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Journal : Open Access Health Scientific Journal

Determinants of Dengue Hemorrhagic Fever Incidents in Medan District, Johor in 2023 Hutahaean, Sri Hartati Rahayu Lambok; Nababan, Donal; Sinaga, Janno; Manurung, Kesaktian; Sinaga, Taruli Rohana
Open Access Health Scientific Journal Vol. 6 No. 1 (2025): February 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i1.83

Abstract

Background: Dengue hemorrhagic fever (DHF) is a disease transmitted through the bite of the Aedes aegypti mosquito. Indonesia, as a tropical country with high humidity and a dense population, is particularly vulnerable to the spread of dengue fever. Several risk factors, such as the level of knowledge, societal attitudes, customs related to hanging clothes, and the implementation of the 3M Plus programme, also play a role in the incidence of dengue cases. The Medan Johor District is one of the areas with the highest number of dengue fever cases in Medan City.Method: This study employed an observational analytic design with a cross-sectional approach, conducted in Kuala Bekala Village, Medan Johor District, in 2023. Data were collected through a structured questionnaire designed to measure knowledge, attitudes, preventive behaviours (3M Plus), use of mosquito repellent, and habits related to hanging clothes. The larval index was obtained through direct inspection of the respondents' homes. Data analysis was performed using chi-square tests and logistic regression.Results: There is a significant connection between the incidence of dengue fever and various factors, including the level of knowledge, attitudes, implementation of the 3M Plus programme, use of mosquito repellent, habits related to hanging clothes, and the number of free larvae (p < 0.05). Respondents with a lack of knowledge and at-risk behaviours were significantly more likely to be affected by dengue fever. The habit of hanging clothes poses nearly five times the risk of dengue fever incidence.Conclusion: The incidence of dengue fever in the Medan Johor District is influenced by several modifiable factors related to behaviour and the environment. Health promotion efforts that focus on improving knowledge and the consistent application of the 3M Plus programme are essential. The findings of this research are important for developing dengue fever prevention strategies in high-risk urban areas.
Factors Related to Compliance in Taking Medication in Tuberculosis Patients in The Work Area of Tanjung Morawa Community Health Center, Deli Serdang Regency in 2024 Silalahi, Hotnida Estirawaty; Wandra, Toni; Sinaga, Taruli Rohana; Manurung, Kesaktian; Sinaga, Janno
Open Access Health Scientific Journal Vol. 6 No. 1 (2025): February 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i1.84

Abstract

Background: Tuberculosis (TB) remains one of the main causes of death globally. One of the main challenges in TB control is low compliance with treatment, which is often due to limited patient knowledge. This research aimed to investigate the connection between the level of knowledge among patients and their compliance with TB treatment at the Tanjung Morawa Health Centre in Deli Serdang Regency.Methods: This study employs an analytic quantitative design with a correlational approach and a cross-sectional cut. Data were collected simultaneously for both independent and dependent variables from 68 TB patients in the working area of the Tanjung Morawa Health Centre. A structured questionnaire was used to evaluate the level of knowledge and compliance with treatment. Data were analysed using the Chi-Square test to determine the connection between variables.Results: The research results show that there is no significant relationship between age (p=0.077), gender (p=0.098), level of education (p=0.410), and health officers (p=0.509) with compliance to treatment. However, there are significant relationships between employment (p=0.026), family support (p=0.008), and medication supervision (p=0.005) with compliance to treatment. The variable of medication supervision has the highest Exp(B) value (7.800), indicating that this variable is the most influential factor regarding treatment compliance.Conclusion: The presence of medication supervision and strong family support play an important role in increasing compliance with TB treatment. These findings emphasise the need for a health strategy that strengthens the community's patient supervision system and encourages family involvement to optimise TB treatment outcomes.
Co-Authors Adiansyah Agnes Purba Antonius Wilson, Antonius Wilson Aritonang, Ester Taruli Awidiyah Br Purba, Hana Ike Dameria Brahmana, Netti Brahmana, Netti Etalia Br. Brahmana, Nettietalia Br Brahmana, Nettietalia Br. Dalsabilah, Sobrina Damanik, Rani Kawati Daniel Ginting Dyna Grace Romatua Aruan Elisabeth Purba, Ivan Erwin Silitonga Evi Martina, Siska Fikarwin Zuska Fikrih, Rezza Frida Lina Tarigan Gea, Dermawani Gultom, Rumondang Gultom, Tiur Y.M Hamonangan, Jan Effendi Handani, Myrnawati Crie Handini, Myrnawaty Crie Harahap, Diana Harefa, Kurniaman Heru Santoso Hestina Hia, Ermelinda Hidayat, Wisnu Hokkop Perawati Sinaga Hutahaean, Sri Hartati Rahayu Lambok Isnaeni, Lira Mufti Azzahri Itoleleng Naibaho, Nursyah Janno Sinaga Lasria Kartika Lestari, Ayuning Lumbangaol, Fernando Manalu, Vivi Sumanti Manihuruk, Agatha Cornelia Manurung, Jasmen Manurung, Kesaktian Martina, Siska Evi Modesta, Intan Monica, Yohana Munthe, Seri Asnawati Mutia, Lany MYRNAWATI CRIE HANDINI Nababan, Donal Nainggolan, Christina Roos Etty Ningsih, Siska Dwi Nora, Elvita Pardede, Jek Amidos Parlindungan Purba, Parlindungan Priltius, Natanael Purba, Agnes Purba, Agustinus Hamonangan Winston Purba, Lidya Purba, Sri Dearmaita Rahmat Alyakin Dakhi Rajagukguk, Desy Lustiyani Rinco Siregar Roslianizar, Syarifah Sapnita, Sapnita Sembiring, Rinawati Sembiring, Rinawati Siagian, Mindo Tua Sianipar, Artha Yuliana Silalahi, Hotnida Estirawaty Silitonga, Evawani M. Simamora, Martalena Simaremare, Dedi Santina Simaremare, Hizkia Sinaga, Lia Rosa Veronika Sipayung, Apriska Dewi Sirait, Asima Siregar, Andi Putra Siregar, Laura Sitohang, Rosina Sitorus, , Mido Ester J. Sitorus, Mido Ester Sri Dearmaita Purba Tambunan, Formaida Tarigan, Yenni Gustiani Thaib, Cut Masyithah Toni Wandra Tua Siagian, Mindo Uhur, Bunga Utama, Indra