Penilaian Risiko Kesehatan Lingkungan Kecamatan Abiansemal, Kabupaten Badung

Abstract

Environment, a variable that often gets special attention in assessing public health and environmental health, is an effort to prevent disease. Environmental Health Risk Assessment (EHRA) is a comprehensive study about sanitation facilities' conditions and risky behaviors on public health. Abiansemal District is one of the tourist destinations that has a very complex impact, especially on environmental health aspects. Behavior is a highly potential factor for health status, clean and healthy behavior is strongly influenced by the availability of sanitation facilities in order to control physical environmental factors that can harm health. This study determines the Health Risk Index and obtains an overview of the sanitation facilities condition and community behavior that has a risk for environmental health in Abiansemal District, Badung Regency. This study used stratified random sampling using a sample in the Abiansemal sub-district which has been determined as the target study area. Households to be visited in each village were selected randomly by stratified random sampling. After finding the first household visited, an interview was conducted according to the available questionnaire and after it was completed it was forwarded to neighbors until it found 40 houses per village. SPSS 20.0 is used for the data analysis. The description of sanitation facilities and community behavior that poses a risk to health in strata 1 has the main problem in domestic waste with the highest score of 36, while strata 2 has the main problem in solid waste with a score of 43 and strata 3 has the main problem in domestic wastewater with a score of 45. Analysis results of the sanitation risk index for the category of low risk/less risky area for strata 1 (1 village), the category of high-risk area for Strata 2 (11 villages), and the category of moderate risk area is in Strata 3 (6 villages). The high-risk area is found in Strata 2 (11 villages).
 Keywords: EHRA; Environmental health; Abiansemal; Badung.

Identification of Environmental Issues on the Ecoregion of Volcanic and Fluvio-Volcanic Landform in Badung Regency

“…Abiansemal District is a tourist destination in Badung Regency. It has a very complex impact, especially on the environmental health aspect, as well as the increase in new densely populated settlements and the incidence of disease in environmentally-based communities because not all people can behave in a clean and healthy life (Lestari et al 2021). Public awareness of waste management in Sibangkaja Village is still lacking, as seen by the large amount of plastic waste scattered near the springs, thereby reducing the cleanliness and beauty of the springs when viewed from the side of the road so that it looks unkempt and slum.…”

“…The habit of throwing garbage into springs has been going on for a long time, so it is difficult for people to change their habits. Many people still think that waste management in the area that is the scope of the EHRA (Environmental Health Risk Assessment) study is inadequate, and there is a need to improve services (Lestari et al 2021).…”

“…In addition to inappropriate use, the lack of public attention to the springs makes the flowing springs wasted in large quantities; if they are not used for washing motorbikes, the springs are not used. According to Lestari et al (2021), some people at water collection points at several springs still consumed water directly from the stored springs without boiling it first. They considered the quality of the water they took was equivalent to consuming bottled mineral water.…”

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“…Pembangunan fasilitas dan akses sanitasi memerlukan pemahaman terkait kondisi wilayah yang sesuai dan akurat (Razak et al, 2023). Fasilitas sanitasi menjadi mutlak dan krusial untuk kesehatan masyarakat, baik di rumah tangga maupun tempat umum (Lestari et al, 2021). Fasilitas sanitasi yang memadai dapat mengurangi risiko infeksi, terutama penyakit yang disebabkan oleh kontaminasi air dan tinja, memberikan kenyamanan dan meningkatkan kualitas hidup, serta mengurangi risiko penularan penyakit (Chanchitpricha et al, 2019;Lestari et al, 2022;Yulistya et al, 2021).…”

“…Risiko sanitasi berkaitan dengan masalah kesehatan lingkungan dalam penyediaan akses fasilitas sanitasi dan perilaku hidup bersih dan sehat (Ramadhan et al, 2023;Sudrajat, 2017). Metode EHRA (Environmental Health Risk Assessment) atau Studi Penilaian Risiko Kesehatan Lingkungan digunakan untuk menilai risiko sanitasi pada skala rumah tangga di tingkat kabupaten atau kota (Lestari et al, 2021;Susilawaty et al, 2018). EHRA menjadi pendekatan sistematis yang dapat memberikan status atau kondisi terkait fasilitas sanitasi dan perilaku yang berisiko terhadap kesehatan lingkungan (Rooslan Edy Santosa et al, 2020;Yolanda et al, 2023).…”