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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
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

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.

Pengaruh Media Sosial terhadap Pengetahuan dan Sikap Remaja tentang Kesehatan Reproduksi: Studi Cross-Sectional di Indonesia S, Buenita; Silalahi, Marlinang Isabella; Boangmanalu, Desna Nermawati
Jurnal Promotif Preventif Vol 8 No 4 (2025): Agustus 2025: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v8i4.2135

Kesehatan reproduksi remaja di Indonesia masih menghadapi berbagai tantangan akibat keterbatasan informasi yang valid serta pengaruh budaya yang menganggap isu tersebut sebagai hal tabu. Penelitian ini bertujuan menganalisis pengaruh media sosial terhadap pengetahuan dan sikap remaja mengenai kesehatan reproduksi. Desain penelitian menggunakan cross-sectional study dengan pendekatan survei analitik. Penelitian dilakukan di Universitas Prima Indonesia pada Juli 2025 dengan sampel sebanyak 120 mahasiswa jurusan Kesehatan yang dipilih melalui teknik purposive sampling. Instrumen berupa kuesioner yang telah diuji validitas (r hitung > r tabel 0,361; p < 0,05) dan reliabilitas (Cronbach’s Alpha > 0,60). Analisis data meliputi analisis univariat, bivariat dengan uji chi-square, serta multivariat dengan regresi logistik berganda. Hasil penelitian menunjukkan terdapat pengaruh signifikan media sosial terhadap pengetahuan remaja berdasarkan platform yang digunakan (p=0,000), durasi penggunaan (p=0,005), tujuan penggunaan (p=0,012), dan kualitas informasi (p=0,008). Selain itu, terdapat pengaruh signifikan terhadap sikap remaja pada variabel platform media sosial (p=0,001), durasi penggunaan (p=0,006), tujuan penggunaan (p=0,011), serta kualitas informasi (p=0,011). Kesimpulannya, media sosial berperan penting dalam membentuk pengetahuan dan sikap remaja mengenai kesehatan reproduksi, sehingga dapat menjadi sarana strategis untuk intervensi edukasi kesehatan.

The environmental determinants of disease transmission in Medan City Hasibuan, Elisa Khairiyah; Silalahi, Marlinang Isabella; Hartono, Hartono
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6788

Health issues, potentially triggered by environmental conditions and human behaviour, represent a complex challenge, particularly in Indonesia where environmentally related diseases remain a primary cause of mortality. This study aimed to ascertain the spatial distribution of Dengue Haemorrhagic Fever (DHF), Tuberculosis (TB), and diarrhoea in the city of Medan. The research employed a descriptive analysis of DHF and TB case data aggregated by sub-district, encompassing population, age group, and sex distribution. Acute diarrhoea case data were collected from various community health centres (puskesmas) in Medan City, categorized by puskesmas location, patient age, and dehydration status. The results revealed significant variations in the number of DHF cases across Medan's sub-districts, with Medan Helvetia recording the highest incidence. The distribution of TB cases also varied, with Medan Deli exhibiting the highest number of reported cases. For diarrhoea, Puskesmas Helvetia reported the highest number of cases. The discussion delves into the factors influencing the spatial distribution of these three diseases, including population density, environmental determinants, community behaviour, access to healthcare services, and sanitation conditions. In conclusion, the study highlights that the spread of infectious diseases in Medan City is influenced by a variety of interacting factors. Effective prevention and control efforts necessitate a comprehensive, multi-sectoral approach focusing on robust surveillance, community empowerment, improved access to healthcare, and the enhancement of environmental and sanitation conditions.

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

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.

Characteristics of stunted toddlers in Medan Belawan Febrianti, Rifka; Tarigan, Renita Br.; Gulo, Riska; Silalahi, Marlinang Isabella; Simangunsong, Pahala Maringan Jubel; Pane, Putri Yunita
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.v4i2.7383

This study aimed to characterize stunting among children under five years of age in Medan Belawan, North Sumatra, Indonesia, a sub-district with a high prevalence of this public health challenge. Employing a quantitative descriptive design, data were retrospectively collected from records of 40 stunted toddlers at the Belawan Community Health Center in 2024. The analysis examined maternal and parental characteristics, as well as the demographic and anthropometric profiles of the toddlers, including gender, age, weight, height, and nutritional status. The results indicated that the demographic profile was predominantly composed of mothers with lower educational attainment, most having completed only junior or senior high school. Parental occupations were mainly homemakers and fishermen, reflecting the local socioeconomic context. Stunting was more common among male toddlers (57.5%) and those in the older age group (2.6–5 years), who accounted for 70% of the sample. Anthropometric measurements confirmed the severity of stunting, with 55% of toddlers classified as severely stunted and a significant proportion identified as underweight or severely underweight. Despite the high prevalence of stunting, the majority of toddlers were classified as well-nourished based on weight-for-height indices, suggesting that chronic growth failure rather than acute malnutrition constitutes the primary nutritional concern. These findings underscore the multifactorial and complex nature of stunting in this vulnerable population, emphasizing the roles of socioeconomic and environmental determinants beyond mere caloric deficiency.

The effects of phyto-aeration using water lilies on biochemical oxygen demand (BOD), pH, dissolved oxygen (DO), and phosphate levels in laundry wastewater Maulana, M. Regzi; Silalahi, Marlinang Isabella; Handayani, Putri
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.v4i2.7420

Phytoremediation, a technique that employs plants to extract pollutants from soil and water, offers a promising solution for mitigating water contamination from liquid waste. This method is characterized by its simplicity, cost-effectiveness, high efficacy, and minimal environmental impact. It can also be aesthetically integrated into various settings to address pollution. A notable plant used in this process is the water hyacinth. Despite its rapid growth and classification as an invasive weed that can harm aquatic ecosystems, the water hyacinth possesses significant potential for environmental remediation. This research employed a quasi-experimental design with a pretest-posttest non-equivalent control group to evaluate the effectiveness of water hyacinth in reducing key pollutants. The study's primary objective was to quantify the reduction of Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), and phosphate levels in laundry liquid waste. A comparative analysis was conducted between an experimental group, where water hyacinth was utilized, and a control group. The study was conducted at the Environmental Health Engineering and Disease Control Center Class 1 Medan laboratory. Laundry wastewater was analyzed using spectrophotometry. The results indicated that phyto-aeration with water hyacinth was only able to achieve a 57% reduction in phosphate levels, decreasing the concentration from 1.52 mg/L to 0.65 mg/L. Further research is needed to optimize the phytoremediation process, particularly by increasing the remediation time and plant density. These modifications could potentially improve water quality by elevating dissolved oxygen (DO) levels and enhancing the biological degradation of pollutants.

The Impact of Educational Videos and Leaflets on the Use of PPE Among Welding Workshop Employees Nadapdap, Marshall Jeremia; Silalahi, Marlinang Isabella; Sari, Jessika Miranda
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v9i2.7106

Welding workers are vulnerable to various accident risks, such as electric shock, fire, and explosion, which can result in serious injury and even death. One of the main causes of work accidents is failure to use personal protective equipment (PPE). This study aimed to analyze the effectiveness of video and leaflet-based counseling methods in improving knowledge, attitudes, and actions related to the use of PPE among welding workshop workers. A quasi-experimental study with a non-randomized pretest-posttest control group design was conducted in Tanjung Gusta Village, Medan, involving 36 welding workshop workers who were divided into intervention (video) and control (leaflet) groups. The results showed that both extension methods significantly improved workers' knowledge, attitude, and action scores (p<0.05). However, video counseling showed a greater advantage, with a higher mean score increase and a significantly higher N-Gain value (61.8) compared to leaflet (43.3) (p<0.001). Mann-Whitney analysis confirmed that the intervention group using the video showed a significant increase in mean knowledge, attitude and action scores compared to the control group. This study concludes that video education is more effective than leaflets in improving PPE use among welding workshop workers. Integration of video-based education into occupational health programs is recommended to improve worker safety behavior.

PENGARUH PENYULUHAN DAN PEMBERIAN BUKU SAKU TERHADAP PENINGKATAN PERILAKU GIZI IBU HAMIL BERESIKO KEK DI WILAYAH PUSKESMAS BUHIT Siagian, Masryna; Ginting, Rafael; Silalahi, Marlinang Isabella; Sinurat, Yohana Trisintya; Sinaga, Poppy Shela
Jurnal Kesehatan Tambusai Vol. 5 No. 2 (2024): JUNI 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i2.25525

Kekurangan Energi Kronis (KEK) adalah suatu kondisi dimana ibu hamil mengalami kekurangan asupan kalori dan protein atau sering disebut dengan malnutrisi pada masa muda, yang berlangsung selama bertahun-tahun (kronis) dan dapat menyebabkan gangguan kesehatan pada ibu hamil. Penelitian ini merupakan penelitian quasi eksperimen dengan desain kuantitatif, menggunakan pendekatan one group pre-test post-test design. Populasi penelitian ini berjumlah 30 orang. Sampel penelitian berjumlah 30 orang yang diambil secara total sampling, yaitu seluruh populasi dijadikan sampel di Puskesmas Buhit pada tahun 2023. Analisis data menggunakan chi square. Hasil penelitian berdasarkan analisis penelitian yang telah dilakukan dengan menganalisis menggunakan uji wilcoxon, bahwa pada perilaku sebelum dilakukan intervensi penyuluhan dan pemberian buku saku nilai rata-ratanya 16,3 dan setelah dilakukan intervensi penyuluhan dan pemberian buku saku nilai rata-ratanya 27,3. Sedangkan pada perilaku sesudah dilakukan intervensi penyuluhan dan pemberian buku saku nilai rata-ratanya Nilai rata-rata buku saku 27,03 dan nilai P-value (0,000) < 0,05 yang berarti penyuluhan dan pemberian buku saku berpengaruh terhadap perilaku ibu hamil. Penelitian ini menemukan bahwa ada pengaruh penyuluhan dan pemberian buku saku terhadap perilaku ibu hamil.

Evaluation Of Infection Control Planning And Prevention Program Implementation (IPC) At Royal Prima Hospital In 2022 Putri, Seisarita; Girsang, Ermi; Lestari Ramadhani, Sri; Silalahi, Marlinang
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 3 (2022): August 2022
Publisher : CV. Inara

As of 2018, a new standard was applied, namely the National Standard for Hospital Accreditation (SNARS) Edition I. IPC is included in the group of Hospital management standards so that a good IPC organizing system can improve the quality of hospital services. The purpose of this study was to assess the IPC of SNARS Edition I. This study used qualitative analysis methods. Specifically, it is comparative descriptive research with a case study design. The object of this research is the implementation of the IPC program which is assessed through surveys and direct observations using the reference of SNARS Edition I. Respondents in this study amounted to 12 people. The search results obtained a PC score of 39.8%. The IPC Team Organization has not been socialized and has not established the IPC program so that surveillance records only run as in the previous year without a report being made to the leadership. The trend of incident cases knowing the management and implementation of the Program with SSI infection tends to increase. Of all the members of the IPC Team, only two members (18.18%) received official IPC education and training from outside the hospital. Existing IPC regulations need to be revised and completed, especially related to infection risk management which will have an impact on improving facilities and infrastructure. The implementation of the IPC program at the Royal Prima Hospital in Medan has not yet reached the graduation rate based on SNARS Edition I.

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