PERILAKU PETUGAS KEBERSIHAN DALAM PENGELOLAAN SAMPAH RUMAH SAKIT (STUDI KASUS DI RUMAH SAKIT NIRMALA SURI SUKOHARJO TAHUN 2003)

Rumah Sakit Nirmala Suri merupakan rumah sakit yang memberikan pelayanan kesehatan kepada masyarakat. Kegiatan yang dilakukan rumah sakit menimbulkan berbagai dampak, baik dampak positif maupun dampak negatif. Salah satu dampak negatif adalah rumah sakit menghasilkan sampah, yaitu sampah medis dan sampah non medis. Apabila keberadaan sampah tersebut tidak dikelola dengan baik dan benar, akan menimbulkan dampak negatif bagi masyarakat rumah sakit maupun sekitar rumah sakit. Keberhasilan pengelolaan sampah ditentukan banyak faktor, salah satunya adalah perilaku petugas. Penelitian ini untuk mengetahui gambaran karakteristik petugas kebersihan, pengetahuan, sikap, dan praktek petugas kebersihan dalam pengelolaan sampah di Rumah Sakit Nirmala Suri Sukoharjo. Metode penelitian ini adalah metode kualitatif. Subyek penelitian adalah seluruh petugas kebersihan Rumah Sakit Nirmala Suri Sukoharjo sebanyak 12 orang. Teknik pengumpulan data dengan cara Focus Group Discussion (FGD) dan wawancara mendalam. Analisis data secara analisis isi. Hasil penelitian menunjukkan bahwa karakteristik petugas kebersihan berdasarkan umur, pendidikan, dan masa kerja pegawai bervariasi. Umur pegawai termuda 21 tahun dan tertua 50 tahun. Pendidikan paling rendah SD dan paling tinggi Diploma III. Rata-rata masa kerja pegawai adalah 6 tahun. Pengetahuan petugas mengenai pengelolaan sampah mulai dari proses penimbulan sampah sampai dengan penanganan akhir sampah cukup bagus. Sikap petugas dalam pengelolaan adalah positif. Petugas dalam pengelolaan sampah mengacu pada prosedur tetap (protap) yang berlaku. Namun demikian, dalam pelaksanaannya terkadang petugas tidak mealkukan sebagaimana yang tertulis dalam protap. Kata Kunci: Petugas Kebersihan, Pengelolaan Sampah, Rumah Sakit THE BEHAVIOUR OF THE CLEANING STAFF IN THE MANAGEMENT OF HOSPITAL WASTE (A CASE STUDY IN NIRMALA SURI HOSPITAL IN SUKOHARJO 2003) Nirmala Suri Hospital is a hospital that gives health service to society. The activities which are done by the hospital cause many effects either positive or negative. One of the negative effects is the hospital produces waste, namely medical and non medical waste. If the existence of the waste is not managed well and properly, it will cause negative effect to the hospital staff and the people around the hospital. The success of the management of waste is determined by many factors, one of them is the behaviour pf the cleaning staff. The research is to know the characteristic description of the cleaning staff that includes knowledge, attitude and practice in the management of waste in Nirmala Suri Hospital in Sukoharjo. The method of research is qualitative method. The subject of research is all cleaning staff of Nirmala Suri Hospital as many as 12 persons. The tehnique of collecting data by Focus Group Discussion (FGD) and indepth interview. The data analysis is content analysis. The result of the research has shown that the characteristics of the cleaning staff based on age, education and work span are various. The youngest age of the staff is 21 and the oldest one is 50. The lowes education is Elementary School and the highest one is Diplima III. The average of work span of the cleaning staff is six years. The knowledge of the staff about the management of the waste from the process of pilling to the final process is good enough. The attitude of the staff in the management of the waste is positive. In doing the management of the waste, the cleaning staff refer to the fixed procedure. However, in doing the job, the cleaning staff sometimes do not do it as written on the fixed procedure. Keyword: Cleaning Staff, waste management, hospita

Risk Factors Analysis of Typhoid Fever Occurence of Inpatient in Kebumen Public Hospital in 2013

ABSTRACTIntroduction: Typhoid fever is a disease caused by infection of Salmonella typhoid and paratyphoid bacteria. There are 350-810 people who get this disease per 100.000 people and the percentage of death is 0.6-5%. Typhoid fever in Kebumen Regency always belongs to the big five diseases. The criteria are the number of in-patient in the hospital and the extraordinary occurrence for 4 years (from 2007 to 2010). This disease is related to unhealthy sanitation and bad individual hygiene practice.Objective: To analyze the risk factors of typhoid fever occurrence of inpatient in Kebumen Public Hospital in 2013.Methods : This research is an analytical observational research with control case study design. The sample subject was taken by using consecutive sampling method and there were 148 respondents, consisting of 74 case respondents and 74 control respondents. The data were analyzed by using McNemar (bivariate) test and conditional logistic regression (multivariate).Results : Most respondents are in the age of 15-20 years old (32.43%), female (70.27%), the graduates of Senior/Vocational High School (29.05%) and student/university student (34.46%). The results of multivariable analysis are the risk factor of eating non-homemade snack habit is high (p=0.000; OR=5.586; CI 95% 2.142-14.571) followed by the habit of washing hands before eating (p=0.003;OR=2.835; CI 95% 1.433-5.609). Water clean sources, facility for defecation,  defecation habit in latrine, and typhoid fever history in family are not the risk factors of typhoid fever occurrence of in-patient in Kebumen Public Hospital.Conclusion : The risk to get typhoid fever in Kebumen Regency is higher on those whose habits of eating non-homemade snacks  and not washing hand by using soap before eating. Therefore, the health officer should improve individual hygiene promotion and give information to society and those who manage food processing public place.Key Words: Risk factors,Typhoid fever, Kebumen

ANALISIS FAKTOR RISIKO KEJADIAN DEMAM TIFOID PASIEN RAWAT INAP DI RUMAH SAKIT KABUPATEN KEBUMEN TAHUN 2013

Background: Typhoid fever is a disease caused by infection of Salmonella typhoid and paratyphoid bacteria. There are 350-810 people who get this disease per 100.000 people andthe percentage of death is 0.6-5%. Typhoid fever in Kebumen Regency always belongs to the big five diseases. The criteria are the number of in-patient in the hospital and the extraordinary occurrence for 4 years (from 2007 to 2010). This disease is related to unhealthy sanitation and bad individual hygiene practice. This research is aimed to analyze the risk factors of typhoid fever occurrence in inpatient in Kebumen Public Hospital in 2013. Method :The type of this research is analytical observational research with control case study design. The sample was taken by using consecutive samplingmethod and there were 148 respondents, consisting of 74 case respondentsand 74 control respondents. The data were analyzedby usingMcNemar (bivariate) test and conditional logistic regression (multivariate). Results : Most respondents are in the age of 15-20 years old (32.43%), female (70.27%), the graduates of Senior/Vocational High School (29.05%) andstudent/university student (34.46%). The results of multivariable analysis are the risk factor of eating non-homemade snack habit is high (p=0.00