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Overview of the Standards and Objectives of Implementing the Dengue Hemorrhagic Fever (DHF) Control Policy through the One House One Mosquito Net Movement Program at the Rahandouna Village Health Center, Kendari City Muhammad Arsyi, La Ode; Azizi Jayadipraja, Erwin; Abdurrahman, Syawal
Waluya The International Science of Health Journal Vol. 4 No. 3 (2025): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/6w6y7n82

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Introduction:Dengue fever remains a serious health problem in Indonesia, including in Kendari City, with cases occurring annually. In 2023, Kendari City successfully reduced dengue fever morbidity through the "1 house, 1 mosquito larvae" initiative. This study aims to describe the "1 house, 1 mosquito larvae" initiative at the Poasia Community Health Center.Method:Qualitative research and case study design were conducted in 2024. The key informants in this study were the coordinators of infectious disease control at community health centers, while general informants included the heads of community health centers, movement managers, village heads, and the heads of the infectious disease prevention and control section of the Kendari City Health Office.Result:Demonstrate conformity with the policy implementation theory and guidelines of this movement which include standards and objectives, characteristics of implementing organizations, communication between implementing organizations, disposition, and environment (social, economic, and political).Conclusion:There is a need for training in the use of Android-based applications for coordinators and supervisors, forming a team with the Village Office and socializing how to become a Coordinator and Supervisor to the Community.
Risk of Spouse HIV Status and Anal Sex on HIV/AIDS Transmission in Men Who Have Sex with Men (MSM) at Kendari City Hospital Sijid, Rahmawati; Jayadipraja, Erwin Azizi; Appe, Samsu; Fadmi, Fitri Rachmillah; Ayi Sukma, Komang
Disease Prevention and Public Health Journal Vol. 19 No. 2 (2025): Disease Prevention and Public Health Journal
Publisher : Universitas Ahmad Dahlan

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

Abstract

Background : The incidence of HIV/AIDS occurs in many productive ages with the highest percentage in men. At Kendari City Hospital, there is a significant increase in new cases of HIV/AIDS every year, especially in the MSM group. The average proportion of HIV/AIDS cases in MSM in 2021 is 65.4%; in 2022 it is 74.3%, and in 2023 it is 77.1%. This study aims to analyse the risk of HIV status and anal sex on HIV/AIDS transmission in the group of men who have sex with men (MSM) at Kendari City Hospital. Method : This type of research is a quantitative study with a case control design. The study population consisted of 349 cases and 423 controls. The minimum sample size taken was 75 case subjects and 75 control subjects, with sample withdrawal using random sampling. Data analysis was carried out descriptively, epidemiology and logistic regression analysis. Results: This research found the Odds Ratio (OR) of HIV status of couples was obtained at 30.545 and anal sex was 7.042.  Conclusion : The conclusion in this study is that the HIV status of the couple and anal sex are behavioural factors for the risk of HIV/AIDS in the group of Men who have sex with men at Kendari City Hospital. It is expected that the Kendari City Health Office will increase socialization activities about the use of condoms and examination for sexually transmitted infections as an effort to prevent HIV/AIDS, especially to the MSM group. This can be done through cross-sectoral cooperation with other agencies as well as the involvement of NGOs and moving with the community.
Analisis Pengelolaan Obat Sistem Satu Pintu Pada UPTD Puskesmas Polinggona Kabupaten Kolaka Tahun 2022 sufiati, Sufiati; Azizi Jayadipraja, Erwin; Yuliastri, Wa Ode
Jurnal Pharmacia Mandala Waluya Vol. 4 No. 5 (2025): Jurnal Pharmacia Mandala Waluya
Publisher : Prodi Farmasi Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/jpmw.v4i5.262

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Manajemen pengelolaan obat untuk kebutuhan obat publik didasarkan pada Keputusan Menteri Kesehatan Republik Indonesia Nomor No.74 Tahun 2016. Salah satu tujuan manajemen pengelolaan obat adalah menjamin ketersediaan obat. Manajemen pengelolaan obat yang tidak efisien dapat menyebabkan tingkat ketersediaan obat menjadi berkurang, terjadi kekosongan obat, serta banyaknya obat yang menumpuk akibat dari perencanaan yang tidak baik. Penelitian ini bertujuan menganalisis pengelolaan obat di Puskesmas Polinggona Kabupaten Kolaka Tahun 2022. Desain penelitian ini adalah kualitatif menggunakan metode deskriptif observasi dengan melakukan pengamatan  menggunakan wawancara langsung kepada informan yang ada dipuskesmas  Polinggona Kabupaten Kolaka, sampel pada penelitian ini yaitu menggunakan informan staf puskesmas dan pasien. Hasil penelitian yang didapatkan Manajemen pengelolaan obat yang meliputi perencanaan, permintaan, penyimpanan, pendistribusian dan pengendalian di Puskesmas Polinggona Kabupaten Kolaka sering terjadi pada penyimpanan yang tidak sesuai dengan syarat penyimpanan obat karena tidak dapat menampung semua obat dan bahan medis habis pakai . Hal itu sangat berpengaruh pada kualitas obat dan pelayanan Kesehatan. Disarankan kepada pihak Puskesmas Polinggona Kabupaten Kolaka untuk melakukan evaluasi tentang manajemen pengelolaan obat terkhusus pada kegiatan penyimpan obat agar kegiatan pengelolaan obat di Puskesmas dapat diselenggarakan dengan semaksimal mungkin dan juga diharapkan kepada Dinas kesehatan kabupaten Kolaka agar membenahi sarana dan prasarasa khususnya gudang obat.
Faktor yang Berhubungan dengan Perilaku Buang Air Besar Sembarangan Pada Masyarakat Bajo Muhammad Rizal Rl; Nurlila, Ratna Umi; Jayadipraja, Erwin Azizi
Jurnal Healthy Mandala Waluya Vol. 2 No. 3 (2023): Jurnal Healthy Mandala Waluya
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/jhmw.v2i3.474

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Masyarakat suku Bajo di Desa Hakatutobu hanya 8 rumah yang memiliki jamban dan sisanya 81 rumah tidak memiliki jamban. Berdasarkan studi pendahuluan pada 10 rumah, terdapat ó rumah tangga berpengetahuan kurang, dan 7 rumah tangga persepsi kurang. Tujuan penelitian untuk mengetahui faktor yang berhubungan dengan perilaku buang air besar sembarangan pada masyarakat bajo di Desa Hakatutobu Kecamatan Pomalaa Kabupaten Kolaka. Jenis penelitian kuantitatif dengan pendekatan Cross-sectional study, populasi dalam penelitian ini adalah jumlah masyarakat Bajo sebayak 89 KK, teknik penarikan sampel secara Simple Random Sampling, jumlah sampel sebanyak 48 responden, analisis menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa ada hubungan antara pengetahuan dengan perilaku BABS dengan nilai X2hitung > X2tabel (7,769 > 3,841), ada hubungan signifikan antara pendapatan KK dengan Perilaku BABS dengan nilai X2hitung > X2tabel (6,976 > 3,841), dan ada hubungan signifikan antara persepsi masyarakat Bajo dengan perilaku BABS dengan nilai X2hitung > X2tabel (5,127 > 3,841). Saran dalam penelitian ini adalah bagi puskesmas diharapkan petugas kesling rutin melakukan penyuluhan tentang Perilaku BABS pada Masyarakat Bajo.
Factors Associated with Dengue Hemorrhagic Fever in the Lepo-Lepo Community Health Center Area Alya, Nur; Jayadipraja, Erwin Azizi; Yanti, Fitri
Miracle Journal of Public Health Vol 8 No 2 (2025): Miracle Journal of Public Health (MJPH)
Publisher : Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/mjph.v8i2.477

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Dengue Hemorrhagic Fever is one of the health problems in Indonesia that tends to increase in the number of patients and spread more widely and can cause extraordinary events (KLB). The prevalence of DHF in Kendari City in 2024 is 0.474% or 474/100,000 population, while the national figure is 0.03%. The purpose of this study was to determine the factors associated with DHF cases in the community within the working area of the Lepo-Lepo Community Health Center through an epidemiological study approach. This was a quantitative study with a cross-sectional design. The population consisted of 7,134 households, with a sample size of 99 respondents. The sampling technique used was proportional random sampling. The analysis method used the chi-square test. The results showed that DHF was significantly related to PSN knowledge (0.000<0.05), 3M Plus behavior (0.000<0.05), resting places (0.029<0.05), and indoor air humidity (0.003<0.05). The conclusion is that there is a relationship between PSN knowledge, 3M Plus behavior, resting place, and indoor air humidity. This study suggests that efforts to prevent DHF in the Lepo-Lepo Community Health Center working area should focus on intensively improving education and socialization regarding mosquito breeding site eradication (PSN) and 3M Plus behavior to the community. In addition, environmental control, such as managing mosquito resting places and regulating indoor air humidity, should be a priority to reduce the habitat of Aedes aegypti mosquitoes.
Analysis of Knowledge, Attitude, Personal Hygiene Practices, and Sanitation in the Prevention of Skin Diseases among the Bajo Community in Baliara Village West Kabaena Island Astawa, Kadek Wiana; Azizi Jayadipraja, Erwin; Mubarak, Mubarak
Waluya The International Science of Health Journal Vol. 4 No. 4 (2025): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/ahx33062

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Introduction: Skin diseases are among the most common public health problems in coastal areas, including among the Bajo community in Baliara Village, West Kabaena Subdistrict, Bombana Regency. The community’s close interaction with the marine environment, limited implementation of personal hygiene, and inadequate sanitation conditions increase the risk of skin diseases. This study aimed to analyze the relationship between the level of knowledge, attitudes, personal hygiene practices, and environmental sanitation with the incidence of skin diseases among the Bajo people. Method: This research employed a quantitative analytic design with a cross-sectional approach. A total of 330 respondents were selected using purposive sampling. Data were collected using a structured questionnaire and analyzed using the Spearman Rank test and logistic regression. Result: The results showed a significant relationship between all independent variables and the incidence of skin diseases, namely knowledge (p = 0.001; OR = 2.31), attitude (p = 0.005; OR = 1.92), personal hygiene practices (p = 0.041; OR = 1.67), and environmental sanitation (p = 0.000; OR = 2.86). Among all variables, environmental sanitation was the most dominant factor. Conclusion: The study concludes that personal hygiene behavior and environmental sanitation play a crucial role in preventing skin diseases. Therefore, public health interventions involving education, behavior change, and improvement of sanitation infrastructure are essential to reduce the incidence of skin diseases in coastal communities.
Sanitation and Hygiene Factors Related to the Incidence of Dermatitis in the Community of Baliara Village, West Kabaena Islands Karuniawati, Kadek Ayu; Azizi Jayadipraja, Erwin; Rahmawati, Rahmawati
Waluya The International Science of Health Journal Vol. 4 No. 4 (2025): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/fmeg9a08

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Introduction: Dermatitis is a common skin health problem in Baliara Village. Data from the West Kabaena Community Health Center shows a fluctuating trend: 12 cases in 2021, 23 in 2022, a decrease to 8 in 2023, and an increase to 25 in 2025. The main risk factors include limited clean water and exposure to the mining environment. This study Sanitation and Hygiene Factors Related to the Incidence of Dermatitis in the Community of Baliara Village, West Kabaena. Method: This research was quantitative with a cross-sectional design. The study was conducted from June to July 2025, with 317 respondents. The population in this study was 1,532. The research instrument was a closed-ended questionnaire, with data analysis using the chi-square test and logistic regression in SPSS. Result: The results of the bivariate analysis showed a significant relationship between access to clean water (p = 0.015) and environmental factors (p = 0.000) with the incidence of dermatitis. The logistic regression analysis indicated that environmental factors were the most dominant variable influencing the incidence of dermatitis (OR = 2.86), followed by access to clean water (OR = 1.67). Conclusion: The conclusion of this study is that environmental factors are the primary determinant of dermatitis incidence among the coastal community in Baliara Village. To reduce the incidence of dermatitis, it is recommended to improve sanitation infrastructure and the provision of clean water in coastal areas, implement continuous health and hygiene education, and strengthen monitoring of the environmental impacts of mining activities.
Comparison of Drug Inventory Management in Public and Private Hospitals in Kendari City Fitra Saripati, Wa Ode; Azizi Jayadipraja, Erwin; Umi Nurlila, Ratna
Waluya The International Science of Health Journal Vol. 4 No. 4 (2025): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/vgvbqp90

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Introduction: Drug inventory management is an important aspect in supporting the effectiveness of health services in hospitals, especially in providing quality drug needs. There are differences in the characteristics of drug supply management between public and private hospitals. These differences include aspects of policy, resources, regulation, and procurement flexibility. This attracted researchers to conduct a study aimed at comparing drug supply management systems between public and private hospitals, especially in Kendari City. Method: The research used a qualitative approach with data triangulation through in-depth interviews, observations, and document studies. Informants consisted of heads of pharmacy installations, pharmacists, and hospital management representatives. Result: The results of in-depth interviews showed differences in drug procurement management between public and private hospitals. Public hospitals have a more structured system following formal regulations such as e-catalogue, while private hospitals are more flexible. The ABC method has also been applied in all hospitals in mapping drug classifications although the implementation differs in each hospital depending on the size of the budget, the competence of human resources, and the availability of supporting systems and data required. The EOQ method has not been optimally implemented due to limited data and information systems. A common problem faced by hospitals is drug stock-outs, which have an impact on patient satisfaction. Conclusion: The effectiveness of drug management in hospitals is generally considered to be good. There are differences and similarities in drug management between public and private hospitals. Stock out is a common problem in drug supply management in hospitals.
Analysis of Heavy Metal Content of Lead (Pb), Cadmium (Cd), Mercury (Hg) and Nickel (Ni) in Katamba Fish (Lethrinus Nebulosus) and Public Health Risks in Baliara Village, Kabaena Islands Fitri, Fitri; Azizi Jayadipraja, Erwin; Rasyid, Sri Anggarini
Waluya The International Science of Health Journal Vol. 4 No. 4 (2025): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/7254wp76

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Introduction: Mining activities in coastal and marine areas have the potential to release heavy metals such as lead (Pb), cadmium (Cd), mercury (Hg), and nickel (Ni) into the environment through liquid waste, sediment, and mining dust. These metals are toxic, persistent, and bioaccumulative, so they can accumulate in aquatic organisms, including fish, and pose a health risk to humans who consume them. This study aims to analyze the content of Pb, Cd, Hg, and Ni in Katamba fish (Lethrinus nebulosus) and assess the health risks to the coastal community of Baliara Village, Kabaena Islands. Method: The study used a quantitative approach with an observational design and an Environmental Health Risk Analysis (EAHR) method. Data were obtained through field and laboratory research. The human sample consisted of 97 respondents, while the fish sample consisted of 3 specimens. Result: The results showed an average fish consumption rate of 217 g/day. The average concentration of heavy metals in fish was Pb 0.599 mg/kg, Cd 0.342 mg/kg, Hg 0.001 mg/kg, and Ni 0.974 mg/kg. The average daily intake of respondents for each metal was Pb 1.345 mg/kg/day, Cd 0.751 mg/kg/day, Hg 0.0022 mg/kg/day, and Ni 2.07 mg/kg/day. The risk value (RQ) showed that Pb, Cd, and Ni had RQ > 1, while Hg RQ < 1. Conclusion: An RQ value > 1 indicates a potential health risk, both immediately and in the long term (up to 30 years). Recommended risk management strategies include reducing consumption rates and exposure to fish from affected areas.
A Cross-Sectional Study of Environmental Pollution Factors Associated with Heavy Metal Levels in Katamba Fish (Lethrinus nebulosus) in Baliara Village Kabaena Island Supardi, Muhammad; Azizi Jayadipraja, Erwin; Saafi , La Ode
Waluya The International Science of Health Journal Vol. 4 No. 4 (2025): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/nftxv955

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Introduction: Coastal environmental pollution is one of the biggest challenges for communities whose livelihoods depend heavily on marine resources. Kabaena Island, particularly Baliara Village, faces increasing pollution pressure due to nickel mining activities, unmanaged domestic waste disposal, and intensive fishing vessel operations. This study aimed to analyze the relationship between environmental pollution factors and heavy metal levels in Katamba fish (Lethrinus nebulosus),  Method: This research employed a quantitative analytic approach with a cross-sectional design. A total of 97 respondents were selected using purposive sampling. Data were collected through structured questionnaires as well as fish and seawater samples, which were analyzed in the laboratory using Atomic Absorption Spectrophotometry (AAS) and ICP-OES. Data analysis was conducted using Spearman correlation to examine the association between environmental pollution activities. Result: The results showed that heavy metal concentrations in Katamba fish mostly exceeded the safe consumption limits set by WHO and Government Regulation No. 22/2021. Mining activities were significantly associated with Ni levels (r = –0.200) and seawater pollution (ρ = 0.438). Domestic waste exhibited a significant correlation with Pb levels in fish (r = 0.669), while fishing vessel activities were associated with Cd levels (r = 0.317). These findings highlight the substantial contribution of human activities to increasing heavy metal pollution in coastal areas. Conclusion: There is a relationship between environmental pollutants such as mining activities, domestic waste and fishing boat activities with heavy metal levels such as Hg, Ni, Pb and Cd in seawater and catamba fish.
Co-Authors abd gani baeda Abd. Azis Harun Abdul Azis Harun Abdurrahman, Syawal Abubaeda, Dewi Yulianty Achmad, Bromo Kusumo Alamsyah, Ryan Alimuddin Hamzah Assegaf, Alimuddin Hamzah Alista, Adnin Alya, Nur Amasyah, Munawir Anil Musmina, Nila Anwar Daud Appe, Samsu Ardiansyah, Ririn Teguh Artist Sulaiman, Yusuf Wawan Asri Manafia Astawa, Kadek Wiana Asterina, Devi Cessaria Atmasari, Kica Atmin, Asrif Ayi Sukma, Komang Ayu, Sukma Azis Harun, Abdul Aziz Harun, Abdul Azlimin, Azlimin Bahtiar, La Ode Bakri, Muhammad Ananda Daniel Happy Putra Dedeh Nurhayati Ermawan, Eka Fardila Santi Febriana Hende, Hendry Filhayah, Wa Ode Fitra Saripati, Wa Ode Fitri Fitri Fitri Yanti Hadafiah Hadafiah Hapsari Hadju, Riny Harun, Abdul Azis Harun, Aziz Hasda, Hasda Hidayat, Muh Taufik Hidayat, Muh. Taufik Ikhsan Dwianto Iqbah, Indra Purnama Ismawati Ismawati Jumiati Bandu Kamalia, La Ode Kandari, Maryam Kartini Kartini Karuniawati, Kadek Ayu Kudus, Musrifa Kurnia Saputra, Rois La Banudi La Ode Kamalia La Ode Saafi Lia Amelia Maming -, Maming Maming Maming Mando, Wa Ode Sitti Yuliana Mangidi, Muhammad Abdul Gafur Tirtayasa Mendri, Ketut Mubarak Mubarak Muh. Yamin Samma Muhammad Arsyi, La Ode Muhammad Asrullah Muhammad Rizal Rl Murni Sahida, Wa Ode Siti Muslihin, Hasrimin Natsir, Muh Nirwan, Muhammad Nita Roso Dwi Mahanani Novia Sarmiati Noviyanti Rahcman, Wa Ode Nova nunung nunung NURHAYATI, DEDEH Nurleni, Nurleni Nurul Aisyiah Rizal Papua, Luciana Prasetya, Fikki Prasetyo, Mulyadi Purnama, Indra Putu Suri Saraswati Rahmawati, Rahmawati Ramadhany, Nanda Clara Rasyid, Sri Anggarini Ratna Umi Nurlila Rauf, Rahman Reinaldy Juliansyah, Muhammad Ridwan Adi Surya Risky, Sartini Rukayah Rukayah Rusdhan, Muhammad Saafi , La Ode Saafi, La Ode Samma, Muh. Yamin Sanatang Santika, Fenni Sarmiati, Novia Sarnian, Sarnian Septiadi Rasyid Sijid, Rahmawati Sri Mulyani Sufiati, Sufiati Sukma, Komang Ayi Sunarsih Sunarsih Sunarsih Sunarsih Sunarsih Sunarsih Supardi, Muhammad Supodo, Timbul Suriani, Lili Syafaat, La Ode Syafruddin Syafruddin Syam, Amir Syawaluddin Syawaluddin, Syawaluddin Tahmar Tahmar Tasnim Tasnim Tasnim Tasnim Tassya Enggartini Insani Tri Rahayu Ulva, Sitti Marya Yasmin, Laode Muhammad Yobi Sanjaya Yuhadi, Asfani Yulianti Abubaeda, Dewi Yuliastri, Wa Ode Yunita Amraeni Zainal Zainal