Ketahanan Masyarakat dan Strategi Adaptif dalam Pengendalian Residu Antibiotik di Perairan Indonesia: Analisis Teoritis Risiko Ekologis dan Tantangan Sosial
Keywords:
residu antibiotik, resistensi antimikroba, ketahanan masyarakat, risiko ekologis, pengelolaan adaptifAbstract
Peningkatan penggunaan antibiotik di sektor rumah tangga, peternakan, dan akuakultur di Indonesia telah menimbulkan tantangan sosial dan lingkungan jangka panjang bagi masyarakat di sekitar ekosistem perairan. Studi ini berfokus pada penilaian ketahanan sosial masyarakat dalam merespons dampak residu antibiotik dan resistensi antimikroba alami. Hasil analisis menunjukkan bahwa lemahnya koordinasi antar lembaga, rendahnya literasi lingkungan, dan keterbatasan akses terhadap infrastruktur adaptif menghambat kemampuan masyarakat untuk merespons secara efektif. Penilaian terhadap empat dimensi ketahanan social (learning, interest level, planning, dan ability to cope) menunjukkan kapasitas masyarakat masih rendah. Sebagian besar pelaku lokal, khususnya pembudidaya ikan dan rumah tangga kecil, belum memahami keterkaitan antara penggunaan antibiotik, kualitas air, dan kesehatan. Penguatan ketahanan sosial diperlukan melalui pendidikan partisipatif, kebijakan inklusif, serta inisiatif pemantauan berbasis komunitas. Kolaborasi antara pemerintah daerah, akademisi, dan masyarakat sipil perlu diperkuat untuk mengintegrasikan pembelajaran sosial dalam tata kelola air. Melalui kerangka One Health Water Governance, dimensi sosial menjadi pusat dari ketahanan, memastikan pemberdayaan masyarakat, tanggung jawab bersama, dan perubahan perilaku sebagai pendorong utama dalam menghadapi resistensi anti mikroba di Indonesia.
References
[1] N. Wiratama, A. Uchuwittayakul, Y. Susanto, H. B. Utari, N. Muna, and M. C. Satriagasa, “Mapping spatial analysis of fish disease incidence and antibiotic resistance trends in selected provinces of Indonesia,” in IOP Conference Series: Earth and Environmental Science, IOP Publishing, 2024, p. 12004.
[2] P. Sharma, L. Rani, A. S. Grewal, and A. L. Srivastav, “Impact of pharmaceuticals and antibiotics waste on the river ecosystem: a growing threat,” in Ecological Significance of River Ecosystems, Elsevier, 2022, pp. 15–36.
[3] M. Ariyani, L. J. M. Jansen, P. Balzer-Rutgers, N. Hofstra, P. van Oel, and M. G. M. van de Schans, “Antibiotic residues in the cirata reservoir, Indonesia and their effect on ecology and the selection for antibiotic-resistant bacteria,” Environ. Res., vol. 262, p. 119992, 2024, doi: https://doi.org/10.1016/j.envres.2024.119992.
[4] M. Ariyani, P. R. van Oel, M. G. M. van de Schans, Q. Zhang, S. Li, and N. Hofstra, “Modelling antibiotics in a densely populated reservoir catchment: insights from Cirata Reservoir, Indonesia,” Environ. Pollut., p. 126583, 2025.
[5] A. Singh, S. G. Pratap, and A. Raj, “Occurrence and dissemination of antibiotics and antibiotic resistance in aquatic environment and its ecological implications: a review,” Environ. Sci. Pollut. Res., vol. 31, no. 35, pp. 47505–47529, 2024.
[6] M. Apreja, A. Sharma, S. Balda, K. Kataria, N. Capalash, and P. Sharma, “Antibiotic residues in environment: antimicrobial resistance development, ecological risks, and bioremediation,” Environ. Sci. Pollut. Res., vol. 29, no. 3, pp. 3355–3371, 2022.
[7] Z. Wu, X. Shao, and Q. Wang, “Antibiotics and Antibiotic Resistance Genes in the Environment: Dissemination, Ecological Risks, and Remediation Approaches,” Microorganisms, vol. 13, no. 8, p. 1763, 2025.
[8] S. Bombaywala, A. Mandpe, S. Paliya, and S. Kumar, “Antibiotic resistance in the environment: a critical insight on its occurrence, fate, and eco-toxicity,” Environ. Sci. Pollut. Res., vol. 28, no. 20, pp. 24889–24916, 2021.
[9] B. Aslam et al., “Antibiotic resistance: one health one world outlook,” Front. Cell. Infect. Microbiol., vol. 11, p. 771510, 2021.
[10] K. Kosek et al., “Implementation of advanced micropollutants removal technologies in wastewater treatment plants (WWTPs) - Examples and challenges based on selected EU countries,” Environ. Sci. Policy, vol. 112, pp. 213–226, 2020, doi: https://doi.org/10.1016/j.envsci.2020.06.011.
[11] J. Reungoat, B. I. Escher, M. Macova, F. X. Argaud, W. Gernjak, and J. Keller, “Ozonation and biological activated carbon filtration of wastewater treatment plant effluents,” Water Res., vol. 46, no. 3, pp. 863–872, 2012.
[12] C. Gadipelly et al., “Pharmaceutical industry wastewater: review of the technologies for water treatment and reuse,” Ind. Eng. Chem. Res., vol. 53, no. 29, pp. 11571–11592, 2014.
[13] C. Armijo-de Vega, S. Ojeda-Benítez, Q. Aguilar-Virgen, and P. A. Taboada-González, “Solid waste management in a mexican university using a community-based social marketing approach,” open waste Manag. J., vol. 3, no. 1, pp. 146–154, 2010.
[14] M. S. Hossain, A. Santhanam, N. A. N. Norulaini, and A. K. M. Omar, “Clinical solid waste management practices and its impact on human health and environment–A review,” Waste Manag., vol. 31, no. 4, pp. 754–766, 2011.
[15] U. Leknoi, A. Yiengthaisong, and S. Likitlersuang, “Social factors influencing waste separation behaviour among the multi-class residents in a megacity: A Survey analysis from a community in Bangkok, Thailand,” Sustain. Futur., vol. 7, p. 100202, 2024, doi: https://doi.org/10.1016/j.sftr.2024.100202.
[16] M. Hope et al., “Progress on implementing the WHO-GLASS recommendations on priority pathogen-antibiotic sensitivity testing in Africa: A scoping review,” Wellcome open Res., vol. 9, p. 692, 2024.
[17] M. W. Gach et al., “Antimicrobial resistance among common bacterial pathogens in Indonesia: a systematic review,” Lancet Reg. Heal. Asia, vol. 26, 2024.
[18] J. L. Wilkinson et al., “Pharmaceutical pollution of the world’s rivers,” Proc. Natl. Acad. Sci., vol. 119, no. 8, p. e2113947119, 2022.
[19] A. Sudaryanto et al., “Occurrence of emerging contaminants in Jakarta Bay, Indonesia: pharmaceuticals and personal care products,” in IOP Conference Series: Earth and Environmental Science, IOP Publishing, 2023, p. 12050.
[20] S. Soetono, “Pengelolan Air Limbah Domestik Dki Jakarta Di Tinjau Dari Pengelolaan Air Limbah Domestik Di Singapura,” J. Publicuho, vol. 7, no. 2, pp. 904–915, 2024.
[21] B. L. Phoon et al., “Conventional and emerging technologies for removal of antibiotics from wastewater,” J. Hazard. Mater., vol. 400, p. 122961, 2020, doi: https://doi.org/10.1016/j.jhazmat.2020.122961.
[22] C. Li, Y. Xu, and W. Song, “Pollution characteristics and risk assessment of typical antibiotics and persistent organic pollutants in reservoir water sources,” Water, vol. 15, no. 2, p. 259, 2023.
[23] P. Grenni, V. Ancona, and A. B. Caracciolo, “Ecological effects of antibiotics on natural ecosystems: A review,” Microchem. J., vol. 136, pp. 25–39, 2018.
[24] H. W. Paerl, R. S. Fulton, P. H. Moisander, and J. Dyble, “Harmful freshwater algal blooms, with an emphasis on cyanobacteria,” Sci. World J., vol. 1, no. 2, pp. 76–113, 2001.
[25] M. Ferri, E. Ranucci, P. Romagnoli, and V. Giaccone, “Antimicrobial resistance: A global emerging threat to public health systems,” Crit. Rev. Food Sci. Nutr., vol. 57, no. 13, pp. 2857–2876, 2017.
[26] M. Amarasiri, D. Sano, and S. Suzuki, “Understanding human health risks caused by antibiotic resistant bacteria (ARB) and antibiotic resistance genes (ARG) in water environments: Current knowledge and questions to be answered,” Crit. Rev. Environ. Sci. Technol., vol. 50, no. 19, pp. 2016–2059, 2020.
[27] L. Liu et al., “Differential dose-response patterns of intracellular and extracellular antibiotic resistance genes under sub-lethal antibiotic exposure,” Ecotoxicol. Environ. Saf., vol. 260, p. 115070, 2023.
[28] C. J. H. Von Wintersdorff et al., “Dissemination of antimicrobial resistance in microbial ecosystems through horizontal gene transfer,” Front. Microbiol., vol. 7, p. 173, 2016.
[29] X. Liu et al., “Antibiotics disrupt bacteria‐phytoplankton symbioses: unveiling ecological risks in aquatic ecosystems,” Oikos, p. e11201, 2025.
[30] J. Guo, K. Selby, and A. B. A. Boxall, “Effects of antibiotics on the growth and physiology of chlorophytes, cyanobacteria, and a diatom,” Arch. Environ. Contam. Toxicol., vol. 71, no. 4, pp. 589–602, 2016.
[31] Y. Feng, J. Hu, Y. Chen, J. Xu, B. Yang, and J. Jiang, “Ecological response to antibiotics re-entering the aquaculture environment with possible long-term antibiotics selection based on enzyme activity in sediment,” Environ. Sci. Pollut. Res., vol. 29, no. 13, pp. 19033–19044, 2022.
[32] L. Liu, W. Wu, J. Zhang, P. Lv, L. Xu, and Y. Yan, “Progress of research on the toxicology of antibiotic pollution in aquatic organisms,” Acta Ecol. Sin., vol. 38, no. 1, pp. 36–41, 2018.
[33] W. Brontowiyono et al., “Communal Wastewater Treatment Plants’ Effectiveness, Management, and Quality of Groundwater: A Case Study in Indonesia,” 2022. doi: 10.3390/w14193047.
[34] R. Wulandari et al., “Water pollution and sanitation in Indonesia: a review on water quality, health and environmental impacts, management, and future challenges,” Environ. Sci. Pollut. Res., vol. 31, no. 58, pp. 65967–65992, 2024, doi: 10.1007/s11356-024-35567-x.
[35] L. Fang et al., “Impact of residual antibiotics on microbial decomposition of livestock manures in Eutric Regosol: Implications for sustainable nutrient recycling and soil carbon sequestration,” J. Environ. Sci., vol. 147, pp. 498–511, 2025.
[36] N. Ulhasanah, S. Suhardono, C.-H. Lee, A. S. Faza, A. Zahir, and I. W. K. Suryawan, “Modelling participation in waste bank initiatives at public transport hubs to advance circular economy development,” Discov. Sustain., vol. 6, no. 1, p. 153, 2025, doi: 10.1007/s43621-025-00940-4.
[37] E. S. Sofiyah, S. Suhardono, I. W. K. Suryawan, and L. Chun-Hung, “Local willingness to fund climate-resilient water utilities in a tourism-dependent region of Indonesia,” Util. Policy, vol. 96, p. 102018, 2025, doi: https://doi.org/10.1016/j.jup.2025.102018.
[38] S. Suhardono, C.-H. Lee, and I. W. K. Suryawan, “Trends in citizen influencing willingness to participate in marine debris management and social well-being in Bali metropolitan, Indonesia,” Urban Gov., 2024, doi: https://doi.org/10.1016/j.ugj.2024.12.005.
[39] B.-C. Yang, C.-H. Lee, and I. W. Koko Suryawan, “Consumers’ willingness to pay and importance-performance gaps for resilient e-waste management in Taiwan,” J. Clean. Prod., p. 144313, 2024, doi: https://doi.org/10.1016/j.jclepro.2024.144313.
[40] I. W. K. Suryawan, S. Suhardono, and C.-H. Lee, “Boosting beach clean-up participation through community resilience hypothetical scenarios,” Mar. Pollut. Bull., vol. 207, 2024.
[41] E. S. Sofiyah, S. Suhardono, C.-H. Lee, B. Ridhosari, and I. W. Koko Suryawan, “Gendered importance-performance perspective on sanitation resilience programs,” Health Place, vol. 95, p. 103530, 2025, doi: https://doi.org/10.1016/j.healthplace.2025.103530.
[42] E. S. Sofiyah et al., “Adaptive governance in the water-energy-food-ecosystem nexus for sustainable community sanitation,” World Dev. Sustain., p. 100220, 2025, doi: https://doi.org/10.1016/j.wds.2025.100220.
[43] S. Suhardono, L. Fitria, W. Prayogo, C.-H. Lee, and I. W. K. Suryawan, “Enhancing community engagement with digital twins: Technological adoption in marine debris management,” J. Urban Manag., 2025, doi: https://doi.org/10.1016/j.jum.2025.04.008.
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Copyright (c) 2026 Evi Siti Sofiyah, I Wayan Koko Suryawan, Betanti Ridhosari, Nurulbaiti Listyendah Zahra (Author)
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