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Contact Name
Widyandana
Contact Email
jcoemph.fk@ugm.ac.id
Phone
(+62274)-547490
Journal Mail Official
jcoemph.fk@ugm.ac.id
Editorial Address
Jl. Farmako, Sekip Utara, Mlati, Sleman, D. I. Yogyakarta 55281
Location
Kab. sleman,
Daerah istimewa yogyakarta
INDONESIA
Journal of Community Empowerment for Health
ISSN : 26548283     EISSN : 26550164     DOI : 10.22416/jcoemph
Core Subject : Health, Education,
Journal of Community Empowerment for Health (ISSN 2655-0164 (online); ISSN 2654-8283 (print)) is a national, open access, multidisciplinary, and peer-reviewed journal. We aim to publish research articles and reviews on educative, promotive, preventive and community empowerment activities in the health sector, especially rural area.
Articles 113 Documents
The awareness of blindness related to misuse of illicit liquor containing methanol: A community study Indra Tri Mahayana; Tatang Talka Gani; Suhardjo Pawiroranu
Journal of Community Empowerment for Health Vol 1, No 1 (2018)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (335.416 KB) | DOI: 10.22146/jcoemph.36866

Abstract

Methanol is a cheap organic solvent and additive in the production of illicit liquors. There are many recorded incidences in Indonesia regarding methanol intoxication induced visual loss. We aimed to investigate the level of awareness of liquor-containing methanol misuse in the community related to its hazard of visual loss. Participants were recruited from 3 primary health care units which represent the population of rural communities in Yogyakarta, Indonesia and then divided into two groups: drinkers (cases) and nondrinkers (control). The participants answered closed questions in a questionnaire about knowledges related to the misuse of illicit liquor. Forty participants (mean age: 39.8 ± 13.39) completed the questionnaires. There were 40% and 60% of participants who reside in the city and suburbs; their education levels were 2.5%, 12.5%, 30%, 35%, and 7.5% for uneducated, elementary, junior, senior high school, and undergraduate, respectively. There were 6 drinker and 34 nondrinker participants (sex difference p <0.001). Only 1 drinker and 7 nondrinkers answered correctly regarding the ethanol based liquor. Fifty percent of drinkers and 32.35% of nondrinkers were aware that illicit liquors were most probably mixed with methanol. The drinkers were aware that liquor-containing methanol can cause sudden death (33.33%) or sudden visual loss (33.33%), while 55.8% nondrinker answered only sudden death. Participants’ awareness levels regarding the content and the visual outcome of methanol-containing liquor remain low. From this pilot study, we confirmed the need to conduct further research with a larger sample size, followed by clear ethical considerations for prevention.
Outcomes of manual small incision cataract surgery (mSICS) compared with phacoemulsification from population based outreach eye camp, in Yogyakarta and Southern Central Java Region, Indonesia Indra Tri Mahayana; Reny Setyowati; Tri Winarti; Suhardjo Prawiroranu
Journal of Community Empowerment for Health Vol 1, No 1 (2018)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (384.425 KB) | DOI: 10.22146/jcoemph.36867

Abstract

In this study, we compared the effectiveness (comparison of post-operative visual acuity/VA) of phacoemulsification by ophthalmologists versus manual small incision cataract surgery (mSICS) by residents in a mass cataract surgery setting. This research was a cross-sectional study of 1137 cataract patients who underwent cataract surgery by ophthalmologists and residents in outreach eye camps during 2015-2017 (3 years). There were 554 patients who underwent phacoemulsification by ophthalmologists and 583 patients who underwent mSICS by residents. Basic patient characteristics data, such as: age, sex and pre-surgical VA were recorded and we compared pre- versus post-operative VA (best corrected VA/BCVA) and surgical adverse events in 4 weeks post-operative follow-up. In basic subject characteristics, there were no differences in age and sex between the 2 groups, in which 602 (52.9%) were men and 535 (47.1%) were women. Overall 583 (51.3%) eyes received mSICS and 554 (48,7%) eyes received phacoemulsification. Visual acuity improvement (≥6/18) was achieved in 59.61% of eyes after phacoemulsification and 53.5% eyes after mSICS. There were no statistical differences in visual outcome results between both groups (p=0.10). Severe surgical adverse events (nucleus drop and endophthalmitis) were found in 3 cases (0.26%) and choroidal bleeding in 1 eye (0.08%). The effectiveness of phacoemulsification and mSICS in improving visual acuity was found similar between ophthalmologists and residents. mSICS should be considered for more frequent use in high volume mass cataract surgery.KEYWORDS cataract surgery; phacoemulsification; manual small incision cataract surgery; outreach program; community ophthalmology
Pengembangan potensi lokal ikan menjadi nugget dan abon ikan untuk meningkatkan kesejahteraan masyarakat dan menurunkan angka kejadian stunting di Kanigoro, Saptosari, Gunungkidul Raden Roro Dewi Ngaisyah; Andre Kusuma Adiputra
Journal of Community Empowerment for Health Vol 1, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1279.453 KB) | DOI: 10.22146/jcoemph.36961

Abstract

Kanigoro Village is blessed abundantly with great potential for fish resources development. Its strategic location by the seashore also poses an opportunity for Kanigoro to become a center for local home-based culinary industries focusing on local fish, such as fish nuggets and floss (shredded meat), which are rich sources of animal protein. Despite the plentiful local protein sources, a high prevalence of stunting continues to plague Kanigoro Village, reaching up to 48.2%. Developing fish-based culinary industries may become a means to reduce the stunting rates as well as to improve the economic status of the villagers. This project aimed to develop the fish-based local food processing into nuggets and floss to improve family economies and nutritional status in Kanigoro Village through a community-based approach. It began with the sharing of the project plan to gain support from the community. The team collaborated with local Kanigoro organizations, namely posyandu cadres and women's group. The training was given to the women's group on marketing, such as providing nutritional information on the packages, developing attractive packaging, and introducing marketing niches. Posyandu cadres were trained to motivate the villagers to increase fish consumption. After the training, the groups conducted meetings with the local women under the supervision of the team. In the meeting sessions, they encouraged villagers to eat more fish. Through the training, the local women acquired new knowledge on product enhancement, starting from improved processing hygiene, upgraded packaging, provision of nutritional information, and innovative marketing ventures. In the gatherings, posyandu cadres were able to deliver motivation to augment fish consumption. They could measure the height and weight of children under five correctly, enabling them to identify children with stunting. The knowledge and skills acquired from this project will equip the local villagers to prevent and reduce stunting prevalence in Kanigoro Village.
Upaya Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan Universitas Gadjah Mada dalam penanggulangan banjir di Kota Bima dengan teknologi pemanen air hujan Sutono Sutono; Bayu Fandhi Achmad; Citra Indriani; Dyah Ayu Wulansari; Agus Salim Arsyad; Hari Kusnanto; Agus Maryono; Rifqi Amrillah Abdi
Journal of Community Empowerment for Health Vol 1, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (92.605 KB) | DOI: 10.22146/jcoemph.37315

Abstract

Flood disaster in Bima Town, West Nusa Tenggara Province, Indonesia at the end of 2016 affected 105,753 people. For the period of the disaster, water flooding whole area of the town. Universitas Gadjah Mada (UGM) represented by Faculty of Medicine, Public Health, and Nursing supported by the Faculty of Medicine Alumni Association (KAGAMADOK) sent two response teams to the disaster area with the aims to assess health status of the refugees and to create rainwater harvesting tool. There were two teams assigned to the flood management in Bima. First team assigned to establish database and health cluster information analysis, performed needs assessment at refugee camp and affected area, and sent the patient to emergency health service. Regarding to the first team assessment results, second team assigned to create rainwater harvesting tool. First UGM team discovered that communities experiencing high prevalence of dermatology disease, meanwhile the medicine livestock diminished. Escalation of diarrhea cases especially in children and limited community health surveillance in Bima Town were also identified by the team. The second team was in a mission to accomplish environmental studies associated with flood disaster and implement rainwater harvesting technology. Rainwater harvesting technology implemented based on data collection and analysis from the first team. Rainwater harvesting technology used to supply community water necessities since the groundwater in disaster area remain muddy and smells. Application of rainwater harvesting equipment completed at Penanae and Mpunda Primary Health Care. Deployment of the UGM Bima disaster response team expected to spring positive benefits to the flood affected communities, and in addition expected that the assistance from UGM established sustainably.
Prevalensi malaria di Asmat, Papua: Gambaran situasi terkini di daerah endemik tinggi Josephine Debora; Hanggoro Tri Rinonce; Maria Fransiska Pudjohartono; Pritania Astari; Monica Gisela Winata; Fadli Kasim
Journal of Community Empowerment for Health Vol 1, No 1 (2018)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1411.845 KB) | DOI: 10.22146/jcoemph.38309

Abstract

ABSTRAK Malaria merupakan salah satu penyakit yang terus endemik di beberapa daerah di Indonesia walaupun pemerintah telah melakukan berbagai usaha untuk mengobati dan mencegah malaria. World Health Organization (WHO) menargetkan insidensi kasus malaria pada tahun 2030 dapat turun hingga 90% dibandingkan tahun 2015.Asmat merupakan salah satu daerah endemik tinggi dan menjadi salah satu daerah target program eliminasi malaria, namun belum ada publikasi data rinci terkait malaria di Asmat, Papua. Penelitian ini bertujuan untuk mengetahui prevalensi malaria di Asmat pada tahun 2017 dan melihat tren kejadian malaria yang merupakan salah satu indikator evaluasi program eliminasi malaria di Indonesia. Penelitian ini merupakan penelitian deskriptif observasional yang dilakukan selama pelaksanaan kegiatan Kuliah Kerja Nyata - Peduli Bencana (KKN-PB) Universitas Gadjah Mada (UGM), pada tanggal 17 Maret hingga 30 April 2018 di Asmat, Papua. Penelitian dilakukan dengan analisis data sekunder dan observasi. Data sekunder diambil dari Dinas Kesehatasn Kabupaten Asmat, kemudian dianalisis dan dipaparkan secara deskriptif. Dilakukan pula observasi lingkungan di Distrik Agats, Atsj, dan Sawaerma untuk mengetahui kemungkinan faktor-faktor risiko malaria. Pada tahun 2017, prevalensi malaria di kabupaten Asmat yaitu 12,37% dengan 7,90 % kasus malaria klinis dan 4,46% kasus malaria yang telah tegak diagnosisnya berdasarkan hasil pemeriksaan laboratorium. Prevalensi tersebut meningkat dibandingkan tahun 2016. Pusat Kesehatan Masyarakat (Puskesmas) Atsj merupakan puskesmas dengan prevalensi malaria tertinggi, yaitu sebesar 27,70%. Kejadian malaria ini kemungkinan dipengaruhi oleh lingkungan fisik (suhu, kelembaban, kerapatan dinding rumah, pengunaan kawat kassa, curah hujan), lingkungan biologi (adanya semak dan rawa), lingkungan kimia (salinitas dan pH), serta kebiasaan masyarakat. Hasil penelitian ini menunjukkan bahwa penanganan malaria di Asmat masih menjadi tantangan besar bagi petugas kesehatan dan pemerintah. Diperlukan penelitian lebih lanjut untuk mengetahui faktor penyebab masih tingginya kejadian malaria agar kebijakan yang diambil lebih tepat.  KATA KUNCI prevalensi; malaria; endemik; Asmat; Papua ABSTRACT Malaria is still an endemic disease in Indonesia, despite years of government efforts to cure and prevent malaria. World Health Organization (WHO) has a goal to reduce malaria case incidence globally at least 90% in 2030 compared with 2015.Asmat is one of the high endemic areas in Indonesia, making Asmat one of the target areas for malaria elimination programs. However, the published data regarding malaria in Asmat is limited. This study aimed to investigate the prevalence of malaria in Asmat in 2017 and assess the trend of malaria prevalence, as an indicator in evaluating malaria elimination programs. This study was descriptive observational research which was performed from March 17th until April 30th 2018, as part of Kuliah Kerja Nyata - Peduli Bencana (KKN-PB) Universitas Gadjah Mada (UGM), in Asmat Regency. This study was using secondary data analysis and environmental observation. Secondary data was obtained from Department of Health in Asmat Regency and presented descriptively. Environmental observation in Agats, Atsj, and Sawaerma District was also conducted to find out the possible risk factors of malaria. In 2017, malaria prevalence in Asmat was 12.37% with 7.9% cases being clinically diagnosed malaria, and the other 4.46% laboratory diagnosed malaria. The prevalence in 2017 was higher than in 2016. Among all the districts in Asmat, Atsj had the highest prevalence (27.70%). Malaria prevalence was possibly affected by multiple factors, such as physical environment (temperature, humidity, houses’ wall density, and the use of wire net), biological environment (house surrounded by bush or swamp), chemical environment (pH and salinity), and habits in community. These findings suggest that malaria control is still a big challenge for health-care workers and government. Further research is needed to study the exact causes of high malaria prevalence in Asmat, so that more appropriate policies can be done to overcome the problem.KEYWORDS prevalence; malaria; endemic; Asmat; Papua
Profil penyakit kulit pada pelajar sekolah asrama di Kabupaten Magelang, Jawa Tengah Tuntas Rayinda; Devi Artami Susetiati; Sri Awalia Febriana
Journal of Community Empowerment for Health Vol 1, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (396.382 KB) | DOI: 10.22146/jcoemph.38312

Abstract

Individuals who live in boarding schools often experience various skin diseases, both infection and non-infectious because of exposure to various risk factors such as hormonal changes, poor hygiene and sanitation, and dense living quarters. To date, data on the prevalence of disease in adolescents in boarding schools are still very limited. This study is an observational cross-sectional study that aims to describe skin diseases that often occur in adolescents who live in boarding schools. Surveys and clinical examinations are carried out by dermatologist. Based on a survey of 1,250 students aged 10 - 16 years, 1,073 students (85.8%) had at least one skin disease. A total of 1,073 cases from 27 different types of skin diseases were found in these students. The five most common skin diseases are dermatophytosis, scabies, acne vulgaris, ecthyma, and pityriasis versicolor. Education, periodic surveys, mass treatment, and interventions to improve hygiene and living conditions are key to success in the management of skin diseases in students living in boarding schools.
Identifikasi status gizi, somatotipe, asupan makan dan cairan pada atlet atletik remaja di Indonesia Mirza Hapsari Sakti Titis Penggalih; Mustika Cahya Nirmala Dewinta; Kurnia Mar&#039;atus Solichah; Diana Pratiwi; Ibtidau Niamilah; Almira Nadia; Marina Dyah Kusumawati
Journal of Community Empowerment for Health Vol 1, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (427.054 KB) | DOI: 10.22146/jcoemph.38410

Abstract

Athletes’ nutrition status, somatotype, and adequate dietary intake are strongly related to their sport performance. Examining those markers in adolescent age is essential in order to develop the optimum physical characteristics for the future. This study was conducted to identify the nutrition status based on anthropometry value, somatotype, food and fluid intake of youth athletic athletes in Indonesia. Descriptive quantitative design was used in this study. Subjects participated in the study were 25 youth athletic athletes from Students Education and Training Program (Program Pembinaan dan Pelatihan Pelajar) in Yogyakarta and Aceh, and School of Sports (Sekolah Keolahragaan) Ragunan, Jakarta Selatan. Anthropometry measurement consists of body weight, height, body fat percentage, and somatotype. Nutrition status was identified according to BMI/age and height/age. Food and fluid intake were assessed using 24-hour dietary recall interview and semi quantitative fluid frequency questionnaire. Descriptive statistical analysis was performed and the result was presented in mean and standard deviation (SD). BMI/ age values in male and female athletes were -2 SD ≤ Z ≤ +1 SD (normal) and +1 SD < Z ≤ +2 SD (overweight), respectively. Height/age value for both gender was normal in -2 SD ≤ Z ≤ +2 SD. Percentage of body fat ranged in 12-16% for males and 18-28% for females. Somatotype category for males was ectomorphic mesomorph (2.3-5.0-3.3) and endomorphic mesomorph (4.4-5.6-2.0) for females. Fulfillment of energy and carbohydrate was found inadequate (< 80%), whereas fat intake was found excess (> 110%). Total fluid intake was ranged from 2700 ml to 5800 ml per day. Overweight nutrition status was still found in femaleathletes. Ideal somatotype was found only in male athletes. Excessive percentage of body fat was detected in both gender. Total energy, macro nutrients, micro nutrients, and fluid intake were inadequate compared to dietary recommendation.
Pengkayaan ilmu petugas puskesmas sebagai langkah penurunan angka anemia di Kabupaten Sleman Emy Huriyati; Tri Ratnaningsih; Abdul Wahab; Arta Farmawati; Nur Imma Fatimah Harahap; Ainun Nisa
Journal of Community Empowerment for Health Vol 1, No 1 (2018)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (405.688 KB) | DOI: 10.22146/jcoemph.38560

Abstract

ABSTRAK Fokus Dinas Kesehatan Kabupaten Sleman untuk penanggulangan anemia dewasa ini bukan hanya pada ibu hamil saja, melainkan sudah dimulai dari remaja puteri, jauh sebelum mereka hamil. Langkah pemerintah dalam menanggulangi anemia dengan adanya suplementasi besi dikhawatirkan tidak tepat sasaran. Sejauh ini deteksi anemia oleh petugas puskesmas hanya sebatas pemeriksaan haemoglobin saja dan kejadian anemia yang terdeteksi masih bersifat general, tidak spesifik anemia defisiensi besi. Subjek dalam kegiatan ini adalah petugas puskesmas meliputi dokter, ahli gizi dan ahli teknologi laboratorium medis yang diambil secara purposive sampling. Metode yang diterapkan dalam kegiatan ini adalah pelatihan dengan rangkaian kegiatan yaitu penyuluhan dengan pre-test dan post-test, tutorial kasus, dan praktikum. Analisis data hasil kegiatan menggunakan uji paired t-test antara nilai pre-test dan post-test. Uji statistik dikatakan signifikan bila p-value kurang dari 0,05. Total peserta yang mengikuti kegiatan adalah 71 orang dari target awal 75 orang (persentase kedatangan= 94,67%). Pelatihan terkait anemia defisiensi besi untuk petugas puskesmas dapat meningkatkan tingkat pemahaman sebesar 32,82 poin (p<0,0001), yang merupakan delta kenaikan nilai pre-test dan post-test. Pemilihan metode untuk kegiatan pelatihan dirasa sudah tepat dengan pertimbangan hasil evaluasi kegiatan menunjukkan sebagian besar peserta kegiatan menilai metode pelatihan efektif atau sangat efektif (74,7%). Program pelatihan dapat meningkatkan pemahaman petugas puskesmas di Kabupaten Sleman terkait anemia defisiensi besi.KATA KUNCI pelatihan; puskesmas; pengetahuan; anemia defisiensi besi ABSTRACT The focus of the Sleman District Health Office in the prevention of anemia is not only on pregnant women anymore as it currently involves young women, long before they become pregnant. The government's step in overcoming anemia with iron supplementation is argued to fail to hit the target. So far the detection of anemia by health center officials is only limited to hemoglobin examination, indicating that the detection of anemia is still general and not specific to iron deficiency anemia. The subjects of this study were community health center staffs including doctors, nutritionists and medical laboratory technology experts who were picked by purposive sampling. The methods used were training with a series of activities: education with pre-test and post-test, case tutorials, and practicum. Paired t-test was performed to compare the difference of value between pre-test and post-test. P-value of less than 0.05 was considered statistically significant. The total participants who took part in the activity were 71 people from the initial target of 75 people (percentage of arrivals = 94.67%). Training related to iron deficiency anemia for health center officers can increase the level of understanding by 32.82 points (p <0,0001). The methods chosen for training activities were considered appropriate with around three-quarters (74,7%) of the participants rated the training method effective or very effective. The training program can improve the understanding of health center staff in Sleman Regency regarding iron deficiency anemia.KEYWORDS training; community health center; knowledge; iron deficiency anemia 
Karakteristik performance individu muda di Desa Ngablak dan hubungannya dengan penyalahgunaan NAPZA Suhartini Suhartini; Neni Trilusiana Rahmawati; Yudha Nurhantari; Hendro Widagdo; Idha Arfianti Wira Agni; Martiana Suciningtyas; Wikan Basworo
Journal of Community Empowerment for Health Vol 2, No 1 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (752.116 KB) | DOI: 10.22146/jcoemph.38574

Abstract

Alcohol, narcotics, psychotropic substances and other addictive substances are substances that are often misused. The majority of drug users are adolescents with age ranging from 13 - 17 years old at which abuse can affect body composition. Considering the role of the younger generation as the nation’s successors, it sparks the urgency to alleviate this negative behavior. One of the measures that can be done is by shifting the negative activities to positive ones such as sports. In order to do this, it is necessary to identify the performance characteristics of the youths to maximize their potential. This study aimed to find out the performance characteristics of the younger generation in Ngablak Village and their association with drug abuse. A total of 50 youth members in Ngablak Village, Ngablak Subdistrict, Magelang Regency were examined for anthropometry, physical (pulse, respiration rate, blood pressure, temperature), and somatotype associated with performance. Identification of subjects involved in alcohol and drug abuse was carried out using a questionnaire. The results were displayed descriptively. Statistical analyses (t-test or Mann Whitney U test) were used to compare performance characteristics between groups. Age of subjects ranged from 9 - 19 years and 50% were male. A total of 13 boys and 2 girls consumed alcohol. The results of physical examination showed the normal range in all subjetcs. The average age, height, and weight of male subjects who comsumed alcohol were higher than those who did not (p < 0,05). There was no difference in somatotype between adolescents who consumed alcohol and those who did not. The body type of male subjects based on measurements was the ideal type, whereas the female subjects had endomesomorphic body type. The tendency of consuming alcohol does not cause differences in body type in adolescents, both in male and female.
Hubungan timbal dan krom pada pemakaian pewarna batik dengan kadar hemoglobin dan packed cell volume pada pengrajin batik di Kecamatan Lendah Kulon Progo Pramudji Hastuti; Sunarti Sunarti; Prasetyastuti Prasetyastuti; Ngadikun Ngadikun; Tasmini Tasmini; Dianandha Septiana Rubi; Sri Sutarni; Indrasari Kusuma Harahap; Kusumo Dananjoyo; Suhartini Suhartini; Ida Bagus Gd. Surya Putra Pidada; Hendro Widagdo; Martiana Suciningtyas
Journal of Community Empowerment for Health Vol 1, No 1 (2018)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (822.051 KB) | DOI: 10.22146/jcoemph.39156

Abstract

ABSTRAK Cara membatik di Indonesia mulai banyak beralih dari pemakaian bahan alami menjadi bahan cat sintesis. Cat sintetis yang digunakan sering kali mengandung logam berat di antaranya timbal (Pb) dan kromium (Cr). Pemakaian logam berat dalam waktu lama akan mengganggu kesehatan. Penelitian ini dilakukan untuk melihat hubungan kadar logam Pb dan Cr dalam darah dan limbah dengan kadar hemoglobin (Hb) dan packed cell volume (PCV) serta mengetahui prevalensi gejala toksisitas yang dirasakan pada pekerja di tiga sentra batik di Kecamatan Lendah Kulon Progo. Sebanyak 76 pegawai di tiga sentra batik terdiri atas 37 orang dari sentra SB, 20 orang dari FA dan 19 orang dari SA ditentukan kadar Hb, PCV, kadar Pb dan Cr-nya dengan metode inductively coupled plasma (ICP). Air limbah lingkungan dari ketiga lokasi sentra batik diambil dan diperiksa kadar Pb dan Cr-nya. Hasil antara ketiga lokasi diujinormalitasnya dan dianalisis dengan analisis varian atau Kruskal-Wallis. Hubungan antara kadar Pb dan Cr baik darah maupun limbah dengan kadar logam berat dalam darah dianalisis dengan uji korelasi Pearson atau Spearman. Hasil dinyatakan berbeda bermakna jika p < 0,05. Gejala penyakit yang dialami pekerja yang diperkirakan berhubungan dengan toksisitas logam berat dihitung frekuensinya. Hasil pemeriksaan antropometri, tekanan darah, kadar Hb, PCV dan logam berat dari ketiga lokasi yang diperiksa tidak berbeda bermakna (p > 0,05). Kadar Pb darah dan krom di sentra SB dan FA berbeda bermakna dengan di sentra SA (p < 0,05). Tidak terdapat korelasi yang signifikan secara statistik antara kadar Pb darah, Cr darah, dan Pb limbah dengan kadar Hb dan PCV. Gejala iritasi kulit, pusing, dan nyeri sendi dirasakan oleh 36,8-48,7% responden. Kadar timbal dan krom darah pembatik di sentra SB dan FA lebih tinggi dari pada di sentra SA. Tidak terdapat hubungan bermakna antara toksisitas Pb dan Cr dengan kadar Hb dan PCV. Gejala toksisitas di antara pekerja batik diperkirakan dapat terjadi karena toksisitas logam berat kronis akibat pemakaian cat batik. KATA KUNCI batik; hemoglobin; kromium; sel darah; timbal ABSTRACT The dye used to color batik has changed from natural to synthetic materials in several places in Indonesia. Synthetic paints often contain heavy metals including lead (Pb) and chromium (Cr). Chronic use of heavy metals can affect health. This study was conducted to examine the relationship between blood and waste water levels of Pb and Cr with hemoglobin (Hb) and packed cell volume (PCV), and to determine how many workers felt the toxicity symptoms in three batik centers in Lendah, Kulon Progo. A total of 76 batik center employees, consisted of 37, 20, and 19 people from the SB, FA, and SA centers were recruited. Determination of Hb, PCV, Pb and Cr levels were conducted with the inductively coupled plasma (ICP) method. Waste water from the three batik centers is taken and examined. The data were analyzed by Oneway ANOVA or Kruskal-Wallis. Correlation analyses were performed with Pearson or Spearman correlation test. Results were considered significant if p < 0.05. Disease symptoms experienced by workers that were estimated to be associated with heavy metal toxicity were calculated in frequency. Anthropometrics, blood pressure, Hb levels, PCV and heavy metals levels were not significantly different between centers (p>0.05). Blood Pb and Cr from the SB and FA were significantly different from those at the SA center (p<0.05). There were no statistically significant correlations between blood Pb levels, blood Cr, and Pb waste with hemoglobin and PCV levels. Symptoms of skin irritation, dizziness, and joint pain were felt by 37-49% of respondents. Blood levels of Pb and Cr in the SB and FA centers are higher than in the SA centers. There was no significant correlation between Pb and Cr toxicity with hemoglobin and PCV levels. Symptoms of toxicity among batik workers are thought to occur due to chronic heavy metal toxicity due to the use of synthetic paint.KEYWORDS batik; haemoglobin; chromium; blood cell; plumbum

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