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Persepsi dan Hambatan Orang Tua dalam Mengikuti Program Pendidikan Pengelolaan DA di Fasilitas Primer: Studi Fenomenologi di Puskesmas Secanggang Afriyanti, Dhewi Sri; Wasliati, Balqis; Karo–karo, Tati Murni; Herlina, Herlina; Sirait, Reni Aprinawaty
PubHealth Jurnal Kesehatan Masyarakat Vol. 4 No. 3 (2026): Edisi Januari
Publisher : Ilmu Bersama Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56211/pubhealth.v4i3.1580

Abstract

Dermatitis atopik (DA) merupakan penyakit kulit kronis pada anak yang memerlukan pengelolaan jangka panjang dan keterlibatan aktif orang tua. Program pendidikan orang tua di fasilitas kesehatan primer menjadi strategi penting dalam meningkatkan kemampuan keluarga mengelola DA. Penelitian ini bertujuan untuk mengeksplorasi persepsi dan hambatan orang tua dalam mengikuti Program Pendidikan Pengelolaan DA di Puskesmas Secanggang. Penelitian menggunakan pendekatan kualitatif dengan desain fenomenologi. Data dikumpulkan melalui wawancara mendalam terhadap 10 orang tua yang memiliki anak usia 0–5 tahun dengan diagnosis DA dan dianalisis menggunakan analisis tematik. Hasil penelitian menunjukkan bahwa orang tua memiliki motivasi tinggi untuk mengikuti program, pengalaman positif selama proses edukasi, serta memaknai program sebagai, meskipun motivai tinggi dan sarana pemberdayaan dalam pengelolaan DA anak banyak hambatan berupa keterbatasan waktu kerja, jarak ke Puskesmas dan kurangnya dukungan keluarga. Program pendidikan berkontribusi terhadap peningkatan pengetahuan, perubahan perilaku perawatan, dan penurunan kecemasan orang tua.
Pregnant Women's Knowledges, Attitudes, and Practices (KAP) Regarding COVID-19 Prevention Sirait, Reni Aprinawaty; Susanti, Dewi; Hulu, Victor Trismanjaya
Jurnal Kesehatan - STIKes Prima Nusantara Vol 15 No 1 (2024): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v15i1.1144

Abstract

Background: Pregnant women have heightened vulnerability during the COVID-19 pandemic due to the need for regular health facility visits for prenatal care and the added responsibility of caring for family members who have contracted COVID-19. The Knowledge, Attitudes, and Practices (KAP) score of pregnant women in relation to COVID-19 prevention can be utilized as input to determine the intervention strategy.Objective: The purpose of this study is to examine the KAP scores of pregnant women. This study employs a quantitative approach and utilizes a descriptive survey methodology.Method: The study included a total of 93 pregnant women who sought medical care at the Pagar Jati Health Center in Deli Serdang Regency in 2022. The sample methodology employed was the method of total sampling. The data collection process involved distributing questionnaires to pregnant women, followed by an analysis that included calculating the frequency distribution of demographic data such as the mother's age, education level, and number of children. Additionally, variables related to the knowledge, attitudes, and practices of pregnant women were also examined.Result: The findings indicated that a majority of individuals possessed inadequate knowledge (62.4%). The predominant sentiment among pregnant women is negative, accounting for 60.2%. A majority of pregnant women (53.8%) fail to adhere to health protocols. Pregnant women between the ages of 20 and 35 exhibit low KAP scores.Conclusion: Similarly, consider the educational attainment of women. Pregnant women with a parity of more than 2 persons also exhibited low KAP scores.
Analysis of Determinants of PCV Immunization Uptake and Pneumonia Incidence Among Under-Five Children in the Catchment Area of Sei Rampah Community Health Center Sirait, Reni Aprinawaty; 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
The Provision of Communication and Emotional Support by Drug Swallowing Supervisors (DSS) in the Treatment Success of Pulmonary Tuberculosis Nasution, Ferani; Sirait, Reni Aprinawaty; Harefa, Karnirius
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.