Adi Heru Sutomo
Bagian Ilmu Kesehatan Masyarakat, Universitas Gadjah Mada Yogyakarta

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HUBUNGAN KONDISI FISIK RUMAH, SARANA AIR BERSIH DAN KARAKTERISTIK MASYARAKAT DENGAN KEJADIAN KUSTA DI KABUPATEN TAPIN KALIMANTAN SELATAN Norlatifah, .; Sutomo, Adi Heru; Solikhah, .
Jurnal Kesehatan Masyarakat (Journal of Public Health) Vol 4, No 3 (2010): Jurnal Kes Mas FKM UAD September 2010
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (28.302 KB)

Abstract

Background: leprosy is a chronic disease caused by the bacteria Mycobacterium leprae theattacks the peripheral nerves, the skin and other tissue except the central nervous system.Indonesia has third position as great number of cases of leprosy after India and Brazil at years2005 there is 19.695 cases. In years 2007, prevalence of leprosy in Indonesia was 1,05 caseper 10.000 population. The Tapin regency was the leprosy endemic area, when years by yearsnewly detected cases. The aim of this research to determine the relationship of physicalcondition of the house, fresh water instalation and characteristic of community with cases ofleprosy in Tapin Regency South Borneo.Method : Analityc observational studies using case-control. The act of determining the casesample is taken by using the totality sample and the act of determining the control sample istaken by using the purposive sample. The case number of 31 people and the control number of62 people.Results: Based on result of bivariate test there are 3 meaningful variables statisticallyrelationship with cases of leprosy in Tapin Regency South Borneo, i.e phisical home condition(p=0,013), history of contact (p=0,000) and level of education (p=0,002). The variables notrelated with cases of leprosy in Tapin Regency South Borneo, i.e fresh water instalation(p=0,099), age (p=0,226) and occupation (p=0,559). The result of multivariate test there are 3the most dominant variable within spread of leprosy in Tapin Regency South Borneo, i.e thehistory of contact (p=0,002), level of education (p=0,006) and phisical home condition (p=0,043).Conclusion: There was significant relation between the phisical home condition, history ofcontact and level of education with cases of leprosy in Tapin Regency South Borneo. Thehistory of contact, level of education and phisical home condition was the most dominant casesof leprosy in Tapin Regency South Borneo.Keyword: home, water, age, contact, education and occupation.
HUBUNGAN ANTARA TINGKAT PENGETAHUAN, STATUS EKONOMI DAN KEBIASAAN MEROKOK DENGAN KEJADIAN TUBERKULOSIS PARU PADA ORANG DEWASA DI WILAYAH KERJA PUSKESMAS TUAN-TUAN KABUPATEN KETAPANG KALIMANTAN BARAT Setiarni, Sri Marisya; Sutomo, Adi Heru; Hariyono, Widodo
Jurnal Kesehatan Masyarakat (Journal of Public Health) Vol 5, No 3 (2011): Jurnal Kes Mas FKM UAD September 2011
Publisher : Universitas Ahmad Dahlan

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Abstract

Background: Lung tuberculosis still be the health public problem at developing countries whole the world. Indonesia occupies sequence to 3 in world in the tuberculosis case after Chinese and India. Lung tuberculosis is also one of health public problem in Kabupaten Ketapang especially in Puskesmas Tuan-Tuan region. Problem causing of lung tuberculosis disease in this Puskesmas Tuan-Tuan hardly multi factor like still low public economics social level, the height of smoking habit level and the lack of knowledge about lung tuberculosis. The aim of this research find out the relationship between knowledge level, economic status and smoking habit with lung tuberculosis case at adult in Puskesmas Tuan-Tuan Kabupaten Ketapang Kalimantan Barat region. Method: This research was observational research using cross sectional design. There was 84 respondent. Data analysis conduct by frequency distribution, bivariate analysis applies Chi Square and multivariate analysis with logistics regression. Result: Result of this research indicates that from the variable knowledge level, economic status and smoking habit show there are relationship with lung tuberculosis case at adult in Puskesmas Tuan-Tuan Ketapang region which are knowledge level (p=0,026; RR=1,857; CI: 1,062-3,446) and smoking habit (p=0,011; RR=2,407; CI: 1,118-5,186). From the result of multivariate analysis variable that is most dominant related lung tuberculosis case at adult in Puskesmas Tuan-Tuan Ketapang region is smoking habit with significant value 0,012. Conclusion: Statistically, there was relationship between knowledge level and smoking habit with lung tuberculosis case at adult in Puskesmas Tuan-Tuan Ketapang region. There is no relationship between economic status with lung tuberculosis case at adult in Puskesmas Tuan-Tuan Ketapang region. The most dominant variable that is related to lung tuberculosis case at adult in Puskesmas Tuan-Tuan Ketapang region is smoking habit. Keyword: knowledge, economics status, smoking habit, lung tuberculosis at adult.
Dust Exposures, IgE Levels, History of Allergy, and Symptoms of Allergy in Poultry Workers Wijayanti, Yuni; Sutomo, Adi Heru; Astuti, Indwiani; Asmara, Widya
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i1.10232

Abstract

Poultry dust exposure may increase workers’ health risks, particularly in the form of respiratory allergic reactions. This study aimed to identify mold content of the dust and to analyze the association between dust exposure, IgE level, history of allergy, and symptoms of allergy. This study used cross sectional design with total samples of 33 workers. The data were analyzed using chi-square test and multivariate logistic regression. This study found 93.33% growth of Aspergillus sp., 69.7% work duration > 3 years, 84.8% high IgE levels, 18.2% history of allergy, and 69.7% symptoms of allergy. Dust exposure and history of allergy did not show significant correlation with symptoms of allergy while IgE levels had significant correlation with p-value of 0.036. Workers with high IgE-level were 15.986 times more likely to have symptoms of allergy (p-value 0.028). Aspergillus sp. as dust allergen potentially increased IgE levels and might become the base for facilitation of early and independent preventive and promotive efforts of workers’ health.
STUDI METODE PENAMBAHAN PERAK NITRAT PADA SARINGAN KERAMIK TERHADAP Escherichia coli PADA AIR MINUM Nugroho, Ariyanto; Sutomo, Adi Heru; Iravati, Susi; Sarto, Sarto; Wijaya, Yulia Rina
KEMAS: Jurnal Kesehatan Masyarakat Vol 10, No 2 (2015)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v10i2.3386

Abstract

Problematika air tercemar mikrobiologis di Yogyakarta berdasar hasil pemantauan rutin oleh Dinas Kesehatan Kota Yogyakarta pada tahun 2011 menunjukkan bahwa pada parameter mikrobiologis terdapat 596 (67%) sumber air bersih (sumur) penduduk belum memenuhi syarat sesuai Permenkes 492/MENKES/PER/IV/2010, demikian juga pada tahun 2010 dan 2009 masing masing 68,8% dan 63,2% dari sampel yang diperiksa, sedangkan untuk pemeriksaan terhadap air perpipaan (PDAM) pada tahun 2011 masih terdapat 8,9 % dari sampel yang tidak memenuhi syarat. Hal tersebut terjadi pada pemukiman padat penduduk yang disebabkan keterbatasan lahan sehingga jarak antara peresapan jamban dengan sumur penduduk kurang dari persyaratan.  Penggunaan Filter Keramik sebagai pengolahan air pada tingkat rumah tangga telah banyak dipelajari dan diteliti Riset filter keramik dikembangkan untuk persiapan keadaan darurat bencana dan pemukiman padat penduduk. Penelitian ini dilakukan pada tahun 2013-2014 dengan menggunakan rancangan analitik observasional, dengan pendekatan pre test-postest group design dengan analisis kuantitatif eksperimen dilaksanakan didalam laboratorium. Hasil menunjukkan tidak terdapat perbedaan pada metode penambahan perak nitrat ke dalam saringan keramik, sehingga pengembangan saringan keramik lebih mudah dan sangat memungkinkan menjadi alternatif untuk penyediaan air bersih dan layak konsumsi terutama pada keadaan darurat kebencanaanProblems of microbiologically contaminated water in Yogyakarta based on the results of routine monitoring by the City Health Office Yogyakarta in 2011 showed that the microbiological parameters are 596 (67%) of clean water sources (wells) population is not eligible in accordance Permenkes 492 / Menkes / Per / IV / 2010 , as well as in 2010 and 2009, respectively 68.8% and 63.2% of the samples examined, while for the examination of water piped (PDAM) in 2011, there are 8.9% of the sample were not eligible. It occurs in a densely populated residential area due to limited so that the distance between the infiltration wells latrine with a population less than the requirement. Use of Ceramic Filter as water treatment at household level has been widely studied and researched Research ceramic filters developed for the preparation of emergency response and densely populated area. This study used observational analytic design, the pretest-posttest approach to group design with quantitative analysis experiments were carried out in the laboratory. The results showed no difference in the method of adding silver nitrate into the ceramic filters, so that the development of ceramic filters easier and it is possible to be an alternative to the provision of clean and potable water, especially in an emergency disaster.
SARINGAN KERAMIK: SOLUSI KEBUTUHAN AIR MINUM MASA DEPAN Nugroho, Ariyanto; Sutomo, Adi Heru; Iravati, Susi; Sarto, Sarto; Wijaya, Yulia Rina
Jurnal Formil (Forum Ilmiah) Kesmas Respati Vol 1, No 1 (2016)
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.361 KB) | DOI: 10.35842/formil.v1i1.7

Abstract

The Factors Associated with Food Safety Practices on Food Handlers in Primary School Canteens Suryani, Dyah; Sutomo, Adi Heru; Aman, Abu Tholib
Unnes Journal of Public Health Vol 8 No 1 (2019): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (129.369 KB) | DOI: 10.15294/ujph.v8i1.22830

Abstract

Abstract Foodborne disease is one of the major health problems in the world wide as well as in Indonesia. Children are a group that is susceptible to this disease due to consuming unsafe foods because of their lack of knowledge. Unsafe food is identified from contamination of microorganism or chemical compounds. The purpose of this study was to determine the factors associated with food safety practices on food handlers in primary school canteens in Yogyakarta City. This research was conducted using an observational analytic study with cross sectional design. Samples in this study were 109 food handlers from 60 primary schools in Yogyakarta City. The research results showed that there was no association between gender (p=0.327), age (p=0.144), level of education (p=0.718), experience (0.220), training (p=0.180), level of knowledge (p=0.143) with food safety practices on food handlers. There was an association between attitude (p=0.031) with food safety practices on food handlers in primary school canteens in Yogyakarta City. Abstrak Penyakit bawaan makanan merupakan salah satu permasalahan kesehatan masyarakat di dunia maupun di Indonesia. Anak-anak merupakan kelompok yang rentan terhadap penyakit tersebut dikarenakan mengkonsumsi makanan yang tidak aman akibat ketidaktahuannya. Makanan tidak aman ditandai dengan kontaminasi mikroorganisme maupun senyawa kimia. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan praktek keamanan makanan pada penjamah makanan di kantin sekolah dasar wilayah Kota Yogyakarta. Penelitian ini merupakan penelitian observasional analitik dengan rancangan cross sectional. Sampel penelitian ini berjumlah 109 penjamah makanan dari 60 sekolah dasar di wilayah Kota Yogyakarta. Hasil penelitian menunjukkan bahwa tidak ada hubungan antara jenis kelamin (p=0,327), umur (p=0,144), tingkat pendidikan (p=0,718), pengalaman (0,220), pelatihan (p=0,180), tingkat pengetahuan (p=0,143) dengan praktek keamanan makanan pada penjamah makanan. Ada hubungan antara sikap (p=0,031) dengan praktek keamanan makanan pada penjamah makanan di kantin sekolah dasar wilayah Kota Yogyakarta.
Prevalensi Filariasis dan Perilaku Penduduk Desa Rami Pasai dan Betung dalam Pengobatan Filariasis Sutomo, Adi Heru
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 2, No 1 (2002)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v2i1.1496

Abstract

In Indonesia, the number of filariasis prevalence is not quite clear, and as a result there may be a confusing problem on the estimation itself Therefore, based on the problem, a simple survey was performed in the Province of Sumatera Selatan, Indonesia. The result of this field survey showed that filariasis prevalence in general was decreased already as the result of mass DEC treatment, except in some specific areas. Some specific cases in the field were founded, for example the distribution of the drugs among the people in those areas, including respon-dents who were chosen as samples, the clinical signs and the people mobiliza-tion. Based on this survey, there is a need to have a more strategic program to eradicate filariasis especially in the remote areas of Indonesia.Di Indonesia jumlah prevalensi filariasis agak tidak jelas, sehingga mungkin angka perkiraannya sendiri juga membingungkan. Oleh karena itu, berdasarkan masalah tersebut, suatu survai sederhana dilakukan di propinsi Sumatera Selatan, Indonesia. Hasil survai lapangan menunjukkan bahwa secara umum prevalensi filariasis sudah menurun sebagai hasil dari pengobatan DEC masai kecuali di beberapa tempat khusus. Beberapa kasus khusus ditemukan di lapangan, sebagai contoh distribusi obat di antara penduduk di tempat-tempat tersebut termasuk responden yang dipilih sebagai subyek, tanda-tanda klinis dan mobilisasi penduduk. Berdasarkan survey ini, diperlukan suatu program yang lebih strategis untuk membasmi filariasis terutama di daerah pedalaman Indonesia.
Pendidikan Kesehatan Melalui Ceramah dan Konseling Kelompok pada Pekerja Pengasap Ikan sebagai Usaha Pencegahan Ispa di Semarang Sudiyono, -; Sutomo, Adi Heru; Prabandari, Yayi Suryo
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 2, No 1 (2002)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v2i1.1500

Abstract

The research was aimed to investigate the difference on the effectiveness of health education that was done through speech method supported by poster and through group counseling method supported by poster, in order to im¬prove the knowledge, attitude and behavior of fish fumigation workers in the effort of ARI prevention in Semarang. It was Quasi experimental with Nonequivalent Control Group Design with Pre Test and Post Test. There were 60 subjects chosen that based on inclusion criteria were divided into two groups: 30 workers (treatment group) whom given poster speech method and 30 others (control group) whom given poster counseling method. The result of data analysis which used pair t-test and McNemar test, showed that: 1) poster speech method and poster counseling method could improve the knowledge and attitude offish fumigation workers in preventing of ARI: 2) poster counseling method could show the behavior changes of fish fumiga¬tion workers in preventing of ARI and 3) poster speech method could not show the behavior changes of fish fumigation workers in preventing ARI. The effectiveness test of both methods which was done by using indepen¬dent t-test and Chi-Square test showed that there was no difference between both health education methods in influencing the knowledge, attitude and behavior offish fumigation workers in preventing ARI. Indeed, the result showed that both had similar influence in improving the knowledge, attitude and be¬havior of fish fumigation workers in prevention of ARI disease.Penelitian ini ditujukan untuk meneliti perbedaan efektivitas penyuluhan kesehatan fmm dilakukan melalui metode ceramah dengan poster dan melalui kelompok Ibffisdmg dengan poster dalam rangka meningkatkan pengetahuan, sikap dan perilaku a pengasap ikan dalam upaya pencegahan ISA di Semarang. Bentuk penelitian adalah eksperimen semu dengan desain kelompok kontrol no-ekivalent dengan pre¬test izn postest. Sejumlah 60 subyek dipilih berdasarkan kriteria inklusi dibagi menjadi 1 pdtaeipok: 30 pekerja (kelompok perlakuan) yang diberikan metode ceramah dengan posterdan 30 lainnya (kelompok kontrol) yang diberikan metode konseling dengan nHftor. Hasil data analisis yang menggunakan uji t berpasangan dan tes McNemar reennnjukkan bahwa: l)metode ceramah dengan poster dan metode konseling poster dapat memperbaiki pengetahuan dan sikap pekerja pengasap ikan dalam pencegahan ISPA; 2) metode konseling dengan poster dapat menunjukkan perubahan perilaku cari pekerja pengasap ikan dalam pencegahan ISPA dan 3) metode ceramah dengan poster tidak dapat menunjukkan perubahan perilaku dari pekeija pengasap ikan dalam pencegahan ISPA. Uji efektivitas dari kedua metode tersebut yang dilakukan dengan menggunakan uji t tidak berpasangan dan tes X kuadrat menunjukkan bahwa tidak terdapat perbedaan antara kedua metode penyuluhan tersebut dalam mempengaruhi pengetahuan, sikap dan perilaku dari pekerja pengasap ikan dalam pencegahan ISPA. Dengan demikian, hasil tersebut menunjukkan bahwa keduanya mempunyai pengaruh j mg serupa dalam memperbaiki pengetahuan, sikap dan perilaku pekerja pengasap dalam upaya pencegahan penyakit ISPA.
Prevalensi Filariasis dan Perilaku Penduduk Desa Rami Pasai dan Betung dalam Pengobatan Filariasis Sutomo, Adi Heru
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 2, No 1 (2002)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v2i1.1496

Abstract

In Indonesia, the number of filariasis prevalence is not quite clear, and as a result there may be a confusing problem on the estimation itself Therefore, based on the problem, a simple survey was performed in the Province of Sumatera Selatan, Indonesia. The result of this field survey showed that filariasis prevalence in general was decreased already as the result of mass DEC treatment, except in some specific areas. Some specific cases in the field were founded, for example the distribution of the drugs among the people in those areas, including respon-dents who were chosen as samples, the clinical signs and the people mobiliza-tion. Based on this survey, there is a need to have a more strategic program to eradicate filariasis especially in the remote areas of Indonesia.Di Indonesia jumlah prevalensi filariasis agak tidak jelas, sehingga mungkin angka perkiraannya sendiri juga membingungkan. Oleh karena itu, berdasarkan masalah tersebut, suatu survai sederhana dilakukan di propinsi Sumatera Selatan, Indonesia. Hasil survai lapangan menunjukkan bahwa secara umum prevalensi filariasis sudah menurun sebagai hasil dari pengobatan DEC masai kecuali di beberapa tempat khusus. Beberapa kasus khusus ditemukan di lapangan, sebagai contoh distribusi obat di antara penduduk di tempat-tempat tersebut termasuk responden yang dipilih sebagai subyek, tanda-tanda klinis dan mobilisasi penduduk. Berdasarkan survey ini, diperlukan suatu program yang lebih strategis untuk membasmi filariasis terutama di daerah pedalaman Indonesia.