Meet Health Requirements Research Articles

Pengaruh Status Kesehatan Rumah Terhadap Kejadian Tuberkulosis di Wilayah Kerja Puskesmas Sawangan

Tuberculosis is an infectious disease that is a major cause of ill health and one of the leading causes of death worldwide. This study aims to analyze the effect of home health on the incidence of tuberculosis in the working area of the Sawangan Health Center, Depok. The design used is case control, to determine the effect of home health on the incidence of tuberculosis. The population in this study were the people in the working area of the Sawangan Public Health Center, Depok. The sample size was 60 respondents, consisting of 30 samples of tuberculosis sufferers and 30 samples as controls. Data were collected by observation, then the results of the study were analyzed using the chi-square test with univariate and bivariate analysis. The significance level uses ? 0.05. The results of the study found a significant effect of the ventilation area, lighting, and humidity of the house on the incidence of tuberculosis. There is no significant effect of the type of floor and the density of the house on the incidence of tuberculosis. The health condition of the house in general influences the incidence of tuberculosis, so that local health workers need to educate the public about creating housing conditions that meet health requirements.

Determining classes of food items for health requirements and nutrition guidelines using Gaussian mixture models.

The identification of classes of nutritionally similar food items is important for creating food exchange lists to meet health requirements and for informing nutrition guidelines and campaigns. Cluster analysis methods can assign food items into classes based on the similarity in their nutrient contents. Finite mixture models use probabilistic classification with the advantage of taking into account the uncertainty of class thresholds. This paper uses univariate Gaussian mixture models to determine the probabilistic classification of food items in the South African Food Composition Database (SAFCDB) based on nutrient content. Classifying food items by animal protein, fatty acid, available carbohydrate, total fibre, sodium, iron, vitamin A, thiamin and riboflavin contents produced data-driven classes with differing means and estimates of variability and could be clearly ranked on a low to high nutrient contents scale. Classifying food items by their sodium content resulted in five classes with the class means ranging from 1.57 to 706.27 mg per 100 g. Four classes were identified based on available carbohydrate content with the highest carbohydrate class having a mean content of 59.15 g per 100 g. Food items clustered into two classes when examining their fatty acid content. Foods with a high iron content had a mean of 1.46 mg per 100 g and was one of three classes identified for iron. Classes containing nutrient-rich food items that exhibited extreme nutrient values were also identified for several vitamins and minerals. The overlap between classes was evident and supports the use of probabilistic classification methods. Food items in each of the identified classes were comparable to allowed food lists developed for therapeutic diets. This data-driven ranking of nutritionally similar classes could be considered for diet planning for medical conditions and individuals with dietary restrictions.

POISSON REGRESSION MODELS TO ANALYZE FACTORS THAT INFLUENCE THE NUMBER OF TUBERCULOSIS CASES IN JAVA

Tuberculosis is an infectious disease and one of the world's top 10 highest causes of mortality in Indonesia. Based on this fact, it is necessary to study what factors affect number of tuberculosis cases. The number of tuberculosis cases as dependent variable is a count data that generally analyzed using Poisson regression. However, equidispersion assumption must be met, so Generalized Poisson Regression and Negative Binomial Regression are applied if the assumption is not met. Spatial aspects can be considered so Geographically Weighted Generalized Poisson Regression and Geographically Weighted Negative Binomial Regression were also conducted. Four models were built to evaluate relationship between number of tuberculosis cases and factors affecting it in Java in 2020. The explanatory variables are population density, percentage of children receiving BCG immunization, percentage of poor people, percentage of eligible drinking water facilities, percentage of family cards with access to proper sanitation, percentage of public places meet health requirements, and percentage of food management places meet hygienic requirements. This study shows that the best model for modeling the data is GWNBR with 2 groups of significant explanatory variables. Seven explanatory variables are statistically significant in 88 districts and six explanatory variables statistically significant in 12 districts.

Analisis Kualitas Depot Air Minum Isi Ulang Yang Ada Di Wilayah Puskesmas Tamalanrea

Introduction: The Minister of Health Regulation (PERMENKES) No. 492 of 2010 states that drinking water is water that goes through a treatment process or without a treatment process that meets health requirements and can be drunk directly. Population growth, which increases rapidly every year, is one of the factors causing groundwater pollution that is getting worse until now, so that the availability of proper drinking water is decreasing. This is what encourages the emergence of business entities that treat raw water into water that is ready to drink. Objective: to determine whether or not the quality of drinking water produced by the Refill Drinking Water Depot in the Tamalanrea Health Center working area is feasible. Methods: The type of research conducted is experimental research which is a physical, chemical and microbiological laboratory study of drinking water produced by the Refillable Drinking Water Depot in the Tamalanrea Health Center area and at the Makassar City Health Office Laboratory based on 32 samples on July 21, 2020. Results: physical parameters can be done by looking and observing directly whether the water is colored, smells, tastes or not. For chemical tests the sample is carried out by the UV-Vis method, microbiological parameters (Escherichia Coli) or the number of Escherichia Coli in the sample. Conclusion: 1. The results obtained from 27 depots (32 samples) studied showed that all depots in the Tamalanrea Health Center area met the requirements (100%) in terms of physical parameters, chemical parameters, where the results obtained that all drinking water from the depot was odorless. 2. The results obtained show that of the 27 depots (32 samples) examined, 18 depots studied in the Tamalanrea Health Center area are Qualified (59.26%) and 9 depots are Not Qualified (40.74%).

Reducing The Number Of Germs On Tableware By Using Star Fruit Extract (Averrhoa Bilimbi)

Background: The cutlery used by traders is one of the factors that plays an important role in the transmission of disease, such as the cleanliness of the stall and the location of the stall, the process of washing cutlery does not meet health requirements. The requirement for cutlery should not have a germ count of <0 colonies/cm2. Objectives: To determine the effectiveness of star fruit extract (Averrhoa bilimbi) in reducing the number of germs on eating utensils. Method: This research is experimental or experimental (experiment research) using 4 repetitions and 5 treatments, namely concentrations of 10.0%, 12.5%, 15.0%, 17.5%, 20.0% which are used for the disinfectant process. Results: The results showed that the measurement of the germ count in the control was 17.5×103 cfu/ml, at a concentration of 10.0% the average reduction in the germ rate was 60.9%, at a concentration of 12.5% the average reduction in the germ rate was 90.8%, at a concentration of 15.0% the average reduction in germ numbers was 90.9%, at a concentration of 17.5% the average reduction in germs was 71.7%, at a concentration of 20.0% the average reduction in germs was 89.8% . Statistical test results obtained P-Value = 0.032 meaning at alpha 0.05 it can be concluded that there is an effect after administration of star fruit extract (Averrhoa bilimbi) on reducing the number of germs. Conclusion: There was an effect after being given a solution of star fruit extract (Averrhoa bilimbi) to reduce the number of germs on cutlery before and after at various 5 concentration variations.

Study of Septic Tank Wastewater Distribution in Soil

In general, people use septic tanks for household wastewater management, but most of them do not meet health requirements and sni regulations, resulting in polluted shallow groundwater. Because of these issues, the author conducted a laboratory simulation of septic tank wastewater seepage on a small scale. This research was carried out in a 100 cm x 100 cm x 40 cm glass box. The aim of this study was to determine the distribution distance, flow rate, and travel time of septic tank wastewater in a horizontal direction wihtin a glass container. The study used statistical analysis to examine the horizontal spread of septic tank effluent in a glass box. The distribution simulation was performed using laboratory tests a ratio 1:10 according to the existing conditions and soil physical properties were tested. Contaminant parameters including the concentration of Escherichia coli and ammonia (NH3N) were analyzed based on distance and time. The number of samples tested in this study was 40 arranged transversely. The results of soil physical property tests included specific gravity of 2,648%, plastic limit of 16,443%, liquid limit of 25,906%, plastic index of 9,463%, sieve analysis of 17,51%, moisture content of 13%, organic matter of 6,12% and permeability 5,388 x 10−5 cm/s. The results of Escherichia coli concentration tests at showed that the concentration was 1,6 x 104 (mpn/100 ml) at the closets distance from the source of spread and 0,92 x 104 (mpn/100 ml) at the farthest distance. The ammonia (nh3n) concentration at the closest distance from the source of spread was 1,30 (mg/l) and the farthest distance was 0,97 (mg/l). The simulation results of the horizontal spread of septic tank wastewater in a glass box at a distance 81 cm required a travel time of 425 minutes (7 hours 5 minutes) with a septic tank wastewater spread speed/flow rate 8,4 x 10−5 liter/minute.

Analisis Penerapan Hygiene dan Sanitasi Makanan pada Penjamah Makanan Jajanan Salome di Sekitar Taman Nostalgia Kota Kupang

Unsafe food contains bacteria, viruses, parasites, harmful chemical substances causing more than 200 diseases. One of the causes of fundamental food sanitation problems is the characteristics of food handlers. Food handlers who do not have knowledge about good food processing methods have an impact on processed food. Indonesia's health profile in 2017 shows that the percentage of TPM eligible for health nationally in 2017 was 18.04%, an increase at the previous year of 13.66%. Eligible TPM continued to increase to 33.69% of the total 127,554, TPM in 2018. NTT Province has 237 (12.76%) TPM that meet health requirements out of a total of 1,857 TPM available. This study aims to determine the application of food hygiene and sanitation to salome snack food handlers around Nostalgia Park in Kupang City. This type of research is a descriptive quantitative conducted at Nostalgia Park in Kupang City starting in May 2023. The number of samples amounted to 17 respondents, with the sampling method being non-probability sampling with purposive sampling techniques. Data were analyzed univariately. The results showed that the application of food hygiene and sanitation with not good enough categories as many as 7 people (41.2%), 6 people (35.3%) had sufficient knowledge related to food hygiene and sanitation, 9 people (52.9%) had negative attitudes related to the implementation of food hygiene and sanitation, and as many as 11 people (64.7%) had poor facilities. It is recommended to the Health Office of Kupang City to carry out health promotion for salome snack food handlers around Taman Nostalgia to increase food handlers' awareness about food hygiene and sanitation.

HUBUNGAN PELAKSANAAN PROGRAM SANITASI TOTAL BERBASIS MASYARAKAT (STBM) DENGAN KUALITAS SANITASI LINGKUNGAN DI LINGKUNGAN III KELURAHAN TANJUNG SELAMAT KECAMATAN MEDAN TUNTUNGAN TAHUN 2021

Environment Sanitation is the health status of environment that focuses on monitoring various factors environment that is needed to provide a healthy environment that meets health requirements. Based on data obtained from Public Health Center of Medan Tuntungan related to community sanitation is still not good enough. Of the 236 households there are several of families who have not access latrines (20%), household waste processing (48.8%) and waste water disposal facilities that were still in Unprotected Sewerage category (70%). The purpose of this study was to determine the purpose of implementing a community based total sanitation quality in the region III Tanjung Selamat Medan Tuntungan 2021. The type of this research was observational analytic with cross sectional approach. The independent variables in this study include latrine access, household waste processing, waste water disposal and family drinking water treatment sources. With the acquisition of a sample of 70 families using simple random sampling technique and analyzed using Chi Square statistical test with a significance level of 95% (α=0.005). through the result of this study, it was found that there was a relationship between latrine access (p=0.023), household waste processing (p=0.006), waste water disposal (p=0.000) with environmental sanitation quality and there was no relationship between source and family drinking water treatment with environmental sanitation quality. Keywords : Environment Sanitation, Community Based Total Sanitation.

Basic Sanitation With Diarrhea

Aroppoe hamlet is the hamlet with the highest number of cases of diarrhea. The data obtained shows that the hamlet is one of the most densely populated hamlets with a total of 389 heads of household. There are many houses whose latrines do not meet health requirements, and the average clean water consumed is from dug wells, as well as air pollution. as a result of sewerage that does not meet health requirements. The purpose of this study was to determine basic environmental sanitation with the incidence of diarrhea in Aroppoe Hamlet, Tellumpanua Village, Tanete Rilau District, Barru Regency. The type of research used was an analytic survey research with a cross sectional study approach from a sample of 60 families of a total population of 289 families. Data presentation was carried out in the form of a table distribution accompanied by an explanation in the form of a narrative, and data analysis used the Chi-Square statistical test. The results showed that there was a relationship between the condition of clean water and the incidence of diarrhea (p=0.01), there was no relationship between the condition of the sewerage (SPAL) and the incidence of diarrhea (p=0.1). There is a relationship between the condition of the latrine and the incidence of diarrhea (p=0.03). There is a relationship between the state of clean water and latrines. The conclusion is that the lack of healthy toilet facilities is due to the lack of a residential environmental sanitation program targeting house floors and physical handling of clean water quality in Aroppoe Hamlet, Tellumpanua Village, Tanete Rilau District, Barru Regency.

Content of E.Coli, Coliform and Iron (Fe) Bacteria with A Refill Drinking Water Treatment System in Tinggimoncong District

Drinking water is water that has gone through a processing process or without a processing process that meets health requirements and can be drunk directly. Drinking water is safe for health if it meets the Physical, Microbiological, Chemical and Radioactive requirements contained in the mandatory parameters and additional parameters. The purpose of this study was to determine the content of E.coli, Coliform and Iron (Fe) Bacteria with a Refill Drinking Water Treatment System in Tinggimoncong District. This type of research is quantitative research with a descriptive approach, namely the type of research used to analyze data by describing or describing the data that has been collected as it is. This sampling technique is total sampling. This research was conducted on August 12-13 2022. The sample in this study was refill drinking water in Tinggimoncong District. In examining the laboratory test, the researcher used the Sanitarian Kit. Drinking water samples were taken from 11 drinking water depots spread across Tinggimoncong District. The results of this study indicated that of the 11 samples of drinking water that did not contain E.coli, and 7 samples of drinking water that contained coliform, 11 samples contained iron (Fe) according to the permissible levels and 4 samples of drinking water were free of microbiological and chemical content. From the results of this study, it is suggested that the Health Service and Community Health Centers improve supervision of the quality of DAMIU not only checking the quality of AMIU but also the feasibility of DAM and PHBS of employees and DAMIU quality is not only checked on processed products but on DAMIU that is ready to be distributed because contamination can occur during packaging.

A Description of Clean Water Facilities and Family Latrines in the Sanggona Public Health Center Area, Uluiwoi District, East Kolaka Regency

Environmental sanitation prioritizes the prevention of environmental factors to avoid negative environmental impacts such as diseases. This study used a descriptive quantitative method to describe access to clean water facilities and family latrines supported by secondary data from the Sanggona Public Health Center, Uluiwoi District, East Kolaka Regency. The results of this study indicated that the types of clean water facilities used in the working area of Sanggona Public Health Center consisted of wells, drilled wells with pumps, and non-processing piping. Of the clean water facilities examined, most of the conditions of clean water facilities (94.7%) had a low level of pollution risk. Some of the conditions of clean water facilities (5.3%) in dug wells were still in the medium category at contamination risk level. The respondents in the family latrine conditions who were in the Sanggona Public Health Center area, had gooseneck latrines, and met the sanitation requirements were 738 houses (97.6%). The family latrines category respondents who still needed to meet the criteria were those with cemplung latrines, namely 18 homes (2.4%). As a suggestion, with the existence of a small number of clean water facilities that still have a moderate risk of contamination, namely dug wells, the community should make repairs and pay attention to dug well facilities that still have a chance of contamination, especially the distance to the disposal site (septic tank), which is close to clean water facilities and do not meet health requirements. Furthermore, socialization/counseling activities are needed to provide knowledge and encourage the community to improve community latrines that do not meet the criteria.
 Keywords: Family Latrines, Clean Water Facilities, Sanggona Public Health Center

THE RELATIONSHIP BETWEEN KNOWLEDGE, ATTITUDE AND TRAINING OF EMPLOYEES REFILL DRINKING WATER DEPOTS WITH IMPLEMENTATION OF SANITATION HYGIENE REFILL DRINKING WATER DEPOTS IN THE WORKING AREA OF KENALI BESAR PUBLIC HEALTH CENTER

Based on data from the Jambi Provincial Health Office in 2021 drinking water depots that meet health requirements have not reached the target of 92.6% of the 100% target. Sanitary hygiene is an effort made to control the risk factors for contamination of drinking water. The purpose of this study was to find out the relationship between knowledge, attitudes, and training with the implementation of sanitation hygiene at the drinking water depot in the working area of ​​the Kenali Besar Health Center in 2022. This research uses a quantitative research design with a cross-sectional research design. The research was conducted in the working area of ​​the Kenali Besar Health Center in August-February 2023. The population and samples of this study were 51 employees of the Kenali Besar Health Center (DAMIU) in the Work Area of ​​the Kenali Besar Health Center. The results of the study showed that the application of sanitation hygiene was in the proper category (52.9%). The statistical test results showed that the variables were knowledge (p=0.000 <0.05), attitude (p=0.000 <0.05), and training (p=0.01 <0.05). Concusion, there is a relationship between knowledge, attitudes, and employee training with the application of sanitary hygiene at refill drinking water depots (DAMIU) in the Working Area of ​​the Kenali Besar Health Center

PENGARUH PENDIDIKAN KESEHATAN DENGAN METODE SIMULASI TERHADAP PRAKTIK CUCI TANGAN PAKAI SABUN PADA ANAK SEKOLAH DASAR NEGERI CIBEUREUM KOTA TASIKMALAYA

Diarrhea is a disease where the condition of defecation with a liquid or soft consistency and the frequency is more than three times a day. Cibeureum sub-district was ranked first in cases of diarrhea aged 5-14 years, as many as 311 cases out of a total of 23,370 cases (2019-2020). In 2020-2021 (January to November) there were 248 cases of diarrhea with a percentage of 61.2% of patients at the elementary school (SD) level. SDN Cibeureum was ranked first with the number of diarrhea cases as many as 25 cases. Hand washing behavior that does not meet health requirements is at risk of developing diarrhea. Children tend to have a habit of not keeping their hands clean by washing their hands, especially at school. Efforts to improve the practice of washing hands with soap (CTPS) can be done through health education using interesting methods. Simulation is a learning method that is considered suitable for community skills. The research design is a pre-experimental design research with a one group pretest-posttest research design. The research subjects were 57 grade 1 students at Cibeureum State Elementary School, Tasikmalaya City. Data collection tools using observation sheets. The results of statistical tests with the Wilcoxon test, namely (1) obtained p-value = 0.001 concluded that there is an effect of health education with the simulation method on CTPS practice immediately after being given treatment and (2) obtained p-value = 0.001 concluded that there is an effect of health education with the method simulation of the practice of CTPS one week after being given treatment. Schools are advised to provide adequate facilities to implement CTPS, provide information about CTPS regularly to students and conduct learning using the simulation method.

Determinants of Diarrhea Disease Environmental Conditions in Manutapen Village Kupang City

One of the environmental-based diseases that is still often found in developing countries is diarrheal disease. Diarrhea can also cause death. Limited toilet facilities in Manutapen Village, Kupang City could be one of the causes of the high number of diarrhea cases in the area. This type of research is descriptive with a survey method. Cross sectional sampling. The data taken is primary and secondary data. The results of the study showed that as many as 87.10% of diarrhea sufferers were > 5 years old, the distance is cubluk / resapans in toilets for diarrhea sufferers < 10 meters from the well are 12.90%, condition of toilet floors in houses of diarrhea sufferers that are not tight is 74.20%, condition of dirt/feces entry holes in open latrines is 6.45%, length / The width of the latrine floor in the house of diarrhea sufferers which is < 1 meter is 67.74%, the latrine house of diarrhea sufferers which does not have a roof is 19.35%. The conclusions that can be drawn are the distance of the cesspool to the source of clean water, the condition of the latrine floor, the condition of the dirt entry hole, the size of the floor area and the condition of the latrine house which does not meet health requirements can be factors that cause diarrhea

Kejadian penyakit kulit di Desa Asir-Asir Asia Kecamatan Lut Tawar Kota Takengon Kabupaten Aceh Tengah

Skin diseases can be caused by several factors, namely living habits and the environment. Skin diseases can develop in personal hygiene and poor environmental hygiene conditions. The diversity of types of skin diseases and the factors that cause skin diseases requires a deeper study of every skin disease phenomenon that occurs in the community. This study aims to determine the factors that cause skin diseases in Asir-Asir Asia Village, Lut Tawar District, Takengon City, Central Aceh Regency. This research was carried out using descriptive analytic in the form ofa survey to determine the factors that cause skin disease in Asir-Asir Asia Village, Lut Tawar District, Takengon City, Central Aceh Regency. The results showed that residents with personal hygiene were 37 people (41.11%) and people with poor personal hygiene were 53 people (58.89%). Respondents who have environmental sanitation by meeting health requirements are 16 people (17.78%) and as many as 74 respondents (82.22%) do not meet health requirements and respondents with the category of having skin disease complaints are observed subjectively and objectively as many as 60 respondents (66.67%) and have no complaints of skin disease as many as 30 respondents (33.33%). The conclusion in this study is that personal hygiene factors have a significant relationship with the incidence of skin disease complaints with a significant value of 0.008 (p < 0.05) and environmental sanitation factors also have a significant relationship with the incidence of skin disease complaints with a significant value of 0.001 (p <0.05).

Analysis of Differences in Well Water Quality Tests in the Highlands and Lowlands of Rantauprapat City

The existence of clean water is very important considering the very dynamic activities of people's lives. Therefore, the quality and quantity must be considered. Clean water that meets health requirements must be free from pollution and must meet quality standards: one of them is physical requirements because drinking water that does not meet quality standards can cause health problems. The topography of an area can affect groundwater in that area. This study aims to analyze differences in the quality of well water in the highlands of Rantauprapat City and the lowlands of Rantauprapat City based on physical parameters. The research was conducted at the BTKL Physics Laboratory in Medan in October 2022. The method in this research was observational analytic with a cross-sectional approach. The sample was determined by purposive sampling which amounted to 50 samples. Data were analyzed using SPSS 21 and the Mann Whitney-U Test. The results showed that there was no significant difference in water quality in the parameters of taste, temperature, odor and turbidity with a p value > 0.05, while there were significant differences in the parameters TDS and DHL with a p value <0.05. Conclusion: There are no significant differences in water quality in the parameters of taste, temperature, odor and turbidity, while in the TDS and DHL parameters there are significant differences in water quality with a p value <0.05. 0.05 while the TDS and DHL parameters are significantly different with a p value <0.05. Conclusion: There are no significant differences in water quality in the parameters of taste, temperature, odor and turbidity, while in the TDS and DHL parameters there are significant differences in water quality with a p value <0.05. 0.05 while the TDS and DHL parameters are significantly different with a p value <0.05. Conclusion: There are no significant differences in water quality in the parameters of taste, temperature, odor and turbidity, while in the TDS and DHL parameters there are significant differences in water quality with a p value <0.05.

EVALUATION OF THE IMPLEMENTATION OF SANITATION AT THE MUARO TEMPLE TOURISM IN 2022

Public places have the potential to become places for disease transmission and environmental pollution, for example, tourist spots. Muaro Jambi Temple is one of the cultural heritage complexes of the largest Hindu-Buddhist temple complex in Southeast Asia. It is also the most visited tourist spot in Muaro Jambi Regency. This study aims to evaluate the implementation of sanitation at the Muaro Jambi Temple tourist area. The method used in this research is qualitative research with an evaluation approach. There were 8 informants in this study who were taken by purposive sampling. Data collection was carried out by means of in-depth interviews, observation, and document review. Data analysis with content analysis method. The validity test of the research was carried out using the triangulation method. The results showed that the human resources of the Jambi Kecil health center had not met the standards, the cleaning staff or caretakers at the temple were sufficient in quantity but had not been assigned specifically to implement standardization of sanitation for tourist attractions. Funds for the implementation of the program from the Public health center come from BOK, while the tourism management has not prepared funds for implementing sanitation. The facilities and infrastructure of the Public health center are adequate, but the sanitation facilities in the temples are not up to standard. There is no policy that regulates STTU. Examination and assessment of sanitation in the temple had never been done before. When a sanitary inspection was carried out, it was found that the Muaro Jambi temple did not meet health requirements, namely 42.63%. It is hoped that the regional government will make regional regulations regarding the application of STTU and tourism managers will start implementing standardization of sanitation as a necessity. Public places can potentially become places for disease transmission and environmental pollution, for example, tourist spots. Muaro Jambi Temple is one of the cultural heritage complexes of the largest Hindu-Buddhist temple complex in Southeast Asia. It is also the most visited tourist spot in Muaro Jambi Regency.

OVERVIEW OF ESCHERICHIAE COLI CONTAMINATION IN REFILL DRINKING WATER DEPOT IN PASAR MINGGU DISTRICT

Background: Community needs to be protected from risk waterborne disease due to drinking water drinking from drinking water depots does not meet quality standards and sanitary hygiene requirements. Drinking water depots can be at risk of becoming a medium of transmission of various diseases if they do not meet health requirements. One indicator of the biological parameter of drinking water needs is the presence of Escherichia coli which must be found 0 (zero) per 100 ml of water in refill drinking water depots. The purpose of this study was to describe the quality of refill drinking water and the difference in factors between the depot that detected E.coli in its products and the depot that did not detect E.coli. Methods: This research was conducted at a refill drinking water depot in Pasar Minggu, Jakarta with a qualitative method through observation, in-depth interviews, and document studies. The study was conducted in July 2022. Results: The results showed that 35% of depots in Pasar Minggu were contaminated with E.coli and depots with E.coli 0 (zero) were more adaptable to requirements related to raw water sources, gallon management, filtration and disinfection. DAMIU owners and workers have never attended DAMIU hygiene and sanitation training and received certification. All DAMIUs do not have a hygiene certificate from the DKI Jakarta Provincial Health Office.

Identification of Environmental-Based Health Problems in Coastal Area of Mata Public Health Centre

Health problems caused by environmental conditions around humans in the form of sewerage, garbage disposal, water sources and family latrines. The purpose of this study was to identify environmental-based health problems in the working area of the Mata Health Center. This type of research is a quantitative descriptive research with a survey approach. The population in this study is the entire community, totaling 11,298 people. The sample in this study was 200 respondents with a sampling technique using simple random sampling. The results showed that the environmental-based diseases in the coastal areas of the Mata health center were diarrhea (58%), dengue (12%), malaria (4.5%), ARI (5.5%), contact dermatitis (20%), While the description of environmental factors in the coastal area is that the majority of clean water sources come from PDAM (60%), the condition of the water used is in the smelly category (1%), tasted water (7.5%), colored water (8.5% ); there are still those who do not have latrines (8%), latrines are not always closed (42.5%), do not clean latrines (7%); there are still those who do not have a garbage disposal at home (4%), and even if they have a garbage can, there are still non-watertight and closed garbage disposal containers (28%).The conclusion of this research is that there were still environmental factors that did not meet health requirements in the coastal area of ​​the Mata Health Center and caused environmental-based diseases.

PEMBERDAYAAN MASYARAKAT DALAM KEPEMILIKAN JAMBAN KELUARGA DI DESA TALANG BOSENG WILAYAH PUSKESMAS SIDODADI KECAMATAN PONDOK KELAPA KABUPATEN BENGKULU TENGAH

Efforts to improve hygiene behavior and increase access to sanitation continue to be developed. One of the applications of the Community Led Total Sanitation (CLTS) concept, CLTS is a concept with a promotion approach by facilitating the community to apply good environmental sanitation with a focus on not defecating in the open. Based on the 2019 annual report Health Center, the incidence of diarrhea ranks second in environmental-based diseases with 111 cases. The high prevalence of diarrhea is partly due to the lack of access to clean water, as much as 27.4% of clean water facilities/dug wells do not meet the requirements. As many as 35% of households still defecate in the open. The process of implementing community service activities in the framework of open defecation-free villages in Talang Boseng Village Working Area of ​​the Sidodadi Health Center, Pondok Kelapa District, Central Bengkulu Regency, namely using a combination of triggering and providing stimulants for the construction of family latrines carried out by the Community Service Team from the Bengkulu Ministry of Health Polytechnic, Sidodadi Health Center, Sidodadi Village Officials, and the Sidodadi community who do not yet have or who have latrines that do not meet health requirements.