JKM : Jurnal Kesehatan Mahardika Vol. No. September 2022, pp. ISSN: 2355-0724. DOI: 10. 54867/jkm. RELATIONSHIP OF VENTILATION AND WASTE MANAGEMENT WITH ACUTE RESPIRATORY INFECTION EVENT IN BANJARSARI WETAN VILLAGE IN 2021 Istiqomah, 2Retno Widiarini, 3 Karina Nur Ramadanintyas STIKes Bhakti Husada Mulia. Madiun. Indonesia, istiqom19@gmail. STIKes Bhakti Husada Mulia. Madiun. Indonesia, retnowidiarini24@gmail. STIKes Bhakti Husada Mulia. Madiun. Indonesia, nr. karin4@gmail. ARTICLE INFORMATION Received: July, 19, 2022 Revised: August, 22, 2022 Available online: September, 12, 2022 KEYWORDS Keywords: Ventilation. Waste Management. ARI CORRESPONDENCE Istiqomah STIKes Bhakti Husada Mulia Indonesia E-mail: istiqom19@gmail. ABSTRACT Acute Respiratory Infection (ARI) is one of several diseases that attack one part or more of the respiratory tract. The spread of ARI starts from the upper channel to the lower channel. ARI often occupies the top 10 list of diseases in the health center. ARI continues to be a health problem in Indonesia because it has a huge impact on the sufferer, besides that ARI can also trigger the emergence of other diseases. The purpose of this study was to analyze the relationship between ventilation and waste management with the incidence of ARI in Banjarsari Wetan Village in 2021. This study was an observational study using a case control study design, observations and interviews were also used to obtain data. The study population was all ARI patients who were treated at the Polindes. This research uses purposive sampling technique. And Chi-Square Test to analyze the research ventilation of the majority of respondents did not meet the criteria as many as 29 . 8%). Ventilation and waste management were not found to be related to the incidence of ARI in Banjarsari Wetan Village in 2021. The village head and the village midwife of Banjarsari Wetan should be able to carry out house monitoring that can be adjusted to the requirements of a healthy house, besides that, socialization about environmental-based diseases that can occur due to unhealthy home environmental conditions can also be carried out. This is an open access article under the CC BY-ND license. Istiqomah, et. Relationship Of Ventilation and Waste Management with Acute Respiratory Infection A JKM : Jurnal Kesehatan Mahardika Vol. No. September 2022, pp. ISSN: 2355-0724. DOI: 10. 54867/jkm. INTRODUCTION Acute Respiratory Infections are influenced by Health is a basic human need that is used as a external and internal factors. External factors are the determinant of self-quality. Health is also used as a physical environment of the house . ccupancy density, condition to be able to do activities optimally which will ventilation, lighting, dust levels in the house, kitchen affect a person's performance and productivity. Six health smoke holes and building constructio. (Putri, 2. issues will be the focus of the Ministry of Health addition, air pollution originating from transportation (Kemenke. in 2021, one of the problems of the six issues facilities and burning waste can also trigger ARI disease is increasing control of infectious and non-communicable (Celesta and Fitriyah, 2019. Zolanda. Raharjo and Setiani, diseases and strengthening health security for handling While the internal factors are gender, age and pandemics (Rokom, 2. Infectious disease is a disease nutritional status (Putri, 2. caused by the presence of microorganisms, such as The results of study (Yustati, 2. obtained p-value viruses, parasites, and bacteria (Agustin, 2. One of the 000 which means that there is a significant infectious diseases is an acute respiratory infection or can relationship between ventilation and the incidence of ARI be shortened to ARI, where ARI is one of several diseases in children under five. This can happen because some of that attack one part and or more of the respiratory tract. the respondent's houses have ventilation, but the The spread of ARI starts from the upper channel to the ventilation is only in the front room, while in the family lower channel (Afifah, 2. rooms and rooms there is no ventilation so it can cause A report from Nastiti Kaswandani as Head of the health problems. Based on the results of (Sudirman et al. Respiratory Coordination Working Unit of the Indonesian 2. research, the results of p-value = 0, which means Pediatrician Association (IDAI) stated that in 2016 WHO that there is a relationship between home ventilation and published a report that nearly 6 million children under five the incidence of ARI in toddlers in the Juntinyuat Health died and 16% of that number was caused by ARI Center work area in 2018. (Dwinanda, 2. Based on the results of the 2018 The results of research (Harto, 2. show that there Riskesdas, it was found that the prevalence of ARI in is a relationship between home ventilation and the Indonesia based on the diagnosis of health workers and incidence of ARI in toddlers at the Sukaraya Health symptoms in 2018 was 9. 3%(Kementerian Kesehatan Center. This happens because the existing houses do not Republik Indonesia, 2. Meanwhile, the prevalence of have sufficient ventilation requirements to filter the air ARI in East Java and in Madiun Regency based on the that enters the house. The relatively high humidity diagnosis or symptoms experienced by respondents was conditions in the Sukaraya and its surroundings are not 54% and 6. 89% (Riskesdas Jatim, 2. There are 10 accompanied by an ideal home construction adjustment environmental-based diseases at the Jetis Health Center with health requirements. Coupled with the level of which are sanitarians concerned with preventing and population density where houses are lined up close to each One of the diseases with the highest cases other makes the atmosphere is quite stuffy so that the among the 10 diseases is ARI. The number of cases of seeds of disease are trapped in one room and make it grow ARI in 2020 in the working area of the Puskesmas Jetis very quickly, both through person-to-person transmission was 703 cases. According to data from the Polindes of and through the growth of the disease virus. Banjarsari Wetan Village in 2020, 99 cases were found. Meanwhile, in 2021, 64 cases of ARI were found. Garbage can affect health and the environment. Waste management can be done in several ways, one of which is Istiqomah, et. Relationship Of Ventilation and Waste Management with Acute Respiratory Infection A JKM : Jurnal Kesehatan Mahardika Vol. No. September 2022, pp. ISSN: 2355-0724. DOI: 10. 54867/jkm. open burning. According to (Daffi. Chaimang and Alfa. Village. Dagangan District. Madiun Regency from March 2. open burning of waste can emit harmful gases into to May. The population of this study is a group of ARI the atmosphere. Large amounts of greenhouse gases such cases, namely all ARI patients who seek treatment at the as carbon dioxide, methane, and particulate matter are Polindes. Banjarsari Wetan Village. Madiun Regency released into the atmosphere as a result of open burning. with a total of 64 cases. The calculation of the lameshow Open burning of waste can cause air pollution and health formula was used to find the number of samples and the risks for those who are directly exposed to the smoke results obtained were 28 samples of the case group and 28 (Babayemi JO. Dauda KT, and Igoni AH. Ayotamuno MJ, samples of the control group. This research uses purposive Ogaji SOT. Probert SD). sampling technique. Test Chi-Square to analyze the Based on the results of the study (Setiawan. Heriyani research results. Case-control was used because in this and Biworo, 2. it was found that there was an study we wanted to know the cause of the disease by association between the act of burning open waste and investigating the relationship between risk factors and the ARI . = 0. This can happen because several people incidence of disease. The research instrument used a live in the area who burn garbage openly. After all, the checklist and a questionnaire. This research has obtained Temporary Shelters (TPS) in the area are far from where permission from the Badan Kesatuan Bangsa Dan Politik the residents live. Dalam Negeri Kabupaten Madiun. ARI often occupies the 10 highest list of diseases in Puskesmas. ARI continues to be a health problem in Indonesia because it has enormous consequences for sufferers, besides that ARI can also trigger the emergence of other diseases. For this reason, it is necessary to take promotive, preventive and control measures so that people are more aware and more concerned about maintaining their health and the environment. Promotive, preventive and control measures can be taken if the risk factors for a disease are known. The problem raised in this study is the high number of ARI cases in 2021, where ARI diseases are still classified as the top 10 diseases that are often treated at Polindes RESULTS Table 1. Univariate Analysis Variable Ventilation Meets criteria Does not meet criteria Waste Management By burning By not burning Based on table 1, it can be concluded that the most respondents' ventilation did not meet the criteria as many as 29 . 8%). Meanwhile, the majority of respondents' waste management was burned by 53 . 6%). Table 2. Bivariate Analysis Banjarsari Wetan Village. The purpose of this study was to analyze the relationship between ventilation and waste management with the incidence of ARI in Banjarsari Wetan Village in 2021. METHODS This study is an observational study with a casecontrol, observation and interviews were used to obtain The research was conducted in Banjarsari Wetan Variable Incidence of ARI ARI ARI Ventilation Meets Does not meet criteria Waste Management By burning By not P-Value (OR = 95%CI) 0,109 . ,395 = 0,122-1,. 1,000 . ,481 = 0,41-5,. Istiqomah, et. Relationship Of Ventilation and Waste Management with Acute Respiratory Infection A JKM : Jurnal Kesehatan Mahardika Vol. No. September 2022, pp. ISSN: 2355-0724. DOI: 10. 54867/jkm. Based on table 2, the results of the Chi-Square and the incidence of ARI in children under five in the obtained a P-Value value = 0. 109 which means that there coastal area of Sibolga City . -value = 0. , with a is no relationship between ventilation and the incidence of value of 1. 208 meaning that toddlers living in homes with ARI in Banjarsari Wetan Village in 2021. Ventilation OR ventilation < than 10 % of the floor area has 1,208 times value = 0. 359 which means that the risk of ARI disease the chance of being exposed to ARI compared to those will not increase if the respondent lives in a house where who live in houses that have qualified air ventilation. the ventilation of the house meets the criteria. Meanwhile. The results of the study (Putri and Mantu, 2. found for waste management, the p-value = 1,000 means that that there was a relationship between ventilation and the there is no relationship between waste burning and the incidence of ARI in children under five in Ciwadan incidence of ARI in Banjarsari Wetan Village in 2021. District. Cilegon City (P-value = 0. The results of the Respondents who burn garbage have a 0. 4 times more study (Astuti, 2. also stated that there was a significant susceptibility to ARI compared to respondents who do not relationship between the area of ventilation holes and the burn their waste (OR = . incidence of ARI in the female student dormitory of the Assalafi Al Fithrah Islamic Boarding School Surabaya (P- DISCUSSION value = 0. There is no relationship between ventilation and the Ventilation in Banjarsari Wetan does not have a incidence of ARI at Polindes Banjarsari Wetan Village in relationship with the incidence of ARI because the These results are in line with the results of research respondents have houses with adequate occupancy (Nova. Rachmawati and Siahainenia, 2. by obtaining density so that the air in the house is not too congested. p-value = 0. 741, which means that there is no significant Waste management has no relationship with the relationship between ventilation area and the incidence of incidence of ARI. The waste processing studied in this ARI in children under five in Sukadanau Village. West study is whether the waste is managed by burning or not Cikarang District. Bekasi Regency. The results of this study are different with the results The results of this study are not in line with the results of research (Hassen et al. , 2. which states that lack of of research (Irianti and Prasetyoputra, 2. which states ventilation is significantly associated with the incidence that almost half of households burn their waste in the open of ARI. The results of the analysis also found that those . 60%). Open burning of waste at the household and who lived in houses without windows had a higher risk of community levels has a significant relationship with the developing ARI (OR = 4. The results of the study problem of ARI at a young age. The results of the analysis (Admasie. Kumie and Worku, 2. also state that the also found that rural children had a higher risk than urban number of doors and windows is very important in children (OR = 1. While the results of the study (Putra increasing home ventilation and is also associated with and Syahidah, 2. found that there was a significant ARI in children. The chances of developing ARI in relationship between indoor air pollution and the children who live in homes with poor ventilation are four incidence of ARI at Ashari Medika Clinic (P-value = times higher than those who live in homes with good Waste management is not related to the incidence of Meanwhile (Pasaribu. Santosa and Nurmaini, 2. ARI because respondents burn their waste not close to found that there was a relationship between air ventilation their homes. Some were burned on the vacant lot behind Istiqomah, et. Relationship Of Ventilation and Waste Management with Acute Respiratory Infection A JKM : Jurnal Kesehatan Mahardika Vol. No. September 2022, pp. ISSN: 2355-0724. DOI: 10. 54867/jkm. his house which was more than 10 meters from the house. Some burn their trash only during the dry season, which means that they don't burn trash all the time. In this study, several limitations may affect the results of the study, namely: the variables that have the potential to cause ARI disease have not been studied, including. climatic conditions, respondent's behavior such as smoking, distance from house to road . hich causes air pollutio. , and others . And it has not been able to measure all the requirements used as criteria for a healthy For example, researchers have not been able to measure temperature, humidity, and air quality. CONCLUSION Ventilation and waste management were not found to be related to the incidence of ARI in Banjarsari Wetan Village in 2021. It is recommended that the village head and the village midwife of Banjarsari Wetan should be able to carry out house monitoring that can be adjusted to the requirements of a healthy house, besides that, socialization about environmental-based diseases that can occur due to unhealthy home environmental conditions can also be carried out. So that the incidence of environmental-based diseases, especially ARI can be decreased, and treatment can be done immediately. REFERENCE