Khoiron Khoiron, Khoiron
Fakultas Kesehatan Masyarakat Universitas Jember

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PENGELOLAAN LIMBAH PADA FASILITAS PELAYANAN KESEHATAN (STUDI DI UNIT PELAKSANA TEKNIS UNEJ MEDICAL CENTRE)

IKESMA Vol 6, No 1 (2010)
Publisher : FKM - UNEJ

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Abstract

Health-care waste includes all the waste generated by health-care establishments, research facilities, and laboratories. The waste produced by health-care providers are non-risk  (domestic waste) and risk  (infectious waste).   The waste produced in the course of health-care activities carries a higher potential for infection and injury than any other type of waste. The study was conducted to explain the waste management in health care facility. The study is descriptive research  used cross sectional design. The Results showed that solids, liquids, and little gases waste are  produced by Technical Organizing Unit Unej Medical Centre. Solid waste treatment is operated by separation infectious and domestic waste, than they are  removed and combusted in incenerator at TPA Pakusari. Liquid waste treatment is operated by saptic tank. Keywords : Waste, Management, Health care fasility

ANALISIS KEBIJAKAN PENGELOLAAN SAMPAH PERKOTAAN DI KOTA MALANG

IKESMA Vol 6, No 1 (2010)
Publisher : FKM - UNEJ

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Abstract

Solid waste is important issue in urban area that is faced continously in line with increase number of residents and improvement of development activity. Every day 2-3 litres of solid waste is produced by everyone in urban area. Solid waste could cause environmental pollution and a threat to human health The purpose of this research is  describing and analyzing policy of local government in management of municipal waste wich comprised by; organization, accomplishment of infrastructures and human resources, regulations, programs and analyze barrier factors in implementation municipal waste management policy. This research is descriptive research by using qualitative method, during four months (September – December 2007) in region Malang City. The result of this research is the organization which manage municipal solid waste has operated concordant with regulations. Limited quantity and quality of human resources,  infrastructures (dust bin, transfer of depo, truck conveyor, heavy equipment and landfill area). Has not regulation about municipal solid waste management comprehensively. The main barrier factors of implementation municipal solid waste management are limited budget, limited infrastructure, low of awareness and participation of resident.   Keywords : policy analysis, municipal solid waste, management

DAMPAK PERUBAHAN IKLIM GLOBAL TERHADAP KESEHATAN MASYARAKAT DI INDONESIA

IKESMA Vol 5, No 2 (2009)
Publisher : FKM - UNEJ

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Abstract

Climate change occurred in many areas in all over the world, have closely relationship with public health. The climate change brought damage for people’s live. Climate change caused by adding of greenhouse gases (carbon dioxide, methane, nitrous oxide). On the  other hands, people can cause increase of greenhouse gases. This paper  discusses relationship between climate change and public health, in the sense of climate change’s “contributions” to environment change, which leads to climate change and another way around the impact of climate change to the public health situation. Evidences from many regions show that climate change caused disasters and extreme weather. Disaster and extreme weather caused death, food scarcity, malnutrition, scarcity of fresh water, hence poor sanitation, change in vector prevalence, air pollution rises, and health risk with additional climate related disease burdens. On another side, some human cause climate change occurred through people’s practices of habbits  and behaviors that caused increasing of greenhouse gases. Their practices of  felling forest trees excessively and forest burning that caused deforestations, treatment of municipal waste with open dumping method, and used fossil energy excessively. Key words : impact, global climate change, public health

PENGETAHUAN DAN SIKAP ODHA (ORANG DENGAN HIV DAN AIDS) TENTANG HIV DAN AIDS DAN PENCEGAHANNYA

IKESMA Vol 9, No 2 (2013)
Publisher : FKM - UNEJ

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Abstract

AIDS is spreading both in numbers and geographic area, it is revewed as a major public health threat and stategies are underway to increase AIDS awareness and knowledge among general public include from PLHA.In Indonesia, HIV/AIDS programmes still less in PLHA included, because of stigma and discrimination in society.Included PLHA in intervention planning, is the efective strategy in reducing stigma and discrimination and increasing commitment to change policy and supporting environment in HIV/AIDS programmes. The aims of this research is analizing knowledge and attitudes of PLHA about HIV/AIDS and its prevention.Thisresearch used descriptivemethod. The population is PLHA in Banyuwangi Regency, and affordable target is PLHA who visit and get service in VCT of Genteng Hospital in Juni-July 2012. Sample is collected with consecuttve sampling to all subject compleded collection criteria. Collected data was analyzed descriptively with table and naration.This research showed  that the amount of respondents was men, aged more than 30years, have married, and graduated from senior and junior high shcool, and as PLHA  since 1-5 years, with risk factors from heterosex without condom, IDU, infant from the mother and homosex (gay/lesbian).All of respondents have high knowledge about HIV/AIDS and its prevention efforts, consist of meaning, causes, transmission, prevention and terapy of HIV/AIDS. The numbers of respondents have positive attitudes towards HIV/AIDS and its prevention efforts, showed by statement supported to prevention behaviour of HIV/AIDS, specifically: faith to one partner, use condoms in sexual intercourse, check to health provider, and HIV/AIDS can spread and cause death.The increasing of knowledge and attitudes about HIV/AIDS of PLHA and society is needed as involvement at HIV/AIDS prevention programme by behaviour change from risk to healthy behaviour in order to reduce stigma and discrimination in PLHA. Keywords : Attitudes, Knowledge, PLHA, HIV & AIDS

Analisis Risiko Kesehatan Lingkungan Dengan Risk Agent Total Suspended Particulate di Kawasan Industri Kota Probolinggo (Environmental Health Risk Assessment With Risk Agent Total Suspended Particulate In Industrial Area Probolinggo)

Pustaka Kesehatan Vol 2, No 2 (2014)
Publisher : Pustaka Kesehatan

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Abstract

The increase of economic development has made the industrialization and transportation became higher and they has been contributed to the increased of air pollution, include the Total Suspended Particulates (TSP). This research used descriptive methods with the purpose of analyzing the risk from risk agent for people who live in Rusunawa Bayuangga. A total of 70 samples age over 18 years were subjected to anthropometric surveys for body weight and particulate exposure. Data was collected by interview and direct measurement. Ambient air samples was taken just one point in resident ares and two points in industrial area with a moment method using a High Volume Air Sampler. The results were concentration of Total Suspended Particulate are between 0,0734 - 0.24 mg/m3. Exposure assessment revealed that TSP intake was safe since the calculated were under maximal intake 0,0082 mg/kg/day. Based on risk characterization result, it can be concluded that level of total risk was less than unity so it implies that in those area was safe for daily activities but there was a possibility of non-carcinogenic risk after exposure for 10 years (RQ ≥ 1). The advices of this research is planting of crops that can reducing the concentration of pollutants in the air such as Kembang sepatu, Tanjung and Kiara Payung. Keywords: Environmental Health Risk Assessment, Total Suspended Particulate

Analisis Faktor yang Berhubungan dengan Pemanfaatan Jamban Di Kawasan Perkebunan Kopi (Analysis of Factors Associated with the Use of Toilets At Coffee Plantation Region)

Pustaka Kesehatan Vol 3, No 1 (2015)
Publisher : Pustaka Kesehatan

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Abstract

The study of Indonesia Sanitation Sector Development Program (ISSDP) in 2006, showed that 47% of people still defecate in open areas. Sidomulyo Village is a coffee plantation area with poor environmental sanitation, which is 91.94% of the villagers still defecate in open areas. This study aims to determine the factors associated with the use of toilets, which are predisposing, enabling, and reinforcing factors. This research is an analytical survey with cross sectional approach. Sampling by multistage random sampling, obtained samples of 70 householders. Data collecting is done by using questionnaires and observation sheets. Data were analyzed using chi square test at α=0.05. The results showed that there were significant relationships between income (pvalue= 0,004), knowledge (p-value=0,000), attitude (p-value=0,000), condition of toilets (pvalue= 0,001), and the availability of clean water (p-value=0,000) with the use of toilets. Meanwhile age (p-value=0.590), occupation (p-value=0.109), education (p-value=0.259), the support of health workers, religious leaders, community leaders, and family (pvalue= 0.400) showed that there were no significant relationships with the use of toilets. Keywords: The use of toilets, predisposing, enabling, and reinforcing factor

Pemanfaatan Eceng Gondok Terhadap Penurunan Kadar Merkuri (Hg) Limbah Cair Pada Pertambangan Emas Tanpa Izin (PETI) The Use of Eichornia Crassipes to Reduce Mercury (Hg) Levels on Liquid Waste in Illegal Gold Mines

Pustaka Kesehatan Vol 3, No 2 (2015)
Publisher : Pustaka Kesehatan

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Abstract

Nowadays emerge event about global worried will have negative effect from highereconomic development to our environment that causes to develop of industry, one ofthem is Illegal Gold Mines industry. This industry very close with environment problembecause it outcomes is waste that consists of high metal, one of them contains mercury(Hg). The preliminary study was done in village sumberagung, pesanggaran,banyuwangi by first Hg value is 0,038 mg/L over environment quality reciprocal. Thealternative of waste processing was by using Eichornia crassipes. The purpose of thisresearch to know the differences of liquid waste Hg value before and after usingEichornia crassipes. This reserach experimental with True Eksperimental Design. Thisresearch have control group with treatment as reserach independent variable. Controlgroup is a group without using Eichornia crassipes, first group (X1) is a group that usingEichornia crassipes with weight 300 gr/L, second group (X2) is a group that usingEichornia crassipes with weight 400 gr/L, third group (X3) is a group that using Eichorniacrassipes with weight 500 gr/L. Analysis of the data using one way anova test. Thisresearch result with signifikasi 0,05, there is significant differences between that fourthexperiment group. The most effective to reduce Hg value is the third group treatment(X3) by using hyacinth with weight 500 gr/L.Keywords : Illegal Gold Mines, Eichornia crassipes, Mercury (Hg)

URGENSI PERUBAHAN IMPLEMENTASI KEBIJAKAN DALAM MENURUNKAN IMS, HIV DAN AIDS PADA KOMUNITAS LSL DI KABUPATEN JEMBER

Media Kesehatan Masyarakat Indonesia Vol 11, No 4: DESEMBER 2015
Publisher : Faculty Of Public Health, Hasanuddin University, Makassar

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Abstract

Program penanggulangan AIDS populasi LSL selama ini telah menerapkan berbagai metode untuk merubah perilaku yang berisiko tinggi. Namun prevalensi HIV pada populasi LSL tetap saja naik. Penelitian ini bertujuan untuk menganalisis urgensi perubahan Stategi Kebijakan dalam MenurunkanIMS dan HIV dan AIDS pada Komunitas LSL Di Kabupaten Jember. Penelitian ini merupakan penelitian gabungan antara kuantitatif secara survei analitik dengan kualitatif melalui indept interview. Survei dilakukan melalui purposive sampling pada 89 LSL, kemudian data dianalisa menggunakan regeresi logistic. Data kualitatif dianalisis secara tematic content analysis. Hasil penelitian menunjukkan bahwa pendekatan Program PMTS melalui sosialisasi save sex pada komunitas LSL tidak efektif dalam menurunkan prevalensi IMS dan HIV dan AIDS. Terbukti penemuan kasus baru pada komunitas LSL cenderung naik baik dari sisi jumlah maupun usia yang semakin muda. Hal ini diperburuk dengan hasil indepth interview yang menunjukkan berbagai kendala dalam melalukan sosialisai safe sex pada komunitas LSL, yaitu alasan kenikmatan dan kenyamanan seksual, sehingga perilaku berisiko seperti bergonta ganti pasangan tanpa kondom masih banyak terjadi. Jadi pendekatan kebijakan safe sex melalui program PMTS tidak efektif menurunkan prevalensi IMS, HIV dan AIDS pada komunitas LSL di Kabupaten Jember.

Pemanfaatan Eceng Gondok Terhadap Penurunan Kadar Merkuri (Hg) Limbah Cair Pada Pertambangan Emas Tanpa Izin (PETI) The Use of Eichornia Crassipes to Reduce Mercury (Hg) Levels on Liquid Waste in Illegal Gold Mines

Pustaka Kesehatan Vol 3 No 2 (2015)
Publisher : UPT Penerbitan Universitas Jember

Show Abstract | Original Source | Check in Google Scholar | Full PDF (135.023 KB)

Abstract

Nowadays emerge event about global worried will have negative effect from highereconomic development to our environment that causes to develop of industry, one ofthem is Illegal Gold Mines industry. This industry very close with environment problembecause it outcomes is waste that consists of high metal, one of them contains mercury(Hg). The preliminary study was done in village sumberagung, pesanggaran,banyuwangi by first Hg value is 0,038 mg/L over environment quality reciprocal. Thealternative of waste processing was by using Eichornia crassipes. The purpose of thisresearch to know the differences of liquid waste Hg value before and after usingEichornia crassipes. This reserach experimental with True Eksperimental Design. Thisresearch have control group with treatment as reserach independent variable. Controlgroup is a group without using Eichornia crassipes, first group (X1) is a group that usingEichornia crassipes with weight 300 gr/L, second group (X2) is a group that usingEichornia crassipes with weight 400 gr/L, third group (X3) is a group that using Eichorniacrassipes with weight 500 gr/L. Analysis of the data using one way anova test. Thisresearch result with signifikasi 0,05, there is significant differences between that fourthexperiment group. The most effective to reduce Hg value is the third group treatment(X3) by using hyacinth with weight 500 gr/L.Keywords : Illegal Gold Mines, Eichornia crassipes, Mercury (Hg)

URGENSI PERUBAHAN IMPLEMENTASI KEBIJAKAN DALAM MENURUNKAN IMS, HIV DAN AIDS PADA KOMUNITAS LSL DI KABUPATEN JEMBER

Media Kesehatan Masyarakat Indonesia Vol 11, No 4 (2015): MKMI DESEMBER 2015
Publisher : Media Kesehatan Masyarakat Indonesia

Show Abstract | Original Source | Check in Google Scholar | Full PDF (239.682 KB)

Abstract

Program penanggulangan AIDS populasi LSL selama ini telah menerapkan berbagai metode untuk merubah perilaku yang berisiko tinggi. Namun prevalensi HIV pada populasi LSL tetap saja naik. Penelitian ini bertujuan untuk menganalisis urgensi perubahan Stategi Kebijakan dalam MenurunkanIMS dan HIV dan AIDS pada Komunitas LSL Di Kabupaten Jember. Penelitian ini merupakan penelitian gabungan antara kuantitatif secara survei analitik dengan kualitatif melalui indept interview. Survei dilakukan melalui purposive sampling pada 89 LSL, kemudian data dianalisa menggunakan regeresi logistic. Data kualitatif dianalisis secara tematic content analysis. Hasil penelitian menunjukkan bahwa pendekatan Program PMTS melalui sosialisasi save sex pada komunitas LSL tidak efektif dalam menurunkan prevalensi IMS dan HIV dan AIDS. Terbukti penemuan kasus baru pada komunitas LSL cenderung naik baik dari sisi jumlah maupun usia yang semakin muda. Hal ini diperburuk dengan hasil indept interview yang menunjukkan berbagai kendala dalam melalukan sosialisai safe sex pada komunitas LSL, yaitu alasan kenikmatan dan kenyamanan seksual, sehingga perilaku berisiko seperti bergonta ganti pasangan tanpa kondom masih banyak terjadi. Jadi pendekatan kebijakan safesex melalui program PMTS tidak efektif menurunkan prevalensi IMS, HIV dan AIDS pada komunitas LSL di Kabupaten Jember.Kata kunci : Strategi kebijakan, LSL, IMS, HIV dan AIDS