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Demographic characteristics and mortality of dengue fever in Medan City (2021-2024) Iqbal, Muhammad; Silalahi, Marlinang Isabella; Pane, Putri Yunita; Sibagariang, Eva Ellya; Munthe, Dewi Sartika; Nardi, Leo; Fransiskus, Antonius; Lawrence, Christopher; Ongko, Nicolas Xavier
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7350

Abstract

Dengue Hemorrhagic Fever (DHF) is a significant public health challenge in Indonesia, including the city of Medan. This study aimed to determine the prevalence, demographic distribution (by sex and age group), and mortality rates of DHF in Medan from 2021 to 2024. This study used secondary data from reports provided by the Medan City Health Office, which compiled information from all public health centers (Puskesmas) in the region. Analysis of the data revealed that the pediatric age group (5–14 years) was the most affected population. The distribution of cases showed a relatively balanced proportion between males and females. DHF mortality rates fluctuated annually, with a notable downward trend observed in 2024. These findings underscore the critical need to strengthen DHF prevention and control programs, with a specific focus on vulnerable age groups and high-incidence areas. This study is expected to serve as a foundational resource for public health policy planning and to enhance the capacity of primary healthcare services to effectively manage DHF cases.
The use of herbal medicines and related factors among diabetic patients Rasyida, T. Syifa; Laoli, Elfani Dita Pradana; Ginting, Tariana; Sibagariang, Eva Ellya; Dameria, Dameria
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7359

Abstract

Diabetes mellitus (DM) is a chronic non-communicable disease characterized by elevated blood glucose levels due to insulin dysfunction. The use of herbal medicine has increased among patients with diabetes due to the widespread availability of information about herbal treatments globally. Many believe herbal remedies have minimal side effects and are more natural. The purpose of this study was to identify the factors associated with the use of herbal medicine among DM patients at Puskesmas Kampung Baru, Medan Maimun District. This quantitative, cross-sectional study was conducted from February to April 2025. The independent variables examined were age, education, income, knowledge, attitude, and belief, while the use of herbal medicine served as the dependent variable. The study population included all 809 registered DM patients at Puskesmas Kampung Baru. A sample of 189 was selected using a proportion difference test formula and a simple random sampling method. Bivariate data analysis was performed using the chi-square test. The results indicate that 164 (86.6%) respondents use herbal medicine. A significant association was found between herbal medicine use and age (p=0.019), income (p=0.000), knowledge (p=0.000), attitude (p=0.000), and belief (p=0.000). However, no significant association was found with education (p=0.089). Based on these findings, it is recommended that patients with diabetes mellitus receive counseling on the safe and evidence-based use of herbal medicine, with a strong emphasis on consulting healthcare professionals.
Differences in nutritional status of exclusively breastfed and non-exclusively breastfed infants aged 0-6 months in Kutambaru Village, Munte Subdistrict Tarigan, Denada Br; Sibagariang, Eva Ellya; Ginting, Rapael; Halim, Binarwan; Kuswani, Lili; Silaen, Mangatas; Hutapea, Johnson; Iskandar, Dalmy; Nasution, Syamsul Arifin
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7564

Abstract

Nutritional status in children under five remains a critical public health issue in Indonesia, characterized by high rates of stunting (21.6%) and wasting (7.9% in North Sumatra). Exclusive breastfeeding (EBF) for the first six months is vital for optimal growth, but compliance is low. This study aimed to analyze the determinants of nutritional status, focusing on the differences between infants aged 0-6 months receiving exclusive breastfeeding and those receiving breastfeeding plus early complementary feeding (MPASI). This research employed a comparative analytical design with a total sampling of 40 mothers and their infants (0-6 months) in Kutambaru Village, Munte Subdistrict. The independent variables were breastfeeding status (exclusive vs. non-exclusive) and complementary feeding status. The dependent variable was infant nutritional status (weight-for-length). Data were analyzed using the Chi-Square test. The results demonstrated a statistically significant association between exclusive breastfeeding and infant nutritional status (p = 0.019). Infants who received EBF were significantly more likely to have an optimal nutritional status. Complementary feeding also showed a significant association (p = 0.033). In conclusion, exclusive breastfeeding is the dominant factor significantly associated with optimal nutritional status in infants 0-6 months. Strengthening interventions to promote EBF is critical to prevent malnutrition.
DETERMINAN KEJADIAN STUNTING PADA BALITA DI LINGKUNGAN 10 DESA LALANG KECAMATAN MEDAN SUNGGAL TAHUN 2024 Gulo, Riang Perdamaian; Sibagariang, Eva Ellya; Simanjuntak, Mafe Robi
Jurnal Kesehatan Tambusai Vol. 5 No. 3 (2024): SEPTEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i3.31232

Abstract

Stunting adalah suatu kondisi yang ditandai dengan gangguan pertumbuhan fisik yang merupakan dampak ketidakseimbangan gizi dalam waktu tertentu. Stunting mengacu pada kondisi kurangnya tinggi badan anak berdasarkan umurnya atau sering dikenal dengan sebutan kerdil, yang terjadi pada anak di bawah usia 5 tahun. Tujuan penelitian ini untuk mengetahui determinan yang berhubungan dengan kejadian stunting di lingkungan 10 desa Lalang wilayah kerja puskesmas desa Lalang. Penelitian dilakukan dengan pendekatan cross sectional. Dengan populasi adalah ibu yang memiliki Balita 12-59 bulan pada lingkungan 10 kelurahan Lalang. Dan sampel sebanyak 53 responden. Variabel dari penelitian ini adalah  pengetahuan, sikap, pola asuh dan pendapatan keluarga. Proses pengumpulan data menggunakan kuesioner dan wawancara. Analisis univariat dari variabel independen menyatakan pengetahuan responden mayoritas baik sebanyak 46 orang (86,8%), cukup sebanyak 5 orang (9,4%) dan kurang sebanyak 2 orang (3,8%). Variabel sikap baik responden sebanyak 43 orang (81,1%) dan tidak baik sebanyak 10 orang (18,9%). Frekuensi variabel pola asuh ibu dengan kategori baik sebanyak 45 orang (84,9%) dan kategori tidak baik sebanyak 8 orang (15,1%). Pendapatan mayoritas responden adalah kategori rendah sebanyak 45 orang (84,9%) dan kategori tinggi sebanyak 8 orang (15,1%). Hasil analisis bivariat menggunakan uji chi-square pada variabel pengetahuan (p-value =<0,001), sikap (p-value =0,003), pola asuh (p-value =0,001), dan pendapatan (p-value =1,000). Hasil tersebut dapat di simpulkan bahwa terdapat hubungan antara pengetahuan, sikap dan pola asuh dengan kejadian stunting pada balitas di kelurahan Lalang, sedangkan tidak terdapat hubungan antara pendapatan keluarga dengan kejadian stunting pada balita di kelurahan lalang kecamatan Medan Sunggal.
Determinants of Utilization of Antenatal Care Services by Pregnant Women at the Berastagi Health Center in Karo District in 2019 Sibagariang, Eva Ellya; Marlinang I. Silalahi
TOUR HEALTH JOURNAL Vol. 2 No. 2 (2023): TOUR HEALTH JOURNAL
Publisher : Akupun Tour Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Purpose: One of the risk factors for maternal mortality and morbidity is the undetected danger signs during pregnancy due to irregular ANC visits. The coverage of health services for visits by pregnant women K1 and K4 at the Berastagi Health Center has not reached the target set by the Karo District Health Office. Based on data for the last 3 months at the Berastagi Garden Health Center in 2019, the coverage of ANC services with the target number of pregnant women was 1158 (100%) (K1 and K4), namely in April K1 87 (7.5%) and K4 81 (7.0%), in in May KI 82 (7.1%), K4 80(6.9%), in June K1 80 (6.9%) K4 79 (6.8%). This coverage has not yet reached the minimum district/city health service standards. This study aims to determine whether "Determinants of Utilization of Antenatal Care Services by Pregnant Women at the Berastagi Health Center in Karo District in 2019". Method: This study used the Cross Sectional method with an analytical survey, with a total sample of 71 people. This study used the chi-square test data analysis method to determine a significant relationship between knowledge, husband/family support and health worker support. Results: The results of this study indicate that there is a relationship between knowledge, husband/family support (p=0.000), and health worker support (p=0.001) towards the utilization of antenatal care services where the p-value is below 0.05. Disscusion and Conclusion: In response to this, it is suggested to health workers, especially midwives, to remain active in providing support and motivation as well as counseling about the benefits of routine prenatal checks for pregnant women so that pregnant women have the willingness to have their pregnancies checked at the puskesmas.
Risk Factors for Overweight Among Students at SDN 104219 Tanjung Anom Sibagariang, Eva Ellya; Hulu, Victor Trismanjaya; Ginting, Anabel Tesalonika BR
Open Access Health Scientific Journal Vol. 6 No. 2 (2025): August 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i2.99

Abstract

Background: The increase in cases of malnutrition among elementary school children is caused by high-energy, low-fiber diets, inactive lifestyles, environments that encourage fast food consumption, and a lack of nutrition education. This study aims to analyze risk factors for overweight among elementary school students.Methods: This study used a cross-sectional design conducted on April 20-21, 2025, at SDN 104219 Tanjung Anom. The research subjects were all grades IV and V students, totaling 52 people, who were selected using the total sampling technique. The independent variables consisted of fast food, sweet food, snack food, fruit and vegetable consumption, and physical activity. The dependent variable was overweight. Food consumption data were collected using the 2×24-Hour Recall method (school days and weekends) to obtain a more accurate picture of average intake. Physical activity was measured with the Physical Activity Questionnaire for Children (PAQ-C). Data analysis using the Chi-square test and logistic regression.Results: Fast food consumption (p < 0.001; OR = 10.8; 95% CI = 2.512-46.423), consumption of sweets (p < 0.001; OR = 23.8; 95% CI = 4.383-126.670), snack consumption (p < 0.001; OR = 15.4; 95% CI = 2.898-25.959) has a significant association with overweight of school children. Fruit and vegetable consumption (p = 0.509; OR = 0.66; 95% CI = 0.187-2.302), physical activity (p = 0.238; OR = 0.47; 95% CI = 0.135-1.657) showed no significant association with overweight of school children.Conclusion: Eating fast food, sweet foods, and snacks more than three times a week is a risk factor for overweight in elementary school children.
Faktor-Faktor yang Berhubungan dengan Kejadian ISPA pada Balita Di Puskesmas Mandala Kecamatan Medan Tembung Sibagariang, Eva Ellya; Ginting, Johannes Bastira; Simanullang, Andry; Irawan, Dheanissa Syalwa Khabija; Hutasoit, Herlina Natalina; Sibagariang, Ayu; Paradhiba, Meutia; Rimonda, Rubi; Siahaan, Perry Boy Chandra
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 9, No 1 (2023): April 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v9i1.2781

Abstract

Infeksi Saluran Pernafasan Akut (ISPA) salah satu penyakit yang menyebabkan kematian pada kelompok balita. Penelitian ini bertujuan menganalisis faktor-faktor yang berhubungan dengan kejadian ISPA pada balita. Jenis penelitian ini adalah anilitik deskritif dengan desain cross sectional. Pengolahan data menggunakan teknik purposive sampling dan uji chi-square. Hasil analisis 77 sampel dengan mayoritas 45 balita (58,4%) dengan status gizi baik, 50 balita (64,9%) dengan imunisasi lengkap, 63 balita (81,8%) terpapar asap rokok, 52 balita (67,5%) ) keluarga berpenghasilan rendah, dan 58 anak balita (75,3%) jumlah anggota keluarga yang tidak memenuhi syarat. Analisis bivariat menunjukkan bahwa pendapatan berhubungan dengan kejadian ISPA pada balita, dengan nilai p 0,015, dan jumlah anggota keluarga berkorelasi signifikan dengan kejadian ISPA pada balita, dengan nilai p 0,019. Ada 2 faktor yang berhubungan, yaitu faktor pendapatan dan jumlah anggota keluarga.Kata Kunci: Faktor Kejadian ISPA, BalitaAcute Respiratory Infection (ARI) is one of the disease that causes death in the under-five group. This study aims to analyze the factors associated with the incidence of ARI in children under five. The type of this research is descriptive analytic with cross sectional design. Data processing used purposive sampling technique and chi-square test. The results of the analysis of 77 samples with the majority of 45 toddlers (58.4%) with good nutritional status, 50 toddlers (64.9%) with complete techniques, 63 toddlers (81.8%) exposed to cigarette smoke, 52 toddlers (67.5%) ) ) ) the number of family members is low, and 58 children under five (75.3%) the number of family members who do not meet the requirements. Bivariate analysis showed that it was associated with the incidence of ARI in children under five, with a p-value of 0.015, and the number of family members significantly correlated with the incidence of ARI in under-fives, with a p-value of 0.019. There are 2 related factors, namely the income factor and the number of family members.Keywords: Factors for the incidence of ARI, Toddlers
Kinerja perawat ditinjau dari gaya kepemimpinan, motivasi dan beban kerja Simangunsong, Pahala Maringan Jubel; Sibagariang, Eva Ellya; Sianipar, Milka Rositi; Pohan, Nurhayati Lindung; Hia, Teresia Lisnawati
Jurnal Kesmas Prima Indonesia Vol. 7 No. 2 (2023): Edisi Juli
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v7i2.3956

Abstract

Perawat merupakan aset yang sangat berharga bagi fasilitas medis sehingga kinerja mereka berpengaruh dalam membantu fasilitas dalam mencapai tujuan kinerja secara keseluruhan. Studi kuantitatif ini menggunakan desain cross-sectional yang dilakukan di salah satu puskesmas yang termasuk wilayah Kota Medan selama bulan Agustus 2020. Populasi penelitian ini adalah seluruh pegawai puskesmas yang berjumlah 46 tenaga kesehatan yang keseluruhannya diikutsertakan sebagai subjek penelitian (total sampling). Pengumpulan data pada penelitian ini menggunakan kuesioner. Hasil penelitian dianalisis dengan menggunakan uji Chi square (α=0,05). Hasil studi menunjukkan bahwa gaya kepemimpinan (p=0,001), motivasi (p=0,000) dan beban kerja (p=0,000) berhubungan signifikan dengan kinerja perawat.
Risk factors for obesity and overweight in under-five children in a highland community, Kabanjahe Sibagariang, Eva Ellya; Ginting, Rapael; Sihombing, Rachel Raselia; Amir, Dwi Fenny; Meliala, Juli Elisabet Mayen Br; Angkasa, Celvin; Zubaidah, Siti; Sherliana, Ferra; Siregar, Hesti Despita
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7746

Abstract

Overnutrition in toddlers is a public health problem that continues to increase globally and nationally. In Indonesia, the prevalence of toddler obesity has risen from 10.5% (2007) to 21.8% (2018). In Karo Regency, the prevalence of toddler obesity reached 8.80%. Data from 2025 at Simpang Empat Community Health Center in Kabanjahe shows 12 toddlers with obesity and 49 toddlers with overnutrition. This study aims to analyze the relationship between maternal knowledge, attitudes, and practices with the occurrence of obesity and overnutrition in toddlers aged 12-60 months. The research method used an observational analytic design with a cross-sectional approach. The sample consisted of 61 toddlers with obesity or overnutrition, selected using total sampling. Data were collected through questionnaires and anthropometric measurements of BMI-for-age. Analysis used the Chi-Square test. Results show the majority of mothers had insufficient knowledge (57.4%), positive attitudes (63.9%), and suboptimal practices (65.6%). There was a significant relationship between knowledge (p=0.038), attitude (p=0.041), and practice (p=0.044) with the toddler's nutritional status. The study conclusion confirms that good nutritional care practices, supported by adequate knowledge and a positive attitude, play an important role in preventing obesity and overnutrition in toddlers.
Body image and nutritional status among female students at Universitas Prima Indonesia Silitonga, Thesa Kristina Br.; Sibagariang, Eva Ellya; Leslie, William; Fransisca, Silva; Lubis, Ika Syani Putri; Suwarno, Suwarno; Hasya, Muhammad Nawal; Putri, Eka
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7757

Abstract

Body image is an individual's subjective perception of their body shape and size, which can influence eating behaviour and nutritional status. This study aimed to analyse the relationship between body image and nutritional status among female students at Prima Indonesia University in 2025. A cross-sectional study was conducted with a sample of 69 female students from the 2023 cohort of the Public Health Study Programme, selected via total sampling. Body image data were collected using the Body Shape Questionnaire (BSQ), while nutritional status was assessed via anthropometric measurements of Body Mass Index (BMI). Data analysis employed the Chi-Square test with a significance level of 0.05. A total of 59.4% of respondents had a negative body image and 40.6% a positive body image. The distribution of nutritional status was: normal (62.3%), obese (18.8%), overweight (10.2%), and underweight (8.7%). Statistical analysis indicated a significant relationship between body image and nutritional status (p-value = 0.002). Respondents with a negative body image were more likely to have an abnormal nutritional status (overweight and obese) compared to those with a positive body image. There is a significant relationship between body image and nutritional status among female students. A negative body image is associated with a tendency towards abnormal nutritional status, particularly excess weight.
Co-Authors Alya Nur Mawaddah Br. Damanik Amir, Dwi Fenny Angkasa, Celvin Annete M. Tambunan Antonius Fransiskus Putra Meliala Binarwan Halim Buenita Sinurat Christopher Lawrence Dameria DAMERIA DAMERIA Dameria Gultom Dewi Sartika Munthe Disti Amanda Putri Eka Putri Frans Judea Samosir Fransisca, Silva Fransiskus, Antonius Ginting, Anabel Tesalonika BR Ginting, Tariana Ginting, Tarianna Gulo, Riang Perdamaian Habsah Ritonga Hartono Hartono Hartono Hartono Hartono Hartono Hasya, Muhammad Nawal Henrista, Nanda Hia, Teresia Lisnawati Hidayah, Qisty Alifyah Hutasoit, Herlina Natalina Imam Wahyudi Irawan, Dheanissa Syalwa Khabija Irma Lusty Margaretha Tumanggor Isabela Silalahi, Marlinang Iskandar, Dalmy Jesika Meyanti Saragih Johannes Bastira Ginting Johnson Hutapea Kartika Sari Rizki Kurniawan, Evan Kuswani, Lili Laoli, Elfani Dita Pradana Lawrence, Christopher Leslie, William Lidya Siregar Lubis, Ika Syani Putri Lusyana Siregar Mafe Robbi Simanjuntak Mafe Robbi Simanjuntak Maffe Robbi Simanjuntak Meilinda Suntiar Napitupulu Meliala, Juli Elisabet Mayen br Meutia Paradhiba Milka Rositi Sianipar Muhammad Iqbal Mutiara Br Silalahi Nardi, Leo Nasution, Syamsul Arifin Nindia Putri Nisa K. Pasaribu Ongko, Nicolas Xavier Pahala Maringan J. Simangunsong Pane, Putri Yunita Pasaribu, Nancy Desrina Pohan, Nurhayati Lindung Putranto Manalu Putri Yunita Pane Rapael Ginting Rasyida, T. Syifa Ratna Fadhilah Tampubolon Rimonda, Rubi Ros Perdawina Simorangkir Roslenni Sitepu Rosmeri Br Bukit Samosir, Frans Judea Santy Deasy Siregar Sherliana, Ferra Siagian, Masryna Siahaan, Marlina Elpiani Siahaan, Perry Boy Chandra Sibagariang, Ayu Sihombing, Rachel Raselia Silaen, Mangatas Silitonga, Thesa Kristina Br. Simajuntak, Mafe Robbi Simanjuntak, Mafe Robbi Simanjuntak, Mafe Robi Simanullang, Andry Sinurat, Buenita Siregar, Hesti Despita Sitanggang, Lastriana Siti Zubaidah Siti Zubaidah Soleh, Ardian Sormin, Delores Elisabeth Srivani Simanullang Suwarno Suwarno Tambunan, Ester Theresia Tambunan, Sayulita Lestari Br Tarigan, Denada Br Tarigan, Gita Febiolita Br Ulan Azmi Victor Trismanjaya Hulu Wanda Yasinta Marpaung Waruwu, Nestapa Viatni Widya Yanti Sihotang William Leslie Wilsen Wilsen, Wilsen Windi Yesika Marpaung Wulan Indah Damanik Yuli Christina Lumban Gaol Yuliani Manurung Zega, Berkat Eliniat Zulfahmi Zulfahmi