Claim Missing Document
Check
Articles

Associations Between Daily Physical Activity and Motor Skill Competence Among Preschool Children Ahmad, Nadhira Yasmine; Noviansyah, Aulia; Ginting, Rapael; Manalu, Marselinus V.Y; Gomagel, Yoel; Surbakti, Surbakti; Ritrit Yanto Zai, Ritrit Yanto Zai
Journal of Foundational Learning and Child Development Vol. 1 No. 02 (2025): Transforming Foundational Learning: Evidence-Based Practices in Early and Prim
Publisher : CV. INSPIRETECH GLOBAL INSIGHT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53905/ChildDev.v1i02.15

Abstract

Purpose of the study: This study examined the associations between objectively measured daily physical activity (PA) and motor skill competence (MSC) among Indonesian preschool children, addressing the critical gap in understanding early childhood movement behaviors in Southeast Asian contexts. Materials and methods: Eighty-three preschool children (40 boys, 43 girls; mean age 5.2 ± 0.7 years) from TKQ Baiturrahman Medan, Indonesia, participated in this cross-sectional study. Daily PA was measured using ActiGraph GT3X accelerometers worn for seven consecutive days. MSC was assessed using the Test of Gross Motor Development-3 (TGMD-3), evaluating locomotor and ball skills. Pearson correlations and multiple linear regression analyses examined associations between PA variables and MSC scores, controlling for age and gender. Results: Children accumulated 58.4 ± 18.2 minutes of moderate-to-vigorous physical activity (MVPA) daily and 8,847 ± 2,156 steps/day. Mean total MSC standard score was 92.3 ± 14.6 (locomotor: 9.2 ± 2.8; ball skills: 8.9 ± 3.1). Significant positive correlations emerged between daily MVPA and total MSC (r = 0.41, p < 0.001), locomotor skills (r = 0.38, p < 0.001), and ball skills (r = 0.36, p = 0.001). Step count correlated moderately with MSC (r = 0.34, p = 0.002). Multiple regression revealed that MVPA significantly predicted MSC (β = 0.39, p < 0.001), explaining 23% of variance after controlling for covariates. Children in the highest MVPA tertile demonstrated significantly higher MSC scores than those in the lowest tertile (98.7 ± 12.4 vs. 84.6 ± 14.2, p < 0.001). Conclusions: Daily PA, particularly MVPA, demonstrates significant positive associations with motor skill competence in preschool children. These findings underscore the importance of promoting adequate PA opportunities in early childhood education settings to support fundamental motor development. Early childhood educators and policymakers should prioritize structured and unstructured PA experiences to facilitate optimal motor competence development during this critical developmental period.
Barriers to Stunting Intervention at a Community Health Center: A Qualitative Study Rapael Ginting; Ermi Girsang; Megasilvia Sinaga; Putranto Manalu
Jurnal Penelitian Pendidikan IPA Vol 9 No 10 (2023): October
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i10.4656

Abstract

Stunting is one of Indonesia's most prevalent nutritional problems, with a prevalence rate of 24.4%. In Samosir Regency, the prevalence of stunting remains relatively high at 28.4%. Community health centers are crucial in the community's efforts to accelerate stunting reduction. This study aimed to explore the barriers a community health center faces in implementing the stunting reduction acceleration program. Method: Using a qualitative case study design, the study was conducted at Buhit community health center in Samosir Regency from August to December 2022. The key informants for this study included the community health center leader, head of administration, nutritionist, and midwife. Data were collected through in-depth interviews and document review. The results identified several barriers to the implementation of the Accelerated Stunting Reduction Programme. These barriers encompassed limited staff resources and concurrent positions, the availability and suitability of anthropometric tools, a lack of coordination in planning activities between management and program officers, families' fear of the negative stigma associated with stunting, and low levels of community participation. Farmers who do not comply with safe behavior will have a higher health risk because of the toxicity of pesticides that can be directly inhaled and enter through the pores of the farmers' skin
Analysis of the Utilization of Health Services by BPJS Health Participants at Tanjung Public Health Center, Sungai Penuh City Aditya Pradana; Rapael Ginting; Hartono; Liani Setyarsih
Jurnal Bahana Kesehatan Masyarakat (Bahana of Journal Public Health) Vol 10 No 1 (2026): Jurnal Bahana Kesehatan Masyarakat (Bahana of Journal Public Health)
Publisher : Poltekkes Kemenkes Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35910/jbkm.v10i1.1316

Abstract

Background: The implementation of BPJS Health services is not free from challenges and issues encountered in healthcare facilities, such as long waiting times, complicated administrative procedures, and network constraints during P-Care data entry. This study aims to analyze the utilization of health services by BPJS Health participants at Tanjung Public Health Center in Sungai Penuh City. Methods: This study employed a descriptive qualitative method with a case study approach involving 3 health center staff and 10 BPJS user respondents selected through purposive sampling. Data were collected through observation, interviews, and questionnaires. Results: The results showed that 100% of staff identified “slow performance” as the main barrier of the BPJS application, although 66.6% considered the application “easy to use” and 100% reported being “satisfied/very satisfied,” with the main need being a Patient History Check feature. Among respondents, of whom 70% were female and 50% had elementary school education, perceptions of the service were predominantly categorized as “fair,” with service time and complaint handling most frequently rated as “poor.” Conclusion: It can be concluded that the BPJS application is adequate in terms of design but lacks efficiency in performance, while the services at the Public Health Center are perceived as “fair” to “good,” with weaknesses in timeliness and administrative processes. Keywords: Health service utilization, BPJS Health, Public Health Center
Faktor-faktor yang Mempengaruhi Kualitas Hidup Lansia Penderita Diabetes Melitus Tipe 2 di Rumah Sakit Umum Mitra Medika Tanjung Mulia Kota Medan Riko Suranta Tarigan; Khairunnisa Nasution; Rapael Ginting; Tarianna Ginting; Hartono Hartono
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60489

Abstract

Diabetes Melitus Tipe 2 merupakan salah satu penyakit metabolik kronis yang prevalensinya terus meningkat, terutama pada kelompok lanjut usia (lansia). Kondisi ini dapat menimbulkan berbagai komplikasi yang berpotensi menurunkan kualitas hidup penderitanya. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi kualitas hidup lansia penderita Diabetes Melitus Tipe 2 di Rumah Sakit Umum Mitra Medika Tanjung Mulia Kota Medan. Penelitian menggunakan metode kuantitatif dengan desain case-control. Populasi penelitian adalah seluruh lansia penderita Diabetes Melitus Tipe 2 yang berobat di rumah sakit tersebut, dengan jumlah sampel 134 responden yang terdiri dari 67 responden kelompok kasus dan 67 responden kelompok kontrol. Pengumpulan data dilakukan melalui wawancara menggunakan kuesioner terstruktur. Variabel yang diteliti meliputi lama menderita penyakit, komplikasi, tingkat pengetahuan, dukungan sosial, tingkat stres, dan aktivitas fisik. Analisis data dilakukan secara bivariat menggunakan uji Chi-square dan secara multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa lama menderita Diabetes Melitus Tipe 2 (p=0,011), komplikasi (p=0,022), dukungan sosial (p=0,031), tingkat stres (p=0,017), dan aktivitas fisik (p=0,017) memiliki pengaruh yang signifikan terhadap kualitas hidup lansia. Sebaliknya, variabel pengetahuan (p=0,136) tidak menunjukkan pengaruh yang signifikan. Faktor klinis, psikologis, dan sosial berperan penting dalam menentukan kualitas hidup lansia penderita Diabetes Melitus Tipe 2. Rumah sakit diharapkan mengembangkan intervensi komprehensif yang tidak hanya berfokus pada pengendalian kadar gula darah, tetapi juga memperhatikan aspek psikologis, sosial, dan dukungan keluarga.
AKSI TIGA PILAR: LOGISTIK CEPAT, GIZI TEPAT, DAN PEMBERIAN LAYANAN TRAUMA UNTUK TANGGAP BENCANA DI LANGKAT (SUMATERA UTARA) Windania Purba; Refi Ikhtiari; Rapael Ginting
COMMUNITY : Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 1 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/community.v6i1.9416

Abstract

The flood disaster that struck the Tanjung Pura area of ​​Langkat Regency, North Sumatra, had a significant impact on the social, economic, health, and psychological well-being of the community. Limited access to basic necessities, decreased nutritional quality, and the emergence of psychological trauma, particularly among vulnerable groups such as children, the elderly, and pregnant women, are key issues requiring rapid and integrated response. This community service activity aims to provide a disaster response through a Three-Pillar Action approach: Rapid Logistics, Appropriate Nutrition, and Trauma Services. The implementation method was participatory, encompassing preparation and coordination with local partners, core activities such as the distribution of logistical assistance and nutritious food, and trauma healing services. The program concluded with monitoring and evaluation. The aid distributed included basic food packages, hygiene kits, clothing, and psychosocial support for the affected community. Results from the activity indicate that this program was able to meet the community's basic needs quickly and effectively, improve nutritional intake, especially for vulnerable groups, and help reduce stress and trauma caused by the disaster. Thus, the Three Pillars Action approach has proven effective as a holistic and sustainable disaster response model in supporting the physical and psychological recovery of affected communities. ABSTRAK Bencana banjir yang melanda wilayah Tanjung Pura, Kabupaten Langkat, Sumatera Utara, menimbulkan dampak signifikan terhadap kehidupan sosial, ekonomi, kesehatan, dan kondisi psikologis masyarakat. Terbatasnya akses terhadap kebutuhan dasar, menurunnya kualitas asupan gizi, serta munculnya trauma psikologis, khususnya pada kelompok rentan seperti anak-anak, lansia, dan ibu hamil, menjadi permasalahan utama yang memerlukan penanganan cepat dan terintegrasi. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan respons tanggap bencana melalui pendekatan Aksi Tiga Pilar, yaitu Logistik Cepat, Gizi Tepat, dan Pemberian Layanan Trauma. Metode pelaksanaan dilakukan secara partisipatif melalui tahapan persiapan dan koordinasi dengan mitra setempat, pelaksanaan kegiatan inti berupa distribusi bantuan logistik dan pangan bergizi, serta layanan trauma healing, dan diakhiri dengan monitoring serta evaluasi kegiatan. Produk bantuan yang disalurkan meliputi paket sembako, perlengkapan kebersihan, kebutuhan sandang, serta dukungan psikososial bagi masyarakat terdampak. Hasil kegiatan menunjukkan bahwa program ini mampu memenuhi kebutuhan dasar masyarakat secara cepat dan tepat sasaran, meningkatkan pemenuhan gizi terutama bagi kelompok rentan, serta membantu mengurangi tingkat stres dan trauma akibat bencana. Dengan demikian, pendekatan Aksi Tiga Pilar terbukti efektif sebagai model penanganan tanggap bencana yang holistik dan berkelanjutan dalam mendukung pemulihan fisik dan psikologis masyarakat terdampak.
Analyzed Perceptions Of The Poor Peoples On Health Promotion Program In Poverty Reduction Policy Program At Health Sector (Pkbk) Puskesmas Onohazumba District Onohazumba South Nias District In 2021 Nirman Waruwu; Emi Girsang; Rapael Ginting; Chrismis Novalinda Ginting
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 1 (2022): February 2022
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (146.356 KB) | DOI: 10.51601/ijhp.v2i1.30

Abstract

The Health Sector Poverty Reduction Program (PKBK) is a tangible manifestation of the onohazumba district south nias government's concern for the poor by providing comprehensive health service assistance, including the nutritional health promotion program. Research Objectives: To get an overview of the perceptions of the poor towards the nutrition health promotion program. Research Methods, This research instrument have data collection by in-depth interviews and observation of promotional activities carried out by the puskesmas. Data analysis is done by content analysis. Triangulation of sources to stakeholders, NGOs/journalists, health workers, and Public health posyandu cadres. Results: There are different perceptions of the nutritional health promotion program from various characteristics of the respondents. Economic factors are an obstacle for a person to behave healthily and affect the utilization of health services. The lack of media, the limited use of methods, the material presented is very short and not in-depth, the frequency and adequacy of financing for nutritional health promotion programs affect the effectiveness of nutritional health promotion programs. Conclusion:
Analysis Of Medical Health Equipment Treatment At Royal Prima Medan General Hospital Actor Martin Oloan S; Chrismis Novalinda Ginting; Rapael Ginting
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 3 (2022): August 2022
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (128.067 KB) | DOI: 10.51601/ijhp.v2i3.104

Abstract

Medical devices are one of the factors that play an important role in providing health services to the community. Sustainable health services need to be supported by equipment that is always in a ready-to-use condition and can function properly. The level of public health needs to be improved through quality health services, one of which is through the provision of good, safe and suitable medical devices. So that medical equipment is always in good condition, safe, and suitable for use, it is necessary to carry out preventive maintenance including periodic maintenance and implementation of tests and calibrations. The purpose of this study was to analyze the Treatment of Medical Medical Devices at Royal Prima Hospital Medan. The results of this study indicate that the number of human resources in carrying out medical device maintenance at Royal Prima Hospital Medan is maximized, the exact amount of funds for the maintenance of medical devices at Royal Prima Hospital Medan is unknown, but each device already has its own budget in terms of treatment. and repairs, the placement of medical devices, especially in the ICU and IGD rooms, is in accordance with SOPs, it can be seen that their placement is regular and easy to reach by health workers such as doctors and nurses, the maintenance of medical devices is routinely carried out as well as once a week technicians always carry out maintenance on medical devices, supervision has also been carried out optimally by technicians if there are medical devices that are constrained in their operation.
Activity Based Costing Method As The Basis For Determining Service Rates In The Radiology Unit At Royal Prima Hospital Medan Tricya Merrina Arts; Chrismis Novalinda Ginting; Rapael Ginting
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 4 (2023): November 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i4.218

Abstract

Determining the tariff for radiology examination services is a very important decision, because it can affect the profitability of a hospital. Activity Based Costing is a system of accumulating costs and charging costs to products using various cost drivers by tracing the costs of each activity and then tracing the costs from activities to products. The purpose of this study was to determine the application of the activity based costing method as an alternative to CT Thorax service rates in the radiology unit at RSU Royal Prima Medan. The data analysis technique used in this study is a non-statistical quantitative analysis technique. Data in the form of numbers obtained from RSU Royal Prima Medan which contains the calculations are then analyzed using the ABC (Activity Based Costing) Implementation theory. The results showed that the unit cost for CT Thorax examination in the radiology unit of RSU Royal Prima Medan using the activity based costing method was Rp. 1,646,693. The real cost of a CT Thorax examination at the radiology unit of the Royal Prima Medan General Hospital is Rp. 1,897,500. There is a difference in the cost of CT Thorax examination at the radiology unit of RSU Royal Prima Medan with unit costs using the activity based costing method and using real cost calculations at RSU Royal Prima Medan with a cost difference of Rp.250,809. The results showed that the unit cost for CT Thorax examination in the radiology unit of RSU Royal Prima Medan using the activity based costing method was Rp. 1,646,693. The real cost of a CT Thorax examination at the radiology unit of the Royal Prima Medan General Hospital is Rp. 1,897,500. There is a difference in the cost of CT Thorax examination at the radiology unit of RSU Royal Prima Medan with unit costs using the activity based costing method and using real cost calculations at RSU Royal Prima Medan with a cost difference of Rp.250,809. The results showed that the unit cost for CT Thorax examination in the radiology unit of RSU Royal Prima Medan using the activity based costing method was Rp. 1,646,693. The real cost of a CT Thorax examination at the radiology unit of the Royal Prima Medan General Hospital is Rp. 1,897,500. There is a difference in the cost of CT Thorax examination at the radiology unit of RSU Royal Prima Medan with unit costs using the activity based costing method and using real cost calculations at RSU Royal Prima Medan with a cost difference of Rp.250,809.
Studi Komparatif Edukasi Diet Sehat Dengan Latihan Fisik Terhadap Monitoring Gula Darah Pada Penderita Diabetes Melitus Tipe 2 Di Wilayah Kerja Puskesmas Darussalam Medan Fitriani Harefa; Novarasi Melina Silitonga; Rapael Ginting; Andry Simanullang; Nila Sari
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.900

Abstract

Type 2 diabetes mellitus (t2dm) is a chronic disease caused by insulin resistance and insufficient insulin production, resulting in elevated blood glucose levels. Proper blood glucose control can prevent both microvascular and macrovascular complications of diabetes. Effective management is therefore needed to monitor blood glucose levels through healthy lifestyle modifications, including a healthy diet and physical exercise. This study aimed to determine the difference between healthy diet education and physical exercise in monitoring blood glucose levels among patients with t2dm at darussalam public health center, medan. This quantitative study employed a quasi-experimental two-group pretest-posttest design. The population consisted of 294 patients with t2dm, from which 44 participants were selected using purposive sampling. Data were collected using an observation sheet to record blood glucose levels among patients with t2dm. The data were analyzed using paired t-test and independent t-test. The results showed a significant difference in blood glucose levels between the healthy diet education and physical exercise groups, with a p-value of 0.000 (p < 0.05). The healthy diet education intervention resulted in a decrease in blood glucose levels of 23.86 mg/dl, while the physical exercise intervention resulted in a mean decrease in blood glucose levels of 52.72 mg/dl. There was a difference of 28.86 mg/dl in the change in blood glucose levels between the healthy diet education and physical exercise groups, with a p-value of 0.000. It can be concluded that there was a significant difference between healthy diet education and physical exercise interventions in monitoring blood glucose levels. It is recommended that the public health center establish regular physical exercise programs and strengthen support for dietary management by developing a non-communicable disease prevention community through healthy lifestyle programs. Posbindu health cadres are expected to serve as facilitators in implementing these programs.
Co-Authors ., Saprilliani Actor Martin Oloan S Aditya Pradana Alma, Arlin Liliana Aminuyati Amir, Dwi Fenny Andry Simanullang Andry Simanullang Angin, Jerry Primsa Perangin- Angkasa, Alexander Angkasa, Celvin Bangun, Andreas Xaverio Batu, Artosi Sumana Lumban Bestari, Welas Binarwan Halim Boas, Richie Ray Barry Chiuman, Veranyca Chrismis Novalinda Ginting Chrismis Novalinda Ginting Chrismis Novalinda Ginting Chrismis Novalinda Ginting Citra, Sri Ayuni Delpitasari Marbun Deseva, Frisca Gemmi Dzul Akbar Insani Edlin, Edlin Emi Girsang Erawati, Suci Ermi Girsang Ermi Girsang Ermi Girsang Eva Ellya Sibagariang eva sibagariang Fadilah, Mardi Febry Mulyati Fibrini, Dewi Fioni, Fioni Fitriani Harefa Gea, Lestin Ginting, Chrismis Novalinda Ginting, Tarianna Girsang, Ermi Gomagel, Yoel Hartono Hartono Hartono Hartono Hartono Hartono Herbet Wau Holan Dianju Melva Meinaria Sitanggang Hulu, Viktor Trismajaya Hutabarat, Bartimeus Nicomama Hutagalung, Cantika Viona Adytia Hutagalung, Priscilla Grace J IKHTIARI, REFI Insani, Dzul Akbar Iskandar, Dalmy Jamhari Jamhari Jeremia Chandra Partogi Siallagan Johannes Bastira Ginting Johannes Ginting Johnson Hutapea Jumiati Jumiati Kaban, Dhian Ladea Khairunnisa Nasution Kurniawan, Evan Kuswani, Lili Laurenxius, Vanessa Sinana Leslie, William Lister, Clarissa Lizar, Budi Septhian Lolenstine, Cherin Lumbantobing, Christina JRE. Maharani . Malau, Reghita Claudia Manalu, Marselinus V.Y Manalu, Yuli Andriani Br Masryna Siagian Megasilvia Sinaga Meliala, Juli Elisabet Mayen br Muhammad Luthfi Nadhira Yasmine Ahmad Nasution, Syamsul Arifin Nia Franata Nila Sari Nirman Waruwu Novarasi Melina Silitonga Noviansyah, Aulia Olidya, Desyoma Onetusfifsi Putra Pahala Maringan J. Simangunsong Pakpahan, Eka Lolita Elivanti Panggabean, Endah Ansylla Pinta Alfiani Telaumbanua Pratiwi, Tari Dwi Purba, Windania Putranto Manalu Putri, Nadya Nazimuddin Richie Ray Barry Boas Riko Suranta Tarigan Ritrit Yanto Zai, Ritrit Yanto Zai Riyan Sabputra S, Buenita Samosir, Frans Judea Santy Deasy Siregar Saprilliani . Sari, Chairani Novia Sari, Fitri Iman Sari, Juwita Purnama Setiawan, Linda Novelgia Setyarsih, Liani Sherliana, Ferra Siagian, Masryna Siahaan, Perry Boy Chandra Siallagan, Gabriel Oktavianus sibagariang, eva Sihombing, Rachel Raselia Sijabat, Vina Helsa Laora Silaen, Mangatas Silalahi, Marling Isabella Simanjuntak, Mafe Robbi Simanjuntak, Mafe Robby Simanullang, Andry Simbolon, Paska Yolastri Sinaga, Asina Br Siregar, Annisa Surto Siregar, Hesti Despita Siti Zubaidah Sri Lestari Ramadhani Nasution Sri Yanti Purba Suci Erawati Surbakti, Surbakti Suyono, Tan Syahputra, Ari Denggan Tampubolon, Roy's Grace Tariana Ginting Tarigan, Antje Irmella Tarigan, Denada Br Tarigan, Ermilia Laurensya Tarigan, Nita Kastrina Theresia Rianita Panjaitan Therry Septianto Tricya Merrina Arts Victor Trismanjaya Hulu Waruwu, Inel Hartanti Widiya Nisa Widya Yanti Sihotang Wilvia, Wilvia Windania Purba Yemima Putri Hasibuan Yulina Yulina Yulizal, Ok YUNI, YUNI Zahrani, Ashila Zendrato, Victorwan Novri