust which can cause respiratory disorders, as well as water pollution due to mining waste containing harmful heavy metals. Tailings or mining residues also have the potential to pollute the environment with heavy metals such as cadmium, mercury, and lead which can cause acute and chronic toxicity. To overcome these negative impacts, comprehensive environmental management efforts are needed, including research and surveys of environmental conditions, regular evaluation and monitoring and processing of mining waste using correct procedures.  
Perbandingan Kualitas Sanitasi Kapal Motor (Motor Vessel) Berbendera Asia dan Non-Asia di Pelabuhan PT. Kaltim Prima Coal Surianto, Heri; Sedionoto, Blego; Ningsih, Riyan; Wirapuspita Wisnuwardani, Ratih
ENVIRONMENTAL OCCUPATIONAL HEALTH AND SAFETY JOURNAL Vol. 5 No. 2 (2025): EOHSJ
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/eohjs.5.2.63-74

Abstract

Pelabuhan merupakan area penting dalam lalu lintas barang dan manusia serta berisiko tinggi menjadi jalur masuk penyakit menular. PT. Kaltim Prima Coal (KPC) sebagai pelabuhan ekspor batu bara terbesar di Indonesia menerima ratusan kapal dari berbagai negara setiap tahunnya. Penelitian ini bertujuan untuk membandingkan kualitas sanitasi kapal berbendera Asia dan non-Asia yang bersandar di pelabuhan tersebut. Penelitian menggunakan pendekatan kuantitatif deskriptif terhadap 41 kapal (16 Asia, 25 non-Asia) dan menilai 8 kompartemen: dapur, ruang makan, gudang, ruang kru, air minum, penyimpanan makanan, limbah cair dan limbah padat. Hasil uji t menunjukkan perbedaan signifikan pada kualitas sanitasi dapur, ruang makan, ruang kru, dan penyimpanan makanan (p<0,05), di mana kapal non-Asia memiliki nilai lebih tinggi. Tidak terdapat perbedaan signifikan pada kompartemen lainnya. Kapal berbendera non-Asia memiliki kualitas sanitasi yang relatif lebih baik dibanding kapal berbendera Asia. Kata kunci: sanitasi kapal, kapal asing, pelabuhan, kesehatan masyarakat --- Ports serve as critical hubs for goods and human movement, but also pose a high risk for the introduction of infectious diseases. PT. Kaltim Prima Coal (KPC), the largest coal export port in Indonesia, receives hundreds of ships from various countries annually. This study aims to compare the sanitation quality of Asia-flagged and non-Asia-flagged motor vessels docking at the port. A descriptive quantitative approach was used to observe 41 vessels (16 Asia, 25 non-Asia), assessing 8 compartments: kitchen, dining room, storage, crew quarters, drinking water, food storage, liquid waste, and solid waste. Independent t-test results showed significant differences in sanitation quality in the kitchen, dining room, crew quarters, and food storage compartments (p<0.05), with non-Asia-flagged vessels scoring higher. No significant differences were found in the remaining compartments.Non-Asia-flagged vessels tend to exhibit better sanitation quality compared to Asia-flagged vessels. Keywords: ship sanitation, foreign vessels, port, public health
ECOBRICK SEBAGAI SOLUSI DALAM MINIMASI LIMBAH PADAT DI KAWASAN WISATA PESISIR KABUPATEN BERAU Fitrah, Muhammad Aidil; Elvira, Vivi Filia; Syamsir, Syamsir; Rachmawati, Ayudhia; Ningsih, Riyan; Sedionoto, Blego; Badrah, Sitti
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 2 (2025): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i2.29578

Abstract

Abstrak: Produksi limbah padat di kawasan wisata pesisir terus meningkat akibat perilaku dan praktik pengelolaan sampah yang tidak memadai sehingga menyebabkan pencemaran lingkungan pesisir. Salah satu solusi inovasi untuk minimasi limbah padat khususnya plastik secara sederhana melalui pembuatan ecobrick. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan masyarakat dalam pengelolaan limbah padat di kawasan wisata pesisir Kab. Berau. Metode yang diterapkan dalam kegiatan pengabdian Masyarakat meliputi tahap persiapan, sosialisasi, simulasi praktik, serta monitoring dan evaluasi menggunakan instrumen pre-test dan post-test dengan jumlah sampel 13 Orang (n-13). Hasil evaluasi menunjukkan rata-rata pengetahuan masyarakat dari 76,92% pada pre-test menjadi 92,3% pada post-test, dengan peningkatan sebesar 15,38%. Berdasarkan hasil tersebut maka disimpulkan terdapat peningkatan pengetahuan masyarakat tentang pengelolaan limbah plastik menjadi ecobrick. Kegiatan ini diharapkan dapat memberikan kontribusi signifikan terhadap pengelolaan lingkungan yang berkelanjutan dan bernilai ekonomis di kawasan wisata pesisir.Abstract: Solid waste production in coastal tourism areas continues to increase due to inadequate waste management behavior and practices, causing pollution of the coastal environment. One of the innovative solutions for solid waste minimization, especially plastic, is simply through ecobricking. This community service activity aims to increase community knowledge and skills in solid waste management in the coastal tourism area of Teluk Sulaiman Village, Biduk-biduk District, Berau Regency. The methods applied in community service activities include the preparation stage, socialization, practical simulation, and monitoring and evaluation using pre-test and post-test instruments with a sample size of 13 people (n-13). The evaluation results show the average community knowledge from 76.92% in the pre-test to 92.3% in the post-test, with an increase of 15.38%. Based on these results, it is concluded that there is an increase in community knowledge about managing plastic waste into eco-bricks. This activity is expected to significantly contribute to sustainable environmental management and economic value in coastal tourism areas.
The Influence of Marketing Mix (7P) on Patient Satisfaction in Hospitals: A Literature Review Yusron, Ahmad; Rohmah, Nur; Ningsih, Riyan
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Healthcare services in hospitals are rapidly developing. To cope with these changes, hospitals are required to implement optimal strategies to compete and adapt. Hospital marketing is becoming increasingly competitive worldwide. Marketing mix strategy is considered one of the core concepts of marketing theory. This literature review aims to analyze the effect of the marketing mix on patient satisfaction in various hospitals. The research method used in this study is a Systematic Literature Review (SLR). Search from google scholar, PubMed, google.com, Portal Garuda, with search keywords "marketing mix", "patient satisfaction" and “hospital". Published articles from 2019 to 2024. Reference From the 70 articles obtained, then the articles used were 8 articles that met the inclusion criteria. Overall, the results of this literature review indicate that the implementation of a comprehensive marketing mix strategy plays an important role in improving "patient satisfaction" and indicates that "patient satisfaction" can be optimized through integrated management of "marketing mix" components. All articles studied show the results of the influence of the marketing mix (product, price, place, promotion, people, process, physical evidence) on patient satisfaction  in hospitals.
The Influence of Marketing Mix (7P) on Patient Satisfaction in Hospital: A Systematic Literatur Review Yusron, Ahmad; Rohmah, Nur; Ningsih, Riyan
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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

Abstract

Background : Helathcare services in hospitals are rapidly developing. To cope with these changes, hospitals are required to implement optimal strategies to compete and adapt. Hospital marketing is becoming increasingly competitive worldwide. Marketing mix stategy is considered one of the core concepts of marketing theory. Objective : to analyze the effect of the marketing mix on patient satisfaction in various hospital Research Methods/ Implementation Methods : A systematic Review. Search from Google Scholar, Pubmed, Google, Portal Garuda with search keywords marketing mix, patient satisfaction and hospital. From 70 articles obtained, then the articles used were articles that met the inclusion criteria. Results : Overall, the resulta of this literature review indicate that the implememtation of a comprehensive marketing mix strategy plays an important role in improving patient satisfaction and indicates that patient satisfaction can be optimized through integrated management of marketing mic components Conclusion/Lesson Learned : All articles studied show the results of the influence of the marketing mix (product, price, place, promotion, people, process, physical evidence) on patient satisfaction in hospitals
Behaviour of Hygiene and Household Sanitation: The Potential Reducing of Strongyloidiasis Sedionoto, Blego; Suhardi, Suhardi; Ningsih, Riyan; Syamsir, Syamsir; Anamnart, Witthaya
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Environmental in tropical rainforest with warm temperature duo to the increasing risk of strongyloidiasis where low sanitation and personal hygiene of communities. Sebuntal sub-distric, East Kalimantan has an high risk of the infections Objective : This study would be showed the infection rates, the correlation analysis between the risk factors and the prevalence of strongyloidiasis Research Methods/ Implementation Methods : A cross-sectional study was performed among 118 participants from the rural community of Sebuntal sub-district. This study would be showed the infection rates, the correlation analysis between the risk factors and the prevalence of strongyloidiasis had used logistic regression analysis. Kato Katz technique and Koga agar plate culture/KAP culture method were be used in this study for diagnosing of the infections. Results : The infection was found In this study was founded the infection; 16 (13.3%). The high risk of strongyloidiasis were occupation; 2.08 (0.99-4.35), drinking water; 1.99 (1.08-3.69), personal hygiene especially usual foot washing after soil contact 1.26 (1.01-1.58), usual un-cook vegetable 1.27 (0.98-1.63), and wash hand after soil contact1.27 (1.02-1.58) respectively. Conclusion/Lesson Learned : The ecological and social roots of the risk factors that important for preventing the program. The analysis of risk factors important for prevention program
Analysis of Sanitary Hygiene Quality and Germ Rate in the Home Industry Chips Faizah, Faizah; Ningsih, Riyan; Syamsir, Syamsir
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Food Poisoning Extraordinary Events (KLB KP) are often not fully reported, with the vast majority of cases not being recorded. In 2019, there were 77 KP KLB cases in Indonesia, especially in West Sumatra, with most cases caused by unhygienic household processed foods. Judging from the type of food that causes food poisoning, household processed food has the largest percentage compared to snack food, food service food, and processed food The number of KP KLB reports does not always indicate the level of food safety. Objective : The purpose of the study was to determine the relationship between the quality of sanitary hygiene and the presence of germs in cooking utensils in the home industry of chips in Tanjung Selor Floating Village. Research Methods/ Implementation Methods : The research design used is a type of correlation descriptive research with a cross sectional design where this research is measured or observed at the same time at one time. The population in this study is the entire home chip industry of Tanjung Selor Floating Village as many as 7 home industries, with the Total sampling technique. The research instrument used observation sheets and interviews, analyzed using the Chi-Square Test. Results : The results of the statistical test were obtained from the relationship between personal hygiene and sanitation of cookware storage and the presence of germ numbers (pValue=0.048). Meanwhile, the relationship between cooking ware washing techniques and cooking utensils sanitation with the presence of germ numbers (pValue=0.143). Conclusion/Lesson Learned : The conclusion and suggestion of this study is that there is a relationship between personal hygiene and sanitation of cookware storage and the existence of germ numbers in the chip home industry in Tanjung Selor Floating Village. There is no relationship between cooking ware washing techniques and cooking utensils sanitation and the existence of germs in the chip industry home of Tanjung Selor Floating Village. It is recommended to the local government to increase supervision and guidance on the home industry.
Penerapan Metode Double Distribution Dalam Penetapan Tarif Pelayanan Poli Gigi Di RS LNG Badak Bontang Suhargiati, Atik; K, Iriyani; Ningsih, Riyan; Mualimin, Jaya; Adrianto, Ratno; Bakhtiar, Rahmat
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.48462

Abstract

Penetapan tarif layanan kesehatan yang tidak berbasis perhitungan biaya nyata dapat menyebabkan kerugian bagi rumah sakit atau membatasi akses masyarakat terhadap layanan. Di RS LNG Badak Bontang, tarif layanan Poli Gigi selama ini ditetapkan berdasarkan estimasi dan perbandingan dengan rumah sakit lain, bukan dari analisis biaya aktual. Penelitian ini bertujuan untuk menganalisis struktur biaya dan menghitung unit cost layanan Poli Gigi sebagai dasar penetapan tarif yang lebih rasional dan berkelanjutan. Metode yang digunakan metode deskriptif kuantitatif dengan pendekatan double distribution, menyesuaikan dengan keterbatasan data klinis yang tersedia. Hasil penelitian menunjukkan bahwa Total biaya operasional Poli Gigi mencapai Rp14,4 miliar, dengan 62,9% berupa biaya semi-variabel, didominasi gaji pegawai. Biaya tetap hanya 4,7%, dan variabel 32,5%, sebagian besar tercatat sebagai “operasional lainnya,” menunjukkan kelemahan pencatatan biaya rinci. Konsultasi dan asuhan keperawatan menyerap biaya besar karena volumenya tinggi, sementara tindakan seperti Pulp Capping memiliki unit cost tertinggi dan berisiko merugi. Hasil ini menunjukkan bahwa sebagian besar layanan masih menguntungkan dengan tarif internal (CRR >100%), namun berisiko rugi jika mengacu pada tarif lama sehingga RS memerlukan penyesuaian tarif berbasis biaya riil dan peningkatan efisiensi agar layanan berkelanjutan.