CD Disertasi
Model Adis (Advocation Digital System) Pada Pengendalian Risiko Lingkungan Fisik Airborne Disease Di Pesantren Pekanbaru
Transfer of disease through the air is called airborne disease. The largest case of airborne disease is Covid 19 outbreak which infected 202,608,306 sufferers and resulted 4,293,5914 deaths in 2021. Transmission of airborne disease depends on airborne germs which are influenced by environmental risk factors. High risk residence which never been recorded is boarding school. Advocacy for environmental improvement to boarding school is constrained by access. A digital advocacy model is needed to ensure advocacy runs well. The purpose of this study was to identify airborne disease, analyze physical environmental conditions, analyze the influence of physical environmental risk factors on airborne disease, analyze the need assessment for model development, and produce a physical environmental risk control model for airborne disease in boarding schools. Materials and Methods: This research used Mixed Method (Research and Development, Quantitative and Qualitative). Quantitative statistical analysis using descriptive frequency technique, Chi square test, Multiple Binary Logistic Regressions, and T Dependent Test. The population is 2426 students with 360 samples, in 44 boarding schools in Pekanbaru. Qualitative Analysis using data triangulation. Informants are 5 advocacy health workers for the need assessment model interview. Development analysis using validity and effectiveness test of the model by dependent T test and N Gain Score. The model trial subjects were 3 advocacy officers and 18 boarding school administrators. The instruments used are physical environment measurement tools, airborne disease inspection tools, questionnaires and interview tools. Results and Discussion: The results of this study indicated that there were 138 out of 360 samples affected by airborne disease (38%). Environmental factors that affect airborne disease from the 44 rooms assessed are lighting, humidity, ventilation, floor and wall conditions, smoke exposure, sanitation. The dominant factor is ventilation. Environmental risk control advocacy Model ADIS was formed. Conclusion: There is risky physical environment that influences the occurrence of airborne disease in boarding schools, namely Covid 19, Tuberculosis, and Influenza. The ADIS model is known to be effective in advocating airborne disease risk control in boarding schools. Suggestion: The results show that there is other supporting factor that cause risk in boarding school physical environment, namely the student behavior. The author suggests for future researchers to explore the influence of behavioral factors on airborne disease more deeply and develop the use of models with a wider scope. Suggestions for health workers to provide ongoing coaching, education, and advocacy boarding schools using ADIS model. It is recommended for boarding
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schools to improve environmental quality according to standards and implement regulations to maintain a healthy environment in boarding schools. It is recommended for students to adopt healthy behaviors and maintain the environment in boarding school dormitory.
Reference : 61 (from 2011 – 2022).
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