ARTIKEL PENELITIAN
Volume 16 Nomor 2 September 2017
EVALUASI KESIAPAN PELAKSANAAN PROGRAM INDONESIA SEHAT DENGAN
PENDEKATAN KELUARGA
IODIUM LINGKUNGAN DAERAH REPLETE DAN NON-REPLETE GAKI, DI
KABUPATEN MAGELANG
PARTISIPASI MASYARAKAT DALAM PENGENDALIAN DEMAMBERDARAH
DENGUE (DBD) DI KELURAHAN BATURAJA LAMA DAN SEKAR JAYA,
KECAMATAN BATURAJA TIMUR, KABUPATEN OGAN KOMERING ULU (OKU),
PROVINSI SUMATERA SELATAN
SITUASI FILARIASIS SETELAH PENGOBATAN MASSAL TAHUN KETIGA DI
KABUPATEN MAMUJU UTARA
STUDI EFIKASI DAN PERILAKU MASYARAKAT DALAM PENGGUNAAN
KELAMBU BERINSEKTISIDA DI DESA SUNGAI NYAMUK, PULAU SEBATIK,
KALIMANTAN UTARA
METODE ALTERNATIF HITUNG IPKM YANG MEMILIKI KORELASI LEBIH TINGGI
DENGAN IPM
Jurnal Ekologi Kesehatan adalah media informasi hasil penelitian
dan pengembangan bidang ekologi kesehatan untuk
Pengelola Program Kesehatan dan masyarakat,
serta merupakan sarana komunikasi para peneliti/pengelola/peminat
bidang ekologi kesehatan
Jurnal Ekologi Kesehatan
Vol. 16
No. 2
Hal
57 - 120
Jakarta
September 2017
ISSN
1412-4025
Terakreditasi Nomor : 762/AU1 /P2MI-LIPI/10/2016
Jurnal
Ekologi Kesehatan
The Indonesian Journal of Health Ecology
Diterbitkan oleh
Pusat Penelitian Dan Pengembangan Upaya Kesehatan Masyarakat Badan Penelitian dan Pengembangan Kesehatan
Kementerian Kesehatan RI, Jakarta
Jalan Percetakan Negara 29 Kotak Pos 1226 Jakarta 10560 indonesia Telp/Fax. (021) 42872392, 4241921
Email: jurnalekologikesehatan@gmail.com Website: http://ejournal.litbang.depkes.go.id/index.php/jek
Penanggung Jawab/Pimpinan Umum
Kepala Pusat Penelitian dan Pengembangan Upaya Kesehatan Masyarakat
Ketua Dewan Redaksi
Dra. Athena, A. M.Si. (Kesehatan Lingkungan Balitbangkes, Indonesia)
Wakil Ketua Dewan Redaksi
Dr. Ir. Anies Irawati, M.Kes. (Gizi Masyarakat, Balitbangkes, Indonesia)
Anggota Dewan Redaksi
Dr. Dede Anwar Musadad, S.K.M, M.Kes. (Kesehatan Lingkungan, Balitbangkes) Drs. Kasnodihardjo (Sosiologi Kesehatan, Balitbangkes)
Drs. M. Hasyimi, M.K.M. (Biologi Lingkungan, Balitbangkes) Sri Irianti, SKM., M.Phil, Ph.D. (Kesehatan Lingkungan, Balitbangkes)
Dr. Ir. Inswiasri, M.Kes. (Kimia Lingkungan, Balitbangkes) Dr. Dwi Hapsari, S.K.M, M.Kes. (Epidemiologi dan Biostatistik, Balitbangkes)
Dr. Joko Irianto, S.K.M, M.Kes. (Epidemiologi dan Biostatistik, Balitbangkes) Dr. dr. Felly Philipus Senewe, M.Kes. (Kesehatan Masyarakat, Balitbangkes)
Dr.dr.Harimat Hendarwan, M.Kes. (Sistem Kesehatan, Balitbangkes) Dra. Rr. Rachmalina S.,M.Sc.P.H. (Antropologi Kesehatan, Balitbangkes) Dr. Miko Hananto, S.K.M., M.Kes. (Kesehatan Lingkungan, Balitbangkes )
Dr. Agus Triwinarto, S.K.M., M.Kes. (Gizi Masyarakat, Balitbangkes) Nunik Kusumawardani, S.K.M., M.Sc.P.H., Ph.D. (Promosi Kesehatan, Balitbangkes)
Dra. Jusniar Ariati, M.Si. (Biologi Lingkungan, Balitbangkes ) Zahra,S.Si., M.K.M. (Kesehatan Masyarakat, Balitbangkes)
Mitra Bestari
Prof. dr. Umar Fahmi Achmadi, M.P.H., Ph.D. (Universitas Indonesia) Prof. Dr. Mohammad Sudomo, SCOPUS ID = 6602156083; h-index = 5 (WHO, Indonesia)
Prof. Drh Upik Kesumawati Hadi MS. Ph.D. (Institut Pertanian Bogor, Indonesia)
Prof. Dr. Ridad Agoes, M.P.H. SCOPUS ID = 6506160395; h-index = 5 (Universitas Padjadjaran, Indonesia) Prof Dr. Ir. Dodiek Briawan, M.S. (Institut Pertanian Bogor, Indonesia)
Prof. Dr. Drs. Amrul Munif, M.S. (Balitbangkes, Indonesia)
Dr. Drs. Ida Bagus Indra Gotama, S.K.M., M.Si. (Poltekkes Jakarta II, Indonesia)
Drs. Bambang Wispriyono, Apt., Ph.D., SCOPUS ID = 6602212375; h-index = 9, (Universitas Indonesia) Dr. Semiarto Aji Purwanto (Universitas Indonesia)
Tri Prasetyo Sasimartoyo, M.Sc., Ph.D. (Peneliti Independen, Indonesia) Dr. Asep Sofyan, S.T., M.T. (Institut Teknologi Bandung, Indonesia)
Dr. Salahudin Muhidin, Ph.D., (SCOPUS ID = 16242218900 ; h-index = 3 (Macquarie University, Australia) Dr. Ir. Mursid Raharjo, M.Si. (Universitas Diponegoro, Indonesia)
Dr. dr. Suhartono Damas, M.Kes. (Universitas Diponegoro, Indonesia) Dr.Lukman Hakim, S.K.M., M.Kes. (Global Fund, Kementerian Kesehatan, Indonesia)
Atmarita, M.P.H., Dr.P.H. (Asosiasi Peneliti Kesehatan Indonesia /APKESI)) Dra. Zubaidah Alatas, M.Si. (Badan Tenaga Nuklir Nasional, Indonesia)
Drh. Basundari Sri Utami, M.Kes. (Peneliti Independen, Indonesia) Bambang Sukana, S.K.M., M.Kes. (Balitbangkes, Indonesia)
Editor Bahasa
Cahyorini, S.T., M.T. (Teknik Lingkungan, Balitbangkes) Nurillah Amaliah, S.P., M.K.M. (Gizi Masyarakat, Balitbangkes)
Kencana Sari, S.K.M., M.P.H. (Gizi Masyarakat, Balitbangkes) Sugiharti A., S.K.M., M.Si. (Kesehatan Reproduksi, Balitbangkes)
Editor Pelaksana
Rianto Purnama, S.Kom. (Balitbangkes, Indonesia)
Penunjang Teknologi Informasi
Ginoga Veridona, S.Kom. (Balitbangkes, Indonesia)
Sekretaris Editor Pelaksana
Heny Lestary, S.K.M., M.K.M. (Balitbangkes, Indonesia)
Staf Sekretariat
Junimar Usman, S.K.M., M.P.H. (Balitbangkes, Indonesia) Siti Masitoh S.K.M. (Balitbangkes, Indonesia)
Ahmad Syaifudin (Balitbangkes, Indonesia)
p-ISSN : 1412-4025
Volume 16 Nomor 2 September 2017
JURNAL EKOLOGI KESEHATAN
The Indonesian Journal of Health Ecology
ISSN 1412-4025
This abstract sheet may be reproduce without permission or charge
Eva Laelasari, Athena Anwar, Rachmalina Soerachman
EVALUASI KESIAPAN PELAKSANAAN
PROGRAM INDONESIA SEHAT DENGAN
PENDEKATAN KELUARGA
Data of Riskesdas 2016 shows increasing in some diseases (underweight, stunting, hypertension, TB, AIDS, etc.) compared to 2007 and 2013 datas. To solve the problems, the government has strengthening the basic health effort by conducting Program Indonesia Sehat Dengan Pendekatan Keluarga (PIS-PK). This evaluation study aimed to assess the readiness in PIS-PK implementation in several regions which have been collected more than 50% of data (OKI and Jeneponto), less than 50% (Muara Enim, Gowa, Serang) and 0% (Lebak). The methode of evaluation was qualitative through in-depth interview with the heads of district health office and the program managers and also focus group discussion with the heads and data collectors at puskesmas. The result indicates that all regions, either have or have not conducted data collection, have made planning on human resources, budgeting, and facilities. Some regions have conducted data collection despite of the limited resources. Budgeting issue is on of the problem in Lebak causing of the delay on data collection. Cross-sector support is quite good in regions, either have been conducted more than and less than 50% of data collection. Cross-sector support is not maximum in regions that have not conducted data collection. It can be concluded that despite of encountering some constraints, PIS-PK implementation is keep running. Cross-sector involvement is crucial in mobilizing the apparatus to facilitate the PIS-PK data collection.
Keywords: Evaluation, readiness, PIS-PK
Muhamad Arif Musoddaq, Ina Kusrini
IODIUM LINGKUNGAN DAERAH REPLETE DAN NON-REPLETE GAKI, DI KABUPATEN MAGELANG
One of the fundamental factors causing the emergence of Iodine Deficiency Disorders (IDD) is low environmental iodine. Epidemiological studies show that IDD problem is found in areas expressed as poor areas of iodine, but without measurement data. In Kabupaten Magelang, there is a replete area, an area that has a history of IDD problems in the past, and intervention has been made, so it is hoped that the problem can be overcome. The aim of this study was to compare environmental iodine levels in replete and non-replete areas in Magelang District. The study design was cross sectional with iodine content in water samples variable of surface and ground water. The sample size is 71 from 17 surface water points and 54 ground water points. Analysis of iodine content in water samples was done with Sandell-Kolthoff method at Laboratory of Balai Litbang GAKI Magelang. The results showed that iodine content in surface water was within a fairly wide range of 0 to 22 μg/L in the
replete areaand 0 to 115 μg/L in the non-replete area. The iodine content in ground water in the replete area ranges from
0 to 77μg/L, in the non-replete area between 3to 48 μg/L. There was a significant difference of iodine content between water samples from replete area with non-replete area (P <0.05). It is necessary to maintain the sustainability of sufficiency of iodine intake especially in replete area.
Keywords: IDD,environmental iodine, replete, non-replete, surface water, ground water
Milana Salim, Yahya, Tri Wurisastuti, Rizki Nurmaliani
PARTISIPASI MASYARAKAT DALAM
PENGENDALIAN DEMAM BERDARAH
DENGUE (DBD) DI KELURAHAN BATURAJA LAMA DAN SEKAR JAYA, KECAMATAN
BATURAJA TIMUR, KABUPATEN OGAN
KOMERING ULU (OKU), PROVINSI
SUMATERA SELATAN
Ogan Komering Ulu (OKU) District is one of dengue endemic areas in South Sumatera Province. One of the effort to prevent the occurrence of DHF transmission is by controlling mosquito vectors at the larval level. The use of insecticides in the control of DHF vectors, in addition to causing resistance, can also adversely affect the environmental health. Currently, DBD vector control in OKU District is done biologically (biological control), that is by using larvae-eating fish. This study was conducted to determine the level of community participation in the control of dengue vectors using larvae-eating fish. The research location was in Baturaja Lama and Sekar Jaya village. The population was all households in both urban villages. The number of samples was determined by reference to the WHO provisions on the minimum standard of DBD entomology survey sample that is 100 houses, the number of household samples that were obtained was 217 chosen by random method. The result of index calculation of larvae showed the number of HI in Baturaja Lama village was 42,1% and Sekar Jaya village was 48,2%. CI figures in the Baturaja Lama village was 19.2% and Sekar Jaya village was 16.2%. BI figures in Baturaja Lama village was 51.4% and Sekar Jaya village was 75.5%. Fishing behavior showed significant correlation to larva existence, but the percentage of households maintaining fish in the two sub-districts was low, less than 10%. It is necessary to increase the community's knowledge about the benefits and potential development of larvae-eating fish species in the effort of controlling DHF.
Keywords: OKU District, DHF, larvae-eating fish, community participation
Made Agus Nurjana, Sitti Chadijah, Ni Nyoman Veridiana, Octaviani, Hayani Anastasia, Rosmini, Mujiyanto, Leonardo Taruk Lobo
SITUASI FILARIASIS SETELAH PENGOBATAN MASSAL TAHUN KETIGA DI KABUPATEN MAMUJU UTARA
survey were people age more than five years old and the samples for interview were people age 15 years old and more. The results showed that the type of filaria worm was Brugia malayi and microfilaria rate was 1,39%. Interview with 1586 respondents indicated that knowledge of filariasis and MDA were very low as well as behavior to prevention and drug consumption. However, their attitudes towards prevention, control, and treatment of filariasis were positive. These indicated that mass drug implementation was unsuccessful. Therefore, the mass drug administration and health education need to be continued for the next five years. However, it is necessary to conduct MDA with the right procedures and monitor both chronic and positive microfilaria cases
Keywords: Filariasis, Mass treatment, North of Mamuju District
Sugiarto, Upik Kesumawati Hadi, Susi Soviana, Lukman Hakim
STUDI EFIKASI DAN PERILAKU
MASYARAKAT DALAM PENGGUNAAN
KELAMBU BERINSEKTISIDA DI DESA
SUNGAI NYAMUK, PULAU SEBATIK,
KALIMANTAN UTARA
In an attempt to eliminate malaria, government tries to control the vector of the disease through the distribution of Long Lasting Insecticide nets. In the process of use, users of this type of mosquito net need to do maintenance to ensure its effectiveness. This study aim to analyze the effectiveness of insecticide treated mosquito net against Anopheles sp. and knowing the knowledge, attitude, behavior of the community on the use and maintenance of the LLiNs. The research was conducted in Sungai Nyamuk Village, Sebatik Sub-district, Nunukan District, North Kalimantan with cross-sectional design. Data on the effectiveness of mosquito nets were obtained by performing Bioassay Cone Test (efficacy test) on insecticide and non-insecticide treated nets in households that have been using mosquito nets for more than 6 months. The
community’s Knowledge, Attitude, and Practise data were
obtained by interviewing selected respondents using questionnaires. Processing and data analysing was done univariat and bivariat. The results showed that the most effective mosquito insecticide was the mosquito net that had been used for 6 months. The bed nets that had been used for 12-24 months had started to be less effective. All respondents (100%) agreed with the distribution of insecticide nets, but only 87% said they were willing to use it. All respondents (100%) did the installation of mosquito nets correctly, and had never washed the mosquito net. Can be concluded that insecticidal nets that have been used for more than 12 months have begun to be ineffective in controlling the vector of Anopheles sp. mosquito. Almost all respondents did not treat/wash the insecticide treated mosquito nets. In order to eliminate malaria in Sungai Nyamuk village there need to be an increase of active community participation (netting treatment) in the effort of vector control (Anopheles sp.)
Keywords: Long Lasting Insecticide Nets (LLiNs), washed, Bioassay Cone Test
Roy Nusa, Nunik Kusumawardani
METODE ALTERNATIF HITUNG IPKM YANG
MEMILIKI KORELASI LEBIH TINGGI
DENGAN IPM
Human Development Index (HDI) is one of important multi dimension indicators that has been used to monitor population life development based on three dimensions (health, education and adequate living standard). Ministry of Health developed an Public Health Development Index (PHDI) in 2008 and 2014 that covered 30 selected health indicators, to support the health dimension of HDI. This paper used secondary data analysis of PHDI aimed to compare alternative of PHDI formulation method using geometric and arithmetic means. The analysis used data of Indonesia 2013 HDI from Central Bureau Statistic (BPS) Indonesia and 2013 districts PHDI from NIHRD MoH. Result of this study showed statistically difference results of PHDI between geometric mean equation and arithmetic mean equation, which was showing only very few districts remains in the same index range. The geometric mean equation showed slightly higher correlation between PHDI and HDI compare to the arithmetic mean equation. The geometric mean equation in PHDI formulation showed more stable index toward extreme value of its indicator components. The results implicate that the PHDI consider all of the constructed indicators in more equal way
JURNAL EKOLOGI KESEHATAN
The Indonesian Journal of Health Ecology
DAFTAR ISI
I.
Editorial
II.
Artikel
Halaman
1.
Evaluasi Kesiapan Pelaksanaan Program Indonesia Sehat Dengan
Pendekatan Keluarga
………
...
Oleh : Eva Laelasari, Athena Anwar, Rachmalina Soerachman
57-72
2.
Iodium Lingkungan Daerah Replete dan Non-Replete GAKI, di
Kabupaten Magelang
………...
...
Oleh : Muhamad Arif Musoddaq, Ina Kusrini
73-81
3.
Partisipasi Masyarakat Dalam Pengendalian Demam Berdarah Dengue
(DBD) di Kelurahan Baturaja Lama dan Sekar Jaya, Kecamatan
Baturaja Timur, Kabupaten Ogan Komering Ulu (OKU), Provinsi
Sumatera Selatan
………..
...
Oleh : Milana Salim, Yahya, Tri Wurisastuti, Rizki Nurmaliani
82-92
4.
Situasi Filariasis Setelah Pengobatan Massal Tahun Ketiga di
Kabupaten Mamuju Utara
………..……
.
Oleh : Made Agus Nurjana, Sitti Chadijah, Ni Nyoman Veridiana,
Octaviani, Hayani Anastasia, Rosmini, Mujiyanto, Leonardo
Taruk Lobo
93-103
5.
Studi Efikasi dan Perilaku Masyarakat Dalam Penggunaan Kelambu
Berinsektisida di Desa Sungai Nyamuk, Pulau Sebatik, Kalimantan
Utara
……….
....
Oleh : Sugiarto, Upik Kesumawati Hadi, Susi Soviana, Lukman
Hakim
104-111
6.
Metode Alternatif Hitung IPKM yang Memiliki Korelasi Lebih Tinggi
Dengan IPM
………...………
...
Oleh : Roy Nusa, Nunik Kusumawardani
112-120
EDITORIAL
Dalam rangka meningkatkan derajat kesehatan masyarakat, saat ini pemerintah memfokuskan
kebijakan pembangunan kesehatan tahun 2015-2019 pada penguatan upaya kesehatan dasar
(
primary health care
) berkualitas yang salah satunya dilakukan melalui pendekatan keluarga
yang dikenal dengan Program Indonesia Sehat melalui Pendekatan Keluarga (PIS-PK). Dalam
edisi ini, disajikan hasil penelitian evaluasi implementasi PIS-PK di beberapa kabupaten/kota.
Kejadian penyakit maupun gangguan kesehatan pada manusia, tidak terlepas dari peran faktor
lingkungan. Salah satu faktor mendasar penyebab munculnya Gangguan Akibat Kekurangan
Iodium (GAKI) adalah iodium lingkungan yang rendah. Penelitian-penelitian epidemiologi
menunjukkan bahwa permasahan GAKI dijumpai di daerah yang dinyatakan sebagai daerah
miskin iodium, tetapi tanpa data hasil pengukuran. Untuk itu salah satu artikel dalam edisi ini
menyajikan hasil penelitian tentang kadar iodium lingkungan di daerah
replete
dan
non-replete
di Kabupaten Magelang.
Penyakit tular vektor seperti DBD, malaria, filariasis, sampai saat ini belum dapat dikendalikan
secara tuntas. Beberapa upaya yang dilakukan dalam mengatasi masalah DBD, terutama dari
aspek vektornya. Hasil penelitian menemukan bahwa partisipasi masyarakat sangat penting
dalam mengendalikan DBD. Untuk malaria, pemerintah telah berupaya tidak hanya
mengendalikan dari penyakitnya; tetapi juga mengendalikan vektor penulanya, yaitu dengan
pembagian kelambu berinsektisida. Untuk mengetahui efektifitas kelambu berinsektisida yang
telah dibagikan dan penggunaannya oleh masyarakat.
Topik yang tidak kalah menarik adalah artikel tentang metode alternatif menghitung Indeks
Pembanguan Manusia (IPKM), yang selama ini diperoleh dengan metode aritmatika; saat ini
dapat dihitung dengan metode geometrik
Demikian editorial Jurnal Ekologi Kesehatan edisi ini
