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INDONESIA
GEMA KESEHATAN LINGKUNGAN
ISSN : 16933761     EISSN : 24078948     DOI : -
Jurnal ini menerima artikel dengan scope sanitasi lingkungan meliputi penyehatan air, pengolahan limbah, penyehatan makanan minuman, penyehatan tanah dan pengolahan sampah, sanitasi tempat umum, kesehatan keselamatan kerja, penyehatan udara sanitasi permukiman dan promosi kesehatan.
Arjuna Subject : -
Articles 298 Documents
PERILAKU DAN KONDISI LINGKUNGAN SEBAGAI PENGARUH KASUS DEMAM BERDARAH DENGUE Yayang Hidayatul F.N; Agnes Theresia DN; Marlik .
GEMA LINGKUNGAN KESEHATAN Vol 17, No 1 (2019): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v17i1.1048

Abstract

Faktor lingkungan dan perilaku memberikan konstribusi besar terhadap kejadian Demam Berdarah Dengue. Maka, upaya untuk mencegah penyakit Demam Berdarah Dengue dapat dilakukan dengan memutus mata rantai penularan penyakit DBD melalui perbaikan faktor lingkungan dan perilaku. Puskesmas Papar Kabupaten Kediri yang merupakan salah satu daerah endemis penyakit DBD di Kabupaten Kediri telah melakukan upaya pencegahan penyakit Demam Berdarah Dengue, namun partisipasi dari masyarakat masih rendah. Tujuan penelitian ini adalah untuk menganalisis hubungan antara perilaku dan kondisi lingkungan dengan kejadian Demam Berdarah Dengue di wilayah kerja Puskesmas Papar Kabupaten Kediri.Penelitian ini merupakan penelitian observasional analitik dengan desain case-control. Pengumpulan data dilakukan dengan pengisian kuesioner, wawancara, dan observasi. Populasi dalam penelitian ini adalah KK/keluarga penderita DBD tahun 2017 dengan besar sampel kelompok kasus 25 orang dan kelompok kontrol 25 orang yang dianalisis menggunakan uji Chi square.Hasil penelitian menunjukkan bahwa tidak ada hubungan antara tingkat pengetahuan, sikap, dan perilaku dengan kejadian penyakit DBD di wilayah kerja Puskesmas Papar. Ada hubungan antara kondisi lingkungan dan tindakan responden dengan kejadian penyakit DBD di wilayah kerja Puskesmas Papar.Disarankan untuk mengadakan penyuluhan secara merata pada semua masyarakat melalui berbagai media terutama media elektronik dan penyuluhan door to door serta diadakan kegiatan kerjabakti seminggu sekali secara rutin yang melibatkan seluruh masyarakat desa. Kata Kunci : Demam Berdarah Dengue, Perilaku, Kondisi Lingkungan
UJI KERENTANAN NYAMUK Aedes aegypti TERHADAP LAMDA SIHALOTRIN DAN SIPERMETRIN TAHUN 2016 Yulistra Naftali Eka Putra; Koerniasari .; Mamik .
GEMA LINGKUNGAN KESEHATAN Vol 14, No 3 (2016): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v14i3.259

Abstract

Dengue Hemorrhagic Fever (DHF) in Indonesia is an endemic disease with morbidity level tends to increase from year to year and extends to 400 regencies/cities from 474 regencies/cities in Indonesia. This disease even frequently causes Outbreaks (KLB). One of the dengue controls is chemical control. Chemical control by using insecticides is the most popular form of control in the society because it is easy to implement. Insecticides are most commonly used are lambda cyhalothrin and sipermetrin because it is cheap and readily available. The use of the same insecticide for around 2-20 years and improper dosage can cause mosquitoes to become resistant. This study aimed to test the susceptibility of mosquitoes to Lamdacyhalothrin and cypermethrin. This research was experimental and the study design used "with Pretest-Posttest Control Group". Susceptibility Test used 500 Aedesaegypti mosquito as sample and using 20 tubes with ach tube is filled 25 mosquitoes. 0.05% of Lamdacyhalothrin and 0.05% of cypermethrin were put in 8 tubes while for control was 4 tubes containing plain white paper. Mosquitoes were exposed for 1 hour, then transferred into paper cup containing cotton containing sugar water, then stored for 24 hours. The observation was then carried out and calculating the percentage of dead mosquitoes. The results showed the number of dead mosquitoes with Lamdacyhalothrin was 7%, included in the category of resistance (WHO). The number of dead mosquitoes with cypermethrin was 2.5% which is also in the category of resistance. This susceptibility status categories are taken based on the criteria of the WHO, the mortality 80% means resistant, the mortality of 80-97% are tolerant, and 98% - 100% is susceptible (WHO, 1975) The society is advised  to use insecticide in the right dose, limiting the excessive use of insecticides and if necessary, only to use non-chemical control.  Keywords : Aedes aegypti, Suceptibility Test, Lamdacyhalothrin, Cypermethrin
EFEK PEMBERIAN EDUKASI HEALTH BELIEF MODEL PADA PENDERITA TUBERKULOSIS PARU TERHADAP PENGETAHUAN DAN PERSEPSI KEPATUHAN PENGOBATAN Nevada Bilqis Patricia; Darjati .; Suprijandani .
GEMA LINGKUNGAN KESEHATAN Vol 18, No 1 (2020): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v18i1.1214

Abstract

Indonesia memiliki salah satu negara berkembang yang berada di peringkat ke-3 dengan kasus infeksi tuberkulosis setelah Cina dan India. Jawa Timur adalah provinsi kedelapan dengan penemuan kasus TB paru BTA positif dan Kota Surabaya yang memiliki jumlah pasien tertinggi. Dari 62 pusat kesehatan kota di Surabaya, Pusat Kesehatan Simomulyo memiliki jumlah kematian tertinggi, 5 kasus. Salah satu upaya untuk meningkatkan angka kesembuhan adalah dengan mematuhi pengobatan dengan memberikan dukungan keluarga untuk memberikan dorongan psikologis. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh penyediaan pendidikan dengan menggunakan teori pengetahuan dan persepsi Health Belief Model terhadap pengobatan TB paru.Penelitian ini menggunakan one group pre post desain dengan jumlah sampel penelitian adalah 39 pasien TB paru. Teknik pengumpulan data adalah dengan observasi, wawancara dan kuesioner. Analisis data yang digunakan adalah analisis univariat dan bivariat menggunakan Paired T Test.Hasil penelitian ini adalah bahwa ada perbedaan peningkatan rata-rata dalam pengetahuan dan persepsi sebelum dan sesudah diberikan pendidikan. Dengan hasil data dari uji T berpasangan menunjukkan angka p =0.000 pada pengetahuan, persepsi kerentanan p = 0.000, persepsi keseriusan p = 0.000, persepsi manfaat dan hambatan p = 0.000 dan persepsi pengemudi p =0.000Disimpulkan bahwa ada peningkatan perbedaan rata-rata dalam pengetahuan dan persepsi sebelum dan sesudah diberikan pendidikan. Bagi peneliti maka disarankan untuk menggunakan intervensi lain.
PERBEDAAN LAMA WAKTU PAlANAN TERHADAP KANDUNGAN TIMBAL PADA MAKANAN JAlANANGORENGAN YANG DIJUAL DI ALUN-ALUN KOTA MADIUN TAHUN 2014 Evi Damayanti; Rusmiati .; Lilis Prihastini
GEMA LINGKUNGAN KESEHATAN Vol 12, No 2 (2014): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v12i2.69

Abstract

One of the pollutants produced by motor vehicles is lead (Pb). Lead (Pb) is a toxic anddangerous heavy metal to the environment and have a systemic impact in human bodies. Lead (Pb) canenter the body through inhalation, snacks sold on the roadside without cover. This will be even moredangerous if the food is exposed for a long time. The purpose of this research was to determine the levelsof lead (Pb) in snacks based on exposure time during peddling in Madiun square in 2014.The research followed pre-experimental design using posttest only protocol. Data collection wasdone by sampling, documentation and observation. The population under study was the food peddlers offried soybean cakes along the roadside around Madiun square. The samples to be examined were friedsoybean cakes, in 3 replications and to be performed 3 times in each treatment and the exposure time ofthe 9 samples. Sampling was drawn by random sampling and data was to subjected to descriptiveanalysis.The results obtained from this research include the facts that all samples did contain heavymetals lead (Pb). The average levels of lead (Pb) before exposure was 0.01 .rnq / I, after an hourexposure was 0,021 mg / I, and after 2 hours of exposure was 0,033 mg / I. The concentration of lead(Pb) remained below the designated requirement, the Threshold Limit Value established by the DirectorGeneral of POMNo. HK.00.06.1.52.4011 regarding the maximum limit of lead metal contamination in food.One way ANOVA statistical test results obtained (p) a so that HO means no Significant differencebetween exposure times i.e. a hours, 1 hour, and 2 hours in term of the lead content.The conclusion of this study is: there was no significant difference in lead content in snacks,namely the soybean cakes with the exposure time of 0 hours, 1 hour, and 2 hours, although there was anincrease based on the length of exposure time. Pedlers are encouraged to use a cloth cover / Stelling toreduce contamination of lead (Pb). Further research is necessaryto study the aerial concentration of leadin Madiun square.
Perbedaan Tekanan Darah Sebelum dan Sesudah Terpapar Tekanan Panas (Studi pada Pekerja di Pabrik Tahu Bu Lis di Kec. Donorejo Kab. Pacitan tahun 2017) Novi Nur Pratiwi; Winarko .; Narwati .
GEMA LINGKUNGAN KESEHATAN Vol 16, No 1 (2018): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v16i1.820

Abstract

ne" A comfortable work environment, one of which can be seen from the physical factors in the working environment, especially in the aspect of the working climate (heat-pressure). The working climate (heat-pressure) in the workplace can affect the health of the workforce that will ultimately decrease productivity. According to the research results of Ari, Suwondo and coauthors in 2008, that the pressure the heat affect the workers blood pressure. Tofu factory belonging to the "Ibu Lis" is the manufacturer knew the only residing in Donorojo Subdistrict of Pacitan Regency. The results of measurements on a preliminary survey of the working climate in 3 point at the production of known average temperature 31,28 ºC. These results show has exceeded the threshold Value (NAB) based on the regulation of the Minister of Manpower and Transmigration Number PER 13/DOWNLOAD/X/2011 about the value of the thresholdfFactors are physical and chemical factors in the workplace amounted to 25.9 °C so that it can have an effect on the health of workers, in particular the blood pressure. In general, this research aims to know the difference in blood pressure before and after exposure to heat pressure on workers at Lady Lis’s tofu factory Donorojo Subdistrict of Pacitan Regency and in particular aiming to identify the characteristics of the workforce, the employment climate measure, measure the blood pressure of the workers before and after work, analyzing the difference of blood pressure before and after exposure to heat pressure, described the influence of characteristics of workers against blood pressure and climate control efforts work in the factory. This research includes the kind of observational studies and timebased data retrieval include cross sectional study. A large sample of 30 people taken in random, data is collected and processed and analyzed statistically (analytic) to test the hypothesis. The results showed there was a difference in blood pressure before and after exposure to heat pressure. Blood pressure changes also affected the characteristics of workers, among others, age, period of employment, and the habit of exercising. Factory owners are advised to install the ventilation is natural or manmade in the form vetilasi giving a fan or exhauster, workers should be more drinking lots of water, and take advantage of the break well. Key words : heat pressure, blood pressure, tofu factory
EVALUASI TINGKAT POLUTAN DARI KEGIATAN PENGELOLAAN SAMPAH DI RUMAH KOMPOS SRIKANA DAN KEPUTRAN KOTA SURABAYA Irma Nur Asifa; Imam Thohari; Waluyo Jati
GEMA LINGKUNGAN KESEHATAN Vol 11, No 2 (2013): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v11i2.195

Abstract

Garbage materials are able to contaminate the environment in three ways:physically, chemically, and biologically. The large composition of garbage require managementand processing to reduce garbage load entering the TPA. In relation to this, Dinas Kebersihandan Pertamanan Kota 5urabaya has initiated composting of organic wastes partly to reducetheir volume. This study was aimed at measuring pollutants in compost materials especially interms of CO, 502, and H25 parameters. This activity was carried out in Composting Houses of5rikana and Keputran 5urabaya.This descriptive study was performed by measuring CO, SOb and H25 andlaboratory examination. The population under study was composting houses (18 sites) and thesample size was 2 composting houses.Results showed that pollutant level of CO, 502 and H25 in the air was not exceedingthe quality standard being implemented in East Java. The CO level in 5rikana CompostingHouse was 4.21 «(JgjNm3) and in residential area was 3.37 «(JgjNm3). 502 level in compostinghouse was 12.04 «(Jg/Nm3), while outside of house of 16.71 «(JgjNm3) and in residential areawas 4.16 «(Jg/Nm3). The H25 level in composting house was 9.13 «(Jg/Nm3), outside the housewas 6.54«(JgjNm3) and in residential area was 3.22 «(JgjNm3). The CO level in KeputranComposting House was 9.66 «(Jg/Nm3), in outside of the house was 15,74 (uq/Nrn") and in thesurrounding market was 4.18 «(Jg/Nm3). The 502 level in composting house was 6,88«(Jg/Nm3), outside of compost house 19.38«(Jg/Nm3), and in the surrounding market was 2,76«(Jg/Nm3). H2S level in composting house was 16,14 «(Jg/Nm3), in outside of the house was4,49 «(JgjNm3) and in the surrounding market was 1.97 «(Jg/Nm3). Temperature, humidity, andwind velocity lase have some influence as well but not too significant to increase pollutantlevel.It is suggested to Dinas Kebersihan dan Pertamanan Kota Surabaya to addcomposting house in its list of air pollution monitoring station.
NATRIUM DALAM DARAH TENAGA KERJA SEBELUM DAN SESUDAH TERPAPAR PANAS (STUDI KASUS DI BAGIAN BUFFING PROCESS PT YAMAHA MUSICAL PRODUCTS INDONESIA PASURUAN TAHUN 2015) Vebrin Arsintha Tungga Dewi; Demes Nurmayanti; Ngadino .
GEMA LINGKUNGAN KESEHATAN Vol 14, No 1 (2016): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v14i1.124

Abstract

Excessive exposure to heat resulting heat cramps, heat exhaustion and heat stroke. Workers who have not been acclimatized to hot temperatures are usually sweat more than usual. In this condition, human will lose body fluids and electrolytes. The purpose of this study analyzes the differences of sodium level in the blood of workers before and after exposure to heat.This is an observational analytic research with cross sectional approach. Data was obtained from the measurement result with total population of 15 workers and sample of 14 workers. The data was analyzed analytically by using Paired Sample T Test..The results shows that all workers aged less than 40 years with working period of less than five years and most of whom indicated normal nutritional status. The company has conducted engineering controls, administrative and PPE. P value was ≤ 0.01 and result of paired t test revealed highly significant.The Conclusion underlines difference in the level of sodium in workers’ blood before and after exposure to heat for 2.5 hours.Installation of local exhaust ventilation as well as the training of labor on heat stress and prevention is suggested.
PENERAPAN MANAJEMEN PROGRAM ODF DI PUSKESMAS SIDOARJO KABUPATEN SIDOARJO TAHUN 2019 Aisyah Putri Tauladani; Hadi Suryono; Setiawan .
GEMA LINGKUNGAN KESEHATAN Vol 18, No 1 (2020): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v18i1.1086

Abstract

Abstract : Management is a process that consists of planning, organizing, implementing, and supervising to achieve goals or objectives effectively in achieving through the implementation of well-implemented and correct and quality, based on the results of situation analysis supported by accurate and efficient data and information as utilize available resources. This study aims to determine the implementation of ODF program management carried out by Puskesmas in order to achieve performance targets in improving the program. This research is a descriptive study with a cross sectional approach. The object of research is the management of the implementation of environmental health programs for villages that have not yet ODF. The subjects of this study were respondents consisting of leaders of the Puskesmas, environmental health workers and other personnel involved in managing environmental health. Data collection techniques were carried out by questionnaires and interviews. The results of the Sidoarjo Community Health Center have been good at implementing the ODF program. The results of the ODF program management function for observation got a value of 85.4% and the interviewee scored 72.5%. The results of recapitulation based on economic level in two villages received a score of 59.09% and 48.03%, for the education level in two villages the scores were 36% and 43%, the level of knowledge of the two villages was 56% and 41%. In conclusion, the results of management at the puskesmas get good results and the results from the community get quite good results. It is recommended for the community to find information about STBM and cooperate with village facilitators and the government.Keywords : Management, ODF Program
PENGELOLAAN SAMPAH MEDIS DI RSU SURABAYA TAHUN 2017 Annisa’ Syarifah; Siti Surasri; Umi Rahayu
GEMA LINGKUNGAN KESEHATAN Vol 15, No 2 (2017): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v15i2.676

Abstract

Keberadaan Rumah Sakit selain membawa dampak positif, juga membawa dampak negatif yaitu adanya sampah yang dihasilkan dari kegiatan rumah sakit, yang jika tidak ditangani dengan baik akan menimbulkan dampak terhadap kesehatan masyarakat dan lingkungan. RSU Surabaya telah melakukan pengelolaan sampah medis, namun dirasa belum optimal. Penelitian ini bertujuan menganalisis pengelolaan sampah medis di RSU Surabaya.Jenis penelitian ini adalah deskriptif, yang dilakukan dengan survey penilaian. Jenis data yang digunakan adalah data primer dan sekunder. Penelitian ini menggunakan instrumen yang berupa kuesioner dan form observasi. Analisis dilakukan secara deskriptif dalam bentuk tabel yang kemudian dianalisis dan dibandingkan dengan literatur dan pedoman.Hasil penelitian di RSU Surabaya menunjukkan bahwa timbulan sampah medis terbesar berasal dari ruang rawat inap yaitu sebesar 10,45 Kg/hari/pasien. Sebagian besar kualifikasi petugas cleaning services telah memenuhi syarat yaitu sebesar 68%. Tingkat pengetahuan petugas cleaning services dalam hal pengelolaan sampah medis sebagian besar baik yaitu sebesar 69%. Tingkat pengetahuan perawat dalam hal pemilahan sampah medis seluruhnya yaitu sebesar 100%. Sebagian besar sarana prasarana dalam pengelolaan sampah medis telah memenuhi syarat yaitu sebesar 97,6%. Sebagian besar proses pengelolaan sampah medis telah memenuhi syarat untuk Rumah Sakit tipe B yaitu sebesar 96,7%.Disarankan untuk lebih meningkatkan dan mengoptimalkan proses pengelolaan sampah medis dengan baik agar tercipta lingkungan rumah sakit yang sehat. Kata kunci             : Pengelolaan, Sampah Medis, dan Rumah Sakit
PEMANFAATAN TANAMAN LIDAH MERTUA (SANSEVIERA SP) UNTUK MENURUNKAN GAS NOx DI DALAM RUANGAN rangga dian ramadhan; Khambali -; ernita - sari
GEMA LINGKUNGAN KESEHATAN Vol 19, No 1 (2021): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v19i1.1362

Abstract

Nitrogen oksida (NOx) adalah gas yang di hasilkan oleh kendaraan bermotor yang menjadi salah satu penyebab polusi udara. Berdasarkan data dari DLH Kota Surabaya kadar NOx dari tahun 2017 ke tahun 2018 meningkat dari 10,68 µg/m3 hingga 15,10 µg/m3. Gas NOx yang terhirup melalui pernafasan menyebabkan asma hingga bronchitis. Tanaman yang memiliki kemampuan meyerap polutan pencemaran udara adalah Lidah mertua (Sanseviera Sp). Tujuan penelitian ini adalah untuk mengetahui pengaruh tanaman lidah mertua terhadap penurunan kadar gas NOx di dalam ruangan.Jenis penelitian ini adalah Pre-experimental design dengan desain penelitian One group pretest-postest design. Variabel terikat pada penelitian ini adalah NOx dengan variabel bebas tanaman lidah mertua yang berjumlah 16 helai dan 16 kali replikasi. Analisis data yang di gunakan dalam penelitian ini menggunakan uji normalitas Shapiro-wilk dan kemudian di uji menggunakan Paired T-test yang berfungsi untuk mengetahui perbedaan sebelum dan sesudah dilakukan perlakuan pada sampel.Hasil penelitian menunjukkan bahwa rata-rata gas NOx sebelum dilakukan perlakuan sebesar 23,56ppm, dan setelah perlakuan sebesar 14ppm dengan presentase penurunan 40,58%. Hasil uji statistik mendapatkan nilai P0,05 yang berarti ada penurunan yang signifikan terhadap gas NOx pada udara ruangan dengan tanaman lidah mertua.Tanaman lidah mertua dapat  menurunkan kadar NOx pada emisi gas buang kendaraan bermotor. Bagi peneliti lain dapat menambahkan waktu kontak yang bervariasi agar hasil penyerapan dapat ditentukan yang paling efektif. Disarankan kepada masyarakat untuk melakukan pengurangan pencemaran udara dapat memanfaatkan tanaman lidah mertua untuk menyerap gas NOx.