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PERILAKU DETEKSI DINI KANKER SERVIKS MELALUI METODE PEMERIKSAAN INSPEKSI VISUAL ASAM ASETAT (IVA) PADA MAHASISWA MAGISTER FKM UI MENURUT TEORI PROCEEDE â€“ PRECEEDE TAHUN 2019 Aprilla, Gabe Gusmi; Purwanana, Rachmadhi
Jurnal Kedokteran YARSI Vol 27, No 3 (2019): SEPTEMBER - DESEMBER 2019
Publisher : Lembaga Penelitian Universitas YARSI

Latar belakang: Tujuan: Untuk mengetahui perilaku deteksi dini kanker serviks melalui pemeriksaan Inspeksi Visual Asam Asetat (IVA) pada Mahasiswa Magister FKM UI Tahun 2019.Metode: Desain penelitian ini adalah penelitian kualitatif dilakukan di Fakultas Kesehatan Masyarakat Universitas Indonesia (FKM UI) pada bulan April 2019 terhadap 6 orang mahasiswi Magister FKM UI dengan teknik non probability sampling dalam hal ini adalah purposive sampling, suami mahasiswi dan bidan. Hasil: Perilaku pemeriksaan IVA mahasiswi Magister FKM UI Angkatan 2018 sudah bagus karena sudah banyak yang telah melakukan pemeriksaan IVA dan yang belum pemeriksaan IVA dikarenakan telah melakukan pemeriksaan papsmear meskipun ada juga yang masih malu dan takut melakukan pemeriksaan tersebut. Pengetahuan mahasiswi Magister FKM UI Angkatan 2018 tentang pemeriksaan IVA sudah cukup bagus karena telah mampu menjelaskan dengan baik dan beragam mengenai kanker serviks, ciri-ciri, penyebab, deteksi dini, pemeriksaan IVA dan prosedurnya. Mahasiswi Magister FKM UI Angkatan 2018 telah memiliki sikap positif terhadap pemeriksaan IVA meskipun masih ada yang merasa takut dan risih dengan pemeriksaan tersebut. Keterpaparan informasi mahasiswi Magister FKM UI Angkatan 2018 tentang pemeriksaan IVA sudah cukup bagus khususnya yang bersumber dari media sosial. Dukungan tenaga kesehatan dalam pemeriksaan IVA menurut mahasiswi Magister FKM UI Angkatan 2018 belum maksimal dilakukan. Fasilitas pemeriksaan IVA bagi mahasiswi Magister FKM UI Angkatan 2018 mudah karena tersedia di fasilitas kesehatan terdekat di daerah masing-masing dengan biaya gratis bagi pengguna BPJSKesimpulan: Perilaku, pengetahuan dan keterpaparan informasi dalam pemeriksaan IVA pada mahasiswa sudah cukup bagus, sedangkan dukungan tenaga kesehatan dalam pemeriksaan IVA menurut mahasiswa belum maksimal.Kata kunci: Kanker Serviks, Pemeriksaan Inspeksi Visual Asam Asetat, Proceede ? Preceede

STUDI KASUS PEMANFAATAN TOGA DAN AKUPRESUR PROVINSI DKI JAKARTA TAHUN 2020 Gabe Gusmi Aprilla; Rachmadhi Purwana
Herb-Medicine Journal: Terbitan Berkala Ilmiah Herbal, Kedokteran dan Kesehatan Vol 3, No 3 (2020): Herb-Medicine Journal Oktober 2020
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/hmj.v3i3.6994

Sebelum berkembangnya pengobatan modern, masyarakat di dunia menggunakan pengobatan tradisional sebagaiupaya memelihara kesehatan dan menyembuhkan penyakitnya. Di Indonesia bukti nenek moyang menggunakanbahan alam sebagai obat tradisional dari adanya naskah lama.Dalam sistem kesehatan nasional pemanfaatanTOGA dan Akupresur termasuk upaya pemberdayaan bersumber daya masyarakat (UKBM). TOGA merupakansekumpulan tanaman berkhasiat obat untuk kesehatan keluarga yang ditata menjadi sebuah taman dan memilikinilai keindahan. Sedangkan akupresur merupakan suatu prosedur melibatkan stimulasi titik-titik tertentu padatubuh dengan tekananPenelitian ini menggunakan data sekunder dari laporan Riset Kesehatan Dasar Tahun 2018. Data dianalisa secaradeskriptif dengan literatur review dengan tujuan mengetahui gambaran karakteristik masyarakat dalampemanfaatan TOGA dan Akupresur di Provinsi DKI Jakarta.Proporsi masyarakat Indonesia dalam memanfaatkan ramuan jadi 48%, ramuan buatan sendiri 31,8%,keterampilan manual 65,3%, keterampilan olah pikir 1,9% dan keterampilan energi 2,1%. Provinsi terbanyakmemanfaatkan ramuan jadi Kalimantan Selatan 58,4%, sedangkan provinsi terbanyak membuat ramuan sendiriSulawesi Barat 85,5%. Dalam hal memanfaatkan keterampilan manual terbanyak provinsi Kalimantan Selatan83,3%.Dalam hal pemanfaatan TOGA, masyarakat Provinsi Sulawesi Utara paling memanfaatkan TOGA sebesar55,6%, sedangkan masyarakat DKI Jakarta termasuk kurang memanfaatkan TOGA hanya 9,1%.Masyarakat DKIJakarta lebih banyak memanfaatkan ramuan jadi 59,6% dibandingkan membuat ramuan sendiri 18,7%, sedangkanuntuk keterampilan manual termasuk banyak 68,6%.Untuk mendorong masyarakat lebih antuasias memanfaatkan TOGA dan Akupresur, maka perlu strategi sepertimengadakan pelatihan bagi petugas Puskesmas, kader dan masyarakat, perlombaan tingkat Nasional dan Provinsi,inovasi dan sosialisasi

Environmental Impact Assessment of Co-firing Implementation at X Steam Power Plant, West Java Dessy Tri Nugraheni; Rachmadhi Purwana; Udi Syahnoedi Hamzah
Jurnal Presipitasi : Media Komunikasi dan Pengembangan Teknik Lingkungan Vol 20, No 2 (2023): July 2023
Publisher : Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/presipitasi.v20i2.334-344

Co-firing is the activity of adding biomass to the combustion process as a mixed fuel for coal in power plants. In 2021 co-firing has been carried out at 17 PLTUs in Indonesia. The co-firing program at a steam power plant is a form of reducing coal consumption which can reduce carbon emissions while increasing the use of renewable energy without increasing investment in new power plants. PLTU X in West Java, Indonesia has implemented co-firing using sawdust biomass using the direct method without adding or modifying equipment. The use of biomass is obtained from wood-cutting waste, with a ratio of sawdust biomass usage <5%. Assessment of potential environmental impacts is carried out using the Life Cycle Assessment (LCA) method with cradle-to-gate coverage through two scenarios, namely full coal burning, and co-firing. The functional unit uses 1 kWh and the potential impact assessment method used IPCC2021 GWP100 and the CML-IA baseline. The results of the study obtained an assessment of the potential for environmental impact that could reduce the Global Warming Potential (GWP) by 0.13%, acidification by 0.40%, and eutrophication by 0.14%, but there was an increase in ozone layer depletion by 0.72%.

TENORM radiation protection patterns for the sustainable health of workers Primanti, Afthina; Kusnoputranto, Haryoto; Purwana, Rachmadhi; Gozan, Misri
Public Health of Indonesia Vol. 9 No. 3 (2023): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i3.704

Background: Coal production in Indonesia continues to increase to meet national energy needs and export demand. Solid waste from the coal combustion process is estimated to increase significantly. One of the hazardous mining wastes is TENORM, but some TENORM is classified as production goods with economic value. The problem in this research is that the volume of waste containing TENORM is quite large, and the disposal, use, and recycling of TENORM has the potential to cause contamination for workers at the steam power plant and the surrounding environment. Objective: The purpose of this research is to obtain a design model for the protection of the environment and workers against TENORM radioactive waste from coal ash through an analysis of the social and economic perceptions of steam power plant workers regarding TENORM radiation and the effectiveness of TENORM radiation protection education to workers. Methods: A mixed method with a quantitative approach was applied. Data were gathered through field observation utilizing a questionnaire instrument that asked workers working at Steam Power Plant Units 1 – 7 a series of written questions. Results: Prior to Counseling, most Suralaya Steam Power Plant workers had shallow social and economic perceptions of TENORM radiation, with 88 percent unaware of its effects. The majority also paid between 100,000 and 500,000 IDR monthly in medical expenses. All respondents agreed that TENORM radiation safety counseling for Suralaya Steam Power Plant workers was utterly compelling, with acceptance of TENORM and WTP estimates following Counseling being the most important aspect. Conclusion: There was a significant relationship between the WTP variable after Counseling and the variables acceptance of TENORM protection (0.730), TENORM knowledge (0.627) before and after Counseling (after Counseling), and acceptance of TENORM protection (0.648), according to the pattern of protection for the SEM model.

Examining the key factors influencing the sustainability of domestic wastewater reuse in Jakarta using AHP method Theresia, Eliza Sinta; Purwana, Rachmadhi; Rahmatika, Iftita
Operations Excellence: Journal of Applied Industrial Engineering Vol. 17 No. 1 March 2025
Publisher : Universitas Mercu Buana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22441/oe.2025.v17.i1.133

Population expansion, urbanization, economic development, pollution, and climate change are all contributing factors to the growing global problem of water shortage. The Sustainable Development Goals (SDGs) are in danger of being achieved because of this dilemma, particularly SDGs 6 and 11 on clean water and sanitation and sustainable cities, respectively. Only 65.9% of Jakarta's population has access to potable water, and water stress levels range from 40 to 80%. The government is planning a wastewater treatment system (SPALD-T) to recycle household wastewater and produce clean water in order to address this issue. TB. Simatupang's Water Treatment Plant (WWTP) still faces obstacles in adopting wastewater reuse, nonetheless. In Indonesia, wastewater recycling has received little attention, with the majority of studies concentrating on technical concerns rather than sustainability considerations. In contrast, technologies such as desalination and rainfall harvesting are being investigated worldwide. The objective of this research is to examine the technical and non-technical elements that affect wastewater recycling's effectiveness for the generation of sustainable clean water. The results will offer crucial information to help Perumda Paljaya create policies that will effectively utilize wastewater, which will help Jakarta accomplish its sustainable development goals more broadly.

Evaluation of Hospital Sustainability Initiatives in South-east Asia Nurfikri, Ari; Purwana, Rachmadhi; Soesilo, Tri Edhi Budhi; Danial Kesa, Deni
Gema Lingkungan Kesehatan Vol. 23 No. 4 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i4.372

The increasing growth of hospitals in South-east Asia has not been in line with awareness and commitment to sustainability in healthcare facilities. Hospitals play an important role in maintaining public health and contributing to environmental sustainability. However, due to the region's vulnerability to the impacts of climate change, hospitals in South-east Asia have not yet fully transformed into green healthy hospital. This study compares the sustainability of each hospital in South-east Asia that is a member of the Global Green Healthy Hospital (GGHH) based on ten sustainability agendas. This study employs secondary data analysis sourced from the official GGHH website and utilises descriptive quantitative design techniques that include frequency and percentage calculations. The highest percentage of sustainability agenda implementation in the South-east Asia region is waste (72.3%), energy (63.49%), and leadership (52.48%). The lowest percentages are transportation (16.77%), pharmacy (24.92%), and chemicals (31.20%). Hospitals in South-east Asia show a low level of awareness about the implementation of green and healthy hospital practices. Only two countries, the Philippines and Indonesia, have healthcare facilities capable of implementing ten sustainability agendas.

PREDIKSI CURAH HUJAAN MENGGUNAKAN METODE E. J. GUMBEL UNTUK RENCANA SISTEM PENYALIRAN TAMBANG Nurfajar, Ilham Rifki; Purwana, Rachmadhi; Soelarno, Soemarno W.
Jurnal Teknologi Mineral dan Batubara Vol 21 No 1 (2025): Jurnal Teknologi Mineral dan Batubara Edisi Januari 2025
Publisher : Balai Besar Pengujian Mineral dan Batubara tekMIRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30556/jtmb.Vol21.No1.2025.1526

The Tailings Storage Facility (TSF) is one of the largest constructions in mining activities involving sediment ponds that is an important and common facility used in mining activities. This study aims to recommend safe and environmentally friendly water management in settling ponds. This research is done by analyzing rainfall using E. J. Gumbel Method and designing a mine drainage system. The prediction results produce a maximum rainfall of 20.99 mm/day and a rain intensity value of 7.28 mm/hour. The catchment area is 380,355 m2 and the total runoff water discharge is 0.64 m3/second. Runoff water enters the settling pond with a volume of 2,438 m3/day. The capacity of the 3 (three) compartments of settling ponds is 4,500 m3 and an area of 500 m2.

PREDIKSI CURAH HUJAAN MENGGUNAKAN METODE E. J. GUMBEL UNTUK RENCANA SISTEM PENYALIRAN TAMBANG Nurfajar, Ilham Rifki; Purwana, Rachmadhi; Soelarno, Soemarno W.
Jurnal Teknologi Mineral dan Batubara Vol 21 No 1 (2025): Jurnal Teknologi Mineral dan Batubara Edisi Januari 2025
Publisher : Balai Besar Pengujian Mineral dan Batubara tekMIRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30556/jtmb.Vol21.No1.2025.1526

The Tailings Storage Facility (TSF) is one of the largest constructions in mining activities involving sediment ponds that is an important and common facility used in mining activities. This study aims to recommend safe and environmentally friendly water management in settling ponds. This research is done by analyzing rainfall using E. J. Gumbel Method and designing a mine drainage system. The prediction results produce a maximum rainfall of 20.99 mm/day and a rain intensity value of 7.28 mm/hour. The catchment area is 380,355 m2 and the total runoff water discharge is 0.64 m3/second. Runoff water enters the settling pond with a volume of 2,438 m3/day. The capacity of the 3 (three) compartments of settling ponds is 4,500 m3 and an area of 500 m2.

Evaluasi Pengukuran IKD 71 Indikator Tentang Penanggulangan Bencana di Wilayah Kota Tangerang Selatan Hapsari, Meiladyastrinda; Purwana, Rachmadhi; Bisri, Mizan Bustanul Fuady
Jurnal Ketahanan Nasional Vol 31, No 3 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkn.110769

Sejak tahun 2015, Indeks Ketahanan Daerah menggunakan IKD 71 Indikator telah diperkenalkan untuk digunakan secara nasional sebagai alat ukur ketahanan daerah menghadapi bencana. Hasil dari pengukuran ini juga ditargetkan menjadi acuan pembuatan program pengurangan risiko bencana. Namun pengukuran ketahanan dan manfaatnya belum banyak diketahui staf BPBD dan stakeholder di kabupaten kota meskipun pengukuran ketahanan membantu daerah untuk mengidentifikasi program prioritas yang dibutuhkan untuk kesiapsiagaan terhadap bencana. Penelitian ini bertujuan untuk mengevaluasi pengukuran ketahanan bencana yang menggunakan IKD 71 Indikator dengan melihat perangkat IKD 71 Indikator dari konteks pengukuran, proses, input, dan produk yang dihasilkan dari pengukuran ketahanan. Metode penelitian yang digunakan adalah kualitatif dengan teori evaluasi yang digunakan adalah CIPP (Context, Input, Process, Product) dari Stufflebeam. Proses pengambilan data dilakukan dengan teknik wawancara mendalam di tahun 2023 dengan informan yang berasal dari BNPB, BPBD, dan stakeholder daerah. Berdasarkan hasil penelitian ditemukan bahwa konteks ketahanan dipahami oleh sebagian petugas BPBD dan stakeholder di Kota Tangerang Selatan namun pemahaman terhadap mekanisme pengukuran sangat terbatas sehingga pengukuran yang dilakukan belum menjadi prioritas kerja daerah dan penelitian merekomendasi perlunya upaya peningkatan pemahaman dan pemanfaatan nilai IKD 71 Indikator bagi OPD dan petugas BPBD agar pengukuran ketahanan dipahami dan dilakukan di Kota Tangerang Selatan.

THE RELATIONSHIP BETWEEN CLIMATE VARIABILITY AND INFANT DIARRHEA IN A COASTAL AREA OF JAKARTA Dharmayanti, Ika; Purwana, Rachmadhi; Tjandrarini, Dwi Hapsari; Soesilo, Tri Edhi Budhi
Jurnal Ilmiah Ilmu Terapan Universitas Jambi Vol. 10 No. 1 (2026): Volume 10, Nomor 1, February 2026
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jiituj.v10i1.53419

This study examines climatic patterns and the delayed relationship between climate factors and diarrheal cases in this age group. This ecological panel study uses secondary data on monthly diarrhea cases in Penjaringan Subdistrict, North Jakarta, Indonesia. Diarrhea cases obtained from the DKI Jakarta Provincial Health Office between 2013 and 2024 (144 months). Climate factors included temperature, rainfall, relative humidity, and El Niño–Southern Oscillation (ENSO) index. The analysis of climatic patterns was examined descriptively. Associations were analyzed using a negative binomial mixed-effects model with distributed lags to account for delayed effects and spatial heterogeneity. The results indicate that infant diarrhea cases varied significantly by season. An increase of 1°C in temperature at lag 1 increased the case rate by 35% (IRR = 1.35; p = 0.038). Rainfall at lags 0 and 1 showed a small but substantial positive relationship with diarrhea. Higher relative humidity was associated with a lower risk, while ENSO conditions were positively associated with diarrhea. The study found that local meteorological conditions and large-scale climate variability influence the incidence of infant diarrhea in coastal areas. The novelty of this study lies in integrating a distributed lag model with ENSO effects on vulnerable populations. These findings support the development of climate-sensitive monitoring and early warning systems, and strengthening water, sanitation, and hygiene interventions during periods of high climate risk may help reduce the burden of diarrheal disease among high-risk groups.

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