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Gema Lingkungan Kesehatan
Published by Polilteknik Kesehatan Kemenkes Surabaya
ISSN : 16933761     EISSN : 24078948     DOI : 10.36568
Core Subject : Health, Science, Social,
Environmental Science Health Professions Immunology & microbiology Public Health
Jurnal GEMA Lingkungan Kesehatan [e-ISSN: 2407-8948 | DOI: 10.36568] is a journal aims to be a leading peer-reviewed platform and an authoritative source of information. We publish original research papers, review articles and case studies focused on environmental health or public health as well as related topics that has neither been published elsewhere in any language, nor is it under review for publication anywhere. This following statement clarifies ethical behavior of all parties involved in the act of publishing an article in this journal, including the author, the editor, the reviewer, and the publisher (Jurusan Kesehatan Lingkungan Poltekkes Kemenkes Surabaya).
Arjuna Subject : Ilmu Lingkungan (semua ketegori) - Kesehatan, Toksikologi dan Mutasi Gen
Articles 172 Documents
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Spatial Analysis of Health Facility Locations and Tuberculosis Treatment Outcomes in Jambi City, 2024 Suhermanto; Fakhrida Khairat; Erwin Hari Astuti; Naris Dyah Prasetyawati
Gema Lingkungan Kesehatan Vol. 23 No. 1 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i1.208

Abstract

Tuberculosis (TB) remains a global health problem with an increasing incidence rate, including in Indonesia. Jambi City has experienced an increase in TB cases from year to year, while the treatment success rate has not reached the target. This study aimed to analyse the relationship between the location of health facilities (puskesmas), travel time, and transportation costs with TB treatment success in Jambi City. This study was an observational survey with a cross-sectional design, using QGIS Overlay spatial analysis (network analysis) and Chi-Square statistical test. The sample consisted of 120 bacteriologically confirmed TB patients at four health centres. QGIS analysis showed that 98.33% of TB patients were located within the 3,000-metre service radius of the puskesmas. However, not all patients with successful treatment rated the location of the health centre as easily accessible, while a small proportion of patients with treatment failure rated the location of the health centre as difficult to access. Chi-Square test results showed no significant association between the location of the health centre and TB treatment success (p = 0.066). Thus, the affordability of health facilities based on travel time and transport costs is not a major factor that causes non-achievement of TB treatment success targets in Jambi City. This study recommends further research to identify other factors that may influence TB treatment success, such as patient compliance and quality of health services.
The Impact of Patient Hygiene on Skin Issues in Lower Limb Prosthesis Users Nur Rachmat; Sisybania; Maharani Nadia Andarini
Gema Lingkungan Kesehatan Vol. 23 No. 1 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i1.213

Abstract

Amputees require effective support through prostheses, which help restore mobility. Maintaining cleanliness of the stump and prosthesis is essential to prevent skin problems, ensuring comfort during activities. This study aims to determine the relationship between patients' cleanliness levels and skin issues on the stumps of lower limb prosthesis users. This research was conducted in December 2023 at the Community Resource Rehabilitation Development and Training Center (PPRBM) Solo, utilizing the Self-Management Assessment for the Residuum and Prosthesis (S.M.A.R.T) in a cross-sectional observational design. A purposive sampling technique was used to select 40 lower limb prosthesis users. Data analysis involved the Shapiro Wilk normality test and hypothesis testing with Pearson Product Moment. Analysis of the 40 participants revealed a significance value of p = 0.000 (p < 0.05) and a correlation coefficient of -0.737. This indicates a significant and strong negative correlation: higher cleanliness levels correspond to fewer skin problems on the stump, while lower cleanliness levels lead to more skin issues. Maintaining a high level of cleanliness is crucial for lower limb prosthesis users to prevent skin issues on the stump.
Risk Factors for the Spread of Leptospira sp. in Rats Using Success Trap and iiPCR Methods in Probolinggo Harbor Yudhistiro Angga Kurniawan; Enny Suswati; Mei Syafriadi
Gema Lingkungan Kesehatan Vol. 23 No. 1 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i1.233

Abstract

This study aimed to identify the distribution of rats and environmental risk factors associated with the spread of Leptospira sp. in Probolinggo Harbor using success trap and iiPCR methods. A total of 150 traps were deployed across 66 strategic locations around the harbor, capturing 19 rats, with a rat capture rate of 4.2%. Among the captured rats, 21.05% tested positive for Leptospira sp., with Rattus tanezumi constituting 75% of the infections and Rattus norvegicus accounting for the remaining 25%. Path analysis (SmartPLS 4.0) revealed significant associations between gutter conditions, vegetation, humidity, and signs of rat activity with the presence of Leptospira sp. Environmental factors such as gutter conditions, temperature, humidity, and vegetation were found to significantly influence the prevalence of Leptospira sp., with Rattus tanezumi identified as the primary vector, particularly in locations with open waste systems or abundant vegetation. These findings highlight the critical role of environmental factors in the transmission of leptospirosis, emphasizing the need for targeted environmental management strategies, including rodent control programs and improvements in sanitation, to mitigate risks in harbor areas.
Cardiovascular Abnormalities in Critically Ill Leptospirosis Patients at UNS Hospital: A Study Over A 5-Year-Period I Made Adi Palguna Rama Daffa; Risalina Myrtha; Nurhasan Agung Prabowo; Evi Liliek Wulandari
Gema Lingkungan Kesehatan Vol. 23 No. 1 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i1.242

Abstract

Leptospirosis is a globally prevalent zoonotic disease. Cardiovascular involvement in leptospirosis patients, while reported, remains underexplored, especially in Indonesia. This study aims to characterize cardiovascular abnormalities in leptospirosis patients at UNS Hospital over a 5-year period. A descriptive analytical study with a retrospective approach was conducted on 38 patients aged ≥18 years who met the inclusion criteria of confirmed leptospirosis, electrocardiography (ECG) data, and hospitalization at the UNS Hospital. The data were analyzed based on ECG abnormalities. Of the 38 patients, 39.5% had sinus tachycardia, 31.6% sinus rhythm, and 2.6% each experienced supraventricular tachycardia, atrial flutter, or accelerated junctional rhythm. Furthermore, 15.8% had 1st degree AV block and 5.2% had paroxysmal atrial fibrillation. Hypotension was observed in 34.2%, while 92.1% of patients showed elevated urea levels, indicating renal involvement. The SPiRO score categorized 92.1% as severe leptospirosis cases. Mortality reached 42.1%, with ECG abnormalities present in 75% of deceased patients. These findings highlight the predominance of sinus tachycardia and the frequent co-occurrence of hypotension, renal impairment, and severe disease. This study emphasizes the critical role of early detection and monitoring of cardiovascular and hemodynamic parameters in leptospirosis patients. These findings provide valuable insights for improving diagnosis and management strategies, particularly in resource-limited settings.
Impact of Unqualified Housing on Childhood Pneumonia: A Spatial Study in Urban and Rural of Bojonegoro, Indonesia Nur Lathifah Syakbanah; Salwa Nabilah; Muhammad Hanif; Marsha Savira Agatha Putri; Adisti Risma Putri Azzahra Arismaya; Eka Lailatun Nafisah; Yudied Agung Mirasa
Gema Lingkungan Kesehatan Vol. 23 No. 1 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i1.247

Abstract

Unhealthy housing poses significant risks for children's respiratory health, such as pneumonia. Indoor and outdoor environmental factors can vary between urban and rural areas. Spatial vulnerability mapping is a potential tool for developing an early warning system for policymaking in pneumonia control. The purpose of this study was to determine the spatial vulnerability of unqualified housing factors among childhood pneumonia in both urban and rural areas of Bojonegoro, Indonesia. This study employed a cross-sectional design with spatial analysis to determine the correlation and distribution map of eight housing factors of childhood pneumonia in comparison between urban and rural areas. 60 mothers of under-five children as samples for interview and housing factors assessment. Six (54.5%) and four (28.6%) villages had high prevalence cases in urban and rural areas, respectively. Concentrated in the city center and home industries of Bojonegoro sub-district, then livestock and agriculture area of Sukosewu sub-district. Humidity in urban (P=0.03; PR=16.50) and rural (P=0.04; PR=12.60), lighting in urban (P=0.01; PR=23.00) and rural (P=0.04; PR=12.60), house occupancy density in urban and rural (P=0.04; PR=12.60), and ventilation area in rural (P=0.03; PR=25.00) were correlated to childhood pneumonia. Six urban and four rural villages exhibited a high prevalence of pneumonia cases. Unqualified humidity, lighting, house occupancy density, and ventilation area impact childhood pneumonia. It is recommended to improve natural or mechanical housing ventilation, adjust the total housing occupants, and update national healthy housing standards. The use of spatial analysis effectively identified housing-related risk factors for pneumonia, providing critical insights for developing targeted interventions in Bojonegoro.
Improving Community Task Performance through Synchronous Communication in Plastic Waste Management for Rivers Heni Nuraeni Zaenudin; Hans Van Den Akker
Gema Lingkungan Kesehatan Vol. 23 No. 1 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i1.248

Abstract

The findings of this study can be utilized to enhance the effectiveness of direct communication in outreach programs aimed at reducing plastic waste pollution in rivers. Practically, this research facilitates community understanding, encourages active participation, and promotes better collaboration in efforts to maintain river water quality, particularly in the West Java region. This study used multi-stage sampling to select the areas with the highest pollution levels in West Java Province, Indonesia. From pre-research and observation, two areas were selected, namely Bandung City and Bandung Regency. The area is prone to pollution and flooding due to plastic waste clogging. Respondents were selected as many as 503 heads of families who live about 10 to 100 meters from the river. This research employs the statistical analysis to examine the relationships between variables in plastic waste management programs. This approach facilitates the prediction of the impact of synchronous communication on community participation in maintaining river water quality. The results of the hypothesis test showed that there was a positive and significant relationship between the tested constructs. The synchronous communication construct affects the Communication Process, which in turn influences Communication Performance and Task Performance. The communication process that produces good sharing understanding will increase the involvement and participation of the community to be involved in the task of cleaning up plastic waste in rivers. Community participation since 2008 has had a positive significance with the improvement of river water quality in West Java, Indonesia.
The Relationship Between Nutritional Status, Smoking Habits and Age on the Physical Fitness of Workers in the Tuban Cement Industry Moh. Sholakhuddin; Indriati Paskarini
Gema Lingkungan Kesehatan Vol. 23 No. 1 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i1.255

Abstract

Physical fitness is the body's ability to perform diurnal work effectively and efficiently over a long period of time without excessive fatigue. Based on the results of periodic health checks of workers of one of the Cement Companies in 2023, it shows that the physical fitness of workers is mostly at a very low level, namely 34.4%. This study aims to analyze the influence of age, body mass index, and smoking habits on the physical fitness of workers in a cement company in Tuban. The research design uses analytical observational studies with a cross-sectional approach. Data was obtained from routine health checks on 688 workers. The results showed that there was a significant relationship between age and smoking habits on physical fitness (p<0.05), while there was no significant relationship with nutritional status. The majority of workers have very low physical fitness (34.4%) and level I obesity status (52.11%). The study recommends a health promotion program to improve workers' physical fitness.
IDENTIFIKASI KANDUNGAN LOGAM BERAT PADA PRODUK TEMPE DI INDUSTRI RUMAH TANGGA DESA KALORAN, KECAMATAN NGRONGGOT, KABUPATEN NGANJUK Awalia Azizah Widyastuti; Imam Thohari; Pratiwi Hermiyanti
Gema Lingkungan Kesehatan Vol. 20 No. 2 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v20i2.13

Abstract

Food products produced and distributed in Indonesia must meet food safety requirements and the maximum threshold for contamination of heavy metals in food. It is necessary to pay attention so as to produce food products that are safe and feasible to be consumed. Household Industry that is often found one of them is soybean tempeh. Aspects of hygiene and sanitation in production activities should be considered because it can allow the contamination of heavy metals that enter the tempeh products through the production process and equipment used. The purpose of the study was to identify heavy metal contamination in tempeh products in kaloran village household industry in Ngronggot subdistrict of Nganjuk regency in 2021. This type of research is descriptive with a cross sectional approach. Using purpusive sampling method with the reason in the household industry has given permission to conduct research and according to the criteria of research conducted, namely the results of tempeh products packaged using plastic. Variables studied: equipment, packaging and labels, as well as soybean tempeh products to be inspected heavy metals Cd, and Pb. Data collection conducted observations, interviews and laboratory examinations. The results showed that the equipment used in production is not eligible, namely 75% equipment material, 50% layout and no supervision. 100% packaging selection using plastic packaging. The contamination of heavy metals cadmium (Cd) and lead (Pb) in tempeh is still below the threshold (SNI). The conclusion of the results of the study shows that the content of heavy metals in the household industry tempeh in the category of eligible. However, it is advisable for industry owners to pay attention to the cleanliness of equipment and the selection of safe packaging for food.
PENGARUH GAS HIDROGEN SULFIDA (H2S) TERHADAP KELUHAN SUBYEKTIF PETUGAS PENGOLAHAN SAMPAH DI PUSAT DAUR ULANG JAMBANGAN SURABAYA Istiqomah Farah Novita Devi Suwarno; Rusmiati; Rachmaniyah
Gema Lingkungan Kesehatan Vol. 20 No. 2 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v20i2.14

Abstract

The Jambangan Recycling Center (PDU) in Surabaya is a waste management site that applies the 3R principles, namely Reuse, Reduce, Recycle. The amount of waste that comes in every day is 5-6 tons. The waste processing officer complained of subjective complaints in the form of influenza, cough, sore throat and chest pain. The purpose of the study was to determine the effect of H2S gas on subjective complaints of waste processing officers at the Jambangan Recycling Center Surabaya. This research is an analytic observational research with a cross sectional approach. This research was conducted at the Jambangan Recycling Center. Sampling of respondents and ambient air was carried out by saturated sampling with a total population and sample of 27 people. Data collection techniques in this study used measurements, observations, and interviews. Data analysis using SPSS application with Spearman Correlation Test. The results showed that the average level of Hydrogen Sulfide (H2S) in the Jambangan Recycling Center Surabaya was 0.00054 ppm which was included in the eligible category according to the East Java Governor Regulation Number 10 of 2009. This study also showed that 27 waste processing officers who 2 people experienced severe complaints, 25 people had mild complaints, and there were no waste processing officers who had no complaints. The conclusion of the study is that there is no effect between levels of Hydrogen Sulfide on subjective complaints of waste processing officers at the Jambangan Recycling Center Surabaya (P = 0.336) so it is recommended to the relevant agencies to monitor air quality regularly. Waste processing officers are also advised to use personal protective equipment when in the Surabaya Jambangan Recycling Center environment.
GAMBARAN SANITASI DASAR RUMAH DAN PERSONAL HYGIENE PADA PENDERITA TB DI WILAYAH KERJA PUSKESMAS DRIYOREJO KABUPATEN GRESIK Yeti Kurniatiningsih; Fitri Rokhmalia; Suprijandani
Gema Lingkungan Kesehatan Vol. 20 No. 2 (2022): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v20i2.17

Abstract

Tuberculosis is one of the environmental-based diseases. Home sanitation and personal hygiene factors can affect the transmission of disease. According to data from the Driyorejo Health Center in 2020 the number of people suffering from tuberculosis from January to September was 71 people. The purpose of this study was to describe the condition of basic home sanitation and personal hygiene for TB patients in the working area of ​​the Driyorejo Health Center, Gresik. This type of research uses descriptive research with a qualitative approach. The samples used were 42 houses with TB patients. Data collection was done by observation and interviews. Analysis of the data used is descriptive analysis in the form of tables and narratives. The results of the study on basic sanitation of TB patients' houses that did not meet the requirements in the work area of ​​the Driyorejo Health Center temperature of 33 houses (79%), humidity of 32 houses (76%), lighting of 27 houses (64%), and ventilation of 25 houses (60%). The type of floor that meets the requirements is 39 houses (93%) (Personal hygiene of patients who are not good 9 people (21%) and 28 people (67%). The conclusion of the study of TB patients' homes in the working area of ​​the Driyorejo Health Center was 64% who did not meet the requirements. Personal hygiene more than 50% have done quite well. To prevent disease transmission, it is hoped that the community will improve the sanitation conditions of the house and further improve personal hygiene and clean and healthy living behavior.

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