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PENGARUH FAKTOR PREDISPOSISI PENDUKUNG DAN PENDORONG IBU TERHADAP PEMBERIAN ASI EKSKLUSIF DI WILAYAH KERJA PUSKESMAS PANGIRKIRAN KECAMATAN HALONGONAN KABUPATEN PADANG LAWAS UTARA TAHUN 2015 Harahap, Ica Fauziah; Siagian, Albiner; Tampubolon, Elmina
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol 10 No 2 (2015): Jurnal Ilmiah PANNMED Periode September-Desember 2015
Publisher : Politeknik Kesehatan Kemetrian Kesehatan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (496.715 KB)

Abstract

Maternal breast feedy is the best nutrition at the early age of the baby's life. Exclusive breastfeeding is given only breast milk for baby without any additional food up to six months old. The Target exclusive breastfeeding in the Health Service of North Padang Lawas District is 85% but the scope of exclusive breastfeeding in the Puskesmas of Pangirkiran in February 2014 amounted to 30.5% and the scope of exclusive breastfeeding in August 2014 amounted to 36.2%. This study was an observational research design with a case-control and the study aims to analyze the influence of predisposing factors  (knowledge,  attitudes), enabling factors (lactation), reinforcing factors (family support, support health workers) loward exclusive breastfeeding in the working area Puskesmas of Pangirkiran Halongonan sub district of Halongonan district of North Padang Lawas. The Population of this research is all breast feedy mothers  who has baby in 6 – 12 months. The sample is 144 people consist of is people in 72 cases and 72 controls. Based on the results of the study indicate the variables of knowledge, attitude, lactation, family support and support health workers influence on exclusive breastfeeding. Expected to health workers in health centers in the Puskesmas Pangirkiran to further improve counseling on exclusive breastfeeding to the public so that exclusive breastfeeding to the baby can be improved.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT KEPUASAN PASIEN RUJUK ONLINE PADA PASIEN RAWAT JALAN BPJS DI RUMAH SAKIT ADVENT MEDAN TAHUN 2018 Tampubolon, Elmina; Ginting, Selamat; Sitio, Sri Sudewi
Jurnal Kajian Kesehatan Masyarakat Vol 1 No 2 (2020): Jurnal Kajian Kesehatan Masyarakat
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jk2m.v1i2.876

Abstract

The weakness of referral system has an impact on the use of human resources and in effficent advanced technology, have consequence in accumulation of patients in the hospital and finally impacted to the quality of health service. The purpose of research was to find out the factor of online referral that related to patient satisfaction in agency of social health service outpatients. The research was done using the quantitaive method with the cross sectional approach which analytical survey. The 96 samples is from purposive sampling method. The data instrument used questionnaire with the item correlation 0,361 and cronbach alpha 0,6. The data analysis was done with chi-square test (X 2 test) on the bivariate test, and regression logistic on the multivariate test with α= 0,05. The result of the analysis was related certainty of time (p=0,005), certainty of referral (p= 0,007),waiting time (p=0,034), acces to health service (p=0,011),quality of health service (p= 0,001), health care procces (p=0,004), health care system (p= 0,003) with the patient satisfaction in agency of social health service outpatients and the most dominant variable related with patient satisfaction is certainty of referral (RP=8,886). The research was concluded that there is related the certainty of time, certainty of referral, waiting time, acces to health service, quality of health service, health care procces and health care system related with the patients satisfaction. Suggested to doctor have to be on time in service so that service is more optimal.
PENGARUH KUALITAS PENCATATAN DAN PELAPORAN TERHADAP TATA KELOLA ADMINISTRASI DI WILAYAH KERJA PUSKESMAS SIBOLANGIT TAHUN 2017 Tampubolon, Elmina; Sitorus, Friska; Efriza, Efriza
Jurnal Inovasi Kesehatan Masyarakat Vol 1 No 1 (2019): Jurnal Inovasi Kesehatan Masyarakat
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jikm.v1i1.869

Abstract

Regristration and reporting system of Public Health Center is vital instrument in health system. The information about the pain, the use of health service at Public Health Center, death and many others health information is beneficial to have decision and policy maker at Regency stage, city and Sub-regency. This research aims to analyze the influence quality of registration and reporting toward administrative system at Pubilic Health Center of Sibolangit in 2017. This research is explanatory research with cross sectional as discover, analyze and explain how the influences quality or registration and reporting toward administrative system at Pubilic Health Center of Sibolangit in 2017. The sample of this research is all populations (random sampling) who are the staff who work in Public Health Center of Sibolangit as many as 50 people. The result of input factors found that budgeting in registration and reporting is good (82%), capacity resource support (86%), mainstay variable in handling good registration and reporting (74%), good respond (76%). The factor of process, data respondents collecting who said good (68%), good sending process of respondents data (52%), bad sending process (48%). From data analysis found that respondents who said good (65%). Output factors, good planning variable (36%), with good evaluation (58%), punctuality to handle and make good report (60%), safety of saving data file (52%). The bivariat result show that there is significant influences between collecting data, sending data, analysis data, planning, punctuality, completencess with implematation of administration system at Public Health Center of Sibolangit. There is no significant influences between budgeting, capacity resources, mainstay, respond capacity, and evaluation with administrative system at Pubilc Health Center of Sibolangit. The result of multivariate analysis found that dominant factors is collecting data with value 1,637. For health department needs the efforts comprehensive ordering on organizing of Registration and reporting system of Public Health Center to progress and application of health information system at Public Health Center.
ANALISIS DAMPAK KEBIJAKAN PROGRAM RUJUKAN ONLINE BERJENJANG BPJS TERHADAP PELAYANAN RAWAT JALAN DI POLI PENYAKIT DALAM RSUD DELI SERDANG TAHUN 2019 Tampubolon, Elmina; Sari, Nur; Hariati, Hariati
Jurnal Inovasi Kesehatan Masyarakat Vol 2 No 2 (2021): Jurnal Inovasi Kesehatan Masyarakat
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jikm.v2i2.870

Abstract

The era of National Health Security (NHS) enacted tiered referral system start in first level health services, then the hospital type D, type C, type B and type A. Community complaints and a significant decrease in the number of patients in type B hospital especially in outpatient services, the occurrence of patient accumulation and long queues in hospital type C, this indicates that the implementation of this tiered referral system policy program has not run well. The purpose of this study was to look at the impact of the implementation of this tiered referral program policy on outpatient care in poly Internal medicine at the Regional General hospital Deli Serdang Lubuk Pakam. This research is a qualitative research with a prosfective case study approach and uses a fixed case design. This study triangulation to obtain in-depth information on document from SIMRS data, in-depth interviews, Focus Group Discussion (FGD), direct observation in the field without intervention. This reseach was carried out at the Regional General Hospital Deli Serdang Lubuk Pakam , start from January until April 2019. The result of the study show that the implementation of the program has been carried out in accordance with the regulation of Director of Health Service No. 4 of 2014 regarding the referral system for health services carried out in stages. But there were several impacts from the implemention of the program, namely there was a decrease in the number of patient visits, patients cannot get the doctor’s service they want, patients service time is long because the patient must go through several referral procedur first. Recommendation for BPJS as The National Health Insurance Organizing Body to evaluate and improve existing regulations. If it is necessary to make new regulations so that people do not feel like they are being complicated to get services. Recommendation for the hospital to provide better facilities, both facilities and infrastructure, more competent medical personnel and paramedics.
Gambaran Perilaku Jajan Siswa/Siswi Kelas 6 dan Kelas 9 di Sekolah Penuai Cibubur Jatisampurna Bekasi Elmina Tampubolon
Elisabeth Health Jurnal Vol 6 No 1 (2021): Vol. 6 No. 1, Edisi Juni 2021 : Elisabeth Health Jurnal
Publisher : STIKes Santa Elisabeth Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52317/ehj.v6i1.337

Abstract

Background: School children are food consumers who have been active and independent in determining the food they want, both snacks at school and elsewhere. Based on the initial survey, during recess almost all students eat snacks in the canteen and the snacks chosen are mostly fried or boiled instant noodles. This of course can have an impact on the health of students. The purpose of the study was to obtain an overview of the snacking behavior of students in grade 6 and grade 9 at the Cibubur Harvest School.Methods: The research design used is a case study. The sample/informant consisted of four 6th grade elementary school students and 4 9th graders. While the key informant was 1 canteen owner. The data collection method used is semi-structured in-depth interviews and observation. The data was processed and tested for validity by using triangulation, then data analysis was carried out in the form of content analysis.Results: The results showed that students' snacking behavior was influenced by knowledge, attitudes, canteen availability, pocket money, access to information, support from friends, teachers and parents. The results of observations showed that the types of snacks chosen by grade 9 students were more varied and nutritionally balanced compared to grade 6 students.Conclusion: For parents, it is necessary to always direct their children to choose healthy snacks and limit the amount of pocket money for students because it can encourage students to snack more often.
HUBUNGAN PERSEPSI TENTANG PELAYANAN PRIMA TERHADAP KEPUASAN PASIEN DI PUSKESMAS SUMBUL KABUPATEN DAIRI TAHUN 2018 Diana Sinulingga; Elmina Tampubolon; Jon Piter Sinaga
Jurnal Penelitian Kesmasy Vol 1 No 1 (2018): Jurnal Penelitian Kesmasy
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v1i1.772

Abstract

ABSTRACT The development of health services, especially in health community centers was made health care quality in health community centers was easily overlooked. This study aims to analyze the relationship between patient satisfaction based on responsiveness, assurance, reliability, empathy and tangiable variables with the quality of service in the Sumbul health center in Dairi district. The study population was 69 respondents. The method used in this study is cross sectional, using analytical survey methods, and using a questionnaire for data collection. Data were analyzed by chi square test. Data using univariate and bivariate analysis. The results showed that there was a significant relationship between perceived reliability (p=0,000), responsiveness (p=0,000), assurance (p=0,000), empathy (p=0,000), and tangiable (p=0,000). So it can be concluded that there is a relationship between the variable responsiveness, assurance, reliability, empathy and tangiability with patient satisfaction Sumbul community health center Dairi district in 2018.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KUALITAS PELAYANAN KESEHATAN DI RSU MITRA MEDIKA AMPLAS MEDAN TAHUN 2021 Elmina Tampubolon; Novrika Silalahi; Muhraza Siddiq
Jurnal Penelitian Kesmasy Vol 4 No 1 (2021): Jurnal Penelitian Kesmasy
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v4i1.776

Abstract

Factors Associated with the Quality of Public Health Services at Mitra Medika Amplas General Hospital Medan in 2021. Thesis, Department of Public Health, Faculty of Public Health, Deli Husada Delitua Health Institute. This study aims to analyze the relationship of tangible, reliability, responsiveness, assurance, empathy with the quality of health services at RSU Mitra Medika Amplas Medan. The population of this study were patients at Mitra Medika Amplas Hospital, Medan. In the sample can be 99 respondents. The sampling technique used in this research is purposive sampling. The method used in this study was analyzed by Chi-Square test. The results of the research on tangible variables in the good category reached 79.3%. The reliability variable obtained 80.3%. The responsiveness variable was obtained 78.5%. Assurance variable obtained 80.5%. Empathy variable obtained 78.9%. So it can be concluded that there is a relationship between tangible, reliability, responsiveness, assurance, empathy variables with the quality of health services at Mitra Medika Amplas Medan General Hospital in 2021.
HUBUNGAN UPAYA KESEHATAN SEKOLAH DENGAN PERILAKU HIDUP BERSIH DAN SEHAT PADA SISWA KELAS IV, V, VI SDN 043936 MERK SITUNGALING TAHUN 2018 Rizka Annisa; Herlina J. EL-Matury; Elmina Tampubolon
Jurnal Penelitian Kesmasy Vol 1 No 1 (2018): Jurnal Penelitian Kesmasy
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v1i1.778

Abstract

Ginting, Elisabet. Relationship between School Health Business (UKS) and Clean and Healthy Living Behavior (PHBS) for IV, V, VI class students from SDN 0 3936 Brand Situngaling. Thesis of the Department of Public Health, Faculty of Public Health, Deli Husada Deli Tua Health Institute (Supervision Ns. Nurmala Sari, SST, M.Kes) The method used is the analytical correlation with a transversal approach. The population of this study consisted of grade IV, V, V1 students in SDN 043936, for a total of 56 students sampled by simple random sampling technique. The independent variables in this study were the role of School Health Companies (UKS) and the dependent variable was the application of Clean and Healthy Living Behavior (PHBS) in grades IV, V, VI. Data collection via questionnaire. Data processing by editing, coding, scoring and tabulation with the Spearman Rank statistical test. The results of this study indicate that 56 respondents who performed well in the UK were 56 respondents (26.8%), while nearly half of the PHBS respondents were up to 15 respondents (6.9%). Sperman Rank test results obtained pylt; 0.05, p = 0.013, so H1 was accepted. The conclusion of this study is that there is a relationship between the role of the School Health Unit (UKS) and the implementation of clean and healthy behavior (PHBS) in students of grades IV, V, VI. Schools are expected to suggest that schools can increase UKS activities to raise student awareness of the importance of PHBS.
Faktor Prediktor Pertumbuhan Anak Usia 12-23 Bulan di Kecamatan Limo Kota Depok Elmina Tampubolon
Jurnal Kesehatan Komunitas Vol 7 No 3 (2021): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol7.Iss3.1027

Abstract

The growth and development of infancy determine the growth and subsequent development until adulthood. Several studies show that a mother's knowledge is the main predictor of child growth, but there are still few studies that examine other predictor variables of child growth. This study aims to analyze the predictor factors of the growth of children aged 12-23 months in Limo District, Depok City. This type of research is quantitative analytic. The quantitative design used is a case-control study. The research sample was all mothers who had children under the age of 12-23 months, consisting of 53 children in the case group and 53 children as controls. The sampling technique was carried out by purposive sampling. Bivariate analysis using chi-square test, t-independent test, and Mann-Whitney. Multivariate analysis using multiple logistic regression tests. The results of the analysis showed that supplementary feeding and frequency of feeding were predictors of growth in children aged 12-23 months. Suggestions to the Ministry of Health and health workers at Primary Health Care to strengthen educational programs about providing quality complementary food or complementary foods and if necessary, providing additional milk to prevent stunting in children.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT KEPUASAN PASIEN RUJUK ONLINE PADA PASIEN RAWAT JALAN BPJS DI RUMAH SAKIT ADVENT MEDAN TAHUN 2018 Elmina Tampubolon; Selamat Ginting; Sri Sudewi Pratiwi Sitio
Jurnal Kajian Kesehatan Masyarakat Vol 1 No 2 (2020): Jurnal Kajian Kesehatan Masyarakat
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jk2m.v1i2.786

Abstract

The weakness of referral system has an impact on the use of human resources and in effficent advanced technology, have consequence in accumulation of patients in the hospital and finally impacted to the quality of health service. The purpose of research was to find out the factor of online referral that related to patient satisfaction in agency of social health service outpatients. The research was done using the quantitaive method with the cross sectional approach which analytical survey. The 96 samples is from purposive sampling method. The data instrument used questionnaire with the item correlation 0,361 and cronbach alpha 0,6. The data analysis was done with chi-square test (X 2 test) on the bivariate test, and regression logistic on the multivariate test with α= 0,05. The result of the analysis was related certainty of time (p=0,005), certainty of referral (p= 0,007),waiting time (p=0,034), acces to health service (p=0,011),quality of health service (p= 0,001), health care procces (p=0,004), health care system (p= 0,003) with the patient satisfaction in agency of social health service outpatients and the most dominant variable related with patient satisfaction is certainty of referral (RP=8,886). The research was concluded that there is related the certainty of time, certainty of referral, waiting time, acces to health service, quality of health service, health care procces and health care system related with the patients satisfaction. Suggested to doctor have to be on time in service so that service is more optimal.