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Social Support and Healthcare Service Quality as Determinants of Treatment Interruption Among Drug-Resistant Tuberculosis Patients in Medan, Indonesia Dalimunthe, Almira; Magdalena Sinaga, Bintang Yinke; Siagian, Parluhutan; Amelia, Rina
Jurnal Impresi Indonesia Vol. 4 No. 11 (2025): Indonesian Impression Journal (JII)
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v4i11.7122

Abstract

Indonesia ranks second globally in pulmonary TB cases after India, and drug-resistant TB remains a major cause of mortality in the country. Treatment adherence is influenced by multiple interacting factors, making dropout decisions a dynamic process. Early, targeted efforts to boost patient adherence and minimize loss-to-follow up are essential to prevent progression to more severe disease or death. This study aims to evaluate factors that lead to loss-to-follow up among drug-resistant tuberculosis patients in Medan, Indonesia. This research is a descriptive analytical study using a cross sectional approach. It was carried out at Adam Malik Hospital Medan on DR-TB patients who had been diagnosed bacteriologically. The data used were 104 patient subjects who met the inclusion and exclusion criteria. divided into groups who was loss in follow up and groups who completed treatment. The independent variables consist of social support and health care services. From the 104 research samples, 34 of them were DR pulmonary TB patients who was loss in follow up and 70 DR pulmonary TB patients who completed treatment. Bivariate analysis showed significant associations between loss-to-follow up and social support (p < 0.001; OR = 14.50), and healthcare service quality (p < 0.001; OR = 5.72). No significant association was found for age, sex, occupation, marital status, or family history of TB. In conclusion, social support and healthcare service quality play critical roles in determining adherence among DR-TB patients. Strengthening patient support networks and improving patient-centered healthcare delivery may help reduce treatment default rates.
Comparison of The Efficacy of Intravenous Norepinephrine and Phenylephrine as Vasopressor Agents in The Management of Septic Shock in ICU Patients at Haji Adam Malik General Hospital Using Lactate and Stroke Volume Variation Indicators Attamimi, Fandy Faidhul; Wijaya, Dadik Wahyu; Tanjung, Qadri Fauzi; Amelia, Rina
JAI (Jurnal Anestesiologi Indonesia) Vol 18, No 1 (2026): JAI (Jurnal Anestesiologi Indonesia)
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jai.v0i0.67835

Abstract

Background: Septic shock is a life-threatening complication of sepsis, characterized by refractory hypotension and tissue hypoperfusion, requiring rapid vasopressor therapy. Norepinephrine is the drug of choice, but phenylephrine is still used in certain conditions, such as tachyarrhythmia or high output. Evidence comparing the effectiveness of the two is still limited, especially in Indonesian ICUs. Therefore, this study assessed the efficacy of norepinephrine and phenylephrine using lactate clearance and stroke volume variation (SVV) as indicators of perfusion and hemodynamic response in the intensive care unit (ICU) of Adam Malik General Hospital, Medan.Methods: This study was a prospective, double-blind, randomized controlled clinical trial conducted in the ICU of Adam Malik General Hospital, Medan, involving 32 adult patients (aged 18–65 years) with septic shock, as defined by the Sepsis-3 criteria. Patients were randomly assigned to two groups receiving norepinephrine infusion (n = 16) or phenylephrine infusion (n = 16) as the primary vasopressor. Lactate levels and SVV were measured at baseline (T0) and 6 hours after therapy (T1). The primary outcome was the change in lactate and SVV, with analysis using paired and independent t-tests at a significance level of p < 0.05.Results: 32 patients were divided into two groups, each with 16 patients receiving norepinephrine or phenylephrine. After 6 hours of therapy, norepinephrine reduced lactate levels from 8.41±1.88 to 5.76±1.99 mmol/L and SVV from 14.25±2.17 to 8.18±1.90 mmHg (p<0.001). Phenylephrine also reduced lactate from 7.40±1.77 to 6.70±1.77 mmol/L and SVV from 15.93±2.56 to 12.50±2.63 mmHg (p<0.001).Conclusions: Intravenous norepinephrine is more effective than phenylephrine in lowering lactate and improving SVV in septic shock patients in the ICU, thus supporting its use as the primary vasopressor. Phenylephrine remains an alternative with close hemodynamic monitoring. Further studies are needed to confirm these findings and understand the mechanism behind the difference in effectiveness between the two.
Incidence of Malnutrion Based On Body Mass Index And Subjective Global Assesment In Patients With Stable Chronic Obstructive Pulmonary Disease Dalimunthe, Muhammad Bayhaqi; Pradana, Andika; Tarigan, Amira Permatasari; Amelia, Rina
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 4 (2025): November 2025 ( Indonesia - Thailand)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i4.467

Abstract

Background: Malnutrition is a serious problem in patients with COPD, it interferes with normal skeletal muscle function, with reduced muscle mass and decreased respiratory muscle strength and endurance. The purpose of the study was to determine the incidence of malnutrition based on BMI and SGA in patients with stable chronic obstructive pulmonary disease at the Prof. Dr. Chairuddin P. Lubis Medan Teaching Hospital. Method: The research design is an observational analytic, from November 2023 to March 2024. The study population was COPD patients who sought treatment at the Pulmonary Polyclinic at RSCPL with a total sample using the consecutive sampling method of 91 people Assessment of BMI by measuring TB and BW of patients when they came and assessment of SGA with a questionnaire Data processing using SPSS using descriptive statistics by displaying the IMT and SGA frequency distribution tables. Result: The results of this study found that most patients were categorized as underweight, namely 28 patients (30.8%). The majority of SGA classification as underweight/moderate nutrition "SGA B", namely 50 patients or (54.9%). Conclusion: We found that the Subjective Global Assessment (SGA) questionnaire is very influential in detecting patients with COPD who are malnourished to reduce respiratory muscle decline, and relapse of exacerbations.
Factors Influencing The Incidence of Loss To Follow-Up Treatment In Drug-Resistant Tuberculosis Patients Dalimunthe, Almira; Yinke Magdalena Sinaga, Bintang; Siagian, Parluhutan; Amelia, Rina
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 4 (2025): November 2025 ( Indonesia - Thailand)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i4.475

Abstract

Drug-resistant tuberculosis (DR-TB) represents a significant global health challenge with Indonesia ranking second highest for pulmonary TB cases. Treatment adherence in DR-TB patients is influenced by multiple interacting factors requiring systematic investigation to identify independent risk determinants. This descriptive analytical cross-sectional study assessed associations between independent variables and loss to follow-up treatment outcomes in DR-TB patients at Adam Malik Hospital, Medan, from May to November 2024. A purposive sampling strategy enrolled 104 bacteriologically confirmed DR-TB patients comprising 34 loss to follow-up cases and 70 treatment completers. Data collection utilized validated questionnaires assessing attitudes toward treatment, perceived social support, and healthcare service quality. Statistical analysis employed chi-squared testing for bivariate associations and multiple logistic regression for multivariate analysis with significance level p<0.05. Results demonstrated that 85.3% of loss to follow-up patients experienced low to moderate social support, 67.6% held poor treatment attitudes, and 64.7% perceived insufficient healthcare services. Bivariate analysis revealed significant associations between education (PR=4.13; p=0.023), attitudes (PR=6.04; p<0.001), social support (PR=14.50; p<0.001), and healthcare services (PR=5.72; p<0.001) with treatment discontinuation. Multivariate analysis identified three independent risk factors: low to moderate social support emerging as the predominant determinant (PR=14.01; 95% CI=4.26–46.02; p<0.001), followed by inadequate healthcare services (PR=3.33; 95% CI=1.18–9.43; p=0.023), while unemployment showed protective effect (PR=0.315; p=0.045). This investigation concludes that social support constitutes the principal modifiable risk factor for loss to follow-up treatment in DR-TB patients, necessitating implementation of family-based psychosocial interventions and quality healthcare service improvements to sustain treatment adherence during the challenging 20-month therapeutic regimen.
Branding & Product Knowledge Parfum Ramah Wudhu Serta Halal Sebagai Upaya Peningkatan Kewirausahaan Mahasiswa dan Produksi UKM ULFAH, INDAR FAUZIAH; Widowati Hermajiwandini, Chandra Murti Dewi; Priyati, Rini Yayuk; Pradana, Hasta Dwi; Mardoni, Yosi; Nisa Purnamasari; Rina Amelia
Gandhi: Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 3 (2024)
Publisher : Universitas Terbuka

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33830/g-jpm.v1i3.13489

Abstract

The main problem faced by Small and Medium Enterprises (SMEs) in the cosmetics and perfume sector is the lack of a deep understanding of product knowledge aspects and halal product standards, especially in the context of the majority Indonesian Muslim market. This community service activity (PKM) aims to increase the entrepreneurial capacity of students and partner SMEs through intensive training on branding, product knowledge, and halal certification processes for ablution-friendly perfume products. The method of implementing activities includes three stages: (1) Socialization and education about the importance of halal certification and the concept of ablution-friendly perfume; (2) Technical training on the preparation of brand identity and digital marketing strategies; and (3) Direct assistance in improving the quality of SME Partner products. The results achieved were a significant increase in the understanding of participants (students and SMEs) by 35% regarding halal and branding aspects. In addition, SME Mitra has successfully identified and reformulated the Unique Selling Proposition of their products, namely perfumes that meet the criteria of 'ablution-friendly'. This activity succeeded in creating synergy between academics and business actors in producing competitive products in the halal market.
Pelatihan dan Pendampingan Kader Kesehatan melalui Media Flashcard untuk Meningkatkan Kesadaran Herbavigilans dan Rasionalitas Penggunaan Tanaman Obat [ Training and Assistance of Health Cadres through Flashcard Media to Increase Awareness of Herbavigilance and the Rationality of the Use of Medicinal Plants] Atmaja, Dewi Susanti; Rohama, Rohama; Latif, Abdul; Raihanah, Raihanah; Tazkiyah, Aulia; Nurhidayah, Dea; Aulia, Devina; Khatimah, Husnul; Yuniar, Nabila; Dagau, Lelie; Syifha, Nor; Amelia, Rina; Gunawan, Prayogo Aldi; Abidin, Zainul
Indonesia Berdaya Vol 7, No 1 (2026)
Publisher : UKInstitute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/ib.20261363

Abstract

This community service activity was carried out in Danda Jaya Village, Rantau Badauh District, Barito Kuala Regency, with the aim of increasing awareness of herbavigilance and rationality of the use of medicinal plants among the community. This program uses a Participatory Action Research (PAR) approach that emphasizes the activity involvement of the community in every stage of the activity. The target of the activity consisted of Posyandu cadres with a total of 20 participants. The implementation of the activity lasted for three months and included three main stages, namely preparation, implementation, and evaluation. In the preparation stage, coordination was carried out with the village government and an initial survey regarding the types and patterns of use of medicinal plants. The implementation stage included counseling, training and mentoring, as well as the formation of the Danda Jaya Village Herbavigilance Monitoring Group as an effort to sustain the program. The results of the evaluation showed that there was a significant increase in the average value of cadre knowledge from 49,5 ± 13.17 to 82.0 ± 9.51, with an increase of 32.5% and a statistically significant difference (p less than 0.001). The distribution of categories shows a large shift from the “less” to the “good” and “excellent” levels. Before the training, the majority of cardes (85%) were in the “less” and “sufficient” categories, while after the training, 85% had reached the “good” to “very good” category. These results prove that herbavigilance-based training with the support of flashcard media is effective in increasing cardes understanding of the safety of using medicinal plants safely and rationally. Although the increase is not too large, this activity has succeede in fostering a new understanding of the importance of monitoring the side effects of medicinal plants and encouraging the public to be more careful in their use. This program has proven to be effective in educating the community while strengthening the role of villages as active actors in maintaining health based on local potential. Abstrak. Kegiatan pengabdian kepada masyarakat ini dilaksanakan di Desa Danda Jaya, Kecamatan Rantau Badauh, Kabupaten Barito Kuala, dengan tujuan meningkatkan kesadaran herbavigilans dan rasionalitas penggunaan tanaman obat di kalangan masyarakat. Program ini menggunakan pendekatan Participatory Action Research (PAR) yang menekankan keterlibatan aktif masyarakat dalam setiap tahapan kegiatan. Sasaran kegiatan terdiri dari kader posyandu dengan total peserta sebanyak 20 orang. Pelaksanaan kegiatan berlangsung selama tiga bulan dan mencakup tiga tahapan utama, yaitu persiapan, pelaksanaan, dan evaluasi. Pada tahap persiapan dilakukan koordinasi dengan pemerintah desa serta survei awal mengenai jenis dan pola penggunaan tanaman obat. Tahap pelaksanaan mencakup penyuluhan, pelatihan dan pendampingan, serta pembentukan Kelompok Pemantau Herbavigilans Desa Danda Jaya sebagai upaya keberlanjutan program. Hasil evaluasi menunjukkan adanya peningkatan nilai rata-rata pengetahuan kader meningkat signifikan dari 49,5 ± 13,17 menjadi 82,0 ± 9,51, dengan peningkatan sebesar 32,5% dan perbedaan yang bermakna secara statistik (p kurang dari 0,001). Distribusi kategori menunjukkan pergeseran besar dari tingkat “kurang” ke “baik” dan “sangat baik”. Sebelum pelatihan, mayoritas kader (85%) berada pada kategori “kurang” dan “cukup”, sedangkan setelah pelatihan, 85% sudah mencapai kategori “baik” hingga “sangat baik”. Hasil ini membuktikan bahwa pelatihan berbasis herbavigilans dengan dukungan media flashcard efektif dalam meningkatkan pemahaman kader tentang keamanan penggunaan tanaman obat secara aman dan rasional. Meskipun peningkatannya tidak terlalu besar, kegiatan ini berhasil menumbuhkan pemahaman baru tentang pentingnya pengawasan terhadap efek samping tanaman obat serta mendorong masyarakat untuk lebih berhati-hati dalam penggunaannya. Program ini terbukti efektif dalam mengedukasi masyarakat sekaligus memperkuat peran desa sebagai pelaku aktif dalam menjaga kesehatan berbasis potensi lokal.
Assessment of Heavy Risk Factor Association with Lung Cancer Risk Using Questionnaire-Based Screening: A Cross-Sectional Study at Medan Johor Public Health Center, Medan, Indonesia Auliya, Muhammad Azka; Soeroso, Noni Novisari; Amelia, Rina; Dalimunthe, Dina Arwina; Lim, Darren Wan-Teck
Jurnal Respirasi Vol. 12 No. 1 (2026): January 2026
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v12-I.1.2026.6-12

Abstract

Introduction: Lung cancer remains a major public health concern in Indonesia, characterized by high morbidity and mortality rates. Effective prevention and management strategies necessitate the accurate identification of lung cancer risk factors. The questionnaire was developed and validated as a screening tool to evaluate risk factors and generate lung cancer risk scores. This study aimed to assess the questionnaire’s utility for identifying lung cancer risk factors and categorizing risk levels among individuals at the Medan Johor Public Health Center, Medan, Indonesia. Methods: This study enrolled 180 subjects who met the inclusion criteria. These subjects were part of the population, specifically non-lung-cancer patients at the Medan Johor Public Health Center in Medan, Indonesia. A cross-sectional analytic design was used to examine the correlation between risk factors and risk levels. Results: Among 180 lung cancer patients screened, the tool classified most individuals into moderate- to high-risk strata and showed significant between-group differences for most risk factors (p<0.05). In addition, the Kenali Paru (NARU) screening tool is accessible, reproducible, and cost-effective, using a 14-item multiple-choice format (2-3 options per item) with weighted scoring that converts responses into a total risk score. Conclusion: The questionnaire demonstrates its effectiveness as a screening tool for identifying lung cancer risk factors and stratifying risk levels. Nevertheless, refinement is necessary to address its limitations, including the addition of tailored questions for sub-populations with specific comorbidities or health conditions.
Factors influencing general practitioners' knowledge of asthma management in primary health facilities in Medan City Vinda Sari Ermiza Nasution; Amira Permatasari Tarigan; Andika Pradana; Rina Amelia
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 7 No. 4 (2025): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v7i4.20831

Abstract

Asthma is a chronic respiratory disease caused by inflammation, making the airways hypersensitive to triggers and leading to recurrent symptoms. Adequate knowledge of asthma management among general practitioners is essential to improve patient care, reduce disease severity, and prevent mortality. This study aimed to identify factors influencing general practitioners’ knowledge of asthma management in primary health facilities in Medan City. A cross-sectional study was conducted involving 90 general practitioners selected through consecutive sampling. Data collected included respondent characteristics such as age, length of service, number of asthma patients treated monthly, source of knowledge, history of asthma management training, and level of knowledge. A validated and reliable questionnaire was used (Guttman scale r = 0.489; Cronbach’s alpha = 0.93). Statistical analysis using SPSS included chi-square and Fisher’s exact tests to assess relationships between variables. Results showed that most general practitioners had enough knowledge (54.4%) about asthma management. Significant associations were found between age (p = 0.034) and source of knowledge (p = 0.048) with the level of knowledge. Other variables showed no significant relationship. In conclusion, age and source of knowledge significantly influence general practitioners' knowledge of asthma management in primary health facilities, highlighting the need for targeted educational interventions.
Pengaruh Intervensi Edukasi PSN 3M Plus Lintas Sektoral terhadap Pengetahuan, Sikap, dan Tindakan Masyarakat dalam Pencegahan Dengue di Wilayah Kerja Puskesmas Beringin Jaya Sibuea, Bonar Pandapotan; Amelia, Rina; Ritarwan, Kiking; Tanjung, Ika Citra Dewi; Yulfi, Hemma
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.20960

Abstract

ABSTRACT Dengue fever (DHF) is an infectious disease transmitted by the Aedes aegypti mosquito and is a global public health problem, especially in tropical countries such as Indonesia. Spikes in DHF cases occur fluctuatively in various regions, including South Labuhanbatu Regency, especially in the Beringin Jaya Health Center working area, which shows an increase in incidence every rainy season. The most effective control effort is through education and community empowerment in mosquito nest eradication (PSN) with the 3M Plus approach. This intervention is optimized if it is carried out through cross-sectoral collaboration involving the government, health workers, and local communities. This study aims to determine the effect of PSN 3M Plus educational intervention on the knowledge, attitudes, and actions of respondents in dengue prevention. The method used was quasi experimental with a one-group pretest-posttest design on 100 respondents selected by purposive sampling. Data were collected through a standardized questionnaire that had been tested for validity and reliability, then analyzed univariately and bivariately using the McNemar Test. The results showed a significant increase in respondents' knowledge after the 3M Plus PSN education intervention, from 45% to 64% (p = 0.013). However, in the attitude variable there was only an increase from 44% to 50% (p = 0.643), and in the action variable from 49% to 53% (p = 0.417), both of which did not show statistically significant differences. The PSN 3M Plus educational intervention was effective in increasing respondents' knowledge, but not strong enough to influence changes in attitudes and actions. A more intensive, sustainable, and participatory educational approach is needed to achieve a more comprehensive behavior change in dengue prevention. Keywords: Education, PSN 3M Plus, Cross-Sectoral.  ABSTRAK Demam berdarah dengue (DBD) merupakan penyakit menular yang ditularkan oleh nyamuk Aedes aegyptii dan menjadi masalah kesehatan masyarakat global, terutama di negara-negara tropis seperti Indonesia. Peningkatan kasus DBD terjadi secara fluktuatif di berbagai wilayah, termasuk Kabupaten Labuhanbatu Selatan, khususnya di wilayah kerja Puskesmas Beringin Jaya, yang menunjukkan peningkatan kejadian setiap musim hujan. Upaya pengendalian yang paling efektif adalah melalui edukasi dan pemberdayaan masyarakat dalam pemberantasan sarang nyamuk (PSN) dengan pendekatan 3M Plus. Intervensi ini menjadi lebih optimal jika dilakukan melalui kolaborasi lintas sektoral yang melibatkan pemerintah, petugas kesehatan, dan komunitas lokal. Penelitian ini bertujuan untuk menganalisis pengaruh intervensi edukasi PSN 3M Plus terhadap pengetahuan, sikap, dan tindakan responden dalam pencegahan dengue. Metode yang digunakan adalah quasi experimental dengan desain one-group pretest-posttest pada 100 responden yang dipilih secara purposive sampling. Data dikumpulkan melalui kuesioner terstandar yang telah diuji validitas dan reliabilitasnya, lalu dianalisis secara univariat dan bivariat menggunakan Uji McNemar. Hasil penelitian menunjukkan adanya peningkatan signifikan pada pengetahuan responden setelah dilakukan intervensi edukasi PSN 3M Plus, dari 45% menjadi 64% (p = 0,013). Namun, pada variabel sikap hanya terjadi peningkatan dari 44% menjadi 50% (p = 0,643), dan pada variabel tindakan dari 49% menjadi 53% (p = 0,417), keduanya tidak menunjukkan perbedaan yang signifikan secara statistik. Intervensi edukasi PSN 3M Plus efektif dalam meningkatkan pengetahuan responden, namun belum cukup kuat memengaruhi perubahan sikap dan tindakan. Diperlukan pendekatan edukatif yang lebih intensif, berkelanjutan, dan partisipatif agar terjadi perubahan perilaku yang lebih menyeluruh dalam pencegahan DBD. Kata Kunci: Edukasi, PSN 3M Plus, Lintas Sektoral, Dengue.
Tingkat Pengetahuan, Sikap, dan Tindakan Perilaku Hidup Bersih dan Sehat pada Anak-Anak Panti Asuhan Claresta Kecamatan Medan Johor Kota Medan Tahun 2023. Fauzi, Choirunnisa; Dalimunthe, Dina Arwina; Michelle Hotmauli Sinaga; Rina Amelia; Irma Sepala Sari Siregar
SCRIPTA SCORE Scientific Medical Journal Vol. 7 No. 2 (2026): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/scripta.v7i2.18616

Abstract

Background: Clean and Healthy Lifestyle is an effort to provide learning experiences and create conditions for communities, groups, families and individuals to be able to independently overcome and prevent health problems they face. Fostering Clean and Healthy Lifestyle can be carried out by organizing health promotion, namely trying to increase knowledge, behavior and attitudes in providing assistance to groups, families, individuals and communities so that they know, are able to, and want to implement clean and healthy living behaviors. Objective:The research aims to know the charateristics of knowledge, attitudes and PHBS actions towards children living in the Panti Asuhan Claresta Kecamatan Medan Johor Kota Medan in 2023. Method: This type of research is descriptive. The total sampling technique was used in this study with a total sample of 30 foster children, with 15 boys and girls each. The level of knowledge, attitudes, and PHBS actions were measured using a questionnaire. Results: The results showed that 80% of children had good knowledge of PHBS, 66.7% of children had good attitudes towards PHBS, and 76.7% of children had good PHBS practices. Girls have better PHBS knowledge and actions than boys, but both girls and boys have the same PHBS attitude. Conclusion: Most of the children from the Panti Asuhan Claresta Kecamatan Medan Johor Kota Medan have good knowledge, attitudes and behavior for Clean and Healthy Lifestyle. Keywords: Attitude, Clean and Healthy Living Behavior, Knowledge, Practice. Latar Belakang: Perilaku Hidup Bersih dan Sehat yaitu upaya dalam memberi pengalaman belajar dan mewujudkan sebuah keadaan untuk masyarakat, kelompok, keluarga, dan perorangan untuk bisa secara mandiri menanggulangi dan mencegah permasalahan kesehatan yang dihadapi. Membina Perilaku Hidup Bersih dan Sehat bisa dilaksanakan dengan menyelenggarakan promosi kesehatan, yakni berupaya menambah pengetahuan, perilaku dan sikap dalam memberikan bantuan kepada kelompok, keluarga, individu, dan masyarakat agar mengetahui, mampu, dan ingin menerapkannya perilaku hidup bersih dan sehat. Tujuan: Mengetahui gambaran  pengetahuan, sikap dan tindakan PHBS pada anak-anak Panti Asuhan Claresta Kecamatan Medan Johor Kota Medan pada tahun 2023. Metode: Jenis penelitian ini yaitu penelitian deskriptif. Digunakan teknik total sampling pada penelitian ini yang jumlah sampelnya sebesar 30 orang anak asuh, dengan masing-masing 15 anak laki-laki dan perempuan. Tingkat pengetahuan, sikap, dan tindakan PHBS diukur dengan memakai kuesioner. Hasil: Hasil penelitian menunjukkan 80% anak berpengetahuan baik tentang PHBS, sebanyak 66,7% anak memiliki sikap yang baik terhadap PHBS, dan 76,7% anak memiliki tindakan PHBS yang baik. Anak perempuan memiliki pengetahuan dan tindakan PHBS lebih baik dari anak laki-laki, namun baik anak laki-laki dan anak perempuan mempunyai sikap PHBS yang sama. Kesimpulan: Sebagian besar anak-anak Panti Asuhan Claresta memiliki pengetahuan, sikap dan tindakan Perilaku Hidup Bersih dan sehat yang baik. Kata Kunci: Pengetahuan, Perilaku Hidup Bersih dan Sehat, Sikap, Tindakan.
Co-Authors AA, Rizka Abdul Latif Adawiyah, Varihatul Al Hafiz, OK Muhammad Alifa, Cut Safira Alnaz, Ahmad Razi Maulana Alona, Ivana Andika Pradana Andika Pradana Andika Pradana Anggraini, Dwi Rita Annisa, Dinda Aprianti Lubis, Nenni Dwi Ariga, Hijrah Purnama Sari Ariga, Selviana Arlinda Sari Wahyuni Athika Adnani Attamimi, Fandy Faidhul Aulia, Devina Auliya, Muhammad Azka Ayodhia P. Pasaribu, Ayodhia P. Batubara, Riska Primayanti Bayani, Sri Bisono, Luwih C, Teguh Chusnul Chotimah Cut Putri Hazlianda Dagau, Lelie Dalimunthe, Almira Dalimunthe, Muhammad Bayhaqi Daulay, Majidah Andilaila Deri Edianto Destanul Aulia, Destanul Dewi Susanti Atmaja Dian Putri Oktavia, Dian Putri Dina Arwina Dalimunthe, Dina Arwina Dinda Sani Pratiwi Doni Prabowo Dwi Aprianti Lubis, Nenni Dwi Hanto Elbert Elbert EM, Samuel Fachry Abda El Rahman Fadillah Tarigan, Muhammad Fahira Mulya Suhady Fajar, Fajar Amanah Ariga Fathia Meirina, Fathia Fauzi, Choirunnisa Fauzi, Muhammad Rado Fithri Hervianti Fujiati, Isti Ilmiati Ginting, Anastasia Grace Milenia Ginting, Daniel Suranta Gunawan, Prayogo Aldi Hamdani, Rifqi Hamdi, Tasrif Hanafie, Achsanuddin Handayani, Bejo Utomo Harahap, Dhiny Yolanda Harahap, Juliandi Haslinda Hendri Wijaya, Hendri Husnul Khatimah Hutagalung, Sunna Vyatra Ihsan, Mhd Imal, Khasanul Irina, Rr. Sinta Irma Sepala Sari Siregar Isna Wati Isna Wati  Jefri, Budi Jelita Siregar Juliandi Harahap Jusuf, Nelva Karmila Karim, Tengku Abdul Keumala Sari, Dina Kholilah, Ma’rifahtul Khosasi, Felix Kiking Ritarwan Koswara, Jocelyn Lambok Siahaan Lim, Darren Wan-Teck Lita Sri Andayani Lubis, Andriamuri Primaputra Lubis, Inke ND. Lubis, Mahrani Lubis, Nenni Dwi Aprianti M. Ilham Magdalena Sinaga, Bintang Yinke Maspuroh, Uah Matondang, Halisa Tiara Ariani Mayasri, Fadhliani Mayasri, Fadhliani Putri Michelle Hotmauli Sinaga Moh. Anshori Aris Widya Muhammad Ichwan Muhammad Ihsan Muhammad Ramadhan Muhammad Rizal Mula Tarigan Mustafa Mahmud Amin Nainggolan, Zefanya Grace Winneke Nasutiah Nasutiah Nasution, Abdul Hakim Nasution, Afrida Aryani Nasution, Bayu Rusfandi Nasution, Rizki Fauzan Ghali Nisa Purnamasari Noni Novisari Soeroso Nurhidayah, Dea Olga R. Siregar, Olga R. Pandia, Pandiaman Pane, Nikmah Kemalasari Pangestu, Raden Ali Panggabean, Mathilda Parluhutan Siagian Pasaribu, Ayodhia Pitaloka Pertin Sianturi Pradana, Hasta Dwi Putri Chairani Eyanoer, Putri Chairani Qadri Fauzi Tanjung Raihanah Raihanah Reni Asmara Ariga Ribawanto, Muhammad Rafif Rini Savitri Daulay, Rini Savitri Rini Yayuk Priyati, Rini Yayuk Robby Awaluddin Perangin-Angin Rohama, Rohama Rusda, Muhammad Rusdiana Rusdiana Ruslaini, Ruslaini Rusmalawaty, Rusmalawaty Saktioto Saktioto Salbiah, Siti Saragih, Rina Amalia Caromina Satria, Fauzi Budi Selvi Nafianti Sibuea, Bonar Pandapotan Silaen, Ester Lantika Sinaga, Janry Lewis Hasan Sarma SITI FATIMAH Sri Budi Astuti, Sri Budi Syamsidah Lubis, Syamsidah Syamsudhuha Syamsudhuha Syifha, Nor Tanjung, Ika Citra Dewi Tarigan, Amira Permatasari Tazkiyah, Aulia Tengku Emrinaldi Triyadi, Slamet Ugrasena, I DG. Ulfah, Indar Fauziah Veralia Vinda Sari Ermiza Nasution W, Steven Wahyuni, Arlinda S. Wahyuni, Arlinda Sari wicaksono, desmiko haryo Widjaja, Sry Suryani Widowati Hermajiwandini, Chandra Murti Dewi Wijaya, Dadik Wahyu Wisman Dalimunthe, Wisman Y, Devi Yessica Amelia Yetty Machrina Yinke Magdalena Sinaga, Bintang Yosi Mardoni Yulfi, Hemma Yunanda, Yuki Yuniar, Nabila Yunita Sari Pane Zainul Abidin Zulkarnain Zulkarnain