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COUNSELING ON PREVENTION OF ARI INCIDENTS IN TODDLERS DUE TO PARENTS' SMOKING INTENSITY AT HOME IN THE WORK AREA OF PUSKESMAS MEDAN DENAI Br Bukit, Herawati; Lubis, Fithri Handayani; Gurusinga, Mona Fitri
Jurnal Pengabdian Masyarakat Putri Hijau Vol 4 No 4 (2024): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v4i4.2019

Tobacco consumption is one of several risk factors for ISPA. Because of this, not only does the smoker put himself in risk, but so do all people around them, even those who don't smoke directly. It is possible to raise the incidence of acute respiratory infections (ARI) by 7.83 times in homes occupied by families that smoke compared to homes without smokers. The bulk of those who took the time to react are mothers with young children, mostly aged two or three. Research and conversations have led to this conclusion. Additionally, the majority of the parents who participated in the study smoke 11–20 cigarettes daily, and this demographic also includes the majority of the toddlers who were part of the study. This patient does not have ISPA, despite a statistical correlation between the preval_ence of heavy smoking at home and the incidence of the disorder in toddlers. Furthermore, a relationship has been established between the two. The administration of Puskesmas Medan Denai is expected to step up their efforts to reach out to families that smoke in the house and educate them. The possible health effects of smoking on family members, especially toddlers, in the Puskesmas Medan Denai neighborhood will be the focus of these programs. Cigarette smoking inside is advised in order to lessen the likelihood of health issues associated with ISPA disorders in children.

COUNSELING ON THE IMPORTANCE OF IMPROVING MOTHERS' KNOWLEDGE ABOUT NUTRITIONAL STATUS TO REDUCE THE INCIDENCE OF STUNTING AT THE DELI TUA COMMUNITY HEALTH CENTER Manullang, Hengki Frengki; Lubis, Fithri Handayani
Jurnal Pengabdian Masyarakat Putri Hijau Vol 4 No 4 (2024): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v4i4.2026

A number of variables contribute to stunting in children. Family and household factors, the administration of breast milk (ASI), the administration of complementary food for breast milk (MP-ASI), and a history of infection are the factors that induce stunting, according to the World Health Organization (WHO). The mother's ignorance regarding healthy eating and lifestyle choices is one of the related family issues. Stunting in children can be caused by a multitude of things. The World Health Organization identifies a history of infection, conditions within the home and family, the availability of breast milk (ASI), and the provision of supplemental foods (MP-ASI) as the causes of stunting. When it comes to diet and health, one of the family aspects that matters is moms' lack of information. By educating themselves on the signs, consequences, and preventative measures of stunting, mothers may help keep their children healthy and so lower the preval_ence of the condition. Stunting rates at the Deli Tua Community Health Center are statistically related to mothers' levels of education and their awareness of their children's nutritional status. The Deli Tua Community Health Center has the potential to enhance the utilization of posyandu and train cadres to combat stunting, with the aim of highlighting the importance of IEC in this respect. The Community Health Center is expected to play a crucial role in educating the community, particularly mothers, on stunting prevention and treatment. Mothers whose toddlers are stunted should make an effort to improve their own nutrition and way of life, and they should also seek out more information about stunting.

COUNSELING ON PREVENTION OF TUBERCULOSIS TRANSMISSION IN FAMILIES AT THE CARE HEALTH CENTER IN KOTABLANGKEJEREN sembiring, bungamari; Lubis, Fithri Handayani
Jurnal Pengabdian Masyarakat Putri Hijau Vol 4 No 4 (2024): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v4i4.2028

The conduct of pulmonary TB patients strongly influences the transmission of pulmonary TB disease, since if patients cough and sneeze they might infect persons around them through air containing germs or splashes of phlegm containing germs. This research is a type of analytical observational research using a cross sectional design. This research will be carried out at the Blangkejeren City Care Health Center. The research period will be carried out from December 2023 to May 2024. The population in this study is all pulmonary TB sufferers in the Blangkejeren City Care Health Center Work Area, with a total of 41 participants. The sample approach employed in this research was total sampling The management of the Blangkejeren City Health Care Center is expected to be able to utilize smartphones and social media as communication media with Pulmonary Tuberculosis patients to more easily remind patients about the Prevention of Pulmonary Tuberculosis Transmission which must be carried out daily so that the patient's attitude will be better and they are also expected to be able to carry it out routinely. educational activities for families of Pulmonary Tuberculosis patients regarding Prevention of Transmission of Pulmonary Tuberculosis so that families can also remind patients when doing activities at home.

COUNSELING REGARDING EXCLUSIVE BREASTFEEDING TO BABIES NEWBORN FIRST THREE DAYS OF BIRTH sembiring, bungamari; Lubis, Fithri Handayani
Jurnal Pengabdian Masyarakat Putri Hijau Vol 5 No 1 (2024): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v5i1.2119

Increasing the role that families, communities, regional governments, and the government play in the promotion of exclusive breastfeeding is one of the goals of Government Regulation No. 33 of 2012, which was issued in reference to the topic of exclusive breastfeeding. Because the support of the husband will produce a sense of comfort in the mother, which will effect the production of breast milk and improve the mother's enthusiasm and comfort in nursing, the support of the family, particularly the husband, can be a determining factor in whether or not breastfeeding is successful. Research conducted by the World Health Organization (WHO) in the year 2020 suggests that all infants should be breastfed exclusively until they reach the age of six months. This is due to the fact that breastmilk is considered to be the food that provides the highest nutritional value for infants. The findings of this study indicate that only 41% of all infants around the world are exclusively breastfed. The World Health Organization (WHO) has set a goal to increase the percentage of infants who are exclusively breastfed by at least fifty percent by the year 2025. Breastfeeding or the administration of breast milk (ASI) should be initiated as soon as possible following the birth of the child. This practice is generally referred to as Early Breastfeeding Initiation (IMD). After giving birth, the mother should immediately begin breastfeeding the infant for a maximum of half an hour. For the baby to receive an adequate amount of breast milk, this is of utmost importance. It is possible that giving the baby anything other than breast milk, even water, could make the infant sick and reduce the amount of milk that the mother produces. This is due to the fact that the amount of milk that the mother produces is dependent on the amount of milk that the baby sucking on the breast. Even if the infant is given another drink or water, he will not feel hungry, and as a result, he will not breastfeed. When it comes to the success of exclusive breastfeeding in newborn babies during the first three days of their lives, the variable that is most closely associated to this success is family support. In the first three days after birth, the mother will experience a number of conditions that can make it difficult for her to give her baby exclusive breast milk. These conditions include the mother's breast milk that is difficult to come out, babies that are fussy, and the mother's adjustment to postpartum physical and psychological conditions. Therefore, during these times, the mother will require support from her family in order to be able to strengthen her and emphasize the significance of exclusive breastfeeding, particularly during the first three days after birth.

ANALYSIS OF ERGONOMIC FACTORS WITH NURSES PERFORMANCE AT SEMBIRING DELI TUA HOSPITAL Br Bukit, Herawati; Lubis, Fithri Handayani; Manullang, Hengki Frengki
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2085

Among the many aspects of quality that health care providers around the world are presently concentrating on is patient safety. Nursing care cannot be separated from the pursuit of patient safety. There has been a rise in the importance of nurses playing an active part in improving the standard of nursing care, which has prompted calls for more robust competency standards to back up the safety movement. Reduced occurrences of harm to patients are a direct result of nurses implementing work ergonomics practices. There are many members of the medical community who work to improve people's health, and nurses are no exception. However, while doing their jobs, nurses frequently overlook crucial details that could put them at risk for occupational diseases. Quantitative research with a cross-sectional technique is what's being utilized. All of the nurses working at RSU Sembiring Deli Tua made up the population of this study. There were 156 participants in this study. The findings revealed that most nurses were female, had been in the field for at least four years, and had a reasonable level of job security. They were also mostly in their 30s. It is well-known that the performance of nurses at RSU Sembiring Deli Tua is influenced by factors such as gender, age, length of service, and job position.

ANALYSIS OF ERGONOMIC FACTORS WITH NURSES PERFORMANCE AT SEMBIRING DELI TUA HOSPITAL sembiring, bungamari; Lubis, Fithri Handayani
Jurnal Penelitian Kesmasy Vol 7 No 1 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i1.2086

Among the many aspects of quality that health care providers around the world are presently concentrating on is patient safety. Nursing care cannot be separated from the pursuit of patient safety. There has been a rise in the importance of nurses playing an active part in improving the standard of nursing care, which has prompted calls for more robust competency standards to back up the safety movement. Reduced occurrences of harm to patients are a direct result of nurses implementing work ergonomics practices. There are many members of the medical community who work to improve people's health, and nurses are no exception. However, while doing their jobs, nurses frequently overlook crucial details that could put them at risk for occupational diseases. Quantitative research with a cross-sectional technique is what's being utilized. All of the nurses working at RSU Sembiring Deli Tua made up the population of this study. There were 156 participants in this study. The findings revealed that most nurses were female, had been in the field for at least four years, and had a reasonable level of job security. They were also mostly in their 30s. It is well-known that the performance of nurses at RSU Sembiring Deli Tua is influenced by factors such as gender, age, length of service, and job position.

HUBUNGAN KARAKTERISTIK BALITA DENGAN KEJADIAN STUNTING PADA BALITA DI PROVINSI SUMATERA UTARA handayani, fitri; lubis, fithri handayani
Jurnal Penelitian Kesmasy Vol 7 No 2 (2025): Jurnal Penelitian Kesmasy
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v7i2.2311

The world ranks Indonesia fifth for the preval_ence of stunting. Stunting is not only about a straight physical growth issue, but also it severely inhibits cognitive functioning and cognitive ability. The objective is to examine the correlation among age, sex, birth length, and birth weight about stunting in children between aged 24-59 months in North Sumatra in 2013. The data utilized in this investigation were secondary data from the Basic Health Research Indonesia, known as RISKESDAS, run in 2013 as a cross-sectional study with a sample size of 573 children. Data were gathered via structured questionnaires and analysed via the chi-square test. The variables analysed included the child’s age, sex, birth weight, and birth length. The findings showed that 40.3% of the children were stunted. The percentage of infants with diminished birth weight (<2500 grams) stood at 2.3%, and those delivered with abbreviated birth stature (<48 cm) accounted for 85.3%. There was no significant correlation between stunting and sex, birth weight, or birth length, according to the results of the chi-square test. Nevertheless, age was linked with stunting (p = 0.044; RP = 1.24), showing that children aged 24–36 months had a 1.24 times higher chance of stunting. Families are urged to make the most of community-based health services, including Posyandu, in order to monitor and assist youngsters in catching up on their growth.

Efektivitas Implementasi Program “one day one egg” Terhadap Berat Badan Balita di Kelurahan Sicanang Kecamatan Medan Belawan Kota Medan, Sumatera Utara Rismadi, Kiki; Handayani Lubis, Fithri; Nur Fitry Sirajuddin, Inayyah
Miracle Journal Vol. 5 No. 2 (2025): Edisi Juli 2025
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/mj.v5i2.1722

Status gizi merupakan faktor penting yang memengaruhi pertumbuhan dan perkembangan balita, dengan berat badan menurut umur sebagai salah satu indikator utamanya. Masalah gizi buruk dan kurang dapat menyebabkan gangguan tumbuh kembang, menurunnya daya tahan tubuh, serta terhambatnya perkembangan kognitif dan motorik anak. Di Kelurahan Sicanang, Kecamatan Medan Belawan, angka stunting masih tinggi meskipun secara umum Kota Medan mengalami penurunan prevalensi stunting. Salah satu upaya intervensi gizi yang mulai diterapkan adalah program "One Day One Egg", yaitu pemberian satu butir telur setiap hari kepada balita. Penelitian ini bertujuan untuk mengevaluasi efektivitas program "One Day One Egg" dalam meningkatkan berat badan balita di Kelurahan Sicanang. Penelitian ini menggunakan pendekatan kuantitatif dengan desain quasi eksperimen (one group pretest-posttest). Sampel terdiri dari 40 balita usia 12–59 bulan yang dipilih secara total sampling. Data dianalisis menggunakan uji Wilcoxon Signed Rank Test karena hasil uji normalitas menunjukkan data tidak berdistribusi normal. Program "One Day One Egg" secara signifikan meningkatkan berat badan balita, dengan nilai signifikansi 0,00. Sebanyak 34 balita (85%) mengalami peningkatan berat badan, 2 balita (5%) tidak mengalami perubahan, dan 4 balita (10%) mengalami penurunan berat badan setelah mengikuti program. Program "One Day One Egg" terbukti efektif dalam meningkatkan berat badan balita dan dapat dijadikan salah satu strategi intervensi gizi yang sederhana, ekonomis, dan aplikatif dalam penanggulangan masalah gizi kurang di masyarakat, khususnya di daerah dengan prevalensi stunting yang tinggi seperti Kelurahan Sicanang.

STUDI ERGONOMI TERHADAP POSTUR, BEBAN KERJA, DAN FAKTOR LINGKUNGAN PADA PETANI TOMAT: LITETRATUR REVIEW Annisa, Rizka Rizka; Lubis, Fithri Handayani; J. EL-Matury, Herlina; Malau, Pitto Pratiwi
Jurnal Penelitian Kesmasy Vol 8 No 1 (2025): Jurnal Penelitian Kesmasy
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i1.2687

Tomato cultivation is an intensive agricultural activity that demands high physical exertion and exposes workers to considerable ergonomic and environmental risks. Most cultivation processes including planting, maintenance, and harvesting are still performed manually, often involving prolonged bending, squatting, and static standing postures. These conditions substantially increase the risk of work-related musculoskeletal disorders (MSDs). This literature review aims to integrate recent findings on the interrelationships among working posture, physiological workload, and environmental factors affecting the health and productivity of tomato farmers. The synthesis revealed a high prevalence of MSDs among agricultural workers, particularly affecting the lower back, neck, and shoulders, primarily due to repetitive and static working postures (Widyanti, 2018; Akbar et al., 2023). Physiological workload studies demonstrated that workers in greenhouse environments experienced elevated body temperatures and fatigue correlated with work intensity and ambient heat (Silalahi et al., 2017; Jung & Kim, 2022). Environmental stressors especially heat and humidity further exacerbate these conditions, leading to heat stress that compromises physical performance and health (FAO, 2018; El Khayat et al., 2022). Furthermore, improper postures during manual harvesting negatively affect both worker well-being and tomato fruit quality, whereas ergonomic practices enhance both efficiency and yield quality (Kuta et al., 2023). Recommended interventions include improved tool and workplace design, task rotation, adequate ventilation and shaded rest areas, and training on ergonomic harvesting techniques (FAO, 2018; Ahamed et al., 2023). The review also highlights research gaps, notably the lack of longitudinal studies and intervention evaluations within smallholder tropical farming contexts. Future research should adopt mixed-method approaches combining physiological, postural, and environmental assessments to develop sustainable, safe, and efficient agricultural work systems.

HUBUNGAN ANTARA DAERAH TEMPAT TINGGAL DENGAN KEJADIAN DIARE PADA BALITA USIA 24-59 BULAN DI SUMATERA UTARA Manullang, Hengki Frengki; Lubis, Fithri Handayani; Ulfah, Syafrina; Ginting, Monika Nina
Jurnal Penelitian Kesmasy Vol 8 No 1 (2025): Jurnal Penelitian Kesmasy
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i1.2696

Diarrhea is an endemic disease of significant concern in Indonesia and ranks as the second-largest cause of mortality among children under the age of five. This study aims to identify the correlation between residential location and the incidence of diarrhea in toddlers aged 24–59 months in North Sumatra Province, utilizing data from the 2023 Indonesian Health Survey (SKI). This research used a quantitative design with a cross-sectional approach and included 3784 toddlers aged 24 to 59 months. Analysis was performed using the chi-square test. The results of the analysis showed a p-value of 0,002 (p < 0,05), indicating a strong correlation between place of residency and the incidence of diarrhea. An odds ratio (OR) of 1,670 indicates that toddlers living in urban areas are 1,670 times more predisposed to experiencing diarrhea compared to their rural counterparts. The findings underscore the necessity of considering regional context in the fight against diarrhea in North Sumatera, necessitating interventions adapted to urban and rural settings to enhance the specificity and efficacy of prevention programs aimed at lowering diarrhea incidence in toddlers.

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