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Hearty : Jurnal Kesehatan Masyarakat
Published by Universitas Ibn Khaldun Bogor
ISSN : 23387475     EISSN : 26207869     DOI : 10.32832/hearty
Core Subject : Education,
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Hearty: Jurnal Kesehatan Masyarakat (ISSN:2338-7475 & e-ISSN:2620-7869) is published semiannual by Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor.
Arjuna Subject : -
Articles 486 Documents
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A QUALITATIVE STUDY ON DOMINANT FACTORS CAUSING FIRES IN MEDAN CITY Maghfirah, Suci; Mrp, Fadhlan Al Hafizh; Aprillia, Rezky; Salianto, Salianto; Ramadhani, Dwi Ajeng; Naufal, Ahmad Fitra
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21858

Abstract

Fire is one of the most frequent urban disasters that causes significant losses, both materially and in terms of human casualties. Medan City, as a metropolitan area with high population density and complex economic activity, has a substantial risk of fire incidents. This study aims to identify the dominant factors that cause fires in Medan City using a qualitative approach. Data were collected through document analysis of official reports from the Medan City Fire services for the period 2023–2024 and in-depth interviews with nine firefighters who have direct experience in handling fire incidents. The results indicate that the most dominant cause of fire is electrical short circuits, accounting for more than 50% of cases in each semester. In addition, gas cylinder leaks, unsupervised use of stoves or furnaces, and open waste burning also contribute significantly to fire occurrences. Environmental factors such as the dry season and dense residential areas further increase the risk of fire spread. Although the Medan City government has implemented various awareness and training programs, public awareness regarding fire safety still needs to be improved. This study concludes that fires in Medan City are caused by a combination of technical, behavioral, and environmental factors. Therefore, effective prevention strategies must involve enhanced electrical safety supervision, public education, and consistent enforcement of safety regulations.
ANALYSIS OF FACTORS INFLUENCING COMPLIANCE WITH THE USE OF PERSONAL PROTECTIVE EQUIPMENT BY PT JMKT FIELD WORKERS Utami, Tri Niswati; Farashati, Junaisa Intan; Ramadani, Selvia; Syafira, Azzahra Chandra; Yulianda, Nadia Rizka; Zein, Muhammad Iqbal Haqiqi; Junaidi, Abdul Hadi
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21865

Abstract

Compliance in the use of Personal Protective Equipment (PPE) is an important element in the implementation of the Occupational Safety and Health (K3) system. “However, in reality, the level of worker compliance in the field is still relatively low, especially in the area of toll road management and maintenance. This study aims to identify and analyze the factors that influence the compliance of PT Jasamarga Kualanamu Tol field workers in the use of PPE during work. The study used a quantitative approach with a cross-sectional analytical observational design. A total of 30 field workers were selected as respondents using a total sampling technique. Data were collected through questionnaires, direct observation, and interviews, then analyzed using the Chi-Square test with a significance level of p < 0.05. The results showed a significant relationship between the level of knowledge (p = 0.025) and attitude (p = 0.035) with compliance in the use of PPE. In contrast, the variables of PPE availability (p = 0.098) and supervision (p = 0.113) did not have a significant relationship with the level of worker compliance. Worker knowledge and attitudes play an important role in encouraging compliance in the use of PPE, while the availability and supervision factors have not been proven to have a significant influence. Therefore, efforts are needed to increase ongoing socialization and training of K3, strengthen safety culture in the work environment, and implementation of more effective monitoring mechanisms to foster safe work behavior among field workers.
PERFORMANCE OVERVIEW OF THE WASTEWATER TREATMENT PLANT (WWTP) AT PERUMDA TIRTANADI CEMARA, PERCUT SEI TUAN DISTRICT, MEDAN Marunduri, Ridho Afdal; Signora, Khalisa Aisyah; Sinantin, Ipak; Sari, Kurnia Permata; Sabilla, Niken Natani; Arazzy, Syafran
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21883

Abstract

Population growth and increased domestic activities in urban areas have led to an increase in the volume of wastewater produced annually. If domestic wastewater is not treated properly, it can cause environmental pollution such as decreased water and soil quality, the emergence of unpleasant odors, and the risk of spreading disease. To overcome these problems, an effective wastewater treatment system is needed through a Wastewater Treatment Plant (WWTP). Objective: This study aims to determine the process and stages of domestic wastewater treatment and assess the effectiveness of the performance of the Perumda Tirtanadi Cemara Branch WWTP in reducing the levels of major pollutants such as BOD, COD, TSS, oil and fat, and ammonia to comply with domestic wastewater quality standards based on the Minister of Environment and Forestry Regulation No. 68 of 2016, Method: The research method used is descriptive qualitative, with data collection techniques through interviews, direct observation, and laboratory document reviews of the results of wastewater quality testing at the inlet and outlet of the WWTP, Results: The results of the study showed that the wastewater treatment process at the PDAM Tirtanadi Cemara Branch WWTP was carried out through several stages, namely coarse screening, fine screening, grit chamber, anaerobic reactor (UASB), aeration pond, facultative pond, and sludge drying bed. Based on the analysis results, there was a significant decrease in pollutant levels: BOD from 30.20 mg/L to 7.85 mg/L (74% efficiency), COD from 50 mg/L to 13 mg/L (74% efficiency), TSS from 42 mg/L to 11 mg/L (73.80% efficiency), oil and fat from 0.07 mg/L to 0.02 mg/L (71.24% efficiency), and ammonia from 7.5 mg/L to 5.6 mg/L (25.33% efficiency). The pH remained stable at 7.19, within the quality standard range of 6–9. Therefore, it can be concluded that the wastewater treatment plant (WWTP) of the Tirtanadi Water Company (PDAM) in the Cemara Branch performs well and is effective in reducing domestic wastewater pollutant levels. Therefore, the treated water meets quality standards and is safe for discharge into aquatic environments.
THE RELATIONSHIP BETWEEN STRESS LEVELS AND HYPERTENSION INCIDENCE AMONG POLICE OFFICERS IN THE SAMAPTA UNIT OF KAPUAS POLICE DEPARTMENT Vianetria, Vianetria; Syahlani, Ahmad; Irawan, Angga
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.22021

Abstract

Hypertension is one of the most prevalent cardiovascular diseases worldwide, including in Indonesia. One of the contributing factors to hypertension is stress, especially among individuals with high work pressure, such as police officers. The Samapta Unit of Kapuas Police Department has complex and high-risk duties, which increase stress levels and may impact their overall health. This study aims to analyze the relationship between stress levels and the incidence of hypertension among police officers in the Samapta Unit of Kapuas Police Department. This research employs a quantitative design with a cross-sectional approach. The study sample consists of all officers in the Samapta Unit of Kapuas Police Department who met the inclusion criteria, totaling 36 respondents. Data were collected using the Perceived Stress Scale (PSS-10) questionnaire to measure stress levels and sphygmomanometer measurements to assess blood pressure. Data analysis was conducted using the Chi-Square test and Fisher’s Exact Test. The results show that 50% of respondents experienced mild stress, 47.2% had moderate stress, and 2.8% had severe stress. Additionally, 38.89% of respondents were diagnosed with hypertension. The statistical test using Fisher’s Exact Test yielded a p-value of 0.009, indicating a significant relationship between stress levels and hypertension incidence among police officers in the Samapta Unit of Kapuas Police Department. These findings confirm that stress levels are significantly associated with hypertension among police officers. Proper stress management strategies should be implemented to reduce the risk of hypertension among law enforcement personnel.
FACTORS FOR THE OCCURRENCE OF DENGUE HEMORRHAGIC FEVER AT THE KEMILING INPATIENT HEALTH CENTER IN BANDAR LAMPUNG Virdaus Sujana, Nur Alam; Samino, Samino; Pedana, Agung Aji
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.22026

Abstract

Dengue Hemorrhagic Fever (DHF) is an infectious disease that remains a major public health problem in many tropical regions, including Indonesia. This study aims to analyze the factors influencing the incidence of DHF, including Mosquito Breeding Eradication Behavior (PSN), community participation, the use of bed nets, the use of window screens, and support from health workers. The research method used an observational analytic approach with a case-control design. A total sample of 75 respondents consisted of 25 in the case group and 50 in the control group. Statistical tests were conducted using univariate analysis, bivariate chi-square, and multivariate logistic regression. The results showed that poor PSN behavior was more frequently found in DHF cases (65.2%) compared to controls (34.8%), while good PSN behavior was dominant in controls (78.8%) compared to cases (21.2%). Support from health workers was more often received by controls (72.4%) than cases (27.6%). Both good and poor community participation were more dominant in the control group, 86.4% and 56.6% respectively. The use of window screens and bed nets was also higher among controls, 76.6% and 85.7%, compared to cases, 23.4% and 14.3% respectively. Analysis showed a significant relationship between PSN behavior (p=0.001; OR=6.98), community participation (p=0.028; OR=4.85), the use of window screens (p=0.016; OR=3.77), the use of bed nets (p=0.041; OR=4.45), and support from health workers (p=0.037; OR=3.75) with DHF incidence. PSN behavior was identified as the dominant factor with OR=4.317 in the UPT Puskesmas Rawat Inap Kemiling, Bandar Lampung, in 2025. Conclusion: PSN behavior, community participation, use of window screens, use of bed nets, and support from health workers were significantly associated with DHF incidence, with PSN behavior as the dominant factor. Recommendation: Educational institutions should regularly provide PSN education, implement environmental sanitation programs, and integrate DHF materials into curricula, while health centers need to enhance socialization, cadre training, and prevention facilities. All these efforts aim to create sustainable interventions to reduce DHF incidence.
EFFECT OF RUELLIA TUBEROSA L. LEAF NANOPARTICLES ON SEMINIFEROUS TUBULE DIAMETER AND GERMINAL EPITHELIUM THICKNESS IN DIABETIC RATS Wijaya, Tania Anggreani; Pavita, Daffa Alice; Chrismonica, Yunia
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.22079

Abstract

Diabetes mellitus (DM) is a metabolic disorder characterized by hyperglycemia that can cause various pathological changes in the human body and animals. Oxidative stress due to diabetes can lead to spermatogenesis disorders and increased cell apoptosis in the testes. Ruellia tuberosa L. leaf contain antioxidant compounds, such as saponins, carotenoids, flavonoids, and phenols, that can be used as free radical scavengers to reduce oxidative stress levels. The manufacture of Ruellia tuberosa L. leaf nanoparticles using the top-down method enhances pharmacological activity, particularly by facilitating cell wall penetration and improving the absorption of active substances in the body. This study employed a proper experimental design with a post-test-only control group model using Wistar rats as experimental animals. The treatment groups in this study included K- (control), K+ (diabetic control), P1 (exogenous long-acting insulin 1.80 IU/kg BW), P2 (Ruellia tuberosa L. leaf nanoparticles dose of 200 mg/kg BW), and P3 (Ruellia tuberosa L. leaf nanoparticles dose of 400 mg/kg BW). Testicular retrieval was performed 28 days after administration of Ruellia tuberosa L. leaf nanoparticles. Testicular histopathology was stained using Hematoxylin-Eosin staining and examined under a trinocular microscope at 100X magnification. Data on the diameter and thickness of the germinal epithelium were analyzed using the ANOVA test, followed by Duncan’s test. The results showed that administration of Ruellia tuberosa L. leaf nanoparticles at a dose of 400 mg/kg BW was an effective dose in increasing the diameter of the seminiferous tubules and the thickness of the germinal epithelium compared to Ruellia tuberosa L. leaf nanoparticles at a dose of 200 mg/kg BW and exogenous long-acting insulin 1.80 IU/kg BW
DEVELOPMENT OF A LOCAL WISDOM-BASED MARINE GOVERNANCE CONTROL MODEL FOR OPTIMIZING ANIMAL PROTEIN PROCESSING IN THE PREVENTION OF STUNTING IN KUPANG CITY Kaha, Hendrikus Likusina; Indriyati, Indriyati; Lolan, Yosef Pandai
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.22091

Abstract

Indonesia as an archipelagic country has great potential in providing marine resources rich in animal protein. Indonesian seas are estimated to contain around 60% of the world's total fish resources, making it one of the natural resources with great potential in providing nutritious food. Animal protein has an important role in preventing or minimizing the occurrence of stunting in toddlers. This study aims to develop a marine governance control model based on local wisdom, which can optimize the processing of animal protein from marine resources to support stunting prevention. In this study, the researchers used a Research and Development (R&D) research type with an Instructional Design Development design, including the approach, the design used was ADDIE (Analysis, Design, Development, Implementation, Evaluation). Based on the results of the Wilcoxon Signed Ranks Test on 15 statements, all indicators showed a significance value of p <0.05 (even most p = 0.000), which means there was a significant difference between the conditions before and after the application of the model. The analysis results indicate that this model is effective in increasing awareness, knowledge, and practices of animal protein processing and consumption relevant to the local context.
A STUDY OF WASTEWATER MANAGEMENT AT COT SEUMEUREUNG AND PEUREUMEU COMMUNITY HEALTH CENTERS WEST ACEH REGENCY Yasrah, Siti; N., Lili Eky Nursia; Murdani, Ihsan; Wintah, Wintah; Jihad, Fikri Faidul
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.22096

Abstract

As healthcare facilities, community health centers (puskesmas) generate wastewater that contains pathogenic microorganisms, hazardous chemicals, and toxic substances, which have the potential to pollute the environment and pose risks to public health if not managed according to standards. Although the Ministry of Health Regulation No. 7 of 2019 mandates that every puskesmas should have a functioning Wastewater Treatment Plant (IPAL), many puskesmas in West Aceh District, including Puskesmas Cot Seumeureung and Peureumeu, have not yet operated their IPAL optimally. This study aims to assess the wastewater management at these two puskesmas and the role of the West Aceh Health Office in supervision and guidance. The research employs a descriptive qualitative approach, using data collection techniques such as interviews, observations, and documentation from seven informants at both puskesmas and the Health Office. The data were analyzed through reduction, presentation, and conclusion drawing. The findings indicate that at Puskesmas Cot Seumeureung, only some rooms are connected to the IPAL due to limited pipeline infrastructure, while at Puskesmas Peureumeu, pipe leaks that have remained unrepaired for two years were found. Additionally, the monitoring of water quality and maintenance of the IPAL at both puskesmas are still minimal, with pH test results frequently exceeding the standard limits. The management of wastewater at these puskesmas remains suboptimal, requiring improvements in infrastructure, regular monitoring, and capacity-building for human resources.
ANALYSIS OF T. COLIFORM AND E. COLI BACTERIAL CONTAMINATION IN REFILLABLE DRINKING WATER DEPOTS IN NORTH SUMATRA PROVINCE Nanda, Meutia; Mrp, Mimbi Gusrera; Kurniawan, Ahadi; Saniah, Fadilatus; Suhaima, Maznil; Sari, Widia; Rinanda, Dewi; Mawarifda, Khairunrani
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.22116

Abstract

Contamination of refill drinking water in Indonesia remains a serious public health issue. One of the main causes is weak sanitation supervision and poor hygiene practices during the water treatment process at Refill Drinking Water Depots (DAMIU). This study aims to analyze the contamination of Coliform and Escherichia coli bacteria in DAMIU across North Sumatra Province and to assess their compliance with the quality standards set by the Ministry of Health Regulation (Permenkes) No. 02 of 2023 concerning Environmental Health Quality Standards (SBMKL). The research employed a descriptive observational method with a secondary data analysis approach using microbiological laboratory test results from the Public Health Laboratory Center on 55 water samples collected from 11 districts/cities in North Sumatra Province. The results showed that most refill water samples did not meet microbiological standards, as they contained T. Coliform and E. coli exceeding the maximum limit of 0 CFU/100 ml. The highest contamination levels were found in Medan Sunggal District, Medan Selayang District, and Mandailing Natal Regency, while Toba Regency and parts of Pematang siantar City showed compliant results. The findings indicate that the majority of DAMIU in North Sumatra Province have not met microbiological quality standards, with approximately 70% of samples testing positive for T. coliform and more than 40% containing E. coli. The presence of T. coliform and E. coli in refill drinking water poses a potential risk of waterborne diseases such as diarrhea, cholera, hepatitis A, and dysentery. Therefore, regular supervision and strict implementation of hygiene and sanitatio.
ANALYSIS OF THE CAUSES OF PENDING BPJS HEALTH CLAIMS AT THE SPECIAL LUNG HOSPITAL TECHNICAL IMPLEMENTATION UNIT (UPTD) OF THE NORTH SUMATERA Hasibuan, Rapotan; Hasibuan, Devi Chairani; Karera, Anggi Indah; Ritonga, Fani Rulianda; Syaharani, Latifah; Naution, Rabitha Khailila Ihrom; Sinaga, Mewani
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.22226

Abstract

The National Health Insurance (JKN) program, administered by BPJS Kesehatan (Social Security Agency for Health), is one of the government's efforts to ensure access to healthcare services for all. However, its implementation still faces various obstacles, one of which is pending claims. This study aims to analyze the causes of pending BPJS Kesehatan claims at the UPTD (Regional Government Hospital for Lung Disease Control) in North Sumatra Province and identify the dominant factors influencing the delay in claims settlement. This study used a descriptive quantitative method with secondary data obtained from BPJS Kesehatan claims reports and hospital financial data for the period January to July 2025. The data analyzed included the number of claims submitted, eligible claims, pending claims, and the categories of causes for pending claims. The results showed that the total number of claims submitted during this period reached 1,289 files, consisting of 1,224 outpatient claims and 65 inpatient claims. Of these, 77 claims (5.9%) were pending. The main cause of pending claims is the inconsistency of coding in class rates, 92.4% for outpatients and 82% for inpatients due to changes in hospital class rates, while the rest is caused by incomplete files and medical indications. Therefore, the right solution is to implement training activities to improve human resource competency. As a form of intervention, steps that can be taken are to develop Standard Operating Procedures (SOPs) for BPJS Kesehatan claims so that task implementation becomes more focused, uniform, and in accordance with applicable regulations to reduce the number of pending claims and improve hospital financial efficiency.

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