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Food Hygiene and Sanitation at Beluluq Lingau Thematic Market(Dayak Market), Samarinda City, 2025 Puspitasari, Karolina; Ningsih, Riyan; Sedionoto, Blego
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : The hygiene and sanitation conditions of traditional markets are essential for ensuring community food safety. The Beluluq Lingau Thematic Market in Samarinda City promotes local Dayak culture and offers both general and traditional East Kalimantan foods Objective : This study aimed to describe food hygiene and sanitation conditions at Beluluq Lingau Market and to assess microbiological quality based on the coliform parameter Research Methods/ Implementation Methods : This research used an analytical descriptive design with a cross-sectional approach. Samples were total sampling from 6 food stalls and 10 food handlers. Data were collected through observation and interviews using inspection form from the Indonesian Ministry of Health (Peraturan Pemerintah No. 66/2014). Microbiological analysis was conducted on seven food samples using secondary data from Puskesmas Sempaja from routine monitoring with sanitarian kit. The parameters tested included total coliform and Escherichia coli. Results : Result showed that 50% of food stalls did not meet hygiene and sanitation requirements. The unmet aspects included covered waste bins (100%), use of masks and aprons (100%), and vector control (100%). A total of five out of seven food samples (71.4%) tested positive for coliform, with bacterial counts exceeding 100, two negative samples were traditional snacks wrapped in plastic and leaves. Conclusion/Lesson Learned : Food stalls at the Beluluq Lingau Market still require improvement in hygiene and sanitation to prevent microbiological contamination. Strengthening food safety training and ensuring the availability of sanitation facilities such as food covers during serving, personal protective equipment, and covered waste bins are essential

The Lead (Pb) Concentration in Oysters and the Un-Safe Health Risk inCommunities around Coastal areas Balikpapan, East Kalimantan Febriani, Bekti Ananda; Sedionoto, Blego; Almahdi, Ismail Fahmi
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : The hygiene and sanitation conditions of traditional markets are essential for ensuring community food safety. The Beluluq Lingau Thematic Market in Samarinda City promotes local Dayak culture and offers both general and traditional East Kalimantan foods Objective : This study aimed to describe food hygiene and sanitation conditions at Beluluq Lingau Market and to assess microbiological quality based on the coliform parameter Research Methods/ Implementation Methods : This research used an analytical descriptive design with a cross-sectional approach. Samples were total sampling from 6 food stalls and 10 food handlers. Data were collected through observation and interviews using inspection form from the Indonesian Ministry of Health (Peraturan Pemerintah No. 66/2014). Microbiological analysis was conducted on seven food samples using secondary data from Puskesmas Sempaja from routine monitoring with sanitarian kit. The parameters tested included total coliform and Escherichia coli. Results : Result showed that 50% of food stalls did not meet hygiene and sanitation requirements. The unmet aspects included covered waste bins (100%), use of masks and aprons (100%), and vector control (100%). A total of five out of seven food samples (71.4%) tested positive for coliform, with bacterial counts exceeding 100, two negative samples were traditional snacks wrapped in plastic and leaves. Conclusion/Lesson Learned : Food stalls at the Beluluq Lingau Market still require improvement in hygiene and sanitation to prevent microbiological contamination. Strengthening food safety training and ensuring the availability of sanitation facilities such as food covers during serving, personal protective equipment, and covered waste bins are essential

The Carcinogenic and non-carcinogenic risks of Pb exposure indrinking Water Sources in Samarinda City Sedionoto, Blego; Firdaus, Ade Rahmat
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : The risk of Pb contamination in urban drinking water sources can stem from raw water contamination, suboptimal water treatment systems, and limited water source distribution. Objective : This study aims to predict cancer and non-cancer risks from the impacts of consuming Pb-contaminated drinking water sources. Research Methods/ Implementation Methods : This study used an environmental health analysis method with a quantitative approach. In addition to measuring Pb in household-based drinking water sources, the lead was analyzed using an Atomic Absorbed Spectrometer (AAS). Results : The results of Pb measurements in household of community in Loabakung Samarinda City with a concentration level between 0.001-0.045 mg/L. The analysis results showed a non- carcinogenic and carcinogenic risk level of 67% (78) of respondents at non-carcinogenic risk and 84.5% (98) at carcinogenic risk Conclusion/Lesson Learned : Reducing the source of Pb pollutants in the raw water for water processing in the city of Samarinda is very necessary. And replacing distribution pipes that still have lead in household flows is a necessity in holistic environmental risk management

Evaluation of Ship Sanitation and Its Implications for the Microbiological Qualyty of Clean Water on Foreign Vessels Surianto, Heri; Sedionoto, Blego; Ningsih, Riyan
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Ships serve as major sea transportation modes and have the potential to act as a medium for disease transmission. Proper ship sanitation is therefore essential to prevent the spread of diseases onboard, particularly those transmitted through clean water. Global data on ship sanitation in Indonesia remains limited, as does research investigating the relationship between sanitation and microbiological quality This study aims to evaluate sanitation levels on foreign vessels and analyze their implications for the microbiological quality of clean water within the working area of the Class I Port Health Office (Balai Kekarantinaan Kesehatan) in Samarinda. The findings are expected to support quarantine policy improvement and supervision. This quantitative analytical study used a cross-sectional design and was conducted from September to October 2025. The sample consisted of 20 foreign vessels docking at PT Kaltim Prima Coal Port, Sangatta, that met the inclusion criteria. Data were analyzed using univariate analysis and Fisher’s Exact Test. The findings showed that 20% (4 vessels) did not meet sanitation standards, and 10% (2 vessels) did not meet microbiological water quality requirements. A significant association was found between sanitation quality and the microbiological quality of onboard water supplies (P = 0.032). Ship sanitation conditions significantly affect the microbiological quality of clean water on foreign vessels. Routine monitoring and improved compliance with international sanitation standards are necessary to reduce the risk of cross-border disease transmission.

Narrative Review: Physical Environmental , Sociodemographic, and Biological Factors on Dengue Fever in Children Aged 0-15 Years Aziz, Rusna Azizah; Sedionoto, Blego; Azmiardi, Akhmad
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Objective : This review aims to synthesize evidence narratively regarding the relationship between physical environmental , sociodemographic, and biological factors and the incidence of dengue fever in children aged 0-<15 years. Research Methods/ Implementation Methods : This narrative review was conducted by searching articles in the PubMed and Google Scholar databases from 2016 to 2025. The main keywords used included "Dengue Hemorrhagic Fever," "Physical Environment," "Sociodemographics," and "Biology." The criteria for articles were exposure to physical, sociodemographic, and biological environmental factors associated with the outcome of DHF in children. Other criteria were that articles were written in Indonesian or English and were full-text articles. After screening based on these criteria, 34 research articles were selected for narrative analysis. Results : The results of a literature review of 34 articles analyzed consistently indicate that physical, sociodemographic, and biological environmental factors have a significant influence on the increase in the incidence of dengue fever. The majority of studies reported an increase in the incidence of dengue fever measured in the assessment of physical, sociodemographic, and biological environmental factors. Good physical environmental management, interventions in sociodemographic factors, and effective and efficient control of biological factors can help reduce the incidence and mortality due to dengue fever. Conclusion/Lesson Learned : Physical, sociodemographic, and biological environmental factors are associated with dengue fever incidence in children. These findings recommend enhancing promotional and preventive efforts by increasing collaboration with Jumantik (Family Disaster Mitigation Team) cadres and other cross-sectoral organizations to optimize efforts to reduce dengue fever incidence.

Analysis of Drug Logistics Management at the Pharmacy Installation of Kerang Hospital Paser and Its Relationship to Patient Satisfaction Saputra, Rio; Bakhtiar, Rahmat; Sedionoto, Blego
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background :Drug logistics management is a crucial component in ensuring the quality of hospital health services. The effectiveness of drug logistics management which includes planning, procurement, storage, distribution, and control directly affects drug availability and patient satisfaction. This study aims to analyze the implementation of drug logistics management at the Pharmacy Installation of Kerang Regional General Hospital (RSUD Kerang), Paser Regency, and to determine its relationship with patient satisfaction levels. Objective : The research aims to analyze the pharmaceutical logistics management at the Pharmacy Department of Kerang Regional General Hospital, Paser Regency, and to examine its relationship with patient satisfaction Research Methods/ Implementation Methods : This research employed a mixed methods approach with a sequential explanatory design, combining qualitative and quantitative methods. Qualitative data were collected through in-depth interviews with pharmaceutical management staff, while quantitative data were obtained from questionnaires distributed to 100 patients using pharmacy services. Quantitative data were analyzed using Chi-Square and multiple logistic regression tests at a 95% confidence level. Results : The results showed that the overall implementation of drug logistics management at RSUD Kerang was in the “moderately good” category, with procurement being the highest-performing aspect. The Chi-Square test revealed that only the variables of drug procurement (p = 0.011) and drug distribution (p = 0.085) had a significant relationship with patient satisfaction, whereas planning, storage, and control did not show significant effects. Multiple logistic regression analysis identified drug procurement as the most influential factor on patient satisfaction with an Exp(B) value of 3.47, followed by drug distribution with an Exp(B) value of 2.44. Conclusion/Lesson Learned : In conclusion, effective procurement and distribution of drugs are the key determinants in improving patient satisfaction with pharmacy services. It is recommended that RSUD Kerang strengthen data-based drug planning systems, accelerate procurement and distribution processes through digitalization, and enhance the competence of pharmaceutical human resources.

Analysis of Escherichia coli Contamination in Frozen Beef and Food Safety Implications in Balikpapan City Tanty, Yulis; Ningsih, Riyan; Sedionoto, Blego
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Escherichia coli presence in animal-derived foods serves as a crucial indicator of hygiene and sanitation standards throughout handling, storage, and distribution. Frozen beef distributed to consumers risks contamination when food safety controls, particularly cold chain maintenance, are inconsistently implemented. This study assessed E. coli contamination levels in frozen beef marketed in Balikpapan City and evaluated compliance with the Maximum Contaminant Limit (MCL) under SNI 7388:2009. Objective : This study aimed to assess the contamination level of E. coli in frozen beef marketed in Balikpapan City and to evaluate its compliance with the Maximum Contamination Limit (MCL) established by SNI 7388:2009. Research Methods/ Implementation Methods : A quantitative descriptive design with a laboratory testing approach was used. A total of 65 frozen beef samples were collected from modern retail outlets, slaughterhouses (RPH), and cold storage facilities. Laboratory examination was conducted through isolation, identification, and colony counting stages using standard microbiological method. The results were analyzed descriptively and compared with the MCL standards specified in SNI 7388:2009. Results : Analysis revealed that 55 samples (84.62%) contained E. coli levels below 1 × 102 CFU/g, complying with MCL requirements. However, 10 samples (15.38%) exceeded this limit, indicating non-compliance with food safety standards. These findings suggest potential contamination during post-slaughter handling, storage, or distribution phases, likely due to inadequate cold chain maintenance. Conclusion/Lesson Learned : In conclusion, the majority of frozen beef circulating in Balikpapan is considered safe for consumption; however, strengthening sanitation practices and ensuring strict cold chain management are recommended to minimize potential public health risks.

Antimicrobial Resistance Pattern of Clinical Bacterial Isolates at the East Kalimantan Provincial Health Laboratory, 2024 Rahmadi, Rahmadi; Ningsih, Riyan; Sedionoto, Blego
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background: The increasing incidence of infections caused by antimicrobial-resistant bacteria has become a serious public health problem in Indonesia; however, data on resistance patterns in Kalimantan Timur, particularly Samarinda, remain limited. Objective: This study aimed to describe the antimicrobial resistance patterns of clinical bacterial isolates examined at the East Kalimantan Provincial Health Laboratory in 2024. Methods: This study employed a descriptive observational design using secondary data from culture and antibiotic susceptibility testing results of 201 clinical bacterial isolates collected from January to December 2024. Data were analyzed descriptively through tabulation and percentage distribution. Results: Among all positive isolates (n = 201), 54.4% were Gram-negative and 45.6% were Gram positive bacteria. The most frequently identified bacteria were Escherichia coli (24.4%), followed by Staphylococcus haemolyticus (7.0%) and Pseudomonas aeruginosa (7.0%). Susceptibility testing revealed that E. coli showed high sensitivity to meropenem (98%) and amikacin (100%), whereas Staphylococcus aureus exhibited 30.8% resistance to oxacillin, indicating the presence of methicillin resistant S. aureus (MRSA). The predominant resistance mechanisms detected included β-lactamase production (21.7%), extended-spectrum β-lactamase (ESBL, 40.6%), and MRSA (37.7%). Conclusion: Antimicrobial resistance based on bacterial isolates examined at the East Kalimantan Provincial Health Laboratory demonstrated a wide variation in antibiotic susceptibility patterns. These findings provide an initial overview of resistance conditions in Samarinda and can serve as a foundation for the implementation of continuous antimicrobial resistance surveillance.

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

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

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%.

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