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Putranto Manalu

Universitas Prima Indonesia

Author-ID : 2687974

Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary

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Factors Associated With Cessation of Exclusive Breastfeeding Among Working Women Kalimah Kalimah; Ermi Girsang; Putranto Manalu
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.3.387-400

Exclusive breastfeeding for the first six months are crucial for infant nutrition. The condition of mothers as workers is reported to be one of the factors that hinders exclusive breastfeeding, while the number of working mothers continues to increase every year. This study aimed to evaluate the level of exclusive breastfeeding and identify factors associated with the cessation of exclusive breastfeeding among working mothers. This research employed an analytical observational study. Data was collected from five health center areas in Langkat district, involving 165 working mothers. Samples were taken using a purposive sampling technique. Data analysis included univariate, bivariate (chi-square), and multivariate (logistic regression) analyses. This study reported low levels of exclusive breastfeeding among working mothers. Several factors were associated with breastfeeding, namely age (OR=2.13, 95% CI, 1.07-4.24); p=0.044), education (OR=2.40, 95% CI, 11.24-4.64; p = 0.009), knowledge (OR= 27.08, 95% CI, 10.88-67.37; p<0.001), attitude (OR=18.80, 95% CI,8.33-42.43; p<0.001) and husband's support (OR=8.14, CI 95%, 3.92-16.87; p<0.001). This study concluded that adequate knowledge, a positive attitude towards breastfeeding, and a husband's support are key factors for the success of exclusive breastfeeding for working mothers. Therefore, health workers must pay special attention to these aspects by providing education on the importance of breastfeeding for pregnant women and husbands by providing education of exclusive breastfeeding. It is suggested that future research design a model of public health education to increase the quality and quantity of exclusive breastfeeding among employed women.

PERSEPSI DAN KEPATUHAN PETUGAS KESEHATAN DALAM MENERAPKAN PROTOKOL KESEHATAN COVID-19 Manalu, Putranto; Gultom, Dameria; Hulu, Victor Trismanjaya; Karo Karo, Ulina; Pardede, Ribka Rusiani; Sihaloho, Linda Suryani
Jurnal Kesehatan - STIKes Prima Nusantara Vol 12 (2021): Supplementary 1
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v12i0.469

Latar Belakang: Kepatuhan tenaga kesehatan dalam menerapkan protokol kesehatan COVID-19 sangat penting meminimalkan risiko infeksi COVID-19. Persepsi individu tentang ancaman/ keparahan penyakit akan mendorong seseorang dalam melakukan tindakan pencegahan. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh persepsi dengan kepatuhan tenaga kesehatan terhadap protokol kesehatan COVID-19. Metode: Penelitian ini bersifat survei analitik dengan pendekatan cross sectional. Populasi pada penelitian ini yaitu tenaga kesehatan di Puskesmas Rambung. Teknik pengambilan sampel menggunakan total sampling (n= 43). Variabel dependen pada penelitian ini adalah kepatuhan tenaga kesehatan. Variabel independen yaitu persepsi penggunaan APD, persepsi physical distancing, persepsi hand hygiene. Pengumpulan data dalam penelitian ini dilakukan melalui wawancara dengan menggunakan kuesioner (persepsi penggunaan APD= 11 pernyataan, persepsi physical distancing= 5 pernyataan, persepsi hand hygiene= 5 pernyataan, dan kepatuhan= 14 pernyataan). Penelitian ini menggunakan uji statistik Chi-square (Confidence Interval (CI) 95%; Î± = 0,05). Analisis multivariat menggunakan regresi logistik. Hasil: Persepsi penggunaan APD (p= 0,001; PR= 15,2; 95% CI= 3,680-62,780), physical distancing (p= 0,047; PR= 6,667; 95% CI= 1,955-22,731), dan hand hygiene (p= 0,002; PR= 12,333; 95% CI= 2,859-53,206) memiliki pengaruh dengan kepatuhan tenaga kesehatan terhadap protokol kesehatan COVID-19. Variabel independen yang dominan adalah persepsi penggunaan APD (p=0,027; PR= 41,329; 95% CI= 1,54-1.109,178). Kesimpulan: Persepsi tenaga kesehatan terhadap penggunaan APD, physical distancing, dan hand hygiene di Puskesmas Rambung Kota Binjai memiliki persepsi baik dan tenaga kesehatan sebagian besar sudah patuh terhadap protokol kesehatan COVID-19. Variabel independen yang dominan yaitu persepsi penggunaan APD.

Barriers to Stunting Intervention at a Community Health Center: A Qualitative Study Rapael Ginting; Ermi Girsang; Megasilvia Sinaga; Putranto Manalu
Jurnal Penelitian Pendidikan IPA Vol 9 No 10 (2023): October
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i10.4656

Stunting is one of Indonesia's most prevalent nutritional problems, with a prevalence rate of 24.4%. In Samosir Regency, the prevalence of stunting remains relatively high at 28.4%. Community health centers are crucial in the community's efforts to accelerate stunting reduction. This study aimed to explore the barriers a community health center faces in implementing the stunting reduction acceleration program. Method: Using a qualitative case study design, the study was conducted at Buhit community health center in Samosir Regency from August to December 2022. The key informants for this study included the community health center leader, head of administration, nutritionist, and midwife. Data were collected through in-depth interviews and document review. The results identified several barriers to the implementation of the Accelerated Stunting Reduction Programme. These barriers encompassed limited staff resources and concurrent positions, the availability and suitability of anthropometric tools, a lack of coordination in planning activities between management and program officers, families' fear of the negative stigma associated with stunting, and low levels of community participation. Farmers who do not comply with safe behavior will have a higher health risk because of the toxicity of pesticides that can be directly inhaled and enter through the pores of the farmers' skin

Risk Factors of Musculoskeletal Disorders among Workers of Water Refilling Depot Hulu, Victor Trismanjaya; Manalu, Putranto; Siregar, Santy Deasy; Singa, Aditya Bastanta Guru; Amrulah, Addin
AgriHealth: Journal of Agri-food, Nutrition and Public Health Vol 4, No 1 (2023): April
Publisher : Research and Development Center for Food, Nutrition and Public Health (P4GKM) LPPM UNS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/agrihealth.v4i1.70676

Complaints of musculoskeletal disorders (MSDs) are common in workers with a reasonably heavy workload, such as workers at refill drinking water depots. MSDs can be caused by repetitive activities such as daily bending, lifting and lowering liters of drinking water refills. This study aimed to identify the risk factors of MSDs among workers at refilled drinking water filling depots and analyze the dominant factors that influence MSDs. This study was quantitative research with an analytical survey using a cross-sectional design conducted in Simpang Selayang Village, Medan City, Indonesia. A total of 40 refilled drinking water depot workers were involved in this study with a comprehensive sampling approach. Data was collected directly by distributing questionnaires to workers at refill drinking water filling depots. Data were tested statistically using the Chi-Square test and logistic regression. The analysis showed that work posture, workload, tenure and length of work are associated with MSDs complaints. The results of the logistic regression test showed that the dominant variable influencing MSDs complaints is work posture. Refillable drinking water depot workers with non-ergonomic working postures were likely to experience MSDs complaints 11 times as often as those with ergonomic work postures. The findings highlight the need for local health agencies to educate or empower workers at water refilling stations regarding MSDs complaints. Musculoskeletal disorders associated with work involving heavy loads could be prevented if workers know ergonomic work postures well. In addition, adequate rest is recommended to avoid musculoskeletal injuries.

Give us raw food materials: Qualitative analysis of stunting prevention challenges at Mandala Health Center Suhartina Suhartina; Chris Cahyani Lase; Putranto Manalu; Buenita Sinurat
AcTion: Aceh Nutrition Journal Vol 11, No 2 (2026): June
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v11i2.2976

Stunting remains a critical public health concern in Indonesia, with long-term implications for children's physical and cognitive development, despite governmental efforts that have failed to meet national targets. This study evaluated the effectiveness of the stunting prevention program at the Mandala Community Health Center in Medan and identified the supporting and inhibiting factors in its implementation. A qualitative case study was conducted from February to April 2025, gathering data through in-depth interviews, observations, and document analysis with five key informants, including health officials, community health cadres, and mothers. Edward III’s implementation theory (encompassing communication, resources, disposition, and bureaucratic structure) guided the analysis, with thematic patterns identified and validity ensured via triangulation and member checking. The results revealed effective program socialization across levels, adequate budget allocation offset by challenges from processed food assistance over raw materials, strong implementer commitment, and consistent adherence to standard operating procedures. The study concluded that the program was administratively robust, but reliance on processed food posed a key barrier, recommending policy shifts to prioritize raw food provision for greater effectiveness.

Adsorption of Lead (Pb) Ions from Workshop Wastewater Using a Combined Filter of Coconut Shell Charcoal, Pumice, and Hair Waste Marlinang Isabella Silalahi; Ermi Girsang; Agung Abadi Kiswandono; Hartono; Putranto Manalu
Jurnal Kesehatan Masyarakat Vol. 21 No. 3 (2026)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i3.32351

The abundance of natural materials has attracted the attention of numerous researchers, who are now developing them into effective adsorbents for waste treatment applications. The waste stream in question includes laundry liquid waste from workshops, which is discharged directly into the environment via soil or drainage channels without any form of pretreatment. The lead content (Pb) in workshop laundry liquid waste is hazardous if discharged into the environment because it is difficult to degrade. This study investigates a filtration media composed of a combination of natural adsorbents—coconut shell charcoal, pumice stone, and hair waste as an option for treating workshop laundry liquid waste. This research was conducted in January 2021 and focuses specifically on its effectiveness in reducing Pb levels. Adsorbents are arranged in a 60 cm diameter barrel with a height of 40 cm for each adsorbent. Laboratory analysis for the lead test method according to SNI 6989.8.2009 with Atomic Absorption Spectrophotometry (SSA) shows a decrease in Pb levels starting from the control to the first repetition, second repetition, and third repetition, where the final results show that Pb levels are safe to be discharged into the environment because they are below the environmental quality standards based on the Regulation of the Minister of Environment of the Republic of Indonesia Number 5 of 2014 concerning Wastewater Quality Standards, which is a maximum of 0.03 mg/L. Filtration A showed a Pb level of 0.021 (50% decrease), and Filtration B showed a Pb level of 0.106 (80% decrease)

Climate Anxiety Among Adolescents in Medan City, Indonesia Putranto Manalu; Eka Lolita Eliyanti Pakpahan; Henny Arwina Bangun; Frans Judea Samosir; Hartono; Esra Febiola Hutabarat; Theresya Tiara Sari Lumban Batu
Jurnal Kesehatan Masyarakat Vol. 21 No. 4 (2026)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i4.33205

Climate change represents a significant global crisis affecting human well-being, with over 59% of youth reporting extreme concern. This study aimed to investigate factors contributing to climate anxiety among adolescents in Medan City, Indonesia, a region vulnerable to climate-related challenges. A cross-sectional study was conducted between February and April 2024, involving 372 adolescents aged 12 to 19 years from Medan City. Data on sociodemographic characteristics, climate change knowledge, attitudes, and anxiety levels were collected using an online questionnaire. Statistical analyses included univariate descriptions and chi-square tests. Significant associations were observed between climate anxiety and gender, education level, sources of information, knowledge, and attitudes. Males exhibited lower odds of experiencing anxiety compared to females (OR = 0.472, p = 0.001). Higher education (p = 0.003), use of electronic media as an information source (OR = 0.466, p = 0.029), strong climate change knowledge (OR = 3.933, p < 0.001), and positive attitudes toward climate action (OR = 7.269, p < 0.001) were associated with increased anxiety. This study highlights the complex relationship between adolescents’ understanding of climate change and their emotional responses, emphasizing the necessity for targeted interventions to address climate anxiety within this demographic.

The Effect of Cognitive Behavior Therapy on Self-Efficacy and Reducing Anxiety Levels in Hospitalized Patients Fitri Kristianis Zalukhu; Ermi Girsang; Putranto Manalu
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 10, No 2 (2025)
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jumantik.v10i2.24678

Self-efficacy refers to an individual's belief in their ability to successfully manage and overcome challenging situations. It is a key factor that can help patients effectively cope with anxiety. Anxiety is a common emotional response experienced by patients during hospitalization, and high levels of anxiety can negatively impact comfort, the healing process, and overall quality of life. Psychological interventions such as Cognitive Behavioral Therapy (CBT) have been shown to improve self-efficacy and significantly reduce anxiety. This study aimed to evaluate the effect of CBT in enhancing self-efficacy and reducing anxiety levels in hospitalized patients. A quasi-experimental design with a control group and pre-test post-test measurements was used. The study involved 45 respondents, selected through a saturated sampling technique, meaning all eligible participants who met the inclusion criteria were included. Data were analyzed using the Wilcoxon signed-rank test. The results showed that all respondents in the intervention group had consistently high self-efficacy before and after CBT. CBT significantly improved patients' confidence in managing their treatment period (p-value 0.000) and meaningfully reduced their anxiety levels (p-value 0.000). In contrast, the control group showed no change in self-efficacy (p-value 1.000) and experienced a slight increase in anxiety (p-value 0.257). These findings highlight the positive impact of CBT in helping patients feel stronger, calmer, and more in control during hospitalization. CBT is recommended as part of a holistic and compassionate approach to patient care in clinical settings.

DEVELOPING AN INTERPROFESSIONAL STUNTING PREVENTION MODULE: AN EDUCATIONAL DESIGN RESEARCH STUDY Erwin Handoko; Nelly Dameria Sinaga; Martha Sutriska Sagala; Afnizar Wahyu; Jhon Roby Purba; Ribka Narwastu Silaban; Yanti Maria Nainggolan; Irza Haicha Pratama; Risti Rosmiati; Putranto Manalu
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 15, No 1 (2026): March
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.110160

ABSTRACTBackground: Stunting is a major public health issue in Indonesia, with a prevalence rate of 19.8%. Addressing this challenge requires coordinated action across multiple health disciplines, yet educational resources to promote interprofessional collaboration in stunting prevention remain limited. Aims: To develop an interprofessional education (IPE) module for undergraduate students across five health-related disciplines - medicine, nursing, midwifery, nutrition, and physiotherapy - and evaluate its effectiveness.Methods: Using an Educational Design Research, the study developed and tested the module through an iterative process. Participants' knowledge and collaboration readiness were assessed using pre- and post-tests and the Readiness for Interprofessional Learning Scale (RIPLS). Results: Wilcoxon signed-rank tests showed that the IPE module significantly improved students' knowledge about stunting prevention (p < .001, Z = 4.239, r = .80) and readiness for interprofessional collaboration (p = .016, Z = 2.409, r = .46). Thematic analysis of student reflections revealed improved understanding of the roles and contributions of different health professions, better awareness of the value of interdisciplinary collaboration, and an appreciation for community engagement in stunting prevention. Challenges identified included interpersonal and communication issues, time constraints, and overlapping responsibilities among professions. They also provided suggestions for module improvement, such as involving more programs from health and nonhealth disciplines and enhancing content depth. Conclusion: The study's findings suggest that IPE is an effective tool for equipping future healthcare professionals to address complex health issues such as stunting, and that the approach should be expanded and refined for broader application in health education.

Faktor Risiko Keluhan Musculoskeletal Disorders Pada Penjahit Di Pasar Tradisional Kabanjahe Cleo Dora Aurelia Br. Ginting; Mutiara Nandika; Putranto Manalu; Santy Deasy Siregar
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v4i3.820

Musculoskeletal Disorders (MSDs) are a major occupational health issue among informal-sector tailors due to prolonged static postures and repetitive movements. This study aims to analyze risk factors associated with MSDs complaints among tailors at Kabanjahe Traditional Market. A quantitative cross-sectional design was applied with total sampling of 63 tailors, using the Nordic Body Map (NBM) questionnaire, Rapid Entire Body Assessment (REBA) worksheet, and a lux meter. Data were analyzed with the Chi-Square test (α = 0.05). The results showed that 63.5% of tailors experienced MSDs. Significant associations were found between MSDs and age (p = 0.020; OR = 4.359), years of service (p = 0.040; OR = 3.667), working duration (p = 0.005; OR = 6.417), and working posture (p = 0.005; OR = 6.417). Sex, lighting, and BMI showed no significant association (p > 0.05). Working duration and posture were the most dominant risk factors. Tailors are advised to improve posture, use supportive chairs, and perform regular stretching to prevent MSDs.

Co-Authors Achmad Rifai Aditya Kurnia , Muhammad Afnizar Wahyu Agung Abadi Kiswandono Ali Napiah Nasution Aminuyati Amrulah, Addin Anggita, Nindi Dwi Asri Noor Aulia, Yuli Binarwan Halim Boas, Richie Ray Barry Buenita Sinurat Buenita Sinurat Buenita, Buenita Butar-Butar, Erika Fatrecia Marsaulina Chinintya, Dwi Putri Chris Cahyani Lase Chrismis Novalinda Ginting Chrismis Novalinda Ginting Cleo Dora Aurelia Br. Ginting Damanik, Marco Frans Hernandes Dameria Dameria Dameria Dameria Dameria Gultom Dameria Gultom Deasy Siregar, Santy Desi Lustiyani Putri Ndruru Efendy Pakpahan Eka Lolita Eliyanti Pakpahan Ellista Anatasia Sinaga Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Erwin Handoko Esra Febiola Hutabarat Eva Ellya Sibagariang Fadilah Ummul Choiriyah Rambe Fadilla Ripta Fahmi Syahpreza Tarigan Febrianty, Novita Dwi Fitri Kristianis Zalukhu Frans Judea Samosir Frans Judea Samosir Frans Judea Samosir Ginting, Chrismis Novalinda Ginting, Tarianna Girsang, Ermi Gultom, Dameria Gunarto Sinaga Hafizah, Nandani Zakia Hakim, Mia Amara Hamdi, Sintiya Harahap, Emira Nadiah Hartono Hartono Hartono Hartono Henny Arwina Bangun Hutagalung, Priscilla Grace J Irza Haicha Pratama irza Haicha Pratama Isabela Silalahi, Marlinang Isabella Silalahi , Marlinang Janas, Dhyta Nurhasanah Jeremia Chandra Partogi Siallagan Jhon Roby Purba Judea Samosir, Frans Kalimah Kalimah Kalimah, Kalimah Karo Karo, Ulina Linda Suryani Sihaloho Maler, Tangge Mangatas Silaen Margaretha Febrina Br Ginting Martha Sutriska Sagala Masryna Siagian Megasilvia Sinaga Melisa Manullang Meyliana Ginting Milka Rositi Sianipar Mita Sahara Mutiara Nandika Nadapdap, Marshall Jeremia Nadilla Hasibuan Nasution, Ali Napiah Nelly Dameria Sinaga Nurhafsyah Daulay Pahala Maringan J. Simangunsong Pakpahan, Efendy Pane, Putri Yunita Panjaitan, Hajijah I. L. Pardede, Ribka Rusiani Perry Boy Chandra Siahaan Putri Marlinang Manalaksak Hutajulu Putri Yunita Pane Putri Yunita Pane Putri, Faradiba Fatillah Rapael Ginting Rara Vyani Adistira Reh Malem Br Karo Ribka Narwastu Silaban Ribka Rusiani Pardede Ripta, Fadilla Risti Rosmiati Rizki Luthfita Sari Rizky, Muhammad Irvan Sabarina Tarigan , Rimma Samosir, Frans Judea Santy Deasy Siregar Sembiring , Jessyca Siagian, Masryna Sihaloho, Linda Suryani Sijabat, Vina Helsa Laora Sinaga, Suharni Pintamas Sindy Andari Singa, Aditya Bastanta Guru Sinurat, Jhon Patar Sitanggang, Rido Aliberto Sri Lestari Ramadhani Nasution Sri Lestari Ramadhani Nasution Subrata, Mariany Puspita Suhartina Suhartina Suhartina Sweeta Silaban , Ray Tan Suyono Tan Suyono Tarigan, Nita Kastrina Theresya Tiara Sari Lumban Batu Thomson Parluhutan Nadapdap, Thomson Parluhutan Ulina Karo Karo Ulina Karokaro Vera Prianggi Hutabarat Victor Trismanjaya Hulu Villia Sitepu Vina Helsa Laora Sijabat Virgin Tursulawati Panggabean Wau, Herbert Wela Tresia Nababan Wicaksana, Praja Dwi Widya Yanti Sihotang Wulan Indah Damanik Yani Sri Ningsih Yanti Maria Nainggolan Yolanda Eliza Putri Lubis Yoridha Aulia Sinuraya Zendrato, Victorwan Novri

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