KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat <p>KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat&nbsp;is a scientific journal published by Faculty of Public Health,&nbsp; Universitas Widya Gama Mahakam, with&nbsp;<a href=""><strong>pISSN 2460-0350</strong></a>&nbsp;and&nbsp;<a href=""><strong>eISSN 2477-5819</strong></a><strong>&nbsp;publish twice a year in June&nbsp;and December</strong>. This journal receives scientific writing in the form of a research report (Original article research paper). The accepted articles will be available online following the journal peer-reviewing process. The language used in this journal is Bahasa Indonesia or English.</p> Universitas Widya Gama Mahakam en-US KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat 2460-0350 <p>Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a&nbsp;<a href=""><strong>Creative Commons Attribution 4.0 International License</strong></a>&nbsp;that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.</p> <p><img src="/public/site/images/kesmas/CCC1.jpg"></p> Faktor-Faktor Yang Berhubungan Dengan Status Gizi Balita Di Kelurahan Pangkalan Jati Kecamatan Cinere Kota Depok Tahun 2020 <p><strong><em>Background</em></strong><strong><em>:</em></strong></p> <p>Toddler nutritional status is an important thing that must be known by every parent. Special attention needed for the growth and development of the toddler due to the fact that malnutrition during this golden period is irreversible, malnutrition in this period can also affect children's brain development in the future<em>.</em></p> <p><strong><em>Objectives:</em></strong></p> <p>The purpose of this study is to determine what factors that related to the toddler nutritional status in Posyandu Kelurahan Pangkalan Jati Kecamatan Cinere, Depok city in year 2020.</p> <p><strong><em>Research Metodes: </em></strong></p> <p>The design of this study is cross sectional with a sample size 158 respondents who fit the inclusion criteria using a propotional stratified random sampling technique<em>.</em></p> <p><strong><em>Results: </em></strong></p> <p>The result of this study, chi square showed the factors that related to the toddler nutritional status are gender variables (p value = 0.005), exclusive breastfeeding (p value = 0.003), infectious diseases (p value = 0,000), mother's occupational status ( p value = 0.004), mother's education level (p value = 0,000), family income (p value = 0,000), and number of family members (p value = 0.001). The logistic regression test results showed that the factor mostly affected toddler nutritional status in Posyandu Kelurahan Pangkalan Kecamatan Cinere, Depok City is family income (odds ratio 38.844; 95% CI 9.977-151.230).</p> <p><strong><em>Conclusion: </em></strong></p> <p><em>The factor mostly affected toddler nutritional status in Posyandu Kelurahan Pangkalan Kecamatan Cinere, Depok City is family income.</em></p> <p><em><strong>Keywords: </strong>Family income, gender, exclusive breastfeeding</em></p> Noura Azmia Tabah Sri Wahyuningsih Copyright (c) 2021 Noura Azmia Tabah, Sri Wahyuningsih 2021-06-30 2021-06-30 7 1 1 15 10.24903/kujkm.v7i1.949 Pemanfaataan Tapak Liman (Elephantopus scaber) Sebagai Obat Tradisional dan Bioaktivitasnya <p><strong><em>Background:</em></strong></p> <p><em>Elephantopus scaber (ES) or tapak liman has been used by various ethnic groups in Indonesia and other countries as traditional medicine. </em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>Comprehensive review of ES bioactivity is still limited, especially in the Indonesian language. </em></p> <p><strong><em>Research Metodes:</em></strong></p> <p><em>The writing of this article is based on a study of literature published on line and off line using several keywords Elephantopus scaber, bioactivities of Elephantopus scaber and uses of Elephantopus scaber.</em></p> <p><strong><em>Results:</em></strong></p> <p><em>In ethnobotany ES used wound medication, treatment of nephritis, edema, humidity, chest pain, fever, scabies, sores, coughs, tonics, fever, and bronchitis, and asthma. In China, ES leaves have been developed into "tea" to cure various diseases. The bioactivity of ES is anti-bacterial, anti-fungal, anticancer, hepatoprotective, stimulates hair growth, anti-diabetes mellitus, anti-wound, antioxidant, anti-neuroinflamation and overcoming kidney disorders. </em></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>Deoxyelephantopin is one of the main sesquiterpenes lactones derived from ES has anti-cancer anti-cancer development. The development of ES tea as an anti-cancer needs to be further investigated because this plant is very easy to find in Indonesia.</em></p> <p><em>&nbsp;</em></p> <p><em><strong>Keywords:</strong> Elephantophus scaber, anti-microbial, anti-cancer, deoxyelephantopin</em></p> Marina Silalahi Copyright (c) 2021 Marina Silalahi 2021-06-30 2021-06-30 7 1 16 29 10.24903/kujkm.v7i1.964 Faktor-Faktor Yang Berhubungan dengan Penggunaan Sarana Jamban Keluarga Di Desa Dadap Kecamatan Juntinyuat Kabupaten Indramayu <p><em><strong>Background:</strong></em></p> <p><em>Making latrines is a human effort to improve health by creating a healthy environment in which to live. In making latrines, as much as possible, care must be taken so that they do not cause unpleasant odors.</em></p> <p><em><strong>Objectives:</strong></em></p> <p><em>This study to see the relationship between the level of education, behavior, and income of the community and the use of family toilet facilities in Dadap Village, Juntinyuat District, Indramayu Regency in 2018.</em></p> <p><em><strong>Research Methods:</strong></em></p> <p><em>This research uses quantitative research with an analytic observational approach using the Cross-Sectional Study method. The population of this study was all heads of households in the village of Dadap with a sample size of 98 people.</em></p> <p><em><strong>Result:</strong></em></p> <p><em>The statistical test (Chi-Square test) show the results that the level of education is p = 0.240&gt; 0.05 indicates there is no relationship between education and the use of family latrines. Behavior p = 0.000 &lt;0.05 indicates a relationship between behavior and the use of family latrines. Income p = 0.000 &lt;0.05 indicates that there is a relationship between income and the use of family toilet facilities.</em></p> <p><em><strong>Conclusion:</strong></em></p> <p><em>It can be concluded that the research results have no relationship between education and the use of family toilet facilities in Dadap Village, Juntinyuat District, Indramayu Regency. Behavior and income have a relationship with the use of family toilet facilities in Dadap Village, Juntinyuat District, Indramayu Regency. The need for increased education, to improve changes in people's behavior to create a clean and healthy life.</em></p> <p><strong>Keywords</strong>: Education, behavior, income.</p> Sudirman Hairil Akbar Copyright (c) 2021 Sudirman, Hairil Akbar 2021-06-30 2021-06-30 7 1 30 38 10.24903/kujkm.v7i1.996 Faktor ibu dan waktu pemberian MPASI berhubungan dengan status gizi balita di Wilayah Kerja Puskesmas Fatukanutu, Kabupaten Kupang <p><strong><em>Latar Belakang:</em></strong></p> <p>Balita sangat rawan mengalami gangguan kesehatan akibat dari masalah gizi karena balita menjadi awal dari pertumbuhan dan perkembangan anak. Balita yang kekurangan gizi akan berisiko mengalami masalah kesehatan di masa mendatang. Penyebab masalah gizi pada balita antara lain, faktor orang tua karena balita masih sangat bergantung dengan orang tua, serta pemberian MPASI dini.</p> <p><strong><em>Tujuan :</em></strong></p> <p>Penelitian ini bertujuan untuk menganalisis hubungan antara faktor ibu dan waktu pemberian MPASI dengan status gizi balita di Wilayah Kerja Puskesmas Fatukanutu, Kabupaten Kupang.</p> <p><strong><em>Metode Penelitian:</em></strong></p> <p>Penelitian dilaksanakan di Desa Oefeto dan Raknamo, Kecamatan Amabi Oefeto, Kabupaten Kupang pada bulan September sampai Desember 2019. Desain penelitian yang digunakan adalah studi <em>cross sectional</em>. Sampel penelitian berjumlah 238 balita dan data dianalisis menggunakan uji <em>chi square</em>.</p> <p><strong><em>Hasil : </em></strong></p> <p>Hasil penelitian menunjukkan faktor-faktor yang berhubungan dengan status gizi balitaa dalah pendidikan ibu (<em>p value</em>=0,001), pengetahuan gizi ibu (<em>p value</em>=0,000), perilaku gizi ibu (<em>p value</em>=0,000), dan waktu pemberian MPASI (<em>p value</em>=0,000), sedangkan pekerjaan ibu (<em>p value= </em>0,817), dan sikap ibu tentang gizi (<em>p value</em>=0,444) tidak berhubungan dengan status gizi balita.</p> <p><strong><em>Kesimpulan: </em></strong></p> <p>Intervensi perlu dilakukan terhadap faktor-faktor yang berhubungan dengan status gizi balita, antara lain peningkatan pengetahuan gizi, serta penerapan perilaku gizi ibu.</p> <p>&nbsp;</p> <p><strong>Keywords:</strong><em> Put 3-5 your keywords here; keywords separated by semicolon</em></p> Asweros Umbu Zogara Meyrina Sulastri Loaloka Copyright (c) 2021 Asweros Umbu Zogara, Meyrina Sulastri Loaloka 2021-06-30 2021-06-30 7 1 39 47 10.24903/kujkm.v7i1.1022 Pengaruh Pendapatan, Pengetahuan Dan Kerentanan Penyakit Terhadap Willingness To Pay (WTP) Premi Jaminan Kesehatan Pada Pekerja Sektor Informal <p>&nbsp;</p> <p><strong><em>Background:</em></strong></p> <p><em>The Indonesian Government's target of Universal Coverage or 100% Health Insurance participation by 2019 failed to be achieved, even until the end of October 2020. The failure of universal coverage resulted in BPJS Health's finances getting worse after experiencing a deficit. Informal sector workers are the most dominant sector that has not participated in the Health Insurance scheme, totaling 30,487,891 workers. Low income, uncertainty each month, and the increase in contributions resulted in a decrease in Willingness to pay Health Insurance contributions.</em></p> <p><strong><em>Research purposes:</em></strong></p> <p><em>The purpose of this study is to analyze the effect of income, knowledge, and disease susceptibility to the willingness to pay (WTP) of health insurance contributions to informal sector workers.</em></p> <p><strong><em>Method:</em></strong></p> <p><em>This cross-sectional research was conducted in Kudus Regency, Central Java in January-February 2020. Sampling used purposive sampling with a total of 200 informal sector workers who had not yet participated in BPJS Kesehatan. The dependent variable is a willingness to pay. The independent variables are income, knowledge, and disease susceptibility. Data collection using a questionnaire and data analysis with logistic regression.</em></p> <p><strong><em>Result:</em></strong></p> <p><em>Willingness To Pay health insurance contributions for informal sector workers increased in income ≥Rp 2,218,451 (b = 2.02; 95% CI = 1.01-3.55; p = 0.044), high knowledge (b = 4.64; 95% CI = 2.36-8.31; p &lt;0.001), high disease susceptibility (b = 3.01; 95% CI = 0.26-5.75; p = 0.031).</em></p> <p><strong><em>Conclusion:</em></strong></p> <p><em>Income, knowledge, and disease vulnerability have a significant effect on the willingness to pay for health insurance contributions for informal sector workers.</em></p> <p>&nbsp;</p> <p><strong><em>Keywords: </em></strong><em>Universal Health Coverage; Willingness To Pay; Health Insurance; informal sector workers.</em></p> Anom Dwi Prakoso Copyright (c) 2021 Anom Dwi Prakoso 2021-06-30 2021-06-30 7 1 48 59 10.24903/kujkm.v7i1.1094 Analisis Hubungan Penggunaan Air Bersih dan Jamban Keluarga dengan Kejadian Diare pada Balita <p><strong><em>Background:</em></strong></p> <p><em>Diarrhea is still a health problem in the world, there are about 2 million cases of diarrhea worldwide every year, and 1,9 million children under five die from diarrhea every year. Diarrheal disease in Indonesia is an endemic disease and has the potential for extraordinary events. Diarrhea is the 3 highest infectious disease in North Sulawesi in 2016 with a total of 23.881 cases.</em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>His study aims to analyze the relationship between the use of clean water and the use of latrines with the incidence of diarrhea in children under five in Gogagoman Village, Kotamobagu in 2020.</em></p> <p><strong><em>Research methods:</em></strong></p> <p><em>This type of research is observational analytic with cross sectional design with a total sample of 43 respondents. The sampling technique used is accidental sampling. Data were collected by direct interviews with respondents and analyzed univariately and bivariately using the chi square test.</em></p> <p><strong><em>Results:</em></strong></p> <p><em>The results showed that 44,6% of respondents who had children under five suffered from diarrhea, 40,8% of respondents who used clean water did not meet the requirements, 41,5% of respondents who used latrines did not meet health requirements. The statistical test results showed that there was a relationship between the use of stick water and the incidence of diarrhea in children under five (p=0,023&lt;0,05) and there was a relationship between latrine use and the incidence of diarrhea among children under five (p=0,000&lt;0,05) in Gogagoman Village, Kotamobagu.</em></p> <p><strong><em>Conclusion:</em></strong></p> <p><em>here is a relationship between the use of clean water and the use of latrines with the incidence of diarrhea in children under five in Gogagoman Village, Kotamobagu in 2020.</em></p> <p><strong><em>&nbsp;</em></strong></p> <p><strong><em>Keyword: </em></strong><em>Diarrhea, use of clean water, use of latrines, children under five years</em></p> Hamzah B Copyright (c) 2021 Hamzah B 2021-06-30 2021-06-30 7 1 60 69 10.24903/kujkm.v7i1.1107 Faktor-faktor yang Berhubungan dengan Kejadian ISPA pada Balita Berusa 6-24 Bulan di Wilayah Kerja Puskesmas Lebdosari Semarang <p><strong><em>Background</em></strong><strong><em>:</em></strong></p> <p><em>Acute Respiratory Infection is an infectious disease that occupies the first position of the top ten diseases of Lebdosari Community Health Center which are mostly suffered by the community, especially in </em><em>infants</em><em> with an incidence of 3.32%.</em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>This Study aims to analyze the relationship sources of indoor air pollution and family practices to the incidence of Acute Respiratory Infection (ARI) in infants aged 6-24 months in the Lebdosari Community Health Center Semarang.</em></p> <p><strong><em>Research Metodes: </em></strong></p> <p><em>This study used a cross-sectional design. Sample size of about 121 toddlers taken by purposive sampling technique. Data was collected using self-administered questionnaire. Analysis of research was used chi-square test.</em></p> <p><strong><em>Results: </em></strong></p> <p><em>This study showed that there was a relationship between kitchen smoke (p-value = 0.029 RP = 2,676 95% CI = 1,296-5,527), the use of household insecticides (p-value = 0.045 RP = 2,974 95% CI = 1,329-6,653), presence of smokers in the house (p-value = 0.042 RP = 2,120 95% CI = 1,013-4,434), and opening windows practice (p-value = 0.001 RP = 3,191 95% CI = 1,589-6,409) with the incidence of ARI. There was no relationship between sun-curing bedding practice and hand-washing practice with the incidence of ARI.</em></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>T</em><em>here was a relationship between kitchen smoke, the use of household insecticides, presence of smokers in the house, and opening windows practice with the incidence of ARI</em><em> ARI in under five Children in The Works area of Lebdosari Community Health Center Semarang.</em></p> <p><em>&nbsp;</em></p> <p><strong>Keywords:</strong><em> Acute Respiratory Infections (ARI), Under-Five Children, Lebdosari Community Health Center</em></p> Devina Alya Maulida Yusniar Hanani Darundiati Nurjazuli Copyright (c) 2021 Devina Alya Maulida, Yusniar Hanani Darundiati, Nurjazuli Nurjazuli 2021-06-30 2021-06-30 7 1 70 83 10.24903/kujkm.v7i1.1121 Literature Review: Faktor Sanitasi Kapal dengan Keberadaan Vektor di Kapal <p><strong><em>Background:</em></strong></p> <p><em>Ship are related to public health because they allow the spread of disease due to public health risk factors, one of which is the presence of vectors that can trigger disease exchange in human. The existence of vectors on board is caused by poor sanitation such as bad hygiene, inadequate lighting and ventilation, bad food storage, and scattered garbage that is not properly disposed of.</em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>This literature review aims to determine the relationship between ship sanitation factors and the presence of vectors on ship</em></p> <p><strong><em>Research Metodes: </em></strong></p> <p><em>This study use the literature review method by searching for journals on the google scholar database and one search (2010-2020). The keyword used are "ship sanitation with vector presence", "ship sanitation and presence of vectors" and "ship and vector sanitation".</em></p> <p><strong><em>Results: </em></strong></p> <p><em>The result obtained on google scholar 150 articles and one search 16 articles where only 11 articles match this study. The result of this study, unqualified ship compartments namely kitchen and warehouse, due to ineligible hygiene, do not have adequate trash cans, and are free of insects and rat. The presence of cockroach vectors tends to be found on passenger ships and the presence of mosquito and mouse vectors tends to be found on cargo ship.</em></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>The conclusion in this study is that ship sanitation factors are related to the existence of vectors. The advice given is to increase routine ship sanitation checks by the Port Health Office officers.</em></p> <p><em>&nbsp;</em></p> <p><strong><em>Keywords:</em></strong><em> Ship, The Existence Of Vector, Sanitation</em></p> Rofiatul Asrifah Novera Herdiani Copyright (c) 2021 Rofiatul Asrifah, Novera Herdiani 2021-06-30 2021-06-30 7 1 84 94 10.24903/kujkm.v7i1.1130 Faktor yang Mempengaruhi Perilaku Mahasiswi Kesehatan dalam Akses Informasi Hak Kesehatan Reproduksi pada Perempuan Disabilitas <p><strong><em>Background:</em></strong></p> <p><em>The role of health students in providing information about reproductive health is very important, especially regarding reproductive health rights for women with disabilities. This is crucial to do because women with disabilities are very vulnerable to violence and discrimination, especially in terms of reproductive health. </em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>This study aimed to analyze the influence of knowledge and intention toward behavior of female health students in accessing information on reproductive health rights for women with disabilities. </em></p> <p><strong><em>Research Methods:</em></strong></p> <p><em>This was a quantitative study with a cross-sectional design. This study was conducted at the Midwifery Study Program at Tribhuwana Tunggadewi University Malang in October 2020. The sample size was 50 subjects, selected by simple random sampling technique. The dependent variable is the behavior of health female students in accessing information. The independent variables were knowledge and intention in access to information. Data collection using an online questionnaire. The data analysis technique used multiple linear regression. </em></p> <p><strong><em>Results:</em></strong></p> <p><em>The behavior of health female students in access to information was influenced by knowledge (</em><em>b= 0.36, CI 95% = 0.12 to 0.60, p= 0.005</em><em>), and intention in access to information (</em><em>b= 0.45, CI 95% = 0.10 to 0.80, p= 0.014</em><em>). </em></p> <p><strong><em>Conclusion:</em></strong></p> <p><em>Participants with good knowledge and high intention in access to information affect behavior in accessing information.</em></p> <p>&nbsp;</p> <p><em><strong>Keywords:</strong>&nbsp; health students; reproductive health rights; women with disabilities</em></p> Santy Irene Putri Copyright (c) 2021 Santy Irene Putri 2021-06-30 2021-06-30 7 1 95 105 10.24903/kujkm.v7i1.1131 Determinan Gangguan Fungsi Paru Pekerja Terpapar Silika : Systematic Review <p><strong>Abstract</strong></p> <p><strong>Background:</strong></p> <p>Chronic obstructive pulmonary disease is the third leading cause of death in the world. At least 10-20% of chronic obstructive pulmonary disease cases are found in the work environment. One of the causes of lung function disorder suffered by workers is due to inhalation of silica dust.<br><strong>Objectives:</strong></p> <p>To identify the determinants of lung function disorder in workers exposed to silica dust.<br><strong>Research Metodes:</strong></p> <p>Systematic quantitative review that was implemented through a meta-analysis study with initial search results for articles matched to the title and abstract was 44 articles and it was eliminated by using inclusion criteria resulting 20 articles. The publication year of the articles was 2007-2020 and has been indexed by Garuda Dikti, SINTA, DOAJ and Scopus.<br><strong>Results:</strong></p> <p>The number of samples from the combined study of 20 articles was 2.561 workers that 33% of the sample had lung function disorder. The p value for each variable included age p= 0,001, sex p= 0,854, nutritional status p= 0,033, inhaled dust level p= 0,007, working period p= 0,000, length of exposure p= 0,027, history of lung disease p= 0,880, exercise habit p= 0,098, PPE use p= 0,004, and smoking habit p= 0,014.<br><strong>Conclusion:</strong></p> <p>The variables as determinant with the greatest risk of pulmonary function disorder were individual smoking habit and work environment factors.</p> Sunindy Wahyunita Nikie Astorina Yunita Dewanti Mursid Raharjo Copyright (c) 2021 Sunindy Wahyunita, Nikie Astorina Yunita Dewanti, Mursid Raharjo 2021-06-30 2021-06-30 7 1 106 116 10.24903/kujkm.v7i1.1133 Pajanan Pestisida Sebagai Faktor Risiko Kejadian Berat Badan Lahir Rendah (BBLR) <p><strong><em>Background:</em></strong></p> <p><em>Low birth weight (LBW) is one of the causes of infants death. One of the factors that is proven to be associated with&nbsp; LBW incidence is pesticide exposure to pregnant women. The high number of female farmers in the agricultural sector will increase the risk of pesticide exposure in pregnant women.</em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>This study aims to describe how pesticide exposure can be a risk factor for the incidence of LBW.</em></p> <p><strong><em>Research method:</em></strong></p> <p><em>This study is a systematic study that used meta-synthesis aggregation approach. The search for articles focused on articles that examined the risk factors for pesticide exposure on the incidence of LBW in pregnant women which was conducted on the online databases of Science Direct, Scopus, PubMed, Springer, Google Scholar, and Garuda Portal. The criteria for the articles used were national observational journals indexed at least 4 and indexed international journals published in 2010-2020.</em></p> <p><strong><em>Result</em></strong><em>:</em></p> <p><em>There were 8 articles that match to the criteria and research topic. Factors that were proven to increase the risk of LBW incidence in pregnant women were agricultural activities related to pesticide, participation in agricultural activities, completeness of PPE, storage of pesticide, duration of exposure to pesticide, frequency of exposure to pesticide, amount of pesticide mixture, and types of pesticide used.</em></p> <p><strong><em>Conclusion</em></strong><em>:</em></p> <p><em>Pesticide exposure to pregnant women causes the accumulation of pesticide residues in the body, thus reducing the formation of thyroid hormones and IGF-1 which can cause LBW.</em></p> <p>&nbsp;</p> <p><strong><em>Keywords</em></strong><em>: low birth weight; pesticide exposure; pregnant women</em></p> Amanda Luky Ernawati Tri Joko Suhartono Copyright (c) 2021 Amanda Luky Ernawati, Tri Joko, Suhartono 2021-06-30 2021-06-30 7 1 117 126 10.24903/kujkm.v7i1.1134 Faktor Yang Berhubungan Dengan Penggunaan Jamban Di Desa Sungai Terap Kecamatan Kumpeh Ulu Kabupaten Muaro Jambi <p><strong><em>Background</em></strong><strong><em>:</em></strong></p> <p>The use of latrines in the village is still unhealthy because of the habits of the people who use pit latrines in the river. The impact of not using latrines is causing diseases, causing odor , and cause pollution.</p> <p><strong><em>Objectives:</em></strong></p> <p><em>The purpose of this study was to to determine the relationship between education, clean water facilities, the role of health workers, the role of community leaders, knowledge of using latrines</em></p> <p><strong><em>Research Metodes: </em></strong></p> <p><em>This type of research is descriptive analytic with cross sectional approach. The sampling technique used simple random sampling, the sample was all household in the Sungai Terap 90 people. The analysis used the chi-square test.</em></p> <p><strong><em>Results: </em></strong></p> <p><em>There is no relationship between education and latrine use, the p-value is 0.957. There is a relationship between clean water facilities and the use of latrines, the p-value is 0.000. There is no relationship between the role of health workers and the use of latrines, the p-value is 0.189. There is a relationship between the role of community leaders and the use of latrines, the p-value is 0.000. There is a relationship between knowledge and latrine use.</em></p> <p><strong><em>&nbsp;</em></strong></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>There is no relationship between education and the role of health workers</em></p> <p>&nbsp;</p> <p><em><strong>Keywords:</strong> latrines, education, clean water facilities, the role of health workers, the role of community leaders, knowledge</em></p> Andi Ahmadiyah Nurussabil T. Samsul Hilal Ahmad Husaini Copyright (c) 2021 Andi Ahmadiyah Nurussabil, T. Samsul Hilal, Ahmad Husaini 2021-06-30 2021-06-30 7 1 127 139 10.24903/kujkm.v7i1.1138 Faktor Terkait Praktik PHBS Masyarakat Pada Masa Pandemi Covid-19 Di Desa Randuboto Kabupaten Gresik <p><strong><em>Background:</em></strong></p> <p><em>COVID-19 is an pandemic, including Indonesia. PHBS (Clean and Healthy Living Behaviour) is an effort to strengthen the behaviour of a person, group, and community to care for and prioritize health to create a higher quality life. Community participation in efforts to prevent COVID-19 is an important factor in breaking the chain of infection. As 9 July 2020 3 residents have been confirmed positive for COVID-19 in Randuboto Village. </em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>Therefore this research was carried out to analyze the factors related to PHBS practices durung the COVID-19 pandemic in Randuboto Village, Gresik Regency. </em></p> <p><strong><em>Research Metodes: </em></strong></p> <p><em>This type of research used in this study is an observational study using a cross sectional approach. The population in this study was the total population of Randuboto Village, Gresik Regency which was recorded as many as 4,006 people. The sampling technique used in this study was snowball sampling. The nimber of samples taken was 108 samples that met the inclusion criteria. The independent variables in this study are the level of knowledge, attitudes, and the availability of supporting facilities for the respondents. The dependent variable in this study is PHBS practices during the COVID-19 pandemic. </em></p> <p><strong><em>Results: </em></strong></p> <p><em>PHBS practices in Randuboto Village, Gresik Regency during the COVID-19 pandemic showed good practice at 55,6%. This is related to the activity of washing hands with soap and running water, diligently eat healthy foods, regularly do physical activity/ exercise, smoking outside the house, regularly cleaning the neighborhood where I live, regularly leaving the house during the COVID-19 emergency using a mask, frequently visiting public places and being crowded during colds.&nbsp; The majority of respondents were ≤ 25 years old, which was 63,9%, while the majority of respondents education level was Senior High School&nbsp; at 53,7%. The majority of respondents types of work are other at 52,8%. The variable related to the practice of PHBS during the COVID-19 pandemic are the level of knowledge(0,001), attitudes (0,001), and the availability of supporting facilities (0,001). </em></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>Most of the respondents have a poor level of knowledge, good attitude, availability of adequate supporting infrastructure and good PHBS practices during the COVID-19 pandemic.The practice of PHBS during the COVID-19 pandemic In the environment around Randuboto Village, Gresik regency needs to be improved again, especially in knowledge, as weel as the availability of supporting facilities. It is hoped that the community an also improve personal hygiene such as washing hands regularly and wearing masks when doing activities outside. This is very important to break the chain of spread of the COVID-19. </em></p> <p><strong><em>&nbsp;</em></strong></p> <p><strong><em>Keywords:</em></strong><em> Clean and Healthy Living Behaviour, corona virus&nbsp; </em></p> Siti Zaerina Zaerina Yusniar Hanani Darundiati Nikie Astorina Yunita Dewanti Copyright (c) 2021 Siti Zaerina Zaerina, Yusniar Hanani Darundiati , Nikie Astorina Yunita Dewanti 2021-06-30 2021-06-30 7 1 140 149 10.24903/kujkm.v7i1.1144 Hubungan Karakteristik Responden, Pengetahuan Dan Luas Ventilasi Dengan Kejadian Skabies Pada Santri Pondok Pesantren X Semarang <p><strong><em>Background</em></strong><strong><em>:</em></strong></p> <p>Scabies is a contagious skin disease caused by Sarcoptes scabiei. Scabies is still a neglected health problem in the world. In Indonesia, scabies ranks 3rd out of 12 of the most common skin diseases. Islamic boarding school students are generally prone to scabies because they live and sleep in the same place. Scabies can be caused by gender, level of education lack of knowledge and the extent of inadequate ventilation.</p> <p><strong><em>Objectives:</em></strong></p> <p>This study aims to analyze the relationship between gender, knowledge and extent of ventilation with the incidence of scabies at the Nurus Sunnah Islamic Boarding School Semarang.</p> <p><strong><em>Research Metodes: </em></strong></p> <p>This study is a quantitative study with an observational analytic approach and a cross-sectional study design. The sample in this study were 107 respondents with a purposive sampling technique. Data collection using <em>google form</em> and analyzed using chi square.</p> <p><strong><em>Results: </em></strong></p> <p>The results of this study indicate that there are 19.6% of respondents suffering from scabies. There was a sex relationship with the incidence of scabies (p-value = 0.001), there was no relationship between the level of education and the incidence of scabies (p-value = 0.557), there was a relationship between the level of knowledge and the incidence of scabies (p-value = 0.036), there was a relationship between the extent of ventilation. with the incidence of scabies (p-value = 0.023).</p> <p><strong><em>Conclusion: </em></strong></p> <p>There is a relationship between gender, knowledge and extent of ventilation with the incidence of scabies in students of the Nurus Sunnah Islamic Boarding School in Semarang in 2020.</p> <p><em><strong>Keywords:</strong> </em>scabies, knowledge, gender, area of ​​ventilation, Islamic boarding school</p> Ana Novia Rahmawati Retno Hestiningsih Arie Wurjanto Martini Martini Copyright (c) 2021 Ana Novia Rahmawati, Retno Hestiningsih, Arie Wurjanto, Martini Martini 2021-06-30 2021-06-30 7 1 150 158 10.24903/kujkm.v7i1.1167 Analisis Kualitas Mikrobiologi Air Minum Isi Ulang di Depo Air Minum Isi Ulang Kelurahan Jemur Wonosari Kota Surabaya <p><strong><em>Background</em></strong><strong><em>:</em></strong></p> <p><em>Based on the preliminary test using laboratory tests from three refill drinking water samples in Jemur Wonosari Village, all three were positive for Coliform. Therefore, researchers are interested in researching Analysis of the Microbiological Quality of Refilled Drinking Water at the Refill Drinking Water Depot in Jemur Wonosari Village.</em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>Knowing the microbiological quality of refill drinking water produced at the refill drinking water depot in Jemur Wonosari Village</em><em>.</em></p> <p><strong><em>Research Methods: </em></strong></p> <p><em>This research is a descriptive study with a cross-sectional quantitative approach using primary and secondary data sources. The population in this study were all 13 refill drinking water depots. The research takes the total population. Refillable drinking water samples were tested at the Gayung Sari Regional Health Service Laboratory. Data analysis used descriptive analysis by comparing the results of laboratory tests with Permenkes 492 of 2010.</em></p> <p><strong><em>Results: </em></strong></p> <p><em>The results showed that 13 samples found that 13 samples were positive for Coliform, and 13 samples were negative for Escherichia coli. According to Permenkes No. 429 of 2010, the maximum limit per 100 ml of sample is 0. So the 13 samples of refill drinking water based on microbiological parameters, namely Escherichia coli in refilled drinking water, meet the standard while the Coliform does not meet the standard.</em></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>All refill drinking water depots in Keluraham Jemur Wonosari produce refilled drinking water whose quality does not meet the government's microbiological standards. There is a need for increased supervision and guidance at refill drinking water depots.</em></p> <p><em>&nbsp;</em></p> <p><em><strong>Keywords:</strong> Drinking Water, Microbiological Analysis, Refill Drinking Water Depot</em></p> Ajeng Dwi Rahmawati Akas Yekti Pulih Asih Edza Aria Wikurendra Copyright (c) 2021 Ajeng Dwi Rahmawati, Akas Yekti Pulih Asih, Edza Aria Wikurendra 2021-06-30 2021-06-30 7 1 159 166 10.24903/kujkm.v7i1.1181 Penetapan Tarif Ambulans Untuk Evakuasi Medis Berbasis Unit Cost <p><strong><em>Background</em></strong><strong><em>:</em></strong></p> <p><em>An ambulance is a vehicle designed to be able to handle emergency patients, provide first aid and carry out intensive care while on the way to a referral hospital. Ambulance operations require a large amount of funds obtained from APBD funds through tariffs that were passed through the DKI Jakarta Governor Regulation five years ago. For this reason, a new tariff is required to adjust to current conditions<strong>.</strong></em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>The purpose of this study is to calculate the unit cost of ambulance services in DKI Jakarta to be a consideration in the tariff setting policy in DKI Jakarta province.</em></p> <p><strong><em>Research Metodes: </em></strong></p> <p><em>This study uses a quantitative descriptive approach to obtain information about the unit cost of the Jakarta ambulance production unit. The method used is the calculation of real cost using the basis of the causes of costs. This research was conducted at the DKI Jakarta Emergency Ambulance using secondary data on investment costs, operational costs and maintenance costs in 2018.</em></p> <p><strong><em>Results: </em></strong></p> <p><em>The total cost of emergency ambulance in 2018 is known that the proportion of three cost components, namely operational costs, is 76%, followed by investment costs of 20% and maintenance costs of 3%. The calculation of the total cost of medical evacuation using the double distribution method is Rp. 98,915,016,805.00 divided by the number of medical evacuations in 2018 of 37,564 activities, the unit cost of medical evacuation for the AGD of DKI Jakarta Health Office is Rp. 2,633,215.00 without subsidies. APBD costs, while if the subsidy component is included in the calculation, the unit cost for one trip to the AGD of the Health Office is Rp. 604,071.00. This is still far above the current tariff of Rp. 450.00, so the cost recovery rate (CRR) is still below. 100%.</em></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>From t</em><em>he three cost components consisting of investment, operational and maintenance costs,the largest proportion was operational costs at 76%. The Cost Recovery Rate has not reached 100% so that the existing rates have not covered the costs incurred.</em></p> <p><em>&nbsp;</em></p> <p><em><strong>Keywords:</strong> ambulance; price fixing; unit cost</em></p> Kelvin Riupassa Narizma Nova Endah Lestari Sri Juniarti Azis Wahyu Sulistiadi Copyright (c) 2021 Kelvin Riupassa, Narizma Nova, Endah Lestari, Sri Juniarti Azis, Wahyu Sulistiadi 2021-06-30 2021-06-30 7 1 167 173 10.24903/kujkm.v7i1.1210 Analisis Faktor Cuaca dengan Kejadian Demam Berdarah Dengue (DBD) di Kabupaten Wonogiri Tahun 2014-2018 <p><strong><em>Background:</em></strong></p> <p><em>Wonogiri Regency is one of the dengue endemic areas in Central Java with a fluctuating number of cases during 2014-2018. The number of dengue cases drastically increased nearly 4 times amounting 52 cases in 2016 to 207 cases in 2017. Weather factors such as rainfall, humidity, temperature, and wind velocity can affect the reproduction and spread of DHF vectors.</em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>This study was aimed to analyze the association between weather factors (rainfall, humidity, temperature and wind velocity) with the incidence of dengue fever in Wonogiri Regency in 2014-2018.</em></p> <p><strong><em>Research Metodes: </em></strong></p> <p><em>This research was an analytic observational study using cross sectional approach. The type of data used was secondary data about the weather (rainfall, humidity, temperature and wind velocity) in Wonogiri Regency which was obtained from the Wonogiri Meteorological Station and data on the number of dengue incidents in Wonogiri Regency which were obtained from the Health Office of Central Java Province. The data were used each month for 5 years, from January 2014 to December 2018. Data were analyzed by using univariate and bivariate analysis (Rank Spearman correlation test), because only the humidity variable is normally distributed.</em></p> <p><strong><em>Results: </em></strong></p> <p><em>The highest number of dengue cases during 2014-2018 as many as 30 cases in November 2018 with an average of 6 cases, the highest rainfall was 887 mm with an average 191.05 mm, the highest humidity was 91.55% with an average of 86.77%, the highest temperature was 28.75<sup>o</sup>C with an average of 27.50<sup>o</sup>C and the highest wind velocity was 7.86 knots with an average of 0.89 knots. The results of the Spearman Rank correlation statistical test showed that there was a significant association with moderate strength and a positive direction between rainfall and the incidence of DHF (p = 0.001 and r = 0.420), which means that the increasing of rainfall, the more the number of DHF incidents. There was no significant association between humidity and the incidence of dengue fever (p = 0.925 and r = 0.012). There is a significant association with moderate strength and a negative direction between temperature and the incident of DHF (p = 0.001 and r = -0.415), which means that the increasing the temperature, the number of dengue cases decreases. There is no significant association between wind velocity and the incident of dengue (p = 0.577 and r = -0.073).</em></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>Rainfall causes the breeding place of Aedes mosquitoes to increase, as a result it has an effect on the increase of the mosquito population. Temperature affects the number of eggs produced by Aedes mosquitoes, so that the density of adult mosquitoes increases. </em></p> <p><em>&nbsp;</em></p> <p><em><strong>Keywords:</strong> DHF; rainfall; humidity; temperature; wind velocity</em></p> Endah Nur Latifah Yusniar Hanani Darundiati Nur Endah Wahyuningsih Copyright (c) 2021 Endah Nur Latifah, Yusniar Hanani Darundiati, Nur Endah Wahyuningsih 2021-06-30 2021-06-30 7 1 174 188 10.24903/kujkm.v7i1.1221 Dampak Revolusi Mobilisasi Penduduk terhadap Persebaran Penyakit Menular di Indonesia <p><strong><em>Background</em></strong><strong><em>:</em></strong></p> <p><em>Increased population mobility has continued to occur over time, especially worker mobility consisting of commuter mobility and circular mobility. A person's mobility is very influential on the condition of health status, especially related to the spread of infectious diseases. Direct infectious disease is a disease with the transfer of germs through physical contact from a sick person or a carrier to a healthy person. </em></p> <p><strong><em>Objectives:</em></strong></p> <p><em>T</em><em>o analyze the impact of the population mobility revolution on the spread of infectious diseases in Indonesia.</em></p> <p><strong><em>Research Metodes: </em></strong></p> <p><em>The study was conducted by studying literature through collecting supporting articles and analyzing secondary data. The data used are direct infectious disease data consisting of Tuberculosis, HIV, Hepatitis and Leprosy from the Indonesian Health Profile, Main Results of Basic Health Research, and Statistics Data from the Central Statistics Agency, as well as previous research articles.</em></p> <p><strong><em>Results: </em></strong></p> <p><em>T</em><em>he trend of the mobility of movers experienced an increase in line with trends in communicable diseases such as Tuberculosis, HIV, and Hepatitis. High mobility affects the spread of infectious diseases Tuberculosis, Hepatitis and Leprosy seen from the factor of interaction with others, as well as the influence on HIV. The influence can be seen from Commercial Sex Workers (CSWs) who transmit to their customers and the families of CSW customers who can transmit it to their wives.</em></p> <p><strong><em>Conclusion: </em></strong></p> <p><em>The increased mobility pattern of movers is accompanied by an increased pattern of direct infectious diseases including tuberculosis, HIV, and hepatitis.</em></p> <p><em>&nbsp;</em></p> <p><em><strong>Keywords:</strong> Mobility, Population, Spread, Infectious Diseases</em></p> <p><strong>&nbsp;</strong></p> Oktavia Beni Kujariningrum Anisa Nur Cahyanti Rofifatun Nisa Farid Agushybana Sri Winarni Cahya Tri Purnami Copyright (c) 2021 Oktavia Beni Kujariningrum, Anisa Nur Cahyanti, Rofifatun Nisa , Farid Agushybana, Sri Winarni, Cahya Tri Purnami 2021-06-30 2021-06-30 7 1 189 197 10.24903/kujkm.v7i1.1226