Tropical Public Health Journal

Analisis kualitas fisik dan keberadaan mikroplastik pada air minum isi ulang di Kecamatan Medan Selayang tahun 2023

Tasya Aulia Putri Siregar — 2025-03-31

Drinking water is vital for daily consumption and having physical qualities that meet health standards is critical. A study (Mason et al.) in 2018 at the University of New York showed that 93% of bottled drinking water contains microplastics. The study used 259 drinking water bottle samples, including those sold in Indonesia from 11 different brands and the size of microplastics found were between 6.5-100 micrometers. Furthermore, microplastics are also found in refillable gallon drinking water that could create microplastics fragments. This study was done to analyze the physical qualities and presence of microplastics in bottled and refillable gallon drinking water in Medan Selayang in 2023. This was a descriptive study with observational and interview methods. There were 12 water samples obtained from simple random sampling. Our study showed that the drinking water physical qualities has met the health standards (100%) as per the regulation of Ministry of Health (Permenkes No.2, 2023). However, the equipment condition in all drinking water depots did not meet the health standards (100%). The processing and cleaning in the drinking water depots have all met the health standards (100%). All samples from drinking water depots contained microplastics in the form of fibers and fragments per liter. It is recommended for water depots in Medan Selayang to pay more attention to the quality of drinking water through physical, chemical, and biological parameters, and to do periodical examination of the water through the public health office.

Bioaktivator limbah ikan vs EM4: Solusi hijau untuk pengomposan cepat sampah organik pasar

Rinaldi Daswito — 2025-03-31

The primary source of waste generation is household activities, succeeded by traditional markets. A significant source of waste in Tanjungpinang City District originates from the market. Initiatives to repurpose market waste, including vegetable refuse, serve as raw materials for organic fertilizer production, employing microorganisms sourced from market waste, specifically fish waste. The aim was to assess the efficacy of fish waste as a bioactivator in compost production. This quantitative research employed a semi-quasi-experimental design featuring a control group and a treatment group, focusing on organic waste comprising vegetable scraps and fish waste. Physical observations revealed a dark hue, a soil-like texture, and an earthy aroma. The mean temperature of compost without a bioactivator was 28.4°C, with the addition of EM4 it was 28.5°C, and with the incorporation of fish waste as a bioactivator, it remained at 28.4°C. The average humidity of the compost without bioactivator, with the addition of EM4, is 33.33%, whereas with the addition of fish waste bioactivator, it is 33.7%. The mean pH of compost without a bioactivator is 6.82 with the addition of EM4 and 6.80 with the incorporation of fish waste as a bioactivator. The composting duration for vegetable waste without a bioactivator was 16 days, whereas compost with EM4 and fish waste bioactivators required 12 days. The parameters of temperature, humidity, pH, color, odor, and texture of the compost satisfied the criteria for use as organic fertilizer. It is advisable to evaluate the parameters of shrinkage, moisture content, carbon-to-nitrogen ratio, location, and environmental factors, as they pertain to plants and community applications.

Dermatitis Atopik (DA) dan faktor-faktor yang berpengaruh di Desa Panusupan, Kecamatan Cilongok, Kabupaten Banyumas

Aning Fara Andina — 2025-03-31

Atopic dermatitis is often considered a common skin problem, that has a high prevalence of cases. Panusupan Village, one of the working areas of the Cilongok II Public Health Center, has the highest number of cases of Atopic Dermatitis, which is 89 cases in 2024. The purpose of this research was to know the factors that affect the incidence of atopic dermatitis in Panusupan Village, Cilongok District. Quantitative research used a control case design. The research sample were 123 people (41 cases and 82 controls). Case data was obtained from the Cilongok II Public Health Center from January to September 2024. The variables studied included family history of allergies, temperature, smoking behavior, food allergies, and stress. The Data were analysed by univariate, bivariate, and multivariate analysis. The results of the research showed that related factors (p-value < 0.05), namely family allergy history, temperature, and food allergies, unrelated variables (p-value > 0.05), namely smoking behavior and stress. Factors that affect the incidence of atopic dermatitis are family allergy history and temperature. Recommendations that can be made are to conduct counseling related to atopic dermatitis and routinely apply moisturizer for people with atopic dermatitis.

Hubungan pola belanja online dengan kuantitas sampah pada mahasiswa Fakultas Kesehatan Masyarakat

Adi Kurniawan Syahputra — 2025-03-31

Waste remains a national issue. The waste generated in Medan City amounted to 628.7 thousand tons per year in 2022, sourced primarily from household waste. The phenomenon of online shopping among students contributes to the generation of waste in the form of plastic and cardboard. This study aims to analyze the relationship between online shopping patterns and waste quantity among students of the Faculty of Public Health. This research is an analytical survey with a cross-sectional study design. The study was conducted at the University of North Sumatra. The population comprised 361 students from the Faculty of Public Health, Class of 2022, with a sample size of 78 students determined using the Slovin formula. Data was collected through observation, direct interviews using questionnaires, and measurement of waste quantity using a digital scale. The data analysis method was conducted in two stages: univariate analysis using frequency and bivariate analysis using the chi-square test with a significance level of α = 5% (0.05). The results showed a significant relationship between online shopping patterns based on online shopping expenses (p = 0.001) and shopping frequency (p = 0.001). However, there was no significant relationship between online shopping patterns based on types of shopping (p = 0.091), students' knowledge (p = 0.450), and students' attitudes (p = 1.000) toward waste quantity. The study suggests that parents and students should pay more attention to online shopping patterns and waste management as an effort to reduce waste.

Analisis implementasi standar pelayanan minimal (SPM) bidang pelayanan kesehatan hipertensi di Puskesmas X Kabupaten Malang

Anggi Renawati — 2025-03-31

Minimum Service Standards (MSS) for health emphasize the importance of the type and quality of basic services to achieve optimal and equitable health services, especially in the health sector of non-communicable diseases, which continue to increase in prevalence. Non-communicable diseases (NCDs), especially hypertension, are health problems which cases continue to increase. The prevalence of hypertension in 2018 was 34.11%, decreasing to 30.8% in 2023, but this figure has not met the national target. East Java ranks fourth with the highest prevalence of hypertension at 34.30%. The third lowest hypertension service achievement is Malang Regency. Puskesmas X had a low hypertension treatment rate of 12.71% in 2023. The purpose of this study was to analyze the implementation of MSS in hypertension health services at Puskesmas X and identify inhibiting factors based on input, process, and output variables. This study used a qualitative method with in-depth interviews involving 11 informants with an interview guide instrument and researchers conducted observations with an observation sheet instrument to record field data. This study used source triangulation and method triangulation. The results showed that hypertension MSS implementation at Puskesmas X faced several challenges, particularly limited human resources, suboptimal training, lack of educational media, weak cross-sector coordination, and ineffective data recording and reporting. Although MSS achievement increased from 3.7% (2021) to 31.3% (2024), it is still far from the national target of 100%. Overall, improvements in MSS implementation in hypertension health services at Puskesmas X have not fully met the set targets.

Kajian kualitas air dan kondisi sanitasi sumur gali di Lingkungan Permukiman Kelurahan Kampung Bugis, Kota Tanjungpinang

Elita Putri Frisma Arizki — 2025-06-27

The use of protected dug wells in Tanjungpinang City reached 29.84%, while the use of unprotected dug wells in the community reached 1.40%. At the research location, it was found that the distance to the source of contamination (septic tank) was less than 15 meters, did not have a cover, buckets and rope were placed on the floor of the well, allowing contamination. The purpose of the study was to determine the description of water quality and sanitation of dug wells in Kampung Sei Nyirih RT 002 RW 005 Kelurahan Kampung Bugis. This type of research was descriptive with a total of 20 samples (physical, chemical, microbiological, and sanitation of dug wells). The research instruments used TDS meter, pH meter, Dry Compact EC, and checklist sheet. Univariate analysis was used in this study. A total of 15% of samples did not meet odor, color, and taste requirements. Examination of water chemical quality as many as 60% of samples did not meet the requirements of the pH parameter of clean water. In the E. Coli parameter, 100% of the samples did not meet the requirements. The results of the sanitary inspection of dug wells showed that 5% of wells were very high risk, 55% of wells were high risk, 30% of wells were medium risk, and 10% of wells were low risk. It is expected that the community in the research location to pay more attention to sanitary conditions, physical quality of water, construction of clean water sources, namely dug wells, and cooking to boil clean water sources that will be consumed

Pengaruh konsumsi air kelapa muda (Cocos nucifera L.) dan madu terhadap penurunan mual dan muntah pada ibu hamil trimester I

Mayang Citra Hariati — 2025-07-30

Nausea and vomiting are common issues experienced by some women during the first trimester of pregnancy. If left untreated, these symptoms may progress into hyperemesis gravidarum, a condition that poses risks to both the mother and the baby. One way to help reduce nausea and vomiting is by consuming coconut water and honey. Young coconut water contains hydrating compounds, and it also provides vitamin B6 (pyridoxine), which has antiemetic effects that can help relieve these symptoms in pregnant women. this study aims to evaluate the effectiveness of young coconut water and honey in lowering the frequency of nausea and vomiting in first trimester pregnant women at the Nurtiana Ginting Clinic. Utilizing a Quasi-Experimental design with a one-group pre-test and post-test format, the research involved 19 pregnant women in their first trimester, selected through purposive sampling based on specific inclusion and exclusion criteria. The PUQE-24 (Pregnancy Unique Quantification of Emesis and Nausea) tool was used to assess symptom frequency before and after the intervention. Statistical analysis using the Wilcoxon test showed a p-value of 0.000 ≤ 0.05, indicating a statistically significant impact of the intervention on reducing nausea and vomiting in early pregnancy. The study concludes that young coconut water and honey are effective in decreasing the frequency of these symptoms. As a result, they are recommended as a non-pharmacological option to help manage and alleviate nausea and vomiting during early pregnancy.