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All Journal JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) Jurnal Kesehatan Masyarakat dan Lingkungan Hidup JURNAL ILMIAH ADVOKASI Best Journal (Biology Education, Sains and Technology) JURNAL PENELITIAN KEBIDANAN & KESPRO Jurnal Antara Abdimas Kebidanan Jurnal Pengmas Kestra (JPK)

Sri Melda Bangun

Institut Kesehatan Medistra Lubuk Pakam

Author-ID : 2684117

Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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The Ethnic Group Role With Stunting Incidents In Sekip Village Lubuk Pakam District Sri Melda Br Bangun; Windi Anggreni Sitepu
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 5 No. 2 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v5i2.1675

Stunting is a condition where toddlers have less length and height compared to their peers. Stunting is one of the focuses of the 2nd Sustainable Development Goals (SDGs), namely eliminating hunger and all forms of malnutrition by 2030 and achieving food security. The World Health Organization (WHO) sets a maximum limit of 20% or one fifth of the total number of toddlers. This study aims to determine the role of local culture in the incidence of stunting in Sekip Village, Lubuk Pakam District. This type of quantitative research, is an analytic survey with a cross sectional design. The sample size is 62 mothers who have toddlers with a purposive sampling technique, using a questionnaire sheet. Based on the results of the Chi Square test it was found that local culture played a role in stunting with a value of p = 0.017 <? (0.05). The conclusion of this study is that culture has a role in the incidence of stunting. Suggestions for cross-sectoral collaboration involving community leaders in the context of providing education about stunting

EDUKASI TENTANG PENERAPAN PROTOKOL KESEHATAN DALAM UPAYA PENCEGAHAN COVID-19 Irmayani Irmayani; Sri Melda Bangun; Anggi Isnani Parinduri; Raisha Octavariny
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 1 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

The end of 2019 to be precise in December, the world community was shocked by the corona virus. The increasing number of cases which is increasing in such a fast time has caused COVID-19 to become a pandemic. This paper aims to provide education on the application of health protocols in efforts to prevent COVID-19 in Serdang Bedagai Regency, North Sumatra Province. The method of implementing this activity is through observation and providing health education on the application of health protocols in efforts to prevent COVID-19 to the public. From the results of the activities carried out, the community enthusiastically welcomed this activity. It is hoped that with this activity, people's behavior in implementing health protocols will increase.

SOSIALISASI KOMPRES DINGIN DAUN KUBIS DALAM MENURUNKAN INTENSITAS NYERI PAYUDARA Ika Nur Saputri; Raini Panjaitan; Novita Br Ginting Munthe; Basyariah Lubis; Irma Nurianti; Yuni Adelia; Sri Melda Br. Bangun
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

Breastfeeding problems that often arise in the postpartum period are breast engorgement or also called breast milk dams. Cabbage leaf cold compress can have an effect in reducing the intensity and swelling of the breast, cabbage leaf contains sinigrin (allylisothiocyanate) rapine, mustardoil, magnesium, oxylate, sulfur and has antibiotic, anti-irritating, and anti-inflammatory properties. The content in cabbage leaves can help increase blood flow to the area of swelling, and expand capillary networks so that it has properties that can be used to reduce swelling and inflammation of the breast so that it affects the smoothness of milk. This community service is carried out on postpartum mothers. The first preparation before going into the field was discussing the material that would be socialized to postpartum mothers. The next preparation is making banners that facilitate the socialization process. Cabbage leaf cold compresses are proven to reduce breast pain. Cabbage leaves contain sulfur and antibiotic properties that can reduce the pain of breast engorgement and reduce inflammation in the breast. In addition, processed cabbage leaves can be sold to generate income for postpartum mothers.

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.

IMPLIKASI AUDIT PASCA KLAIM BPJS KESEHATAN TERHADAP KERUGIAN RUMAH SAKIT DALAM PERSPEKTIF AKUNTABILITAS DAN PRINSIP KEADILAN (STUDI PADA RSU GRANDMED) Redyanto Sidi; Felix Kasim; Basyariah Lubis; Novita Br Ginting; Sri Melda Br Bangun
Jurnal Ilmiah Advokasi Vol 14, No 1 (2026): Jurnal Ilmiah Advokasi
Publisher : Universitas Labuhanbatu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36987/jiad.v14i1.9100

Post-claim audits conducted by BPJS Kesehatan serve as a supervisory mechanism to ensure accountability in the management of the National Health Insurance (JKN) funds. However, audit practices that result in claim corrections or deductions may cause financial losses to hospitals and raise concerns regarding procedural and distributive justice. This study aims to analyze the implications of post-claim audits on hospital financial losses from the perspective of accountability and the principles of justice at RSU Grandmed. This research employed a mixed-method approach with a cross-sectional design involving 97 respondents selected through purposive sampling. Quantitative data were analyzed using multiple linear regression, examining variables such as transparency of the claim process, auditor accountability, tariff adequacy, timeliness of payment, and allocation of claim funds. The findings indicate that, partially, transparency of the claim process, tariff adequacy, timeliness of payment, and allocation of claim funds significantly influence the hospital’s financial condition, while auditor accountability was not significant in the bivariate analysis. However, simultaneously all variables demonstrated a significant effect on hospital financial losses and financial sustainability (R² = 0.693). These findings demonstrate that post-claim audits are not merely administrative mechanisms but have direct implications for hospital financial stability. Therefore, audit mechanisms must be implemented in a transparent, consistent, objective, and justice-oriented manner to maintain a balance between public accountability and the sustainability of health service delivery.Keywords: Indonesia Health Social Security Agency; post-claim audit; accountability; principles of justice; hospital financial loss.

The Influence of Digital Queue Service Quality on Patient Waiting Time Efficiency at the Polyclinic of TK.IV 01.07.02 Binjai Hospital in 2025 Normalini Potu; Felix Kasim; Sri Melda Br Bangun
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/hv0kvx68

Queues occur when service demand exceeds facility capacity, causing patients to wait to receive care. Previous studies have shown that the implementation of a digital queuing system can reduce patient waiting times and improve efficiency as well as satisfaction with hospital services. This study aimed to analyze the effect of digital queuing service quality on the efficiency of patient waiting times at TK.IV 01.07.02 Binjai Hospital in 2025. This research used a quantitative method with a cross-sectional design. Sampling was conducted using the accidental sampling method. The sample in this study consisted of 113 patients who visited TK.IV 01.07.02 Binjai Hospital. The study was carried out at TK.IV 01.07.02 Binjai Hospital. The results showed that all dimensions of digital queuing service quality namely tangibles, reliability, responsiveness, assurance, and Empathy had a significant effect on the efficiency of patient waiting times at TK.IV 01.07.02 Binjai Hospital in 2025 (p < 0.05). The tangibles aspect, such as the comfort of waiting rooms and digital facilities, helped accelerate service processes, while reliability and responsiveness improved the accuracy and speed of the system and staff in handling patients. The assurance aspect fostered patients’ sense of safety and trust in staff professionalism, while Empathy encouraged humane communication and facilitated smoother service flow.Overall, improvements in all five aspects were proven to shorten waiting times and enhance service efficiency in hospital outpatient clinics. The conclusion of this study is that all dimensions of digital queuing service quality reliability, responsiveness, assurance, and Empathy significantly affect the efficiency of patient waiting times at the hospital. Among the five aspects, Empathy was identified as the most dominant factor in improving the efficiency of patient waiting times.

Analysis of the Implementation of Minimum Service Standards at Mersam Community Health Center, Batanghari Regency, Jambi, 2025 Ayu Nurmala; Ahmad Hafizullah Ritongan; Sri Melda Br. Bangun
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: 10.35451/0vk0mz80

The implementation of Minimum Service Standards (MSS) in the health sector is an obligation of local governments to ensure the provision of basic health services for the community. This study aims to analyze the implementation of MSS at Mersam Community Health Center, Batanghari Regency, in 2025, viewed from the aspects of communication, resources, disposition, and bureaucratic structure, as well as to identify the supporting and inhibiting factors. This research employed a qualitative approach with a descriptive method through interviews, observations, and documentation.The results indicate that the implementation of MSS has been carried out in accordance with existing regulations; however, it has not been fully optimal. The main obstacles include limited health personnel, inadequate facilities and infrastructure, high workload, and low public awareness of preventive services. Supporting factors include leadership commitment and support from the Health Office. The strategies implemented involve improving coordination, optimizing available resources, and strengthening public outreach. The findings emphasize the importance of strengthening resource capacity and enhancing cross-sectoral coordination to ensure that MSS implementation becomes more effective and sustainable in improving the quality of basic health services at the community health center level.

Analysis of ARV Medication Compliance in Patients With HIV/AIDS at DR. H. Kumpulan Pane Hospital, Tebing Tinggi City in 2025 Anestetika Ginting; Ahmad Hafizullah Ritongan; Sri Melda Br. Bangun
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/rcx32f93

Background: HIV/AIDS remains a serious global health problem because it attacks the immune system and can progress to AIDS without regular antiretroviral (ARV) therapy. Globally, more than 37 million people are living with HIV, and Indonesia is among the countries with relatively low ARV coverage, with only around 10% of people living with HIV/AIDS (PLWHA) receiving treatment. In North Sumatra, Tebing Tinggi City is one of the areas experiencing an increase in cases; however, the utilization of HIV testing services and adherence to ARV medication remain low. A preliminary study at RSUD Dr. H. Kumpulan Pane showed that lack of information, motivation, and behavioral skills caused some patients to be inconsistent in undergoing therapy.Objective: This study aimed to analyze adherence to ARV medication among PLWHA at RSUD Dr. H. Kumpulan Pane, Tebing Tinggi City, in 2025. Methods: This study used a quantitative design with a cross-sectional approach. Results: The results showed that information, motivation, and behavioral skills had a significant effect on adherence to ARV medication among PLWHA at RSUD Dr. H. Kumpulan Pane, Tebing Tinggi City, in 2025. The better the information received, the higher the patient’s motivation, and the better the behavioral skills in managing therapy, the higher the patient’s adherence to ARV treatment. Conclusion: Information, motivation, and behavioral skills are important determinants that contribute to the success of ARV therapy among PLWHA.

The Effect of BPJS Kesehatan Smart Claim Implementation on Service Efficiency and Effectiveness at Santa Elisabeth Hospital Medan Bima Roy Manullang; Felix Kasim; Sri Melda Bangun
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: 10.35451/1stfkj48

BPJS Kesehatan Smart Claim implementation at Santa Elisabeth Hospital Medan has progressed to Star 4, including online pharmacy bridging or e-prescription integration. This study aimed to analyze the effect of this implementation on service efficiency and effectiveness. It used a qualitative approach with an intrinsic case study design. Eighteen informants were selected through purposive-homogeneous sampling. Data were collected from August to December 2025 through semi-structured in-depth interviews, limited participatory observation of the end-to-end service and claim workflow, and document review. The data were analyzed thematically using methodological and theoretical triangulation. The findings show that Smart Claim improves data access, supports partial paperless processes, and accelerates service and claim processes under certain conditions. The claim cycle is perceived to be shorter, and pharmacy processing becomes faster after e-prescription integration. Tangibles and responsiveness tend to improve, whereas reliability and assurance still fluctuate during network and bridging disruptions, slow devices, and data mismatch or mapping problems that trigger rework, cross-unit escalation, and pending or returned claims. This study concludes that Smart Claim improves service efficiency and effectiveness conditionally, depending on infrastructure stability, staff readiness, and claim data governance.

Co-Authors Ade Afifah Aliyah Ade Julfiani Ritonga Ade Putri Husniawati Ahmad Hafizullah Ritonga Anestetika Ginting Anggi Isnani Parinduri Anggi Isnani Parinduri Aya Sofia Diaz Ayu Nurmala Beni Satria Bima Roy Manullang David Ginting Delita Br Panjaitan Dewi Mirakirana Dewi Ramayani Dewi Sartika Dwi Handayani Eka Wulandari Emy Pardomuan Sinaga Felix Kasim Harris Rambey Henri Gudmen Rionald Sihite Hermira Sandirka Ika Nur Saputri Indah Maharani Hasibuan Irma Nurianti Irmayani Irmayani Jul Asdar Putra Samura Julisda Nasution Jurpia Yasara Karnirius Harefa Karokaro, Tati Murni Kuat Sitepu Latifah Hanim Latifah Hanum Lismawati Lismawati Lispeno Waty Agustina Br Sipayung Lubis, Basyariah Luci Riani Br Ginting Marice Simarmata Mega Sakinah Munthe, Novita Br Ginting Normalini Potu Novita Br Ginting Nurjannah Syafitri Putri Damayanti Damanik Radika Anzeli Rahmad Gurusinga Rahmadani Sitepu Raini Panjaitan Raisha Octavariny Redyanto Sidi Riris Hotnauli Manurung Ronny Ajartha Ronny Ajharta Rosita Ginting Rotua Sumihar Sitorus Siregar, Wilda Wahyuni Sri Yana Surio Retno Wahyu Hidayat Windi Anggreni Sitepu Yuni Adelia

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