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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 325 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.

Page 33 of 33 | Total Record : 325

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