Penyakit diare masih menjadi masalah kesehatan masyarakat yang signifikan di Indonesia, termasuk di Kabupaten Tangerang. Penelitian ini bertujuan untuk menganalisis hubungan antara proporsi rumah sehat, akses air minum layak, dan penggunaan jamban sehat dengan kejadian diare di wilayah kerja Puskesmas Sukadiri, Pakuhaji, dan Sukawali pada tahun 2023. Penelitian ini menggunakan desain studi ekologi dengan unit analisis desa/kelurahan. Data yang digunakan merupakan data sekunder yang diperoleh dari Dinas Kesehatan Kabupaten Tangerang dan masing-masing puskesmas. Analisis bivariat dilakukan menggunakan uji korelasi Pearson dan Spearman sesuai dengan hasil uji normalitas data. Hasil penelitian menunjukkan bahwa terdapat hubungan yang lemah dan berarah positif antara proporsi rumah sehat dengan kejadian diare (ρ = 0,387; p = 0,075), serta hubungan yang lemah dan berarah negatif antara akses air minum layak (r = -0,276; p = 0,214) dan penggunaan jamban sehat (ρ = -0,334; p = 0,128) dengan kejadian diare. Ketiga hubungan tersebut tidak signifikan secara statistik. Hasil ini menunjukkan bahwa meskipun arah hubungan sebagian besar sejalan dengan teori, hubungan antara indikator lingkungan dan kejadian diare belum dapat dibuktikan secara signifikan di wilayah penelitian ini.

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Diarrhea remains a significant public health issue in Indonesia, including in Tangerang Regency. This study aims to analyze the relationship between the proportion of healthy homes, access to safe drinking water, and the use of proper sanitation facilities with the incidence of diarrhea in the working areas of Sukadiri, Pakuhaji, and Sukawali Community Health Centers in 2023. This study employed an ecological study design with the unit of analysis being villages/sub-districts. The data used were secondary data obtained from the Tangerang District Health Office and respective health centers. Bivariate analysis was conducted using Pearson and Spearman correlation tests, based on the results of the normality test. The findings show a weak positive correlation between the proportion of healthy homes and the incidence of diarrhea (r = 0.387; p = 0.075), a weak negative correlation between access to safe drinking water (r = -0.276; p = 0.214), and a weak negative correlation between the use of proper sanitation facilities (r = -0.334; p = 0.128) with the incidence of diarrhea. All three correlations were found to be statistically insignificant. Although the direction of the relationship aligns with theoretical expectations, the relationship between environmental health indicators and the incidence of diarrhea could not be statistically confirmed in the study area.

 

Praktik Manajemen Kebersihan Menstruasi (MKM) oleh siswi perempuan di Sekolah Menengah di Indonesia berdasarkan penelitian masih rendah (35,9%), hal ini dapat menyebabkan infeksi pada saluran kencing dan reproduksi. Penelitian terkait MKM di Provinsi Jambi, khususnya Kabupaten Batanghari masih terbatas. Hambatan seperti kekeringan, kurangnya pendidikan mengenai MKM, serta stigma menstruasi yang tabu menghambat penerapannya. Penelitian ini bertujuan untuk menganalisis hubungan kualitas air secara organoleptik terhadap MKM di Sekolah pada Siswi Sekolah Menengah di Kabupaten Batanghari, Provinsi Jambi Tahun 2024. Penelitian menggunakan desain cross sectional dengan 342 sampel siswi perempuan yang berasal dari 93 sekolah menengah di Kabupaten Batanghari. Analisis data dilakukan dengan uji chi square dan uji regresi logistik ganda model faktor risiko. Hasil penelitian menunjukkan sebagian besar siswi perempuan Sekolah Menengah di Kabupaten Batanghari memiliki praktik MKM yang kurang baik (36,5%) dan bersekolah di Sekolah dengan kualitas air secara organoleptik yang baik (60,5%). Praktik MKM di Sekolah berkaitan dengan kualitas air secara organoleptik (OR = 1,851, 95% CI: (1,162 – 2,948)), ketersediaan air (OR = 2,035, 95% CI: (1,147 – 3,611)) dan ketersediaan sabun (OR = 2,424, 95% CI: (1,400 – 4,196)), ketersediaan toilet yang aman (OR = 1,768, 95% CI: (1,091 – 2,866)), ketersediaan tempat sampah tertutup (OR = 1,792, 95% CI: (1,118 – 2,872)), dukungan orang tua (OR = 2,913, 95% CI: (1,362 – 6,229)), dukungan guru (OR = 1,878, 95% CI: (1,188 – 2,970)), dukungan teman (OR = 2,657, 95% CI: (1,475 – 4,788)), pendidikan Ibu (OR = 1,891, 95% CI: (1,209 – 2,956)), pendidikan Ayah (OR = 1,821, 95% CI: (1,165 – 2,847)), serta pengetahuan (OR = 3,591, 95% CI: (2,264 – 5,697)). Selain itu, terdapat hubungan yang signifikan antara kualitas air secara organoleptik yang berinteraksi ketersediaan toilet yang aman terhadap MKM setelah dikontrol oleh ketersediaan air dan sabun, dukungan orang tua dan guru, pendidikan Ibu, dan pengetahuan (AOR 95% CI: 3,987 – 26,710). Diharapkan pihak sekolah, dinas pendidikan, dan dinas kesehatan melakukan upaya untuk memerhatikan keamanan toilet dan fasilitas air, sanitasi dan kebersihan (Water, Sanitation, and Hygiene/WASH). 

The practice of Menstrual Hygiene Management (MHM) among female students in secondary schools in Indonesia, based on research, is still low (35.9%), which can lead to urinary and reproductive tract infections. However, MHM studies in Jambi Province, particularly in Batanghari Regency, remain limited. Barriers such as water scarcity, lack of education about MHM, and the stigma surrounding menstruation have hindered the implementation of MHM. This study aims to analyze the relationship between organoleptic water quality and MHM among secondary school students in Batanghari Regency, Jambi Province, in 2024. This study employed a cross-sectional design with 342 female student subjects from 93 secondary schools in Batanghari Regency. Data analysis was conducted using the chi-square test and multiple logistic regression with a risk factor model. The study revealed that most female secondary school students in Batanghari Regency practiced poor MHM (36.5%), but attended schools with good organoleptic water quality (60.5%). MHM practices at schools were associated with organoleptic water quality (OR = 1.851, 95% CI: (1.162 - 2.948)); water availability (OR = 2.035, 95% CI: (1.147 - 3.611)); soap availability (OR = 2.424, 95% CI: (1.400 - 4.196)); availability of safe toilets (OR = 1.768, 95% CI: (1.091 - 2.866)); availability of closed waste bins (OR = 1.792, 95% CI: (1.118 - 2.872)), parental support (OR = 2.913, 95% CI: (1.362 - 6.229)); teacher support (OR = 1.878, 95% CI: (1.188 - 2.970)); friend support (OR = 2.657, 95% CI: (1.475 - 4.788)); maternal education (OR = 1.891, 95% CI: (1.209 - 2.956)), paternal education (OR = 1.821, 95% CI: (1.165 - 2.847)), and knowledge (OR = 3.591, 95% CI: (2.264 - 5.697)). Furthermore, a significant relationship was found between organoleptic water quality interacting with availability of safe toilets for MHM, after controlling for water and soap availability at schools, parental and teacher support, mother's education, and knowledge (AOR 95% CI: 3.987 - 26.710). Schools, education departments, and health departments are encouraged to improve the toilet hygiene and water, sanitation, and hygiene (WASH) amenities.

Keselamatan dan kesehatan kerja (K3) merupakan aspek vital dalam proyek konstruksi jalan tol yang memiliki risiko tinggi dan kompleksitas pekerjaan besar. Meskipun Sistem Manajemen Keselamatan Konstruksi (SMKK) telah diwajibkan melalui Permen PUPR No. 10 Tahun 2021, implementasinya di lapangan masih belum optimal, ditunjukkan oleh tingginya angka kecelakaan kerja pada proyek infrastruktur. Penelitian ini bertujuan untuk menganalisis pengaruh faktor individu berdasarkan Model Green—yang mencakup faktor predisposisi (pengetahuan keselamatan, sikap terhadap keselamatan, kesadaran terhadap bahaya), faktor pemungkin (pelatihan keselamatan, fasilitas dan dukungan keselamatan, penerapan SOP dan kepatuhan), serta faktor penguat (kepemimpinan dan pengawasan K3, pengalaman kerja dan sharing session)—terhadap perilaku aman pekerja dalam implementasi SMKK pada proyek Jalan Tol Trans Sumatera ruas Palembang–Betung. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional, melibatkan 138 responden yang dipilih melalui teknik purposive sampling. Data dikumpulkan menggunakan kuesioner skala Likert 1–5 dan dianalisis dengan uji korelasi Pearson serta regresi linier berganda. Hasil penelitian menunjukkan bahwa secara simultan, seluruh faktor individu memiliki hubungan signifikan dengan perilaku aman (F = 4,462; p < 0,001). Namun secara parsial, hanya variabel pelatihan keselamatan yang berpengaruh signifikan (β = 0,373; p < 0,001). Faktor sikap terhadap keselamatan dan kesadaran terhadap bahaya menunjukkan korelasi positif signifikan pada uji korelasi (p < 0,05), tetapi belum cukup kuat dalam regresi parsial. Faktor lain, seperti pengetahuan keselamatan, fasilitas dan dukungan keselamatan, SOP dan kepatuhan, kepemimpinan dan pengawasan K3, serta pengalaman kerja dan sharing session tidak menunjukkan pengaruh signifikan dalam model regresi. Penelitian ini menyimpulkan bahwa efektivitas implementasi SMKK sangat dipengaruhi oleh pelatihan keselamatan yang efektif, didukung komunikasi dua arah, kepemimpinan yang kuat, serta internalisasi nilai-nilai keselamatan untuk menciptakan budaya kerja yang aman dan berkelanjutan.

Occupational health and safety (OHS) is a vital aspect in toll road construction projects, which involve high risks and complex activities. Although the Construction Safety Management System (SMKK) is mandated by Ministry of Public Works Regulation No. 10 of 2021, its implementation in the field remains suboptimal, as indicated by the high number of occupational accidents in infrastructure projects. This study aimed to analyze the influence of individual factors based on the Green Model—including predisposing factors (safety knowledge, safety attitude, hazard awareness), enabling factors (safety training, safety facilities and support, SOP implementation and compliance), and reinforcing factors (leadership and OHS supervision, work experience and sharing session)—on safe behavior within SMKK implementation in the Trans Sumatera Toll Road Project, Palembang–Betung section. This research used a quantitative approach with a cross-sectional design involving 138 respondents selected through purposive sampling. Data were collected using a Likert scale (1–5) questionnaire and analyzed using Pearson correlation and multiple linear regression. The results showed that simultaneously, all individual factors had a significant relationship with safe behavior (F = 4.462; p < 0.001). However, partially, only safety training had a significant effect (β = 0.373; p < 0.001). Safety attitude and hazard awareness showed positive correlations with safe behavior (p < 0.05), but their effects were not strong enough in partial regression analysis. Other factors, such as safety knowledge, safety facilities and support, SOP implementation and compliance, leadership and OHS supervision, and work experience and sharing session did not show significant effects in the regression model. This study concludes that the effectiveness of SMKK implementation is highly influenced by effective safety training, supported by two-way communication, strong leadership, and internalization of safety values to establish a safe and sustainable construction work culture.