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Journal : Open Access Health Scientific Journal

 1 
Strategic Analysis of The Fire and Rescue Service Preparation of Medan City in Handling Disaster Incidents Fire in 2023 Mutiara, Grace; Ketaren, Otniel; Damanik, Elsarika; Manurung, Kesaktian; Sinaga, Janno
Open Access Health Scientific Journal Vol. 6 No. 1 (2025): February 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i2.82

Abstract

Background: Fire is one of the disasters that has a significant impact on safety and property. Medan City, as a centre of urban activities with a high population density, faces a significant risk of fire. Therefore, the readiness of the Medan City Fire and Rescue Department is a crucial factor in fire countermeasures. This research aims to analyse the readiness strategies of the agency in dealing with fires.Methods: This study was conducted in Medan City using a descriptive qualitative approach. The informants included the head of the service, heads of various fields, and operational fire extinguisher officers. Data collection techniques comprised in-depth interviews, observations, and document studies. Data analysis employed the Miles and Huberman interactive model, which includes data reduction, data presentation, and conclusion extraction.Results: The research findings indicate that the Medan City Fire and Rescue Department's readiness still faces several challenges, including a lack of trained personnel, limited facilities and infrastructure, and constraints in inter-agency coordination. The strategies implemented include regular training improvements, budget optimisation, and strengthening cross-sector synergy.Conclusion: The readiness of the Medan City Fire and Rescue Department in addressing fires requires strengthening in terms of human resources, logistics, and collaboration with various stakeholders. The results of this research have important implications for the development of disaster mitigation policies in the field of public health and safety.
Determinants of Dengue Hemorrhagic Fever Incidents in Medan District, Johor in 2023 Hutahaean, Sri Hartati Rahayu Lambok; Nababan, Donal; Sinaga, Janno; Manurung, Kesaktian; Sinaga, Taruli Rohana
Open Access Health Scientific Journal Vol. 6 No. 1 (2025): February 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i1.83

Abstract

Background: Dengue hemorrhagic fever (DHF) is a disease transmitted through the bite of the Aedes aegypti mosquito. Indonesia, as a tropical country with high humidity and a dense population, is particularly vulnerable to the spread of dengue fever. Several risk factors, such as the level of knowledge, societal attitudes, customs related to hanging clothes, and the implementation of the 3M Plus programme, also play a role in the incidence of dengue cases. The Medan Johor District is one of the areas with the highest number of dengue fever cases in Medan City.Method: This study employed an observational analytic design with a cross-sectional approach, conducted in Kuala Bekala Village, Medan Johor District, in 2023. Data were collected through a structured questionnaire designed to measure knowledge, attitudes, preventive behaviours (3M Plus), use of mosquito repellent, and habits related to hanging clothes. The larval index was obtained through direct inspection of the respondents' homes. Data analysis was performed using chi-square tests and logistic regression.Results: There is a significant connection between the incidence of dengue fever and various factors, including the level of knowledge, attitudes, implementation of the 3M Plus programme, use of mosquito repellent, habits related to hanging clothes, and the number of free larvae (p < 0.05). Respondents with a lack of knowledge and at-risk behaviours were significantly more likely to be affected by dengue fever. The habit of hanging clothes poses nearly five times the risk of dengue fever incidence.Conclusion: The incidence of dengue fever in the Medan Johor District is influenced by several modifiable factors related to behaviour and the environment. Health promotion efforts that focus on improving knowledge and the consistent application of the 3M Plus programme are essential. The findings of this research are important for developing dengue fever prevention strategies in high-risk urban areas.
Factors Related to Compliance in Taking Medication in Tuberculosis Patients in The Work Area of Tanjung Morawa Community Health Center, Deli Serdang Regency in 2024 Silalahi, Hotnida Estirawaty; Wandra, Toni; Sinaga, Taruli Rohana; Manurung, Kesaktian; Sinaga, Janno
Open Access Health Scientific Journal Vol. 6 No. 1 (2025): February 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i1.84

Abstract

Background: Tuberculosis (TB) remains one of the main causes of death globally. One of the main challenges in TB control is low compliance with treatment, which is often due to limited patient knowledge. This research aimed to investigate the connection between the level of knowledge among patients and their compliance with TB treatment at the Tanjung Morawa Health Centre in Deli Serdang Regency.Methods: This study employs an analytic quantitative design with a correlational approach and a cross-sectional cut. Data were collected simultaneously for both independent and dependent variables from 68 TB patients in the working area of the Tanjung Morawa Health Centre. A structured questionnaire was used to evaluate the level of knowledge and compliance with treatment. Data were analysed using the Chi-Square test to determine the connection between variables.Results: The research results show that there is no significant relationship between age (p=0.077), gender (p=0.098), level of education (p=0.410), and health officers (p=0.509) with compliance to treatment. However, there are significant relationships between employment (p=0.026), family support (p=0.008), and medication supervision (p=0.005) with compliance to treatment. The variable of medication supervision has the highest Exp(B) value (7.800), indicating that this variable is the most influential factor regarding treatment compliance.Conclusion: The presence of medication supervision and strong family support play an important role in increasing compliance with TB treatment. These findings emphasise the need for a health strategy that strengthens the community's patient supervision system and encourages family involvement to optimise TB treatment outcomes.
Analysis of Community Preparedness in Facing Disasters Following the Establishment of Village Disaster Preparedness Teams in Situmeang Hasundutan Village, North Tapanuli Regency Simanjuntak, Bobby; Ketaren, Otniel; Tarigan, Fridalina; Manurung, Kesaktian; Sinaga, Janno
Open Access Health Scientific Journal Vol. 6 No. 1 (2025): February 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i1.88

Abstract

Background: Disasters are unpredictable events that can occur suddenly at any time and in any place. In response, the Indonesian government has prioritised disaster preparedness through various programmes, one of which is the Disaster Resilient Village (Desa Tangguh Bencana/Destana) initiative by BNPB. Situmeang Hasundutan Village is among those designated as a Destana. This study aims to analyse the community’s preparedness for facing disasters following the formation of Destana in Situmeang Hasundutan Village, North Tapanuli Regency.Methods: This qualitative study employed a phenomenological approach and was conducted in Situmeang Hasundutan Village, Sipoholon Sub-district, North Tapanuli Regency, from September 2023 to April 2024. A total of seven informants participated in the study. Data were collected through in-depth interviews, observations, and documentation.Results: The findings revealed that the informants’ knowledge and attitudes towards disaster preparedness improved through consistent dissemination of information and socialisation. Disaster simulations have been conducted, supported by an effective disaster information management system, including hazard maps and evacuation routes. Preventive efforts, such as the preparation of medicines, were in place. The mobilisation of human resources, including village leaders, religious and traditional figures, and youth representatives (18 people in total), demonstrated strong community readiness.Conclusion: The implementation of Destana has significantly contributed to increasing disaster preparedness in Situmeang Hasundutan Village. It is recommended that the North Tapanuli BPBD conduct regular simulations and provide continuous support to Destana cadres. Community members are also encouraged to remain informed about earthquake disaster risks due to the village's vulnerable location.
Co-Authors Adiansyah Adiansyah, Adiansyah Alrasyad, Muhammad Iqbal Alyakin Dakhi, Rahmat Ambarita, Elparida Anjelin Juni Kristin Gea Bancin , Dewi Bangun, Henny Arwina Barus , Nanda Isabel Brahmana, Netti Etalia Br. Brahmana, Nettietalia Br. Daely, Ruth Christiani N Dakhi, Rahmat A Dalsabilah, Sobrina Damanik, Elsarika Daniel Ginting Denny Satria, Denny Desy Lustiyani Rajagukguk Dewi Ginting, Fitri Dewi Mustikani Saragih Dianta Ulina Ginting, Sri Dicky Yuswardi Wiratma E Sitorus, Mido Eriwaty Silalahi, Yosy Cinthya Ester, Mido Evawani Martalena Silitonga Fatmini, Fatmini Fentiana, Nina Fitri, Widya Frida Lina Tarigan Gea, Dermawani Girsang , Vierto Irennius Gulo, Mery Kristinawati Gultom, Rumondang Gustiani Tarigan, Yenni Handani, Myrnawati Crie Harefa, Feriani Harefa, Karnerius Haryantari, Rizky Hasibuan, Mei Sri Rezeki Hayati, Sry Heru Santoso Hidayat, Wisnu Hutabarat, Andrian Hutahaean, Sri Hartati Rahayu Lambok Hutajulu , Johansen Hutajulu, Johansen Hutapea, Joice Fransisca Aprilia Hutauruk, Ricardo Irennius Girsang, Vierto Isnaeni, Lira Mufti Azzahri Itoleleng Naibaho, Nursyah Jannah, Hafzil Janno Sinaga Janno, Janno Kahayati, Dewi Ketaren, Otniel Ketaren, Sinar Otniel Laia, Fidalina Lia Rosa Veronika Lumban Gaol, Hoddi Raju Lumbangaol, Fernando Lyenta Simanullang Malau, Riris Manalu, Maya Eka Manurung, Jasmen Mardianis, Mardianis Marlindawani Purba, Jenny Marpaung, Jon Kenedy Marpaung, Jon Kennedy Martalena Silitonga, Evawani Masdalina Pane Maulana, Fazri Mindo Tua Siagian Monica, Yohana Munthe, Seri Asnawati Mutiara, Grace MYRNAWATI CRIE HANDINI Nababan, Dona Nababan, Donal Nerdy, Nerdy Ohara, Evy Otniel Ketaren, Sinar Pakpahan, Leonardo Parhusip, Hamonangan Pasaribu, Grace Florita Prayoga, Andre Primasyukra, Mhd. Aldi Priyulida, Fitria Purba, Agustinus Hamonangan Winston Purba, Lidya R.Kintoko Rochadi Rahmat Alyakin Dakhi Rajagukguk, Desy Lustiyani Reja, M Rhoma, Tien Nelly Rivany, Hany Athaya Syifa Rizkia, Isna Rochadi , Kintoko Rohani, Taruli Roos Etty Nainggolan, Christine Rosdiana Rosdiana S, Mido Ester Sari Sagala, Nomita Sembiring, Rinawati Sembiring, Rinawati Siagian, Mindo Tua Siahaan, Eka Sianipar, Artha Yuliana Siboro , Vinny Aslinar Sihaloho , Lasmauli Sihotang, Junita Lisbet Sihotang, Nola Winarta Silaban, Lidia Silalahi, Hotnida Estirawaty Silitonga, Evawani M Silitonga, Evawani M. Simanjuntak, Amsal Wahyu Maralus Simanjuntak, Bobby Simaremare, Hizkia Simaremare, Robinsar Simarmata, Yettrie Sinaga , Taruli Rohana Sinaga, Lia Rossa Veronika Sinaga, Taruli Rohana Sinurat , Astriatalita Lastiar Sipayung , Rosetty Sipayung, Rosetty Sirait, Asima Siska Andriyani Siti Maimunah Siti Nurbaya Sitorus, , Mido Ester J. Sitorus, Mido E Sitorus, Mido Ester Sitorus, Mido J Sofwan, Ahmad Gazali SRI RAHAYU Sumarni, Eli Supartiningsih - - Syaviera, Soraya Tarigan , Frida Lina Tarigan, Fridalina Tarigan, Juni Asnita Tarigan, Yenni Gustiani Taruli Rohana Sinaga Telaumbanua, May Fransisca Thaib, Cut Masyitah Thaib, Cut Masyithah Tinambunan, Sarma TIROMSI SITANGGANG Toni Wandra Tua Siagian, Mindo Ulina, Sri Wandra , Toni Wilda, Safri Yanti, Nelly Yohanes Mercius Ndruru Yosy Cinthya Eriwaty Silalahi Zulfendri Zulfendri