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INDONESIA
Jurnal Kesehatan Lingkungan indonesia
Published by Universitas Diponegoro
ISSN : 14124939     EISSN : 25027085     DOI : -
Core Subject : Health, Social,
Environmental Science Public Health
Jurnal Kesehatan Lingkungan Indonesia (JKLI, p-ISSN: 1412-4939, e-ISSN:2502-7085, http://ejournal.undip.ac.id/index.php/jkli) provides a forum for publishing the original research articles related to: Environmental Health Environmental Epidemiology Environmental Health Risk Assessment Environmental Health Technology Environmental-Based Diseases Environmental Toxicology Water and Sanitation Waste Management Pesticides Exposure Vector Control Food Safety
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 14 Documents
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Search results for , issue "Vol 11, No 1 (2012): April 2012" : 14 Documents clear
Kondisi Dan Upaya Strategi Penanganan Sanitasi di Kota Batam Tri Joko; Elanda Fikri
Jurnal Kesehatan Lingkungan Indonesia Vol 11, No 1 (2012): April 2012
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.11.1.43-53

Abstract

Latar Belakang : Seperti pada umumnya yang terjadi di kota-kota lainnya di Indonesia, masalah air limbah dan sanitasi di Kota Batam belum mendapat perhatian yang cukup memadai dari pemerintah kota. Pesatnya pertumbuhan ekonomi, yang diiringi dengan peningkatan jumlah penduduk dengan laju pertumbuhan penduduk 12%/tahun memberikan dampak positif maupun negatif terhadap kenyamanan lingkungan dan berakibat pada kawasan kumuh dan pencemaran, ditambah dengan karakteristik Kota Batam yang merupakan daerah dengan struktur tanah bauksit (sifat impermiabel), menyebabkan air limbah yang dibuang oleh warga batam ke drainase kota tidak dapat terurai dan terserap oleh tanah, sehingga akan menambah beban pencemaran air baku pada waduk. Implikasinya terjadi peningkatan kasus (water born disease) setiap tahunnya. Metode : Metode penelitian ini adalah metode deskriptif yang dilakukan untuk mengetahui gambaran atau deskripsi tentang suatu keadaan secara objektif. Hasil : Dari hasil penelitian terdapat 3 Kecamatan yang menjadi area beresiko tinggi terhadap masalah sanitasi di Kota Batam, yaitu Kecamatan Batu aji, Lubuk Baja dan Bengkong. Strategi dalam penanganan masalah ini adalah Jangka pendek : meningkatkan PHBS di area beresiko tinggi, jangka menengah : mengupayakan untuk membangun IPLT di wilayah Kecamatan Batam Kota dan melakukan revitalisasi Waste Water Treatment Plant (WWTP) Batam Center yang sebelumnya dialihfungsikan menjadi Instalasi Pengolahan Limbah Tinja (IPLT). Jangka Panjang : mengupayakan sistem perpipaan pada zona/kawasan yang mencemari waduk. yaitu Kecamatan Sekupang dan Kecamatan Batu Aji yang mencemari Waduk Sei Harapan dengan sistem pengelolaan secara Shallow Sewer, dan Kecamatan Sagulung yang mencemari Waduk Tembesi (waduk ini masih dalam konstruksi) dengan sistem pengelolaan secara Conventional Sewerage. Kata kunci :  area beresiko, cemaran,  limbah domestik, strategi sanitasi.
Hubungan Faktor Lingkungan Fisik Rumah dan Respons Terhadap Praktik Pengobatan Strategi DOTS Dengan Penyakit Tb Paru di Kecamatan Tirto Kabupaten Pekalongan Tahun 2010 Setiawan Dwi Antoro; Onny Setiani; Yusniar Hanani Darundiati
Jurnal Kesehatan Lingkungan Indonesia Vol 11, No 1 (2012): April 2012
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.11.1.68-75

Abstract

Background : Pulmonary tuberculosis caused by Mycobacterium tuberculosis, the prevalence rate of tuberculosis cases in the year 2009 in the district Pekalongan of sub district Tirto 96/100.000%. In the last 3 years from 2007 until 2009 the average monthly case found 9 cases of pulmonary tuberculosis. Condition of housing residents who qualify as a healthy house has just reached 49%, has not met the target Ministry of Health, by 80%. This research was to analyze the association between, physical environmental and response to treatment practices with the DOTS strategy of TB pulmonary disease in sub district Tirto Pekalongan District year of 2010. Method : The type of this study is observational analytic study using case control study. Subjects of this study 106 people, consisting of 53 cases and 53 controls. The data were analyzed with chi-square test to determine the description and the relationship of risk factors with disease incidence of tuberculosis (univariate and bivariate analysis), then performed multivariate analysis with logistic regression. Result : The bivariate analysis result found that related to pulmonary tuberculosis were: type of floor in the house (ρ-value = 0.001), type of wall in the house (ρ-value = 0.001), index of ventilation in the house (ρ-value = 0.028), index of ventilation in bedroom (ρ-value = 0.039), ventilation in (stack hole) the kitchen/separation of kitchen and the main house (ρ-value=0.001), solar orientation (natural lighting) in house (p-value =0.025), solar orientation (natural lighting) in bedroom (p-value = 0.020), humidity room in the house (p-value =0.047), density of occupants in the house (p-value = 0.028) and the density of occupants in bedroom (p-value =0,045), knowledge level (p-value =0.014) nutritional status (p-value = 0.002), and response to treatment practices strategy with DOTS (p-value = 0.031).While the results of multivariate analysis are shown as risk factors for disease incidence of tuberculosis were ventilation in (stack hole) the kitchen/ separation of kitchen and the main house (OR= 6.824), type of floor in the house (OR= 3.860), type of house walls (OR =4.138), density of occupancy in bedroom (OR= 2.514), and response to TB treatment practices strategy with the DOTS (OR=2.606). Conclusion :  there are five variable significant related to tuberculosis were ventilation in (stack hole) the kitchen/ separation of kitchen and the main house, the type of floor, wall type, occupant density in bedroom and response to TB treatment practices strategy with the DOTS of proven associated with disease incidence of tuberculosis. Keywords: Physical environmental of housing factors, ), Pulmonary tuberculosis, Sstrategy Directly Observed Treatment Short-course (DOTS)
Analisis Faktor Risiko Kejadian Pneumonia Pada Balita Di Wilayah Kerja Puskesmas Sidorejo Kota Pagar Alam Sugihartono Sugihartono; Pasiyan Rahmatullah; Nurjazuli Nurjazuli
Jurnal Kesehatan Lingkungan Indonesia Vol 11, No 1 (2012): April 2012
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.11.1.82-86

Abstract

Background : Pneumonia is an infectious disease that remains a public health problem in Indonesia, the third cause of death in Indonesia after cardiovascular and tuberculosis. The high incidence of pneumonia mainly attacks in the age group of infants and children under five years old. In Pagar Alam city in 2009, there were 671 cases (IR = 4.9%). The purpose of this research was to determine the relationship between the house physical environment factor and individual faktor of children with pneumonia incidence in working area of Public Health Center, Sidorejo, Pagar Alam city. Method: This research was an observational study using case control design. While variables studied among other things are nutritional status, immunization status, history of breastfeeding, type of house flooring, proportion of bedroom ventilation, occupancy density, the presence of smoking family members, type of fuel used for cooking, the presence of family members suffering from respiratory tract infections. Subject of the research consists of two groups, namely case group and control group, each of which is consisting of 54 subjects. Data was collected by interview, observation, and measurement. Data analysis used analysis of univariate, bivariate with chi square, and multivariate with logistic regression, using a significant level of 0.05 (5%) to determine the risk of the independent variables on the dependent variables and the estimation of the risk (odds ratio) of the cause of pneumonia incidence on children under five years old. Result : The results of this research show that of the 9 risk factors studied, there are 3 variables with the risk of the incidence of pneumonia on children under five years old, namely a history of breastfeeding (OR = 8.958, 95% CI : 2.843 - 28.232), type of house floor (OR = 10.528, 95% CI : 2.612 - 42.441) and the presence of smoking family members (OR 8.888, 95% CI : 1.738 - 45.437). The variable at greatest risk of pneumonia incidence on children under five years old is type of house flooring. In conclusion, this research indicates that nutrition status, immunization status, breastfeeding history, type of house flooring, size of room ventilation, occupancy density, type of fuel used for cooking, and the presence of smoking family members are closely related to the incidence of pneumonia.   Key words: pneumonia, children under five years old, physical environment of housing, Pagar Alam city
Hubungan Kadar Timah Hitam (Pb) Dalam Darah Dengan Profil Darah Studi Pada Petugas Pengujian Emisi Gas Buang Dinas Perhubungan Kabupaten Purbalingga dan Banjarnegara Ratih Hafsari Purwindah; Sulistiyani Sulistiyani; Budiyono Budiyono
Jurnal Kesehatan Lingkungan Indonesia Vol 11, No 1 (2012): April 2012
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.11.1.38-42

Abstract

Background : Fuel oil in Indonesia is still using of leaded gasoline, so that 70% of Pb from the burning will be emitted to the air. The official exhaust emission testing have a high risk, exposure to which continue to cause health problems, one of which is a disorder of the blood profile. The purpose of this study was to analysis the relationship between blood lead and blood profiles in exhaust emissions testing officer department of Transportation District Purbalingga and Banjarnegara. Methods : This research method was an observational analytic research with a cross sectional study design.Subjects were official exhaust emission testing with the inclusion criteria.Variables examined in this study are blood lead and blood profiles in the official exhaust emission testing. Data was collected through interviews, observation and measurement. Analysis of data using univariate analysis, bivariate analysis with spearman rank correlation. Results : The study found the average lead was 13.362 µg/dl, which means it was under the toxic threshold (40 ug/dl) and the average of blood profiles consisting of hemoglobin, erythrocytes, leukocytes, platelets, hematocrit was 15.737 ug/dl; 5.210.106/ml; 8.0723.103 / ml; 220.06.103/ml; 45.383%, 87.31 fl; 30.297pg; 34.685 fl. Bivariate analysis showed that there was a relationship between blood lead and blood profile (erythrocytes and hematocrit ), with  p-value and sequentially rho 0.018; 0.397 and 0.039; 0.35 (p-value <0.05). Conclusions : The conclusion of this study, although the value level of blood lead below the threshold toxic but are at risk in blood profile (decrease the number of erythrocytes and hematocrit levels) so that there is need for an appeal to the official testing of exhaust emissions in order to use Personal Protective Equipment (PPE) like a respirator, to reduce customs cigarette consumption, routine doing check-ups, increase the consumption of foods containing iron and vitamin C as well as expand the ventilation in the testing room, install exhaust and greenery around the testing room exhaust emissions. Keywords: blood lead, blood profiles, the official exhaust emission testing

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