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PM2,5 and Hypertension Desi Putri Utami; Al Asyary; Zakianis Zakianis
JUMP Health (Journal of Ultimate Public Health) Vol. 4 No. 1 (2020): May 2020
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/jump-health.v4.i1.p277-282

Hypertension is usually contributed by such factors including age, sex, heredity, education, smoking, obesity, physical activity and a history of other diseases such as kidney disease. In addition to these risk factors, hypertension can also be caused by particulate sources of air pollution. Air pollution has an impact on health including respiratory disorders, heart disease, cancer of various organs, reproductive disorders and hypertension. Some types of air pollutant most often found are Carbon Monoxide, Nitrogen Oxide, Sulfur Oxide, and dust particles such as Particulate Matter ≤ 2.5 μm (PM2.5).

SANITASI DAN AIR MINUM DI DAERAH PERKOTAAN DAN PEDESAAN DI PROVINSI BENGKULU (ANALISIS DATA POTENSI DESA 2018) Tri Noviyanti Nurzanah; zakianis zakianis; Bambang Wispriyono; Athena Anwar
JURNAL EKOLOGI KESEHATAN Vol 18 No 3 (2019): JURNAL EKOLOGI KESEHATAN VOL 18 NO.3 TAHUN 2019
Publisher : Puslitbang Upaya Kesehatan Masyarakat

ABSTRACT Bengkulu Province is the fourth-lowest province in Indonesia for sanitation facilities and drinking water availability. The difference in socioeconomic conditions and very low access to sanitation in Bengkulu Province poses a major challenge to ensuring water and sanitation services for all, so as to attempt to control a large number of infectious diseases. The purpose of this study was to determine the description of sanitation and drinking water between urban and rural areas in Bengkulu Province. Data analyzed were Village Potential data (PODES) in 2018 and the sample were 148 villages. Research results show that sanitation facilities and the availability of clean water in urban areas are better than in rural areas. In rural areas the majority of sewage is unsanitary or without latrines/open defecation, garbage disposal is carried out by dumping it into the pit of natural soil or being burnt, the sewage is still open, the water source is still a dug well as a source of clean water. In conclusion, there are still gaps in terms of access to sanitation in rural areas and urban safe drinking water. An evaluation is needed to increase community access to sanitation in rural areas and drinking water in cities. Keywords: Saniation, drinking water, urban areas, rural areas ABSTRAK Provinsi Bengkulu merupakan salah satu provinsi dengan sarana sanitasi dan ketersediaan air minum ke empat terendah di Indonesia. Perbedaan kondisi sosial ekonomi dan akses sanitasi yang sangat rendah di Provinsi Bengkulu menimbulkan tantangan besar untuk memastikan layanan air dan sanitasi bagi semua, sehingga membantu mengendalikan sejumlah besar penyakit menular. Tujuan penelitian ini adalah untuk mengetahui gambaran sanitasi dan air minum antara wilayah perkotaan dan perdesaan di Provinsi Bengkulu. Data yang dianalisis adalah data Potensi Desa (PODES) tahun 2018 dengan unit analisis desa. Jumlah sampel sebesar 148 desa di daerah perkotaan dan perdesaan di Provinsi Bengkulu. Hasil analisis menunjukkan bahwa sarana sanitasi dan ketersediaan air bersih di wilayah perkotaan lebih baik daripada di wilayah perdesaan. Di wilayah perdesaan mayoritas pembuangan tinja tidak saniter atau tanpa jamban/buang air besar sembarangan, pembuangan sampah dilakukan sdengan membuang ke dalam lubang tanah atau dibakar, saluran pembuangan air limbah masih terbuka, dan sumber air adalah sumur gali sebagai sumber air bersih. Dapat disimpulkan bahwa masih terdapat kesenjangan dalam hal akses sanitasi dan air minum antara di perdesaan dan perkotaan. Perlu adanya evaluasi peningkatan akses masyarakat terhadap sanitasi di pedesaan dan air minum di perkotaan. Kata kunci: Sanitasi, air minum, perkotaan, pedesaan

PARTISIPASI MASYARAKAT DALAM PENCEGAHAN PENYAKIT DEMAM BERDARAH DENGUE: SEBUAH TINJAUAN SISTEMATIKA Lia Meiliyana; Rita Damayanti; Zakianis Zakianis
Quality : Jurnal Kesehatan Vol. 14 No. 1 (2020): Quality : Jurnal Kesehatan
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Demam Berdarah Dengue (DBD) merupakan penyakit yang masih menjadi permasalahan global, karena tingkat insiden mengalami peningkatan 30 kali lipat selama 50 tahun terakhir. Partisipasi masyarakat amat dibutuhkan dalam keberlangsungan upaya pengendalian demam berdarah. Kesadaran diri kunci utama dalam berpartisipasi dipengaruhi faktor-faktor seperti pengetahuan, sikap dan perilaku. Penelitian ini menggunakan sistematika review untuk melihat upaya pencegahan demam berdarah berdasarkan partisipasi masyarakat. Strategi pencarian menggunakan 3 electronic database, EBSCO, Proquest dan Google Scholar dan mengikuti Protokol PRISMA (Preffered Reporting Items for Systematic Review and Meta Analyses), didapatkan sebanyak 17 artikel yang sesuai dengan kriteria inklusi dan ekslusi. Hasil tinjauan terdapat 4 variabel utama yang digunakan yaitu Sosiodemografi, Knowledge, Attitude dan Practice. Variabel sosiodemografi (umur dan pendidikan) mempunyai nilai signifikan pada 42,8% artikel, variabel pengetahuan cara pendegahan demam berdarah signifikan pada 23,1% artikel, variabel sikap terhadap tempat perindukan nyamuk dan upaya pengendalian vektor sebesar 53,8% artikel, dan variabel perilaku yang mempunyai signifikansi dengan prosentase tertinggi adalah perilaku yang dihubungkan dengan indeks entomologi sebesar 53,8% artikel. Tingkat pendidikan, pengetahuan, dan sikap positif terhadap upaya pencegahan demam berdarah belum tentu memberikan hasil signifikan terhadap perilaku. Dengan demikian peningkatan kesadaran tentang risiko, motivasi dan komunikasi diperlukan untuk mengubah perilaku

Strategi Pengelolaan Limbah Medis Rumah Tangga Selama Pandemi Covid-19 Resa Mailina; Zakianis Zakianis
Jurnal Ilmiah Kesehatan Sandi Husada Vol 10 No 2 (2021): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v10i2.676

Introduction; COVID-19 has an impact on various fields including the environment and waste management. Prevention of COVID-19 by using masks has another impact, namely the emergence of piles of household medical waste. Aim; to determine the management of household medical waste both in Indonesia and abroad. Method; a literature review of articles that discuss waste management in Indonesia and abroad. Result; management of medical waste at the household level in Indonesia has been regulated in Circular Letter Number SE.3/MENLHK/PSLB.3/3.2021 concerning Management of Hazardous Waste and Waste from Handling Coronavirus Disease-19. However, the implementation has not been maximized due to the lack of waste management facilities at the household level. Overseas medical waste management in some countries uses household-level segregation where medical waste is separated and processed using incinerators. Conclusion; the problems that arise are basically the same both in Indonesia and abroad are related to public awareness and unequal facilities. Recommendation; Household waste management facilities are expected to be improved along with the provision of education and knowledge to increase public awareness.

Tingkat Partisipasi Rumah Tangga dalam Pengelolaan Sampah Anorganik di Kawasan Bintaro Jaya Wilayah Kelurahan Pondok Pucung Diamantha, Insyira Ranti; Zakianis, Zakianis; Hartono, Budi; Ningrum, Yulia Fitria
Perilaku dan Promosi Kesehatan : Indonesian Journal of Health Promotion and Behavior Vol. 5, No. 2
Publisher : UI Scholars Hub

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Background. Community participation in the implementation of waste management can be done at the household level, including sorting out waste and collecting recyclable waste in recycling programs. Bintaro Jaya area has various inorganic waste recycling programs that households can participate in, such as garbage bank programs, garbage dropboxes, and garbage donations to recycling centres or garbage collectors for recycling. The three programs have differences such as the ease of access and the type of waste collected in the program. Aim. The purpose of this study is to analyze the household participation level on inorganic waste recycling programs in Bintaro Jaya area Pondok Pucung urban village region and to find out the factors related. Method. This study used a cross-sectional study design. The analysis unit is a household with a minimum sample based on a two-proportion hypothesis test calculation of 147. Statistical analysis used is chi-square and logistic regression tests. Result. The results of this study indicate that the participation rate of households is 54.5%. The factors related to household participation are the availability of segregated waste bins (p-value < 0.001), and information through socialization (p-value <0.001).

Strategi Pengelolaan Limbah Medis Rumah Tangga Selama Pandemi Covid-19 Resa Mailina; Zakianis Zakianis
Jurnal Ilmiah Kesehatan Sandi Husada Vol 10 No 2 (2021): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v10i2.676

Introduction; COVID-19 has an impact on various fields including the environment and waste management. Prevention of COVID-19 by using masks has another impact, namely the emergence of piles of household medical waste. Aim; to determine the management of household medical waste both in Indonesia and abroad. Method; a literature review of articles that discuss waste management in Indonesia and abroad. Result; management of medical waste at the household level in Indonesia has been regulated in Circular Letter Number SE.3/MENLHK/PSLB.3/3.2021 concerning Management of Hazardous Waste and Waste from Handling Coronavirus Disease-19. However, the implementation has not been maximized due to the lack of waste management facilities at the household level. Overseas medical waste management in some countries uses household-level segregation where medical waste is separated and processed using incinerators. Conclusion; the problems that arise are basically the same both in Indonesia and abroad are related to public awareness and unequal facilities. Recommendation; Household waste management facilities are expected to be improved along with the provision of education and knowledge to increase public awareness.

Analisis Biaya Manfaat dan Dampak Kesehatan Lingkungan TPS3R: Studi Kasus Mutiara Bogor Raya Apri Yulda; Zakianis Zakianis; Ririn Arminsih
Buletin Keslingmas Vol 43, No 3 (2024): BULETIN KESLINGMAS VOL. 43 NO.3 TAHUN 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/keslingmas.v43i3.11755

Tempat Pengolahan Sampah 3R (TPS3R) merupakan salah satu solusi dalam pengelolaan sampah yang berkelanjutan, namun implementasinya sering kali menghadapi berbagai kendala. Salah satu hambatannya adalah minimnya minat masyarakat dan pengembang kawasan untuk berpartisipasi karena biaya yang dianggap tinggi dan kurangnya pemahaman akan manfaatnya, baik dari segi ekonomi maupun lingkungan. Penelitian ini bertujuan untuk mengevaluasi nilai manfaat bersih (net value) serta kelayakan ekonomi (BCR) dari pengelolaan sampah di TPS3R dibandingkan dengan Tempat Pembuangan Sampah Sementara (TPS). Penelitian ini menggunakan metode kuantitatif deskriptif dengan studi kasus di TPS3R Mutiara Bogor Raya dan TPS di Katulampa. Metode analisis yang digunakan adalah Cost Benefit Analysis (CBA). Hasil penelitian menunjukkan bahwa total biaya pengoperasian TPS3R adalah Rp549.980.813, dengan total manfaat sebesar Rp728.616.000, menghasilkan net value sebesar Rp178.635.187 dan BCR1 (1,32), menunjukkan kelayakan ekonomi serta manfaat lingkungan, termasuk pengurangan emisi gas rumah kaca dan peningkatan kualitas udara. Sementara itu, TPS memiliki total biaya Rp285.208.500, dengan total manfaat sebesar Rp179.040.000, menghasilkan net value negatif sebesar Rp-106.168.500 dan BCR (0,62), yang menunjukkan ketidaklayakan ekonomi dan dampak negatif terhadap kesehatan lingkungan akibat metode "kumpul angkut buang" yang tidak ramah lingkungan. Kesimpulannya, TPS3R lebih menguntungkan secara ekonomi dan lebih mendukung kesehatan lingkungan dibandingkan dengan TPS.

HUBUNGAN SANITASI TOTAL BERBASIS MASYARAKAT DENGAN KEJADIAN DIARE DI KOTA METRO PROVINSI LAMPUNG TAHUN 2020-2022 (STUDI EKOLOGI) Lestari, Selfi Octaviani; Zakianis, Zakianis; Sapta, Wibowo Ady
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 1 (2025): APRIL 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i1.43538

Penyakit diare merupakan salah satu masalah kesehatan masyarakat yang utama, terutama di negara-negara berkembang. Diare ditandai dengan buang air besar encer sebanyak tiga kali atau lebih dalam sehari, sering kali disertai dengan kram perut. Insiden diare di kawasan Asia Tenggara cenderung lebih tinggi dibandingkan dengan wilayah Afrika. Untuk mengatasi hal ini, berbagai negara telah menerapkan program Community Led Total Sanitation yang bertujuan menurunkan angka kejadian diare melalui pendekatan perubahan perilaku. Di Indonesia sendiri, upaya serupa dilakukan melalui program Sanitasi Total Berbasis Masyarakat (STBM) yang terdiri dari 5 pilar, yaitu Stop Buang Air Besar Sembarangan (SBABS), Cuci Tangan Pakai Sabun (CTPS), Pengelolaan Air Minum dan Makanan Rumah Tangga (PAMMRT), Pengamanan Sampah Rumah Tangga (PSRT), dan Pengamanan Limbah Cair Rumah Tangga (PLCRT). Penelitian ini bertujuan untuk mengetahui korelasi antara penerapan 5 pilar STBM dengan kejadian diare di Kota Metro, Provinsi Lampung, pada tahun 2020–2022. Studi ini menggunakan desain ekologi dengan cakupan 22 kelurahan. Hasil penelitian menunjukkan bahwa dari kelima pilar STBM, hanya dua pilar yang memiliki hubungan signifikan dengan kejadian diare, yaitu PSRT (p=0,012, B=0,557) dan PLCRT (p=0,017, B=-0,529).

Upaya Pencegahan Flu Burung Masyarakat di Kabupaten Tangerang Lestari, Selfi Octaviani; Zakianis, Zakianis; Sapta, Wibowo Ady
Kesmas Vol. 5, No. 2
Publisher : UI Scholars Hub

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Flu burung di Indonesia masih merupakan masalah kesehatan. Tahun 2005-2008 terdapat 30 kasus suspek flu burung di Kabupaten Tangerang, meliputi 18 kasus confirmed dan 16 kasus meninggal (case fatality rate = CFR 87,5%). Penelitian ini bertujuan untuk mengetahui upaya pencegahan flu burung di tengah masyarakat Kecamatan Cikupa, Curug, Pasar Kemis dan Sepatan, Kabupaten Tangerang pada tahun 2009. Penelitian ini menggunakan data sekunder dari Yayasan Bangun Indonesia, yang dilakukan terhadap masyarakat dengan sumber informasi terdiri dari ibu rumah tangga, remaja, tokoh agama, tokoh masyarakat dan peternak. Survei dilakukan terhadap pengetahuan responden tentang flu burung, kebersihan perorangan responden, sanitasi makanan, dan sanitasi lingkungan. Jumlah sampel 320 responden yang diperoleh dari 4 Kecamatan. Hasil penelitian ini menemukan bahwa pengetahuan responden tentang flu burung masih belum baik (62,2%), kebersihan perorangan terkait flu burung masih buruk (57,1%), sanitasi makanan bersumber unggas belum baik (61%) dan secara umum semua variabel sanitasi lingkungan sudah baik, hanya sanitasi kandang unggas yang sebagian besar masih buruk (57,1%). Penghasilan rata-rata masyarakat Tangerang yang masih rendah, menyebabkan pengeluaran mereka masih diprioritaskan untuk membeli kebutuhan pokok rumah tangga daripada pencegahan flu burung. Avian Influenza is still a major health problem in Indonesia. In Tangerang district within the period of 2005-2008, 30 suspect cases were found, 18 confirmed. Sixteen (16) died because of this disease (case fatality rate = 87,5%). The objective of this research was to study prevention measures towards Avian Influenza within the community at Cikupa, Curug, Pasar Kemis and Sepatan sub-districts, Tangerang in 2009. A descriptive study was carried out towards community involving the households, teenagers; religious leader, community leader and poultry business as selected respondent. Information to collect consisted of knowledge about Avian Influenza, personal hygiene, food sanitation based on bird and environmental sanitation. Total of sample were 320 respondents from each sub-District. Data were taken from secondary data of Bangun Indonesia Foundation as research executor. This research found that more than a half of respondents (62.2%) have good knowledge about AI, (57.1%) about personal hygiene related to Avian Influenza, 61% about food sanitation based on bird were good enough (61%). In general environmental sanitation variables were somewhat good except for cage where 51% still bad. In the effort to prevent Avian Influenza in Cikupa, Curug, Pasar Kemis, and Sepatan communities, Tangerang District, 2009, one of variables were still poor (57.1%) that was sanitation of bird cages. Avian Influenza cases in Tangerang District is still high, due to non supportive people behavior and poor environment sanitation proven by poor sanitation of bird’s nest. Low household income of Tangerang district’s people, bringing about them to spend more on basic goods rather than Avian Influenza preventive action.

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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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.

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