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All Journal MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation
Aris Winandar
Universitas Muhammadiyah Mahakarya Aceh
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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ANALYSIS OF WORKLOAD AND NEEDS FOR HEALTH PERSONNEL IN PEUSANGAN SIBLAH KRUENG PUBLIC HEALTH CENTER, A REMOTE AREA OF BIREUEN DISTRICT USING THE WISN METHOD Machfud Azhari; Aris Winandar
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 1 (2026): March
Publisher : PT. Radja Intercontinental Publishing

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Abstract

Peusangan Siblah Krueng Community Health Center is a community health center located in a remote area of Bireuen Regency, Aceh Province, with limited accessibility and a wide coverage area. This study aims to analyze the workload and calculate the need for health workers based on the Workload Indicator of Staffing Need (WISN) method. This study is a quantitative descriptive study with work sampling observations and in-depth interviews. The subjects were all health workers on duty (n=13). Available working time was calculated at 1,883 hours/year. The analysis results indicate a shortage of personnel in the positions of dentist (1 person), nurse (2 people), nutritionist (1 person), and pharmacist/TTK (1 person). The lowest WISN ratio was found in the nursing profession (0.54), indicating a significant workload exceeding the capacity of available personnel. The community health center needs to apply for additional personnel through the Nusantara Sehat mechanism and coordinate with the Bireuen Regency Health Office to meet the personnel standards according to Minister of Health Regulation Number 43 of 2019.
ANALYSIS OF THE READINESS OF TELAGA BUNDA HOSPITAL BIREUEN INRESPONDING TO FLOODS AND EARTHQUAKE DISASTERS: THE HOSPITAL SAFETY INDEX (HSI) APPROACH Aris Winandar; Sri Wahyuni
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 1 (2026): March
Publisher : PT. Radja Intercontinental Publishing

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Acute Respiratory Infections, post-disaster epidemics, and infrastructure damage following hydrometeorological and seismic disasters in Aceh during 2025-2026 have placed enormous pressure on health facilities. Hospitals in disaster-prone regions such as Bireuen District must be assessed for their preparedness using validated instruments. This study aims to analyze the disaster preparedness level of Telaga Bunda Hospital Bireuen in facing flood and earthquake disasters using the Hospital Safety Index (HSI) approach developed by WHO/PAHO. The research employed a descriptive evaluative design using mixed methods, combining HSI self-assessment of 145 items across three modules (structural safety, non-structural safety, and emergency and disaster management) with structured observation, document review, and focus group discussions involving the hospital disaster team. Results indicated that Telaga Bunda Hospital Bireuen achieved a Safety Index of 0.78, categorized as Class A (the hospital is likely to function during and after a disaster). Module 2 (structural safety) scored 0.81, Module 3 (non-structural safety) scored 0.79, and Module 4 (emergency management) scored 0.74. The majority of indicators were rated as high safety level, particularly for structural integrity, electrical backup systems, and clinical staff readiness. Recommendations focus on strengthening disaster simulation drills, improving evacuation signage, and enhancing inter-agency coordination with BPBD Bireuen and Health Service.
EFFECTIVENESS OF COMMUNITY-BASED PSYCHOSOCIAL SUPPORT FOR CHILD DISASTER VICTIMS IN PIDIE JAYA IN 2026 Sri Wahyuni; Aris Winandar
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 1 (2026): March
Publisher : PT. Radja Intercontinental Publishing

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Disaster flood flash floods that hit Pidie Jaya Regency at the end of November 2025 resulted in thousands family evacuate and cause impact serious psychological problems , especially in children . Research This aim For analyze effectiveness of support programs psychosocial based community for children victims of the disaster in Pidie Jaya in 2026. Research design using quasi-experimental pre- post test with control group with involving 100 children 6–15 year olds who were flood victims Bandang . Intervention support psychosocial based community implemented during eight Sunday includes Psychological First Aid (PFA), therapy play , art therapy, group peers , and education caregivers . Children's mental health measured using the Strengths and Difficulties Questionnaire (SDQ). Results showed a significant decrease in the total difficulty score from 24.5±4.1 to 15.0±3.2 (p=0.000). Play therapy showed the highest percentage of improvement (82.1%), followed by art therapy (79.6%) and PFA (78.4%). The involvement of community leaders and caregivers strengthened the sustainability of the intervention. Community-based psychosocial support has been proven effective in restoring the mental health of disaster-affected children in Pidie Jaya.
Co-Authors Machfud Sri Wahyuni