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Dewi Susanna
Departemen Kesehatan Lingkungan Fakultas Kesehatan Masyarakat Universitas Indonesia
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Analysis of Environmental and Sociodemographic Factors with the Incidence of Diarrhea in Toddlers in Aceh Province in 2023 Adawiah, Rabiatul; Susanna, Dewi
Jurnal Kesehatan Vol 17, No 3 (2024): Jurnal Kesehatan
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jk.v17i3.6878

Abstract

Pendahuluan: Penyakit diare menjadi salah satu gangguan gastrointestinal yang sering kali  terjadi pada anak usia balita. Terjadi peningkatan kasus diare balita pada tahun 2021 hingga tahun 2023 di Provinsi Aceh. Faktor lingkungan dan sosiodemografi merupakan faktor yang saling berkaitan untuk terjadinya diare pada balita. Tujuan penelitian ini yakni untuk menganalisis faktor lingkungan dan sosiodemografi dengan kejadian diare pada balita di Provinsi Aceh. Metode: Penelitian ini menggunakan desain studi cross sectional dan sumber data diperoleh dari Survei Kesehatan Indonesia (SKI) tahun 2023 dengan jumlah sampel yang dianalisis sebesar 4.234 anak usia 0-59 bulan di Provinsi Aceh. Analisis data  dilakukan dengan menggunakan  analisis complex samples secara univariat dan bivariat menggunakan uji Chi-Square. Hasil: Tidak ada hubungan antara variabel akses air minum (p-value=0,468, OR 0,836), sanitasi (p-value= 0,993, OR: 1.003), pengelolaan sampah (p-value= 0,381, OR: 0,751), pengelolaan limbah (p-value=0,863, OR: 0,948), pengolahan air minum (p-value= 0,477, OR: 0,835), jenis kelamin (p-value= 0,808, OR: 0,948) dan tempat tinggal  (p-value= 0,769, OR: 1, 079) dengan kejadian diare pada balita. Sementara, variabel usia balita menunjukkan hubungan yang signifikan dengan kejadian diare pada balita (p-value= 0,032, OR: 1,610 (1,037-2,500). Simpulan: Ada hubungan antara usia dengan kejadian diare pada balita di Provinsi Aceh. Diperlukan kerjasama lintas sektor untuk meningkatkan peran posyandu melalui edukasi terkait tumbuh kembang anak balita serta perilaku hidup bersih dan sehat dalam lingkungan rumah tangga.   Introduction: Diarrhea disease is one of the gastrointestinal disorders that often occurs in children under five years of age. There was an increase in diarrhea cases among children under five years old by 16% in 2021, 29% in 2022 and 31.7% in 2023 in Aceh Province. Environmental and sociodemographic factors are interrelated factors for the occurrence of diarrhea in toddlers. The purpose of this study was to analyze environmental and sociodemographic factors with the incidence of diarrhea in toddlers in Aceh Province. Methods: This study used a cross-sectional study design and the data source was obtained from the Survei Kesehatan Indonesia (SKI) in 2023 with a total sample size of 4,234 children aged 0-59 months in Aceh Province. Data analysis was performed using univariate and bivariate complex samples analysis using the Chi-Square test. Results: There was an association between child age and the incidence of diarrhea in children under five years of age in Aceh Province in 2023 (p-value = 0.032, OR: 1,610 (1,037-2,500). In this population, we have 95% confidence that age of the child is a risk factor for the incidence of diarrhea in children aged 0-24 months in Aceh Province with a range between 1.051-2.539. Conclusion: Children aged 0-24 months are at 1.634 times greater risk of diarrhea in children under five compared to children aged 25-59 months. Cross-sectoral cooperation is needed to improve the role of posyandu in health promotion efforts through integrated health counseling on the growth and development of children under five and education on clean and healthy living behaviors in the household environment.
Aplikasi Health Belief Model Terhadap Perilaku Preventif COVID-19 pada Kelompok Lansia Fitriani, Fitriani; Farisni, Teungku Nih; Yarmaliza, Yarmaliza; Reynaldi, Fitrah; Zakiyuddin, Zakiyuddin; Syahputri, Veni Nella; Susanna, Dewi
Perilaku dan Promosi Kesehatan : Indonesian Journal of Health Promotion and Behavior Vol. 4, No. 1
Publisher : UI Scholars Hub

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Abstract

Background. Indonesia is one of the countries affected by the COVID-19 pandemic. The elderly are the most severely affected group due to the severity/morbidity and mortality of COVID-19 disease. West Aceh Regency is one of the red zone areas with confirmed cases of COVID-19. Aim. This study aims to analyze the COVID-19 prevention behavior in the elderly group. Method. This type of research was descriptive-analytic with a quantitative approach. The sampling technique used total sampling. The data collection used a questionnaire instrument. This study's data analysis used three univariate, bivariate, and multivariate analyses. Results. The results showed that 69.8% of the elderly had less Perceived Susceptibility but had good COVID-19 prevention. 64.7% of the elderly with good Perceived Severity but have less prevention. 63.6% of respondents have good Perceived Benefits and good COVID-19 prevention. 69.1% of respondents have fewer Perceived Barriers but have good COVID-19 prevention and 69.1% have good Cues to action plus good COVID-19 prevention. The dominant factors are Perceived Severity (OR value 2.77) and Perceived Barriers (OR value of 2.76). Conclusion. Health Belief Model could lead to behavioral change to prevent the potential for COVID-19 among the elderly.
Systematic Review: Indoor Air Quality dan Faktor Individu Dengan Kejadian Sick Building Syndrome pada Pekerja Tahun 2019-2023 Ila Lia Yuliyanti, Oke; Susanna, Dewi
Mutiara: Multidiciplinary Scientifict Journal Vol. 3 No. 2 (2025): Multidiciplinary Scientifict Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/mutiara.v3i2.336

Abstract

Sick Building Syndrome (SBS) merupakan kondisi kesehatan yang mempengaruhi banyak penghuni gedung, ditandai dengan gejala seperti keletihan dan iritasi setelah berada di dalam bangunan. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor kualitas udara dalam ruangan dan faktor individu yang berkontribusi terhadap kejadian SBS di kalangan pekerja. Metode yang digunakan adalah tinjauan sistematis dengan analisis data dari studi-studi yang diterbitkan antara tahun 2019-2023, yang diambil dari database ScienceDirect, Google Scholar, dan Mendeley. Hasil penelitian menunjukkan bahwa kualitas udara dalam ruangan, seperti suhu, kelembapan, dan pencemaran udara, merupakan faktor utama yang mempengaruhi kejadian SBS. Selain itu, faktor individu seperti usia, jenis kelamin, dan riwayat kesehatan juga berkontribusi terhadap risiko SBS. Penelitian menemukan bahwa gejala paling umum terkait SBS adalah keletihan, dengan prevalensi lebih tinggi pada pekerja berusia tua dan perempuan. Kesimpulan dari penelitian ini menegaskan pentingnya peningkatan kualitas udara dalam ruangan dan perhatian terhadap faktor individu dalam upaya mengurangi kejadian SBS. Rekomendasi untuk perbaikan ventilasi dan pengelolaan lingkungan kerja yang lebih baik diusulkan untuk meningkatkan kesehatan penghuni gedung.
Systematic Review: Indoor Air Quality dan Faktor Individu Dengan Kejadian Sick Building Syndrome pada Pekerja Tahun 2019-2023 Ila Lia Yuliyanti, Oke; Susanna, Dewi
Mutiara: Multidiciplinary Scientifict Journal Vol. 3 No. 2 (2025): Mutiara: Multidiciplinary Scientifict Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/mutiara.v3i2.336

Abstract

Sick Building Syndrome (SBS) merupakan kondisi kesehatan yang mempengaruhi banyak penghuni gedung, ditandai dengan gejala seperti keletihan dan iritasi setelah berada di dalam bangunan. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor kualitas udara dalam ruangan dan faktor individu yang berkontribusi terhadap kejadian SBS di kalangan pekerja. Metode yang digunakan adalah tinjauan sistematis dengan analisis data dari studi-studi yang diterbitkan antara tahun 2019-2023, yang diambil dari database ScienceDirect, Google Scholar, dan Mendeley. Hasil penelitian menunjukkan bahwa kualitas udara dalam ruangan, seperti suhu, kelembapan, dan pencemaran udara, merupakan faktor utama yang mempengaruhi kejadian SBS. Selain itu, faktor individu seperti usia, jenis kelamin, dan riwayat kesehatan juga berkontribusi terhadap risiko SBS. Penelitian menemukan bahwa gejala paling umum terkait SBS adalah keletihan, dengan prevalensi lebih tinggi pada pekerja berusia tua dan perempuan. Kesimpulan dari penelitian ini menegaskan pentingnya peningkatan kualitas udara dalam ruangan dan perhatian terhadap faktor individu dalam upaya mengurangi kejadian SBS. Rekomendasi untuk perbaikan ventilasi dan pengelolaan lingkungan kerja yang lebih baik diusulkan untuk meningkatkan kesehatan penghuni gedung.
Evaluation of Solid Medical Waste Management in Bogor Regional Public Hospitals Khansa, Silvia; Kusumayati, Agustin; Susanna, Dewi; Sinaga, Uli Tiarma
Kesmas Vol. 18, No. 4
Publisher : UI Scholars Hub

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Abstract

Healthcare facilities generate medical waste. If not properly managed, medical waste may damage the environment and spread diseases. Many hospitals in Indonesia do not adhere to medical waste management regulations. This study aimed to evaluate the management of solid medical waste at four public hospitals in Bogor District, Indonesia. A case study design was used to obtain a comprehensive description of the solid medical waste management activities inthe hospitals. Data were collected through direct observations, interviews, and document reviews. This study revealed that the medical waste generated in allhospitals was infectious, pathological, pharmaceutical, chemical, and cytotoxic, totaling approximately 4,000-12,000 kg. Hospitals A, B, C, and D fulfilled the Regulation of the Indonesian Ministry of Environment and Forestry No. P56 of 2015 criteria, achieving compliance rates of 77%, 83.78%, 83.3%, and 86.48%, respectively. However, several activities of the hospitals did not meet the standards for waste reduction, segregation, on-site transport, temporary storage, and human resource quality. It is important that hospitals establish comprehensive and compliant medical waste management systems.
Faktor Dominan yang Mempengaruhi Kejadian Malaria di Perdesaan Susanna, Dewi; Eryando, Tris
Kesmas Vol. 4, No. 4
Publisher : UI Scholars Hub

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Abstract

KLB malaria selama periode 1998-2003 telah menyerang 15 propinsi yang meliputi 84 desa endemis dengan jumlah penderita 27.000 dengan kematian 368. Hewan besar seperti sapi, kerbau dan kuda adalah merupakan cattle barrier malaria. Hewan tersebut perlu diteliti agar dapat diketahui jenis hewan dan tempat hidup hewan (kandang) terhadap kejadian malaria. Tujuan umum penelitian ini adalah untuk mengetahui faktor dominan yang mempengaruhi kejadian malaria di pedesaan. Jenis penelitian adalah non-intervensi, merupakan analisis lanjut data sekunder yaitu “Riset Kesehatan Dasar 2007”. Subyek yang dianalisis sebanyak 618.593 yang bertempat tinggal di perdesaan. Analisis dilakukan dengan metoda multivariat menggunakan regresi logistik. Ternak dibagi menjadi empat kategori, yaitu unggas (ayam, burung, dan bebek/itik), ternak besar (sapi, kuda, dan kerbau), ternak sedang (babi, domba,dan kambing), dan ternak kecil (kucing, anjing, dan kelinci). Faktor yang paling dominan mempengaruhi kejadian malaria adalah kepemilikan ‘ternak sedang’ (kambing, babi, dan domba), dengan OR = 0,52 (0,50-0,54). Faktor yang paling dominan mempengaruhi kejadian malaria adalah tidak adanya ‘ternak sedang, yaitu kambing, babi, dan domba. Malaria outbreak in the period of 1998-2003 was occurred in 15 province including 84 endemic villages with number of cases of 27 000 and deaths of 368. Big cattles such as cow, horse and buffalo have been known as cattle barrier for malaria, while others have not been investigated yet. The objective of this research was to know the dominant factor related to cattle which influenced malaria in village area. The secondary data from ‘Riset Kesehatan Dasar 2007” had been used in this research with total population of 618593 who lived in village area and was analyzed using logistic regression test. Cattle as independent variable was divided into four categories, they were poultry (chicken, bird, and duck), big cattle (cow, horse and buffalo), medium cattle (pig, sheep, and goat), and small cattle (cat, dog, and rabbit). The most dominant factor for protection of malaria was medium cattle (pig, sheep, and, goat) as protective with Odds Ratio of 0.52 (0.50-0.54). The other cattle had Odds Ratios less than 2, although they had p value < 0.05. The medium cattle was the dominant factor influenced malaria in village area, while others did not have effect.
Kontaminasi Bakteri Escherichia coli pada Makanan Pedagang Kaki Lima di Sepanjang Jalan Margonda Depok, Jawa Barat Susanna, Dewi; Indrawani, Yvonne M.; Zakianis, Zakianis
Kesmas Vol. 5, No. 3
Publisher : UI Scholars Hub

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Abstract

Menteri Kesehatan menetapkan bahwa makanan dan minuman tidak boleh mengandung bakteri Escherichia coli (E. coli). Namun, kebanyakan pemerintah daerah tidak menindaklanjutinya dengan menerapkan peraturan yang lebih teknis untuk mencegah penyakit-penyakit yang ditularkan lewat makanan. Penelitian ini bertujuan untuk mengukur kontaminasi E. coli dalam makanan yang dijual oleh pedagang kaki lima (PKL). Seratus PKL di sepanjang Jalan Margonda Kota Depok, Jawa Barat, dipilih secara acak sebagai sampel. Sebanyak 100 PKL, E. coli pada sampel berbagai jenis makanan diukur dengan metode most probable number, sementara sanitasi PKL dan kehigienisan penjamah makanan diamati. Ditemukan secara umum bahwa air bersih yang digunakan untuk memasak, minum, dan mencuci peralatan makan, sarana pembuangan air limbah, peralatan makanan, dan makanan yang disajikan secara tertutup serta perilaku penyaji makanan tidak berhubungan dengan tingkat kontaminasi E. coli (p > 0,05). Sebaliknya, kebanyakan makanan yang disajikan tanpa tutup mengandung E. coli sangat tinggi, meskipun sarana sanitasi dan perilaku hidup bersih dan sehat penjamah makanan sudah cukup baik, kecuali sarana tempat sampah. Ministry of Health regulates that all foods and beverages should not contain Escherichia coli. However, most local government does not implement this requirement by applying more technical local regulation to prevent food borne diseases. The objective of the present study was to quantify E. coli contamination in foods served by street vendors along the Jalan Margonda, City of Depok, West Java. A total of 100 street vendors were selected randomly, from which different types of foods were sampled for E. coli measurement using MPN method. Meanwhile, environmental sanitation of street vendors and personal hygiene of food handlers were observed. It was found that generally clean water for preparing foods and beverages and washing kitchen utensils, sewage system, table utensils, and covered foods as well as serving behavior were not statistically correlated with E. coli contamination (p > 0,05). On the contrary, most the uncovered foods were highly contaminated by E. coli, although sanitation facilities and personal hygiene were adequately good except solid waste disposal.
The Climate Effect on COVID-19: Lessons Learned from the Pandemic in Jakarta Saki, Vernonia Yora; Deniati, Ema Novita; Saputra, Yoerdy Agusmal; Susanna, Dewi; Efendi, Efendi
Kesmas Vol. 18, No. 5
Publisher : UI Scholars Hub

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Abstract

The global COVID-19 pandemic has presented humanity with difficult and unforeseeable hurdles. Among these challenges is understanding how climate-related aspects impact the survival of the SARS-CoV-2 virus. This study aimed to investigate the relationship between environmental factors, such as temperature, humidity, and rainfall, and the spread of COVID-19 cases in different regions. A time-and-place-based ecological study design was adopted, integrating geographic information systems and statistical techniques. Statistical testing revealed a significant association between humidity (p-value = 0.000; r = -0.777) and rainfall (p-value = 0.001; r = -0.561) with COVID-19 instances. However, no statistically significant relationship was found between temperature variables and COVID-19 cases. Due to the impact of changing weather conditions, governments may become concerned about developing tailored preventive and control measures, considering the varying risk levels associated with different locations.
Knowledge, Attitudes, and Behaviors of Students at Islamic Boarding School X toward COVID-19 Incidence in 2022 Haninda, Aisyah Raisa; Susanna, Dewi; Kusuma, Aria; Fitria, Laila
Kesmas Vol. 17, No. 3
Publisher : UI Scholars Hub

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The spread of COVID-19 can occur in various settings but most notably in gathering places. Health protocols to avoid the spread of COVID-19 may be influenced by the knowledge and attitude of individuals. This study examined the relationship between knowledge, attitudes, and behaviors of students at the Islamic Boarding School X in Serang City, Banten Province, Indonesia, with the COVID-19 incidence. A quantitative approach with a cross-sectional study design was used. The study population consisted of 994 students, from which (via the Slovin’s formula) a minimum sample size of 285 students was obtained. Data collection was carried out using an online validated questionnaire. The data collected related to age, sex, education level, knowledge level, attitude, behavior, and the COVID-19 incidence as experienced by the respondents. The results showed that most students had low-level knowledge (71.9%), negative attitudes (51.3%), and poor behaviors (53.2%) regarding the COVID-19. Most of the students were infected by the COVID-19 (88%). Statistically, knowledge, attitude, and behavior had no significant relationship with the COVID-19 incidence (p-value>0.05). This study concludes that knowledge, attitude, and behavior are not related to the COVID-19 incidence.
Public Perception and Obedience with Social Distancing Policies during the COVID-19 Pandemic in Jakarta, Indonesia Widyamurti, Widyamurti; Sitorus, Edwina Bernita; Susanna, Dewi; Wispriyono, Bambang; Kusuma, Aria; Mahkota, Renti
Kesmas Vol. 17, No. 1
Publisher : UI Scholars Hub

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The Indonesian Government established a social distancing policy to prevent COVID-19 transmission. However, this implementation will be ineffective without the compliance of the people. This study aimed to analyze the relationship between public perception and obedience with social distancing in terms of the variables based on the Health Belief Model. This study used a cross-sectional design with a population of Daerah Khusus Ibukota (DKI) Jakarta’s indigenes within the productive age of 15-64 years. The sample comprised 408 participants, with the independent variables of sociodemographics (age, gender, occupation, and education) and health beliefs (perceived susceptibility, severity, benefits, barriers, and self-efficacy). Meanwhile, obedience to social distancing was the dependent variable. Data were obtained through an online questionnaire and evaluated with the bivariate and multivariate analysis using Chi-square and logistic regression tests. Gender (OR = 2.327; 95% CI = 1.404-3.857) and perceived self-efficacy (OR = 2.609; 95% CI = 1.726-3.945) were significantly related to social distancing obedience. Meanwhile, no statistical correlation (p-value>0.05) was found with sociodemographics, perceived susceptibility, severity, benefits, and barriers. The males with low self-efficacy were more likely to disobey the social distancing policies. The individual’s self-efficacy perception increased with their level of obedience to social distancing policies.
Co-Authors - Syuhada, - Afriansyah, Eddy Agustin Kusumayati Aisyah Raisa Haninda Amiya Bhaumik Andrew Ware Andriyani, Ariska Nandia Annisa Meliariza Aria Kusuma Aria Kusuma Aria Kusuma Aria Kusuma Aria Kusuma Arinil Haq Bambang Wispriyono Batera, Same Bhattacharjee, Sangita Bhaumik, Amiya Budi Hartono Bunga Oktora Bunga Oktora Chitambwe, Tadius C Dia Wulandari Dian Pratiwi Dian Pratiwi Dian Pratiwi Dian Pratiwi Doni Lasut Dwi Agustina Edwina Bernita Sitorus Efendi Efendi Efendi Efendi Ema Hermawati Ema Novita Deniati Endah Kusumowardani Erdinal Erdinal Fajar Nugraha Fajrin Nur Azizah Fatmi Yumantini Oktikasari Fifi Dwijayanti Fitra N. Luthfiah Fitrah Reynaldi Fitriani Hana Nika Rustia Haninda, Aisyah Raisa Haryo Kuntoro Adi Hendra Fauzan Hermansyah Hasan Hermansyah Hermansyah Hyasinta, Bernadeta I Made Djaja Ii Sumarni Ii Sumarni, Ii Ila Lia Yuliyanti, Oke Indra Kanta Maitra Khansa, Silvia Kholis Ernawati Laila Fitria Lulu Rakhmatsani Maitra, Indra Kanta Martya Rahmaniati Maya Kartika Muhammad Alamsyah Noormartany Nur Afifah, Dwi Nursyahadah, Aulia Nyamukondiwa, Melisa Poddar, Sandeep Puji Juriastuti Rabiatul Adawiah Raden Ayu Aisyah Raden Ayu Aisyah, Raden Ayu Renti Mahkota Reynaldi, Fitrah Rilla Fahimah Ririn Arminsih Wulandari Ritawati Ritawati Ritawati Ritawati Saki, Vernonia Yora Sandeep Poddar sang gede purnama Sangita Bhattacharjee Saputra, Yoerdy Agusmal Septiani, Evita Sibanda, Brightwell Sinaga, Uli Tiarma Sitorus, Edwina Bernita Teni Supriyani Teni Supriyani, Teni Teungku Nih Farisni Tri Agustini Tris Eryando Umar Fahmi Achmadi Umar Fahmi Achmadi Umar Fahmi Achmadi Umar Fahmi Ahmadi Veni Nella Syahputri, Veni Nella Vernonia Yora Saki Vernonia Yora Saki Ware, Andrew Widyamurti Widyamurti Widyamurti, Widyamurti Wulandari, Melly Yarmaliza Yulia Sayanthi Yvonne M. Indrawani Yvonne M. Indrawani Zakianis Zakianis Zakiyuddin Zakiyuddin zakiyuddin, Zakiyuddin