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All Journal Media Kesehatan Masyarakat Indonesia JURNAL GIZI INDONESIA Jurnal Kesehatan Lingkungan indonesia JURNAL PROMOSI KESEHATAN INDONESIA Media Kesehatan Masyarakat Indonesia Jurnal Manajemen Bisnis Jurnal Kesehatan Masyarakat Althea Medical Journal Jurnal Kesehatan Masyarakat (IKESMA) Jurnal Berkala Epidemiologi Berkala Ilmu Kesehatan Kulit dan Kelamin Gema Publica : Jurnal Manajemen dan Kebijakan Publik Public Health of Indonesia Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Jurnal Berkala Kesehatan Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Kesehatan Vokasional AcTion: Aceh Nutrition Journal Jurnal Kesehatan Komunitas Media Ilmu Kesehatan Al-sihah: The Public Health Science Journal Jurnal Kesehatan Global Journal of Humanities and Social Studies Medical Technology and Public Health Journal Jurnal Kesmas Prima Indonesia Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Prima Medika Sains Stannum : Jurnal Sains dan Terapan Kimia Jurnal Ners Jurnal Aisyah : Jurnal Ilmu Kesehatan AgriHealth: Journal of Agri-food, Nutrition and Public Health JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Jurnal Ilmiah Ilmu Terapan Universitas Jambi JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) JHE (Journal of Health Education) Jurnal Kesehatan Masyarakat Jurnal Ilmu Kesehatan Masyarakat Preventia : The Indonesian Journal of Public Health Jurnal Kesehatan
Putranto Manalu
Universitas Prima Indonesia
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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ENCOUNTERING BARRIERS: INSIGHTS ON HEALTH PROMOTION IMPLEMENTATION IN COMMUNITY HEALTH CENTERS Nasution, Sri Lestari Ramadhani; Girsang, Ermi; Manalu, Putranto; Anggita, Nindi Dwi; Febrianty, Novita Dwi; Sianipar, Milka Rositi
Jurnal Ilmiah Ilmu Terapan Universitas Jambi Vol. 10 No. 1 (2026): Volume 10, Nomor 1, February 2026
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jiituj.v10i1.32537

Abstract

Community Health Centers (Puskesmas) are crucial in promoting health and empowering communities to maintain their health independently. Despite their importance, health promotion programs have faced significant challenges, leading to suboptimal implementation. This study aims to analyze the implementation of health promotion programs at Puskesmas and identify the barriers faced by implementers. Qualitative research with a case study design was conducted at four Community Health Centers in Serdang Bedagai Regency from December 2021 to March 2022. In-depth interviews involved the heads of the Community Health Centers, the responsible individuals for health promotion programs at the centers, and community health cadres. A total of 12 participants underwent in-depth interviews to deeply explore information regarding policy aspects, funding, facilities, and human resources. Additionally, data were collected through observation and documentation. Data analysis followed the protocol developed by Miles and Huberman. The study results indicate that implementing health promotion at Community Health Centers has not been optimal due to barriers such as program funding availability, inadequate supporting facilities, and a shortage of competent human resources. This research contributes to the existing literature by providing a detailed examination of the specific challenges faced by Puskesmas in implementing health promotion programs. It emphasizes the need for targeted interventions to strengthen these centers' operational capabilities. To ensure optimal outcomes, stakeholders must focus on adequate budget allocation, the provision of supporting facilities, and training for program implementers.
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 : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

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

Abstract

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.
Hubungan Kualitas Pelayanan Persalinan Dengan Kepuasan Ibu Bersalin di Rumah Sakit Ibu dan Anak (RSIA) Sriratu Medan Tahun 2019 Putri Ndruru, Desi Lustiyani; Wau, Herbert; Manalu, Putranto
Preventia: The Indonesian Journal of Public Health Vol. 4, No. 2
Publisher : citeus

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Health development to increase awareness, willingness, and the ability of everyone to be able to behave in a healthy life to achieve the specified health status. Quality health services are efficient health services, in contrast health services that are lacking or not quality will make the organization's services very wasteful and exfoliate expensive costs. Based on the results of an initial survey that has been carried out, dataon maternal and maternal visits at the Sri Ratu Medan Mother and Child Hospital (RSIA) in the last 3 years showed a declining number in 2015 of 681 births, 2016 in 573 births, in 2017 a total of 2017 505 maternity mothers. This is because there has been alot of competition between hospitals regarding the quality of childbirth services which is sufficient to provide satisfaction for maternity mothers. Research objective was to know the relationship between service quality and maternal satisfaction at Sri Ratu's Mother and Child Hospital in Medan in 2019. The research method used is quantitative research with cross sectional research. The population in this study were maternity patients at RSIA Sri Ratu Medan with a total sample of 83 people. Analysis using chi square test with α <0.05.Research results shows the p-value between Physical Evidence (p-value 0.001), Reliability (p-value 0,000), Responsiveness (p-value 0.001), Guarantee (p-value 0.115), Attention (p-value 0.243) on maternal satisfaction at RSIA Sri Ratu Medan in 2019. There is a supportive relationship between physical evidence, compatibility, responsiveness to maternal satisfaction and there is no relationship between assurance and attention to maternal satisfaction at Sri Ratu Hospital in 2019.
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

Abstract

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%; α = 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.
Analisis Penyelenggaraan Sistem Pemeliharaan Alat Radiologi Rsu Royal Prima Medan Kewin Gozali; Ermi Girsang; Putranto Manalu
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55191

Abstract

Hospitals as providers of professional, high-quality, and sustainable health services require adequate support from standardized medical equipment, including in the radiology unit. Radiology equipment must be systematically maintained to ensure optimal functionality, produce accurate diagnostic results, and foster patient satisfaction as well as positive public perceptions of the hospital. This study aimed to analyze the implementation of the radiology equipment maintenance system at RSU Royal Prima Medan. This research employed a qualitative design, with primary data obtained through in-depth interviews with relevant informants. Data analysis was conducted using triangulation, followed by data reduction, data presentation, and conclusion drawing. The results showed that, in terms of input, the maintenance of radiology equipment at RSU Royal Prima Medan was supported by the availability of adequate and functional facilities and infrastructure, a sufficient number of human resources, and personnel with appropriate expertise and knowledge according to their respective roles and responsibilities. The maintenance budget was available, although the exact amount was not clearly specified. In terms of process, maintenance activities were carried out routinely, including daily cleaning and comprehensive inspections every six months to assess equipment feasibility. All maintenance procedures were implemented in accordance with the established Standard Operating Procedures (SOPs). In terms of output, all radiology equipment at RSU Royal Prima Medan was in good, normal, and operational condition, enabling accurate diagnostic examinations. In conclusion, the radiology equipment maintenance system at RSU Royal Prima Medan has been implemented effectively and in compliance with established SOPs.
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

Abstract

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

Abstract

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.
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

Abstract

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)
Co-Authors Achmad Rifai Aditya Kurnia , Muhammad 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, Buenita Butar-Butar, Erika Fatrecia Marsaulina Chinintya, Dwi Putri Chrismis Novalinda Ginting Chrismis Novalinda Ginting Damanik, Marco Frans Hernandes Dameria Dameria DAMERIA DAMERIA Dameria Gultom Dameria Gultom Deasy Siregar, Santy Desi Lustiyani Putri Ndruru Efendy Pakpahan Ellista Anatasia Sinaga Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Eva Ellya Sibagariang Fadilla Ripta Fahmi Syahpreza Tarigan Febrianty, Novita Dwi 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 Hartono Hasibuan, Nadilla Hutagalung, Priscilla Grace J irza Haicha Pratama Isabela Silalahi, Marlinang Isabella Silalahi , Marlinang Janas, Dhyta Nurhasanah Jeremia Chandra Partogi Siallagan Judea Samosir, Frans Kalimah Kalimah Kalimah, Kalimah Karo Karo, Ulina kewin gozali Linda Suryani Sihaloho Maler, Tangge Mangatas Silaen Margaretha Febrina Br Ginting Masryna Siagian Megasilvia Sinaga Meyliana Ginting Milka Rositi Sianipar Mita Sahara Nadapdap, Marshall Jeremia Nasution, Ali Napiah 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 Ndruru, Desi Lustiyani Putri Yunita Pane Putri Yunita Pane Putri, Faradiba Fatillah Rambe, Fadilah Ummul Choiriyah Rapael Ginting Reh Malem Br Karo Ribka Rusiani Pardede Ripta, Fadilla 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 Sweeta Silaban , Ray Tan Suyono Tan Suyono Tarigan, Nita Kastrina 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 Yolanda Eliza Putri Lubis Yoridha Aulia Sinuraya Zendrato, Victorwan Novri