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All Journal JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) Journal of Health Education Jurnal Ilmiah Universitas Batanghari Jambi Jurnal Kesehatan Komunitas Hearty : Jurnal Kesehatan Masyarakat Jurnal Biomedika dan Kesehatan Jurnal Riset Kesehatan Poltekkes Depkes Bandung Contagion: Scientific Periodical Journal of Public Health and Coastal Health PREPOTIF : Jurnal Kesehatan Masyarakat KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat Science Midwifery International Journal of Health, Economics, and Social Sciences (IJHESS) Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) Jurnal Abdi Masyarakat Indonesia Jurnal Kolaboratif Sains Gema Lingkungan Kesehatan Karya Kesehatan Siwalima Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan ASPIRATOR - Journal of Vector-Borne Diseases Studies
Yulia Khairina Ashar
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Developing Prototype of the Nasu Suwoho Application for Rabies Case Reporting in Endemic Areas, North Sumatera, Indonesia Tri Bayu Purnama; Yulia Khairina Ashar; Arrafi Insani; Mahin Reza
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 4 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i4.21218

Abstract

Delays in the handling of cases including rabies will affect the severity level caused by the inaccurate handling and detection of cases and tends to be slow. Considering that the era of digital technology is now developing so rapidly, almost all information can be accessed easily today. The purpose of this activity is to provide knowledge or socialization of the plan for a rabies self-reporting program by the community through the Nasu Suwoho application. Community service activities are carried out using a Participatory Action Research approach where the community as the subject and object of this community service activity plays an active role in planning to implement the use of the rabies reporting application. A qualitative approach with in-depth interviews was conducted to the respondents by the research team. Service activities consist of opening, giving material, delivering videos and testing applications. With the Nasu Sowoho application, it is hoped that the signals of rabies cases, humans and animals infected with rabies in the community, health center staff and animal health centers can be properly monitored. This application displays questions in the form of self-diagnosis of the general public about the clinical symptoms of bite cases of rabies-transmitting animals. These clinical symptoms are adapted to general and typical signs that are easily recognized by the public so they can be reported easily. Keyword: Rabies, Digital Health, Qualitative Study
RELATIONSHIP BETWEEN KNOWLEDGE AND ATTITUDE TOWARDS THE USE OF PERSONAL PROTECTIVE EQUIPMENT (PPE) IN BUS MECHANICS AT PT. INTER CROSS SUMATRA Maulidya Permata; Yulia Khairina Ashar; Reni Agustina Harahap
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 2 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i2.2935

Abstract

This study aims to determine whether knowledge has a positive and significant effect on the use of PPE on bus mechanics at PT Antar Lintas Sumatra. This study uses two independent variables, namely knowledge and attitude with one dependent variable, namely the use of PPE. The type of data used in this study is primary data, where the data comes from the results of distributing questionnaires to bus mechanics at PT Antar Lintas Sumatra. After conducting a literature and field review and formulating a hypothesis, the population and sample in this study were 30 respondents, with a total sampling technique. This type of research is quantitative analytic with a cross-sectional approach. The research was conducted at the central workshop of PT Antar Lintas Sumatra in the period December 2024-March 2025. The research instrument used a closed questionnaire in the form of a Likert scale that had been tested for validity and reliability. Data analysis was carried out with software through multiple linear regression, as well as the t test and F test to test the relationship between variables, with the coefficient of determination (R²) to see the magnitude of the influence of the independent variable on the dependent variable. The t test shows that the knowledge variable (X1) has a significant effect on the use of PPE. This is proven by the results of the t-test statistics for the knowledge variable indicated by a value of 3.518 and in the table of 2.048 and a Sig value (0.002 <0.05). The attitude variable (X2) has a significant effect on the use of PPE. This is proven by the results of the t-test statistics for the attitude variable which is shown with a value of 12.188 and in the table of 2.048 and a Sig value (0.000 <0.05). The F test shows that the variables of knowledge (X1) and attitude (X2) have a significant effect on the use of PPE simultaneously. The coefficient of determination shows that 86.0% of PPE use is influenced by knowledge and attitude variables, and the remaining 14.0% by other variables not examined. Suggestions in this study are that companies must be able to provide PPE according to standards, tighten supervision of PPE use, and increase socialization of PPE use in the work environment.
WORK SYSTEM ASPECTS ASSOCIATED WITH PRODUCTIVITY OF RAILWAY STATION FACILITY INSPECTION OFFICERS IN KISARAN Hasanatun Laili; Tri Niswati Utami; Yulia Khairina Ashar
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 5 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i5.3278

Abstract

Work productivity is influenced by various factors, one of which is an effective work system. A good work system can provide a sense of security and comfort for workers. This study aims to analyze the relationship between work systems consisting of work motivation, work materials and productivity of facility inspection officers at the Kisaran Railway Station. This study used a quantitative method with a cross-sectional approach. The study population consisted of 43 railway station facility inspectors, with the sampling technique using total sampling. The research instrument was a questionnaire covering three main variables: work motivation (10 questions), work materials (9 questions), and work productivity (9 questions). Data analysis was conducted using multiple linear regression tests. The results of this study concluded that work motivation has no effect on work productivity. Work materials have a positive effect on work productivity. Highly motivated employees will strive to achieve good work productivity and actively contribute to achieving organizational goals.
Analysis of Environmental Risk Factors Associated with Malaria Incidence in Papua, Indonesia Ashar, Yulia Khairina; Lauchan, Agil Maritho; Safira , Putri
JURNAL KESEHATAN LINGKUNGAN Vol. 17 No. 3 (2025): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

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Abstract

Introduction: Papua is the region with the highest malaria burden in Indonesia, accounting for about 84% of the total national malaria cases. The high incidence rate indicates the need for a multidimensional approach, including analysis of environmental determinants. Therefore, this study aimed to evaluate the influence of environmental risk factors on the incidence of malaria in Papua, Indonesia. Methods: A cross-sectional observational design was used based on secondary data from the 2023 Indonesian Health Survey. The analysis was conducted on 37,987 respondents using Chi-square test and binary logistic regression. The variables analyzed included housing conditions, physical quality of water, wastewater drainage systems, and waste management. Results and Discussion: The results showed that, based on bivariate analysis, four environmental factors were significantly related to malaria incidence (p<0.05). However, in the multivariate analysis, only three variables remained significant, wastewater drainage system (OR=1.203; p<0.001), poor waste management practices (OR=1.103; p<0.016), and housing conditions (OR=0.884; p<0.001). while water quality had no significant effect. Conclusion: These findings highlight the importance of incorporating environmental management into malaria control strategies, especially in endemic and resource limited regions like Papua, through multisectoral collaboration between health and environmental authorities.
Association Between Climatic Factors and Malaria Incidence in Papua, Indonesia Ashar, Yulia Khairina; Safira , Putri; Lauchan, Agil Maritho
Gema Lingkungan Kesehatan Vol. 23 No. 3 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i3.301

Abstract

Malaria remains a major public health concern in many countries, including Indonesia, particularly in endemic regions such as Papua. The province of Papua records the highest number of malaria cases, contributing approximately 92% of the national burden. Fluctuations in morbidity and mortality rates due to malaria in this region underscore the urgency of targeted control measures. Several environmental and climatic factors are believed to influence malaria transmission, yet comprehensive analyses in Papua remain limited. This study aimed to determine the relationship between climatic factors and the incidence of malaria in Papua.This type of research is descriptive observational with ecological study design. The data source was secondary data from the Indonesian Health Survey for malaria cases and the Meteorology Climatology and Geophysics Agency (BKMG) for climate factor data. Based on the results showed that Rainfall (p=0.187; r=-0.445), humidity (p=0.627, r=-0.176), temperature (p=0.091, r=0.802), wind speed (p=0.004, r=0.818), and duration of sunshine (p=0.038, r=0.661). Findings suggest that wind speed and solar irradiation are significant predictors of malaria incidence, thus environmental management strategies should consider consider thes variables.
Evaluasi Program UKS berdasarkan Model CIPP dalam Implementasi Pelayanan Kesehatan di SDN 163089 Kota Tebing Tinggi Purba, Fadila Syahrani; Eliska, Eliska; Ashar, Yulia Khairina
Jurnal Biomedika dan Kesehatan Vol 8 No 2 (2025)
Publisher : Fakultas Kedokteran Universitas Trisakti

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Abstract

Background School-age children are a key group in health development because healthy habits start forming early. However, various national and international surveys show that students still face risks like poor nutrition, smoking, and lack of physical activity. The School Health Unit (UKS) program aims to address these issues through promotive and preventive school-based health services. Methods This study used a qualitative descriptive approach with the CIPP (Context, Input, Process, Product) evaluation model. Data were gathered through observation, in-depth interviews, and document analysis. Informants were chosen through purposive sampling and included the UKS coordinator, school principal, teachers, and students. Data validity was maintained through triangulation of sources and techniques. Results In the Context aspect, there was no formal written policy or established organizational structure for UKS. The Input aspect revealed limited health facilities and the absence of personnel specifically assigned to these facilities. In the Process aspect, only health screening and periodic check-ups were implemented effectively, while other activities, such as health education, Little Doctor training, and nutrition and first aid services, were not conducted according to standards. For the Product aspect, some students demonstrated positive behavioral changes, but these changes were not systematically documented or evaluated. Conclusions The implementation of the UKS program at SD Negeri 163089 Tebing Tinggi City remains symbolic and lacks significant promotive and preventive health efforts. Enhancing the organizational structure, improving health infrastructure, and strengthening intersectoral collaboration are crucial for ensuring the sustainable and effective execution of the program UKS.
SANITASI TEMPAT PENGELOLAAN PANGAN JASA BOGA CATERING DI KOTA MEDAN Ashar, Yulia Khairina; Muharani, Anisa; Kholijah, Anna; Hasibuan, Ismi Larasati; Audina, Salsabila; Yusrina, Tania
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.47308

Abstract

Sanitasi di tempat pengelolaan pangan, terutama pada usaha jasa boga seperti catering, memiliki peran penting dalam mencegah penyakit bawaan makanan dan menjaga keamanan pangan. Di Kota Medan, penelitian ini dilakukan untuk mengevaluasi kondisi sanitasi di beberapa usaha catering, yaitu Catering BN, R, Z, dan F, yang menjadi representasi usaha kecil, menengah, dan besar. Metode yang digunakan adalah kuantitatif deskriptif, meliputi observasi, wawancara, dan pengisian kuesioner dengan mengacu pada standar Inspeksi Kesehatan Lingkungan (IKL) dari Kementerian Kesehatan. Penilaian dilakukan terhadap 19 variabel sanitasi, seperti lokasi, bangunan, penanganan pangan, dan fasilitas kebersihan. Dari 4 tempat pengelolaan pangan yang diteliti, sebagian besar sudah memenuhi standar sanitasi, meskipun beberapa aspek masih memerlukan perbaikan, khususnya dalam penyimpanan bahan pangan dan pengelolaan area persiapan makanan untuk mencegah kontaminasi silang. Penelitian ini menyimpulkan bahwa meski standar sanitasi di tempat pengelolaan pangan jasa boga di Medan telah cukup baik, peningkatan pada beberapa area masih diperlukan. Disarankan agar para pengelola usaha catering meningkatkan aspek-aspek yang belum sesuai standar, termasuk menyediakan fasilitas penyimpanan yang lebih baik dan menjaga kebersihan area kerja. Pelatihan rutin bagi personel pengelola pangan tentang praktik sanitasi dan keamanan pangan juga penting untuk menjaga standar dan meminimalisir risiko kesehatan bagi konsumen. Dengan peningkatan ini, diharapkan keamanan pangan di industri jasa boga di Kota Medan dapat terus terjaga.
The Relationship Between Climate Factors and Leptospirosis Incidence in Central Java in 2019-2023 Nasution, Amalia Rahmi; Ashar, Yulia Khairina
Karya Kesehatan Siwalima Vol 4, No 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1666

Abstract

Each year, more than 500,000 cases of Leptospirosis are reported worldwide. This disease is spread globally, especially in humid tropical countries like Indonesia. Based on the 2023 Indonesian Health Profile, there were 2,554 cases with a CFR of 8%, and Central Java ranked second (884 cases). This study aims to determine the relationship between climate factors and the incidence of Leptospirosis in Central Java in 2019–2023. The study used a quantitative approach with an ecological study design. The sample includes data on Leptospirosis incidence, air temperature, humidity, rainfall, and sunshine duration for 60 months. This study utilized secondary data sourced from the Central Java Provincial Health Office, accessed through the Central Java PPID website, for Leptospirosis case data and the BMKG website for Climate data. Data processing was carried out using the Spearman rho correlation test method. The results are the relationship between air temperature and leptospirosis incidence (p=0.053; r=-0.251), the relationship between humidity and leptospirosis incidence (p=0.000; r=0.546), the relationship between rainfall and leptospirosis incidence (p=0.022; r=0.295), and the relationship between the duration of sunlight and leptospirosis incidence (p=0.002; r=-0.383). It was concluded that humidity, rainfall, and duration of sunlight were significantly related to leptospirosis incidence, while temperature was not. It is recommended that the government strengthen vector control, especially during the rainy season, that the community maintain personal and environmental hygiene, and that further research use a wider time and area coverage with more complex methods.
Analysis of Traders’ Knowledge Level on Formalin Detection in Fresh Fish at Tavip Market Binjai City Sibarani, Adinda Azima Riskiya; Ashar, Yulia Khairina
Karya Kesehatan Siwalima Vol 4, No 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1665

Abstract

Formalin is a prohibited food additive due to its harmful effects on human health. An inspection conducted by the Indonesian Food and Drug Authority (BPOM) in North Sumatra at Tavip Market, Binjai City, found the presence of formalin in several types of fresh fish being sold. The low level of traders’ knowledge regarding the dangers of formalin is believed to be one of the main factors contributing to its use in fresh fish. This study aimed to analyze the association between traders’ knowledge levels and the presence of formalin in fresh fish at Tavip Market, Binjai City. A quantitative approach with a cross-sectional design was employed. The study population consisted of all 32 fresh fish traders at Tavip Market, selected using a total sampling technique. Data were collected through a validated questionnaire to measure traders’ knowledge levels and laboratory testing using the spot test method to detect formalin in fish. Data analysis was conducted using Fisher’s exact test. The results revealed a significant association between traders’ knowledge levels and the presence of formalin in fresh fish (p-value = 0.021). Low knowledge levels were found to increase the risk of formalin use in fresh fish. Continuous education and intensive supervision by relevant authorities are necessary to reduce the circulation of formalin-contaminated fish in traditional markets. 
Analisis Risiko Kecelakaan Kerja Pada Pekerja Informal Nelayan Di Kabupaten Batubara: Analysis of Occupational Accident Risks Among Informal Fishermen Workers in Batubara Regency Alwi Ridho; Tri Niswati Utami; Putra Apriadi Siregar; Yulia Khairina Ashar; Asnil Aidah Ritonga
Jurnal Kolaboratif Sains Vol. 8 No. 10: Oktober 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jks.v8i10.8704

Abstract

Data FAO (Food and Agriculture Organization), menyebutkan bahwa sebanyak 16 kali lebih tinggi kematian yang terjadi pada pekerjaan nelayan dibandingkan dengan jumlah kematian pada pekerjaan berbahaya lainnya di dunia. Tujuan penelitian nengetahui dan menganalisis risiko kecelakaan kerja pada pekerja informal nelayan di Kabupaten Batubara menggunakan metode Bowtie Analysis. Metode ini menggunakan kualitatif dengan analisis Bowtie. Informan pada penelitian ini berjumlah 7 informan. Pengumpulan data melalui wawancara dan observasi secara langsung. Data dianalisis secara metode Bowtie Analysis. Berdasarkan penelitian terhadap 7 nelayan penangkap ikan di Kabupaten Batubara, diperoleh kesimpulan bahwa risiko kecelakaan kerja dipengaruhi oleh kondisi lingkungan yang tidak aman, seperti lantai licin, suhu lembab, jaring kasar, cuaca ekstrem, kebisingan, biota laut berbahaya, ombak kencang, serta faktor kepercayaan. Penyebab dari risiko kecelakaan ini diakibatkan oleh kelalaian dari nelayan itu sendiri, cuaca ekstrem, unsafe action dan unsafe condition. Pencegahan dilakukan melalui pengelolaan lingkungan, faktor manusia, peralatan, kearifan lokal, dan pengobatan tradisional. Pengendalian bahaya mencakup perawatan kapal, pemasangan pegangan, menjaga lantai kapal tetap kering, serta penyediaan pelampung sederhana.
Co-Authors Adilah, Shofiyyah Adinda Afifah Alfiya Syahri Alvi Hazri Lubis Alwi Ridho Amira Arni Anna Tasya Putri annisa fadila Ar-ramdhani, Adinda Aulia Arrafi Insani Asnil Aidah Ritonga Audina, Salsabila Dalimunthe, Halimatus Sa'diyah Dewi Agustina Eliska, Eliska Fatma Indriani Fauziah Nasution Fitri Hayati Ginting, Aloken Marwahta Br. Harahap, Mhd Abdul Rajab Hasanatun Laili Hasibuan, Ismi Larasati Hasibuan, Reni Ria Armayani Indah Rahayu Ritonga Kholijah, Anna Lauchan, Agil maritho Lubis, Syahrani Mahin Reza Malau, Nurlyani Maulidya Permata Melisa Melisa Muharani, Anisa Naldo, Jufri Naldo Nasution, Amalia Rahmi Nofi Susanti Purba, Fadila Syahrani Purnama, Tri Bayu Putra Apriadi Siregar Putri, Apzur Rohimah Rapotan Hasibuan Reni Agustina Harahap Safira , Putri Sagala, Rahmadani Sagala, Rizqa Auliyah Shifah Sazkiah, Ema Rizka Sibarani, Adinda Azima Riskiya Sitompul, Muhammad Rizky Ramadhan Syafran Arrazy Tanjung, Sophie Zafira Tri Niswati Utami Wati, Desi Indriani Rahma Wulandari, Dyah Retno Yusrina, Tania Zata Ismah Zuhrina Aidha