Budiyono Budiyono
Bagian Kesehatan Lingkungan Fakultas Kesehatan Masyarakat Universitas Diponegoro, Jl. Prof. H. Soedarto, S.H.,Tembalang, Semarang, Indonesia | Universitas Diponegoro

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STRENGTHENING MATERNAL AND CHILD PROGRAM IN INDONESIA THROUGH INTEGRATED PLANNING AND BUDGETING Sutopo Patria Jati; Ayun Sriatmi; Martini Martini; Rani Tiyas Budiyanti; Nikie Astorina Yunita Dewanti; Nurhasmadiar Nandini; Budiyono Budiyono; Syamsulhuda B M
Journal of Public Health for Tropical and Coastal Region Vol 3, No 1 (2020): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v3i1.8709

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Background: Indonesia applies decentralization policy in health sector. However, there are Health Minimum Service Standards (HMSS) that must be met at provincial and district level. In district level, there are 12 indicators that must be achieved include of maternal and child health with the coverage must be 100%. Nevertheless, there are various problems in achieving HMSS both quantity and quality aspect. This study aimed to determine the problems that were happened and determine alternative solutions in the implementation of HMSS especially in maternal and child sector.Methods: This research was done in three steps. The first step was conducted by Focus Group Discussion (FGD) with participant from many stakeholders in Central Java and Yogyakarta. This step aims to identify problems in the implementation of HMSS and develop the alternative solution. Second stage was developing the conceptual framework.Results: Based on the research, there are many problems in quantitative and qualitative aspects related to healthcare services. Program planning and budgeting is the main key to achievement HMSS. In second and third steps, an integrated planning and budgeting framework between multisector was obtained including problem identification, problem cause analysis, multisector identification, setting solutions and programs, planning and budgeting, and monitoring and evaluation. So that, there were no overlapping programs, less optimal, and lack of supervision and guidance.Conclusions: Integrated planning and budgeting was alternative solution to solve the implementation problem in HMSS especially in maternal and child aspect. However, strong commitment and monitoring was needed between stakeholder.
Nutrition Factors in Breeding Place Media and Larva Density of Aedes Aegypti Isye Dianti; Budiyono Budiyono; Tri Joko
Journal of Public Health for Tropical and Coastal Region Vol 2, No 2 (2019): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (615.148 KB) | DOI: 10.14710/jphtcr.v2i2.6188

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Background: One of the stages of development to the growth of the Aedes aegypti is larvae stage. The larvae need nutrients to grow. A one of medium for breeding larvae is water in the container. Some of the important nutrients for growth are nitrate, phosphate, ammonia. This study aimed to analyze the relationship between nutrient levels in the water of the container density of Aedes aegypti larvae. Methods: Observational study with a cross-sectional with 119 houses as samples. Results:Test the relationship of nutritional factors with the density of Aedes aegypti larvae using the Pearson correlation test. The average distribution of nitrate was 0.787 mg / l, phosphate was 0.186 mg / l while ammonia was 0.603 mg / l and larval density was 66 tails. The study found that there was a correlation between the levels of nitrate, phosphate, ammonia and the density of Aedes aegypti larvae (p = 0.055 r = 0.022; p = 0.001, r = 0,929; p = 0.92, r = 0.975). Conclusion:The conclusions of this study were given the biggest contribution to the growth of Aedes aegypti larvae. A cooperative effort is needed to eliminate Aedes aegypti larvae.
STUDI LITERATUR: PAPARAN PESTISIDA DAN KEJADIAN GANGGUAN FUNGSI GINJAL PADA PETANI Poppi Nastasia Yunita Dewi; Nurjazuli Nurjazuli; Budiyono Budiyono
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 13 No 1 (2021): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (609.651 KB) | DOI: 10.34011/juriskesbdg.v13i1.1825

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Penyebab utama penyakit ginjal kronis (CKD) secara global adalah diabetes dan hipertensi, tetapi epidemi penyakit ginjal kronis yang tidak diketahui etiologi (CKDu) terjadi di Amerika Tengah dan Indonesia. Meskipun juga diamati pada wanita, CKDu terkonsentrasi pada pria di sektor pertanian. Oleh karena itu, kecurigaan awalnya jatuh pada paparan pestisida, tetapi stres panas kronis dan dehidrasi saat ini dianggap sebagai faktor etiologi utama. Menanggapi keprihatinan masyarakat dan ilmiah yang gigih tentang peran pestisida, peneliti melakukan tinjauan sistematis studi epidemiologi yang membahas hubungan antara indikator paparan pestisida dan kejadian penyakit ginjal kronis (CKD). Dari 3 studi analitik yang kami identifikasi, 2 studi menunjukkan hasil yang positif dan 1 studi negatif. Salah satu penelitian yang dilakukan di Indonesia menyelidiki interaksi antara pestisida dan paparan lain yang terkait dalam pekerjaan pertanian, khususnya faktor lingkungan (kelembaban dan suhu) yang menyebabkan timbulnya tekanan panas dan dehidrasi. Kesimpulannya, penelitian yang ada memberikan bukti yang signifikan untuk hubungan antara pestisida dan epidemi CKDu regional dan adanya peran bahan kimia pertanian nefrotoksik karena penggunaan pestisida yang buruk Penelitian di masa depan harus melakukan penilaian paparan seumur hidup terhadap pestisida spesifik yang relevan dan daya yang cukup untuk melihat interaksi dengan faktor risiko utama lainnya, khususnya tekanan panas. Kata kunci: Agrokimia, Penyakit Ginjal Kronis (CKD), Etiologi, Paparan, Pestisida
LITERATUR REVIEW : APA SAJA FAKTOR RISIKO KEBERADAAN BAKTERI ESCHERICHIA COLI PADA ES BATU? Mahotama Kumara Dipta; Budiyono Budiyono; Nikie Astorina Yunita Dewantii
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 3 (2021): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (127.292 KB) | DOI: 10.14710/jkm.v9i3.29585

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Es merupakan hasil pembekuan air yang sering di temukan pada pedagang kaki lima hingga restoran, tetapi es yang dikonsumsi dapat menjadi sumber kontaminasi oleh mikoorganisme patogen Escherichia coli atau coliform. Keberadaan bakteri pada es ini dapat menyebabkan penyakit diare. Tujuan penelitian ini yaitu mengetahui faktor keberadaan bakteri Escherichia coli pada es yang dijual pedagang. Penelitian ini menggunakan metode literatur review. Penelusuran artikel dilakukan melalui database Google Scholar, Mendeley, DOAJ, dan Jurnal Kesehatan Masyarakat, pada bulan Mei 2020. Artikel yang digunakan adalah artikel dengan desain penelitian obsevasional. Hasil penelitian menemukan 12 artikel yang dikaji. Terdapat 83% yang menyatakan bahan baku air yang tidak matang dan 67% hygiene sanitasi juga dapat berpengaruh bakteri Escherichia coli pada es. Bahan baku menjadi faktor utama dalam mempengaruhi keberadaan Bakter Escherichia coli pada es.
GLUTARALDEHID SEBAGAI ALTERNATIF UNTUK BAHAN STERILISASI ALAT MEDIS DI RUMAH SAKIT Ida Fitri Leksanawati; Budiyono Budiyono; Suhartono Suhartono
Jurnal Kesehatan Masyarakat (Undip) Vol 8, No 6 (2020): NOVEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (118.269 KB) | DOI: 10.14710/jkm.v8i6.28281

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Sterilisasi alat medis untuk operasi dilakukan untuk mencegah infeksi. Proses sterilisasi yang dilakukan selama ini dengan cara direbus. Alat medis yang disteril dimungkinkan masih mengandung kuman.  Pilihan proses sterilisasi yang lain adalah menggunakan bahan kimia glutaraldehid. Glutaraldehid mempunyai sifat disinfektan kuat, bersifat bakterisida, virusida, dan fungisida, serta bersifat non-korosif. Tujuan penelitian ini adalah untuk mengetahui efektivitas glutaraldehid berdasarkan waktu dan konsentrasi. Jenis penelitian adalah eksperimen dengan 48 sampel alat set medis bedah (gunting jaringan, pinset, klem besar dan klem ovarium). Konsentrasi dalam volume 1 liter air yang digunakan 20 ml, 25 ml dan waktu (20 menit, 30 menit). Uji  analisis  statistik  dengan  Uji Two way Anova. Hasil penelitian konsentrasi 20 ml / 1 liter  air  sangat efektif membunuh kuman pada alat set medis bedah. Ada efesiensi biaya untuk sterilisasi menggunakan bahan kimia glutaraldehid dengan kosentrasi 20 ml/1 liter air dibandingkan konsentrasi 25 ml/1 liter air di Instalasi CSSD RSUD Hj. Anna Lasmanah Banjarnegara. Kesimpulan dari penelitian ini adalah ada pengaruh desinfektan glutaraldehid dalam menurunkan angka kuman pada konsentrasi 20 ml dan waktu 20 menit. Namun demikian, perlu riset lebih lanjut dan seksama untuk mengetahui efektifitas bahan kimia tersebut.
HUBUNGAN FREKUENSI PENERBANGAN DENGAN INTENSITAS KEBISINGAN DI BANDARA INTERNASIONAL MINANGKABAU Safira Putri Indraswari; Onny Setiani; Budiyono Budiyono
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 3 (2021): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (131.704 KB) | DOI: 10.14710/jkm.v9i3.29654

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Flight activities can produce a noise and give an impact to human health and environmental health. Minangkabau International Airport is an airport with a high flight frequency category, the average of total flights number is 60 flight activities for a day. This study aimed to analyze of association between flight frequency and noise intensity at Minangkabau International Airport.This type of research was an analytic research with cross sectional approach Samples using in this study were 24 samples which were taken by quota sampling technique. Noise intensity was measured using a Sound Level Meter. Data analysis was performed using Chi Square test (α=5%). The result found that the highest average flight frequency was 17 flights within a three hours period, the highest noise intensity measurement results was 90.4 dB(A) and as many as 14 noise measurement points exceed NAB (NAB=85 DB(A)) Based on the results of the chi square test (p = 0.010) there was a significant relationship between flight frequency and noise intensity at Minangkabau International Airport. The conclusion of this study is that Noise intensity in Minangkabau Internasional Airport exceed NAB and there is a significant relationship between flight frequency and noise intensity
Pengetahuan, Sikap dan Praktik Pencegahan COVID-19 pada Masyarakat Kota Depok, Jawa Barat Ayu Shafira Rachmani; Budiyono Budiyono; Nikie Astorina Yunita Dewanti
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 4 No. 1: JANUARI 2021 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.031 KB) | DOI: 10.56338/mppki.v4i1.1353

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Protokol kesehatan merupakan bentuk pencegahan COVID-19 yang berkaitan dengan perilaku masyarakat sekaligus menjadi faktor utama keberhasilan dalam memutus rantai penularan khususnya di Kota Depok. Penelitian ini bertujuan untuk melihat hubungan antara pengetahuan dan sikap dengan tindakan pencegahan COVID-19 pada masyarakat di Kota Depok. Metode yang digunakan yaitu metode kuantitatif dengan pendekatan cross sectional. Teknik sampling menggunakan snowball sampling dengan total responden sebanyak 306 orang dengan kriteria inklusi antara lain penduduk asli Kota Depok, bersedia untuk mengisi kuesioner, dan dapat mengoperasikan form online melalui google form. Analisis data dilakukan secara univariat dan bivariat dengan uji nonparametrik chi square. Kasus COVID-19 di Kota Depok hingga bulan November sebanyak 6.309 kasus. Hasil penelitian menunjukkan 70,6% responden memiliki tingkat pengetahuan yang baik tentang COVID-19 beserta pencegahannya, 54,9% responden memiliki sikap mendukung terhadap pencegahan COVID-19, dan 59,8% responden telah melaksanakan praktik pencegahan penularan COVID-19 dengan baik. Terdapat hubungan antara pengetahuan tentang COVID-19 dengan sikap terhadap pencegahan COVID-19, pengetahuan tentang COVID-19 dengan praktik pencegahan COVID-19, dan sikap terhadap pencegahan COVID-19 dengan praktik pencegahan COVID-19 di Kota Depok (masing-masing memiliki nilai p = 0,000; pvalue < 0,05). Semakin baik pengetahuan dan sikap masyarakat terhadap COVID-19 maka semakin baik pelaksanaan praktik pencegahan COVID-19 pada masyarakat di Kota Depok.
Faktor Risiko Kejadian Green Tobacco Sickness (GTS) pada Buruh Tani Tembakau: Literature Review: Risk Factors for Green Tobacco Sickness (GTS) in Tobacco Farm Workers: Literature Review Audini Fathia Rizki; Nur Endah Wahyuningsih; Budiyono Budiyono
Jurnal Sains dan Kesehatan Vol. 3 No. 3 (2021): Jurnal Sains dan Kesehatan
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (272.508 KB) | DOI: 10.25026/jsk.v3i3.415

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Abstract Background: Background: Green Tobacco Sickness (GTS) is a form of nicotine poisoning caused by direct contact between the skin of tobacco farm workers and wet tobacco plants during the planting and harvesting process. This study aims to analyze the risk factors for the incidence of GTS in tobacco farmers. Method: The method used was a literature review. Articles were obtained from the online database Scopus, PubMed, ProQuest, Google Scholar, and Garuda Portal published during 2010-2020. The selected article used an observational study design and discussed the risk factors for the incidence of GTS in tobacco farmers. The assessment of the quality of the articles used guidelines from the Joanna Briggs Institute. Based on the article search, twelve articles were consisting of three articles from national journals and nine articles from international journals. Article analysis was carried out by comparing the percentage of significant variables in the entire article. This study resulted in the most dominant risk factor for GTS is the use of personal protective equipment with a percentage of 50% of the total articles.
Kadar Debu Terhirup pada Polisi Lalu Lintas di Kota Semarang Dewi Sekar Tanjung; Budiyono Budiyono; Nikie Astorina Yunita Dewanti
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 19, No 3 (2020): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.19.3.226-231

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ABSTRAKLatar Belakang: Polisi lalu lintas merupakan salah satu profesi dengan risiko gangguan fungsi paru. Polisi lalu lintas terpapar emisi dari kendaraan bermotor dengan lama kerja 6-12 jam/hari. Debu merupakan penyumbang emisi alat transportasi sebanyak 44%. Hasil pengukuran kadar debu total pada tahun 2015-2017 pada Dr. Jalan Sutomo yaitu 664; 345; 141 μgr/nm3, Jalan Pandanaran 373 μgr/nm3 dan Jalan Brigjen Soediarto 290 μgr/nm3. Penelitian ini bertujuan untuk menganalisis perbedaan kadar debu terhirup pada polisi lalu lintas yang bertugas pagi dan sore di kota Semarang.Metode: Penelitian ini merupakan penelitian observasional dengan desain studi cross sectional. Populasi berjumlah 42 polisi lalu lintas yang bertugas di Polrestabes Semarang, Polsek Gayamsari dan Polsek Pedurungan yang memenuhi kriteria inklusi dengan sampel sebanyak 35 polisi lalu lintas. Kelompok pagi hari 17 orang dan kelompok siang hari 18 orang, pembagian didasarkan pada jadwal sift pengaturan lalu lintas pada Bulan Agustus 2019. Hasil: Hasil penelitian menunjukkan 31 responden (88,6%) memiliki kadar debu terhirup dibawah nilai ambang batas (< 3mg/m3) dengan rata-rata frekuensi paparan 6 kali/bulan dan 45,7% responden dengan status gizi obesitas. Rata-rata kadar debu terhirup pada polisi lalu lintas yang bertugas di sore hari memiliki konsentrasi lebih tinggi (1,99 mg/m3) dibandingkan dengan polisi lalu lintas yang bertugas pada pagi hari (1,32 mg/m3). Hasil dari uji beda pada statistik menunjukkan nilai sig. (p-value) = 0,014 Simpulan: Kesimpulan dalam penelitian ini adalah terdapat perbedaan kadar debu terhirup pada polisi lalu lintas yang bertugas pagi dan sore di Kota Semarang. Penentuan standar jenis masker dan ketentuan penggunaan APD (masker) pada sore hari sangat diperlukan untuk meminimalkan risiko. Kata kunci: kadar debu terhirup, polisi lalu lintas, pagi dan sore hari ABSTRACTTitle: Levels of Dust Inhaled among Traffic Police in Semarang City  Background: Traffic police is one of the professions with the risk of lung function disorders. Traffic police are exposed to emissions from moving vehicles with 6-12 hours / day working hours. Dust is a contributor to emissions of transportation by 44%. Results of measurements of total dust levels in 2015-2017 at Dr. Sutomo Street, 664; 345; 141 μgr / nm3, Pandanaran Road 373 μgr / nm3 and Brigjen Soediarto Road 290 μgr / nm3. This study discusses differences in dust levels in traffic police that connect morning and evening in the city of Semarang.Method: This study was an observational study with a cross sectional study design. The population of 42 traffic police who served in Semarang Police, Gayamsari Police and Pedurungan Police who met the inclusion criteria with a sample of 35 traffic police. Morning group of 17 people and afternoon group of 18 people, the division is based on the traffic control shift schedule in August 2019.Results: The results showed 31 respondents (88.6%) had inhaled dust levels below the threshold value (<3mg / m3) with an average frequency of 6 times / month and 45.7% of respondents with obesity nutritional status. The average level of dust inhaled in high traffic police today has a higher concentration (1,99 mg / m3) compared to traffic police who move in the morning (1,32 mg / m3). The results of different tests on statistics that show the value of sig. (p-value) = 0,014Conclusion: The conclusion in this study is the difference in the level of inhaled dust in the police traffic that benefits the morning and evening in the city of Semarang. Determination of standard types of masks and terms of use of PPE (masks) in the afternoon is needed to be approved. Keywords: levels of dust inhaled, traffic police, morning and afternoon
Paparan Debu Terhirup dan Gangguan Fungsi Paru pada Pedagang Tetap di Terminal Kota Tegal Ranindyta Elda Cintya; Budiyono Budiyono; Tri Joko
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 19, No 3 (2020): MKMI
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/mkmi.19.3.189-194

Abstract

ABSTRAKLatar belakang: Sektor transportasi memiliki kontribusi terbesar dalam menyebabkan pencemaran udara di lingkungan. Terminal bus merupakan salah satu kawasan yang menyumbang pencemaran udara dalam bentuk partikulat debu. Partikel debu respirabel bersifat mudah masuk ke dalam saluran pernapasan manusia sehingga paparannya berbahaya bagi kesehatan. Pedagang tetap di terminal merupakan populasi yang berisiko mengalami gangguan fungsi paru akibat paparan debu. Tujuan penelitian ini adalah menganalisis hubungan antara paparan debu terhirup dengan gangguan fungsi paru pada pedagang tetap di Terminal Kota Tegal.Metode: Jenis penelitian yang digunakan adalah analitik observasional dengan desain studi cross sectional. Sebanyak 35 sampel pedagang tetap yang masih aktif berjualan di Terminal Kota Tegal merupakan subjek penelitian ini. Teknik pengambilan sampel menggunakan purposive sampling. Pengukuran paparan debu terhirup menggunakan Personal Dust Sampler selama 1 jam, sedangkan gangguan fungsi paru menggunakan spirometer. Analisis statistik dalam penelitian ini menggunakan uji Chi square dengan tingkat signifikansi 95%.Hasil: Hasil penelitian menunjukkan sebanyak 12 responden (34,3%) memiliki paparan debu terhirup diatas NAB (≥3 mg/m3) dengan rata-rata paparan debu terhirup 2 mg/m3. Hasil pemeriksaan fungsi paru ditemukan sebanyak 22 responden (62,8%) memiliki gangguan fungsi paru restriksi dengan jenis gangguan terbanyak restriksi ringan. Hasil analisis menunjukkan ada hubungan antara paparan debu terhirup dengan gangguan fungsi paru (p=0,027).Simpulan: Paparan debu terhirup merupakan faktor risiko terjadinya gangguan fungsi paru pada pedagang tetap di Terminal Kota Tegal. Kata kunci: paparan debu terhirup, lama paparan, masa kerja, gangguan fungsi paru, terminal kota tegal ABSTRACTTitle: Exposure to Inhaled Dust and Pulmonary Function Disorder in Permanent Traders at Tegal City Bus Station  Background: The transportation sector has the biggest contribution in causing air pollution in the environment. The bus station is one of the areas that contributes air pollution in the form of dust particulates. Respirable dust particles are easily entered into the human respiratory tract so that the exposure is harmful for health. Permanent traders in the bus station are populations who are risk of pulmonary  function disorder due to dust exposure. The purpose of this study to analyze the relationship between exposure of inhaled dust and pulmonary function disorder in permanent traders in Tegal bus station.Method: The type of research is observational analytic with cross sectional design. A total of 35 samples of permanent traders who are still active selling at Tegal bus station are the subjects in this study. The sampling tecnique using purposive sampling. Measurement of inhaled dust exposure using Personal Dust Sampler for an hour, while pulmonary function disorder using spirometer. Statistical analysis in this research using Chi square test with a significance level of 95%.Result: The result of research showed that 12 respondents (34,3%) had inhaled dust exposure above NAB (≥3 mg/m3) with an average of inhaled dust exposure was 2 mg/m3. The result of the examination of lung function were found as many as 22 respondents (62.8%) had restriction pulmonary disorder with the most types of disorder is mild restriction. The analysis showed that there was a relationship between exposure of inhaled dust and pulmonary function disorder (p = 0.027).Conclusion:. Exposure of inhaled dust is a risk factor for pulmonary function disorder in permanent traders in Tegal bus station. Keywords: exposure of inhaled dust, duration of exposure, work period, pulmonary function disorder, tegal bus station