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Evaluation of Nurses’ Readiness at the Puskesbun Clinic of PTPN IV Langkat in Managing Medical Emergencies among Plantation Workers Ridwanul Hakim Harsya; Rahmad Gurusinga; Basyariah Lubis
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/1j5n8w64

Abstract

Medical emergencies represent a significant occupational health risk frequently encountered by plantation workers due to the physically demanding nature of their work, the use of work equipment, and exposure to specific environmental conditions. Nurses’ readiness in managing emergency situations is strongly influenced by their level of knowledge, first aid skills, and the availability of healthcare service support. Therefore, this study aimed to examine the readiness of nurses in plantation clinics in dealing with medical emergencies by considering the existing clinical service support.  This study employed a qualitative design with a thematic approach and was conducted at the Puskesbun Clinic of PTPN IV Langkat. The research informants consisted of plantation workers, clinic healthcare personnel, and clinic managers selected through purposive sampling. Data were collected through in-depth interviews, field observations, and document reviews. Data analysis was carried out using thematic analysis, which included data reduction, data display, and conclusion drawing.  The findings indicated that most nurses in plantation clinics possess basic readiness in identifying medical emergency conditions; however, their first aid skills remain limited. Clinical service support plays a significant role in enhancing nurses’ readiness, particularly through the availability of healthcare personnel, initial emergency care services, and medical referral systems. The identified challenges include limited emergency training for nurses, inadequate facilities and infrastructure, and long distances and travel time to referral healthcare facilities.  In conclusion, the readiness of nurses in plantation clinics to manage medical emergencies is not yet optimal and requires further improvement through continuous training, enhancement of clinical facilities, and the development of more effective referral coordination systems.
Evaluation of Drug Procurement Policy on Health Administration and Drug Demand at Lubuk Pakam Community Health Center Meirizal Jefrinaldi; Romauli Anna Teresia Marbun; Basyariah Lubis
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/pyfz2d97

Abstract

Background: Drug availability is an important indicator in ensuring service continuity and the quality of primary healthcare facilities. An effective drug management system can improve community access to medicines through the strengthening of primary healthcare services. Accurate needs planning, stock control, and procurement processes are key factors in maintaining the continuity of healthcare services. This study aimed to evaluate the drug procurement policy in relation to health administration and drug demand at Lubuk Pakam Public Health Center.  Methods: This study employed a qualitative approach with a descriptive evaluative design. Data were collected through in-depth interviews, observation, and document review. The main informants consisted of the Head of the Public Health Center, the responsible pharmacist, and a pharmaceutical management officer (TTK). Triangulation informants included the treasurer, e-logistics system officer (SIMO), and a nurse.  Results: The findings showed that drug procurement had been implemented relatively well and systematically through the stages of planning, submission through SIMO, distribution, recording, and periodic evaluation. Coordination among staff was carried out through routine meetings and internal communication, which supported stock monitoring and the handling of drug needs. The SIMO system facilitated recording and drug needs planning, although technical obstacles such as network disruptions and slow synchronization were still encountered. Other challenges included budget limitations, delayed fund disbursement, delayed distribution, discrepancies between requested and received medicines, and differences between physical stock and system data. Drug availability greatly influenced service quality, and when shortages occurred, drug substitution was carried out based on pharmacist recommendations.  Conclusion: The drug procurement policy at Lubuk Pakam Public Health Center has had a positive impact on health administration and the fulfillment of drug needs. However, improvements are still needed in procurement flexibility, acceleration of financial administration, supply accuracy, and the reliability of the e-logistics system to further optimize healthcare service quality.
Evaluation of the Effectiveness of Ethanol Extract of (Acalypha indica L.) Leaves as a Treatment for Gastric Ulcers in Male Rattus norvegicus Rats Suci Wulandari; Hasni Yaturramadhan Harahap; Rinanda Desela Br Tambunan; Basyariah Lubis
Jurnal FARMASIMED (JFM) Vol 8 No 1 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/bvmsms48

Abstract

Acalypha indica L., commonly known as Indian copperleaf, is a wild medicinal plant typically found along roadsides and in gardens. Its leaves contain various bioactive compounds, including saponins, flavonoids, alkaloids, and tannins. Traditionally, the plant has been used for its anti-inflammatory, antibacterial, antifungal, and antioxidant properties, which help combat oxidative stress caused by free radicals. This study aimed to evaluate the effectiveness of ethanol extract of Acalypha indica L. leaves in treating gastric ulcers in male Wistar rats (Rattus norvegicus). This research was a true experimental study involving the extraction of Acalypha indica L. leaves using ethanol, preparation of the extract suspension, and induction of gastric ulcers in rats using aspirin at a dose of 800 mg/kg body weight (BW) administered orally. A total of 30 male Rattus norvegicus rats were divided into six groups. Three control groups is Ulcer control, Negative control, Positive control. Three treatment groups receiving ethanol extract of Acalypha indica leaves (EEAIL) at doses of: EEDAA 50 mg/kgBB, EEDAA100 mg/kg BB, EEDAA 200 mg/kgBB. Ulcer induction was carried out daily until surgical examination was performed on days 4, 9, and 14. Macroscopic observations of the stomach were conducted to assess the number of ulcers and ulcer scores. Statistical analysis was performed using one-way ANOVA, followed by Tukey’s post hoc test to determine significant differences between groups. Macroscopic examination showed that the ethanol extract of Acalypha indica leaves (EEAIL) reduced the number of gastric ulcers. Complete healing of ulcers was observed in the positive control group, as well as in the groups receiving EEAIL at 200 mg/kg BW and 100 mg/kg BW, by day 14. In contrast, the 50 mg/kg BW group and the ulcer control group showed no signs of healing by the end of the observation period. The most effective dose was 200 mg/kg BW, demonstrating the highest capacity to reduce the number of gastric ulcers.
Determinants Influencing Elderly Utilization of Rumah Kasih: Social and Professional Support Analysis Basyariah Lubis; Nur Indrawaty Lipoeto; Rozi Sastra Purna; Rosfita Rasyid
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6557

Abstract

Indonesia’s aging population presents an increasing demand for accessible, community-based health services. However, the utilization of Rumah Kasih, a community health program for older adults, remains suboptimal. Objective to examine the reinforcing factors influencing its utilization, including support from healthcare workers, university students, community health workers (CHWs), village heads, family members, and peers. A quantitative, cross-sectional study was conducted involving 192 elderly respondents with total sampling. Data were collected using questionnaires and analyzed using chi-square tests and multivariate logistic regression. The bivariate analysis indicated that all support factors were significantly associated with service utilization (p < 0.05). Multivariate analysis identified healthcare worker support as the most influential predictor (OR = 48.346; p < 0.001), followed by student involvement (OR = 5.259; p = 0.005). Although family support was significant in the bivariate analysis, it was not retained in the multivariate model. CHW and peer support yielded high odds ratios but lacked statistical significance, possibly due to data variability or multicollinearity. These findings highlight the critical role of professional engagement and student participation in enhancing elderly involvement in community health programs. Strengthening these factors, along with targeted strategies to involve social actors, may improve the effectiveness and long-term sustainability of elderly care services.
Education and Ultilization of the Anting-Anting Plant (Acalypha indica L.) as a Herbal Gastroprotective for Gastritis Prevention in the Community Suci Wulandari; Basyariah Lubis; Aminah S.; Sunariati Sunariati
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/7zz2bx80

Abstract

Gastritis is one of the primary health problems in Indonesia, with a high prevalence largely triggered by the uncontrolled use of non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin. Aspirin is known to induce gastric ulcers through direct irritation and the inhibition of prostaglandin production. As a preventive alternative, the anting-anting plant (Acalypha indica L.) contains phytochemicals such as flavonoids, saponins, tannins, and alkaloids, which are proven effective as gastroprotective or gastric mucosal protective agents. This community service activity aims to educate residents regarding the risks of NSAID side effects and to promote the utilization of anting-anting leaf extract to prevent gastric damage. The activity was implemented using an educational-participatory approach involving 45 respondents in the Lubuk Pakam region, consisting of health cadres, the elderly, and housewives. Evaluation was conducted by measuring knowledge levels using pre-test and post-test questionnaires, as well as a participant satisfaction survey. The results of the activity showed a sharp and measurable increase in clinical pharmacology literacy. Prior to the education, 82.2% of respondents had a poor level of knowledge regarding the side effects of aspirin. However, after the interactive counseling, 68.9% of respondents achieved a good knowledge category. Additionally, 84.4% of respondents expressed high satisfaction with the overall benefits of this community service program. This education successfully bridges laboratory research findings into the practical realm, which is expected to encourage the implementation of safer self-medication and rational therapy within the community.