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Ruwa Jurai: Jurnal Kesehatan Lingkungan
Published by Poltekkes Kemenkes Tanjung Karang
ISSN : 19786204     EISSN : 27237796     DOI : 10.26630
Core Subject : Health, Social,
Environmental Science Health Professions Public Health
Ruwa Jurai: Jurnal Kesehatan Lingkungan is an open access scientific journal with a blinding review process published by the Department of Environmental Health, Tanjung Karang Health Polytechnic. The Ruwa Jurai: Jurnal Kesehatan Lingkungan aims to publish quality articles in the environmental health and related scientific, as a reference for the development of science and technology, as well as increase public literacy for scientific articles. Ruwa Jurai: Jurnal Kesehatan Lingkungan was first published on June 1, 2007, in a printed version with LIPI ISSN 1978-6204. The editor in chief is Mr. Karbito, SST, M.Kes. Ruwa Jurai: Jurnal Kesehatan Lingkungan changes the Editor Teams and the Reviewers Team. The editor in chief is Mr. Prayudhy Yushananta, SKM, MKM. In the new version, we also changed the appearance, journal templates, and starting to use the Open Journal System (OJS), and added the LIPI e-ISSN number 2723-7796. First issue in online version on Volume 14, No 1, 2020. Since Volume 14, No 1, 2020, all published articles have been indexed on Google Scholar, DOI, One Search, and BASE. This journal contains a script that includes: Environmental Epidemiology Environmental Technology and Engineering Environmental Management and Monitoring Environmental Health Risk Assessment Waste Management and Disposal Water Science and Technology Vektor Rodent Disease Control and Preventing Safety and Occupational Health Food Management and Safety Hygiene and Sanitation Pollution
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 131 Documents
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GAMBARAN SANITASI PEMUKIMAN DI DESA ROWOREJO KECAMATAN NEGERI KATON KABUPATEN PESAWARAN TAHUN 2020 Melani, Dian Septi; Ahyanti, Mei; Ginting, Daria Br
Ruwa Jurai: Jurnal Kesehatan Lingkungan Vol 15 No 2 (2021)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/rj.v15i2.2617

Abstract

An unhealthy environment can lead to environmental-based disease transmission. Based on the preliminary survey, many houses still do not meet health requirements, such as having no ceiling, closed sewerage, and no latrine. This study aims to determine the description of residential sanitation, including the components of the house, the components of sanitation facilities, and the occupants' behavior. This research is descriptive with the survey method. The population is all houses in Roworejo Village, as many as 1,244 houses. Data collection is done by visiting people's homes, conducting an assessment using a checklist guide. Interviews were conducted to support the required data. The data that has been collected is scored, processed with a computer program, and presented in tabular form. The results of the study found that the majority of the sanitation components had met the requirements. However, there are still physical components of the house (30%), components of sanitation facilities (34%), and unhealthy behavior of residents (30%). Increasing public knowledge is an action that must be taken in order to change public health behavior.
HUBUNGAN FAKTOR IKLIM DENGAN KASUS DBD DI KOTA BANDAR LAMPUNG TAHUN 2015 – 2019 Dininta, Gilang Fitra; Hermawan, Dessy; Alfarisi, Ringgo; Farich, Achmad
Ruwa Jurai: Jurnal Kesehatan Lingkungan Vol 15 No 2 (2021)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/rj.v15i2.2790

Abstract

Dengue hemorrhagic fever (DHF) case in Bandar Lampung City shows an increasing trend of cases. In 2014, the number of cases was 389 cases; by the end of 2018, it had increased to 1,114 cases. Climatic factors are thought to have contributed to the increase in cases. This study aims to determine the relationship between climate factors and the number of dengue cases in 2015-2019. The study used secondary data with a cross-sectional design. Data were obtained from the Bandar Lampung City Health Office and the Meteorology, Climatology, and Geophysics Agency (BMKG). Univariate analysis with Mean, Median, Minimum-Maximum. The Kolmogorov-Smirnov test was carried out to determine the normality of the data, followed by bivariate analysis with Pearson Correlation and Spearman's Rank. Multivariate analysis was performed with Linear Regression by considering the regression assumption. The study found that more dengue cases were in January, February, March. A negative correlation was shown between temperature and the incidence of DHF (r=-0.274; p-value=0.038), and a positive correlation with humidity (r=0.390; p-value=0.002), and rainfall (r=0.370; p-value= 0.005). Air humidity and rainfall affect the number of dengue cases, respectively 33.0% and 30.5%. The results of this study have provided evidence of a relationship between climate factors and cases of DHF. It is hoped that this can be an input for the prevention and control of dengue fever.
FAKTOR LINGKUNGAN YANG BERHUBUNGAN DENGAN DIARE PADA ANAK BALITA DI DESA HAJIMENA KECAMATAN NATAR KABUPATEN LAMPUNG SELATAN TAHUN 2019 Prabaswara, Danuja
Ruwa Jurai: Jurnal Kesehatan Lingkungan Vol 15 No 2 (2021)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/rj.v15i2.2788

Abstract

The diarrhea morbidity rate in the working area of the Hajimena Health Center tends to increase from year to year. During the last two years, the highest incidence of diarrheal disease was in the 1-4 year age group. This study aims to determine the relationship between environmental factors and the incidence of diarrhea in children under five. This study used a cross-sectional design. The research population was all children under five (1-5 years) in Hajimena Village, South Lampung Regency, 1,052 people. The sample in this study was 101 toddlers who were selected randomly—collecting data by observation and interviews. Data analysis was carried out univariate and bivariate using the Chi-Square test. The results of this study indicate a significant relationship between diarrhea in children under five with waste disposal facilities (p-value = 0.010) and waste water disposal facilities (p-value = 0.001). Meanwhile, clean water facilities and family latrine facilities, in this study, did not show a significant relationship. Increased knowledge and skills of the community in managing household waste is needed in an effort to reduce the incidence of diarrhea in children under five. 
FAKTOR RISIKO STUNTING PADA ANAK BALITA DI KABUPATEN LAMPUNG TENGAH Kristanti, Milantika; Fithri, Nayla Kamilia
Ruwa Jurai: Jurnal Kesehatan Lingkungan Vol 15 No 2 (2021)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/rj.v15i2.2610

Abstract

Stunting is stunted growth in children due to malnutrition. It can affect children's cognitive and physical development, increase the risk of infection, and significantly contribute to child morbidity and mortality. This study aims to analyze the risk factors for stunting in children under five (13-59 months). The study used a case-control design to compare previous exposure to stunting and normal children under five. Measurements and interviews were conducted with 120 children under five and their mothers. The SPSS (24.0) was used for the Chi-square and Odds Ratio (alpha = 5%) test. The study found the risk factors for stunting under five, poor income (OR = 4.75; 95% CI 2.18-10.33), not getting exclusive breastfeeding (OR = 5.29; 95% CI 2.39-11.68) ), there is no access to clean water (OR = 3.00; 95% CI 1.42–6.32), and healthy latrines (OR = 3.73; 95% CI 1.75-7.94). Increasing the nutritional status of pre-pregnant and pregnant women and access to clean water and healthy latrines to prevent infection is an urgent need to be implemented immediately. 
EFEKTIVITAS EKSTRAK KULIT BATANG MAJA (Aegle marmelos L) TERHADAP KEMATIAN LARVA NYAMUK Anopheles sp. Pratama, Sinta Debi; Yushananta, Prayudhy
Ruwa Jurai: Jurnal Kesehatan Lingkungan Vol 15 No 2 (2021)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/rj.v15i2.2813

Abstract

Malaria is one of the public health problems that can cause death in infants, children under five, pregnant women and reduces work productivity. Vector control by chemical means leads to vector resistance and environmental pollution and negatively impacts public and animal health. This study aims to determine the effectiveness of the bark extract of Maja (Aegle marmelos L) against the death of Anopheles sp mosquito larvae with concentrations of 5%, 10%, 20%, 40%, and 50% and the observation of contact times every 15 minutes, 30 minutes, 60 minutes, 90 minutes and 120 minutes. The study used a Completely Randomized Design (CRD) with Factorial. Extraction used maceration method, with 70% ethanol as solvent. Larvae of Anopheles sp. instar III obtained from malaria endemic area. The test used a 200 ml container, with two replications. All data were analyzed by two way ANOVA and Tukey HSD test. This study obtained mortality of 93.3% larvae at a concentration of 50% and a contact time of 120 minutes. The results of statistical analysis showed a significant effect of concentration (p=0.0001), contact time (p=0.0001), and interaction concentration-contact time (p=0.004) on the mortality of Anopheles sp. mosquito larvae. This study has proven the use of bark extract of Maja (Aegle marmelos L) as an alternative bio-insecticide in controlling mosquito larvae of Anopheles sp.
PENGARUH KEBISINGAN TERHADAP STRES KERJA PADA TENAGA KERJA DI INDUSTRI PENGGILINGAN PADI Safitri, Dian
Ruwa Jurai: Jurnal Kesehatan Lingkungan Vol 15 No 2 (2021)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/rj.v15i2.2803

Abstract

Rice milling is one of the activities that produce high noise intensity, which can impact the health of workers. This study aims to determine the effect of noise on stress on workers at the Anugrah Mulya Rice Mill in Wates Village, Gadingrejo District, Pringsewu Regency, Lampung Province. The study used a cross-sectional design, carried out in February - May 2019. The sample is 35 workers, which is the whole of the population. Observations were made on noise sources and measured the noise level using a sound level meter. Measurements were made at 4 inside and 4 outside the room. Furthermore, interviews with workers used instruments to measure the work stress scale based on indicators or symptoms of stress, including physical symptoms, behavioral symptoms, and symptoms at work. Data were analyzed using Chi-Square statistical test. The results showed that the noise intensity in the rice milling room had exceeded the NAV of 87 dB(A) and caused work stress to 51.4% of workers. Age, gender, and noise also affect work stress. Measures to reduce noise exposure in the workplace and joint recreation for all workers can prevent work-related stress.
GAMBARAN SANITASI DAN PERILAKU PENGHUNI RUMAH PENDERITA TUBERKULOSIS DI WILAYAH KERJA PUSKESMAS KEDATON KOTA BANDAR LAMPUNG TAHUN 2021 Sari, Delvita
Ruwa Jurai: Jurnal Kesehatan Lingkungan Vol 15 No 3 (2021)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/rj.v15i3.3072

Abstract

Tuberkulosis (TB) merupakan pembunuh tutama pada kelompok penyakit menular. Penyakit ini disebabkan oleh Mycobacterium tuberculosis, dan penularannya berkaitan erat dengan kualitas perumahan. Penelitian ini bertujuan untuk mengetahui gambaran sanitasi rumah penderita TB di Wilayah Kerja Puskesmas Kedaton Kota Bandar Lampung tahun 2021. Penelitian bersifat deskriptif dengan jumlah sampel 81 rumah penderita. Data yang telah dikumpulkan diolah, kemudian dianalisis secara deskriptif, dan disajikan dalam bentuk tabel. Berdasarkan hasil penelitian diketahui bahwa komponen rumah yang sudah memenuhi syarat adalah kepadatan hunian (50,6%), kelembapan (46,9%), ventilasi (54,3%), pencahayaan (39,5), lantai (79,0%), dan dinding (70,4%). Masih ditemukan perilaku penghuni rumah yang memakai barang secara bersamaan (51,9%),  dan memakai alat makan secara bersamaan (64,2%).  Penghuni rumah sebaiknya memperhatikan dan memperbaiki secara bertahap kondisi sanitasi rumah, dan menghindaro penggunaan barang dan alat makan bersama. 
PERBAIKAN KUALITAS AIR PAYAU MENGGUNAKAN MEDIA KABON AKTIF DAN ZEOLIT Sintya, Mega
Ruwa Jurai: Jurnal Kesehatan Lingkungan Vol 15 No 3 (2021)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/rj.v15i3.3073

Abstract

Secara kuantitas, daerah pesisir memiliki kecukupan air yang melimpah, tetapi kualitasnya sangat buruk akibat intrusi air laut, ditandai tingginya TDS, kesadahan, dan klorida. Penelitian bertujuan meningkatkan kualitas air payau menggunakan media karbon aktif dan zeolit. Penelitian menggunakan rancang acak lengkap faktorial dengan dua faktor, yaitu media (karbon aktif dan zeolit) dan ketebalan media (0 cm, 20 cm, 25 cm, dan 30 cm). Percobaan dilakukan dengan dua kali pengulangan. Secara umum, percobaan mampu menurunkan rerata nilai TDS (38,77%), kesadahan (52,12%), dan klorida (47,83%). Media zeolit mampu menurunkan parameter  TDS (45.5%), kesadahan (64,7%), dan klorida (60%). Karbon aktif menurunkan TDS (50,6%), kesadahan (77%), dan klorida (65,5%). Sedangkan kombinasi karbon aktif dan zeolit menunjukkan penurunan tertinggi pada ketebalan 30 cm, yaitu TDS (56,4%), kesadahan (91,6%), dan klorida (79,3%). Hasil analisis statistik menunjukan bahwa media memberikan pengaruh signifikan terhadap penurunan nilai parameter (p-value<0,05). Namun demikian, diperlukan pengolahan awal dengan koagulasi/flokulasi untuk meningkatkan kinerja pengolahan.
RANCANG BANGUN DAN OPERASIONAL REAKTOR BIOGAS TIPE PORTABLE UNTUK MENGOLAH LIMBAH KOTORAN TERNAK SAPI Saputra, Rahmantio Fadil
Ruwa Jurai: Jurnal Kesehatan Lingkungan Vol 15 No 3 (2021)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/rj.v15i3.3070

Abstract

Kotoran ternak adalah limbah yang dihasilkan dari berternak sering mengganggu kesehatan, lingkungan, dan estetika, jika tidak dilakukan pengelolaan. Penelitian bertujuan membuat rancang bangun reaktor biogas tipe portable untuk mengolah limbah kotoran sapi menjadi produk biogas dengan menambahkan bioaktivator effective mikcroorganism-4 (EM4) dan tetes tebu guna menguji efektivitas laju pembentukan biogas pada reaktor biogas tipe portable. Eksperimen diawali dengan pembuatan reaktor biogas tipe portable, kemudian diujicobakan dengan memasukkan kotoran sapi ke dalam biodigester. Kotoran sapi yang telah bersih dicampur air dengan perbandingan 1:1, kemudian ditambahkan EM4 peternakan (100 ml) dan tetes tebu (400 ml). Pengamatan dilakukan selama 15 hari, dan dilakukan pengukuran suhu, pH, tekanan, dan nyala api. Hasil pembentukan biogas yaitu 15 kg/cm2 atau 1.132 m3, dengan suhu tertinggi 28,4oC dan suhu terendah 26,6 oC, pH netral 7,5, uji pembakaran dengan warna api biru dan menyala selama 50 menit. Rancang bangun biogas mampu beroperasi dengan baik. Rata-rata suhu digester selama beroperasi 27,48 0C (26,6-28,4), dan pH 7,5. Laju pembentukan gas secara signifikan meningkat mulai hari kelima, dan menghasilkan api biru selama 50 menit pada tekanan 15 kg/cm2. 
EFEKTIFITAS EKSTRAK BUAH MENGKUDU (Morinda citrifolia) SEBAGAI PESTISIDA NABATI UNTUK PENGENDALIAN MENCIT (Mus musculus) Putri, Agnes Verawati; Hajimi, Hajimi; Akhmadi, Zainal
Ruwa Jurai: Jurnal Kesehatan Lingkungan Vol 15 No 3 (2021)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/rj.v15i3.3068

Abstract

Hama yang seringkali ditemukan didalam rumah dan merugikan bagi manusia adalah mencit  (Mus musculus). Selain sebagai hama dan perusak bangunan, Mus musculus juga berperan sebagai penyebar penyakit bagi manusia. Pengendalian yang telah dilakukan oleh masyarakat adalah membuat jebakan atau perangkap, racun tikus, dan pengasapan. Selain itu terdapat cara alami yaitu menggunakan buah mengkudu. Penelitian ini bertujuan untuk mengetahui efektivitas ekstrak buah mengkudu (Morinda citrifolia) sebagai pestisida nabati terhadap pengendalian mencit (Mus musculus) dan untuk mengetahui perbedaan efektifitas ekstrak buah mengkudu (Morinda citrifolia) pada setiap variasi dosis yaitu 35%, 40%, 45%, 50%, dan 55%. Penelitian ini menggunakan desain eksperimen semu (quasi experiment). Jumlah sampel 30 mencit. Uji toksisitas terhadap mencit menggunakan fixed dose methode. Uji statistik yang digunakan adalah uji one way Anova. Hasil penelitian mendapatkan adanya pengaruh efektifitas ekstrak buah mengkudu (Morinda citrifolia) terhadap kematian mencit (p-value = 0,000 < 0,05), akan tetapi pada kosentrasi 55% belum dapat dikatakan efektif untuk membunuh hama mencit (Mus musculus) karena baru mampu membunuh 20% mencit.

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