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Barriers to Stunting Intervention at a Community Health Center: A Qualitative Study Ginting, Rapael; Girsang, Ermi; Sinaga, Megasilvia; Manalu, Putranto
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
Evaluating the Implementation of the Stunting Prevention Program at the Regional Technical Unit of Binjai Estate Health Center in Binjai City Putranto Manalu; Margaretha Febrina Br Ginting; Ermi Girsang
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.24225

Abstract

Stunting remains a critical public health issue affecting the quality of human resources, particularly in Indonesia, where its prevalence remains high across various regions. According to the 2021 Indonesia Nutritional Status Survey (SSGI), the national stunting prevalence was 24.4%, with North Sumatra reporting 30.11% and Binjai City 21.7%, all of which exceed the WHO target of below 20%. These statistics underscore the urgent need for effective prevention strategies, particularly through nutritional interventions at the primary healthcare level. This study aims to evaluate the implementation of the stunting prevention program at the Regional Technical Implementation Unit of the Binjai Estate Community Health Center in Binjai City. The program components include nutrition education, regular monitoring of pregnant women and toddlers, and the provision of supplementary feeding. A qualitative descriptive approach was employed, utilizing in-depth interviews with healthcare personnel and field observations conducted in 2023. Findings indicate that although the program is generally well-implemented, several challenges persist. These include low community participation in outreach activities and persistent cultural myths that impede proper understanding of stunting. Nonetheless, there has been a noticeable increase in awareness regarding balanced nutrition among pregnant women and caregivers of toddlers. Monitoring is routinely conducted via the SIMPUS and SIP systems; however, long-term impact evaluation remains insufficient. In conclusion, while the stunting prevention program demonstrates promising outcomes, further improvements are necessary in enhancing community engagement, strengthening communication strategies, and developing a more robust evaluation system. Strengthening human resource capacity, improving inter-sectoral coordination, and expanding public access to accurate nutritional information are recommended to more effectively combat stunting Keywords: Stunting, Program Implementation, Primary Health Care, Nutrition Education, Monitoring and Evaluation
The Role of Quality of Academic Information Systems and Facilities on Student Loyalty Sianipar, Milka Rositi; Pakpahan, Efendy; Manalu, Putranto
Jurnal Manajemen Bisnis Vol. 13 No. 2: September 2022
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mb.v13i2.13641

Abstract

Abstract:  The growth of quality standards, as well as, higher student demands has implications for higher education to improve service quality to be able to provide satisfaction that leads to increased student loyalty.Research aims: This study determines the effect of academic information systems and facilities on student loyalty at the Faculty of Economics, Universitas Prima Indonesia through satisfaction as an integral variable.Design/Methodology/Approach: Data analysis using path analysis, and feasibility test of the model with the Smartpls 3.0 program. The population in this study were all 5th term students of Management Undergraduate Degree and Accounting Undergraduate Degree. The number of samples was determined using the Krejcie-Morgan table so that 291 people were selected.Research findings:  The results showed that the academic information system had a significant positive effect on student loyalty through satisfaction, so that the satisfaction variable  mediates the academic information system on student loyalty (t-statistic = 2.131 (> t-table): p-value = 0.034). Likewise, the effect of facilities on student loyalty through satisfaction as an intervening variable that shows a significant value (t-statistic = 2,220 (> t-table): p-value = 0.027).Theoretical contribution/Originality:. The novelty of this research is that increasing student loyalty can be done by improving academic information system services and adequate campus facilities.Practitioner/Policy implication:  The university management must provide quality facilities and infrastructure to increase student loyalty.
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.
Co-Authors Achmad Rifai Addin Amrulah Aditya Bastanta Guru Singa Aditya Kurnia , Muhammad Ali Napiah Nasution Aminuyati 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 Eva Ellya Sibagariang Fadilla Ripta Fahmi Syahpreza Tarigan Febrianty, Novita Dwi Frans Judea Samosir Ginting, Chrismis Novalinda Ginting, Tarianna Girsang, Ermi Girsang, Ermi Gultom, Dameria Gunarto Sinaga Hafizah, Nandani Zakia Hakim, Mia Amara Hamdi, Sintiya Harahap, Emira Nadiah Hartono Hartono Hartono Hartono Hasibuan, Nadilla Hutagalung, Priscilla Grace J irza Haicha Pratama Isabella Silalahi , Marlinang Janas, Dhyta Nurhasanah Jeremia Chandra Partogi Siallagan Judea Samosir, Frans Kalimah Kalimah Kalimah, Kalimah Karo Karo, Ulina Linda Suryani Sihaloho Maler, Tangge Mangatas Silaen Margaretha Febrina Br Ginting Masryna Siagian Meyliana Ginting Milka Rositi Sianipar Mita Sahara Nadapdap, Marshall Jeremia Nasution, Ali Napiah Nurhafsyah Daulay 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 Silalahi, Marlinang I. Simangunsong, Pahala Maringan J. Simangunsong, Pahala Maringan Jubel Sinaga, Megasilvia Sinaga, Suharni Pintamas Sindy Andari 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 Zalukhu, Fitri Kristianis Zendrato, Victorwan Novri