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Faktor Determinan Lingkungan Fisik Rumah terhadap Kejadian TB Paru di Wilayah Kerja Puskesmas Kabila Juwita Suma; Sulastri Pua Age; Indra Haryanto Ali
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12, No 4 (2021): Oktober 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v12i4.1434

Abstract

TB (Tuberculosis) is still a world health problem that requires special attention. TB is a common infectious disease and can be deadly if not treated properly. TB is an infectious disease that is the number two killer in the world. This study aims to determine the determinants of the physical environment on the incidence of pulmonary tuberculosis in the Kabila Community Health Center. This study was an analytic observational study with a case control study design. The research was conducted for 3 months from September to November 2020 and the location of this research was carried out in the Work Area of the Kabila Health Center, Bone Bolango Regency. The research subjects were 30 cases recorded and reported during the months of May - September 2020, and the number of controls were houses of non-sufferers who were located in the work area of the Kabila Community Health Center, totaling 30 samples. The physical environment factor variables of the house that have a significant relationship to the incidence of pulmonary tuberculosis are house humidity and floor type. Meanwhile, occupancy density, natural lighting, and ventilation area are variables of physical environmental factors that have no significant relationship with the incidence of pulmonary tuberculosis in the working area of the Kabila Community Health Center. The factor most related to the incidence of pulmonary tuberculosis is the type of floor. Health agencies are expected to be able to take health promotion measures as a preventive measure for the community against the incidence of pulmonary TB disease. The community is expected to pay attention to the condition of the environment in which they live in order to avoid the transmission of pulmonary TB disease and immediately go to the Puskesmas if there are symptoms of TB disease.Keywords: physical environment; house humidity; floor type; pulmonary tuberculosisABSTRAKTB (Tuberkulosis) masih menjadi masalah kesehatan dunia yang memerlukan perhatian khusus. TB merupakan penyakit menular yang umum dan bersifat mematikan jika tidak ditangani dengan benar. TB merupakan penyakit infeksi yang menjadi pembunuh nomor dua di dunia. Penelitian ini bertujuan untuk mengetahui faktor determinan lingkungan fisik rumah terhadap kejadian penyakit TB Paru di Wilayah Kerja Puskesmas Kabila. Penelitian ini adalah penelitian observasional analitik dengan desain penelitian case control. Penelitian dilaksanakan selama 3 bulan mulai September sampai dengan November 2020 dan lokasi penelitian ini dilakukan di Wilayah Kerja Puskesmas Kabila Kabupaten Bone Bolango. Subyek penelitian adalah jumlah kasus yang tercatat dan terlaporkan selama bulan Mei-September 2020 sebanyak 30 penderita, dan jumlah kontrol adalah rumah penduduk yang bukan penderita bertempat di wilayah kerja Puskesmas Kabila berjumlah 30 sampel. Variabel faktor lingkungan fisik rumah yang memiliki hubungan yang signifikan terhadap kejadian TB Paru yaitu kelembaban rumah dan jenis lantai. Sedangkan kepadatan hunian, pencahayaan alami, dan luas ventilasi merupakan variabel faktor lingkungan fisik yang tidak ada hubungan signifikan terhadap kejadian TB Paru di wilayah kerja Puskesmas Kabila. Faktor yang paling berhubungan terhadap kejadian penyakit TB Paru yaitu jenis lantai. Instansi kesehatan diharapkan agar dapat melakukan tindakan promosi kesehatan sebagai tindakan pencegahan bagi masyarakat terhadap kejadian penyakit TB Paru. masyarakat diharapkan dapat memperhatikan kondisi lingkungan tempat tinggal agar dapat terhindar dari penularan penyakit TB Paru dan segera memeriksakan diri ke Puskesmas apabila terdapat gejala-gejala penyakit TB.Kata kunci: lingkungan fisik; kelembaban rumah; jenis lantai; tuberkulosis paru
IPAL Komunal dalam Mengolah Limbah Rumah Tangga di Desa Dutohe Barat Sulastri Pua Age; Rahman Suleman; Indra Haryanto Ali
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol 7 No 1 (2022): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v7i1.2285

Abstract

The village of Dutohe Barat is classified as an emergency sanitation area due to household waste produced by human activities (bathing, washing, and cooking). This activity aims to solve the problem by designing and making the communal wastewater treatment that has been standardized. The sample is liquid waste collected from 5 houses in section 4. Initial data on wastewater quality were obtained were BOD, which initially was 265 mg/l, COD was 290 mg/l, and oil and fat were 27 mg/l. The activity method is carried out in 3 stages (observation, socialization, and evaluation). After going through treatment with this communal wastewater treatment, the results of the reduction in waste pollutants were BOD decreased to 98 mg/l, COD decreased to 90 mg/l, and oil and fat decreased to 10 mg/l. In addition, the output from the wastewater treatment processing is used by farmers to irrigate crops.
PEMANFAATAN KARBON AKTIF UNTUK MENURUNKAN MERKURI PADA LIMBAH PERTAMBANGAN EMAS TRADISIONAL Tumartony Thaib Hiola; Novalia Warow; Indra Haryanto Ali; Rahman Suleman
JMM (Jurnal Masyarakat Mandiri) Vol 6, No 3 (2022): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (441.67 KB) | DOI: 10.31764/jmm.v6i3.8109

Abstract

Abstrak: Masyarakat menggunakan merkuri pada tahapan pengolahan emas, dan limbah hasil kegiatan tersebut dibuang langsung ke sungai yang ada di Desa Hulawa, yang bermuara ke laut. Sehingga menimbulkan pencemaran pada ekosistem perairan.; Tujuan kegiatan pengabdian ini adalah memberikan solusi kepada pemerintah Desa Hulawa dalam menurunkan kadar merkuri pada air limbah hasil pertambangan dengan mengguanakan karbon aktif,; Metode pelaksanaan kegiatan terdiri dari tahap sosialisasi, observasi lapangan, proses pembuatan alat, dan evaluasi.; mitra kegiatan adalah Pemerintah Desa Hulawa, dengan melibatkan 2 orang aparat pemerintah serta 10 orang penambang; evaluasi dilakukan sebanyak 3 kali dengan melihat kondisi alat serta output yang dihasilkan (4) Hasil yang diperoleh setelah kegiatan pengabdian ini dilaksanakan, yaitu merkuri pada limbah tambang tradisional mengalami penurunan yang cukup signifikan, sehingga kegiatan ini telah memberikan solusi bagi permasalahan di Desa Hulawa. Untuk pemeliharaan alat, tim PKM membekali masyarakat penambang terkait pelatihan perpipaan sederhana, serta cara mengganti karbon aktif.Abstract: The community uses mercury at the gold processing stage, and the waste from these activities is disposed of directly into the river in Hulawa Village, which empties into the sea. Thus causing pollution to the environmental ecosystem.; The purpose of this service activity is to manufacture media that can filter mercury in mining waste by using activated carbon, so that mercury levels can be lowered to the lowest level; The method of implementing the activity consists of the stages of socialization, field observation, the process of making tools, and evaluation; The activity partners are the Hulawa Village Government, involving 2 government officials and 10 miners; The evaluation was carried out 3 times by looking at the condition of the equipment and the output produced. (4) The results obtained after this activity was carried out, namely mercury in traditional mining waste decreased significantly, so this activity has provided a solution to the problems in Hulawa Village. For equipment maintenance, team provides mining communities with simple piping training, as well as how to replace activated carbon.
Peningkatan Gerakan Berhenti Merokok untuk Mendukung Gerakan Masyarakat Hidup Sehat (GERMAS) Tumartony Thaib Hiola; Indra Haryanto Ali; Putri Ayuningtias Mahdang; Yanti Mustafa
Jurnal ABDINUS : Jurnal Pengabdian Nusantara Vol 4 No 2 (2021): Volume 4 Nomor 2 Tahun 2021
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/ja.v4i2.15407

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World Health Organization (WHO) states that cigarette smoke environment is the cause of various diseases, in active and passive smokers. Health problems that arise at this time are the result of unhealthy behavior, this can be prevented if the focus is on health efforts for family and community independence to have a clean and healthy lifestyle (PHBS). One of the breakthroughs is through the Community Healthy Life Movement (GERMAS). The purpose of this community service is to provide education and socialization of the Stop Smoking Movement to Support the Community Healthy Life Movement (GERMAS) in Pauwo Village. The method of implementation is: visiting houses where active smokers are present, then conducting a pre-test as initial data to determine public understanding of the dangers of smoking and the importance of clean and healthy living habits; After that, education and leaflets that are designed as attractive as possible are given so that people are interested in reading them. Leaflets contain information about the dangers of smoking, tips on quitting smoking and the importance of implementing PHBS; and finally, an evaluation was carried out using a post-test questionnaire. The results of the activity show that there is an increase in people's understanding of the dangers of smoking and the importance of implementing PHBS in everyday life. The conclusion of this community service is that the community's understanding of smoking and the importance of implementing PHBS in life to support the GERMAS program has increased.
Gambaran Kualitas Air Sumur Gali Berdasarkan Parameter Fisik Tumartony Thaib Hiola; Indra Haryanto Ali; Rahman Suleman
JOURNAL OF NONCOMMUNICABLE DISEASES Vol 2, No 1 (2022): April 2022
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (342.077 KB) | DOI: 10.52365/jond.v2i1.413

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(1) Latar Belakang: air merupakan material alam yang sangat penting dan diperlukan oleh manusia, sehingga air yang akan dikonsumsi harus sudah memenuhi baku mutu baik secara fisik, kimia, dan biologi. Berdasarkan studi pendahuluan, ditemukan bahwa air yang ada di sumur gali warga Desa Popalo terlihat keruh, sehingga diperlukan penelitian lanjutan terkait kualitas fisik secara keseluruhan; (2) Metode: sampel air sumur gali diambil berdasarkan metode Stratified Systematic Unaligned Sampling, yaitu jarak antara titik pengambilan sampel satu dan lainnya tidak berada dalam satu garis linear. Parameter fisik yang diperiksa dilakukan secara in situ. Analisis secara in situ dilakukan untuk parameter kualitas air yang sifatnya cepat berubah, sehingga pengukuran harus langsung dilakukan saat pengambilan sampel; (3) Hasil: diperoleh sebanyak 28 buah sumur gali yang airnya belum memenuhi syarat baku mutu yang ditetapkan oleh Peraturan Menteri Kesehatan Republik Indonesia Nomor 32 Tahun 2017 Tentang Standar Baku Mutu Kesehatan Lingkungan dan Persyaratan Kesehatan Air Untuk Keperluan Higiene Sanitasi, Kolam Renang, Solus Per Aqua, dan Pemandian Umum. Tingkat kekeruhan terendah mencapai 103 NTU, sedangkan yang paling tinggi adalah 988 NTU hasil termasuk tidak memenuhi syarat, bahkan terdapat 3 buah sumur gali yang kekeruhan airnya tidak dapat diukur. Hasil uji warna menunjukkan terdapat 40 sampel air yang memenuhi syarat, dan seluruh sampel air memenuhi syarat dari hasil uji rasa dan bau serta hasil uji pH yang memenuhi syarat yakni 6,5-9,2; (4) Kesimpulan: sehingga dapat disimpulkan bahwa terdapat beberapa sumur gali yang tidak memenuhi baku mutu air dari parameter kekeruhan dan warna
Gambaran Umum Penyakit Hipertensi di Puskesmas Bone Pantai Tahun 2020 Indra Haryanto Ali; Tumartony Thaib Hiola; Imelda Tumulo
JOURNAL OF NONCOMMUNICABLE DISEASES Vol 1, No 1 (2021): April 2021
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (594.863 KB) | DOI: 10.52365/jond.v1i1.223

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Hipertensi disebut juga The Silent Killer karena sering ditemukan tanpa gejala, yang jika tidak ditangani dan diobati akan menimbulkan komplikasi seperti stroke, penyakit jantung dan pembuluh darah, gangguan ginjal dan lain-lain. Tujuan dari penelitian ini adalah untuk mengetahui gambaran penyakit hipertensi di Puskesmas Bonepantai periode Januari 2017 – Oktober 2020. Penelitian ini merupakan penelitian deskriptif, yaitu untuk mendeskripsikan atau mendeskripsikan hipertensi. Penelitian dilaksanakan pada bulan Oktober – Desember 2020 di Puskesmas Bonepantai. Pengumpulan data dilakukan dengan metode survei dan wawancara. Survei menggunakan data sekunder yaitu mengumpulkan data register pasien sehingga dapat dianalisis secara deskriptif menurut orang, tempat dan waktu. Sedangkan wawancara dilakukan dengan menggunakan pedoman wawancara yang diformulasikan khusus kepada pemegang program wawancara. Hipertensi di Wilayah Puskesmas Bonepantai periode 2017-2020 memiliki prevalensi tertinggi pada lansia yaitu kelompok usia 61-70 tahun sebesar 34,41%. Dan penderita terbanyak adalah perempuan (66,10%) dibandingkan laki-laki (33,90%). Hipertensi di Puskesmas Bonepantai periode 2017-2020 paling banyak penderita di Desa Bilungala (17,39%) dan paling sedikit penderita di Desa Kemiri (0,89%). Hipertensi di Wilayah Puskesmas Bonepantai periode 2017 – 2018 tertinggi pada tahun 2017 dengan 512 kasus, dan terendah pada tahun 2020 sebanyak 423 kasus. Faktor lingkungan yang mempengaruhi tingginya angka penderita hipertensi di Puskesmas Bonepantai adalah faktor lingkungan yang berbatasan langsung dengan laut, dan kurangnya kesadaran diri. Diharapkan pihak puskesmas dapat menerapkan program sistem informasi puskesmas dengan baik dan menjadi acuan dalam perencanaan dan pengambilan kebijakan Puskesmas.
PEMANFAATAN SAMPAH NON-ORGANIK SEBAGAI WADAH TANAMAN SAYUR HIDROPONIK DALAM UPAYA SANITASI DAN KEBERSIHAN LINGKUNGAN Tumartony Thaib Hiola; Indra Haryanto Ali; Yazmin Armin Abdullah
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 3 (2023): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i3.14736

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Abstrak: Keberadaan sampah rumah tangga di lingkungan merupakan hal yang tidak dapat dicegah. Meskipun sampah merupakan tanggung jawab bersama untuk menjaga kelestarian lingkungan, namun hal tersebut menunjukkan bahwa pengelolaan sampah tidak mendapat perhatian dan upaya terbaik dari berbagai pihak masyarakat dan pemerintah. Pengabdian kepada masyarakat oleh Dosen Poltekkes Kemenkes Gorontalo yang bermitra dengan pemerintah Desa Dutohe Barat Bertujuan untuk memberikan pelatihan pemanfaatan wadah untuk tanaman sayur hidroponik dari sampah berbahan dasar plastik yang bernilai estetik dan bernilai jual. Melalui kader kesehatan berjumlah 6 orang dan kepala dusun berjumlah 4 orang yang ada di Desa disampaikan cara pembuatan pemanfaatan wadah untuk tanaman sayur hidroponik dari sampah berbahan dasar plastik. Kemudian dilakukan pemantauan secara bertahap oleh tim pengabdian kepada masyarakat setiap pekan. Evaluasi proses dilakukan pada saat kegiatan berlangsung, indikatornya berupa jumlah peserta yang hadir sebanyak 30 yang terdiri dari para kader kesehatan, para kepala dusun, masyarakat desa, dan apparat desa. Dan dilakukan evaluasi akhir yaitu tim pengabdian kepada masyarakat turun langsung ke lokasi peletakkan wadah tanaman hidropinik dan tim melakukan tanya jawab pada para kader kesehatan dan aparat desa tentang perkembangan pembuatan wadah. Setelah kegiatan dilaksanakan, diperoleh hasil masyarakat Di Desa Dutohe Barat sadar akan pentingnya mengelola sampah dengan baik, dan adanya peningkatan soft skill dari para kader kesehatan dan kepala dusun dalam melakukan pemanfaatan wadah untuk tanaman sayur hidroponik.Abstract: The existence of household waste in the environment is something that cannot be prevented. Even though waste is a shared responsibility to preserve the environment, this shows that waste management does not receive the best attention and efforts from various parties from society and the government. Community service by Lecturers at the Gorontalo Ministry of Health Poltekkes in partnership with the West Dutohe Village government. Aims to provide training on the use of containers for hydroponic vegetable plants from plastic-based waste that has aesthetic value and selling value. Through 6 health cadres and 4 hamlet heads in the village, they were told how to make use of containers for hydroponic vegetable plants from plastic-based waste. Then monitoring is carried out in stages by the community service team every week. Process evaluation was carried out during the activity, the indicator was in the form of the number of participants who attended as many as 30 consisting of health cadres, hamlet heads, village communities, and village officials. And a final evaluation was carried out, namely the community service team went directly to the location where the hydropinic plant containers were placed and the team conducted questions and answers to the health cadres and village officials about the progress of making the containers. After the activity was carried out, the results obtained were that the people in Dutohe Barat Village were aware of the importance of managing waste properly, and there was an increase in the soft skills of health cadres and hamlet heads in utilizing containers for hydroponic vegetable plants.
The relationship between environmental sanitation and nutritional status with soil-transmitted helminths infection in elementary school children Tri Septian Maksum; Yasir Mokodompis; Indra Haryanto Ali; Ayu Rofia Nurfadillah
Gema Wiralodra Vol. 14 No. 2 (2023): gema wiralodra
Publisher : Universitas Wiralodra

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31943/gw.v14i2.360

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Soil-Transmitted Helminths (STH) infection is still a significant public health problem worldwide, including in Indonesia. This infection is caused by worms whose life cycle requires a soil medium in the maturation of eggs or larvae into an infective form and mainly occurs in children of primary school age. Poor environmental sanitation and malnutrition are the leading causes of STH infection. This study aims to determine the relationship between ecological sanitation, nutritional status, and STH infection incidence in elementary school children. This type of research is descriptive research. The research location is SDN 22 Telaga Biru, Telaga Biru District, Gorontalo Regency. The sample was 32 SDN 22 Telaga Biru students, obtained using the total sampling technique. Data was collected using questionnaire instruments, Body Mass Index (BMI) examinations, and fecal examinations at the UPTD Regional Health Laboratory Center of Gorontalo Province. The data were further analyzed univariately. The results showed that most environmental sanitation conditions did not qualify, such as latrine conditions (68.8%), SPAL conditions (75.0%), trash can conditions (87.5%), and clean water facilities (68.8%). Nutritional status (BMI/U) was most in the normal category (65.6%), and no helminth eggs were found in respondents (negative STH), so a relationship analysis could not be carried out. It is suggested that the school and parents support government programs related to providing mass worm-prevention drugs.
Spatiotemporal Evaluation of Pulmonary Tuberculosis Case in Karang Intan District, South Kalimantan, 2020-2021 Hadrianti Haji Darise Lasari; Amelia Amelia; Rudi Fakhriadi; Dian Rosadi; Musafaah Musafaah; Indra Haryanto Ali
Jurnal Presipitasi : Media Komunikasi dan Pengembangan Teknik Lingkungan Vol 21, No 1 (2024): March 2024
Publisher : Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/presipitasi.v21i1.184-193

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Pulmonary Tuberculosis, hereinafter abbreviated as pulmonary TB, is an infectious disease caused by a group of acid-resistant bacteria, namely Mycobacterium tuberculosis. Pulmonary TB is also still a major health problem in Banjar District, South Kalimantan Province, Indonesia. This research is a descriptive study that aims to identify spatial and temporal clusters of pulmonary TB cases in Karang Intan District, Banjar Regency during 2020 – 2021. The statistical retrospective space-time scan with a Poisson probability model was performed to analyzed the data. The spatial units analyzed in this study included 26 villages in Karang Intan District, with a time unit of 2 years, namely 2020 – 2021. The results of the analysis show that there were 3 clusters of pulmonary TB detected and spread across 26 villages in Karang Intan District. There were 2 clusters in 2020, and 1 cluster in 2021. The transmission of pulmonary TB clusters during 2020-2021 was mostly found in areas with relatively medium or high population density. However, the three detected clusters show a P-value > 0,05 which indicates that the clusters are not statistically significant.