Nikie Astorina Yunita Dewanti
Unknown Affiliation

Published : 43 Documents
Articles

KUALITAS MANAJEMEN PENGELOLAAN LIMBAH B3 TERHADAP INDEKS PROPER DI RSUD RAA SOEWONDO PATI Arindita, Nia Dhesti; Rahardjo, Mursid; Dewanti, Nikie Astorina Yunita
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 3 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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RSUD RAA Soewondo Pati is a hospital which has not received assessment ratings for PROPER. Based on the field observations that has done, the management of hazardous and toxic waste in the hospital  has not entirely true and safe according to Health Minister Decision No. 1204 in  2004, Environment Minister Decision No. 03 in 2014, and Government Regulation No. 101 in 2014. This study aims to assess the quality of the management of B3 waste management at RSUD RAA Soewondo Pati  to PROPER index. This research methodology used in this research was qualitative and quantitative approaches with cross sectional design.  The population of this study is was executing management of hazardous and toxic wastes by using total sampling technique. The results showed percentage of obedience data collection type and volume hazardous and toxic waste management, reporting activity, license and validity period, the implementation of permit conditions, the amount of waste managed hazardous and toxic, and B3 waste management with a third-party. Hazardous and toxic waste management in the collection, storage, transportation, and disposal has not managed well according to Health Minister Decision No. 1204 in 2004. Based on the research results of hazardous and toxic waste management derived from 13 primary care hospital with various types of  hazardous and toxic waste generated is plabot, infusion hoses, syringes, tissue and fluids body. The conclusion of the research indicated the assessment results of the management hazardous and toxic waste management by 50% and PROPER ranking was red.
ANALISIS POSISI STAKEHOLDERS PROGRAM PENANGGULANGAN TB DI LAPAS KLAS I SEMARANG Kumalasari, Shinta Trinovia; Jati, Sutopo Patria; Dewanti, Nikie Astorina Yunita
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 5 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Tuberculosis in Indonesia?s Correctional Institution  is not a new case. Semarang Class I Correctional Institution on March 2018 has an excess capacity of 114%, and this condition causes a high risk of TB disease. In 2016 until early 2018 has found 25 cases of TB in this Correctional Institutions, although they have been using DOTS strategy. The success of TB program is influenced by multi factors such as the involvement of the stakeholders. This study aims to mapping the position of stakeholders of TB control in Semarang Class I Correctional Institution. This type of research is qualitative with in-depth interviews. The main informants are Doctor, Monev Officer, and Cadres. The Triangulation informants are TB Wasor, Kasi Perawatan, Head of TB Team, and Prisoner as program targets. Stakeholder positions are reviewed based on attitude, influence and interest. The results shows that all stakeholders support the TB control program in Semarang Class I Correctional Institution and all stakeholders except  prisoner who have pasive interest in the program. The influence of stakeholders in the program greatly influences its strategic position, particularly its ability to influence through advocacy and supervision. From all stakeholders, only the Wasor, Kasi Perawatan, and Head of TB Team who have strong influence. The conclusion of this study is the position of Wasor, Kasi Perawatan, and Head of TB Team has a supportive attitude, strong influence and active interest in the position of the "Saviour" program. Doctor, Monitoring and Evaluation Officer and Cadres has  a supportive attitude, has a weak influence and active interest tend to be "friends". Prisoner as program target has supportive attitude, involved passively and has a weak influence on the position of "Acquintance".
ANALISIS SEBARAN KASUS TB PARU BTA POSITIF DI KOTA SEMARANG TAHUN 2018 BERDASARKAN SUHU UDARA Aryanti, Yulia; Suhartono, Suhartono; Dewanti, Nikie Astorina Yunita
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 4 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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In 2016, There were 351,893 cases found in Indonesia. The highest number of this case could be seen in Central Java. The Data obtained from the Public Health Departement of Semarang according to the first to the third quarter of 2018 shown that there were 819 people suffer from Tuberculosis. Risk factor and the pattern of this spread of pulmonary TB disease in Semarang not yet to be known. This research aims to spatially analyze the incidence distribution of positive smear Pulmonary Tuberculosis, indoor air temperature and population density in 2018 in Semarang using GIS. The research design is observational descriptive with using survey as the method. Its sample selected by using total sampling technique, with incidence variable of positive smear Pulmonary Tuberculosis, temperature and population density. The Data collected by using GPS and Thermohygrometer, which then mapped into the Geographic Information System. Result of the research is There are 203 respondent (91%) who didn?t meet the average room temperature (<18OC and > 30OC) in each sub district. The average room temperature, the respondent often used, is 32.81OC with standard deviation 1.9. The conclusion is Spatial Analysis described that the average room temperature don?t meet the eligible health regulation (>30OC) and population density has a risk of affecting positive smear Pulmonary Tuberculosis. 
GAMBARAN KEJADIAN GANGGUAN FUNGSI PARU PADA PEKERJA PENGASAPAN IKAN DI BANDARHARJO SEMARANG Rachmawati, Annisa; Darundiati, Yusniar Hanani; Dewanti, Nikie Astorina Yunita
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 6 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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The smoking fish center in Bandarharjo is the largest center in Semarang city and it still uses traditional smoking method. The fuel used is coconut shell, coconut husk and corncob which is one of activity of burning biomass. Biomass burning has the risk of respiratory infections and obstructive pulmonary disease. The factors that can affect the impaired lung function are age, sex, work period, long exposure, nutritional status, smoking habits, exercise habits, and history of respiratory diseases. The aim of this study is to determine the description of the incidence of impaired lung function in smoking fish workers. This research is descriptive research with cross sectional study. The unit of analysis in this study is the workers in the smoking fish. Determination of sample is using purposive sampling method, so that got sampel as many as 36 respondents. In this study, most of the workers were ?30 years old (96.7%), female (93.3%), medium-term (30%), long service period (70%), long exposure ? 8 hours per day (93.3%). Most of them have more nutritional status (73.3%) All workers do not use masks (100%), have no smoking habit (93,3%) and no sport habit (93,3). Most of the workers had impaired lung function, with restriction disorder (26.7%), moderate restriction disturbance (26.7%), mild restriction disorder (16.7%), severe restriction disorder (6.7%) and mixed disorder (16.7%).The conclusion of this research is that most of the working of fish curing have impaired lung function.
BIOKONSENTRASI LOGAM BERAT TEMBAGA (CU) DAN POLA KONSUMSI IKAN MUJAIR DI WILAYAH DANAU RAWAPENING Rosahada, Ailsa Devina; Budiyono, Budiyono; Dewanti, Nikie Astorina Yunita
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 6 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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People near Rawapening usually make a living by doing agricultural, livestock and fishing in Rawapening. However, some of these activities can increare the copper pollution in the lake's water. On the other hand, water qualities are one of the most important factors in fishery, because it can have an effect to human?s health. The aim of this research is to know the bioconcentration value of copper in Oreochromis mossambicus at Rawapening and maximum limit of daily consumption of fish which is safe for human. Sampling was done by purposive sampling by buying catches to fishermen directly and through collectors. Measurement of copper concentration in water and fish used the Atomic Absorption Spectrophotometry method. Concentration of copper in water at Rawapening has exceeded the quality standard of government regulation in Indonesia Number 82 of 2001 which was equal to 0.063 mg/l. Consentration of copper in Oreochromis mossambicus has exceeded the quality standard of Indonesia National Standard which was equal to 0.6 mg/kg. Bioconcentration of Oreochromis mossambicus in Rawapening was equal to 10.26. The BCF category the Cu metals fall into the category of low accumulation. The maximum daily consumption limit of catch fish in Rawapening was 3.280 g/day for adult women and 3.900 grams/day for adult men. The average consumption of Rawapening community was 218±37 grams/day and the median value 225±37 grams/day. This research can be concluded that copper have low category accumulation and average daily consumption of people near Rawapening remains below the safe limit.
HUBUNGAN KUALITAS SANITASI LINGKUNGAN DAN BAKTERIOLOGIS AIR BERSIH TERHADAP KEJADIAN DIARE PADA BALITA DI WILAYAH KERJA PUSKESMAS ADIWERNA KABUPATEN TEGAL Sidhi, Alfia Nugrahani; Raharjo, Mursid; Dewanti, Nikie Astorina Yunita
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 3 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Quality of sanitation in Puskesmas Adiwerna is still bad. Quality of bad environmental sanitation can cause various diseases such as diarrhea and become a problem in Indonesia, especially diarrhea in infants. One area that is still a high incidence of diarrhea which Tegal district with diarrhea Incidence Rate of 39.74 per 1000 population and Adiwerna Public Health Center has the highest Prevalence Rate infants in 2015 amounted to 20.64 per 100 infants. The purpose of this study to determine the relationship of environmental sanitation and bacteriological quality of water on the incidence of diarrhea in infants in Adiwerna Public Health Center. This study used cross sectional design with the kind of analytical observation. The population is all children under five by 2015 as many as 4320 with a total sample of 42 respondents drawn by simple random sampling. Data were obtained from interviews and observations are then analyzed with chi square. Univariate analysis showed there were 54.8% incidence of diarrhea. There are toilets to 69.0%, 50.0% garbage disposal facilities, SPAL 76.1%, and 78.6% bacteriological quality of water is not eligible. Incidence of diarrhea has a significant relationship with latrine facility conditions, SPAL, and the bacteriological quality of the water (p = 0.02, p = 0.03 and p = 0.02) and was not associated with garbage disposal facilities (p = 0.063). In conclusion latrine facility conditions, SPAL, and the bacteriological quality of water associated with the incidence of diarrhea in infants in Adiwerna Public Health Center.
FAKTOR RISIKO BAHAYA TEMPAT KERJA DAN LINGKUNGAN RUMAH TERHADAP KESEHATAN HOME-BASED WORKER DI KOTA SEMARANG Dewanti, Nikie Astorina Yunita; Sulistiyani, Sulistiyani; Setyaningsih, Yuliani; Jayanti, Siswi
Jurnal Kesehatan Lingkungan Indonesia Vol 17, No 1 (2018): April 2018
Publisher : Master of Environmental Health Study Program, Faculry of Public Health, Faculty of Public

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Abstract

Latar belakang: Pekerja rumahan (home-based worker) adalah fenomena yang sering ditemui di kaya dan miskin Mereka biasanya bekerja di rumah dalam kondisi yang tidak menguntungkan baik dari aktivitas pekerjaan dan lingkungan rumahnya tanpa perlindungan kesehatan dan keselamatan kerja seperti pekerja sector formal pada umumnya termasuk kondisi lingkungan rumah yang buruk. Penelitian ini bertujuan untuk melihat risiko bahaya tempat kerja dan lingkungan rumah terhadap kesehatan home-based worker di Kota Semarang.Metode: Jenis penelitian adalah penelitian observasional dengan menggunakan desain cross sectional, yang dilakukan di 6 kecamatan di Kota Semarang. Sampel penelitian sebanyak 275 pekerja yang dipilih dengan metode Snowball Sampling. Analisis data dengan mengunakan chi-square.Hasil: Kondisi lingkungan rumah yang buruk, seperti ventilasi 118 (42,9%), lantai 141 (51,3%) dan langit-langit rumah 209 (76%). Potensi bahaya fisik yang ditemukan dari aktivitas dan lingkungan kerja home-based worker adalah getaran dan radiasi, sedangkan bahaya kimia yang ada adalah debu. Gangguan kesehatan yang banyak timbul adalah pusing dan sakit kepala 139 (50,5%) pekerja, kesemutan 165 (60%) pekerja, sakit pada tulang dan otot 166 (60,4%) pekerja serta batuk dan sesak nafas 61 (27,2%) pekerja. Kondisi lingkungan rumah pekerja yang signifikan terhadap timbulnya gangguan kesehatan adalah kondisi lantai terhadap timbulnya batuk dan sesak nafas (p-value=0,0001) dan kondisi ventilasi rumah terhadap pusing dan sakit kepala (p-value=0,016).Simpulan: Risiko bahaya pada home-based worker di Kota Semarang timbul dari kondisi lingkungan rumah seperti kondisi lantai rumah buruk terhadap timbulnya batuk dan sesak nafas dengan risiko 2,46 kali lebih besar dan kondisi ventilasi rumah yang buruk terhadap timbulnya pusing dan sakit kepala dengan risiko 1,35 kali lebih besar. ABSTRACTTitle: Risk Factors Workplace and Home Environment Hazards to Home-based Worker Health in SemarangBackground: Home-based workers is a common phenomenon in almost all countries. They usually work at home in unfavorable conditions both from their occupational activities and home environment without health and safety protection such as formal sector workers in general, including poor home environment conditions. This study aims to look at the risk of workplace and environmental hazards home to home-based health worker in Semarang.Methods: The study was an observational using cross-sectional design, which was conducted in 6 districts in Semarang. The sample of research is 275 workers selected by Snowball Sampling method. Data were analyzed using chi-square. The research variables are workplace hazard and home environment condition as independent variable and health problem as dependent variable, as measured by interviews and observations.Results: Poor home environment conditions, such as ventilation 118 (42.9%), floor 141 (51.3%) and 209 (76%) house ceiling. The potential physical hazards found in the activity and work environment of the home-based worker are vibration and radiation, while the chemical dangers are dust. The most common health problems were dizziness and headache 139 (50.5%) workers, tingling 165 (60%) workers, bone and muscle pain 166 (60.4%) workers and cough and breathlessness 61 (27.2 %) of workers. Worker's significant environmental condition for the occurrence of health problems is the condition of the floor to the occurrence of cough and shortness of breath (p-value = 0.0001) and the condition of home ventilation to dizziness and headache (p-value = 0,016).Conclusion: Risk factors in home-based worker in Semarang arise from the condition of the home environment. Unsafe home floor conditions contribute 2.46 times greater risk for coughing and shortness of breath. Home ventilation conditions were <10% of the floor area contribute 1.35 times greater risk for dizziness and headache.
HUBUNGAN RIWAYAT PAJANAN PESTISIDA DENGAN GANGGUAN FUNGSI HATI PADA PETANI DI DESA SUMBEREJO KECAMATAN NGABLAK KABUPATEN MAGELANG Tsani, Ronna Atika; Setiani, Onny; Dewanti, Nikie Astorina Yunita
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 3 (2017): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Pesticides used as the main material for farmers in pest control at Sumberejo Village. Liver is one of the target organs of pesticides. Accumulation of pesticide exposure into the liver caused liver cell disorders. Preliminary study results showed 10 out of 15 farmers who feel complaints such as weakness, pale, nausea, and pain in the upper right abdomen and 6 of 15 farmers showed jaundice on the eyes. The purpose of this study was to analyze the relationship between pesticides exposure and liver dysfunction in farmers at Sumberejo Village Ngablak District Magelang. This research method was an observational research with cross-sectional approach. The population in this study was 110 farmers and through purposive sampling technique obtained the number of samples 43 farmers. Data obtained from laboratory examination, measurement, and interview with respondents. The result of this research showed that farmers with liver dysfunction were 67,4%. The result of chi-square test showed that there was a relationship between working period (p=0.030) and number of pesticides (p=0.001) and there was no relationship between working duration (p=1.000), spraying time (p=1.000), spraying frequency (p=0.952), spraying direction (p=0.385), use of PPE (p=1.000) and cholinesterase level (p=1.000) with liver dysfunction in farmers at Sumberejo Village, Ngablak District, Magelang.From this study can be concluded the working period and number of pesticides were risk factor for liver dysfunction in farmers at Sumberejo Village Ngablak District, Magelang. To prevent further liver dysfunction it is advisable to mix pesticides according to the rules.
FAKTOR LINGKUNGAN YANG BERHUBUNGAN DENGAN KEJADIAN LEPTOSPIROSIS DI KOTA SEMARANG Maniiah, Ghinaa; Raharjo, Mursid; Dewanti, Nikie Astorina Yunita
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 3 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Leptospirosis is one of the emerging infectious diseases caused by pathogenic bacteria called leptospira and it is transmitted from animals to humans (zoonoses). In Semarang, the death rate due to leptospirosis is higher than the national average. This study aimed to analyze the environmental factors that influence the incidence of leptospirosis in the city of Semarang. This type of research is observational case-control design. Population this study were 64 patients with leptospirosis with a sample of 31 cases and 31 controls. Descriptive results showed that the majority of respondents aged 15-49 years with the majority of the work as a trader and the average male gender. Univariate analysis showed that there is an 58.1% puddle, 83.9% bad condition of the ditch, 77.4% there where rats, 64.5% do not have a pet, 61.3% there is no activity in water, 64.5 % no history of contact with dead rats and 87.1% no history of injuries. Bivariate Analysis showed an association between the presence of stagnant water (p = 0.040), the condition of the sewers (p=0,014), presence of rats (p=0.002) and history of injuries (p=0,001). Laboratory results showed that 62 water samples examined contained 38 (61,29%) positive water samples contained bacteria Leptospira which mostly comes from the bath water sources. The conclusions of the environmental factors that influence the incidence of leptospirosis in Semarang City.
ANALISIS TINGKAT PENCEMARAN UDARA DI TERMINAL KOTA SEMARANG Fauziah, Dhita Ayu; Rahadjo, Mursid; Dewanti, Nikie Astorina Yunita
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 5 (2017): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat

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Transport is a major source of air pollution. PM10 is a pollutant which is a health predictor and can cause vital pulmonary damage. Terminal is one of the high locations of air pollution due to the activity of motor vehicles. This study aims to measure the level of air pollution and the relationship between inhaled dust levels and vital capacity of lung at Semarang City Terminal. The type of research is observational analytic research with cross sectional approach. The population in this study is the air in Semarang City Terminal and 76 traders. The sample of this research is PM10 at 1 point on the three terminals with the number of respondents as many as 30 traders using purposive random sampling. The results of laboratory PM10 ambient air in Semarang City terminal is in the range 38.39 - 99.35 ?g/m3 and the inhaled dust levels of traders are in the range 0.83 - 3.33 mg/m3. Measuring the pulmonary vital instrument of traders shows the normal results of 13 traders and 17 traders are not normal. The results of the research with Chi Square test showed that the association of inhaled dust content with vital capacity of lung (p = 0,024) and the presence of inhaled dust levels exceeding NAB (3 mg / m3) was an abnormal lung vital capacity risk factor (RP = 2.18) . The air quality in Semarang City Terminal is in good and medium category and there is correlation of inhaled dust level with vital capacity of lung at permanent traders at Semarang City Terminal.