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All Journal JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE JURNAL PENDIDIKAN TAMBUSAI Hearty : Jurnal Kesehatan Masyarakat JKM (Jurnal Kebidanan Malahayati) Jurnal Ilmiah Kebidanan Indonesia (Indonesian Midwifery Scientific Journal) Afiasi : Jurnal Kesehatan Masyarakat JURNAL KESEHATAN MERCUSUAR Jurnal Kebidanan Khatulistiwa Jurnal Promotif Preventif Jurnal Kebidanan International Journal of Public Health Excellence (IJPHE) SENTRI: Jurnal Riset Ilmiah Jurnal Kebidanan, Keperawatan dan Kesehatan (J-BIKES) Journal of Pharmaceutical and Sciences. Promotor: Jurnal Mahasiswa Kesehatan Masyarakat Scientica: Jurnal Ilmiah Sains dan Teknologi Journal of Health Science and Medical Therapy International Journal of Educational and Psychological Sciences (IJEPS) Jurnal Perilaku Kesehatan Terpadu
Nasution, Ramadhani Syafitri
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Comparison of Positive Deviance between Normal Nutrition and Undernutrition in Children Under Five Years Old from Low-Income Families at Community Health Centres in Medan Nasution, Ramadhani Syafitri; Mat, Khairi Che; Mohamad, Marhazlina
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.1129

Abstract

Positive deviance in low-income families is a mechanism by which individuals or groups continue to thrive or meet standards despite facing challenging conditions. One of the goals of positive deviance is to prevent child malnutrition by changing community habits about feeding, caring, hygiene, and health seeking practices. Malnutrition early in life will affect the growth and development of children and the quality of life thereafter. The study aims to compare the positive deviances between children with normal nutrition and undernutrition. This cross-sectional study was conducted in 39 public health centres in Medan, West Indonesia, where a total of 80 children (40 with normal nutrition and 40 with undernutrition) were recruited using purposive sampling. Nutritional status (normal or undernutrition) was determined using body mass index-for-age (BMI-for-age) z-scores, according to WHO reference values. Positive deviance behaviours were assessed using a validated questionnaire, and anthropometric parameters such as weight, height, BMI, and triceps skinfold were measured. Haemoglobin levels were taken as a biological measurement of the condition. The Mann-Whitney test demonstrated that the positive deviance practices of feeding, caring, hygiene, and health-seeking behaviours were significantly better among normal nourished children than undernourished children (p<0.05). Children from families with positive deviance practices have better nutritional status despite living in economically limited conditions. This indicates that family behaviours and practices can play a crucial role in enhancing children's nutritional and health status, regardless of financial or environmental constraints. Integrating positive deviance approaches alongside additional interventions could be effective in improving children's nutritional status.
Factors Influencing Stunting in Children Toddlers in the Working Area of the Puskesmas Kutambaru in 2023 Hasanah, Hijratul; Efendy, Ismail; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 6 (2024): DESEMBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i6.900

Abstract

Background: Stunting is one of the targets of the Sustainable Development Goals (SDGs) which is included in Goal 2, namely to end hunger and various forms of malnutrition by 2030 and achieve food security. The target set is to reduce the stunting rate by 40% by 2025. Stunting is caused by prolonged (chronic) malnutrition and repeated infections. Objective: The aim of this research is to determine and analyze the factors that influence stunting in toddlers in the Kutambaru Health Center working area in 2023. Methodology: This research uses quantitative methods with a cross sectional design and sampling using random sampling. The research population was 297 respondents and the research sample was 75 mothers who had stunted toddlers. This research uses a questionnaire. The research time is December 2023. This research analysis uses Univariate, Bivariate and Multivariate. The statistical tests used are the chi-square test and multiple logistic regression with the Enter method. Results: Research results regarding influencemother's height pvalue= 0.004,birth height pvalue= 0.003,birth weightpvalue= 0.002,Exclusive Breastfeeding pvalue= 0.001, History of infectious disease pvalue= 0.001, and immunization status pvalue= 0.002with Stunting in toddlers. Based on the results of the multiple logistic regression test, the variable that is very influential is Exclusive Breast Milk with an Exp(B) value of 14,594. Conclusion:The conclusion in this study is that there is an influence of maternal height, birth height, birth weight, exclusive breastfeeding, history of infectious disease and immunization status with Stunting.in toddlers in the Kutambaru Community Health Center working area.To be able to reduce the prevalence of stunting in toddlersIt is hoped that cooperation from the Health Service, Community Health Centers, especially health workersto be able to increase health promotion about stunting, the benefits of exclusive breastfeeding, the risk of infectious diseases and the benefits of immunization for children routinely every month.
Factors Affecting Visual Inspection Examination of Acetic Acid (IVA) in Couples of Childbearing Age in the Working Area of UPT. Puskesmas Mandala Medan Year 2024 Harahap, Aida Syahrani; Lumban Raja, Sarma; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 6 (2024): DESEMBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i6.913

Abstract

Visual Inspection of Acetic Acid (IVA) is an early detection of cervical cancer, the decline in IVA Test examinations in 2022 is from 154 people to 61 people in January to June 2023, where in half a year in 2023 the achievement of IVA Test examinations does not reach 50% of IVA examinations Test in 2022. The aim of the research is to analyze the factors that influence the visual inspection of acetic acid (VIA) in couples of childbearing age in the work area of UPT.Puskesmas Mandala Medan in 2023. This research is a combination of quantitative and qualitative research. The population was 259 people and the sample was 972 people. Quantitative data analysis using the chi-square test and multiple logistic regression and qualitative data analysis. The results of this study show that 38 people did not carry out IVA examinations with the chi-square test results showing the variables age, education, employment, knowledge, attitudes, culture and husband's support. The results of the multiple logistic regression test show that the knowledge variable has the most influence on visual inspection of acetic acid in women of childbearing age. The conclusion of this research is that there is an influence of age, education, work, knowledge, attitudes, culture and husband's support with visual inspection of acetic acid (IVA) on couples of childbearing age in the working area of UPT. Mandala Health Center Medan in 2023. It is recommended that UPT Mandala Health Center increase participation in providing training to health workers and be able to promote the VIA examination program and should involve husbands so that they can be enthusiastic in the VIA examination program and it is better for door to door health workers in providing VIA education
Factors Affecting the Menstrual Cycle in Adolescent Girls at SMA Negeri 1 Kluet Selatan, South Aceh Regency, Aceh Province in 2023 Nasution, Ramadhani Syafitri; Nasution, Zuraidah; Nazilla, Erla Maybi
PROMOTOR Vol. 7 No. 5 (2024): OKTOBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i5.1013

Abstract

The menstrual cycle is a problem among teenagers. The number of women who experience abnormal menstrual cycle problems caused by many factors, one of which is nutritional status, stress, physical activity and menarche age. Abnormal cycles are generally caused by unstable hormonal levels. Abnormal menstrual cycles cause long-term disruption to the reproductive system if left untreated. This type of research is an analytical survey research with a Cross Sectional research design. The purpose of the study was to find out the factors that affect the menstrual cycle in adolescent girls at SMA N 1 Kluet Selatan. The sample in this study is a student of SMA N 1 Kluet Selatan Class X, XI and XII which was obtained through the probability sampling technique, which is sampling that provides the same opportunity for population members to be selected as sample members. The results of the study showed that there was an effect of nutritional status with a P value of 0.003 (< 0.05), stress with a P value of 0.002 (< 0.05), physical activity with a P value of 0.026 (< 0.05. Menarche age, with a P value of 0.000 (< 0.05) on the menstrual cycle in adolescent girls at SMA N 1 Kluet Selatan From the results of the research, it was found that there was an effect of nutritional status, stress, physical activity, and menarche age on the menstrual cycle in adolescent girls at SMA N1 Kluet Selatan. The suggestion in this study is that it is hoped that adolescent girls can find information about factors that can affect the menstrual cycle so that they can find out early and can overcome the occurrence of disturbances during menstruation.
Factors Affecting Work Fatigue in Nurses at RSU Dr. H. Yuliddin Away Tapaktuan, Tapaktuan District, South Aceh Regency Pujiono, Tri Prasetyo; Nuraini, Nuraini; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 6 (2024): DESEMBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i6.1023

Abstract

The professionalism of a nurse can be seen in carrying out routine work in the field of nursing in accordance with the specified capacity and competence. The performance of nurses in carrying out their duties is not only influenced by the condition of the nurse herself but also influenced by the number of patients being treated, age, gender, facilities and infrastructure, working period, work shifts, body mass index and workload. This type of research uses a descriptive analytical survey with a cross sectional design. The population in this study is 177 people, while the sample is 177 people with a total population technique. Data analysis was carried out by univariate, bivariate and multivariate analysis. The results of this study showed that there was an effect of working period, work shift, body mass index and workload with risk factors for work fatigue in nurses with p-values of 0.014, 0.011; 0.013 and 0.001<0.05. The conclusion of this study is that there is an effect of working period, work shift, body mass index and workload with work fatigue in nurses. It is hoped that the hospital will be able to pay attention to work fatigue in the nurses by providing fitness exercises, educating nurses to stretch, placing younger nurses in the inpatient room, placing male nurses on night shifts, increasing the number of nurses according to the number of treatment beds and replacing administrative tasks with technology.
Analysis of Hospital Organizations in the Implementation of Management Information Systems (SIMRS) at Dr. H. Yuliddin Away Tapaktuan Hospital, Tapaktuan District, South Aceh Regency in 2024 Darlis, Darlis; Theo, Deli; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 6 (2024): DESEMBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i6.1025

Abstract

Hospital Management Information System is an information technology system that processes and integrates the entire flow of hospital service processes in the form of coordination networks, reporting and administrative procedures to obtain appropriate and accurate information, but SIMRS in several hospitals is still not optimal. The general purpose of this study is to find out the analysis of the behavior of hospital organizations in the implementation of the Hospital Management Information System (SIMRS) at dr. H. Yuliddin Away Tapaktuan Hospital, Tapaktuan District. This study uses a type of qualitative research with an interview approach. The location of this research is at dr. H. Yuliddin Away Tapaktuan Hospital, Tapaktuan District, South Aceh Regency. This research was conducted from March to August 2024. The research informants were the key informants of the director of the Hospital, the main informants of the head of administration, the head of support and the head of programs as well as supporting informants of 6 outpatients. The results of the research on infrastructure variables are not enough such as network, Wifi, programmer, cables that are being used do not work. The HR variables were found that the number of human resources was inadequate, there was still a shortage of human resources and the absence of Rewards and the implementation of SOPs that had not been maximized, and the variables of procedures at dr. Yulidin Away Hospital were focused on improving the implementation of SIMRS, this can be proven from the lack of appropriate recruitment of human resources, the absence of scheduled training, and the lack of control in the implementation of SIMRS. The suggestions in this study are that the management must allocate funds for the lack of infrastructure provision, provide training for SIMRS employees so that they can work according to SOPs, Recruitment of employees to run SIMRS so that the implementation of SIMRS also runs smoothly and better.
The Effect of Occupational Safety and Health Counseling on the Use of Personal Protective Equipment at the Special UPTD of the Medan Hajj Hospital Nasution, Nurhamidah; Nuraini, Nuraini; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 5 (2024): OKTOBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i5.1029

Abstract

The development of occupational safety and health science in the work environment can be seen with the development of advanced science and technology as well as the emergence of new innovations in the work environment and encouraging companies to improve the knowledge and skills of their human resources. The purpose of this study is to determine the Influence of Occupational Safety and Health Education (K3) on the Behavior of Using Personal Protective Equipment at the Special UPTD of Haji Medan Hospital. This research includes quasi-experimental research. This study uses a one group pretest and pottest design. The population in this study is emergency room nurses at the Special UPTD of Haji Medan Hospital which totals 50 nurses in June-August 2024. The sampling technique in this study is total sampling. The measuring tool in this study uses a univariate and bivariate distribution of non-parametric data with the Wilcoxon test. The results of the Wilcoxon statistical test of both knowledge and attitude obtained a P-value of 0.000. This means that at alpha 5% there is a significant difference in median score between before and after counseling. Meanwhile, in the aspect of action, there was an increase in the number of PPE users between before and after counseling. Because the results of Asymp.Sig of knowledge, attitudes and actions are less than 0.05, H0 is rejected so that there is an influence of occupational health and safety counseling (K3) on the behavior of using PPE. In conclusion, there is an influence of Occupational Safety and Health Counseling (K3) on the behavior of using personal protective equipment at the Special UPTD of Haji Medan Hospital. The suggestions are expected to increase the frequency of counseling and provide information on the importance of using personal protective equipment in the workplace, provide strict sanctions against nurses who do not use personal protective equipment at work, increase the frequency.
Analysis of Factors Affecting the Use of PPE (Personal Protective Equipment) in Nurses on the Prevention of Nosocomial Infections at Bina Kasih Hospital Medan Suryani, Ade Irma; Asriwati, Asriwati; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 8 No. 1 (2025): FEBRUARI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v8i1.1020

Abstract

One of the efforts to provide labor protection for Occupational Safety and Health (K3) in hospitals is by providing Personal Protective Equipment. The purpose of this study is to analyze the factors that affect the use of PPE in Nurses in Bina Kasih Hospital Medan. This type of research includes quantitative research with a cross sectional approach. The population in this study was 152 nurses with a sample of 60 people based on the results of sample calculation using the Slovin formula. Data collection in the study used questionnaires and processed into SPSS with univariate, bivariate and multivariate analysis. The results of the study with the chi square statistical test found that the variables of age, working period, knowledge, attitude, availability of PPE, supervision and social support were related to the p<sig value of α (0.05). Based on the results of the multivariate analysis, it is known that the most dominant variable influences, namely, the attitude variable (p=0.003, Exp(B) 14.931), namely attitude has an influence of 14.9 times on the use of PPE, the working period (p=0.004, Exp(B) 13.169), namely the working period has an influence of 13 times on the use of PPE, and social support (p=0.012 Exp(B) 8.592), namely social support has an influence of 8.5 times on the use of PPE. It can be concluded that the variables of working period, attitude and social support are the factors that most affect nurses in using PPE. It is recommended to Ananda Bekasi Hospital, especially to nurses, to always improve the performance of nursing care provided to patients by paying attention to the completeness of PPE in accordance with the SOPs that have been set by the work agency.
Factors Affecting the Compliance of Pulmonary TB Patients in Drug Consumption at the Batumarta II Health Center, Lubuk Raja District, Ogan Komaring Regency, Ulu, South Sumatra in 2024 Prisca, Tety Okta; Nuraini, Nuraini; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 8 No. 1 (2025): FEBRUARI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v8i1.1021

Abstract

Pulmonary tuberculosis (TB) is a direct infectious disease and is a major threat to human resource development, the World Health Organization (WHO) said the number of people diagnosed with tuberculosis in 2021 globally was 10.6 million cases, plus treatment failure was also a major contributor to the incidence of pulmonary tuberculosis in the community. The purpose of this study is to analyze the factors that affect the compliance of TB patients in drug consumption at the Batumarta II Health Center. This type of research is an analytical survey with a retrospective design. The research was conducted at the Batumarta II Health Center in 2024. By using the total sampling technique, which is as many as 50 respondents. To analyze the data, a logistic regression test was used. Based on the results of the study, it was found that there was a relationship between drug consumption compliance and variables, namely knowledge (p=0.000), attitude (P=0.000), health workers (p=0.021), family support (p=0.001) and culture (p=0.000), but there was no effect on the availability of OAT with drug consumption compliance because of the P value (p=1,000) at the Batumarta II Health Center, South Sumatra. Based on the results of the study, it can be concluded that the factors that affect drug consumption compliance at the Batumarta II Health Center are knowledge, attitudes, health workers, family and cultural support. The most dominant factor affecting drug consumption compliance at the Batuamrta II Health Center is knowledge that has  an Exp(B) or Odd Ratio value of 37,200. Suggestions for making counseling programs on factors affecting patient compliance in drug consumption both to families of patients and pulmonary TB patients to increase public knowledge about the correct TB treatment methods and patterns in order to maximize healing outcomes.
The Effect of Health Service Quality on Patient Satisfaction of BPJS Outpatient Installation at Prima Inti Medika Hospital, Dewantara District, North Aceh Nur, Muhammad Ludhy; Nuraini, Nuraini; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 8 No. 1 (2025): FEBRUARI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v8i1.1026

Abstract

Problems that may affect patient satisfaction in basic health services, including the appearance of the hospital building is convincing and attractive, the hospital environment is clean and comfortable, the hospital is open on time, the seats where the turn is available are sufficient, the staff greets politely, is friendly and wants to help, the health worker listens to the patient's complaints, the health worker checks carefully and thoroughly,  Health workers provide complete information, medicines needed by patients are available at the hospital. The purpose of this study is to determine the effect of outpatient health services on the satisfaction of BPJS Kesehatan participants. This type of research is an analytical survey with a cross sectional approach using primary data with questionnaires and secondary data from the report of Prima Inti Medika Hospital North Aceh. The population in this study is all outpatients of BPJS Kesehatan participants who visited Prima Inti Medika Hospital as many as 1,120 people with a sample of 95 people determined using the acidental sampling method. The analysis used univariate, bivariate and multivariate analysis. The results of the chi square test showed that responsiveness (p= 0.001 < 0.05), reliability (p= 0.000< 0.05), assurance (p= 0.002< 0.05), concern (p= 0.000 <0.05) and physical evidence (p= 0.060 > 0.05). The logistic regression test showed that the most influential variable on patient satisfaction was concern with an Exp (B) value of 4.781. The conclusion of this study is that there is an influence of responsiveness, reliability, assurance, and care have a relationship with patient satisfaction, while physical evidence has no relationship with patient satisfaction. Efforts are needed to improve the quality of outpatient services by increasing a sense of full attention, quick response to patient problems, not discriminating between patients and others, being able to provide a good response in responding to patient complaints in order to establish a harmonious relationship between health workers and patients in order to achieve services that are able to satisfy patients.
Co-Authors Ade Irma Suryani Afriani, Rina aida fitria Amalia, Nonny Amirah, Asriwati Anggraini, Indah Asmidar Asmidar Asrinab, Asrinab Asriwati Asriwati, Asriwati Damanik, Muliani Darlis Darlis, Darlis Defriani, Nidia Wahyuni Efendi, Ismail Effendy, Ismail Ep Lubis, Asyifa Zulinanda Evawaty, Evawaty Fitriani, Arifah Devi Ginting, Inayanti Khairiyah Handoko, Fithra Bagaskara Harahap, Abidah Harahap, Aida Syahrani Harahap, Annisar Harahap, Fatma Sylvana Dewi Harahap, Juliandi Harahap, Novi Ramini Hasanah Pratiwi Harahap Hasanah, Hijratul Hasibuan, Siti Tuahta Pertiwi Hendra Susanto Hutajulu, Setia Megawati Ika Susanti Ismail Efendy Jelita, Nenny Juliani, Sri Kartika Kartika Lubis, Masrida Riviah Lumban Raja, Sarma Mappeaty Nyorong Mas, Sukri Mat, Khairi Che Mohamad, Marhazlina Muhammad Ridwan Nadapdap, Thomson Nasution, Dheina Lianisa Nasution, Zuraidah Nazilla, Erla Maybi Noelvizar Novita Sari Novitasari, Jennie NUR AINI Nur Aini Nur, Muhammad Ludhy Nuraini Nuraini Nurhamidah Nasution, Nurhamidah Nurul Mouliza Pandiangan, Marintan pratiwi, Debby Prayoga, Muhammad Arif Prisca, Tety Okta Pujiono, Tri Prasetyo Rambe, Nur Insan Retno Sari Rini Lestari Safitri, Sari Safuranti, Aristya Maulida Santommy, Charlie Selian, Susi Fitri Simanjuntak, Imran Simanjuntak, Monica Siregar, Rahmania Sitepu, Meriahta Situmorang, Ance Melimda SUROYO, RAZIA BEGUM Syahputra, Jawahir Syamsir, Wira Presty Tanjung, Faisah Tanjung, Sri Maryani Tauriza, Aan Theo, Deli Thomson Parluhutan Nadapdap, Thomson Parluhutan Turnip, Rita Utami, Tri Niswati Yuniati Yuniati