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All Journal Jurnal Berkala Epidemiologi MEDISAINS Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) Jurnal Keperawatan Priority Jurnal Kesmas Prima Indonesia JURNAL PENELITIAN KESMASY Elisabeth Health Jurnal Jurnal Pengmas Kestra (JPK) Jurnal Kesehatan
Sirait, Reni Aprinawaty
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Humanities Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary Other

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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

Abstract

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.
Analysis of Determinants of PCV Immunization Uptake and Pneumonia Incidence Among Under-Five Children in the Catchment Area of Sei Rampah Community Health Center Reni Aprinawaty Sirait; Rotua Sumihar Sitorus; Yuliana
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/n7kqaz31

Abstract

Pneumonia remains a leading cause of morbidity and mortality among children under five, particularly in            developing countries. The Pneumococcal Conjugate Vaccine (PCV) is effective in preventing Streptococcus             pneumoniae infection; however, its utilization in Indonesia, including at Sei Rampah Primary Health Center, remains low. This study aimed to analyze factors influencing PCV utilization and its association with pneumonia incidence. A cross-sectional analytic design was applied to 262 mothers with children aged 0–59 months selected through simple random sampling. Data were collected using questionnaires and medical records, and analyzed using univariate, Chi-square, and logistic regression tests (p < 0.05; 95% CI). The results showed that knowledge, attitudes, and access to healthcare services were significantly associated with PCV utilization, with access being the most dominant factor (OR = 3.08; 95% CI: 1.75–5.42). Family support was significant in bivariate analysis but not in multivariate analysis. PCV utilization significantly reduced the risk of pneumonia (OR = 0.28; 95% CI: 0.13–0.60; p = 0.001). In conclusion, PCV utilization is mainly influenced by access to healthcare, knowledge, and attitudes, and has a protective effect against pneumonia. Strengthening health education and improving service access are essential to increase coverage
Analysis of Individual and Behavioral Factors Affecting the Success of Pulmonary Tuberculosis Treatment at Sukaramai Public Health Center, Pakpak Bharat Regency Rusmiaty Sinaga; Reni Aprinawaty Sirait; Desideria Yosepha Ginting
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: 10.35451/1gn7jj71

Abstract

Pulmonary tuberculosis (TB) remains a major global public health problem, with suboptimal treatment success rates in many regions. This study aimed to analyze individual and behavioral factors affecting the success of pulmonary TB treatment at Sukaramai Public Health Center, Pakpak Bharat Regency. This study employed an analytical observational design with a cross-sectional approach. The population consisted of 328 TB patients, with a sample of 180 respondents selected using purposive sampling. The variables studied included age, sex, education, knowledge, and medication adherence. Data were analyzed using univariate, bivariate (Chi-square test), and multivariate (logistic regression) analyses with a significance level of 0.05. The results showed that most respondents were aged >40 years (63.9%), female (56.7%), had low education levels (71.1%), and had poor knowledge (50.6%). Medication adherence was relatively good, with 59.4% of respondents classified as adherent. Bivariate analysis indicated significant associations between knowledge (p=0.002) and medication adherence (p=0.019) with treatment success. However, multivariate analysis revealed that only medication adherence had a significant effect on treatment success (OR=3.12; 95% CI: 1.65–5.90; p=0.001), while knowledge was not statistically significant. In conclusion, medication adherence is the most dominant factor influencing the success of pulmonary TB treatment. Therefore, interventions should focus on improving patient adherence through continuous health education, family support, and strengthening treatment supervision systems to enhance treatment outcomes.
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

Abstract

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.
The Provision of Communication and Emotional Support by Drug Swallowing Supervisors (DSS) in the Treatment Success of Pulmonary Tuberculosis Ferani Nasution; Reni Aprinawaty Sirait; 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/d73dfk04

Abstract

Pulmonary tuberculosis (TB) remains a major public health concern, with treatment success rates that have not yet reached optimal levels. The success of TB treatment is not solely determined by the availability of anti-tuberculosis drugs, but is also influenced by the quality of support provided by Drug Swallowing Supervisors (DSS), particularly in terms of communication and emotional support. This study aimed to analyze the effect of DSS communication and emotional support on the success of pulmonary TB treatment at the Simangalam Public Health Center in 2025. This study used an explanatory research design with a cross-sectional approach and was conducted from October to December 2025. The study population consisted of 327 pulmonary TB patients, with a sample of 150 respondents selected through purposive sampling. Data were collected using structured questionnaires and medical records. Data analysis included univariate descriptive analysis, bivariate analysis using the chi-square test, and multivariate analysis using binary logistic regression with a 95% confidence level. The results showed that the treatment success rate of pulmonary TB was 64.0%. DSS communication had a statistically significant effect on treatment success (p-value=0.001; OR=6.644), , indicating that good communication increased the likelihood of successful treatment by approximately seven times. In contrast, emotional support did not show a significant effect. Effective communication plays a crucial role in improving patient adherence, whereas the limited impact of emotional support may be due to the long duration of TB treatment, reducing its effectiveness if not provided consistently. In conclusion, DSS communication is the most influential factor in the success of pulmonary TB treatment. It is recommended that public health centers enhance DSS capacity through training and implement standardized communication procedures.
The Impact of the Implementation of the Posbindu PTM Program on the Coverage of Early Detection of Non-Communicable Diseases Reni Aprinawaty Sirait
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/0xmtm732

Abstract

Background: Non-Communicable Diseases (NCDs) are the leading cause of death globally, including in Indonesia, which is experiencing an increasing prevalence of hypertension and diabetes. To address this challenge, the Indonesian government developed the Posbindu PTM program as an early detection effort for NCD risk factors at the community level. However, the effectiveness of the program implementation still faces various challenges in the field. Objective: This study aims to analyze the impact of the Posbindu PTM program implementation on the coverage of early detection of Non-Communicable Diseases in the working area of Merek Health Center, Karo District. Methods: This research employed a quantitative approach with a cross-sectional analytic design. Data were collected from 422 respondents who were active participants of Posbindu PTM using structured questionnaires, observations, and document reviews. Data were analyzed through univariate, bivariate (using Chi-Square tests), and multivariate analysis (using logistic regression). Results: The majority of respondents were female (60.2%) and aged 45–59 years (35.1%). The Posbindu activities were conducted ?3 times per year (68.2%), facilities and infrastructure were adequate (71.3%), cadres' competence was good (64.9%), and health workers’ involvement was high (59.5%). Coverage of blood pressure checks reached 74.4%, Body Mass Index (BMI) measurement 68.0%, random blood sugar checks 62.8%, and education on NCD risk factors 71.1%. A significant relationship was found between the program implementation and early detection coverage. Conclusion: The implementation of the Posbindu PTM program at Merek Health Center was fairly optimal and positively influenced the improvement of early NCD detection coverage. This program plays an important role in empowering communities to prevent and control NCDs through regular screening and health education.
Education on Self-Care Management as an Effort to Improve the Quality of Life of Hypertension Patients in Huta Durian Village, Bintang Bayu Subdistrict Reni Aprinawaty Sirait; Naysillah Taqwima Ananis Sipayung
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/pvfs5b65

Abstract

Hypertension is one of the most prevalent non-communicable diseases and a major public health concern due to its association with cardiovascular disease, stroke, and kidney failure. Limited knowledge and poor self-care management among hypertensive patients may lead to uncontrolled blood pressure and an increased risk of complications. Therefore, educational interventions are needed to improve patients’ ability to manage their condition independently. This community service program aimed to improve the knowledge, skills, and self-care management behaviors of hypertensive patients in Huta Durian Village, Bintang Bayu District. The program was conducted through health education sessions, demonstrations, discussions, and hands-on practice related to hypertension management. A total of 30 hypertensive patients participated in the activity. Evaluation was carried out using pretest and posttest assessments to measure knowledge improvement, while observation was used to assess participants’ self-care management skills and behaviors. The results showed that the average knowledge score increased from 62.3 before the intervention to 86.7 after the educational program. Self-care management skills also improved, including the ability to measure blood pressure correctly (30.0% to 83.3%), understanding of a low-salt diet (40.0% to 86.7%), performing simple hypertension exercises (36.7% to 90.0%), understanding relaxation techniques (26.7% to 80.0%), and recording blood pressure monitoring results (23.3% to 83.3%). Positive behavioral changes were also observed in medication adherence, reduced salt intake, regular physical activity, routine blood pressure monitoring, and stress management. Self-care management education was effective in improving the knowledge, skills, and behaviors of hypertensive patients. This program can serve as a health promotion strategy to support hypertension control and improve community quality of life.
Co-Authors Abdul Wahab Agus Romendra Anita Gandaria Purba Anita Gandaria Purba Anita Oktaviana Siregar Anita Sri Gandaria Purba Arfah May Syara Arum Puspita Sari Bambang Sumantri Binarwan Halim Br Ginting, Luci Riani Defacto Firmawati Zega Dewi Susanti Dewi Susanti Dian Anggriyanti Eka Yustina Elda Yusefni Felix Kasim Ferani Nasution Ginting, Desi Deria Yosepha Ginting, Desideria Yosepha Handayani, Sri Hariati Hariati Herlina H Herlina Sianturi Holan Dianju Melva Meinaria Sitanggang Hulu, Victor Trisman Jaya Hutapea, Rismawati Imelda J Verawati Lubis Inka Ardiany Ginting Irma Nurianti Judika Silaban Julianto Julianto Kardina Hayati Karnirius Harefa Kuat Sitepu Kurnia, Anggia Luci Riani Br Ginting Megawati Sinambela Meria Turnip Meria Turnip Muhammad Akhyar Nuary Munthe, Novita Br Ginting Murti Sri Dewi Naysillah Taqwima Ananis Sipayung Nining Setiawati Novrika Silalahi Nurhamidah Pohan Nursaputri, Ika Plorita Situmorang Rahmad Gurusinga Rahmi Andrita Yuda Rahmi, Nurfadhilah Raisha Octavariny Rambey, Harris Reh Malem br Karo Riady Suranta Sinuhaji Riri Safitri Romendra, Agus Rotua Sumihar Sitorus Rusmiaty Sinaga Silaban, Maria Silalahi, Novrika Silvia Indriani Simatupang Sinaga, Suharni Pintamas Sinambela, Megawati Singarimbun, Nurbaiti Br Sinurat, Jhon Patar Sitanggang, Loym Ristumerry Sri Dalianti Victor Trismanjaya Hulu Vina Novianti , Widya Putri Lubis Yanti, Dian Anggri Yohanna Adelina Pasaribu Yuliana Zakiah Pulungan Zul Asdar Putra Samura