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Household Air Pollution and Behavioral Risk Factors for Acute Respiratory Infections in Toddlers: a Case-Control Study in Maros, Indonesia Mulyadi Mulyadi; La Taha La Taha; Budirman Budirman; Ronny Muntu
Media Kesehatan Politeknik Kesehatan Makassar Vol 21 No 1 (2026): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v21i1.1885

Abstract

Acute Respiratory Infection (ARI) remains a leading cause of morbidity among toddlers in Indonesia, with household environmental and behavioral factors playing a critical role in its transmission. This study aimed to analyze the risk factors associated with ARI incidence among toddlers in the working area of the Bantimurung Community Health Center, Maros Regency. An analytical observational study with a case-control design was conducted involving 158 toddlers (79 cases and 79 controls). Data were collected through structured interviews and observation, and analyzed using binary logistic regression to estimate crude and adjusted odds ratios (OR) with 95% confidence intervals (CI). The results showed that four variables were significantly associated with ARI incidence: occupancy density (adjusted OR = 4.137; 95% CI: 1.893–9.040; p < 0.001), family members’ smoking habits (adjusted OR = 2.763; 95% CI: 1.289–5.925; p = 0.009), use of mosquito repellents (adjusted OR = 4.480; 95% CI: 2.045–9.818; p < 0.001), and personal hygiene (adjusted OR = 2.455; 95% CI: 1.154–5.224; p = 0.020). Nutritional status (p = 0.074) and immunization history (p = 1.000) were not statistically significant. The use of mosquito repellents was identified as the strongest risk factor, indicating that toddlers in households using mosquito repellents were 4.48 times more likely to develop ARI. Interventions should prioritize reducing exposure to indoor air pollutants, particularly from mosquito repellent combustion, and promoting smoke-free and hygienic household environments.
GIS-Based Spatial Risk Mapping of Aedes aegypti Larval Density and Dengue Transmission Risk in the Kassi-Kassi Community Health Center Area, Makassar City Ashari Rasjid; Hamsir Ahmad; Rasman Rasman; Syamsuddin Suaebu; Budirman Budirman
Media Kesehatan Politeknik Kesehatan Makassar Vol 21 No 1 (2026): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v21i1.2234

Abstract

Dengue Hemorrhagic Fever (DHF) remains a major public health concern in Makassar City, Indonesia. This study aimed to analyze the spatial distribution of Aedes aegypti larval density and its association with dengue transmission risk among children in the working area of the Kassi-Kassi Community Health Center. A quantitative cross-sectional design with a geographic information system approach was used. A total of households were selected using proportional simple random sampling. Data were collected through field observations, household surveys, and secondary data from health institutions. The results showed that temperature ranged from 25.3°C to 27.3°C, humidity from 70% to 89%, and rainfall from 45 mm to 463 mm. Larval density was classified into low-risk (0–4), medium-risk (5–9), and high-risk (10–15) categories, while larvae-positive houses ranged from 87.5% to 100%. Spatial analysis using showed that high-risk areas were concentrated in densely populated settlements with poor drainage and uncovered water storage containers. The association between larval density and dengue incidence was indicated by [insert correlation/index value; p-value]. This study was limited by its cross-sectional design, single study area, and incomplete ability to establish causal relationships. The findings support targeted dengue prevention through Mosquito Nest Eradication, 3M Plus education, and routine larval monitoring.
Peran Pengetahuan dan Sikap dalam Mewujudkan Kepatuhan Perawat terhadap Pemilahan Sampah Medis Budirman Budirman; Ain Khaer; Rafidah Rafidah; Nurul Yani Aksan
Buletin Keslingmas Vol 45 No 2 (2026): BULETIN KESLINGMAS: VOL. 45 NO. 2 TAHUN 2026
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/keslingmas.v45i2.15176

Abstract

Hospitals generate medical solid waste that has the potential to pollute the environment and pose health risks. At Andi Makkasau Regional General Hospital Parepare, the mixing of infectious and non infectious waste is still observed despite the average generation of medical waste reaching 3 tons per month. This study aimed to analyze the relationship between nurses’ knowledge and attitudes and their compliance with medical waste segregation practices. A cross sectional study design was employed involving 51 nurses from the Anggrek and Nusa Indah wards selected through total sampling. Data were collected through questionnaires, observations, and direct interviews and analyzed using the chi square test. The results showed that 35 respondents (68.6%) were compliant with medical waste segregation practices. Most respondents had good knowledge (70.6%) and positive attitudes (84.3%). There was a significant relationship between knowledge and compliance (p = 0.012), as well as between attitude and compliance (p = 0.013). Knowledge and attitude were significantly associated with nurses’ compliance with medical waste segregation practices. Hospitals are encouraged to conduct regular training and supervision programs to improve nurses’ compliance with medical waste segregation procedures.
Efficacy of Toona sureni Merr. leaf extract against Aedes spp. and Culex spp. by electric diffusion Sulasmi Sulasmi; Budirman Budirman; Haderiah Haderiah; La Taha; Nurhaidah Nurhaidah
International Journal of Advances in Applied Sciences Vol 15, No 2: June 2026
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijaas.v15.i2.pp462-469

Abstract

Aedes spp. and Culex spp. mosquitoes are major vectors of dengue fever and filariasis. The extensive use of chemical insecticides has contributed to resistance and environmental concerns, underscoring need for eco-friendly alternatives. Suren leaf extract (Toona sureni Merr.) contains bioactive compounds with potential as a botanical insecticide. This study evaluates suren leaf extract delivered via an electric diffusion device for indoor adult mosquito control at concentrations of 45%, 55%, and 65% against Aedes spp. and Culex spp. A post-test-only control group design was applied with three replications, and outcomes were recorded over a 60 minutes exposure period. Mortality increased with both concentration and exposure time. At 60 minutes, mortality increased from 80% to 100% in Aedes spp. and from 64% to 96% in Culex spp. when the concentration increased from 45% to 65%. Two-way analysis of variance (ANOVA) confirmed significant effects of concentration and exposure time (p <0.001). These findings indicate that electric diffusion delivery of suren leaf extract is effective and supports its potential use for indoor vector control in endemic areas.
Effectiveness of Integration of Moving Bed Biofilm Reactor and Activated Carbon in Treating Wastewater from Health Center Inayah Mahmud; Budirman Budirman; Wahyuni Sahani; Ain Khaer
Buletin Penelitian Kesehatan Vol. 54 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i1.4407

Abstract

Background: The integration of MBBR and activated carbon merges effective biological degradation with superior adsorption capabilities, enhancing pollutant removal while addressing the limitations of each technology individually. This hybrid system is ideal for small facilities, offering comprehensive, cost-effective wastewater treatment with a flexible design and low operational costs. This study aims to evaluate the effectiveness of hybrid Moving Bed Biofilm Reactor (MBBR) and activated carbon technology for wastewater treatment of health centers in Makassar City. Methods: The research was conducted experimentally using three variations of contact time (2, 4, and 6 hours), and the physical and chemical parameters measured, namely Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), ammonia (NH₃), temperature, and pH, were measured before and after treatment. The data were analyzed using the Kruskal-Wallis statistical test to test differences between treatments and the Wilcoxon Signed-Rank Test to evaluate the significance of differences before and after treatment. Results: The results showed that this hybrid system reduced BOD by 80.41%, COD by 81.40%, and NH₃ by 79.38%, with the highest efficiency achieved at a contact time of 6 hours. Temperature (28-28.5°C) and pH (7.2-7.9) remained stable throughout the treatment process, supporting the performance of microorganisms in MBBR. The novelty of this research lies in the combination of MBBR biodegradation mechanism with activated carbon adsorption, which not only improves the pollutant removal efficiency but also enables its application to small-scale health facilities such as public health center with simple design and low operational cost. Conclusion: This technology offers a practical and sustainable solution for wastewater management in primary healthcare facilities, significantly contributing to developing environmentally friendly technologies and supporting policy-making related to wastewater management in Indonesia.