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Determinan kejadian obesitas pada anak sekolah dasar: studi cross-sectional Sandalayuk, Marselia; Arda, Zul Adhayani; Hafid, Wahyuni; Badu, Franning Deisi; Harun, Amalia; Hatta, Herman; Nuryani, Nuryani; Akbar, Hairil; Kanan, Maria
Haga Journal of Public Health (HJPH) Vol. 2 No. 1 (2024): November 2024
Publisher : YAYASAN VICTORY HAGA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62290/hjph.v2i1.37

Abstract

Latar belakang: Obesitas pada anak sekolah dasar merupakan salah satu masalah kesehatan masyarakat di dunia. Masalah psikososial dan emosional seperti timbulnya rasa tidak percaya diri serta stigma sosial merupakan salah satu dampak obesitas pada anak. Studi ini bertujuan untuk menganalisis determinan kejadian obesitas pada anak sekolah dasar di tiga SDN yang ada di Kota Gorontalo Provinsi Gorontalo.Metode: Studi ini menggunakan desain cross sectional. Populasi penelitian adalah seluruh siswa sekolah dasar yang ada di SDN 70 Kota Tengah, SDN 71 Kota Tengah dan SDN 83 Kota Tengah Provinsi Gorontalo, Tahun 2023, dengan jumlah sampel sebanyak 208 anak yang diambil dengan teknik proporsional stratified random sampling. Pengunpukan data dilakukan dengan menyebarkan instrumen penelitian menggunakan kuesioner dan wawancara. Data dianalisis dengan menggunakan uji statistik Chi Square.Hasil: Sebanyak 28,8% anak sekolah mengalami obesitas. Sebanyak 11,5% anak mengalami obesitas karena faktor genetik dan 25,5% karena aktivitas fisik yang rendah. Faktor genetik (p= 0,017) dan aktivitas fisik (p= 0,017) signifikan terhadap kejadian obesitas pada anak. Jenis kelamin (p= 0,873), pendapatan orang tua (P = 0,898), faktor genetik ayah (p = 0,434), frekuensi makan (p= 0,498) dan konsumsi fast food (p = 0,899) adalah tidak signifikan terhadap obesitas pada anak sekolah.Kesimpulan: Salah satu faktor determinan yang memengaruhi kejadian obesitas pada anak sekolah adalah faktor genetik dan aktivitas fisik yang rendah. Jenis kelamin, pendapatan orang tua yang tinggi, faktor genetik ayah yang obesitas, frekuensi makan yang sering serta sering konsumsi fast food adalah tidak signifikan terhadap obesitas pada anak sekolah.
Risk Analysis of Groundwater Contaminant in Rural Areas Using Spatial Distribution Herawati, Herawati; Kanan, Maria; Anwar Mallongi; Bidullah, Ramli; Sakati, Sandy N.; Balebu, Dwi Wahyu
Journal of Public Health and Pharmacy Vol. 4 No. 3: NOVEMBER 2024
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v4i3.6032

Abstract

Background: Water is a very important material for the life of creatures in nature and its function for life cannot be replaced by other compounds. Groundwater is an important resource for humans, especially in rural areas that depend on Groundwaters as the main source of clean water. However, the quality of groundwater in many areas has decreased due to pollution from human activities, such as agriculture and industry. Method: This study aims to analyse the level of pollution risk of groundwaters in rural areas of Masama District, Banggai Regency using descriptive quantitative methods. Spatial analysis of pollution risk was conducted on 516 Groundwaters selected as samples. Spatial data is collected by recording the location of each well using GPS, which is then used to create a spatial map. The pollution risk analysis is based on the Sanitation Inspection results, using 11 key indicators. Result: The results showed that 4 Groundwaters (0.78%) were in the very high pollution risk category, 115 Groundwaters (22.29%) were in the high-risk category, 204 Groundwaters (39.53%) were classified as medium risk, and 193 Groundwaters (37.40%) had low pollution risk. The results indicate that most Groundwaters in the study area are at moderate to high risk. Groundwaters with high and very high risk are dominated by Groundwaters located in Minang Andala, Purwo Agung and Kembang Merta villages, which are agricultural areas with sufficient area and most of the people have livestock around their homes which could potentially be a source of contaminants. Conclusion: This study shows that the majority of Groundwaters in the study area have a moderate to high risk of pollution, with high and very high-risk categories found in villages that have agricultural and livestock activities. This emphasises the need for more intensive groundwater management and protection measures.
Pathogenic Bacteria on Musca domestica: Identification and Antibiotic Sensitivity via MALDI-TOF Kanan, Maria; Herawati Herawati; Inda Hafid; Sandy N. Sakati; Muhammad Syahrir
Journal of Public Health and Pharmacy Vol. 5 No. 1: MARCH 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i1.6268

Abstract

Introduction: Flies are mechanical vectors that can transmit a variety of pathogenic bacteria, potentially causing human infections, especially in hospital settings. Rapid and accurate identification of these pathogenic bacteria, as well as assessment of their sensitivity to antibiotics, is essential for effective infection control. Methods: Sampling of flies in temporary rubbish bins in the hospital environment. Isolation of pathogenic bacteria from fly body surface by culture method, identification of bacteria using MALDI-TOF Mass Spectrometry technology. Antibiotic sensitivity test was conducted using Viteks 2 Compact to assess the effectiveness of therapy against the isolated bacteria. Ethical approval was obtained from Hasanuddin University Makassar. Results: Four species of pathogenic bacteria, namely Staphylococcus sciuri, Staphylococcus xylosus, Klebsiella pneumoniae, and Proteus mirabilis, were successfully identified quickly and accurately using the MALDI-TOF Mass Spectrometry method. Staphylococcus sciuri and Staphylococcus xylosus are sensitive to Benzylpenicillin, Oxacillin, and Ciprofloxacin, although Staphylococcus sciuri shows moderate resistance to Moxifloxacin. Klebsiella pneumoniae is resistant to Ampicillin, but is effective when combined with Sulbactam, while Proteus mirabilis is generally sensitive, except for Tigecycline. These findings are relevant for infection prevention strategies in hospitals, providing more appropriate antibiotic use guidance and supporting antimicrobial resistance control programs. Conclusion: MALDI-TOF Mass Spectrometry method proved effective in the rapid and accurate identification of pathogenic bacteria from flies. Antibiotic sensitivity testing is essential to determine the most effective therapy and avoid the use of less effective antibiotics.
Hubungan Asupan Gizi dengan Kejadian Wasting pada Balita di Wilayah Kerja Puskesmas Toili 1: The Relationship Between Nutritional Intake and the Incidince of Wasting in Children Under Five in the Toili 1 Health Center Working Area Mustika, Lulu; Kanan, Maria; Syahrir, Muhammad
Buletin Kesehatan Mahasiswa Vol. 3 No. 2 (2025): Buletin Kesehatan MAHASISWA
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk Banggai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51888/jpmeo.v3i2.274

Abstract

Asupan zat gizi merupakan jumlah zat gizi yang masuk melalui konsumsi makanan sehari – hari untuk memperoleh energi guna melakukan kegiatan fisik sehari – hari. Penelitian ini bertujuan untuk menganalisis hubungan asupan gizi dengan kejadian wasting pada balita di wilayah kerja Puskesmas Toili I. Jenis penelitian yang digunakan adalah penelitian Observasional Analitik dengan pendekatan Cross Sectional. Populasi penelitian adalah seluruh balita di wilayah kerja Puskesmas Toili I dengan jumlah populasi 1357 orang dan sampel 115 orang. Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah Proporsional Random Sampling. Instrumen penelitian yang digunakan yaitu Kuisioner Food Recall 24 jam yang kemudian dianalisis menggunakan program nutrisurvey dan analisis Univariat serta Bivariat. Hasil penelitian ini menunjukkan Asupan Energi Sesuai pada kelompok balita Tidak Wasting dan Wasting sebanyak 42 orang, dan yang Tidak Sesuai sebanyak 73 orang. Asupan Karbohidrat Sesuai pada kelompok balita tidak Wasting dan Wasting sebanyak 30 orang, dan yang tidak Sesuai sebanyak 85 orang. Asupan Protein Sesuai pada kelompok balita Tidak Wasting dan Wasting sebanyak 98 orang, dan yang Tidak Sesuai sebanyak 17 orang. Asupan lemak sesuai pada kelompok balita tidak Wasting dan Wasting sebanyak 41 orang, dan yang tidak sesuai sebanyak 74 orang. Hal ini menunjukkan bahwa terdapat hubungan yang signifikan antara variabel Asupan Energi, Asupan Karbohidrat, dan Asupan Lemak dengan kejadian Wasting pada Balita dengan nilai signifikan (p-0,00, p-0,00, p-0,00). Tidak terdapat hubungan yang signifikan antara variabel Asupan Protein dengan kejadian Wasting pada Balita dengan nilai signifikan (p-0,648). Saran pada penelitian selanjutnya yaitu alangkah lebih baik lagi jika menggunakan sumber data primer agar mendapatkan hasil lebih berkembang lagi dan penelitian selanjutnya mencoba untuk meneliti zat gizi mikro dengan wasting.  Nutrient intake is the amount of nutrients that enter through daily food consumption to obtain energy to carry out daily physical activities. This study aims to analyze the relationship between nutritional intake and the incidence of wasting in toddlers in the Toili I Community Health Center working area. The type of research used is Observational Analytical research with a Cross Sectional approach. The research population was all toddlers in the Toili I Community Health Center working area with a population of 1357 people and a sample of 115 people. The sampling technique used in this research is Proportional Random Sampling. The research instrument used was the 24-hour Food Recall Questionnaire which was then analyzed using the nutrisurvey program and Univariate and Bivariate analysis. The results of this study showed that the Appropriate Energy Intake in the Non-Wasting and Wasting toddler group was 42 people, and 73 people were Not Appropriate. Appropriate Carbohydrate Intake in the Not Wasting and Wasting toddler group was 30 people, and 85 people were Not Appropriate. Protein intake was appropriate for the Not Wasting and Wasting toddler group, 98 people, and 17 people who were not suitable. Appropriate Fat Intake in the Not Wasting and Wasting toddler group was 41 people, and 74 people were Not Appropriate. This shows that there is a significant relationship between the variables Energy Intake, Carbohydrate Intake and Fat Intake and the incidence of wasting in toddlers with significant values ​​(p-0.00, p-0.00, p-0.00). There is no significant relationship between the protein intake variable and the incidence of wasting in toddlers with a significant value (p-0.648). Suggestions for future research are that it would be better to use primary data sources to get more developed results and for future research to try to examine micronutrients with wasting.
Keselamatan Transportasi Pada Pengendara Sepeda Motor yang Mengalami Kecelakan Lalu Lintas di Kota Luwuk: Overview of Transportation Safety for Motorcyckers who Experience Traffic Accidents in Luwuk City Tongko, Mirawati; Dwicahya, Bambang; Nursin, Widyah Purnama; Kanan, Maria; La Dee, Mustakim
Buletin Kesehatan Mahasiswa Vol. 3 No. 2 (2025): Buletin Kesehatan MAHASISWA
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk Banggai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51888/jpmeo.v3i2.301

Abstract

Kecelakaan lalu lintas jalan dapat menyebabkan kerugian ekonomi yang cukup besar kepada korban, keluarga mereka,dan untuk negara secara keseluruhan. Kerugian ini timbul dari biaya pengobatan termasuk rehabilitasi dan penyelidikan insiden serta mengurangi/kehilangan produktivitas (misalnya upah) untuk mereka yang meninggal atau dinonaktifkan oleh cedera mereka, dan untuk anggota keluarga yang perlumen gambil waktu libur kerja atau sekolah untuk merawat yang terluka. Tujuan penelitian ini untuk mengetahui gambaran keselamatan transportasi pada pengendara sepeda motor yang mengalami kecelakaan lalu lintas di Kota Luwuk. Jenis penelitian yang digunakan adalah penelitian deskriptif dengan pengumpulan data menggunakan data sekunder pada pengendara yang mengalami kecelakan lalu lints di Kota Luwuk, berdasarkan pelaporan dari Satlantas Polres Kabupaten Banggai tahun 2021 – 2022 sebanyak 135 kasus. Hasil penelitian ini menunjukan bahwa Keselataman Trasnportasi dalam kategori kurang baik sejumlah 100 % dimana yang melakukan safety riding sebesar 26 orang(19,3%) dan yang unsafety riding sebesar 109 orang (80,7%), kepatuhan lalu lintas sejumlah 100 pengendara melanggar aturan lalu lintas. Diharapkan keapada seluruh masyarakat agar terus memperhatikan keselamatan transportasi untuk menghindari risiko keselakaan lalu lintas.  Road traffic accidents can cause considerable economic losses to victims, their families, and to the country as a whole. These losses arise from medical costs including rehabilitation and incident investigation as well as reduced/lost productivity (e.g. wages) for those who died or were disabled by their injuries, and for family members who needed to take time off work or school to care for the injured. The aim of this research is to determine the description of transportation safety for motorbike riders who experience traffic accidents in Luwuk City. The type of research used is descriptive research with data collection using secondary data on drivers who experienced traffic accidents in Luwuk City, based on reports from the Banggai Regency Police Traffic Unit for 2021 - 2022 totaling 135 cases. The results of this research show that transportation safety in the poor category is 100%, where 26 people do safe riding (19.3%) and 109 people do unsafety riding (80.7%), traffic compliance is 100 drivers breaking the rules. traffic. It is hoped that the entire community will continue to pay attention to transportation safety to avoid the risk of traffic accidents.
Analisis Risiko Keselamatan Dan Kesehatan Kerja (K3) Pada Tenaga Kerja Perusahaan Pertambangan di PT. Koninis Fajar Mineral di Kecamatan Bunta: Analysis Of Occupational Safety and Health Risk in Mining Company Workforce At Pt. Koninis Fajar Mineral in Bunta District Tongko, Mirawati; Herawati, Herawati; Badjuber, Magfira; Kanan, Maria; La Dee, Mustakim
Buletin Kesehatan Mahasiswa Vol. 3 No. 2 (2025): Buletin Kesehatan MAHASISWA
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk Banggai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51888/jpmeo.v3i2.302

Abstract

Setiap tempat kerja selalu mempunyai risiko terjadinya kecelakaan. Besarnya risiko yang terjadi tergantung dari jenis industri, teknologi serta upaya pengendalian risiko yang di lakukan.Kecelakaan akibat kerja adalah kecelakaan yang terjadi dikarenakan oleh pekerjaan atau pada waktu melaksanakan pekerjaan pada perusahaan. Salah satu sistem manajemen Keselamatan dan Kesehatan kerja (K3) yang berlaku global atau internasional adalah OHSAS 18001:2007. Biasanya di kenal dengan singkatan HIRARC. HAZARD Identification, Risk assessment dan Risk control (HIRARC) merupakan proses mengidentifikasi bahaya yang dapat terjadi dalam aktivitas rutin ataupun non rutin dalam perusahaan, untuk selanjutnya di lakukan penilaian risiko dari bahaya tersebut.Penelitian ini bertujuan untuk menganalisis risiko keselamatan dan kesehatan kerja (K3) pada tenaga kerja perusahaan pertambangan di PT Koninis Fajar Mineral. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian deskriptif observasional Populasi dalam penelitian ini adalah tenaga kerja bagian produksi pengupasan dengan jumlah sampel 50 orang. Teknik pengambilan sampel yang digunakan yaitu, total populasi dan Pengumpulan data berdasarkan data primer dan sekunder. Pengolahan data menggunakan program SPSS. Analisis data menggunakan analisis univariat. Dilihat dari hasil penelitian Identifikasi bahaya pada pengupasan TOP SOIL, Overburden, dan ORE terdapat 21 potensial bahaya diantaranya 15 bahaya fisik, 3 bahaya biologi, 3 bahaya mekanik.Penilaian risiko pada pengupasan TOP High Risk dan tidak terdapat potensi risiko kategori Extreme Risk SOIL, Overburden, dan ORE terdapat 3 kategori Low Risk, 6 kategori Moderate Risk, 12 kategori high risk Pengendalian risiko pada pengupasan TOP SOIL, Overburden, dan ORE yaitu masih kurang baik karena pekerja belum melakukan pengendalian dengan baik oleh karena itu peneliti merekomendasikan pengendalian secara administratif, rekayasa teknik, dan alat pelindung diri.  Every workplace always has a risk of accidents. The magnitude of the risk that occursdepends on the type of industry, technology and the risk control efforts undertaken. Work- related accidents are accidents that occur due to work or while carrying out work at the company. One of the occupational safety and health (K3) management systems that applies globally is OHSAS 18001:2007. Usually known by the abbreviation HIRARC. HAZARD Identification, Risk assessment and Risk control (HIRARC) is the process of identifying hazards that can occur in routine or non-routine activities within a company, then carrying out a risk assessment of these hazards. This research aims to analyze occupational safety and health (K3) risks on mining company workers at PT Koninis Fajar Mineral. The type of research used in this research is descriptive observational research. The population in this research is workers in the stripping production section with a sample size of 50 people. The sampling technique used is the total population and data collection based on primary and secondary data. Data processing uses the SPSS program. Data analysis uses univariate analysis. Judging from the results of research on hazard identification in TOP SOIL, Overburden and ORE stripping, there are 21 potential hazards including 15 physical hazards, 3 biological hazards, 3 mechanical hazards. Risk assessment in TOP High Risk stripping and there are no potential risks in the Extreme Risk SOIL, Overburden category , and ORE there are 3 categories of Low Risk, 6 categories of Moderate Risk, 12 categories of high risk. Risk control in stripping TOP SOIL, Overburden, and ORE is still not good because workers have not carried out control properly, therefore researchers recommend administrative and engineering control. techniques and personal protective equipment.
Penyuluhan tentang Etika Merokok dan Bahaya Rokok bagi Kesehatan di Desa Simpang 1 Kecamatan Simpang Raya, Sulawesi Tengah: Counseling About Smoking Ethics and the Dangers of Smoking for Health in Simpang 1 village Bambang Dwicahya; Cice Morintoh; Ramli Ramli; Maria Kanan; Fitrianty Sutadi Lanyumba; Marselina Sattu; Dwi Wahyu Balebu; Sandy Novriyanto Sakati
Jurnal Pengabdian MALEO Vol. 1 No. 2 (2023): Jurnal Pengabdian Maleo
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

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

Abstract

WHO mengurutkan Indonesia dengan 65 juta perokok. Tahun 2013 berdasarkan riset Kesehatan dasar, jumlah perokok di Indonesia mencapai 36,3%.  1,4% perokok di Indonesia berusia 10-14 tahun, 9,9% ditemukan pada pengangguran dan 32,3% pada kelompok ekonomi rendah. Peningkatan derajat kesehatan masyarakat perlu diketahui mengenai faktor-faktor apa saja yang mempengaruhi pengetahuan, sikap, dan tindakan masyarakat setempat mengenai Etika merokok. Penyuluhan ini di lakukan pada 50 responden di Desa Simpang 1 pada tanggal 22 juli 2023. Berdasarkan hasil pengukuran pengetahuan, sikap dan tindakan masyarakat Simpang 1 mengenai Etika merokok ternyata masih kurang nya pengetahuan, minimnya sikap, dan kurangnya  partisipasi tindakan masyarakat.Terkait masalah masih banyak masyarakat desa Simpang 1 yang merokok yaitu sebesar 69,9% dan masih ada masyarakat desa Simpang 1 yang merokok dalam rumah yaitu sebesar 41,8% Kegiatan penyuluhan tentang Etika merokok dan bahaya rokok bagi kesehatan, tujuan Untuk menyadarkan masyarakat terkait bahaya rokok bagi Kesehatan, dan dapat menerapkan etika merokok,sasaran masyarakat umum, target 50 orang, sumber dana mahasiswa, waktu & tempat pelaksanaan 22 juli 2023 20.30-selesai,tempat : gereja efrata  Simpang 1, rencana penilaian : pre-test, pencapaian 100%. WHO ranks Indonesia with 65 million smokers. In 2013, based on basic health research, the number of smokers in Indonesia reached 36.3%. 1.4% of smokers in Indonesia are aged 10-14 years, 9.9% are found in the unemployed and 32.3% in the low economic group. To increase the level of public health, it is necessary to know what factors influence the knowledge, attitudes and actions of local communities regarding smoking ethics. This counseling was carried out on 50 respondents in Simpang 1 Village on July 22 2023. Based on the results of measuring the knowledge, attitudes and actions of the Simpang 1 community regarding smoking ethics, it turns out that there is still a lack of knowledge, a lack of attitudes and a lack of participation in community action. There are still many problems related to this. The people in Simpang 1 village who smoke are 69.9% and there are still people in Simpang 1 village who smoke at home, which is 41.8%. Outreach activities about smoking ethics and the dangers of cigarettes for health, the aim is to make people aware of the dangers of smoking for health, and can apply smoking ethics, target general public, target 50 people, source of student funds, time & place of implementation 22 July 2023 20.30-finish, place: Efrata Church Simpang 1, assessment plan: pre-test, 100% achievement.
Gambaran Penanganan Sampah dan Kepadatan Lalat di Pasar Pagimana : Overview of Waste Handling and Fly Density in Pagimana Market Muhammad Irzandi Arifai; Kanan, Maria; Sakati, Sandy Novriyanto; Otoluwa, Anang Samudera; Dwicahya, Bambang
Buletin Kesehatan Mahasiswa Vol. 3 No. 3 (2025): Buletin Kesehatan MAHASISWA
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk Banggai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51888/jpmeo.v3i3.266

Abstract

Sampah saat ini menjadi masalah penting bagi tatanan kebijakan Nasional dan daerah di Indonesia. Keberadaan sampah dapat memberikan pengaruh Kesehatan bagi masyarakat karena sampah merupakan sarana dan sumber penularan penyakit. Pengaruh sampah terhadap Kesehatan secara tidak langsung dapat berupa penyakit bawaan vektor yang berkembang biak di dalam sampah salah satunya lalat. Penelitian ini bertujuan untuk memperoleh gambaran penangan sampah mulai dari gambaran penanganan sampah, pengumpulan sampah, pengangkutan sampah dan kepadatan lalat di Pasar Pagimana. Metode yang digunakan dalam penelitian ini adalah deskriptif, dengan jumlah 51 sampel, dibagi menjadi pedagang ikan 26 sampel, pedagang sayur 13 sampel, dan pedagang asongan 12. Hasil dari penelitian menunjukan bahwa proses pemilahan sampah dari 25 sampel tidak dilakukan, wadah sampah meski kedap air, namun tidak tertutup. Proses pengumpulan sampah sebanyak 26 pedagang (50,98%) dikumpulkan sendiri dan dibawa pulang untuk  diolah. Pengangkutan sampah dilakukan setiap hari jumat dari pasar ke TPA. Kepadatan lalat di Pasar Pagimana yaitu tinggi dengan nilai 31 (60,78%) rendah sebanyak 20 (39,22%). Berdasarkan hasil tersebut, diharapkan para pedagang sebaiknya melakukan pemilahan sampah, meyediakan wadah sampah tertutup, lalu proses pengangkutan sampah sebaiknya dilakukan sekali setiap hari, serta memperhatikan lokasi berdagang khususnya pedagang ikan yang basah dan mengundang datangnya lalat.  Waste is currently an important problem for national and regional policies in Indonesia. The presence of waste can have a health impact on the community because waste is a means and source of disease transmission. The indirect effect of waste on health can be vector-borne diseases that breed in the waste, one of which is flies. This research aims to obtain an overview of waste handlers starting from descriptions of waste handling, waste collection, waste transportation and fly density at Pagimana Market. The method used in this research is descriptive, with a total of 51 samples, divided into 26 fish traders, 13 samples of vegetable traders, and 12 hawkers. The results of the research showed that the process of sorting waste from 25 samples was not carried out, although the waste containers were watertight, they were not closed. In the waste collection process, 26 traders (50.98%) collected it themselves and took it home to be processed. Waste transportation is carried out every Friday from the market to the landfill. The density of flies at Pagimana Market was high with a value of 31 (60.78%) and low at 20 (39.22%). Based on these results, it is hoped that traders should sort waste, provide closed waste containers, then the process of transporting waste should be carried out once every day, and pay attention to trading locations, especially fish traders, that are wet and attract flies.
Health Risks of Rainwater Consumption: A Study of Microbiological and Heavy Metal Exposure in Island Areas Sakati, Sandy Novryanto; Herawati, Herawati; Kanan, Maria; Balebu, Dwi Wahyu
Journal of Health and Nutrition Research Vol. 4 No. 1 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i1.340

Abstract

Rainwater is a vital water source in island regions, including North Bulagi District, Banggai Kepulauan Regency, Indonesia. This study aimed to evaluate the quality of harvested rainwater and assess associated health risks from microbiological and chemical contaminants. A cross-sectional design was employed, involving the collection of eight rainwater samples from household reservoirs using purposive sampling and data from 94 respondents to support an exposure assessment. The parameters analyzed included Total Coliform, Escherichia coli, Nitrate (NO₃⁻), Cadmium (Cd), Lead (Pb), and Fluoride (F). Water quality analysis was conducted following APHA standard procedures. Health risk assessments were conducted using the Environmental Health Risk Assessment (EHRA) framework for chemical exposure and Quantitative Microbial Risk Assessment (QMRA) for microbial hazards. Results showed that microbiological contamination, particularly Total Coliform, exceeded the acceptable limit at all sampling points, with the highest level recorded at Point VIII (2,600 CFU/100 mL). Most chemical parameters were within permissible levels; however, Nitrate concentrations at several locations approached the WHO guideline limit, notably at Point II (11.8 mg/L). Health risk assessment indicated a higher potential for non-carcinogenic effects among children due to Fluoride exposure (HQ > 1). Carcinogenic risks from Cadmium and Lead were within acceptable tolerable limits (ILCR < 1.0E-04). These findings underscore the importance of regularly monitoring rainwater quality and implementing mitigation strategies such as first-flush systems, filtration, and disinfection. The integrated methodological approach adopted in this study provides a robust evidence base for the formulation of effective environmental health interventions and policies, particularly in remote and island communities.
Assessing Patient Satisfaction in an Internal Medicine Polyclinic Using Cartesian Analysis: A Case Study at Luwuk Regional Hospital Lanyumba, Fitrianty Sutadi; Pongsampe, Gebby; Herawati, Herawati; Kanan, Maria; Sattu, Marselina; Bidullah, Ramli; Dwi Gunawan, Nur Hendra
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.529

Abstract

Good service quality is one of the important factors in trying to create consumer satisfaction. Indicators on the SERVQUAL instrument can be used to measure the level of satisfaction with the quality of health services. This study aims to analyse the satisfaction of internal medicine patients at the polyclinic at the Luwuk Regional General Hospital using a Cartesian diagram. This type of research is an observational analysis where the sample size is 125 internal medicine polyclinic patients, with sampling techniques, namely accidental sampling. The data obtained was processed using SPSS and analysed using a Cartesian diagram. The results of the study showed that the total performance value (xi) was 77.664, the total expectation value (yi) was 85.668, and the total value of the level of suitability (TKI) was 90.65, where the criteria of the assessment were the criteria of being very satisfied. The Cartesian analysis categorized the service attributes in the hospital's internal medicine polyclinic into four quadrants, identifying high-priority areas for improvement, namely problems with registration procedures, service schedules, and attention to patient complaints, while the attributes whose performance needed to be maintained were related to staff responsiveness. Hospital management needs to maintain good attribute values so that it can provide services that are fast, precise, open, simple, easy to implement, and non-discriminatory
Co-Authors Achmad Sugandi Lasidengki Anwar Mallongi Arda, Zul Adhayani Ardiata, Ketut Baba, Julfa Badjuber, Magfira Balebu, Dwi Wahyu Bauntal, Severianus Bidullah, Ramli Bujana, I Kadek Sinta Caca Sudarsa Caca Sudarsa Cahya, Bambang Dwi Cahyani, Rathi Dwi Chrystina Natalia Pilok Natalia Cice Morintoh cindy suruata Daud Sandalayuk Dwi Gunawan, Nur Hendra Dwi Wahyu Balebu Dwicahya, Bambang Ekaputri, Risky Febriyani Febriyani Ferdy Salamat Fitri vebrianti Fitrianty Sutadi Lanyumba Franning Deisi Badu, Franning Deisi hafiudin lasompo Hairil Akbar Hanapi, Sunarti Handayani, Lisa Handayani, Tien W. Handayani, Tien Wahyu Harun, Amalia Hatta, Herman Herawati Herawati Herawati Herawati Herawati Herawati I'in Inriani Inda Hafid Intari, Luky Dwi Joni Tandi, Joni LA DEE, MUSTAKIM Lanyumba, Fitrianty S. Lanyumba, Fitriyanti Sutadi Lasompo, Nurul Fadillah Lidongi, Putri Marcelita Maemunah Maemunah Magfirah, Magfirah Marselina Palinggi Marselina Sattu Marsella, Mimi Mirawati Tongko Muhammad Irzandi Arifai Muhammad Syahrir Muhammad Syahrir Mustika, Lulu Niluh Puspita Dewi, Niluh Puspita Nursin, Widyah Purnama Nuryani Nuryani Otoluwa, Anang Samudera Pongsampe, Gebby Ramli Ramli Recky Patala Reflin Mamitoho Riani, Ni P. I. Ririn Pakaya Risky Ekaputri Sakati, Sandy Novriyanto Sakati, Sandy Novryanto Sandalayuk, Marselia Sandy N. Sakati Sarlina Manton Sobbay, Putri Suarsana, I Made Agus Sudarsa, Caca Supardi Sombeng Sutrisnawati Tiak, Agnesria Ningsi Tofan, Moh Tongko, Mirawati Towulu, Dessy Gracelia Ulin Nam'ma Saputra Wahyuni Hafid, Wahyuni Wiji Lestari Wowor, Jilian Stevani Yunita Sari Thirayo