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Sanitasi: Jurnal Kesehatan Lingkungan
Published by Poltekkes Kemenkes Yogyakarta
ISSN : 19785763     EISSN : 25793896     DOI : -
Core Subject : Health,
Health Professions
The aim of this journal is to publish good-quality articles dedicated to all aspects of the latest outstanding developments in the field of enviromental health. Its scope encompasses Land Sanitation and Waste Management, Water Sanitation, Vectors and Pests Control, Food and Beverage Sanitation, Occupational Health and Safety, and Environmental Health Epidemiology. This journal is published every four months (February, May, August, and November). For printed version, the Vol.1 No.1 was on August 2007. Publisher : Environmental Health Department of The Polytechnic of Health of Yogyakarta.p-ISSN: 1978-5763(media cetak) ISSN : 2579-3896 (media online)| Tatabumi Street No. 3, Banyuraden, Gamping, Sleman, Yogyakarta. Contact : 0274 (560962) | email: jurnal.sanitasi@poltekkesjogja.ac.id or jurnal.sanitasi@gmail.com
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 334 Documents
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The Water, Sanitation, and Hygiene (WASH) practices and the risk of skin and mucosal infections in cancer patients undergoing radiotherapy: A systematic review Muhammad Sobri Maulana; Dwitia Pratiwi; Muhammad Rahman Muttaqin
Sanitasi: Jurnal Kesehatan Lingkungan Vol. 17 No. 1 (2024): February 2024
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/sanitasi.v17i1.2990

Abstract

Radiotherapy (RT) is integral to cancer care but frequently damages skin and mucosal barriers, predisposing patients to infection. This systematic review examined whether water, sanitation, and hygiene (WASH) practices influence skin and mucosal infections in adults receiving RT, with emphasis on low- and middle-income countries (LMICs). We searched PubMed, Embase, Scopus, CINAHL, and the Cochrane Library from inception using controlled terms and keywords for RT, WASH, and infection; two reviewers screened records and appraised quality (Cochrane RoB, ROBINS-I). Twelve studies met inclusion: two randomized trials of washing vs. no washing during breast RT (n?198), one pediatric RCT of topical honey for oral care, two oncology cohorts describing pathogens and risk, and seven LMIC studies adapted to RT contexts evaluating facility or household WASH. Washing reduced moist desquamation and grade ?2 skin toxicity; honey decreased severe mucositis, microbial colonization, and length of stay. Severe radiodermatitis strongly predicted culture-confirmed infection (OR?5.9), with Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa most common. Facility WASH programs improved hand hygiene/compliance, and household WASH deficits were associated with higher infectious risk, though RT specific endpoints were limited. Conclusion: Low-cost, WASH-aligned hygiene bundles permissive skin washing, structured oral care, and basic facility/household WASH supports are biologically plausible, feasible in LMICs, and should accompany RT while RT specific LMIC trials with infection endpoints are prioritized.
Analisis spasial faktor-faktor yang mempengaruhi akses sanitasi layak di Indonesia tahun 2023 menggunakan Geographically Weighted Regression Maulidya Rosa Aprilia; Aditha Putri Andryani; A Fahmi Indrayani
Sanitasi: Jurnal Kesehatan Lingkungan Vol. 17 No. 1 (2024): February 2024
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/sanitasi.v17i1.3008

Abstract

Sanitasi merupakan komponen penting dalam kesehatan masyarakat yang berpengaruh terhadap kesejahteraan dan pembangunan sosial ekonomi. Indonesia masih menghadapi tantangan dalam pemerataan akses sanitasi layak di berbagai wilayah. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi akses sanitasi layak di Indonesia tahun 2023 dengan pendekatan spasial menggunakan metode Geographically Weighted Regression (GWR). Jenis penelitian ini adalah observasional analitik dengan data sekunder dari Badan Pusat Statistik dan Survei Kesehatan Indonesia Tahun 2023 yang dianalisis pada tingkat provinsi. Variabel yang diteliti meliputi pengelolaan sampah rumah tangga, lokasi tempat buang air besar di dalam rumah, jenis kloset leher angsa, tingkat pengangguran terbuka, kepemilikan fasilitas buang air besar sendiri, dan tingkat penyelesaian pendidikan SMA. Hasil penelitian menunjukkan bahwa seluruh variabel berpengaruh signifikan terhadap akses sanitasi layak, di mana pengelolaan sampah, jenis kloset, kepemilikan fasilitas, dan pendidikan berpengaruh positif, sedangkan lokasi tempat BAB di dalam rumah dan tingkat pengangguran berpengaruh negatif. Model GWR dengan kernel Fixed Gaussian memiliki nilai  sebesar 91.75%, menunjukkan kinerja yang lebih baik dibandingkan regresi global. Hasil ini menegaskan pentingnya pendekatan spasial dalam perencanaan kebijakan untuk pemerataan akses sanitasi layak di Indonesia.   Abstract: Sanitation is an essential component of public health that influences community well-being and socio-economic development. Indonesia continues to face challenges in achieving equitable access to adequate sanitation across regions. This study aims to analyze the factors affecting access to proper sanitation in Indonesia in 2023 using a spatial approach through the Geographically Weighted Regression (GWR) method. This research is an observational analytic study utilizing secondary data from Statistics Indonesia (BPS) and the 2023 Indonesia Health Survey, analyzed at the provincial level. The variables examined include household waste management, location of defecation facilities inside the house, water-sealed toilet type, open unemployment rate, ownership of private toilet facilities, and completion rate of senior high school education. The results show that all variables significantly influence access to proper sanitation, where waste indoor defecation location and unemployment rate have a negative effect. The GWR model with a Fixed Gaussian kernel produced an  value of 91.75%, indicating better performance than the global regression model. These findings highlight the importance of spatial-based approaches in designing sanitation policies to achieve equitable and sustainable sanitation access di Indonesia.
Analisis spasial prevalensi Tuberculosis di Indonesia tahun 2023 menggunakan metode geographically weighted Kurniawan Kurniawan; Ismail Djakaria; A. Fahmi Indrayani; Frans Mitran Ajami
Sanitasi: Jurnal Kesehatan Lingkungan Vol. 19 No. 1 (2026): February 2026
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/sanitasi.v19i1.3060

Abstract

Tuberkulosis (TB) masih menjadi tantangan kesehatan masyarakat utama di Indonesia dengan tingkat prevalensi yang bervariasi antar kabupaten/kota. Penelitian ini menerapkan metode Geographically Weighted Regression (GWR) dengan kernel Adaptive Gaussian untuk mengeksplorasi pola spasial dan mengidentifikasi asosiasi statistik antara prevalensi TB dan faktor sosio-demografis pada tahun 2023. Data yang digunakan merupakan data sekunder resmi dari Badan Pusat Statistik dan Dinas Kesehatan Provinsi yang mencakup 514 kabupaten/kota di seluruh Indonesia. Hasil analisis menunjukkan bahwa model GWR memiliki kinerja sangat baik berdasarkan uji kebaikan model dengan nilai R² sebesar 0,9345, yang berarti mampu menjelaskan 93,45% variasi prevalensi TB secara spasial. Faktor-faktor yang berpengaruh signifikan berbeda di tiap wilayah, meliputi tingkat kemiskinan, kepadatan penduduk, proporsi perokok usia 35–44 tahun, prevalensi HIV/AIDS, dan jumlah tenaga medis. Sesuai desain penelitian observasional, studi ini difokuskan untuk mengkaji hubungan atau asosiasi, bukan kausalitas. Evaluasi menggunakan regresi Kuadrat Terkecil Biasa (OLS) dilakukan hanya untuk menilai performa model dan mendeteksi heterogenitas spasial tanpa dimaksudkan membandingkan efektivitas metode analisis lainnya. Temuan penelitian menegaskan pentingnya pendekekatan berbasis wilayah dalam memahami faktor risiko TB serta memberikan bukti empiris bagi pemerintah dalam merancang strategi pengendalian TB yang lebih tepat sasaran. Hasil penelitian ini diharapkan dapat mendukung penguatan kebijakan kesehatan nasional berbasis data lokal dan menjadi referensi dalam perencanaan intervensi program TB yang lebih terarah, efektif, dan kontekstual di Indonesia.   Abstract: Tuberculosis (TB) remains a major public health challenge in Indonesia, with varying prevalence rates across districts/cities. This study applied the Geographically Weighted Regression (GWR) method with an Adaptive Gaussian kernel to explore spatial patterns and identify statistical associations between TB prevalence and socio-demographic factors in 2023. The data used were official secondary data from the Central Statistics Agency and Provincial Health Offices covering 514 districts/cities throughout Indonesia. The analysis results showed that the GWR model performed very well based on the model goodness-of-fit test with an R² value of 0.9345, which means it was able to explain 93.45% of the spatial variation in TB prevalence. The factors that had a significant effect differed in each region, including poverty levels, population density, the proportion of smokers aged 35–44 years, HIV/AIDS prevalence, and the number of medical personnel. In accordance with the observational research design, this study focused on examining relationships or associations, not causality. The evaluation using Ordinary Least Squares (OLS) regression was conducted only to assess model performance and detect spatial heterogeneity, without the intention of comparing the effectiveness of other analysis methods. The findings of this study emphasise the importance of a region-based approach in understanding TB risk factors and provide empirical evidence for the government in designing more targeted TB control strategies. The results of this study are expected to support the strengthening of national health policies based on local data and serve as a reference for more targeted, effective, and contextual TB programme intervention planning in Indonesia.
Shaping global health security through multilateral leadership: A qualitative analysis of Indonesia’s G20 Presidency in 2022 Dicky Budiman; Heru Subaris Kasjono; Cordia Chu
Sanitasi: Jurnal Kesehatan Lingkungan Vol. 19 No. 1 (2026): February 2026
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/sanitasi.v19i1.3120

Abstract

Global health security has become a central issue in international governance due to recurrent pandemics and transnational health threats, while the role of multilateral forums such as the Group of Twenty (G20) in reforming global health architecture remains contested. This study aims to examine how Indonesia leveraged its 2022 G20 presidency to shape global health security and contribute to the reform of global health architecture. Using a qualitative research design, this study employed thematic analysis of primary and secondary data. Primary data were obtained from expert interviews and participatory observation related to G20 health processes, while secondary data consisted of official G20 documents, policy reports, and peer-reviewed literature. The data were analysed inductively to identify key themes. The findings show that the G20 serves as a strategic agenda-setting platform for global health security because of its economic and political influence. However, the current global health multilateral system remains fragmented, under-resourced, and weakly coordinated. Indonesia’s presidency promoted strategic initiatives, including strengthening the World Health Organization’s leadership, advancing pandemic preparedness financing, promoting universal health coverage, and addressing health inequities. The study concludes that middle-income countries can shape global health security through sustained multilateral engagement, institutional coordination, and alignment between global commitments and national implementation.
Kualitas mikrobiologis air bersih dan makanan pada layanan katering Asrama Haji Embarkasi "X” Fawandi Eta Rachmawati; Ririh Yudhastuti
Sanitasi: Jurnal Kesehatan Lingkungan Vol. 19 No. 1 (2026): February 2026
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/sanitasi.v19i1.3156

Abstract

Keamanan pangan bagi jemaah haji selama periode keberangkatan 1445 H/2024 rentan terhadap penyakit yang ditularkan melalui makanan akibat ketergantungan pada layanan katering terpusat di Asrama Haji “X”. Kualitas air bersih memainkan peran penting sebagai titik kendali potensial terhadap kontaminasi mikrobiologis. Penelitian ini bertujuan untuk menganalisis hubungan antara kualitas mikrobiologis air bersih dan makanan sesuai dengan Peraturan Kementerian Kesehatan Nomor 2 Tahun 2023. Penelitian ini menggunakan desain observasional analitik cross-sectional dengan memanfaatkan data laboratorium sekunder dari Tim Pengendalian Risiko Lingkungan. Sebanyak 96 sampel makanan dan 45 sampel air diuji selama 10 periode, dengan memeriksa parameter Escherichia coli dan koliform total; semua sampel yang tidak memenuhi standar (TMS) menunjukkan hasil positif untuk koliform total tanpa adanya Escherichia coli. Analisis dilakukan menggunakan tabel kontingensi 2×2 dan uji chi-kuadrat (α = 0,05). Hasil menunjukkan bahwa 93,8% sampel makanan memenuhi standar (MS), sedangkan 60,0% sampel air memenuhi standar (40,0% TMS). Ditemukan adanya hubungan yang signifikan (p<0,001; rasio odds=10), yang menunjukkan bahwa air bersih 10 kali lebih mungkin tidak memenuhi standar dibandingkan makanan. Air bersih berperan sebagai titik kendali kritis dalam sistem katering. Penguatan praktik pengolahan air, distribusi, dan sanitasi sangat penting untuk memastikan kesehatan jemaah haji.    Abstract: Food safety for Hajj pilgrims during the 1445 H/2024 embarkation period is vulnerable to foodborne diseases due to reliance on centralized catering services at the "X" Hajj Dormitory. Clean water quality plays a crucial role as a potential microbiological contamination control point. This study aims to analyze the relationship between the microbiological quality of clean water and food according to Ministry of Health Regulation No. 2 of 2023. The study employed an analytical observational cross-sectional design using secondary laboratory data from the Environmental Risk Control Team. A total of 96 food samples and 45 water samples were tested over 10 periods, examining Escherichia coli and total coliform parameters, all non-compliant samples were positive for total coliform without Escherichia coli. Analysis was conducted using 2×2 contingency tables and chi-square tests (α = 0.05). Results showed that 93.8% of food samples met standards (MS), while 60.0% of water samples met standards (40.0% TMS). A significant association was found (p<0.001; odds ratio=10), indicating clean water was 10 times more likely to fail standards than food. Clean water serves as a critical control point in the catering system. Strengthening water treatment, distribution, and sanitation practices is essential to ensure Hajj pilgrims' health.
Efektivitas pengelolaan sampah TPS 3R sebagai upaya pengurangan sampah di Provinsi Jawa Timur tahun 2022 Anetya Martiadevi Lestari; Aditya Sukma Pawitra; Khuliyah Candraning Diyanah; Gita Istiqfarrani
Sanitasi: Jurnal Kesehatan Lingkungan Vol. 18 No. 2 (2025): August 2025
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/sanitasi.v18i2.2295

Abstract

The increasing population of East Java Province in 2022 of 271 thousand people affects the size of the volume garbage in TPA of 6.4 million tons, so it is necessary to reduce the waste through TPS 3R. This type of research is qualitative descriptive using secondary data from DLH East Java Province and SIPSN. The purpose this study was to determine achievement of waste management and effectiveness of TPS 3R in Bakorwil II East Java to reduce waste volume in TPA. The results showed that by 2022, the total achievement of TPS 3R waste management in Bakorwil II contributed 2% to achieve the target of 26% waste reducing and 73% waste handling in East Java Province. While the total achievement of managed waste reaches 46% under 50% of the total incoming waste at TPS 3R Bakorwil II, it means that the waste management of TPS 3R in Bakorwil II East Java has not been maximized to reduce volume waste in East Java Province. The recommendation for provincial environmental agencies is to keep supporting TPS 3R managers, intensify training, improve supporting facilities and facilitating the construction of new TPS 3R to improve domestic waste services in districts/cities.   Abstrak: Bertambahnya populasi penduduk Provinsi Jawa Timur pada tahun 2022 sebanyak 271 ribu jiwa memengaruhi besarnya jumlah timbulan sampah di TPA sebesar 6,4 juta ton sehingga perlu upaya pengurangan sampah melalui TPS 3R. Jenis penelitian ini adalah deskriptif kualitatif menggunakan data sekunder dari DLH Provinsi Jawa Timur dan SIPSN. Tujuan penelitian ini untuk mengetahui capaian pengelolaan sampah dan efektivitas TPS 3R se-Bakorwil II Jawa Timur dalam mengurangi volume sampah di TPA. Perhitungan capaian menggunakan analisis recovery factor. Hasil penelitian menunjukkan pada tahun 2022, total capaian pengelolaan sampah TPS 3R se-Bakorwil II menyumbang 2% untuk mencapai target 26% pengurangan sampah dan 73% penanganan sampah di Provinsi Jawa Timur. Sementara total capaian sampah terkelola mencapai 46% dari total sampah masuk di TPS 3R Bakorwil II, artinya pengelolaan sampah TPS 3R se-Bakorwil II Jawa Timur belum sepenuhnya maksimal dalam berkontribusi mengurangi jumlah timbulan sampah di Provinsi Jawa Timur karena capaian masih di bawah 50%. Sarannya bagi dinas lingkungan provinsi, tetap menjaga konsistensi dukungan kepada pengelola TPS 3R, menggiatkan pembinaan, meningkatkan sarana yang mendukung dan memfasilitasi pembangunan TPS 3R baru untuk meningkatkan pelayanan sampah rumah tangga di kabupaten/kota.
Pengaruh waktu paparan sinar UV-C terhadap penurunan Total coliform air bersih PT. X Ambarwati Setia Ningrum; Nany Djuhriah; Mimin Karmini
Sanitasi: Jurnal Kesehatan Lingkungan Vol. 18 No. 2 (2025): August 2025
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/sanitasi.v18i2.2528

Abstract

Air bersih di PT. X mengandung 38 CFU/100 ml Total Koliform, yang melebihi standar penggunaan domestik. Penelitian eksperimental ini bertujuan untuk menentukan pengaruh variasi lama paparan sinar UV-C (15, 30, dan 45 detik) terhadap pengurangan Total Koliform dalam air sumur bor perusahaan. Dengan menggunakan rancangan posttest dengan kelompok kontrol, 24 sampel diuji dalam 6 ulangan. Uji ANOVA Satu Arah (p < 0,05) menunjukkan adanya pengaruh yang signifikan dari waktu paparan terhadap pengurangan bakteri. Perlakuan yang paling efektif adalah paparan sinar UV-C selama 45 detik, yang mencapai pengurangan sebesar 100% (0 CFU/100 ml). Sangat disarankan agar industri mengintegrasikan metode desinfeksi fisik ini ke dalam sistem pengolahan air bersih mereka untuk memenuhi standar mikrobiologis.   The effect of UV-C exposure time on the reduction of total coliforms in drinking water at PT. XAbstract: Clean water at PT. X contains 38 CFU/100ml of Total Coliform, exceeding the domestic usage standards. This experimental study aims to determine the effect of varying UV-C light exposure times (15, 30, and 45 seconds) on Total Coliform reduction in the company's drilled well water. Using a posttest with control design, 24 samples were tested across 6 replications. The One-Way ANOVA test (p < 0.05) indicated a significant effect of exposure time on bacterial reduction. The most effective treatment was 45 seconds of UV-C exposure, which achieved a 100% reduction (0 CFU/100ml). It is highly recommended that the industry integrate this physical disinfection method into their clean water treatment systems to meet microbiological standards.
Faktor yang memengaruhi penggunaan jamban pada masyarakat di pesisir Pantai Desa Aboru Kecamatan Pulau Haruku Maria Riry; Asrijun Juhanto; Diana Tobugu
Sanitasi: Jurnal Kesehatan Lingkungan Vol. 18 No. 2 (2025): August 2025
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/sanitasi.v18i2.2529

Abstract

Jamban keluarga sangat penting untuk menjaga kebersihan lingkungan dan meningkatkan kesehatan masyarakat. Semakin banyak keluarga yang masih buang air besar sembarangan, semakin tinggi pula risiko penyakit. Dalam survei awal yang dilakukan oleh para peneliti di wilayah pesisir Desa Aboru, sebagian masyarakat belum memiliki kesadaran yang kuat dalam menjaga kesehatan lingkungan, hal ini terlihat dari masih adanya orang yang buang air besar sembarangan. Kebiasaan masyarakat buang air besar sembarangan di pesisir melibatkan berbagai kelompok usia, mulai dari anak-anak hingga lansia, serta dari berbagai lapisan masyarakat, sehingga hal ini telah menjadi tradisi yang diwariskan dari generasi ke generasi. Tujuan penelitian ini adalah untuk mengidentifikasi faktor-faktor yang memengaruhi penggunaan toilet di masyarakat pesisir Desa Aboru, Kecamatan Pulau Haruku, Kabupaten Maluku Tengah. Jenis penelitian ini adalah survei analitis dengan desain penelitian menggunakan desain studi cross-sectional yang dilaksanakan pada bulan Februari hingga April 2024. Populasi penelitian ini adalah seluruh 404 kepala keluarga di pesisir Desa Aboru. Sebanyak 81 kepala keluarga diambil sebagai sampel menggunakan teknik pengambilan sampel acak (accidental sampling). Analisis dilakukan dengan menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa terdapat pengaruh sikap (nilai p 0,000), motivasi (nilai p 0,013), ketersediaan jamban (nilai p 0,000), serta peran tenaga kesehatan (nilai p 0,006), sedangkan pengetahuan tidak berpengaruh (nilai p 0,260). Kesimpulannya adalah bahwa terdapat pengaruh terhadap sikap, motivasi, ketersediaan jamban, peran petugas kesehatan, dan tidak terdapat pengaruh terhadap pengetahuan. Faktor dominan adalah ketersediaan jamban terkait penggunaan jamban di masyarakat pesisir Desa Aboru, Kecamatan Pulau Haruku, Kabupaten Maluku Tengah. Factors influencing toilet usage amongst the coastal community of Aboru Village, Haruku Island Sub-district   Abstract: Family latrines are very important to maintain environmental cleanliness and improve public health.  The more families practice open defecation, the higher the risk of disease.  In the initial survey conducted by researchers in the coastal area of Aboru Village, some people did not have a strong awareness of maintaining environmental health, this can be seen from the fact that there are still people who defecate in the open.The habit of people defecating anywhere on the coast consists of various age groups from children to the elderly and from various levels of society, so it has become a tradition that has been passed down from generation to generation. The aim of this research is to determine the factors that influence the use of toilets in coastal communities in Aboru Village, Haruku Island District, Central Maluku Regency. The type of research is an analytical survey with a research design using a cross sectional study design which was conducted from February to April 2024. The population of this study was all 404 heads of families on the coast of Aboru Village. 81 heads of families as samples were taken using accidental sampling technique. Analysis using the chi-square test. The research results show that there is an influence of attitude p-value (0.000), motivation p-value (0.013), availability of toilets p-value (0.000), role of health workers p-value (0.006) and no influence of knowledge p-value (0.260). The conclusion is that there is an influence on attitudes, motivation, availability of latrines, the role of health workers and there is no influence on knowledge.  The dominant factor is the availability of latrines regarding the use of latrines in coastal communities in Aboru Village, Haruku Island District, Central Maluku Regency.
Faktor-faktor yang berhubungan dengan penerapan higiene dan sanitasi Depot Air Minum (DAMIU) di wilayah kerja Puskesmas Rawasari Tahun 2024 Gina Renata Nainggolan; Fitria Eka Putri; Oka Lesmana S; Fajrina Hidayati; Marta Butar-Butar
Sanitasi: Jurnal Kesehatan Lingkungan Vol. 18 No. 2 (2025): August 2025
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/sanitasi.v18i2.2452

Abstract

Pada tahun 2022, hanya 60% fasilitas pengelolaan air di Jambi memenuhi standar yang diperlukan, jauh di bawah target RPJMN 100% dan turun signifikan dari 87,1% pada 2021. Ini menunjukkan banyak fasilitas pengolahan air minum tidak memenuhi standar kebersihan, meningkatkan risiko penyakit seperti diare dan kolera. Studi ini bertujuan mengidentifikasi faktor yang berhubungan dengan penerapan higiene dan sanitasi di Depot Air Minum Isi Ulang (DAMIU) di wilayah kerja Puskesmas Rawasari pada tahun 2024. Dengan metode kuantitatif dan desain Cross-sectional, studi ini mengambil sampel 59 karyawan depot. Analisis statistik menggunakan uji Chi-Square menunjukkan 64,4% praktik higiene dan sanitasi memenuhi standar. Hubungan signifikan ditemukan antara pengetahuan (p=0,001, PR=3,227) dan sikap (p=0,004, PR=2,940) dengan penerapan higiene dan sanitasi. Namun, tidak ada hubungan signifikan untuk pelatihan (p=0,177, PR=0,554), tindakan pengawasan (p=0,075, PR=2,063), pendidikan (p=0,519, PR=1,402), dan peran asosiasi (p=0,260, PR=1,866). Kesimpulannya, pengetahuan dan sikap secara signifikan mempengaruhi penerapan higiene dan sanitasi di DAMIU, sementara pelatihan, tindakan pengawasan, pendidikan, dan peran asosiasi tidak.   Abstract: In 2022, only 60% of water management facilities in Jambi met the required standards, far below the RPJMN target of 100% and significantly down from 87.1% in 2021. This indicates that many drinking water treatment facilities do not meet cleanliness standards, posing risks of diseases like diarrhea and cholera. This study aims to identify factors related to the implementation of hygiene and sanitation at Refilled Drinking Water Depots (DAMIU) in the Rawasari Health Center work area in 2024. Using a quantitative method with a cross-sectional design, the study sampled 59 depot employees. Statistical analysis using the Chi-Square test showed that 64.4% of hygiene and sanitation practices met the standards. Significant relationships were found between knowledge (p=0.001, PR=3.227) and attitude (p=0.004, PR=2.940) with the implementation of hygiene and sanitation. However, no significant relationships were found for training (p=0.177, PR=0.554), supervision actions (p=0.075, PR=2.063), education (p=0.519, PR=1.402), and the role of associations (p=0.260, PR=1.866). In conclusion, knowledge and attitude significantly influence the implementation of hygiene and sanitation at DAMIU, while training, supervision actions, education, and the role of associations do not.
Dampak perubahan iklim terhadap kejadian Demam Berdarah Dengue di Kabupaten Sleman 2008-2022 Nur FitriYana Endyah Kusuma Dewi; Nur Alvira Pascawati; Sukismanto Sukismanto; Rega Dharmawan
Sanitasi: Jurnal Kesehatan Lingkungan Vol. 18 No. 2 (2025): August 2025
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/sanitasi.v18i2.2466

Abstract

Kasus Demam Berdarah Dengue (DBD) di Daerah Istimewa Yogyakarta yang mengalami peningkatan kasus dialami oleh Kabupaten Sleman, sehingga masuk dalam KLB. Dalam 15 tahun kasus DBD memiliki sifat yang cenderung fluktuatif atau naik turun. Sifat yang seperti ini dapat dipengaruhi oleh kondisi lingkungan yang dimiliki, yakni perubahan iklim. Perubahan iklim dapat mempengaruhi kejadian penyebaran distribusi keberadaan vektor, salah satunya DBD. Dampak dari perubahan iklim terhadap kejadian DBD di Kabupaten Sleman perlu untuk diteliti sebagai dasar untuk melihat pola terjadinya kasus DBD yang berhubungan dengan suhu permukaan bumi, kelembaban spesifik, kelembaban relatif, kecepatan angin 10 meter, kecepatan angin 50 meter, dan penyinaran matahari langsung. Penelitian ini menggunakan desain cohort retrospektif berdasarkan data sekunder kasus DBD dari Dinas Kesehatan DIY dan data iklim dari National Aeronautics and Space Administration (NASA) dalam waktu 15 tahun (2008-2022). Data dianalisis dengan pola bulanan berdistribusi tidak normal serta melakukan uji korelasi dan regresi dengan α=0,05. Hasil analisis menunjukkan bahwa variasi data iklim berkorelasi terhadap kejadian DBD di Kabupaten Sleman. Model persamaan regresi linier yang ditemukan yakni Kasus DBD = -129.031 + 10.171*Kelembaban Spesifik (R2 = 21,0%) dengan asumsi semua regresi linier terpenuhi. Model dalam penelitian ini dapat digunakan dalam pencegahan penularan DBD berdasarkan waktu melalui upaya mitigasi dan ditingkatkannya sistem Early Warning System untuk KLB DBD yang dapat mengancam.   Abstract: Sleman Regency in the Special Region of Yogyakarta has experienced a rise in cases of Dengue Haemorrhagic Fever (DHF), leading to its classification as an outbreak. Over the past 15 years, DHF cases have tended to fluctuate. This pattern may be influenced by environmental conditions, namely climate change. Climate change can affect the distribution and prevalence of disease vectors, one of which is the dengue fever vector. The impact of climate change on dengue fever incidence in Sleman Regency needs to be investigated to establish patterns in dengue fever cases in relation to surface temperature, specific humidity, relative humidity, wind speed at 10 metres, wind speed at 50 metres, and direct solar radiation. This study employed a retrospective cohort design based on secondary data on dengue fever cases from the Yogyakarta Special Region Health Office and climate data from the National Aeronautics and Space Administration (NASA) covering a 15-year period (2008–2022). The data were analysed using monthly patterns with a non-normal distribution, and correlation and regression tests were conducted with α = 0.05. The results of the analysis indicate that variations in climate data are correlated with the incidence of dengue fever in Sleman Regency. The linear regression equation model identified was: Dengue Fever Cases = -129.031 + 10.171 × Specific Humidity (R² = 21.0%), assuming all linear regression assumptions were met. The model developed in this study can be used to prevent the transmission of dengue fever over time through mitigation measures and by improving the Early Warning System for potential dengue fever outbreaks.

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