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All Journal JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE JURNAL MEDIA INFORMATIKA BUDIDARMA Window of Health : Jurnal Kesehatan JKM (Jurnal Kebidanan Malahayati) JPPM (Jurnal Pengabdian dan Pemberdayaan Masyarakat) Jurnal Kesmas dan Gizi (JKG) Journal of Health Science and Physiotherapy JURNAL MUTIARA KESEHATAN MASYARAKAT JURNAL MUTIARA NERS Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Contagion: Scientific Periodical Journal of Public Health and Coastal Health Best Journal (Biology Education, Sains and Technology) Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Prima Medika Sains Jurnal Doppler Jurnal Doppler Jurnal Ners An-Nadaa: Jurnal Kesehatan Masyarakat JURNAL ILMIAH MAKSITEK Randwick International of Social Science Journal Akrab Juara : Jurnal Ilmu-ilmu Sosial STUDI PELAKSANAAN SELFMEDICATION PADA PENDERITA DIARE BERDASARKAN TINGKAT PENGETAHUAN MASYARAKAT PESISIR KECAMATAN SOROPIA KABUPATEN KONAWE Jurnal Kesehatan Tambusai Jurnal Ilmiah Kebidanan Imelda Jurnal Assyifa: Jurnal Ilmu Kesehatan Lhokseumawe Jurnal Info Sains : Informatika dan Sains Shihatuna : Jurnal Pengabdian Kesehatan Masyarakat Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Jurnal ABDIMAS MUTIARA Haga Journal of Public Health (HJPH) Tour Health Journal JURNAL TEKNOLOGI, KESEHATAN DAN ILMU SOSIAL
Jasmen Manurung
Universitas Sari Mutiara Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Analysis of Latrine Conditions, Clean Water Facilities, and Personal Hygiene on Diarrhea Incidence in Children Aged 24–59 Months Munthe, Seri Asnawati; Septiani, Misi; Manurung, Jasmen; Sinaga, Lia Rosa Veronika
Window of Health : Jurnal Kesehatan Vol 9 No 2 (April 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.3068

Abstract

Diarrheal disease remains a critical public health concern in Indonesia, particularly among children under five, where it ranks as a leading cause of morbidity. This study investigates the persistently high diarrhea prevalence among children aged 24–59 months in Paluh Sibaji Village, Pantai Labu District. Indonesia's SKI 2023 reported a national prevalence of 7.4% in under-fives, peaking at 11.5% among the 1–4 age group. Focusing on this coastal community, the study uniquely examines the combined influence of environmental conditions and personal hygiene behaviors. Data were collected from 70 children aged 24–59 months and their mothers, randomly selected from 232 households. The researcher wanted to see if things like the condition of their toilets, access to clean water, and their hygiene practices were linked to whether or not the children had diarrhea. The result showed that over 30% of the children had experienced diarrhea. The analysis revealed strong associations between the condition of toilets, access to clean water, personal hygiene, and the occurrence of diarrhea. While the numbers suggest a strong link, other factors the researcher did not measure or potential biases in how the data were collected could be influencing these results. Personal hygiene seemed to have the strongest connection to diarrhea. In conclusion, the study emphasizes that a combination of sanitation issues and hygiene habits is significantly linked to diarrhea in this coastal community. Future studies that follow children over time could help us better understand the causes of diarrhea and rule out other contributing factors.
Organizational and Behavioral Factors Associated with Infection Prevention and Control Policy Implementation among Nurses: A Cross-Sectional Study in a District Hospital Rahmat Alyakin Dakhi; Manurung, Jasmen; Dachi, Astrid Carmia
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026): May 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.10602

Abstract

Introduction: Healthcare-associated infections (HAIs) remain a critical indicator of healthcare quality and patient safety. HAIs contribute to increased morbidity, prolonged hospitalization, higher healthcare costs, and mortality. At Lukas Hilisimaetano Hospital, the incidence of HAIs exceeded the national minimum service standard of <1.5%, reaching 10.73% in 2023 and 7.31% in 2024. These findings suggest that the implementation of infection prevention and control (IPC) policies in the hospital has not been fully optimized. Based on Edward III’s policy implementation theory, policy implementation is influenced by communication, resources, disposition, and bureaucratic structure. This study aimed to analyze organizational and behavioral factors associated with IPC policy implementation among nurses. Methods: A cross-sectional analytical study was conducted from May to November 2025 at Lukas Hilisimaetano Hospital. All 45 nurses working in inpatient units were included using total sampling. Data were collected using structured questionnaires and observation sheets measuring communication, resources, disposition, bureaucratic structure, and IPC policy implementation. Instrument validity was assessed through expert review, and reliability testing showed acceptable internal consistency (Cronbach’s alpha >0.70). Data were analyzed using Chi-square and binary logistic regression. Results: Communication (OR=7.90; p=0.003), resources (OR=9.44; p=0.001), disposition (OR=14.40; p=0.001), and bureaucratic structure (OR=8.20; p=0.001) were significantly associated with IPC policy implementation in bivariate analysis. Multivariate analysis showed that disposition (AOR=8.26; 95% CI: 1.77–38.58; p=0.008) and resources (AOR=4.71; 95% CI: 1.13–19.58; p=0.033) remained significantly associated. The strong association between disposition and IPC implementation highlights the importance of behavioral commitment among nurses in supporting infection prevention practices. Conclusion: IPC policy implementation is associated with both organizational and behavioral factors, with disposition emerging as the strongest associated factor. Findings should be interpreted cautiously due to the cross-sectional design and small sample size. Strengthening behavioral commitment and ensuring adequate resources may support improved IPC implementation in similar settings.
Implementation Analysis of Medan City Regional Regulation No. 3 of 2014 on Smoke-Free Areas in Medan Baru District Jasmen Manurung; Lia Rosa Veronika Sinaga; Seri Asnawati Munthe; Henny Arwina Bangun
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.25809

Abstract

The Medan City Government has enacted Regional Regulation No. 3 of 2014 concerning Smoke-Free Areas (SFA) to protect the public from exposure to tobacco smoke in public facilities. However, its implementation remains inconsistent across sectors and compliance remains low. This study aims to analyze the implementation of SFA regulations in Medan Baru District, Medan City, using William C. Edwards III's policy implementation framework, which focuses on communication, resources, disposition, and bureaucratic structure. Informants were determined purposively, representing implementers, supervisors, and policy targets. The SFA regulation has been socialized but not consistently. Limited human resources, insufficient budget, irregular monitoring, and the lack of SFA signage are weaknesses in implementing the SFA regulation. Policy implementers understand the policy objectives but remain weak in commitment. The bureaucratic structure, although the division of tasks between agencies is clear on paper, suffers from weak inter-agency coordination, SOP compliance, and law enforcement. Commitment from all parties is required to implement the SFA regulation in Medan City, as almost all sectors still have weaknesses in its implementation. Keywords: SFA Regulation, Policy Implementation, William C. Edwards III, Medan City
Co-Authors ., Hestina Adisah, Adisah Agnes N Amazihono, Ivan Florida Ayu Armis Sibuea, Nerry Ashari, Jamal Bangun, Henny Arwina Basri, Meliya Brahmana, Netti Etalia Br. Buulolo, Sitimawar Cristiana, Eva Dachi, Astrid Carmia Daeli, Yolanda Mercy Rawati Daniel Ginting David Siagian Della Kuswinda Tanjung Dewi Bancin DONAL NABABAN Donal Nababan donal nababan Donal Nababan Donal Nababan Fachry Abda El Rahman Fitri Aisyah Frida Lina Tarigan Ginting, Desideria Yosepha Haitami, Fatma Hana Ike Dameria Purba Handani, Myrnawati Crie Harefa, Karnerius Harianja, Ester Sari Pati Harianja, Ester Saripati Hasibuan, Eva Kartika Hasugia, Silvia Oktaviyanti Hendry, Baringin Henny Arwina Bangun Henny Arwina Bangun Henny Arwina Bangun Heru Santoso Hidayat , Wisnu Hidayat, Wisnu Isroni Azhari Siregar Ivan Elisabeth Purba Janno Sinaga Jek Amidos Pardede Jonni Sastra Manurung Jujur Baktiar Pandiangan Jumiriyam Buulolo Juni Mariati Simarmata K, Yuni Kataren, Otniel Kesaktian Manurung Kesaktian Manurung Kesaktian Manurung Kesaktian Manurung Kesaktian Manurung Ketaren, Otniel Ketaren, Sinar Otniel Kintoko Kintoko Kurniawan Basri, Agung Lia Rosa Veronika Sinaga Lia Rosa Veronika Sinaga Lidya Susianti Sitohang Liory Olganita Banjarnahor Lukman Hakim Lukman Hakim Lumban Gaol, Hoddi Raju Lumbangaol, Fernando Maharani, Usti Mai Hayati Maihayati Manurung, Kesaktian Manurung, Paulus Maria Roslina Marintan, Selli Masrawati Hulu Meilani br Ginting, Devy Mido Ester J Sitorus Mido Ester J. Sitorus Mido Ester Sitorus Mindo Tua Siagian Mohammad Irfan Monica Hutasoit Munthe , Seri Asnawati Muria Ningsih, Sri MYRNAWATI CRIE HANDINI Myrnawati Crie Handini Nababan, Dona Nababan, Donal Nadilla Pratiwi Naftalia Keliat, Fani NETTY AFRIANI POHAN Ningrum, Maya Meliya Nurmaini Nurmaini Otniel Ketaren P Warouw, Sonny Pakpahan, Nita Ernawati Parera, Geby Pasaribu, Grace Florita Purba, Maria Agustina Br Putra Apriadi Siregar Putri, Nurcahaya Putri, Yulita R.Kintoko Rochadi Rahmat Alyakin Dakhi Rahmatunnisa Sinaga Realita Marbun Realita Realita, Realita Rinaldi Rinaldi Rohani, Taruli Ronni Naudur Siregar Rosi Restu Nauli Siburian Rosmawaty Irma Suryani Siagian Rosmawaty Irma Suryani Siagian S. Otniel Ketaren Saragih, Frida L Sembiring, Evaria Sembiring, Rinawati Septiani, Misi Seri Asnawati Munthe Seri Asnawati Munthe Seri Asnawati Munthe Munthe Siagian, Mindo Tua Siburian, Rosi Restu Nauli Siegal, Yosphine Sol Silitonga, Evawani Martalena Simanjorang, Elfrida Simanjuntak, Friska Ernawati Simaremare, Robinsar Simatupang, Hennida Sinaga , Lia Rosa Veronika Sinaga, Lia Rosa Veronika Sinaga, Taruli Rohana Sitompul, Aiko Lismawati Sitorus, Mido Ester Taruli R Sinaga Titin Hutasoit Toni Wandra Toruan, Mestika Lumban Veronica N, Ita WISNU HIDAYAT Wiyatni, Sri Yeyen Permata Sari Yuni K Yuris R. A. Marbun Zuka, Fikarwin Zulfendri Zulfendri