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Faktor-Faktor Yang Mempengaruhi Kepatuhan Minum Obat Anti Tuberkulosis di UPTD Rumah Sakit Khusus Paru Provinsi Sumatera Utara Laowo, Oktorisman; Dachi, Rahmat Alyakin; Tarigan, Frida Lina; Manurung , Kesaktian; Sinaga, Janno
Journal of Pharmaceutical and Sciences JPS Volume 8 Nomor 2 (2025)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v8i2.821

Abstract

Tuberculosis (TB) is a preventable and usually curable disease. Yet, it remains one of the leading causes of death in the world, especially in high TB-burden countries such as Indonesia. In 2021, there was a significant increase in TB incidence and mortality in Indonesia, especially in North Sumatra province, which reported many TB cases, including drug-resistant TB (MDR-TB). Patient non-adherence to treatment is a significant factor exacerbating this situation, leading to increased drug resistance and broader transmission. Strategic efforts and treatment adherence are needed to address the TB epidemic, in line with the global TB elimination target by 2030. This study aims to determine the factors influencing adherence to anti-tuberculosis drugs at the UPTD Pulmonology Hospital of North Sumatra Province. The study was a quantitative study with a cross-sectional research design. The sample in this study was 37 people, with sampling using accidental sampling, and the data were analysed univariate, bivariate with the Chi-Square test at α = 5% level, and multivariate with multiple logistic regression test. The results of this study showed that there was an influence of knowledge on adherence to taking anti-tuberculosis drugs (p-value = 0.038), employment (p-value = 0.018), access to health services (p-value = 0.003), and family support (p-value = 0.006). There was no influence of medication's side effects on adherence to anti-tuberculosis drugs (p-value = 1) at the UPTD Pulmonology Hospital of North Sumatra Province. The dominant factor in this study was family support, which tended to be more compliant with taking anti-tuberculosis drugs by 19 times compared to respondents who received less family support. This study recommends that the UPTD Pulmonology Hospital of North Sumatra Province increase family involvement and education in supporting the treatment of tuberculosis patients, including family assistance programs, counselling on the importance of family support, and providing information related to drug side effects so that families can provide proper motivation and understanding to patients.
ANALISIS FAKTOR RESIKO KEJADIAN STUNTING DI KABUPATEN NIAS BARAT TAHUN 2024 Daeli, Debora; Nababan, Donal; Sembiring, Rinawati; Dachi, Rahmat Alyakin; Hutajulu, Johansen
Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Vol 10 No 1 (2025): Jurnal Kesehatan Masyarakat dan Lingkungan Hidup
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jkmlh.v10i1.5966

Abstract

Latar belakang: Stunting merupakan kondisi gagal tumbuh pada balita yang disebabkan oleh kekurangan gizi kronis, sehingga menyebabkan anak memiliki tinggi badan yang tidak sesuai dengan usianya. Tujuan: untuk mengidentifikasi dan menganalisis faktor-faktor risiko yang berkontribusi terhadap kejadian stunting di Kabupaten Nias Barat. Metode: kuantitatif analitik dengan metode korelasional dan pendekatan cross-sectional. Penelitian dilaksanakan selama enam bulan, mulai dari April hingga Oktober 2024, di wilayah Kabupaten Nias Barat. Populasi dalam penelitian ini mencakup seluruh balita usia 24–59 bulan yang melakukan pemeriksaan di posyandu dan tercatat dalam data posyandu. Jumlah sampel yang diambil sebanyak 158 balita usia 24–59 bulan. Pengumpulan data dilakukan melalui metode observasi dan wawancara, serta didukung oleh data sekunder dari Profil Kesehatan Kabupaten Nias Barat. Analisis data mencakup analisis univariat dan bivariat. Pengujian hipotesis dilakukan dengan menggunakan uji Chi-Square, dengan memperhatikan nilai p dan Odds Ratio (OR) sebagai ukuran kekuatan hubungan antar variabel. Hasil: menunjukkan bahwa beberapa faktor berisiko terhadap kejadian stunting, antara lain: riwayat pemberian ASI eksklusif, pemberian makanan pendamping ASI (MP-ASI), usia ibu saat hamil, jarak antar kelahiran, tingkat pendidikan ibu, status pekerjaan ibu, pendapatan keluarga, riwayat penyakit infeksi, serta status imunisasi. Simpulan: untuk meningkatkan intensitas penyuluhan kepada masyarakat, khususnya terkait pentingnya pemberian ASI eksklusif dan jenis-jenis MP-ASI yang tepat. Selain itu, perlu dilakukan sosialisasi mengenai usia ideal untuk kehamilan dan persalinan guna mencegah terjadinya stunting di masa mendatang.
PENGABDIAN MASYARAKAT DALAM MENINGKATKAN MUTU PELAYANAN DAN KEPUASAN PASIEN DI UPT PUSKESMAS SUKARAMAI Alyakin Dachi, Rahmat; Ivan Elisabeth Purba; Mido Ester J. Sitorus; Netti Etalia Br. Brahmana; Winda Ningsih Sitompul; Forniat Putri Gea
Jurnal Abdimas Mutiara Vol. 6 No. 2 (2025): JURNAL ABDIMAS MUTIARA (IN PRESS)
Publisher : Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jam.v6i2.6279

Abstract

Mutu pelayanan kesehatan merupakan aspek penting dalam menciptakan kepuasan pasien, khususnya di fasilitas pelayanan tingkat pertama seperti Puskesmas. Kegiatan pengabdian masyarakat ini dilakukan di UPT Puskesmas Sukaramai, Kota Medan, dengan tujuan meningkatkan kualitas pelayanan dan tingkat kepuasan pasien melalui pelatihan tenaga kesehatan, edukasi masyarakat, serta penyediaan media informasi pelayanan. Metode yang digunakan adalah edukatif-partisipatif dengan pendekatan pelatihan, sosialisasi, observasi langsung, dan evaluasi kuesioner. Waktu PkM di bulan Mei-Juni 2025, Lokasi PkM di UPT Puskesmas Sukaramai. Hasil kegiatan menunjukkan adanya peningkatan signifikan pada aspek komunikasi pelayanan, efisiensi waktu, serta kenyamanan fasilitas. Skor kepuasan pasien meningkat pada hampir seluruh indikator, termasuk keramahan petugas, kecepatan layanan, dan kejelasan informasi. Kegiatan ini membuktikan bahwa intervensi sederhana yang terstruktur mampu mendorong peningkatan mutu layanan secara berkelanjutan di tingkat pelayanan primer.
Faktor-Faktor Yang Berhubungan Dengan Partisipasi Ibu Dalam Memilih Metode Kontrasepsi Metode Operasi Wanita (MOW) Di Kelurahan Pintusona Kecamatan Pangururan Kabupaten Samosir Sinurat , Astriatalita Lastiar; Manurung, Kesaktian; Tarigan , Frida Lina; Dachi, Rahmat Alyakin; Sitorus, Mido E
Journal of Pharmaceutical and Sciences JPS Volume 8 Nomor 3 (2025)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v8i3.1025

Abstract

Background: The continuous increase in population growth is a serious concern, including in Indonesia. Samosir Regency has a Total Fertility Rate (TFR) of 3.2, higher than the provincial average (2.7), necessitating population control efforts through the use of Long-Term Contraceptive Methods (LTCM), including Female Sterilization (Tubectomy). However, mothers' participation in choosing tubectomy in Pintusona Village remains low (34.8%), influenced by factors such as knowledge, husband's support, and cultural perceptions. Objective: This study aims to analyze the factors associated with mothers' participation in choosing tubectomy as a contraceptive method in Pintusona Village, Pangururan District, Samosir Regency. Methods: This study used a cross-sectional design with a quantitative approach. The sample consisted of 70 women of reproductive age who met the inclusion criteria. Data were collected through questionnaires and analyzed using univariate, bivariate (Chi-Square test), and multivariate (logistic regression) methods.Results: Bivariate analysis showed significant associations between husband's support (p=0.003), healthcare workers' support (p=0.048), income level (p=0.000), maternal knowledge (p=0.035), and maternal attitude (p=0.024) with the selection of tubectomy. Multivariate analysis identified husband's support as the most dominant factor (OR=4.898), followed by income level. Conclusion: Husband's support and family income level are key factors influencing mothers' participation in choosing tubectomy. Family planning programs should involve husbands in education and improve access to information about tubectomy to increase its acceptance.
Strategi Promosi Kesehatan Melalui Program PHBS: Studi Pada Dinas Kesehatan Sarolangun Provinsi Jambi Hamonangan, Jan Effendi; Dachi, Rahmat Alyakin; Sitorus, Mido Ester J.; Nababan, Donal; Sinaga, Taruli Rohana
Journal of Pharmaceutical and Sciences JPS Volume 8 Nomor 3 (2025)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v8i3.1108

Abstract

The purpose of this research is to explore in more depth all matters related to the Health Promotion Strategy through the PHBS Programme, namely Health Education, Disease Prevention and Health Protection. This type of research is qualitative research. Research involves in-depth interviews, document review, and direct observation. The informants in this study were the Head of Public Health, the holder of the health promotion programme and the community in Sarolangun. In this study, triangulation was employed by asking questions to informants and by examining written documents and field circumstances to validate the interview results. Processing research data with the in-depth interview method. The results showed that the health education strategy had an impact on individual behaviour, achieved through mass media, collaboration with puskesmas, doctors, and community groups. The disease prevention strategy has a positive effect on increasing community awareness and participation in disease prevention through health screening programs, immunisation, and environmental hygiene campaigns, which elicit a positive community response. The health protection strategy focuses more on providing hygiene facilities, forming health protection policies, and collaborating across sectors. However, challenges such as limited infrastructure and low community compliance need to be addressed through educational approaches, facility expansion, and stricter supervision to ensure programme sustainability and greater community impact.