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All Journal Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) JURNAL MUTIARA KESEHATAN MASYARAKAT Jurnal Kesehatan Masyarakat dan Lingkungan Hidup JURNAL PENELITIAN KESMASY JURNAL PENELITIAN KEBIDANAN & KESPRO Jurnal Pengmas Kestra (JPK)

Raisha Octavariny

Institut Kesehatan Medistra Lubuk Pakam

Author-ID : 2579510

Humanities Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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PEREGANGAN SENAM ERGONOMIS UNTUK MENGURANGI KELUHAN MUSCULOSKELETAL DISORDERS PADA PEKERJA PEMBIBITAN SAWIT Irmayani Irmayani; Sri Melda Bangun; Anggi Isnani Parinduri; Rosita Ginting; Raisha Octavariny; Radika Anzeli
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Prevalensi gangguan Musculoskeletal Disorders (MSDs) sebesar 60% dari total penyakit akibat kerja. Penyumbang disabilitas terbesar kedua di dunia, dengan nyeri punggung bawah menjadi penyebab utama kecacatan secara global adalah MSDs. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan edukasi kepada para pekerja tentang MSDs dan peregangan senam ergonomis serta pemberian senam ergonomis kepada pekerja. Kegiatan ini dilaksanakan pada bulan November tahun 2021 dengan jumlah peserta sebanyak 31 orang. Metode kegiatan menggunakan teknik ceramah dan aplikasi langsung. Dari kegiatan yang telah dilakukan didapatkan hasil adanya peningkatan pengetahuan tentang MSDs dan peregangan senam ergonomis sebesar 71% dan mayoritas pekerja mengalami nyeri ringan setelah diberikan peregangan senam ergonomis. Peregangan senam ergonomis dapat dijadikan sebagai alternatif bagi pekerja yang mengalami nyeri punggung bawah.

EMPOWERMENT OF PHARMACEUTICAL STAFF ON PHARMACEUTICAL SERVICES TO INCREASE PATIENT SATISFACTION Irmayani Irmayani; Sri Melda Bangun; Raisha Octavariny; Nurjannah Syafitri; Luci Riani Br Ginting
JURNAL PENGMAS KESTRA (JPK) Vol. 2 No. 1 (2022): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

The quality of good and quality health services is marked by the provision of excellent, fast, precise and responsive service to customers which has an impact on customer satisfaction with the services provided. The hospital is one of several existing health service centers. There are many parts in the hospital, one of which is the pharmacy installation which is one of several parts in the hospital, which has an important role in addition to other parts. The PKM activity carried out at Grandmed Lubuk Pakam Hospital aims to provide assistance to pharmacy staff on pharmaceutical services to increase patient satisfaction. The methods used are discussion, lecture, simulation and empowerment. The implementation of PKM activities was carried out in March 2022. The participants in this activity were all 34 officers at the pharmacy installation. Evaluation of the activities that have been carried out using the instruments that have been prepared. From the PKM activities that have been carried out, it can be explained that there was an increase in participants' understanding of the material presented by the resource persons by 70.6%. The ability of participants to understand the material presented by the resource person will be an asset for officers in providing excellent service in hospitals, especially in pharmaceutical services which have an impact on patient satisfaction. It is expected that the activity participants are able to apply the strategy of providing excellent, fast, precise and responsive service so that patients feel satisfied with the services provided.

The Role of Management Functions in Enhancing Community Empowerment for Stunting Prevention in Batu Bara District Herlina Sianturi; Reni Aprinawaty Sirait; Raisha Octavariny; Karnirius Harefa
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/zssjx722

A Stunting remains a major public health problem in Indonesia, including in Batu Bara District. The success of stunting reduction is not only determined by technical interventions but is also influenced by the effectiveness of management functions and the level of community empowerment. This study aims to analyze the effect of basic management functions on community empowerment in stunting prevention efforts in the working area of the Batu Bara District Health Office. This study employed an analytical quantitative design with a cross-sectional approach. The population consisted of 250 stunting program implementers and posyandu cadres, with a sample of 167 respondents selected using proportional random sampling. Data were collected through a structured questionnaire that had been tested for validity and reliability. Data analysis was conducted using univariate, bivariate (Chi-square test), and multivariate (logistic regression) analyses. The results showed that all aspects of management functions planning, organizing, actuating, and controlling, had a significant effect on community empowerment (p < 0.001). The most dominant variable was controlling (PR = 5.84), followed by actuating (PR = 5.70), planning (PR = 4.32), and organizing (PR = 3.23). In conclusion, management functions play an important role in enhancing community empowerment in stunting prevention. Therefore, strengthening management functions, particularly in controlling and actuating, is necessary to improve the effectiveness of stunting prevention programs.

Analysis of the Implementation of Maryam Exercise in Prenatal Classes to Increase the Rate of Normal Deliveries at Fahri Mutiara Clinic, Asahan Regency, in 2025 FAHRI YANTI; Karnirius Harefa; Raisha Octavariny
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/p751aq56

Background: The childbirth process is an emotional experience that involves both physical and psychological mechanisms in mothers giving birth. Normal delivery is often a tense event for most women. A mother, especially one experiencing her first pregnancy (primigravida), tends to feel fear when facing childbirth because it is her first experience. When this fear arises, the brain automatically triggers the body to anticipate pain, making the pain during labor feel more intense. Each individual’s anxiety reaction varies depending on personality, emotional condition, level of understanding, cultural background, family support, education, and prior experiences. Objective: This study aims to describe and analyze the implementation of the Maryam exercise in prenatal classes to increase the rate of normal deliveries at the Fahri Mutiara Clinic, Asahan Regency, in 2025. Methods: qualitative with a case study approach, focusing on gathering detailed information. Result: Based on interviews with informants (IF1–IF7), pregnant women’s perceptions of the benefits of the Maryam exercise at Fahri Mutiara Clinic were very positive. This exercise was considered helpful in preparing both physically and mentally for childbirth. The motivation of pregnant women to participate was driven by the desire to give birth normally, reduce anxiety, and maintain the health of both mother and baby, supported by their husbands, healthcare workers, and the surrounding environment. Conclusion: The role of the midwife instructor was highly significant as a guide, motivator, and educator throughout the sessions. Mothers who regularly participated in the exercise reported calmer childbirth experiences, better breath control, and smoother labor without complications, along with increased inner peace and self-confidence.

Analysis of Stunting Determinants Incidence in The Working Area Of Aras Kabu Health Center, Deli Serdang Regency, 2025 Soli Natalia Tambunan; Herlina; Raisha Octavariny
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/skahm040

Background: Stunting is a linear growth disorder caused by chronic malnutrition and recurrent infections, characterized by a height-for-age Z-score (HAZ) < −2 SD according to WHO standards. Stunting remains a global and national public health problem, including in Indonesia and Deli Serdang Regency. This condition has serious impacts on cognitive development, productivity, and increases the risk of chronic diseases in adulthood. Stunting is influenced by multiple factors, including food intake, household food security, parenting practices, environmental sanitation, and utilization of health services. Objective: To analyze the determinants of stunting in the working area of Aras Kabu Public Health Center, Deli Serdang Regency, in 2025. Methods: This study used a quantitative analytic design. It aimed to analyze the determinants of stunting among children under five. The study was conducted in the working area of Aras Kabu Public Health Center, Deli Serdang Regency. Results: Based on univariate and bivariate analyses, the prevalence of stunting in the Aras Kabu Public Health Center area in 2025 was 19.25% and was significantly associated with food intake, household food security, parenting practices, environmental sanitation, and utilization of health services. These findings indicate that the five factors are important determinants of stunting and should be prioritized in prevention efforts. Therefore, strengthening the role of primary health care through nutrition education, optimization of community health posts (posyandu), growth monitoring, and promotion of clean and healthy living behavior (PHBS) is necessary, along with cross-sector collaboration, active parental involvement, and engagement of health workers in early detection and prevention. Conclusion: Based on the study findings, there is an association between dietary intake, food security, parenting practices, environmental sanitation, and utilization of health services with the incidence of stunting in the working area of Aras Kabu Public Health Center in 2025. Multivariate analysis also showed that dietary intake was the most influential factor associated with stunting.

The Influence of Social Media Use on Preventive Behavior Against the Spread of Malaria in the Working Area of Mutiara Community Health Center, Asahan Regency, 2025 Zakiah Pulungan; Reni Aprinawaty Sirait; Raisha Octavariny
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/d7ma8s25

Malaria is one of the infectious diseases that remains a public health problem in many countries, particularly in tropical and subtropical regions. This disease is caused by the Plasmodium parasite, which is transmitted through the bite of an infected female Anopheles mosquito.This study aimed to analyze the influence of social media use on preventive behavior in preventing the spread of malaria. The study employed a cross-sectional design and was conducted at Mutiara Community Health Center, Asahan Regency, in 2025. The research was carried out from January to April 2025. The study population consisted of all patients seeking treatment at Mutiara Community Health Center, with a total sample of 100 respondents selected using a simple random sampling technique. Data analysis was performed using the Chi-square test and logistic regression.The results showed that there was no significant association between gender (p = 0.159; OR = 1.96; 95% CI = 0.863–4.434) and age (p = 0.840; OR = 1.09; 95% CI = 0.464–2.570) with preventive behavior against malaria transmission. However, there was a significant association between educational level (p = 0.009) and social media use (p = 0.047; OR = 2.70; 95% CI = 1.070–6.856) with preventive behavior against malaria transmission.Based on these findings, respondents are expected to increase their awareness and active participation in implementing preventive behaviors to reduce the spread of malaria, such as maintaining environmental cleanliness and using mosquito nets while sleeping.

Factors Associated with Husbands' Participation in the Family Planning Program Eka Yustina; Rahmad Gurusinga; Raisha Octavariny; Karnirius Harefa; Reni Aprinawaty Sirait
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/wa4z5t57

Husband participation in family planning (FP) programs is a key factor in the success of population control and the improvement of family reproductive health. However, the level of husband involvement in FP programs in Indonesia remains relatively low and is influenced by various factors. This study aims to analyze the relationship between knowledge, attitudes, the role of health workers, and sociocultural factors with husband participation in family planning programs. This study employs a quantitative research design with a cross-sectional approach. The study population consists of married couples of reproductive age, with the sample selected using purposive sampling. Data collection was conducted using a structured questionnaire. Data analysis was performed using univariate and bivariate methods with the chi-square test, as well as multivariate analysis using multiple logistic regression to identify the dominant factors influencing husbands’ participation in family planning programs. The results indicate a significant relationship between knowledge, attitudes, and sociocultural factors and husbands’ participation in family planning programs (p < 0.05). Meanwhile, health workers did not show a significant association with husbands’ participation (p > 0.05). The knowledge variable was the factor most strongly associated with husbands’ participation in the family planning program, with a 1.65-fold higher likelihood of participating compared to husbands with lower knowledge levels, whereas attitudes and sociocultural factors did not show a significant influence after controlling for other variables. This study indicates that husbands’ participation in family planning programs is influenced by individual and environmental factors, particularly husbands’ knowledge regarding family planning. Therefore, efforts to enhance education and outreach focused on husbands, as well as sociocultural approaches involving families and communities, are needed to increase men’s involvement in family planning programs.

Characteristic of Chronic Kidney Disease Patients with Haemodialisa Anna Tirawani Ambarita; Teja Kusuma Aisyah; Raisha Octavariny
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/d22mc027

Chronic kidney failure is a progressive and irreversible decline in kidney function, and it is one of the catastrophic diseases with high financial burden in Indonesia. The increase in chronic kidney failure cases is influenced by the prevalence of hypertension, diabetes mellitus, obesity, as well as changes in community lifestyle. This study aims to identify the characteristics of chronic kidney failure patients undergoing hemodialysis in North Sumatra Province from 2015 to 2020 based on gender, age, type of National Health Insurance membership, and average service claim costs. The study uses a descriptive quantitative approach with a non-experimental cross-sectional design. The data used are secondary data of a 1% sample from BPJS Kesehatan for 2015–2020, which has obtained data usage permission from the BPJS Kesehatan Central Office. The variables analyzed include gender, age, membership segmentation, diagnosis, and claim verification costs.Keywords: chronic kidney disease, hemodialysis, BPJS Kesehatan, claim cost, patient characteristics. The analysis was carried out descriptively by taking into account individual weights to reflect the population. The study results showed that the proportion of chronic kidney failure patients undergoing hemodialysis was mostly male, totaling 66.17 percent. Based on age, the adult group (19–59 years) dominated with 67.79 percent, followed by the elderly proportion at 28.07 percent. The largest proportion by type of participation came from the PBPU group at 62.05 percent, followed by PPU at 17.29 percent. The average cost of chronic kidney failure claims with hemodialysis was Rp816.713,9 with a standard deviation of Rp209.344,8, a minimum claim of Rp95.900, and a maximum of Rp4.219.800. Chronic kidney failure patients in North Sumatra were dominated by the productive age group, males, and PBPU participants, with a fairly high financial burden on the health insurance system. These findings indicate the need to strengthen promotive and preventive efforts against risk factors for chronic diseases to curb the increase in cases and the burden of health care costs

Promotion Mix Strategy to Increase Inpatient Visits at F.L. Tobing General Hospital, Sibolga in 2025 Ade Afifah Aliyah; Rahmad Gurusinga; Sri Melda Bangun; Rahmadani Sitepu; Raisha Octavariny
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/m2crmb33

The implementation of hospital promotion strategies through public relations and brand management at F.L. Tobing General Hospital, Sibolga, is influenced by various inhibiting and supporting factors. The main inhibiting factors include limited marketing budgets, a lack of competent human resources in public relations and brand management, suboptimal use of digital media, intense competition from more aggressive private hospitals, and weak promotional effectiveness evaluation mechanisms. Meanwhile, supporting factors include F.L. Tobing General Hospital's status as a government referral hospital, support from local government policies, opportunities for collaboration with various institutions, and increasing management awareness of the importance of promotion and strengthening brand image to increase hospital competitiveness. This study used a descriptive qualitative approach with triangulation of data sources within the F.L. Tobing General Hospital's work area, involving one key informant and 11 triangulation informants, and data collection techniques through observation, interviews, and documentation. The results showed that the advertising strategy was still dominated by internal media such as banners, posters, and brochures. Inpatient sales promotion is conducted through non-tariff promotions due to regulations, including simplified BPJS and insurance administration, service package information, and supporting facilities. Personal selling through empathetic interactions with healthcare workers, oriented toward patient-centered care, is the most influential strategy in building trust and inpatient care decisions. Direct digital marketing through WhatsApp and a reservation system supports rapid information access and increases patient satisfaction and loyalty. Public relations strategies play a crucial role in building image, encouraging positive word of mouth, and increasing inpatient visits. Continuous improvement of interpersonal communication skills, optimization of digital media, and contextual health education for patients' families are recommended.

Factors Associated with Women’s Participation in Early Detection of Cervical Cancer at The Pinarik Community Health Center, Padang Lawas Regency 2025 Ribka Christina Nababan; Felix Kasim; Raisha Octavariny
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/ffcb7n86

Cervical cancer is one of the most common types of cancer affecting women worldwide. This study aims to determine the factors associated with women's participation in cervical cancer early detection at Puskesmas Pinarik, Padang Lawas Regency, in 2025. The results showed that the attitude variable had the most significant influence on women's participation in cervical cancer early detection, with a P value = 0.000 and an Exp(B) value = 186.250. Based on these results, it can be concluded that women's attitudes are the most important factor influencing their participation in cervical cancer early detection. Therefore, Puskesmas Pinarik needs to improve health education and promotion about the importance of cervical cancer early detection for women, so that women can have sufficient knowledge and awareness to undergo early detection and reduce morbidity and mortality rates due to cervical cancer. Thus, it is expected that this study can serve as a reference for Puskesmas Pinarik in increasing women's participation in cervical cancer early detection and reducing the negative impact of cervical cancer on women.

Co-Authors Ade Afifah Aliyah Ade Julfiani Ritonga Anggi Isnani Parinduri Anggi Isnani Parinduri Anggi Isnani Parinduri Anna Tirawani Ambarita Anuhgera, Diah Evawanna Balqis Wasliati Beni Satria Christina Octavia P Damayanti . Delita Br Panjaitan Delita Hayanti Pajaitan Dewi Sartika Dwi Handayani Eka Wulandari Eka Yustina Elvi Era Liesmayani Fadlilah Widyaningsih FAHRI YANTI Felix Kasim Ginting, Desideria Yosepha Grace Erlyn Damayanti` S Harris Rambey Helen Clondia Siregar Helminawati Berutu Herlina Herlina Sianturi Ika Nur Saputri Irmayani Irmayani Jul Asdar Putra Samura Juliana . Juni Mariati Simarmata Karnirius Harefa Lubis, Basyariah Luci Riani Br Ginting M. Wiradana Perangin-Angin Marice Simarmata Marta Aditya Pratiwi Nikmah Jalilah Ritonga Nurjannah Syafitri Radika Anzeli Rahmad Gurusinga Rahmadani Sitepu Ribka Christina Nababan Riris Hotnauli Manurung Riris Sitorus Romi Jayadi Rosita Ginting Sermi Iyana Swita Sinaga Sirait, Reni Aprinawaty Siregar, Wilda Wahyuni Soli Natalia Tambunan Sri Melda Bangun Supran Hidayat Sihotang Surio Retno Teja Kusuma Aisyah Zakiah Pulungan

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