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POLA SEBARAN KEJADIAN PENYAKIT PNEUMONIA PADA BALITA DI KECAMATAN BERGAS, KABUPATEN SEMARANG Mia Sri Aulina; Mursid Rahardjo; Nurjazuli Nurjazuli
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 5 (2017): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (498.751 KB) | DOI: 10.14710/jkm.v5i5.19198

Abstract

Pneumonia is an infectious disease that causes death in children around the world. The discovery and treatment of pneumonia infants in Central Java in 2015 was 53.31%. In 2016 the discovery of infant pneumonia in Semarang District is the highest is Puskesmas Bergas that is as many as 346 cases of 3,828 children under five years. Risk factors that can cause pneumonia are environmental factors inside and outside the home. The purpose of this study was to analyze the pattern of the spread of pneumonia in under five years based on environmental factors and to see the relationship of pneumonia occurrence in infants with environmental factors in the house Bergas, Semarang District. The type of this research is observational analytics with case control design and sampling with purposive sampling technique. The number of samples in this study were all children under five years (0-59 months) who had a history of pneumonia from October 2016 to April 2017 of 102 respondents. Bivariate analysis using chi square test with significance value (α = 5%) showed that there was significant correlation between floor type (p-value 0,010) and fuel type (p-value 0,019) with pneumonia incidence in children under five years. Spatial analysis using Arcgis software 10.3. The pattern of spreading incidence of pneumonia in Bergas, Semarang District showed clustered pattern. The dominant patterns of environmental risk factors for pneumonia among children under five years are population density, healthy house coverage, industrial density and the presence of health services.
HUBUNGAN FAKTOR LINGKUNGAN DENGAN PERSEBARAN KEJADIAN DEMAM BERDARAH DENGUE (DBD) DI KECAMATAN JEPARA KABUPATEN JEPARA Zulmi Indriyani; Mursid Rahardjo; Onny Setiani
Jurnal Kesehatan Masyarakat (Undip) Vol 3, No 3 (2015): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (93.494 KB) | DOI: 10.14710/jkm.v3i3.12747

Abstract

Dengue Hemorrhagic Fever (DHF) was an important health issue in the world, particularly in tropical countries such as Indonesia. Jepara was one of the city that has relatively high cases of DHF every year. In 2013, jepara had the highest cases among the cities in central java with IR 183.6/100,000 capita and CFR of 12,5 %. District in jepara that has highest case is jepara subdistrict. Environmental factor such as physical, bilologi and sosial are considered as a major factor that influencing the high number of DHF cases. In this researh, SIG analyses is perfomed to detemine the relationship between environment and DHF cases in the jepara subdistrict.The aim of this research is to analyze and mapping the spatial distribution of the relationship between environmental factor with DHF cases in Jepara subdistrict. This researh was a observasional research with case control reseach design. The sample of research was obtained from 72 respondents (36 cases and 36 control). The data was analysed using univarriate method, bivariate method with chi-square and spatial method to map the case of DHF.According to the result, there was 52,8% houses with air at risk, 91,7% houses with humidity at risk, 81,9% respondent’s houses with House Index at high risk, 55,3% respondents with Container Index at high risk and 70,8% respondents that have less behaviour to DHF.There is a tendency that high rainfall will cause the high case of DHF. There is no significant relatioship between temperature of house with the case of DHF p-value 0.345 OR (0.643). theres is no significant relationship between moisture of the house with the case of DHF p-value 0,674 OR(2,125). There is relatiopship between House Index (HI) with the case  DHF p-value 0,006 OR(7,480). There is relantionship between Container Index (CI) with the case DHF p-value 0,001 OR(5,588). There is relationship between behavior of respondents with  the case DHF p-value 0,007 OR(3,912).The conclution of this research is that there is relationship between HI, CI and behavior with the case of DHF. So, the PSN awarness should be necessarily improved in order to change the bad behaviour of society and thus the number of HI and CI can be reduced.
EFEKTIVITAS PENURUNAN KADAR AMONIAK DAN KADAR FOSFAT DI INSTALASI PENGOLAHAN AIR LIMBAH RSUD SUNAN KALIJAGA DEMAK Tatag Kurnia Putra; Sulistyani Sulistyani; Mursid Rahardjo; Suhartono Suhartono
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 1 (2018): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (57.647 KB) | DOI: 10.14710/jkm.v6i1.20215

Abstract

Level of ammonia and phosphate content of liquid waste of RSUD Sunan Kalijaga Demak exceeded the quality standard as stipulated in Central Java Regulation no. 5 Year 2012. High levels of ammonia and phosphate levels can cause a decrease in environmental quality. This study aims to determine the effectiveness of decreased levels of ammonia and phofate levels in the waste water treatment plant RSUD Sunan Kalijaga Demak.This type of research is observational. The population in this research is effluent of liquid waste RSUD Sunan Kalijaga Demak and sample consist of 80 liters effluent of liquid waste. The average sampling result showed that the ammoniac inlet level was 0.26 mg / l and the ammonia outlet level was 0.15 mg / l so that there was a decrease of ammonia content of 40.68%. As for the phosphate inlet level of 14.96mg / l and phosphate outlet 2.67 mg / l so that there was a decrease in phosphate content of 82.16%.The results of this study indicate that the processing of WWTP in the waste water treatment plant RSUD Sunan Kalijaga Demak has been effective in levels of ammonia and phosphate levels in RSUD Sunan Kalijaga Demak. Based on different test, ammonia level before treatment is different with after processing with significance value 0,007 smaller than α = 0,05. While the phosphate levels before treatment is different with after processing with a significance value of 0.004 smaller than α = 0.05. The results of this study indicate that the effluent treatment using chlorine is effective to reduce the ammonia and phosphate levels
Evaluasi Kinerja Pengelolaan Air Limbah Domestik terhadap Tingkat Kekeruhan dan Kadar Escherichiacolidalam Air Tanah di Perumnas Gunung Kota Cirebon Anisa Nur Fitri Setiarini; Mursid Rahardjo; Onny Setiani
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 2 (2016): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (289.479 KB) | DOI: 10.14710/jkm.v4i2.11937

Abstract

The dominant resources of water contamination in Cirebon are come from domestic activities which potentially caused an impact of groundwater. Rinjani WWTP (Wastewater Treatment Plan) is the one which serving the wastewater treatment in Perumnas Gunung, Cirebon. The purpose of this research are to determine the performance of domestic wastewater management towards the level of turbidity and Escherichia coli on ground water at Perumnas Gunung, Cirebon. Type of the research is observational using qualitative and quantitative analysis with cross sectional research methods. A qualitative samples are the employees of Wastewater division while the quantitative samples are 30 of wells water at Perumnas Gunung. The research results show that there are some lacks on the aspects of wastewater management, i.e., technically operational, institutional, financing, regulation, and public participation. WWTP effectiveness in reducing NH3 parameter rated as very effective while BOD, COD, NO3-, and TSS parameter considered less effective. Correlation test shows that there is no relationship between the range of sewerage with the well towards the turbidity level of groundwater (p value=0,147), otherwise there is a relationship between the range of sewerage with the well towards the amount of E.coli on groundwater (p value=0,002). Regression test shows that there is no effect between the range of sewerage with the well towards the amount of E.coli on groundwater (p value = 0,080). The conclusion of this research is that turbiditty level on the researched sample, about 100% samples still meet the quality standards. However, it was found the existence of groundwater contamination by E. coli on 40% sample. It is important to be aware as a result of waste water seepage from sewerage which contaminate the surrounding ground water
HUBUNGAN KONDISI LINGKUNGAN FISIK RUMAH DENGAN KEJADIAN PNEUMONIA PADA ANAK BALITA DI KECAMATAN PACITAN KABUPATEN PACITAN Delima Kurnia Sari; Mursid Rahardjo; Tri Joko
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.145 KB) | DOI: 10.14710/jkm.v6i6.22157

Abstract

During the last 3 years the incidence of pneumonia in Pacitan District fluctuated. The highest pneumonia incidence in 2017 was in Pacitan subdistrict with 146 cases with incident rate in 2017 was 38 per 1000 children. This study aimed to analyze the physical environmental of house factors associated with pneumonia in under-five children in Pacitan district. This research used observational analytic study with case control design. Samples in this research were 80 children aged 12-59 months  consisting of 40 case groups and 40 control group with age and sex of the children matching. Analysis of data using chi square test and Odds Ratio (OR). The result showed the majority of respondents' houses had wall types, occupancy density, proportion of house ventilation that fulfilled the requirements. Respondent's house has a range of room temperature ranging from 26.3 ºC -32.8 ºC and room humidity level 47.5% -77%. There were 4 related variables from 9 variabels such as  the presence of family members who smoked (p-value=0,035; OR=3,116; 95%CI=1,184-8,200), use of mosquito coils (p-value=0,034; OR=9,750; 95%CI=1,158-82,108), type of floor (p-value=0,042; OR=3,400; 95%CI=1,156-9,996) and lighting intensity (p-value=0,001; OR=7,364; 95%CI=2,204-24,602). It can be concluded that there is a relationship between condition of physical environment at home with pneumonia in children under five years in Pacitan district.
FAKTOR-FAKTOR RISIKO YANG BERHUBUNGAN DENGAN KONSENTRASI TIMBAL (Pb) DALAM DARAH PADA PEKERJA DI PERUSAHAAN ROKOK WIDO DI KABUPATEN KUDUS Tri Anggi Huwaida; Mursid Rahardjo; Onny Setiani
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 3 (2016): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (95.288 KB) | DOI: 10.14710/jkm.v4i3.13697

Abstract

Lead is one of the chemicals most dangerous air pollutions in the working environment. Cigarette company is a company that could potentially lead to air pollutants contribute. So that worker in the tobacco company including people at risk of exposure to metallic lead, because the raw tobacco used contain lead. This study aims to determine risk factors for blood lead concentrations in workers in Wido Cigarette Companies at Kudus and activity of male workers who smoke in work area. This type of research is observational with cross sectional approach. The population in this study is that there is air in the working environment of the company and 86 workers in the company. Samples from this study are located at three locations of air samples with the number of respondents 46 people with simple random sampling method. The results of test fisher exact shows that there are correlation in smoking habits (p=0,029), gender (p=0,029), and nutritional status (p=0,037) with the concentration of lead in the blood as well as with smoking habits, is a risk factor with the concentration of lead in the blood (RP=2,000 ; RP >1). The conclusion of this study are there is have a relationship of smoking habits, gender, and nutritional status with the concentration of lead in the blood of workers at the cigarette company wido. Suggestions for the company applying the rules to not smoke in work area. For workers suggested using Personal Protective Equipement when working.
FAKTOR RISIKO LINGKUNGAN PADA KEJADIAN ASMA DI WILAYAH KERJA PUSKESMAS MANGKANG KOTA SEMARANG Anamika Labitta; Budiyono Budiyono; Mursid Rahardjo
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (90.116 KB) | DOI: 10.14710/jkm.v4i4.14343

Abstract

Semarang’s Asthma cases have increasing in from 5040 to 5711 cases in 2013. Based on number of cases, which 177 cases on 2014 and 133 case on 2015, the Asthma prevalence of Puskesmas Mangkang is 1,5℅. Asthma is affected by the family asthma’s occurrence and the air particulate pollution, such as PM10 and PM2.5. The air pollutant particulates are identified from House condition. This research aims to identify the correlation between environmental risk factors and asthma occurrences at Puskesmas Mangkang’s working area. The research methodology used observational analytic with case control study design. The sample size are 37 respondents in each case and control groups. There are using univariate and bivariate analysis with Chi Square test. The average temperature is 31 degree Celsius, 65% air humidity, and PM10 concentration 585µg/m3. The result shows from 8 independent variables there are 2 variables those correlate to asthma case, those are indoor air humidity (p-value= 0,048; OR= 3,96; 95% CI= 1,140-13,756) and furry pets ownership (p-value=0,036; OR= 2,70; 95% CI= 1,056-6,941). Finally, Indoor air humidity and furry pets ownership are factors that correlate to asthma’s occurrences in Puskesmas Mangkang’s working area.
HUBUNGAN KADAR DEBU TERHIRUP DENGAN GANGGUAN FUNGSI PARU PADA PEKERJA INDUSTRI MEBEL PT MARLENY JEPARA Nabilla Rachma Anjani; Mursid Rahardjo; Budiyono Budiyono
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 6 (2018): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.52 KB) | DOI: 10.14710/jkm.v6i6.22185

Abstract

Lung function disorder is one of the most common occupational diseases that cause of morbidity and mortality worldwide. Furniture industry workers are workers with high levels of dust exposure and are at risk of developing lung function disorders. Based on the results of a preliminary study at PT Marleny Jepara showed that the total dust value in 3 parts of furniture production exceeded the quality standards set in the sanding section of 1200.855 μg/Nm3, finishing section 970.085 μg/Nm3, seat section 474.359 μg/Nm3. This research aims to analyze the association of respirable dust exposure and lung function disorders on furniture industry workers of PT Marleny Jepara. This reseacrh was an observasional research with a cross sectional approach. Population of this research were 42 workers with inclusion criteria at furniture industry PT Marleny Jepara, meanwhile the samples were 30 workers by simple random sampling.  Data were analyzed by using Chi Square test with α = 0.05. The results showed there were 82.6% respondents with respirable dust exposure above the TLV had lung function disorder. The most common type lung function of respondents was mild restriction (85.7%). There ware a significants association between respirable dust exposure (p value = 0.014) and lung function disorder. The research can be concluded that the respondents with the respirable dust value above TLV had a greater risk of having lung function disorder.
HUBUNGAN TINGKAT KEBISINGAN DENGAN TEKANAN DARAH PADA PEKERJA GROUND HANDLING DI BANDAR UDARA INTERNASIONAL ADISUTJIPTO YOGYAKARTA Catarina Citra Puspa Dewi; Onny Setiani; Mursid Rahardjo
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 4 (2018): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (279.449 KB) | DOI: 10.14710/jkm.v6i4.21450

Abstract

Adisuptjipto International Airport Yogyakarta has busy fligth services which causing noises. Noise exposure which exceed the threshold limit can cause a phisiological changes to blood pressure. This research had a purpose to determine the correlation of noise exposure with blood pressure on ground handling workers in Adisutjipto International Airport Yogyakarta. This research used observational analytic research with cross sectional approach. Ground handling workers of Adisutjipto International Airport Yogyakarta were used as subject in this research. Result of noise exposure in Apron A > 85dBA, noise exposure in Apron B ≤ 85 dBA. Paired sample T-test result has mean value of systolic blood pressure increase is 10,561 mmHg with significant value 0.000 (significant level < 0.05), where as mean value of diastolic blood pressure increase is 5.561 mmHg with significant value 0.000 (significant level <0.05). Chi-square test result between noise exposure with systolic blood pressure are (p=0,014; OR= 5,625) and diastolic blood pressure are (p= 0.028; OR= 4.156). the conclusion of this research present there is a significant difference (systolic blood pressure, diastolic blood pressure) between before and after working (affected to noise exposure). There is correlation between noise exposure with blood pressure on ground handling workers in Adisutjipto International Airport Yogyakarta. Advice to ground handling workers to always use hearing protection device.
PENYUSUNAN INDEKS KUALITAS KESEHATAN LINGKUNGAN (STUDI KASUS DI PELABUHAN TANJUNG EMAS SEMARANG) Bintar Wahyu Ismail; Mursid Rahardjo; Onny Setiani
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 5 (2017): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (102.584 KB) | DOI: 10.14710/jkm.v5i5.19174

Abstract

Public Health around the harbor can be disturbed by various factors one of them due to high activity on the port that can cause environmental degradation of water, land and air. In addition carryover of disease vectors as well as the sanitary condition food management (TPM), which is in the port environment can also potentially cause or transmit disease. This research aimed to determine Environmental Quality Index at the Port of Tanjung Emas in Semarang. This type of research was a cross sectional research with descriptive analysis method with quantitative approach. Sample that been used in this research is sanitary hygiene quality sample of TPM and environmental parameters. The results of the analysis of the quality of hygiene and sanitation MDGs include both categories (Plj: 0.99), of 3 TPM examined contained 1 TPM are not eligible. Water quality including lightly polluted category (Plj: 3.24). The results of the examination of the parameters E. coli and lead (Pb) in water, and the pH, Pb and Total Suspended Solid (TSS) in the sea water obtained Pb parameter in clean water and sea water exceeding the threshold value (NAV). The air quality is good category (Plj: 0.64), the results of the examination of dust and Pb parameter, just dust in the air can be categorized as lightly polluted. Quality soil for examination Pb categorized as good (Plj: 0.03). The quality of noise includes both categories (Plj: 0.97). The quality of disease vectors including lightly polluted category (Plj: 2), the results of the examination of vector rats and flies, fly vector only were categorized as lightly polluted. The result of the calculation of the environmental quality index analysis showed that the Environmental Quality at the Port of Tanjung Emas Semarang still fall into the category of lightly polluted with total index score of 1,474.