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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.
PENYULUHAN DALAM RANGKA PEMBERDAYAAN MASYARAKAT DALAM PERUBAHAN PERILAKU BUANG AIR BESAR SEMBARANGAN DI KELURAHAN SEGALA MIDER Usman, Sarip; Murwanto, Bambang
AMMA : Jurnal Pengabdian Masyarakat Vol. 2 No. 4 (2023): AMMA : Jurnal Pengabdian Masyarakat
Publisher : CV. Multi Kreasi Media

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

Abstract

Diarrhea is still an important health problem, because it contributes to around 4,800 deaths of children under five worldwide. With an incidence of 11%, diarrhea is the second cause of death in children under five in Indonesia. Prevention and control of diarrhea mainly through the intervention of drinking water and healthy latrines. Community service aims to change the behavior of open defecation, with four stages: building understanding, common perception, counseling, and assisting target households. At the end of the stage, an evaluation is carried out to assess success, obstacles, and follow-up plans. The concept of "sharing roles" was also developed for all service partners. Community service activities resulted in 16 healthy latrines, which were accessed by 21 households. This result indicates that all households in the Mider Kelurahan have access to healthy latrines. The application of the concept of "sharing roles" is able to produce outputs according to the target, form a mutual cooperation work system for beneficiaries, and improve values. A joint commitment is needed in carrying out community empowerment, and the involvement of other parties broadly.
Hubungan Perilaku 3M Plus Dengan Kejadian Demam Berdarah Dengue (DBD) Di Wilayah Kerja Puskesmas Susunan Baru Kota Bandar Lampung Tahun 2024 Tati Baina Gultom; Wibowo Ady Sapta; Bambang Murwanto; M. Alfath Bayu Putra
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 4 No. 2 (2025): Agustus : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v4i2.5211

Abstract

Dengue Fever is a viral infection that spreads from mosquitoes to humans. In Susunan Baru Health Center, the number of dengue cases increased by 55% in 2024. Mosquito nest eradication (PSN) with 3M Plus combination, fogging, and community service can reduce the breeding of Aedes mosquitoes and reduce Dengue Fever. The purpose of this study was to determine the relationship between 3M plus behavior and Dengue Fever in Susunan Baru Health Center, Bandar Lampung City. This method is quantitative research, case control study. The sample was 128 samples, 64 case respondents and 64 control respondents (1:1). Case samples were taken with total sampling technique, control samples were taken with purposive sampling technique. Data analysis was conducted with chi-square test (α)=0.05. Conclusion There is a significant relationship between closing water reservoirs (p value = 0.000), draining water reservoirs (p value = 0.003), recycling used goods (p value = 0.000), changing flower vase water (p value = 0.000) and sprinkling larvicide powder (p value = 0.036) with the incidence of Dengue Fever in the Susunan Baru Health Center Working Area, Tanjung Karang Barat Subdistrict, Bandar Lampung City. Keywords: Aedes, DBD, Dengue Fever, PSN, 3 M Plus.
PENYULUHAN PEMBUATAN SARANA PEMBUANGAN AIR LIMBAH (SPAL) RUMAH TANGGA DI DUSUN BANGUN REJO DESA SIDOSARI KECAMATAN NATAR Sapta, Wibowo Ady; Murwanto, Bambang
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2024): Volume 5 No. 2 Tahun 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v5i2.26545

Abstract

Limbah cair rumah tangga atau domestik adalah air limbah yang berasal dari berbagai kegiatan pembersihan rumah tangga, misalnya dari dapur, kamar mandi, toilet, dan laundry. Biasanya limbah ini terdiri dari campuran bahan organik dan senyawa mineral yang berasal dari sisa makanan, urin, dan sisa sabun. Pengelolaan limbah cair rumah tangga yang tidak tepat menimbulkan risiko besar terhadap pencemaran sumber air bersih, sehingga menurunkan kualitas air yang tersedia bagi masyarakat. Sidosari, sebuah desa di Kecamatan Natar, Kabupaten Lampung Selatan, memiliki luas kurang lebih 2,97 km2 dan dihuni oleh sekitar 6.929 jiwa, terbagi menjadi enam dusun: Sinar Banten, Sidosari, Sindang Liwa, Bangun Rejo, Simbaringin, dan Kampung Baru. Temuan survei menunjukkan bahwa meskipun Dusun Bangun Rejo telah mencapai status bebas buang air besar sembarangan sejak tahun 2017, namun pembuangan limbah cair rumah tangga masih menjadi permasalahan. Sekitar 14% sampah dibuang di kolam ikan, 14% di selokan terbuka, 34% di tanah, dan 7% di septic tank. Untuk mengatasi tantangan tersebut, perlu fokus pada edukasi masyarakat tentang pengelolaan limbah cair rumah tangga yang benar dan pembangunan saluran drainase air limbah sederhana di Desa Sidosari, Kecamatan Natar, Kabupaten Lampung Selatan. Pendekatan ini bertujuan untuk mengurangi risiko kontaminasi dan mendorong praktik pengelolaan limbah berkelanjutan di masyarakat.  
PELATIHAN JUMANTIK DALAM PENCEGAHAN DAN PENANGGULANGAN PENYAKIT DEMAM BERDARAH DENGUE (DBD) DI PONDOK PESANTREN NURUL HUDA YAYASAN TRI SUKSES LAMPUNG, DESA PEMANGGILAN KECAMATAN NATAR KABUPATEN LAMPUNG SELATAN. Sutopo, Agus; Sapta, Wibowo Ady; Murwanto, Bambang; Kadarusman, Haris
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 6 No. 2 (2025): Volume 6 No. 2 Tahun 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v6i2.39970

Abstract

Penyakit Demam Berdarah Dengue (DBD) masih menjadi masalah kesehatan masyarakat di Indonesia. Angka insidensi penyakit di Provinsi Lampung berfluktuasi dan terjadi peningkatan dalam tiga tahun terakhir yaitu dari 25,0/100.000 penduduk tahun 2021, dan meningkat menjadi 50,8/100.000 penduduk tahun 2022 dan mengalami penurunan menjadi 23,4/100.000 penduduk pada tahun 2023. Kabupaten Lampung Selatan pada tahun 2022 angka insidensi yaitu sebesar 25,4/100.000 penduduk, dan tidak ada kematian, Desa Hajimena, Kecamatan Natar, Lampung Selatan keadaan penyakit DBD, menurut informasi dan data dari Puskesmas Hajimena mengalami peningkatan dari Bulan Januari sampai Agustus 2024 sebanyak 55 kasus. Dalam rangka menekan terjadinya kasus DBD pada suatu wilayah diperlukan partisipasi masyarakat dalam rangka memonitor dan memberantas sarang nyamuk vektor penyakit, sehingga perkembangan populasi nyamuk tetap dalam kondisi aman tidak menjadi sumber penularan penyakit tersebut.  Keterlibatan masyarakat dapat dilakukan terhadap potensi sumber daya yang ada di daerah, termasuk institusi pendidikan dan siswa pondok pesantren yang terdapat di wilayah tersebut sebagai sumber daya yang dapat dikembangkan dan membantu program. Maka oleh sebab itu diperlukan pengembangan “Pelatihan juru pemantau jentik dalam “Pencegahan dan Penanggulangan Penyakit Demam Berdarah Dengue (DBD)” di Pondok Pesantren Nurul Huda Lampung oleh dosen Jurusan Kesehatan Lingkungan Program Studi Sanitasi Program Diploma Tiga. Pendekatan ini digunakan dalam rangka membatu meningkatkan program pengendalian penyakit DBD di suatu wilayah.
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