































 

 Epidemiology and Society Health Review| ESHR 
Vol. 6, No. 1, 2024, pp. 24-38 ISSN 2656-6052 (online) | 2656-1107 (print) 
      http://journal2.uad.ac.id/index.php/eshr/index                                                   eshr@ikm.uad.ac.id 

 

 

      10.26555/eshr.v6i1.9691  

 
 

24 

 
 

  

 
Research Article  
 
Community Diagnosis in Banguntapan Village Bantul 
Regency, Yogyakarta 
 
Rokhmayanti Rokhmayanti1, Ira Pebri Wulandari1, Dewi Fitriani1, Ezra Sabrina 
Arfiiani1, Aulia Rahmadina Pratiwi1, Amelia Nurhaliza Puteri1, Fitha Nurizza 
Quratulain1, Titim Martini1, Siti Kurnia Widi Hastuti1, Fardhiasih Dwi Astuti1* 
1Faculty of Public Health, Universitas Ahmad Dahlan, Yogyakarta, Indonesia 
 
* Correspondence: fardhiasih.dwiastuti@ikm.uad.ac.id    . Phone: +6281328299534 
 
Received 28 December 2023; Accepted 05 February 2024; Published 15 February 2024 
 

ABSTRACT 

Background: Community diagnosis is an activity to identify problems by collecting data in 
the community that can locate broad issues and cover various aspects of society. The 
emergence of health problems is not only caused by individual negligence but can also be 
caused by community ignorance due to a lack of correct information about a disease. The 
purpose of this study is to obtain an overview of the health problems in Tegaltandan hamlet, 
Banguntapan sub-district to determine problem priorities and obtain appropriate alternative 
solutions to overcome the priority problems that have been resolved. 
Method: This study used descriptive quantitative analysis by conducting interviews using a 
community diagnosis questionnaire. The analysis was used to prioritize health problems 
using the USG method and village community meetings. The sampling technique was 
purposive sampling with 132 samples obtained. 
Results: Ten major health problems in the research area that need attention are no organic 
trash collection center covered in homes, using spray-repellent, not used to wearing a 
helmet during riding, not sprinkling larvacide powder on the washed water dump as dengue 
prevention, not applying repellents as dengue prevention not using gloves while chopping 
ingredients with a knife for cooking, no props when moving heavy objects, not taking care 
of fish larvae eaters, hypertension and diabetes mellitus. After prioritizing using USG and 
village community meetings, they all agreed to decide diabetes mellitus as the main health 
problem in this area. 
Conclusion: Diabetes mellitus was considered a major problem at the study site that 
requires further intervention. 

Keywords: Community diagnosis; Diabetes mellitus; Epidemiology; Environmental health 

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INTRODUCTION 

Health development is not independent of more resources, means, or funds. For addressing 
health issues, health concerns should be prioritized.1 Promoting and preventing health 
development efforts also take precedence over the development of public health. Activities 
assessed according to these principles are among the diagnoses of communities.2 Community 
diagnosis is a systematic effort that includes solving family health problems as a primary unit 
of community communities, which is the focus of community diagnosis. A community diagnosis 
aims to identify and analyze fundamental health problems, prioritize problems, and work out 
solutions to alternative problem-solving. By using this approach, problems in society can be 
gradually identified.3 Community diagnosis and community assessments are carried out in 
several stages of activity. These steps establish guidelines for more planned activities. There 
are eight stages of shaping teams: collecting primary and secondary data, analyzing data, 
aggregating data, reporting results to communities, prioritizing problems, creating assessment 
or diagnosis documents, and performing actions according to plan or intervention.4 Based on 
the steps, it is understandable that community diagnosis is a dynamic process that promotes 
health and improves community health problems.5  

Community diagnosis is carried out in the Public Health Center of Banguntaan III, 
Banguntapan sub-district. Banguntapan III Health Centre has an area directly adjacent to 
Yogyakarta City, and it has a large working area. The demographic situation in the 
Banguntapan III Puskesmas working area with details of the total population in 2021 based 
on data from the Population and Civil Registration Office of Bantul Regency, Banguntapan 
Village has 38,605 people consisting of 19,064 men (49.38%) and 19,541 women (50.62%). 
The highest age group is 40-44 years old. There are 13,095 households consisting of 10,128 
male households and 2,877 female households. 6 According to the health profile of Health 
2022, some health problems occur and need control in Banguntapan III.7 Therefore, this 
research aims to determine the description of health problems using the community diagnosis 
approach in the Banguntapan area. 
 
METHOD 
This research used a quantitative descriptive research design. Data collection was conducted 
by surveys and interviews using a community diagnosis questionnaire modified from the 2018 
basic health research questionnaire.8 The research was conducted in Tegaltandan hamlet, 
part of Banguntapan III Puskesmas PHC’s working area. The population in this study were all 
people who had a family card in Tegaltandan hamlet with an age of over 18 years. Purposive 
sampling was applied to select the respondents with the following criteria: people residents in 
this region proven by who have their family card who live in Tegaltandan hamlet and were 
willing to be interviewed, aged >18 years, people who have just moved to Tegaltandan RT 20, 
24 and 25 but already stayed for 3 months.  

The survey was conducted on 132 samples and the data obtained was then analyzed 
descriptively by looking at the proportion of each variable. Problem prioritization analysis was 
also conducted using the USG (Urgency, Seriousness, Growth) scoring method and village 
community deliberation to determine health interventions that are by the existing problems. 
 
RESULTS 
Table 1 shows that most respondents were female (71.21%), and most were aged 56 - 65 
years or in the late elderly category (23.48%). Most of the respondents education graduated 
from high school (34.09%), and most of them worked in the private sector (73.48%). (The 
majority of people's income is more than the regional minimum salary of Bantul which is IDR 
2,066,438.82, namely 69.70% 

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Table 1. Characteristics of respondents in the Tegaltandan, Banguntapan 

Characteristics n % 
Sexs 

Male  38 28.79 
Female 94 71.21 

Age 
Late Adolescence (17-25 Years) 5 3.79 
Early Adulthood (26-35 Years) 23 17.42 
Late Adulthood (36-45 Years) 28 21.21 
Early Elderly Period (46-55 Years) 24 18.18 
Late old age (56-65) 31 23.48 
Old Age (> 65 Years) 21 15.91 

Level of education 
Elementary School 6 4.55 
Junior High School 14 10.61 
Senior High School 45 34.09 
First Diploma  12 9.09 
Tree diploma 43 32.58 
Bachelor’s  6 4.55 
Master’s 1 0.76 
Doctoral 4 3.03 
No school 1 0.76 

Type of work 
Civil servants 11 8.33 
Private sector 97 73.48 
Professional 5 3.79 
Housewife 4 3.03 
Unemployed 14 10.61 
No answer 1 0.76 

Income level 
< Regional minimum salary (< IDR 
2,066,438.82) 24 18.18 

= Regional minimum salary (= IDR 
2,066,438.82) 16 12.12 

> Regional minimum salary (> IDR 
2,066,438.82) 92 69.70 

COVID-19 Vaccinatione status COVID-19 
Dosage1 and 2 37 28.03 
Dosage 1  2 1.52 
Dosage 1, 2, Booster 1 and 2 1 0.76 
Dosages 1, 2, and Booster 89 67.42 
No vaccine 3 2.27 

 
An assessment of existing health facilities was carried out regarding travel time, transportation 
costs, and the transportation used to get to the health facility. Table 2 shows that most 
respondents need a short time to come to health facilities (75%) at a low cost, and 82.58% of 
those involved. Access to health services: Most respondents use personal vehicles (motors, 
cars, etc.), as much as 95.45%, indicating the ease with which health services are available. 

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Table 2. Access to health facilities 

Access to Health Facilities n % 

Time to take to health facilities 

0 – 10 minutes 99 75.00 

11 – 25 minutes 22 16.67 

>30 minutes 11 8.33 

Transportation costs to health services 

IDR 0,00 –20,000.00 109 82.58 

IDR 20,000 –40,000.00 14 10.61 

IDR >Rp 50,000.00 9 6.82 

Transport equipment to health centre     

Walk on foot 3 2.27 
Personal motor vehicle (motorcycle, car, etc.) 126 95.45 
Personal non-motorcycle (personal vehicle such as bicycle) 2 152 
Public transportation 1 0.76 

 
A description of non-communicable diseases that occur in the community based on 
respondent interviews regarding doctor's diagnoses experienced a year before this community 
diagnosis survey was conducted can be seen in Table 3. The most common non-
communicable diseases in society are hypertension (23.48%) and diabetes mellitus (12.12%). 

Table 3. Overview of non-communicable diseases 

Non-communicable 
diseases 

Yes  No 
n % n % 

Asthma 2 1.52 130 98.48 
Cancer 0 0 132 100.00 
Diabetes mellitus 16 12.12 116 87.88 
Heart 4 3.03 128 96.97 
Hypertension 31 23.48 101 76.52 
Strokes 4 3.03 126 95.45 
Kidney failure 2 1.52 130 98.48 

This research found that there were daily routine activities that were not safe and had the 
potential to harm health. An overview of work safety for several everyday activities usually 
carried out at home can be seen in Table 4. It is known that everyday activities that can 
endanger occupational safety and health are not safe from cooking and without the aid of 
moving heavy objects at 127 homes each (96.21%). 

Table 4. Description of work health and safety at home 

Activity Yes  No 
n % n % 

The living environment contains sounds that cause 
noise. 

4 3.03 128 96.97 

A damaged/broken socket was installed in the 
house. 

3 2.27 129 97.73 

Use safety on LPG gas cylinders 130 98.48 2 1.52 
Use gloves when cutting food with a knife in 
preparation for cooking. 

5 3.79 127 96.21 

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Activity Yes  No 
n % n % 

Dangerous liquids are labeled and located out of 
reach of children. 

46 34.85 86 65.15 

The use of aids in moving heavy objects 5 3.79 127 96.21 

Food storage is permanently closed 125 94.70 7 5.30 

All the containers have handheld (buckets, 
baskets, and boxes 

102 77.27 30 22.73 

In the home, there is one double contact stop 
(accumulate) 

101 76.52 31 23.48 

 
Table 5 shows that the majority of communities already have sufficient lighting in homes 67 
(50,76%), that most people who go around motorcycle riding have already used helmets on 
as many as 131 (99.24%), and that in habitual behavior, they have done so 74 people 
(56.06%). This table also indicates that the majority of household garbage treatment in one 
area of the household was done by a periodic staff of 125 households (94.70%). Most 
communities also have wastewater dumps from bathrooms/dishwashers, with 127 houses 
(96.21%). As many as 30 respondents were in their homes with toddlers, and 26 (86.67%) 
had already been placed under the toilet. However, most communities still need as many 
organic waste management tools as 67 homes (50,76%).  
 
Table 5. Lighting Conditions, Equipment Usage, Helmet Compliance, and Waste Overview 

Condition measured Criteria n % 

Lighting condition in 
the house 

Adequate lighting 
EnoughSufficient 67 50.76 
Dark 1 0.76 
Bright 64 48.48 

Equipment used 
when riding 

Personal protective equipment type 
Helm 131 99.24 
Mask 125 94.70 
Jacket 77 58.33 
Gloves 9 6.82 
Glasses 1 0.76 

Behavior using 
helmet during riding 

The habit of wearing helmets 
Yes, sometimes 58 43,94 
Yes, always 74 56,06 

Garbage handling 
 
 
 
 
 

Waste handling carried out 
Transported officer 125 94.70 
Dumped yourself in the polls 11 8.33 
Compost made 3 2.27 
Burned 1 0.76 
Other  5 3.79 

Overview of waste 
management 

Conditions and methods of waste disposal 
Enclosed sewage disposal 127 96.21 
Infant waste disposal in latrine 
(n=30) 26 86.67 
Covered organic waste 
disposal 65 49.24 

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Clean water is one of the essential needs of human life and forms a natural resource that 
performs a vital function. Table 6 depicts the main household water facilities used for drinking, 
cooking, personal expenses, and washing. 

Table 6. Description of main household water facilities 

Main water facilities n % 
Water to drink 

Refills water 28 21.21 
Bottled water with brand 63 47.73 
Tap water 2 1.52 
Self-cooked water 3 2.27 
Dig well 25 18.94 
Bore/pump 34 25.76 

Water for cooking needs, personal hygiene, and washing 
Refills water 5 3.79 
Bottled water with brand 12 9.09 
Tap water 4 3.03 
Water tank 1 0.76 
Dig well 54 40.91 
Bore/pump 71 53.79 

 

Table 6 shows that the public's most widely used water supply is 63 homes with bottled water 
(47.73%). The type of water most commonly used for cooking, personal cleanliness, and 
washing is the drill/pump well in 71 homes (53.79%). The description of how people treat 
dengue fever prevention can be seen in Table 7. 

Table 7. Description of how to avoid mosquito bites. 

Behavior avoiding mosquito bites n % 

Turn off the room light 5 3.79 
Using mosquito repellent and mosquito repellent 

lotions 98 74.24 

Using a racket 1 0.76 
Using an electronic mosquito repellent 5 3.79 
Using spray-repellent 7 5.30 
Sleeping under a bed net without an insecticide 7 5.30 
Not there 12 9.09 

 
Table 8. DHF prevention behavior 

Category 
Yes No 

n % n % 
Drain and scrub the tub >1 times a week. 117 88.64 15 11.36 
Drain and brush water dispenser >1 times a week. 94 71.21 38 28.79 
Closing the water storage pens 102 77.27 30 22.73 
Making use of thrift 18 13.64 114 86.36 
Cleaning gutters out of leaf litter 63 47.73 69 52.27 
Avoiding the hanging of old clothes 104 78.79 28 21.21 
Closing the closet for dirty laundry 103 7803 19 14.39 
Raised a snapping fish 13 985 119 90.15 

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Category 
Yes No 

n % n % 
Growing repellents 5 379 127 96.21 
Using mosquito repellent 108 8182 24 18.18 
Using lotion repellent 20 1515 112 84.85 
Using an electronic mosquito repellent 69 5227 63 47.73 
Using gauze in ventilation holes 42 31.82 60 45.45 
Sprinkle larvacide powder on a cleansed water 

shelter 3 2.27 129 97.73 

 
Based on Tables 7 and 8, it is known that most communities take precautions to avoid 
mosquito bites while sleeping using mosquito repellent, and mosquito repellent was used in 
98 houses (74,24%). DHF prevention behaviors, as well as the majority of communities, have 
done preventive measures in 108 homes (81.82%), while many more prevention behaviors 
still to be done is by injecting larvacide powder at the water shelter of 129 houses (97.73%). 
The top 10 health problems in the Tegaltan hamlets, Banguntapan Sub-district are present in 
Table 9. 

Table 9. Top ten health problems 

Top Ten Health Problems PersentasePercentage 
(%) 

No organic trash collection center is covered in homes. 50.76% 
Using spray-repellent   5.30% 
Sometimes, wearing a helmet 43.94% 
Not sprinkle larvacide powder on the washed water dump 97.73% 
Do not plant repellents. 96.21% 
No gloves during the process of cutting ingredients with a knife for cooking. 96.21% 
No props when moving heavy objects. 96.21% 
Not taking care of fish larvae eaters 90.15% 
Hypertension 23.48% 
Diabetes mellitus  12.12% 

 

The analysis used to determine problem priorities in this research uses methods: urgency, 
seriousness, and growth. In USG techniques, scores are generally used on a particular scale. 
The scale score used is 1 – 5; the higher the priority of the score for each element, the higher the 
score. Based on Table 10, the main problems that are prioritized for treatment are hypertension, 
diabetes mellitus, and occasional use of helmets.  

Table 10. Priority Health Issues 

Priority Health Issues U S G Total Score Ranking 
 No organic trash collection center is covered in homes. 12 12 11 35 4 
 Using spray-repellent 8 6 6 20 7 
 Sometimes, wearing a helmet 14 12 10 36 3 
 Not sprinkle larvacide powder on the washed water dump 9 7 5 21 6 
 Do not plant repellents. 9 8 7 24 5 
 No gloves during the process of cutting ingredients with 

knives for cooking 7 6 4 17 10 

 No props when moving heavy objects 8 7 5 20 8 
 Not taking care of Fish larvae eaters 7 6 5 18 9 

 hypertension 17 17 14 48 1 
 Diabetes Miletus 15 15 14 44 2 

 

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DISCUSSION  
Different community characteristics can have a significant impact on solving a health problem. 
Accordingly, it is essential to understand and consider the characteristics of society to find a 
practical approach to solving a problem. Individual characteristics and the environment 
function in shaping individual behavior in society. Individual behavior, especially in the health 
sector, influences the emergence of health problems.9–12 Development essentials need to be 
carried out in a multi-sector and multi-dimensional manner. Efforts to improve the economy, 
availability of basic needs, employment, educational attainment, access to health services, 
gender equality, and increased community participation must be made to achieve 
development. This applies in the field of health development because to achieve good national 
health status, all sectors must be considered and adapted to the inherent characteristics of 
society.13  
Individual characteristics can certainly identify exposure to a disease. This is important 
because, in addition to prevention and decision-making, it can be useful for control and is 
expected to increase early vigilance against future diseases. One of the individual 
characteristics that are closely related to determining health status and commonly used as 
basic data in identifying disease exposure are age and gender. WHO explains that as a person 
ages, they may experience various conditions or health problems at once. This occurs due to 
the accumulation of various molecular and cellular damage over time. This results in a gradual 
decline in physical and mental capacity which results in an increased risk of disease and 
death.14 In this study, the majority were in the age group of 56-65 years, namely the elderly. 
Previous research states that a person aged >60 years experiences a decline in health 
conditions.15 As people age, the probability of experiencing one or more chronic diseases, 
such as respiratory disease, arthritis, stroke, depression, and dementia, tends to increase. 
These health conditions can impact various aspects, including appetite, functional ability, and 
swallowing ability, ultimately resulting in changes in food intake and compromising nutritional 
status.16 
Public education levels in the Banguntapan region are mostly highly educated. People with a 
high level of education will generally have a wealth of health knowledge. With such knowledge, 
people will have a consciousness to maintain their health.17 Knowledge levels also affect one's 
physical activity because of the work involved. People with more education often work more 
in offices with less physical activity. Whereas people with lower levels of education are more 
likely to become laborers or farmers with moderate or vigorous physical activity.18–20  
Increased education will enhance awareness of healthy living and pay attention to patterns 
and diets. Less educated people often need to pay more attention to lifestyle, eating habits, 
and what must be done to prevent health problems.17,21,22 The American diabetes association 
(2012) states that working people have significant benefits because blood glucose levels can 
be controlled through physical activity and prevent complications. Work factors affect the high 
risk of diabetes mellitus. 23,24 Moderate physical activity causes a lack of energy burning in the 
body and an excess in the body to be stored in the form of fat, resulting in obesity as a factor 
in the risk of diabetes mellitus.25,26  
Indonesia's geographic conditions differ widely, affecting health services throughout 
Indonesia. Easy, affordable access becomes essential to ensuring that all levels of society, 
especially those with low incomes, can easily access health services.27 Long journeys can 
make it difficult to reach health facilities. If it takes more than half an hour to reach the medical 
center, there may be a decrease in the number of people using it. The duration of travel time, 
therefore, affects the ease of access to health facilities. Achievable facilities in less than 30 
minutes tend to be used more often than those requiring more than 30 minutes.28,29 A 
community diagnosis is that it takes most people no more than 10 minutes to reach the nearest 
health facility. Thus, it can be said that health facilities in the region are easily accessible to 
the public. 

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Prolonged exposure to health facilities can reduce access to health services and adversely 
affect people's conditions. Dealing with far-reaching time-travel issues is essential to ensuring 
fair access to health services for communities, especially those in remote and isolated areas.30 
Transportation plays a key role in facilitating communities' access to health services. Public 
access to healthcare facilities should be easy so that they can successfully receive the 
healthcare they need. When transportation costs become too high, it can harm people's quality 
of life since a large part of their budget must be allocated to transportation costs. If the distance 
to health facilities is long and long, it can make access to health services even more difficult. 
People are more likely to use such healthcare facilities if they are accessible.31,32 Access to 
health facilities profoundly affects how often people use health services. At times, inactivity in 
health facilities such as medical centers, hospitals, or health clinics may result from physical 
or social distance that is too far between the facilities and the community, high costs, 
unsatisfactory services, and other causes.33,34 
The increase in mortality and noncommunicable cases such as cancer, heart disease, and 
stroke suggests that Indonesia is experiencing changes in the typical disease pattern known 
as the epidemiological transition. Although there is a decline in the number of people affected 
by infectious diseases, these diseases still abound. Therefore, there is a strong demand for 
health services, especially referral services in hospitals, as a result of the increase in the 
number of people suffering from non-communicable diseases and death.35,36 Base community 
diagnosis It is known that in the last year in Banguntapan, more people were diagnosed with 
disease hypertension and diabetes mellitus. 
Hypertension is when systolic blood pressure exceeds 140 mmHg, and diastolic blood 
pressure exceeds 90 mmHg when measured twice by a five-minute interval of rest or rest. 
Without prompt treatment, this increased blood pressure can harm vital organs such as the 
kidney the heart, which can cause coronary heart disease, and the brain, which can cause 
stroke. To avoid enormous consequences, it is essential to identify hypertension early and 
provide proper treatment.37 Knowledge plays a significant role in controlling hypertension, 
where the level of education affects one's ability. Good knowledge causes one's 
consciousness. Public awareness of the risk factors of hypertension will alert them to a change 
in lifestyle.38  
The chronic condition of diabetes mellitus is characterized by higher-than-normal glucose 
levels. If left untreated, diabetes Mellitus can cause several problems in the eyes, kidneys, 
heart, blood vessels, and nerves, thus endangering lives and lowering quality of life. 
Complications can be acute and repetitive. 39 Rapid drop or rise in blood sugar levels is linked 
to acute difficulties, but the long-term effect of increased blood sugar levels over time is linked 
to chronic problems. These problems can shorten a client's life expectancy, cause disability, 
and increase the financial burden on the client and his family. The patient will have diabetes 
throughout his life, which will have a significant impact on his quality of life. The complications 
of Mellitus's chronic diabetes ulcer would affect the quality of life.40,41 

Preventing serious body diseases may begin with controlling the diet by consuming foods that 
have balanced nutritional value. This is because excess consumption triggers some harmful 
and deadly illnesses. However, maintaining a diet alone is not enough if it is not followed by 
controlling other causes, such as psycho-cultural and psychosocial factors such as stress and 
depression.42,43 Various factors in the home environment are potentially risky, including the 
physical, chemical, biological, ergonomic, and psychological aspects. These risks can 
significantly affect the safety and well-being of the householder. In the home, we may find 
insects and bacteria that thrive in certain areas, the use of potentially dangerous chemicals, 
strained interpersonal relationships, and other potential hazards. Some of the risks that need 
attention in the home are inadequate indoor lighting, lack of health standards, the lifting and 
transporting of recommended objects, and an unhygienic work position. These factors can 
adversely affect the health and safety of those who live at home. Recognizing the existence 

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of these risk factors is essential for taking proactive action to prevent potential danger. Each 
individual must understand and stay alert to the potential risks in their home environment. 
Thus, they can proactively preserve the safety and well-being of themselves and their family 
members and encourage more significant health and safety.44 
They were using a helmet while driving is also an effort to apply health and safety, especially 
in driving. Still, high traffic accidents are evidence that the application of driving safety still 
needs to be done. Most communities are aware of the importance of wearing helmets while 
driving. However, their use is largely ignored because of factors such as how they feel about 
distances and pathways not being crowded.45,46 Previous studies suggest that attitude and 
self-control affect a person's decision to wear a helmet and drive safely, which involves the 
psychological dynamics of obeying predetermined traffic laws.47  
The waste problem requires more attention from various parties, both the government and the 
surrounding community. Until now, the problem of waste has not been resolved. The current 
population growth rate has triggered increased waste production in the environment. Apart 
from causing unpleasant odors and disturbing aesthetics, unmanaged waste also becomes a 
breeding ground for vectors and rodents. Waste that is not handled properly will have an 
impact on reducing the quality of life and the beauty of the environment; the potential for 
flooding will be more significant because it does not rule out the possibility that waste in the 
area will block airflow, resulting in natural disasters such as floods and a decline in the quality 
of health of residents living around the area.48,49 
The commonly used mosquito repellents are spray mosquito repellent and electric mosquito 
repellent. Dengue hemorrhagic fever is still a public health concern, mainly in tropical and 
subtropical regions. DHF is one of the acute diseases of the virus transmitted by the Aedes 
aegypti mosquito and the Aedes albopictus females. 50 Infectious diseases are also linked to 
geography/spatial factors because one source of disease occurs without environmental 
factors. Previous studies have suggested that poverty makes it difficult to provide a home with 
good health, a supply of drinking water, and a correct garbage disposal.51–53 

The mosquitoes inside them contain the virus and then transfer it onto the healthy person after 
biting them, and so on. The rise and distribution of DHF cases is likely due to high population 
mobility, urban region development, climate change, densities and distribution changes, and 
other epidemiological factors that still require further research. Additionally, the annual rise in 
DHF cases is related to environmental sanitation conditions, where females - containing 
containers of clear water (bathtubs, discarded cans, and other water shelters) are desired.54,55 

According to the Ministry of Public Works and People's Housing Policies discusses about on 
the use of water resources mentions that water is all that is found in and or comes from sources 
of water, both above and below the surface.56 The "drinking water" refers to houses that obtain 
a major supply of water from protected Wells, springs, and sheltered pipes (channeled to 
homes, yards, neighbors, and hydrants). It also refers to Wells that are drilled or pumped. 
Households that exploit domestic drinking water sources that use brand water, refill water, 
unsheltered Wells, unsheltered springs, and water levels (rivers, lakes, ponds, irrigation 
channel DAMS), among other things, are not feasible. Suppose a family uses a suitable water 
source for cooking, bathing, washing their hands, and other items other than drinking. In that 
case, it is regarded as using a suitable source of drinking water.57 
According to the ministry, domestic water management and water management aim to 
improve and maintain both water quality and water quality, as well as to apply the principle of 
food sanitation hygiene in food management.58 Good water treatment is essential to prevent 
germs from entering the body.59 Thus, from the physical quality aspect, clean water must be 
qualified for health so that any managed water can be used to treat the food they consume.60  

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Dengue hemorrhagic fever is a disease caused by Dengue virus infection. Manifestations of 
dengue are fever for 2-7 days accompanied by bleeding, a decrease in platelets (platelets), a 
concentration of plasma leaks (increased hematocrit, ascites, the effusion of pleura, 
hypoalbuminemia). In addition, it can be accompanied by palpitations such as headache, 
muscle and bone pain, and the appearance of skin rashes to the back of the eyeball.61 Based 
on Indonesian health profile data, dengue fever cases reported in 2019 were 138,127. The 
number of cases has increased compared to 2018, amounting to 65,602 cases. Deaths due 
to dengue fever in 2019 also increased, from 467 deaths in 2018 to 919 deaths in 2019. 
Indonesia's dengue fever incidence rate also increased in 2019, 51.48 per 100,000 
population.62 

Community diagnosis results show that people are already taking measures to prevent the 
transmission of dengue fever, such as holding tanks, closing places that allow mosquitoes to 
grow, and using drugs to eradicate mosquitoes. Several risk factors for the transmission of 
Dengue Hemorrhagic Fever are population density, urbanization factors that are not well 
planned and controlled, increasingly advanced transportation systems so that population 
mobilization becomes very easy, waste management systems, and the provision of clean 
water that is impossible to have an impact on the development of the spread and density of 
mosquitoes. Apart from the environmental factors mentioned above, a person's immunological 
status is also very influential. The infecting virus, age, and genetic history also influence the 
transmission of dengue fever.61,63 
Based on the health problems described above, the top 10 health problems were determined, 
consisting of no organic trash collection center covered in homes, using spray-repellent, 
sometimes wearing a helmet, not sprinkle larvacide powder on the washed water dump, do 
not plant repellents, no gloves during the process of cutting ingredients with a knife for cooking, 
no props when moving heavy objects, not taking care of fish larvae eaters, hypertension and 
diabetes mellitus. These problems are included in the priority health problems that will be 
assessed using the USG scoring method (Urgency, Seriousness, Growth) to determine health 
problems that will be given health interventions. According to Kotler (2001) at the scoring stage 
of the USG method each issue is assessed to evaluate the associated risks and impacts. The 
process of implementing the USG method is carried out by considering the level of urgency, 
the severity of the problem at hand, and the potential for increasing expansion of the 
problem.64 
After prioritizing the problems to be solved, researchers conducted a Village Community 
Meeting to brainstorm with stakeholders and the community to determine how to intervene in 
the health problems. From the top 10 problems that had been determined, it was narrowed 
down to 3 priority problems that existed in the 3 RTs.  Then the community representatives 
present each chose one health problem to be intervened. Based on the results of the village 
community deliberation, it was agreed that the intervention to be carried out was related to 
Diabetes Mellitus (DM), with a target group of residents aged >18 years. The intervention was 
carried out in the form of counseling and in collaboration with the Banguntapan III Primary 
Health Center. 

CONCLUSION 

Based on the ten major health problems found, the priority problems that need to be addressed 
is diabetes mellitus. In addition, several health problems were found that need to be 
intervened, namely the application of occupational health and safety at the household level, 
waste management tools and dengue prevention behaviors. Addressing the priority issue of 
diabetes mellitus requires a comprehensive public health strategy. Concurrently, it’s critical to 
implement household-level occupational health interventions, improve waste management, 

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and encourage dengue avoidance practices. Using a multi-sectoral strategy will make society 
more resilient and healthy. 

Acknowledgment 

We want to thank the Head of the Banguntapan III Community Health Centre, the Hamlet 
Head Tegaltandan and the Village Head in Banguntapan, who have given permission and 
cooperation in this research activity. 

Declarations 

Authors' contribution  

RR contributed to the research design, IPW, DF, ESA, data collection, ARP, ANP FNQ 
analysis, and TM, SKW, FDA, and RR editing manuscript.  

Funding statement 
Research has yet to receive external funding. 
 
Conflict of interest 
There is no conflict of interest in this research.  

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