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All Journal Jurnal Kesehatan Lingkungan indonesia JURNAL KESEHATAN LINGKUNGAN: Jurnal dan Aplikasi Teknik Kesehatan Lingkungan JMM (Jurnal Masyarakat Mandiri) Indonesian Journal of Global Health research ENVIRONMENTAL OCCUPATIONAL HEALTH AND SAFETY JOURNAL Ruwa Jurai: Jurnal Kesehatan Lingkungan Jurnal Pengabdian Kepada Masyarakat Mulawarman Media Kesehatan Politeknik Kesehatan Makassar Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Proceeding Mulawarman International Conference on Tropical Public Health
Blego Sedionoto, Blego
Departemen Kesehatan Lingkungan Fakultas Kesehatan Masyarakat Universitas Mulawarman
Civil Engineering, Building, Construction & Architecture Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Veterinary Other

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The Effect of Implementing EMR on User Acceptance EMR Based on UTAUT 2 theory In Hospital Bachtiar, Silvani; Baktiar, Rahmat; Sedionoto, Blego
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : The Ministry of Health requires every health facility in Indonesia to maintain electronic medical records based on Minister of Health Regulation (Permenkes No.24/2022). However, the use of Electronic Medical Records (EMR) in Indonesia still finds many obstacles in user acceptance based on the Unified Theory of Acceptance and Use of Technology (UTAUT) 2 method Objective : This research aims to assess the implementation of EMR on user acceptance in hospitals. Research Methods/ Implementation Methods : This research uses a literature review method by reviewing 30 journal articles published between 2020 and 2024, which were retrieved via Google Scholar Results : The research results show that performance expectations, effort expectations, social influence, facilitating conditions, hedonic motivations, price values and habits influence the behavior intentions and Use Behavior of Electronic Medical Record users. In several studies, there are moderating variables such as age, gender and work experience that influence the relationship between constructs that build user intentions and behavior.
Factors Affecting Nurse Performance In Outpatient And Emergency Installations Of Inche Abdoel Moeis Hospital, Samarinda Kadang, Silvia; Ramdan, Iwan Muhammad; Sedionoto, Blego
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : In providing good quality and service, it is influenced by the human resources that influence it. Performance is the result of good work in quality and quantity that has been achieved by an employee in carrying out his duties in accordance with the responsibilities given to him. Objective : The purpose of this study was to determine the factors that influence the performance of nurses in the outpatient and emergency installations of the Inche Abdoel Moeis Regional General Hospital, Samarinda City Research Methods/ Implementation Methods : The study design iscross-sectional with a population of nurses in the Outpatient Installation and the Emergency Room at the Inche Abdoel Moeis Hospital. The sample of this research is 57 nurses (total sampling). The instrument used in this research is a questionnaire. Statistical test using chi-square test. Results : The results of the bivariate analysis in this study showed that a relation between motivation and nurse performance (p = 0.043). The work facilities variable also found a relations with the nurse's performance (p = 0.020). The training variable also found a relations with the nurse's performance (p=0.045). The commitment variable also found a relations with the nurse's performance (p=0.001). Conclusion/Lesson Learned : The conclusion of this study is a relations between motivation, work facilities, training and commitment to the performance of nurses in the outpatient and emergency department of the Inche Abdoel Moeis Hospital, Samarinda. Suggestions for the Inche Abdoel Moeis Hospital is continue to improve employee performance, especially in the aspects of motivation, training, work facilities and continue to maintain the commitment of nurses to improve better performance, for further researchers it is possible to do further research with different variables or in different research locations.
Building Public Awareness of the Dangers of Plastic Waste and Management Strategies through Ecoless Socialization Putri Yunita, Senia; Natalia Oroh, Angelica; Izzani Muhammad, Maghfir; Siti Nurilmi, Alifani; Andini, Meylita; Putri Sandrika, Aulia; Wahyu Febrianshinta, Amara; Tri Agustini, Rina; Sedionoto, Blego
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : The construction of the National Capital City (IKN) in East Kalimantan has had a significant impact on waste management, especially plastic. With the increase in population due to this project, plastic waste in Sukaraja Village has increased, but access to landfills is very limited. As a result, the community prefers to burn waste, that are detrimental to the health of the environment. Good waste management is urgently needed to raise community awareness and create economic opportunities through recycling Objective : This activity aims to increase the knowledge of the community, especially mothers, about the negative impact of plastic waste on health and the environment Research Methods/ Implementation Methods : The Ecoless Socialization activity was conducted at the Sukaraja Village Office, involving 14 women representatives from the local hamlet. It included problem identification through observations and interviews, preparation of socialization materials, and implementation in three sessions: gymnastics together, material presentation, and video presentation of recycled products. Evaluation was conducted with pre-test and post-test Results : The results of the Ecoless activity in Sukaraja Village showed a significant increase in the knowledge of the participating mothers. The average pre-test score rose from 66.4% to 85% post socialization, reflecting a better understanding of the impact of plastic waste and how to reduce its use Conclusion/Lesson Learned : The Ecoless program was successful in increasing the community's understanding of the negative impacts of plastic waste and processing methods, with an average knowledge increase of almost 20%. Follow-up actions are suggested such as with entrepreneurship education, thus increasing awareness and benefits for the community
Analysis of Patient Complaint Handling Management Regarding Health Services in Maintaining Hospital Quality Ekawati, Muftiana Finansi; Bakhtiar, Rahmat; Sedionoto, Blego
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6326

Abstract

Complaints received by hospitals from patients and their families have the potential to provide (early) warnings that, if followed up, can prevent patient safety incidents. Complaints about services can be used to improve the standard of health facility services. Therefore, organizing complaint forms for hospitals minimizes complaints in the hope of reducing the risk of patient safety hazards and improving the quality of hospital services. This study aims to analyze and explore the management of complaint handling at Balikpapan Baru Hospital. Using a qualitative research method with a phenomenological approach with researchers as instruments. In-depth interviews with 5 informants through purpose sampling techniques. Data sources in the form of patient complaints for the period July-November 2023. Most patient complaints were related to the behavior (communication method) of health workers, patients who submitted complaints were directly directed to fill in and there were obstacles in the form of differences in perception of complaint categories by health workers. Complaint handling management at Balikpapan Baru Hospital is managed by team and involves various units. There were obstacles in the form of different perceptions in filling out the form and different responses regarding complaint handling related to communication between health workers.
Hubungan Mutu Pelayanan Kesehatan dengan Tingkat Kepuasan Pasien BPJS di Ruang Rawat Inap RS PKTP Sangatta Harmawati; Ramdan, Iwan Muhamad; Sedionoto, Blego
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 01 (2026): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v15i01.4168

Abstract

Mutu pelayanan kesehatan merupakan faktor penting yang mempengaruhi kepuasan pasien. Rumah Sakit PKTP Sangatta dengan proporsi pasien BPJS yang tinggi dan terus meningkat setiap tahunnya perlu memastikan mutu pelayanan kesehatan yang optimal. Penelitian ini bertujuan menganalisis hubungan mutu pelayanan kesehatan dengan tingkat kepuasan pasien BPJS di ruang rawat inap RS PKTP Sangatta. Metode penelitian menggunakan studi deskriptif analitik dengan desain cross sectional yang dilakukan pada bulan April-Juli 2025 terhadap 347 sampel pasien rawat inap BPJS menggunakan formulasi Lameshow dengan metode  stratified random sampling.  Variabel penelitian mencakup kompetensi teknis, keterjangkauan, efektivitas, efisiensi, kenyamanan, keamanan, informasi, ketepatan waktu dan hubungan antar manusia yang diukur menggunakan kuesioner yang telah teruji valid dan reliabel.  Analisis data menggunakan uji Spearman-Rank dan regresi logistik. Hasil penelitian menunjukkan 53,6% pasien sangat puas dan 46,4% puas terhadap pelayanan. Semua dimensi mutu pelayanan (kenyamanan, hubungan antar manusia, efisiensi, dan ketepatan waktu) berhubungan signifikan dengan kepuasan pasien (nilai p = 0,000) dan kenyamanan merupakan variabel paling dominan (OR = 17,066). Upaya-upaya untuk meningkatkan kenyamanan pasien disarankan untuk menjadi prioritas utama program rumah sakit, disamping upaya lainnya seperti meningkatkan kompetensi teknis, memperbaiki keterjangkauan, efektivitas dan efisiensi layanan,  meningkatkan kemananan dan ketepatan layanan serta memperbaiki informasi dan hubungan antar manusia.
UPAYA PENINGKATAN KUALITAS MAKANAN MELALUI KURSUS HYGIENE SANITASI MAKANAN DI KANTIN UNIVERSITAS MULAWARMAN Ningsih, Riyan; Sedionoto, Blego; Firdaus, Ade Rahmad
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 1 (2024): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i1.20457

Abstract

Abstrak: Masalah penjamah kantin Universitas Mulawarman banyak yang tidak memiliki sertifikat hygiene sanitasi makanan dan minuman padahal itu merupakan syarat jika mau mendirikan jasa makanan dan minuman salah satu penanggung jawabnya harus mempunyai sertifikat dari dinas yang berwenang. Tujuan dilaksanakan pengabdian ini adalah memberikan kursus hygiene sanitasi makanan pada penjamah kantin Unmul untuk meningkatkan kebersihan dan kualitas makanan di kantin unmul menjadi lebih baik. Pengabdian ini menggunakan metode pelatihan hygiene sanitasi makanan dan minuman kepada penjamah makanan di kantin Universitas Mulawarman sebelum dilakukan pelatihan diberikan pretest dan sesudah pelatihan diberikan posttest yang terdiri dari 10 pertanyaan pilihan ganda terkait dengan materi pelatihan. Mitra pendukung pengabdian ini adalah Dinas Kesehatan Kota Samarinda selaku pemateri 1 team yang terdiri dari 3 orang dan mitra peserta penjamah makanan kantin Unmul sebanyak 10 orang. Hasil sudah terlaksana pengabdian dengan baik dan lancar terjadi peningkatan skor pengetahuan 25,6%.Abstract: Food and beverage sanitation hygiene certificate even though it is a requirement if you want to establish a food and beverage service, one of the persons in charge must have a certificate from the authorized agency. The purpose of this service is to provide food sanitation hygiene courses to Unmul canteen handlers to improve the cleanliness and quality of food in the Unmul canteen for the better. This service uses a food and beverage sanitation hygiene training method to food handlers in the canteen of Mulawarman University before the training is given a pretest and after the training is given a posttest consisting of 10 multiple-choice questions related to the training material.this service partner is the Samarinda City Health Office as the speaker of 1 team consisting of 3 people and Unmul canteen food handlers as many as 10 people. The results have been carried out well and there has been an increase in knowledge score of 25.6%.
PROGRAM PERLINDUNGAN SUMBER AIR BERSIH DARI PENCEMARAN LIMBAH DOMESTIK DI KOTA SAMARINDA Sedionoto, Blego; Azmiardi, Akhmad; Fitrah, Muhammad Aidil
JMM (Jurnal Masyarakat Mandiri) Vol 10, No 1 (2026): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v10i1.36366

Abstract

Abstrak: Kualitas air merupakan faktor penting dalam peningkatan derajat kesehatan masyarakat khususnya di wilayah yang masih bergantung pada sumur gali. Kegiatan pengabdian masyarakat ini bertujuan untuk memberdayakan masyarakat dalam melindungi sumber air bersih dari cemaran limbah domestik melalui integrasi rekonstruksi fisik sumur dan penerapan teknologi sederhana berbasis tanah liat aktif Kutai. Kegiatan melibatkan 3 kepala keluarga dengan total 17 orang peserta sebagai mitra yang masih menggunakan sumur gali dan sumur bor dangkal sebagai sumber air bersih. Metode pelaksanaan meliputi tahap pra pelaksanaan, pelaksanaan perlindungan sumur, serta monitoring dan evaluasi kualitas air. Hasil pemeriksaan menunjukkan bahwa perlindungan fisik sumur dengan lantai dan dinding kedap air serta pengolahan air menggunakan tanah liat aktif Kutai mampu menurunkan kadar MPN Coliform sebesar 99,93% dan E. coli sebesar 99,94%. Penerapan tanah liat aktif Kutai juga terbukti efektif dalam menurunkan kandungan mikroba patogen. Kegiatan ini meningkatkan kesadaran dan partisipasi masyarakat dalam menjaga kualitas air bersih serta menjadi contoh penerapan teknologi tepat guna berbasis bahan lokal yang mendukung tercapainya tujuan pembangunan berkelanjutan (SDGs) poin 6 tentang akses air bersih dan sanitasi layak bagi semua.Abstract: Water quality is an important factor in improving public health, especially in areas that still depend on dug wells. This community service activity Empower the community to protect clean water sources from domestic waste contamination through the integration of physical reconstruction of wells and the application of simple technology based on Kutai active clay. The activity involved 3 heads of families with a total of 17 participants as partners, who still use dug wells and shallow bore wells as their source of clean water . The implementation method includes pre-implementation stage, well protection implementation, and water quality monitoring and evaluation. The results of the examination show that physical protection of wells with waterproof floors and walls and water treatment using Kutai active clay can reduce MPN Coliform levels by 99.93% and E. coli by 99.94%. The application of Kutai active clay has also been proven effective in reducing pathogenic microbe content. This activity increases community awareness and participation in maintaining clean water quality and serves as an example of the application of appropriate technology based on local materials that supports the achievement of Sustainable Development Goals (SDGs) point 6 on access to clean water and proper sanitation for all. 
Analisis Risiko Kesehatan Lingkungan Pajanan Timbal Pada Air Depo Sumber Air Minum Di Komunitas Dhefiana, Tika; Andriani, Rima; Surianto, Heri; Sedionoto, Blego
Jurnal Kesehatan Lingkungan Indonesia Vol 25, No 1 (2026): Februari 2026 (In process)
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.74806

Abstract

Latar belakang : Senyawa Pb yang tertelan oleh manusia dalam konsentrasi yang tinggi dapat menyebabkan keracunan. Data Riset Kesehatan Dasar (Riskesadas) tentang proporsi sumber air minum rumah tangga menunjukkan bahwa air minum isi ulang merupakan sumber air minum yang paling banyak digunakan oleh masyarakat untuk dikonsumsi. Tujuan dari penelitian ini adalah untuk memprediksi kejadian akibat adanya kandungan logam berat timbal (Pb) pada air minum yang berasal dari depo air minum isi ulang di Kecamatan Tangen Kabupaten Sragen.Metode: Metode penelitian yang digunakan adalah penelitian observasional dengan teknik analisa risiko kesehatan lingkungan (ARKL). Analisa dilakukan dengan menentukan intake (I) masing-masing sampel, yang kemudian di hitung tingkat risiko bagi kesehatan (RQ). Selanjutnya disimulasikan dengan variasi lama pajanan.Hasil: Berdasarkan ketiga sampel yang diambil pada masing-masing lokasi, didapatkan hasil kandungan Pb yang melebihi ambang batas ketentuan yaitu kadar Pb sebanyak 0,35 mg/L pada lokasi pertama, kadar logam berat Pb 0,17 mg/L pada sampel air yang di ambil di lokasi kedua dan kadar Pb sebesar 0,05 mg/L pada lokasi ketiga.  Hasil analisis didapatkan nilai RQ >1 adalah pada sampel air minum di lokasi pertama dan kedua dengan nilai RQ 2,57 dan 1,14. Kedua sampel yang berisiko tersebut disimulasikan dengan variasi lama pajanan dan didapatkan hasil RQ lokasi pertama adalah 1,1 dengan lama pajanan 15 tahun. Simpulan: Nilai RQ pada lokasi 1 dan lokasi 2 pada pajanan Pb yang terkandung dalam air minum isi ulang diperoleh nilaii RQ > 1 yang artinya bahwa pajanan lifetime beresiko menimbulkan efek kesehatan. Nilai pajanan real time yang beresiko terpajan logam berat Pb adalah selama 15 tahun di air minum yang diambil pada depo air minum dilokasi pertama. Disarankan adanya pemeriksaan kualitas air minum di depo air minum isi ulang di Desa tangen Kabupaten Sragen dilakukan secara rutin dan berkala.  ABSTRACT Title: Environmental Health Risk Analysis Of Lead Exposure In Drinking Water In The CommunityBackground: Heavy metals are one of the known hazardous environmental issues that are difficult to deal with. Pb compounds ingested by humans in high concentrations can cause poisoning. Along with the increasingly busy society, the provision of drinking water needs in the community has also changed. People prefer to fulfill their drinking water needs with cheap, practical, and easy to obtain. Basic Health Research (Riskesdas) data on the proportion of household drinking water sources shows that refill drinking water is the source of drinking water most widely used by the community for consumption. This has led to the need to monitor the content of heavy metals in drinking water from refill drinking water depots. The purpose of this study was to predict the incidence of heavy metal lead (Pb) in drinking water from refill drinking water depots in Tangen Sub-district, Sragen Regency.Method: The research method used is observational research with environmental health risk analysis techniques (EHRA). The analysis was carried out by determining the intake (I) of each sample, which then calculated the level of risk to health (RQ). Furthermore, it is simulated with variations in exposure durationResult: Based on the three samples taken at each location, the results obtained Pb content that exceeds the threshold provisions are Pb levels of 0.35 mg/L in the first location, Pb heavy metal levels of 0.17 mg/L in water samples taken in the second location and Pb levels of 0.05 mg/L in the third location. The results of the analysis obtained the RQ value> 1 is in drinking water samples in the first and second locations with RQ values of 2.57 and 1.14. The two risky samples were simulated with variations in exposure duration and the first location RQ result was 1.1 with an exposure duration of 15 years. Conclusion: The RQ value at location 1 and location 2 on exposure to Pb contained in refill drinking water obtained RQ> 1, which means that lifetime exposure is at risk of causing health effects. The real time exposure value at risk of exposure to heavy metal Pb is for 15 years in drinking water taken at the drinking water depot in the first location. It is recommended that drinking water quality checks at refill drinking water depots in Tangen Village, Sragen Regency be carried out routinely and periodically. (1 spasi, 10 pt)
Kombinasi Koagulasi-Filtrasi Berbahan Lokal Kepulauan dalam Mengurangi Kadar Kekeruhan Pada Air Sumur Gali Di Pulau Barrang Caddi, Kota Makassar Muhammad Aidil Fitrah; Agus Bintara Birawida; Ain Khaer; Blego Sedionoto; Budirman Budirman
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 1 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i1.1328

Abstract

Small islands often face challenges in providing clean water, including the poor quality of dug wells on Barrang Caddi Island. This study aims to evaluate the effectiveness of coagulation using moringa seeds and filtration using pumice and mangrove charcoal in reducing turbidity and improving water quality. The study design is a quasi-experimental study using a one-group pretest-posttest approach. Samples were purposively selected from one dug well with the highest TDS value that is actively used. The treatment was conducted in three replicates to ensure consistency and reliability of the results. The coagulation process used Moringa oleifera at a dose of 350 mg/l, while filtration used pumice and activated charcoal media with a thickness of 60 cm. Effectiveness was calculated based on the difference in turbidity levels before and after treatment and analyzed using the Kruskal-Wallis test and post hoc analysis. The results showed significant differences in all methods applied (p = 0.016). Moringa seed coagulation reduced turbidity by 26.85%, pumice filtration by 68.72%, activated carbon filtration by 79.96%, and the coagulation-filtration combination by 74.80%. Activated carbon filtration demonstrated the highest adsorption capacity. This study concluded that the combination of coagulation and filtration is a practical and applicable solution for addressing clean water issues in coastal and island regions. Keywords: Coagulation; Filtration; Moringa Seeds; Pumice; Activated Charcoal from Mangrove Wood
Co-Authors Ade Rahmat Firdaus Agus Bintara Birawida Ain Khaer Akhmad Azmiardi Anamnart, Witthaya Anastasya, Melisa Andini, Meylita Andriani, Rima Ayudhia Rachmawati Azzahra, Gasella Aurelia Bachtiar, Silvani Badrah, Sitti Bakhtiar, Rahmat Baktiar, Rahmat Budirman, Budirman Dhefiana, Tika Ekawati, Muftiana Finansi Elvira, Vivi Filia Firdaus, Ade Rahmad Firdaus, Ade Rahmat Harmawati Harmawati, Harmawati Ismail AB Ismail AB, Ismail Iwan M. Ramdan Iwan Muhamad Ramdan Izzani Muhammad, Maghfir Kadang, Silvia Muhammad Aidil Fitrah Natalia Oroh, Angelica Putri Sandrika, Aulia Putri Yunita, Senia Ramdan, Iwan Muhammad Riyan Ningsih Rugayyah, Syarifah Shandy, Adelia Fitria Siti Nurilmi, Alifani Suhardi Suhardi Surianto, Heri Syamsir Syamsir Tri Agustini, Rina Utami, Reza Evelin Wahyu Febrianshinta, Amara Wirapuspita Wisnuwardani, Ratih Zalzabila Maharani, Siti Malikha