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Kebersihan Diri dan Sanitasi Rumah pada Anak Balita dengan Kecacingan Ririh Yudhastuti; M. Farid D. Lusno
Jurnal Kesehatan Masyarakat Nasional Vol. 6 No. 4 Februari 2012
Publisher : Faculty of Public Health Universitas Indonesia

Di Indonesia, prevalensi kecacingan berada pada kisaran 45% - 65% dan masih merupakan masalah kesehatan masyarakat yang penting. Berbagai cacing yang menginfeksi anak berusia di bawah 12 tahun dengan prevalensi tinggi meliputi Ascaris lumbricoides, Trichuris trichiura, Ancylostoma duodenale,Necator americanus, dan Enterobius vermicularis. Infeksi cacingperut diduga menyebar melalui sanitasi lingkungan dan higiene perorangan yang buruk. Penelitian ini bertujuan untuk menganalisis hubungan antara lingkungan rumah dan kejadian kecacingan pada anak di bawah lima tahun (balita). Penelitian dilaksanakan pada anak balita di Kampung Keputih Kecamatan Sukolilo Surabaya selama bulan Maret – Mei 2010 dengan desain penelitian kasus kontrol terhadap 51 kasus dan 51 kontrol. Pengumpulan data melalui pemeriksaan laboratorium, wawancara, dan observasi. Analisis data dengan uji chi square dan regresi logistik. Prevalensi kejadian kecacingan dengan pemeriksaan tinja pada anak balita adalah 9,8%. Faktor yang berhubungan dengan kejadian kecacingan pada anak balita adalah keberadaan sarana sanitasi (jamban) (OR = 5,245), kebiasaan buang air besar (BAB) (OR = 4,821), masih adanya lantai tanah (OR = 5,342), kebiasaan cuci tangan setelah BAB (OR = 4,654), dan pengetahuan ibu tentang kecacingan (OR = 2,425). Disarankan untuk pengadaan jamban yang memenuhi syarat kesehatan dan plester rumah, meningkatkan penyuluhan pada orang tua balita dan kader kesehatan tentang kejadian kecacingan.Kata kunci: Lingkungan rumah, kecacingan, anak di bawah lima tahunAbstractIn Indonesia, helminthiasis is still a public health problem due to its prevalence. The prevalence is 45% - 65%. The species of helminthes whom infecting children under 12 years old are Ascaris lumbricoides, Trichuris trichiura, Ancylostoma duodenale, Necator americanus, and Enterobius vermicularis. It suspected that infestation of helmint can transmit through lack of environment sanitation and personal hygiene. The objective of research was analyze an association between housing environmental and helminthiasis among students of early childhood age. This research conducted since March until May 2010 with case control design and sample size was 51 subjectsfor cases and 51 subjects for control. Data analysis used chi square test and logistic regression. The prevalence of helminthiasis with feces examination among the students was 9,8%. The factors associated with helminthiasis were presence of latrines (OR = 5,245), defecation habits (OR = 4,821), type of floor (OR = 5,342), washing hands after defecation (OR = 4,654), and parental knowledge (OR = 2,425). It’s appleated to provide a close with good standard of environmental health, making the cement floor, increase knowledge about helminthiasis and the risk factorsKey words: Housing environmental, helminthiasis, children under fiveyears old

Kejadian Infeksi Saluran Pernapasan Akut pada Pekerja Pabrik Y. Denny Ardianto; Ririh Yudhastuti
Jurnal Kesehatan Masyarakat Nasional Vol. 6 No. 5 April 2012
Publisher : Faculty of Public Health Universitas Indonesia

Infeksi saluran pernapasan akut (ISPA) yang merupakan masalah kese- hatan masyarakat di Indonesia biasa menyerang anak usia di bawah usia lima tahun (balita), tetapi dapat menyerang kelompok usia produktif. Penelitian ini bertujuan untuk mengetahui hubungan lingkungan rumah dengan kejadian ISPA pada pekerja pabrik di Kecamatan Rungkut Surabaya. Penelitian ini menggunakan desain studi kasus kontrol dengan populasi pekerja pabrik. Kasus adalah penderita ISPA dan kontrol adalah yang tidak terkena ISPA berdasarkan diagnosis klinis. Pengumpulan data dilakukan dengan wawancara terstruktur menggunakan kuesioner. Hasil analisis multivariat menunjukkan kepadatan hunian ruang tidur (nilai p = 0,003; odds ratio, OR = 15,687), kelembaban kamar (nilai p = 0,039; OR = 17,874), suhu kamar (nilai p = 0,03; OR = 14,978), ventilasi (nilai p = 0,001; OR = 19,892), lama tinggal (nilai p = 0,006; OR = 9,587), dan kebiasaan merokok (nilai p = 0,000; OR = 45,901) berhubungan bermakna dengan kejadian ISPA. Faktor yang dominan memengaruhi kejadian ISPA adalah kebiasaan merokok dan ventilasi. Berdasarkan hasil penelitian, disarankan di- lakukan perbaikan lingkungan rumah dan menghindari kebiasaan merokok.Kata kunci: Lingkungan rumah, ventilasi, infeksi saluran pernapasan akut, pekerja pabrikAbstractAcute respiratory infection (ARI) is public health problem in Indonesia and usually it affected children aged five years old and under. However, people categorized as productive age can be affected as well. The purpose of this research was to investigate association between house sanitation and ARI incidence among factory workers at sub district Rungkut Surabaya. This research was case control design with factory workers with ARI as cases and factory workers without ARI as controls. Data collection was conducted through structural interview to respondent with questionnaires. Multivariate analysis showed that people at bed room (p value = 0,003; odds ratio, OR = 15,687), room moist/humidity (p value = 0,039; OR = 17,874), temperature (p value = 0,003; OR = 14,978), room ventilation (p value = 0,001; OR = 19,892), length of stay (p value = 0,006; OR = 9,587), and smoking habits (p value = 0,000; OR = 45,901) associated significantly with ARI. The dom- inant factor influencing ARI was smoking habits and room ventilation. It’s suggested to improve house sanitation and to stop smoking.Key words: House sanitation, ventilation, acute respiratory infection, factory workers

Mapping And Analysis of Environmental Risk Factors Leptospirosis Incidence Based Geographic Information System (GIS) In Sampang Regency Annisa Rahim; Ririh Yudhastuti
JURNAL KESEHATAN LINGKUNGAN Vol. 8 No. 1 (2015): Jurnal Kesehatan Lingkungan
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v8i1.2015.48-56

Abstract: One of the zoonosis in Indonesia is leptospirosis. Leptospirosis is caused due to infection of bacteria Leptospira. There were 107 cases and 9 deaths due to leptospirosis in Sampang. The incidence of leptospirosis in Sampang was an outbreak. The purpose of this study was to map the distribution of leptospirosis cases in Sampang in 2013 and to analyze environmental risk factors of leptospirosis cases (rainfall, altitude, and the presence of flood). This study was an observational-descriptive study and used cross-sectional study design. The unit of analysis of the study was administrative regions based on the districts. There was patients of leptospirosis in 4 districts in Sampang regency, there are Sampang district, Camplong district Robatal district and Omben district. The highest incidence of leptospirosis in Sampang regency was occured in Sampang district with rainfall more than 177.6 mm, altitude less than 47mdpl, and had experienced flooding. Mapping the incidence of leptospirosis showed the distribution of leptospirosis cases tend to be concentrated in Sampang district which had a history of flooding status. The conclusion is rainfall, altitude, and presence of flood are risk factors of leptospirosis. The advice is to improve surveillance of patients with leptospirosis particularly during floods, to do outreach to the community, to perform cross-sector cooperation, to avoid or to reduce the frequency of direct contact with the flood to minimize transmission of leptospirosis.Keywords: leptospirosis incidence, risk factors, mapping

Analysis of Distribution Process to the Increasing of Escherichia Coli in Dairy Fresh Milk Products from X Cattle Farm in Surabaya Nina Emsi Pramesti; Ririh Yudhastuti
JURNAL KESEHATAN LINGKUNGAN Vol. 9 No. 2 (2017): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v9i2.2017.181-190

Fresh milk was one of food ingredients with high nutrition and widely consumed by people with no processed before consumed so it's easily damaged. This research aims to determine the bacteriological quality of the milk before after distribution, and to analyze an increase of the bacteria Escherichia coli during distribution. The research was an descriptive with observational methods. Subjects were selected by purposive sampling with the number of samples were 4 samples of milk before distribution and 20 samples of milk after distribution of Escherichia coli test. Milk samples were tested before and after the distribution. After distribution during 2 hours, 1 sample was taken every 20 minutes every day during 4 days continuously. Data obtained by interviewing, observing and testing of milk samples to the laboratory. Data were analyzed by descriptive and simple linear regression analysis. The results showed that hygiene and sanitation in the milk process and distributions were not good. The result of laboratory test showed that fresh milk positively contaminated with Escherichia coli was exceeds the standard of microbial contamination in food set by SNI 7389: 2009. The number of Escherichia coli increased during 2 hours for distribution based on a statistical test simple linear regression. Escherichia coli bacterial contamination in milk could be caused from lack of awareness to sanitary hygiene of milk process. Bacteria increased during distribution may be due to lack of good hygiene and sanitation during the distribution process. Therefore it necessary to carry out the processing of milk before the consumption, to monitor the sanitation of the farms by prevent the damage, improve of sanitary and to test the samples of fresh milk regularly for keep a good quality of product.

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