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PENGOLAHAN SAMPAH MENJADI KOMPOS DAN PEMANFAATAN LIMBAH PLASTIK DI SD KRISTEN BPK PENABUR BANDAR LAMPUNG Barus, Linda; Masra, Ferizal; Indarwati, Suami; Murwanto, Bambang
SINAR SANG SURYA Vol 8, No 1 (2024): FEBRUARI 2024
Publisher : UM Metro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24127/sss.v8i1.3196

Abstract

Sampah menurut UU No. 18 tahun 2008, didefinisikan sebagai sisa kegiatan sehari-hari manusia atau proses alam yang berbentuk padat. Faktanya, yang membuat sampah menjadi hal yang merugikan manusia adalah ketika sampah dengan berbagai jenis bercampur di suatu. Dewasa ini, permasalahan sampah telah menjadi salah satu isu sentral yang sangat serius di banyak negara termasuk Indonesia. Rata-rata, volume sampah yang dihasilkan oleh manusia adalah sekitar 0,5 kg / per kapita tiap hari, apabila sampah tidak dikelola dengan baik dapat menimbulkan bahaya bagi masyarakat. Kegiatan ini bertujuan untuk membekali Siswa-Siswi SD Kristen BPK Penabur Bandar Lampung dalam mengelola sampah organik dan sampah non organik yang ada disekitarnya, dengan cara sampah organik di olah menjadi pupuk kompos dan sampah anorganik diolah dengan cara 3R (Reuse, Reduce, Recycle), untuk mengurangi pencemaran lingkungan akibat sampah dan dapat bernilai ekonomis. Kegiatan ini dilakukan dengan metode penyuluhan dan pelatihan teknis, serta dilanjutkan dengan pendampingan secara langsung. Hasil dari kegiatan ini adalah siswa-siswi SD Kristen BPK Penabur Bandar Lampung dapat memanfaatkan sampah organik menjadi pupuk kompos dan dapat memanfaatkan sampah anorganik menjadi sesuatu yang lebih berguna. Pelatihan cara pembuatan pupuk kompos dan pemanfaatan sampah plastik menjadi kerajinan bunga hias, dll sangat diharapkan bisa dipraktekkan ke depannya, agar dampak negatif dari timbunan-timbunan sampah yang dapat merusak lingkungan dapat teratasi.
Deteksi Dini Penyakit Akibat Kerja Impak Paparan Debu PM 10 Dan PM2,5 Di Home Industri Meubel Dengan Oksimeter Helina Helmy; Agus Sutopo; Wibowo Ady Sapta; Bambang Murwanto
Sevaka : Hasil Kegiatan Layanan Masyarakat Vol. 3 No. 3 (2025): Agustus : Sevaka : Hasil Kegiatan Layanan Masyarakat
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/sevaka.v3i3.494

Abstract

Home industries are small- to medium-scale production units operated within or near households, typically relying on family members or a limited local workforce, with modest capital and without large-scale industrial technology. In furniture production, the main outputs are household items such as chairs, tables, wardrobes, beds, and shelves, while by-products include sawdust and unused wood pieces. Airborne pollutants— particularly wood dust (PM₁₀ and PM₂.₅) from sanding and cutting, along with fumes from paints, solvents, and adhesives—pose significant short- and long-term health risks to workers. This community service project, in collaboration with higher education institutions, aimed to establish long-term control measures. Initial steps involved measuring PM₁₀ and PM₂.₅ concentrations and assessing workers’ blood oxygen levels. Using a descriptive approach, workplace conditions were compared before and after work. Findings revealed a correlation between dust levels and blood oxygen saturation, supporting recommendations for long-term occupational health interventions.
Analisis Pengelolaan Limbah Medis Padat di Puskesmas Kabupaten Lampung Tengah Tahun 2025 Sekar Ayu, Anisa Panca; Gultom, Tati Baina; Ahyanti, Mei; Yushananta, Prayudhy; Santosa, Imam; Murwanto, Bambang
Jurnal Dunia Kesmas Vol 14, No 3 (2025): Volume 14 Nomor 3
Publisher : Persatuan Dosen Kesehatan Masyarakat

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

Abstract

Limbah medis padat merupakan limbah bahan berbahaya dan beracun (B3) yang dihasilkan dari kegiatan pelayanan kesehatan dan dapat membahayakan kesehatan serta mencemari lingkungan jika tidak dikelola sesuai standar. Kabupaten Lampung Tengah memiliki 39 Puskesmas yang tersebar di wilayah dengan karakteristik campuran antara perkotaan dan pedesaan. Observasi awal menunjukkan bahwa masih ditemukan praktik pengelolaan limbah medis padat yang tidak sesuai, seperti pewadahan tanpa kode warna, serta penyimpanan lebih dari 2×24 jam tanpa fasilitas cold storage. Penelitian ini merupakan penelitian deskriptif dengan pendekatan kuantitatif yang dilakukan pada delapan Puskesmas di Kabupaten Lampung Tengah yang dipilih berdasarkan tingkat akreditasi. Pengumpulan data dilakukan melalui observasi, wawancara, dan checklist berdasarkan Permenkes No. 18 Tahun 2020, dengan fokus pada tahap pemilahan, pengangkutan internal, dan penyimpanan sementara. Hasil penelitian menunjukkan bahwa pemilahan limbah medis telah dilaksanakan sesuai standar di seluruh Puskesmas Madya dan Paripurna, namun belum sepenuhnya di Puskesmas Utama. Seluruh Puskesmas belum memenuhi standar dalam pengangkutan internal dan penyimpanan sementara.Kata Kunci : akreditasi, Lampung Tengah, pengelolaan limbah medis padat
Analisis Sistem Pengelolaan Sampah Di Pasar Tradisional Tejo Agung Kota Metro Azhari, Faiz; Murwanto, Bambang; Indarwati, Suami
MIDWIFERY JOURNAL Vol 4, No 2 (2024): Volume 4, Nomor 2 Juni 2024
Publisher : Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mj.v4i2.15486

Abstract

 Background : Environmentally based infectious diseases are still a health problem in Indonesia, such as Diarrhea, Gastroenteritis, Typhus, Pneumonia, Hepatitis B, Acute Nasopharynx, Gastritis, Influenza, etc. Especially diseases transmitted through fly vectors which are closely related to the presence of rubbish. Because the presence of waste is still a determinant of infectious diseases, the role of waste management in traditional markets must be of concern. The presence of waste during a waste emergency is not only a health problem, but also a social problem, as is the case in several places.Purpose : The research aims to determine waste management at the Tejo Agung Traditional Market, Metro City, Lampung.Methods : This research method is a qualitative method using a Focus Group Discussion (FGD) technique and an in-depth interview method. Informants came from several elements such as traders, cleaners and heads of Market UPTs, elements of the Environmental Service, sub-district officials and truck drivers. To increase data validation, source triangulation is carried out through In-depth Interviews and methods of triangulation of sources, data, and methods.Result : The research results illustrate that waste management at the Tejo Agung Traditional Market, Metro City, is not yet based on community empowerment, especially among traders, and does not use methods for separating wet and dry waste, and there are limited facilities and facilities such as trucks and the availability of containers.Conclution: The state of the facilities and means/equipment for transporting the waste, both in terms of quantity and maintenance, is no longer adequate, as is the lack of waste management personnel. There is a lack of discipline and compliance among traders in disposing of rubbish, they feel that they do not care about the scattered rubbish because they feel that they have already paid the rubbish fees and have not sorted the rubbish. Most of the waste material comes from vegetables and fruit or wet (organic) waste. Overall, waste management at the Tejo Agung Traditional Market, Metro City has not empowered the community, especially traders.Suggestion : Some of the following suggestions are for the Metro City government to pay attention to waste management at the Tejo Agung Traditional Market by improving facilities and infrastructure such as Temporary Shelters (TPS), waste collection vans and empowering traders to participate in waste collection by separating wet waste and rubbish. dry (organic and inorganic). Keywords: waste, empowerment, deseases. ABSTRAK Latar Belakang : Penyakit menular berbasis lingkungan masih menjadi masalah kesehatan di Indonesia, seperti Diare, Gastroenteritis, Tifus, Pneumonia, Hepatitis B, Nasopharing Akut, Gastritis, Influenza, dsb. Terutama penyakit yang ditularkan melalui vektor lalat yang sangat berhubungan erat dengan keberadaan sampah. Karena keberadaan sampah masih menjadi determinan penyakit-penyakit menular tersebut, maka peranan pengelolaan sampah di pasar tradisional harus menjadi perhatian. Keberadaan sampah dalam keadaan darurat sampah bukan saja menjadi masalah Kesehatan, tetapi juga masalah sosial, seperti terjadi dibeberapa tempat. Olah sebab itu maka tujuan penelitian adalah untuk mengetahui manajemen pengelolaan sampah di Pasar Tradisional Tejo Agung, Kota Metro, Lampung.Tujuan : Tujuan penelitian adalah untuk mengetahui manajemen pengelolaan sampah di Pasar Tradisional Tejo Agung, Kota Metro, Lampung.Metode : Metode penelitian ini adalah metode kualitatif dengan teknik Diskusi Kelompok Terarah (DKT) atau Focus Group Dicussion (FGD),  dan dengan metode wawancara mendalam (Indepth Interview). Informan dari beberapa unsur seperti pedagang, petugas kebersihan dan kepala UPT Pasar, unsur Dinas Lingkungan Hidup, pihak kecamatan dan sopir truk. Untuk meningkatkan validasi data maka trianggulasi sumber melalui Wawancara Mendalam (Indepth Interview) dan metode trianggulasi sumber, data dan metode.Hasil : Hasil penelitian menggambarkan bahwa pengelolaan sampah di Pasar Tradisional Tejo Agung, Kota Metro, belum berdasarkan pada pemberdayaan masyarakat, terutama para pedagang, dan belum meggunakan metode pemisahan sampah basah dan sampah kering, serta terbatasnya sarana dan fasilitas seperti truk dan ketersediaan kontainer.Kesimpulan : Kedaan fasilitas dan sarana/peralatan pengangkutan sampah baik dari segi jumlah maupun perawatan sudah tidak layak, demikian pula kurangnya tenaga pengelola sampah. Kurang disiplin dan patuhnya para pedagang dalam membuang sampah, mereka merasa tidak peduli terhadap berserakannya sampah karena merasa sudah bayar iuran sampah, dan belum melakukan pemilahan sampah. Kareteritik sampah sebagian besar berasal dari sayur-sayuran dan buah-buahan atgau sampah basah (organik). Secara keseluruhan pengelolaan samlah di Pasar Tradisional Tejo Agung, Kota Metro belum memberdayakan masyarakat, terutama para pedagangSaran : Beberapa saran berikut ini, adalah agar pemda Kota Metro memberikan perhatian bagi pengelolaan sampah Pasar Tradisional  Tejo Agung dengan meningkatan sarana dan prasana seperti Tempat Penampungan Sementara (TPS), mobil pengangkut sampah serta memberdayakan para pedagang untuk turut berpartisipasi pengumpulan sampah dengan memisahkan sampah basah dan sampah kering (organik dan nonorganik). Kata kunci : sampah, pemberdayaan, penyakit.
Hubungan Sanitasi Lingkungan Dengan Personal Hygiene Terhadap Kejadian Balita Stunting Di Wilayah Kerja Puskesmas Kalirejo Kecamatan Kalirejo Kabupaten Lampung Tengah Friska, Yessy; Murwanto, Bambang; Barus, Linda; Rosita, Yeni
MIDWIFERY JOURNAL Vol 5, No 3 (2025): Volume 5 Nomor 3 September 2025
Publisher : Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mj.v5i3.22854

Abstract

Background : Stunting in toddlers is a significant global health problem. In 2022, there were 148.1 Million children affected, which is 22.3% of children worldwide. Most of these children Live in Asia (52%) and Africa (43%) (WHO, 2023). UPTD Kalirejo Health Center is one of the stunting locus health centers. Based on the Electronic Reporting and Reporting of Community-Based Nutrition (ePPGBM) report of Kalirejo Health Center which was seen in August 2024, the number of stunted toddlers was 34 toddlers. Purpose : This study aims to determine the relationship between environmental Sanitation and personal hygiene on the incidence of stunting in toddlers. Methods : This study is a Quantitative study with a case control design. Data obtained from interviews and Observations of mothers of toddlers at the UPTD Kalirejo Health Center, Kalirejo District, Central Lampung Regency. The variables observed were environmental sanitation,Personal hygiene and the incidence of stunting. Result : From the research that has been done, there is a relationship between ownership of healthy Toilets and the incidence of stunting (p value = 0.000). There is a relationship between Ownership of clean water facilities and the incidence of stunting (p value = 0.000). There is A relationship between wastewater treatment and the incidence of stunting (p Value = 0.000). There is a relationship between waste processing and the Incidence of stunting (p value = 0.000). There is a relationship between CTPS personal Hygiene and the incidence of stunting (p value = 0.000). There is no relationship between personal hygiene Nail hygiene and the incidence of stunting (p value = 0.614)Result : The community must maintain environmental sanitation and implement good personal Hygiene as a sensitive intervention to contribute to reducing stunting. Keywords: environmental sanitation, stunting, personal hygiene ABSTRAK Latar Belakang : Stunting pada balita adalah masalah kesehatan global yang signifikan. Pada tahun 2022, ada 148,1 juta anak yang terkena, yang merupakan 22,3% dari anak- anak di seluruh dunia. Sebagian besar anak-anak ini tinggal di Asia (52%) dan Afrika (43%) (WHO, 2023). UPTD Puskesmas Kalirejo merupakan salah satu Puskesmas lokus stunting. Berdasarkan laporan Elektronik Pencatatan dan Pelaporan Gizi Berbasis Masyarakat (ePPGBM) Puskesmas Kalirejo yang dilihat pada bulan Agustus 2024 jumlah balita Stunting Sebanyak 34 Balita.Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan antara sanitasi lingkungan dengan personal hygiene terhadap kejadian balita stunting.Metode : Penelitian ini merupakan penelitian kuantitatif dengan rancangan case control. data yang diperoleh dari hasil wawancara dan observasi terhadap ibu balita di UPTD Puskesmas Kalirejo Kecamatan Kalirejo Kabupaten Lampung Tengah. Variabel yang diamati yaitu sanitasi lingkungan, personal hygiene dan kejadian stunting.Hasil : Dari penelitiaan yang telah dilakukan bahwa ada hubungan antara kepemilikan jamban sehat dengan kejadian stunting (p value = 0,000). Ada hubungan antara kepemilikan sarana air bersih dengan kejadian stunting (p value = 0,000). Ada hubungan pengolahan limbah cair rumah tangga dengan kejadian stunting (p value = 0,000). Ada hubungan pengolahan sampah rumah tangga dengan kejadian stunting (p value = 0,000). Ada hubungan personal hygiene CTPS dengan kejadian stunting (p value = 0,000). Tidak ada hubungan personal hygiene kebersihan kuku dengan kejadian stunting (p value = 0,614)Kesimpulan : masyarakat harus menjaga sanitasi lingkungan dan menerapkan personal hygiene yang baik sebagai intervensi sensitive terhadap kontribusi penurunan stunting. Kata Kunci : Sanitasi Lingkungan , Stunting, Personal Hygiene
Evaluasi Program Penanggulangan TB Paru Karbito, Karbito; Purwaningsih, Dewi; Aliyanto, Warjidin; Muslim, Azhari; Fikri, Ahmad; Murwanto, Bambang
MIDWIFERY JOURNAL Vol 4, No 2 (2024): Volume 4, Nomor 2 Juni 2024
Publisher : Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mj.v4i2.15606

Abstract

Background : One of the diseases that is still a problem in Indonesia that is Tuberculosis or TB, especially pulmonary TB, because it is the second highest disease in the world. Therefore, the TB control program in Indonesia is directed at accelerating the elimination of TB by 2030, with a strategy to increase the case detection rate to at least 90%, the treatment success rate to at least 90% and the prevention rate to at least 80%. Meanwhile, the TB incidence rate in Indonesia in 2022 will be 354 per 100,000 population. The problem of controlling pulmonary TB in Bandar Lampung City in 2022 has not yet reached the performance target, namely only reaching 54.3% from 74%.Purpose : This research aims are to find out how the Pulmonary TB management program is at the Sukamaju Public Health Center, Bandar Lampung City.Methods : The design of this research is qualitative, with the method used being interviews, namely Focus Group Discussion (FGD) and in-depth interviews, with triangulation of methods, data and sources, such as observation, etc.Result : The results of the research show that the Pulmonary TB management program at the Sukamaju Community Health Center, Bandar Lampung City has been running well with case detection and cure rates reaching 96.0%, while the obstacles experienced are only few and do not hinder the implementation of the program, namely the logistics of the mantoux test materials and cartridge.Conclution : The implementation of the pulmonary TB control programs at the Sukamaju Community Health Center, Bandar Lampung City is going well, where the TB program indicators have reached the target. The success of this program is also supported by TB cadres whose performance is quite successful. Keywords: TB, program, management Latar Belakang : Salah satu penyakit yang amsih menjadi masalah di Indonesia adalah Tublerculosis atau TB khususnya TB Paru, karena menjadi penyakit tertinggi kedua didunia. Oleh sebab itu program penanggulangan TB di Indonesia diarahkan untuk mempercepat eliminasi TB Tahun 2030, dengan strategi peningkatan angka penemuan  kasus mencapai minimal 90%, dan  angka keberhasilan pengobatan (success rate) minimal 90% serta angka pencegahan mencapai minimal 80%. Sementara insiden rate TBC di Indonesia tahun 2022 sebesar 354 per 100.000 penduduk. Permasalahan penanggulangan TB Paru di Kota Bandar Lampung pada tahun 2022 tersebut belum mencapai target kinerja yaitu baru mencapai 54,3% dari 74%.Tujuan : Tujuan penelitian ini adalah untuk mengetahui bagaimana pengelolaan program TB Paru di Puskesmas Sukamaju, Kota Bandar LampungMetode : Desain penelitian ini bersifat kualitatif, dengan metode yang digunakan wawancara yaitu Diskusi Kelompok Terarah/DKT  (Focus Group Discussion/FGD) dan wawancara mendalam (Indepth Interview), dengan trianggulasi metode, data maupun sumber, seperti observasi, dsb.Hasil : Hasil penelitian bahwa pengelolaan program TB Paru di Puskesmas Sukamaju Kota Bandar Lampung telah berjalan dengan baik dengan angka pencapaian penemuan kasus dan penyembuhan mencapai 96,0%, sedangkan hambatan yang dialami hanya sedikit dan tidak serta tidak menggambat pelaksanaan program, yaitu terhambatnya logistic bahan tes mantuk dan catrige.Kesrmpulan : Simpulan penelitian ini Pelaksanaan program penanggulangan TB paru di Puskesmas Sukamaju, Kota Bandar Lampung berjalan dengan baik, dimana indikator-inkator program TB tersebut telah mencapai target. Keberhasilan program tersebut juga didukung oleh para kader TB yang cukup berhasil kinerjanya.
Hubungan Antara Prilaku Masyarakat Dengan Kejadian Tuberkulosis Paru Di Wilayah Kerja Puskesmas Rawat Inap, Kecamatan Bumi Waras, Kota Bandar Lampung Tahun 2022 Indriyogi, Sophie Kirana; Murwanto, Bambang; Helmy, Helina; Usman, Sarip
MIDWIFERY JOURNAL Vol 3, No 2 (2023): Volume 3 Nomor 2 Juni 2023
Publisher : Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mj.v3i2.10389

Abstract

Background: Pulmonary tuberculosis is a contagious infectious disease caused by Mycobacterium tuberculosis and is still a world health problem, including Indonesia and Indonesia ranks third after India and China.Various risk factors that cause pulmonary tuberculosis are age, gender, education level, occupation, smoking habits, bedroom occupancy density, lighting, ventilation, house conditions, air humidity, nutritional status, socioeconomic conditions and behavior, which environmental factors play a major role.Purpose: The purpose of this study was to determine the relationship between community behavior and the incidence of pulmonary tuberculosis in the working area of the Sukaraja Inpatient Public Health Center, Bumi Waras District, Bandar Lampung City in 2022.Methods: This type of research includes analytical research with a case control design. The case population of this study were patients with pulmonary tuberculosis recorded in medical records at the Sukaraja Inpatient Health Center as many as 119 people, while the control population in this study were non-pulmonary tuberculosis sufferers who resided in the working area of the Sukaraja Inpatient Health Center. The case sample in this study was 47 people who were recorded in the Tuberculosis case report in the Sukaaja Inpatient Health Center work area and the control sample in this study was 47 people or people who were not recorded as suffering from or had suffered from Pulmonary Tuberculosis who resided in the work area of the Inpatient Health Center Sukaraja. Results: The results of the bivariate analysis showed that the value of p = 0.123 > = 0.05 then there was no relationship between knowledge and the incidence of pulmonary tuberculosis in the working area of the Sukaraja Inpatient Health Center in 2022, p value = 0.023 < = 0.05 then there was a relationship between attitude and the incidence of pulmonary tuberculosis in the working area of the Sukaraja Inpatient Public Health Center in 2022 and the value of p = 0.023 < = 0.05, then there is a relationship between the action and the incidence of pulmonary tuberculosis in the working area of the Sukaraja Inpatient Health Center in 2022. Conclusion: In future research to determine the relationship between factors and the incidence of pulmonary tuberculosis more specifically, it is necessary to carry out further research with a better method design.Suggestion: for Community Health Centers by increasing community behavior through increasing knowledge, attitudes and behavior such as counseling and outreach. Meanwhile, for the community through the Community Health Centers, a community movement group for TB case finding and anti-TB campaigns should be formed. Keywords: Behavior, Environmental, Physical,Tuberculosis. ABSTRAK Latar Belakang: Tuberkolosis paru merupakan penyakit infeksi menular yang disebabkan oleh Mycobacterium tuberculosis dan masih menjadi masalah kesehatan dunia, termasuk Indonesia dan Indonesia menduduki urutan ketiga terbesar setelah India dan Cina.Berbagai faktor-faktor risiko yang menyebabkan penyakit tuberkulosis paru adalah faktor umur, jenis kelamin, tingkat pendidikan, pekerjaan, kebiasaan merokok, kepadatan hunian kamar tidur, pencahayaan, ventilasi, kondisi rumah, kelembaban udara, status gizi, keadaan social ekonomi dan perilaku, yang besar peranannya adalah faktor lingkungan.Tujuan: Tujuan penelitian ini adalah mengetahui Hubungan Perilaku Masyarakat Dengan Kejadian Penyakit Tuberkulosis Paru di Wilayah Kerja Puskesmas Rawat Inap Sukaraja Kecamatan Bumi Waras Kota Bandar Lampung Tahun 2022.Metode: Jenis penelitian ini termasuk penelitian analitik dengan desain kasus kontrol.  Populasi kasus penelitian ini adalah penderita penyakit Tuberkulosis Paru yang tercatat pada rekam medis di Puskesmas Rawat Inap Sukaraja sebanyak 119 orang sedangkan populasi kontrol dalam penelitian ini adalah bukan penderita Tuberkulosis Paru yang bertempat tinggal di wilayah kerja Puskesmas Rawat Inap Sukaraja. Sampel kasus pada penelitian ini sebanyak 47 orang yang tercatat dalam laporan kasus Tuberkulosis di wilayah kerja Puskesmas Rawat Inap Sukaaja dan sampel kontrol pada penelitian ini adalah 47 orang atau masyarakat yang tidak tercatat menderita atau pernah menderita Tuberkulosis Paru yang bertempat tinggal di wilayah kerja Puskesmas Rawat Inap Sukaraja.Hasil: Hasil analisis bivariat menunjukkan bahwa nilai p = 0,123 >α = 0,05 maka tidak terdapat hubungan pengetahuan dengan kejadian Tuberkulosis Paru di wilayah kerja Puskesmas Rawat Inap Sukaraja tahun 2022,, nilai p = 0,023<α = 0,05 maka terdapat hubungan sikap dengan kejadian Tuberkulosis Paru di wilayah kerja Pusekesmas Rawat Inap Sukaraja tahun 2022 dan nilai p = 0,023 <α = 0,05, maka terdapat hubungan tindakan dengan kejadian Tubekulosis Paru di wilayah kerja Puskesmas Rawat Inap Sukaraja tahun 2022.Kesimpulan: Pada penelitian selanjutnya dalam menentukan hubungan factor dengan kejadian Tuberkulosis Paru lebih sfesifik perlu dilakukan penelitian lebih lanjut dengan design metode yang lebih baik lagi.Saran : bagi Puskesmas dengan peningkatan perilaku masyarakat melalui peningkatan pengetahuan, sikap dan perilaku seperti penyuluhan dan sosialisasi. Sedangkan bagi masyarakat melalui Puskesmas agar dibentuk kelompok gerakan masyarakat penemuan kasus TBC dan kampanye-kampanye anti TBC. Kata Kunci: Fisik, Lingkungan, Perilaku, Tuberkulosis.  
Gambaran Residu Pestisida Organofosfat Makanan Lalapan Kubis (Brassica Oleacea) Pada Pedagang Hartami, Dwi Tyas; Yusananta, Prayudhy; Murwanto, Bambang
MIDWIFERY JOURNAL Vol 4, No 4 (2024): Volume 4, Nomor 4 Desember 2024
Publisher : Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mj.v4i4.18400

Abstract

Background : Food poisoning is one of the health problems in Indonesia. Most of this is caused by contamination of food, such as vegetables and fruit as horticultural crops. The contaminants that are usually present in these foods are usually toxic residues as pest killing agents in these materials. The pesticides used include those from the organophosphate group, which is up to 40% of the other groups. The organophosphate group is Dimethiot, Diazinon, Fenthion, Chlorpyrifos and Prefenofos. It is estimated that the prevalence of organophosphate poisoning cases throughout the world reaches one million cases per year, out of 2 million cases of poisoning and 200,000 deaths worldwide.Purpose : This research is to determine the residue of organophosphate group pesticides in cabbage fresh vegetables based on storage, processing and presentation in the city of Bandar Lampung. This type of research is quantitative with a descriptive approach.Methods : This type of research is quantitative and observational with a descriptive approach, to determine organophosphate pesticide residues in cabbage fresh vegetables. The research location is at the Agricultural Product Quality Testing Laboratory, Lampung University. Samples were taken from cabbage salad traders in the Way Halim Permai area of Bandar Lampung City in March-April 2023. The sampling technique was purposive sampling (nonprobably sampling), divided into two sources, namely home traders and non-home traders.Results : This research shows that cabbage contains residues of organophosphate pesticides with the active ingredients Dimethiot, Diazinon, Fenthion, Chlorpyrifos and Prefenofos. Meanwhile, the highest result from the test results was the active ingredient Fenthion, namely 0.8607 mg/kg and the lowest result was the active ingredient Chlorpyrifos, amounting to 0.0191 mg/kg and still below the Maximum Threshold. There are differences in residue according to storage, processing and presentation, and the best (low) is processing.Conclution : The presence of organophosphate group pesticides in cabbage samples with the active ingredients Dimethoat, Diazinon, Fenthion, Chlorpyrifos, and Prefenofos. However, the highest residue is the active ingredient Fenthion at 0.8607 mg/kg and the lowest is the active ingredient Chlorpyrifos, at 0.0191 mg/kg, and is still below the Maximum Residue Limit. Keywords: Pesticide, Cabbage, Residue, Poisoning.
Coagulation and Filtration Methods on Tofu Wastewater Treatment Bambang Murwanto; Agus Sutopo; Prayudhy Yushananta
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1475.984 KB) | DOI: 10.30604/jika.v6i2.505

Abstract

The tofu industry is a small industry (home industry) that produces wastewater between 100-200 times the allowable limit and is usually discharged directly into water bodies, thus polluting the environment. This study aims to combine the coagulation method (stage 1) using Polyalumunium Chloride (PAC) with filtration (stage 2) on several variations of materials (quartz, activated carbon, and zeolite). The study was conducted with six replications. The comparison of waste quality (BOD, COD) was observed at each stage of the study. The SAS 9.4 was used for data analysis, including the application of the T-test and ANOVA. The study found that coagulation with PAC 690 mg/L reduced BOD by 51.7% and a dose of 765 mg/L by 61.1%. In the COD parameter, the reductions were 65.84% and 67.55%. In the second stage (filtration), the reduction in BOD was higher in activated carbon (79.33%) compared to zeolite (78.67%) and quartz (75.46%). Activated carbon also had the most COD reduction effect (73.22%). Although the statistical results showed significant differences in all doses and media, the use of 765 mg / L PAC and activated carbon filtration had the most effect on reducing BOD and COD of tofu industrial wastewater. This research can be used as an alternative in the physical processing of tofu industrial wastewater.Abstrak: Industri tahu dan tempe merupakan industri kecil (home industry) yang menghasilkan limbah  antara 100-200 kali batas yang diijinkan dan biasanya langsung dibuang ke badan air, sehingga mencemari lingkungan. Penelitian bertujuan menggunakan metode koagulasi (tahap 1) dengan Polyalumunium Chloride (PAC), dan metode filtrasi (tahap 2) dengan tiga variasi bahan (kuarsa, karbon aktif, dan zeolit). Penelitian dilakukan dengan enam replikasi. Perbandingan kualitas limbah (BOD, COD) diamati pada setiap tahap penelitian. Perangkat SAS 9.4 digunakan untuk analisis data, termasuk penerapan uji T dan ANOVA. Penelitian mendapatkan, bahwa nilai BOD dan COD limbah segar industri tahu sebesar 1.813 mg/L dan 2.570 mg/L. Pada tahap pertama perlakuan (koagulasi dengan PAC 690 mg/L dan 765 mg/L) terjadi penurunan BOD sebesar 51,7%, dan 61,1%. Pada parameter COD, penurunan sebesar 65,84% dan 67,55%. Pada tahap kedua (filtrasi), penurunan BOD lebih tinggi pada carbon aktif (79,33%) dibandingkan dengan zeolit (78,67%) dan kuarsa (75,46%). Penurunan COD terbesar juga pada karbon aktif (73,22%). Walaupun hasil statistik menunjukkan perbedaan yang nyata pada semua variasi dosis dan media, namun penggunaan PAC dosis 765 mg/L dan filtrasi karbon aktif memberikan efek terbesar terhadap penurunan BOD dan COD limbah cair industri tahu. Hasil penelitian dapat digunakan sebagai alternatif dalam pengolahan fisika limbah cair industri tahu.
The Role of Environmental Factors In Stunting In Rural Areas Murwanto, Bambang; Santosa, Imam; Ginting, Daria Br; sutarto, sutarto
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 10, No 1 (2025): March
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v10i1.2939

Abstract

Stunting, characterized by inadequate height-for-age, reflects chronic malnutrition in children and remains a critical public health issue, particularly in rural areas of low- and middle-income countries. This review investigates environmental factors influencing stunting, such as food availability, water quality, sanitation, and socioeconomic conditions. The analysis is based on systematic literature reviews of studies from 2010 to 2024, focusing on articles from databases like PubMed, Scopus, and Google Scholar. Findings highlight that poor food availability, characterized by limited access to nutritious food, contributes significantly to stunting. Poor water quality and inadequate sanitation lead to frequent intestinal infections, further exacerbating malnutrition and stunting. Socioeconomic factors, including low parental education and economic status, affect access to resources and health services. Data reveal that children from economically disadvantaged families and those with lower maternal education levels are at higher risk of stunting. Interventions such as improving water and sanitation infrastructure, enhancing parental education, and increasing economic opportunities are essential. Additionally, the media plays a role in raising awareness about nutrition. Strengthening community-based programs and improving infrastructure in rural areas can help address the stunting problem effectively. This review underscores the need for multifaceted strategies combining environmental and socioeconomic improvement to combat stunting.
Co-Authors Agus Sutopo Agus Sutopo Agus Sutopo, Agus Ahmad Fikri Aliyanto, Warjidin Anggraini, Yetti Azhari Muslim Br Ginting, Daria Br. Karo, Dameria Deni Metri Derny, Vermia Dewi Purwaningsih Enro Sujito Enro Sujito Enro Sujito Fachry Abda El Rahman Ferizal Masra Ferizal Masra Friska, Yessy Ginting, Daria Br Hartami, Dwi Tyas Hastuti, Retno Puji Helina Helmy Helmy, Helina Imam Santosa Indarwati, Suami Indriyogi, Sophie Kirana Irina Meriska Kadarusman, Haris Karbito Karbito, Karbito Kodrat Pramudho Linda Barus Linda Barus M. Alfath Bayu Putra Manurung, Melin Nekawati Mareli Telaumbanua Mei Ahyanti Muslim, Zaenal Prayudhy Yushananta Prianto, Nawan Purwono Purwono, Purwono Reka Lagora Marsofely Retno Puji Hastuti Rosita, Yeni Sari, Mona Linda Novita Sarip Usman SARIYANTO, IWAN Sekar Ayu, Anisa Panca Suami Indarwati Sujito, Enro Sulastri Sulastri Sulastri Sulastri Sulastri Sulastri Sutarto Sutarto Tati Baina Gultom Trigunarso, Sri Indra Usman, Sarip Wibowo Ady Sapta Wibowo Ady Sapta Yeni Rosita Yenni Rosita Yetti Anggraini Yusananta, Prayudhy Zenni Puspitarini