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All Journal MEDIA MEDIKA INDONESIANA JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Science Midwifery International Journal of Science and Society (IJSOC) Jurnal Locus Penelitian dan Pengabdian Cerdika: Jurnal Ilmiah Indonesia Holistik Jurnal Kesehatan
Suratman Suratman
Department Of Public Health, Faculty Of Health Sciences, Jenderal Soedirman University, Purwokerto 53123, Indonesia
Aerospace Engineering Humanities Automotive Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Health Professions Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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GAMBARAN KEJADIAN TUBERKULOSIS PARU DI KABUPATEN BANYUMAS TAHUN 2004-2008 Dwi Sarwani Sri Rejeki; Sri Nurlaela; Suratman Suratman
Kesmas Indonesia Vol 3 No 2 (2010): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Indonesia places the third rank regarding tuberculosis cases in the world after India and China. Based on the result of a prevalence survey of Lung Tuberculosis in 2004, a national average prevalence rate of tuberculosis was 0.107%. Data of tuberculosis cases per 10.000 at Banyumas District Health Office from year 2003 until year 2005 consecutively were 1.1 in 2003, 3.7 in 2004, and 3.9 in 2005. Therefore, there needs to make a trend of a tuberculosis occurrence in order to improve the tuberclosis intervention program based on the real database. The objective of this research was to describe the occurrence of tuberculosis in Banyumas District from year until year 2008. Secondary data were obtained from Banyumas District Health Office. The result of this research showed that a number of clinical tuberculosis case in Banyumas District from year 2004 until year 2008 decreased, number of positive BTA cases increased, all cases of positive BTA had been treated, and part of cases had not been healed yet. The tuberculosis case in Banyumas District was an important health problem from year 2004 until year 2008. This condition was proved by data regarding positive BTA tuberculosis as a source of a transmission. The average of Case Detection Rate in Banyumas District was about 40-50% that was lower than the average of National Case Detection Rate (70%). Otherwise, Cure Rate was good enough (85%). As a suggestion, Head of Banyumas District Health Office and Health Centers should find a tuberculosis case both actively and passively and should increase cure rate through monitoring a behavior of drinking medicine on sufferers’ group
EVALUASI SISTEM INFORMASI AKADEMIK DI JURUSAN KESEHATAN MASYARAKAT FIKES UNSOED siti nurhayati; Colti Sistiarani; Suratman Suratman
Kesmas Indonesia Vol 9 No 2 (2017): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Pemanfaatan teknologi informasi pada saat ini merupakan salah satu alternatif untuk mendukung efektivitas dan efisiensi kinerja bagi suatu organisasi. Globalisasi dunia pendidikan menuntut perguruan tinggi untuk dapat mengelola informasi dengan baik, sehingga kebutuhan informasi masing–masing pihak yang berkepentingan dapat terpenuhi dengan cepat dan tepat. Salah satu sistem informasi yang ada di perguruan tinggi adalah sistem informasi akademik. Perguruan tinggi dituntut membangun sistem informasi akademik (SIA) yang mengintegrasikan dari semua aktivitas-aktivitas akademik, dan menyediakan informasi yang berguna bagi stakeholder. Dalam manajemen dan perencanaan sudah menjadi suatu keharusan bahwa evaluasi merupakan tonggak (milestone) dari suatu pengembangan. Penelitian ini bertujuan untuk mengetahui evaluasi sistem informasi akademik di jurusan kesehatan masyarakat FIKES UNSOED berdasarkan pada kinerja/performance, informasi/data, ekonomi, keamanan/control, efisiensi, dan pelayanan/service (PIECES) dari Sistem Informasi Akademik. Hasil evaluasi menunjukkan bahwa kinerja SIA adalah baik (70,5%); informasi SIA adalah baik (55,3%); nilai ekonomi SIA adalah baik (83,5%); keamanan SIA adalah baik (84,7%); efisiensi SIA adalah baik (51,8%); pelayanan SIA adalah baik (77,6%).
EFEKTIVITAS VARIASI UKURAN MEDIA ARANG AKTIF DAN ZEOLIT TERHADAP PENURUNAN KADAR BESI (Fe) PADA AIR SUMUR Hanifah Khulsum; Agnes Fitria Widiyanto; Suratman Suratman
Kesmas Indonesia Vol 10 No 2 (2018): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (136.585 KB) | DOI: 10.20884/1.ki.2018.10.2.1214

Abstract

Latar Belakang : Air yang dikonsumsi harus terbebas dari bahan kimia berbahaya dan beracun. Hasil uji pendahuluan menunjukkan kadar Fe air sumur sebesar 5,25 mg/L. Air sumur yang mengandung Fe harus diolah menggunakan zeolit dan arang aktif untuk menurunkan kadar Fe. Tujuan penelitian ini adalah untuk mengetahui efektivitas variasi ukuran arang aktif dan zeolit terhadap penurunan kadar Fe air sumur di Desa Kebasen. Metodologi : Jenis penelitian ini adalah quasi experiment, pretest posttest control group design dengan Rancangan Acak Lengkap (RAL). Sampel penelitian berjumlah 56 sampel air sumur yang mengandung Fe ˃ 1 mg/L yang dipilih dengan metode random sampling. Perlakuan penelitian ini menggunakan arang aktif dan zeolit ukuran 80, 100, dan 120 mesh dengan 4 kali pengulangan untuk masing-masing perlakuan. Analisis data menggunakan uji normalitas dengan Saphiro Wilk, uji Kruskal Wallis dan uji Mann Whitney. Hasil Penelitian : Ada perbedaan rata-rata kadar Fe sebelum dan sesudah perlakuan menggunakan arang aktif ukuran 80, 100, dan 120 mesh. Ada perbedaan rata-rata kadar Fe sebelum dan sesudah perlakuan menggunakan zeolit ukuran 80, 100, dan 120 mesh. Kesimpulan : Zeolit ukuran 100 mesh adalah media yang paling efektif menurunkan kadar Fe air sumur di Desa Kebasen yaitu sebesar 93,86%.
ANALISIS KANDUNGAN LOGAM TIMBAL (Pb) DAN LAJU KONSUMSI AMAN KERANG KEPAH (Polymesoda erosa) DI SUNGAI DONAN CILACAP Amazonia Dhita Risanti; Suratman Suratman; Agnes Fitria Widiyanto
Kesmas Indonesia Vol 6 No 2 (2013): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRACT One of the content that contained in Donan River is known as a lead (Pb). Lead that contained in the water will accumulate in the body of water organisme, one of which is the body shells (Polymesoda erosa). This type of research is a descriptive study and use the test "one sample t test". Based on the results of research on three stations in the River Donan is in the vicinity of Tritih Kulon, around the industrial area and around the Port Crossing Sleko, indicate that the sample (Polymesoda erosa) examined showed a significant difference to the standard used, SNI No. 7387 Year of 2009. The results of analysis using the "one-sample t test" indicates p value at stations I is 0,028, station II is 0,031 and 0,034 for station III, where a significance value less than 0,05 which indicates there is a significant difference between Pb content in the body of shells in River Donan with standard that used. The results of the calculation of the rate of consumption is safe for the shellfish mussel in the River Donan at station I that is equal to 0.00372 kg/day, the station II of 0.00367 kg/day and station III of 0.0037 kg/day. For the public should not consume mussel shells (Polymesoda erosa) from River Donan Cilacap in quantities of more than 0.004 grams/day to avoid the accumulation of Pb in the body. Keyword: Metal Content of Lead (Pb), flesh shells (Polymesoda erosa), The Rate of Safe Consumption Kesmasindo, Volume 6, Nomor 2, Juli 2013, Hal 85-93
GAMBARAN PEMAHAMAN MAHASISWA TERHADAP KEBIASAAN MEROKOK SERTA BAHAYANYA BAGI KESEHATAN MASYARAKAT DAN KESEHATAN LINGKUNGAN Suratman Suratman; Kuswanto Kuswanto
Kesmas Indonesia Vol 4 No 1 (2011): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

A number of smokers in Indonesia place the third rank in the world. More than 60 million Indonesian people are a smoker. A death case due to a disease related to cigarette is about 427.948 persons every year or equal to 1.172 persons/day. The objective of this research was to describe a student’s understanding about smoking activity and negative effects for both public and environmental health. This study was observational research with cross-sectional approach. Population was all students at Public Health Department of Medicine and Health Sciences Faculty, Jenderal Soedirman University, Purwokerto with the following inclusion criteria: 1) Students who entered university from 2007 to 2009; 2) Male; 3) Students were still active attending lectures. Number of sample was seventy-six persons. The result of this research shows that most of the respondents have understood in terms of the negative effects of smoking for both public and environmental health even though some of them (28.95%) were a smoker. This research concludes that theoretically, they understand about the negative effects of smoking for health although some of them are a smoker. As a suggestion, students should make cooperation with Non-Government Organization (NGO) to advocate a local government in order to implement a regulation of a smoking ban. Kata Kunci : Smoking, Negative Effects for Health, Student Kesmas indo. Volume 4(1,)Januari 2011, hlm. 11-23
Pajanan Pestisida Sebagai Faktor Risiko Hipotiroidisme pada Wanita Usia Subur di Daerah Pertanian Suhartono Suhartono; RRJ. Sri Djokomoeljanto; Suharyo Hadisaputro; Hertanto Wahyu Subagio; Apoina Kartini; Suratman Suratman
MEDIA MEDIKA INDONESIANA 2012:MMI VOLUME 46 ISSUE 2 YEAR 2012
Publisher : MEDIA MEDIKA INDONESIANA

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Abstract

Pesticide exposure as a risk factor for hypothyroidism in women at childbearing age in agricultural areasBackground: Hypothyroidism in women at childbearing age (WCA) will cause reproduction disorder, i.e. infertility, spontaneous abortion, impaired growth and development of foetus, placental abruption, and preterm delivery. Pesticide exposure is suspected to cause hypothyroidism. The research objective is to prove that pesticide exposure is a risk factor for hypothyroidism among WCA in agricultural areas.Methods: Case-control studies were used as study designs. Study subjects were 44 WCA as cases and 45 WCA as controls. Pesticide exposure was measured by asking WCA’s involvement in agricultural activities using structured questionnaire and by checking their levels of cholinesterase. Hypothyroidism was determined based on the results of TSH, FT4, and T3 level. Confounding variables were also measured. These variables were age, body mass index (BMI), participation in hormonal contraception, liver function, urinaryiodine excretion, urinary thiocyanate level and blood lead level. Chi-square test, OR (95% CI), and multivariate logistic regression were implemented to test the hypothesis.Results: Pesticides exposure is a risk factor for hypothyroidism (crude-OR=3.04; 95% CI=1.20-7.81; nilai p=0.033 and adjusted OR=3.31, 95% CI=1.25 to 8.78, p=0.016). The higher the degree of exposure, the greater the risk of having hypothyroidism.Conclusion: Pesticides exposure is a risk factor for hypothyroidism among WCA in agricultural areas.Keywords: Pesticide exposure, risk factor, hypothyroidism, women at childbearing age, agricultural areaABSTRAKLatar belakang: Hipotiroidisme pada kelompok wanita usia subur (WUS) dapat menyebabkan gangguan reproduksi, seperti infertilitas, abortus spontan, gangguan tumbuh-kembang janin, dan kelahiran prematur. Pajanan pestisida dapat mengganggu fungsi tiroid. Tujuan penelitian adalah membuktikan bahwa pajanan pestisida merupakan faktor risiko hipotiroidisme pada WUS di daerah pertanian.Metode: Desain penelitian yang digunakan adalah kasus-kontrol. Subyek penelitian adalah 44 WUS sebagai kasus dan 45 sebagai kontrol. Pajanan pestisida diukur menggunakan kuesioner dan pemeriksaan kadar kolinesterase. Kejadian hipotiroidisme diukur menggunakan parameter kadar TSH, FT4 dan T3. Variabel perancu yang diukur meliputi umur, indeks massa tubuh (IMT), penggunaan KB hormonal, fungsi hati, ekskresi yodium urin, kadar tiosianat urin, dan kadar Pb darah. Uji hipotesis yang digunakanadalah uji Chi-square, uji OR (95%CI), dan regresi logistik multivariat.Hasil: Pajanan pestisida merupakan faktor risiko hipotiroidisme pada WUS di daerah pertanian (crude-OR=3,04; 95%CI=1,20- 7,81; nilai p=0,033 dan adjusted OR=3,31; 95%CI=1,25-8,78; p=0,016). Semakin tinggi derajat pajanan pestisida, semakin besar risiko terjadinya hipotiroidisme.Simpulan: Pajanan pestisida merupakan faktor risiko kejadian hipotiroidisme pada WUS di daerah pertanian.
A Correlation Study : Levels of Butyrylcholinesterase and Paraoxonase 1 Activity amongst Shallot Farmworkers in Brebes Regency, Central Java, Indonesia Suratman Suratman; Kuswanto Kuswanto; Agnes Fitria Widiyanto
JURNAL KESEHATAN LINGKUNGAN Vol. 11 No. 4 (2019): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v11i4.2019.354-360

Abstract

Organophosphate insecticides (OPs) are one of the pesticides commonly used in agricultural activities either to eradicate or to protect crops from insect attacks. Aside from the advantages proposed, this OPs substance also brings some worrisome threats for individual and population. Shallot farmworkers in Brebes Regency are population at risk to OPs exposure. The activity levels of Butyrylcholinesterase (BuChE) and paraoxonase 1 (PON1) in blood play important roles as a biomarker of exposure as well to measure the occurrence of OPs exposure in a human body and as a biomarker of susceptibility as well to measure the level of detoxifying OPs. The aim of this study was to analyse the correlation between levels of BuChE and PON1 activities amongst shallot farmworkers. A cross-sectional study was conducted on 88 male subjects selected randomly from Dukuhlo Village in Brebes Regency, Indonesia, occupationally exposed to OPs from April to May 2017. Using a structured questionnaire, a survey was carried out based on sociodemographic characteristics. Blood samples were collected to determine the levels of BuChE and PON1 activity. These samples were then analysed at laboratories of Cito in Tegal and Gaky, Undip in Semarang. Furthermore, data were analysed systematically using univariate and bivariate (a Spearman's Rank test). A significant correlation was found between these both variables (p=0.025 and rho=0.238) with slightly moderate positive relationship. To sum up, farmworkers with higher PON1 activity may have a better chance of detoxifying the acute effect of OPs exposure. A further research is needed to identify correlation between PON1 activity, levels of thyroid hormones, and OPs metabolites in urine.
Pesticides Exposure and Thyroid Hormone Levels Among Agricultural Workers and Pesticide Applicators: A Systematic Review Suratman Suratman; Suhartono Suhartono
JURNAL KESEHATAN LINGKUNGAN Vol. 14 No. 3 (2022): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v14i3.2022.178-192

Abstract

Introduction: Presently, the global consumption of pesticides including insecticides, herbicides, and fungicides to protect crops is increasing. Pesticides' role as Endocrine-Disrupting Chemicals (EDCs) has gained great concern in the field of thyroid hormones. Therefore, this systematic review aimed to determine the link of pesticide exposure with thyroid hormone levels among male agricultural workers and pesticide applicators. Discussion: It was discovered that the majority of reviewed articles have similar results concerning the effects of pesticide exposure on the serum levels of thyroid hormones among either farmworkers or pesticide applicators. Commonly, insecticides, herbicides, and fungicides are known as one of the EDCs. The results showed the elevation of TSH and T4 serum levels mostly occurred among groups exposed to insecticide application only rather than those exposed to various pesticide types. Moreover, the hormonal change differed based on each class of pesticide. Conclusion: This review suggests that some types of pesticides extensively used in agriculture might be involved in the increase and decrease in thyroid hormone levels among exposed individuals. Further studies should assess specific types of pesticides and the adverse health effects which involve confounding factors to yield robust analysis.
Analisis Pengelolaan Limbah Medis Padat di Puskesmas Kampung Laut Kabupaten Cilacap Jawa Tengah Santo Purwo; Edy Suyanto; Suratman Suratman
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 7 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (741.022 KB) | DOI: 10.59141/cerdika.v2i7.410

Abstract

Timbulan limbah medis padat yang dihasilkan dari penanganan pelayanan kesehatan makin hari makin meningkat, ditambah lagi dengan upaya penanggulangan pandemi Corona Virus Disease 2019(Covid-19). Puskesmas Kampung Laut sebagai fasilitas pelayanan kesehatan pertama yang berada di perairan segara anakan wilayah Kabupaten Cilacap, membutuhkan metode pengelolaan limbah medis padat yang baik mulai dari pemilahan sampai pengangkutan. Penyimpanan dan pengangkutan limbah menjadi perhatian serius, limbah Bahan berbahaya beracun(B3) dikumpulkan sebulan sekali dan diangkut melalui perairan dengan perahu menimbulkan risiko kesehatan dan lingkungan yaitu risiko limbah di tempat penyimpanan sementara(TPS) B3, risiko tertusuk jarum atau benda tajam dan terkontaminasi jika tumpah selama pengangkutan. Tujuan penelitian adalah menganalisis pengelolaan limbah medis padat di Puskesmas dari berbagai aspek 1) input, 2) proses, 3) output, 4) strategi pengelolaan limbah medis padat di Puskesmas Kampung Laut, Kabupaten Cilacap. Metode penelitian adalah penelitian Kualitatif menggunakan pendekatan deskriptif, analisis data mengikuti konsep Miles dan Huberman dalam Moleong. Hasilnya di Puskesmas Kampung Laut upaya pengelolaan limbah medis padat sudah dilakukan, namun belum menunjukkan pengelolaan yang baik. Dilihat dari inputnya kekurangan SDM dan perencanaan anggaran, dari segi proses, standar operasional prosedur (SOP) belum dilaksanakan dengan baik, penyimpanan dan pengangkutan menjadi permasalahan dikarenakan kondisi geografis. Output pengelolaan limbah terkendala dan belum maksimal dalam pengelolaan limbah medis padat. Saran penelitian adalah merencanakan dan mengusulkan anggaran yang komprehensif untuk memenuhi kebutuhan pengelolaan limbah, pengadaan cold storage, teknik pengemasan dan transportasi untuk mengurangi risiko, komitmen penerapan SOP dan pemantauan evaluasi berkelanjutan untuk peningkatan pengelolaan limbah medis padat Puskesmas Kampung Laut Kabupaten Cilacap.
Factors influencing nurse turnover intention at private Hospitals in Purwokerto in 2024 Rahmansyah, Ilham; Aji, Budi; Suratman, Suratman; Arum, Khusnul Khotimah
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1989

Abstract

The turnover intention rate among nurses in hospitals in Indonesia is quite high, exceeding 10% annually (above the normal limit). This phenomenon also occurred in Purwokerto, where in 2023 the turnover rate exceeded the minimum threshold of 10% per year. The causes of nurse turnover intention include workload, work stress, perceived organizational support, job satisfaction, and compensation. Nurse turnover intention can lead to a decrease in trained and expert nurses in their field. Method: This study used a cross-sectional design with 302 respondents from 6 private hospitals in Purwokerto. The sampling technique was stratified proportional random sampling. Data were collected using questionnaires, and the analysis employed binary logistic regression with the enter method. Results: The analysis of the relationship between workload, work stress, perceived organizational support, job satisfaction, and compensation on nurse turnover intention showed a p-value <0.001. Multivariate analysis using the enter method found that workload and work stress had significant effects (p = 0.001), while perceived organizational support (p = 0.368), job satisfaction (p = 0.125), and compensation (p = 0.175) did not have significant effects. Conclusion: There is a relationship between workload, work stress, perceived organizational support, job satisfaction, and compensation with nurse turnover intention. However, multivariate analysis shows that workload and work stress simultaneously influence nurse turnover intention in hospitals.
Co-Authors Agnes Fitria Widiyanto Amazonia Dhita Risanti Apoina Kartini Arum, Khusnul Khotimah Budi Aji, Budi Colti Sistiarani Dewi Sulistyorini, Dewi Dwi Sarwani Sri Rejeki edy suyanto Hanifah Khulsum Hertanto Wahyu Subagio Kuswanto Kuswanto Kuswanto Kuswanto Ngadiman Nisrina Alifah Oktafiani Catur Pratiwi Prastyo, Hutomo Eko Rahmansyah, Ilham Riri Trinanda RRJ. Sri Djokomoeljanto Santo Purwo Shohihah, Ayidah Indana siti nurhayati Siti Nurhayati Sri Nurlaela Suhartono Suhartono Suhartono Suhartono Suharyo Hadisaputro Tri Murniati Triswati, Triswati