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Heru Santosa
Departemen Epidemiologi, Fakultas Kesehatan Masyarakat, Universitas Sumatera Utara, Indonesia
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Faktor-Faktor yang Berhubungan dengan Kejadian Infeksi Saluran Pernafasan Akut (ISPA) pada Balita Di Daerah Pesisir Kota Sibolga Tahun 2020 Rita Kristina Pasaribu; Heru Santosa; Shirly Kumala; Nurmaini Nurmaini; Delina Hasan
Syntax Idea Vol 3 No 6 (2021): Syntax Idea
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/syntax-idea.v3i6.1232

Abstract

ISPA (Acute Respiratory Tract Infection) is a transmitted respiratory tract disease caused by environmental and human factors. Balita (below five year-old children) is very vulnerable to it. It was caused by virus or bacteria. The symptoms are high fever, followed by pain in throat, difficult to swallow, flu, and coughing with or without phlegm transmitted through patients' droplet (Riskesdas,2018). Revealed that, nationally, the prevalence of ISPA in balita was 12.8%, 8. 7% in North Sumatera, and 57% in Sibolga. The objective of the research was to analyze some factors which were correlated with the incidence of ISPA in balita at the coastal area of Sibolga . The data were gathered by using questionnaires. The research used cross sectional design. The samples were 265 (Isaac and Michael tables). The data were analyzed by using univariate analysis, bivariate analysis, and multivariate analysis with multiple logistic regression tests. From the samples, it was found that 144 of them (54.3%) were affected by ISPA and 121 of them (45. 7%) were not. The result of univariate analysis showed that 141 respondents (53.2%) had good requirement for their floors, 146 of them (55.1%) for walls, 70 of them (26.4%) for air ventilation, 257 of them (97%) for room temperature, 225 of them (84.9%) for lighting, 233 of them (87.9%) for moisture, 181 of them (68. 3%) for population density. From the factor of children, it was found that there were 131 boys (49.4%), 188 of the balita (70.9%) were 6- 35 months old, 217 of them (81.9%) were not BBLR, 206 of them (77.7%) had bad nutrition, 160 of them (60.4%) got vitamin A, 139 of them (52.5%) got immunization completion, 177 of them (66.8%) were breastfed with ASI (breast milk), 202 of them (76. 2%) smoked, 40 of them (15.1 %) used wood as fuel, and 27 of them (10.2%) used mosquito coils The result of bivariate analysis showed that 8 (eight) independent variables which were correlated were smoking (p-value=0. 003), using mosquito coils (p-value=0.026), floors (p-value=0.033), walls (p-value=0.002), population density (p-value=0.001), nutritional status (pvalue=0.001), air ventilation (p-value=0.012), Vitamin A(p-value=0.024), and complete immunization (p-value=0.035). The result of multivariate analysis showed that the variables of smoking, condition of house walls, nutritional status, and immunization completion caused the incidence of ISPA in balita at the coastal area of Sibolga (75.8%). It is recommended that prevent ISPA by increasing nutritional status, ASI, visiting posyandu, and no smoking inside their houses.
HUBUNGAN FUNGSI SUPERVISI KEPALA RUANGAN DENGAN PRODUKTIVITAS KERJA PERAWAT PELAKSANA DI RUMAH SAKIT UMUM DAERAH dr. PIRNGADI MEDAN Havija Sitohang; Heru Santosa; Salbiah, Salbiah
Idea Nursing Journal Vol 7, No 1 (2016): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (71.827 KB) | DOI: 10.52199/inj.v7i1.6463

Abstract

ABSTRAKSupervisi keperawatan adalah suatu kegiatan profesional dalam pelayanan keperawatan yang dilakukan oleh kepala ruangan kepada perawat pelaksana yang meliputi fungsi formatif, restorative dan normative. Supervisi keperawatan bertujuan untuk meningkatkan produktivitas kerja perawat pelaksana. Produktivitas kerja meliputi efektivitas dan efisiensi pelayanan asuhan keperawatan. Tujuan penelitian ini untuk mengetahui hubungan fungsi supervisi kepala ruangan dengan produktivitas kerja perawat pelaksana di Rumah Sakit Umum Daerah dr. Pirngadi Medan. Jenis penelitian ini adalah deskriptif korelasi dengan  desain cross sectional. Sampel dalam penelitian ini sebanyak 160 perawat pelaksana yang dipilih dengan teknik simple random sampling. Alat pengumpulan data menggunakan kuesioner tertutup dengan nilai CVI fungsi supervisi 0.87, produktivitas kerja 0.90 dengan nilai realibilitas fungsi supervisi 0.948 produktivitas kerja 0.924. Data dianalisa dengan menggunakan uji Pearson Product Moment. Hasil penelitian gambaran fungsi supervisi kepala ruangan  memperoleh nilai mean 160.75, median 162.50  nilai minimum 128 maksimum 186 dengan range 53, gambaran produktivitas kerja perawat pelaksana memperoleh nilai mean 118.48, median 119,  nilai minimum 101 maksimum 136 dengan range 35. Hasil penelitian menunjukkan ada hubungan yang signifikan antara fungsi supervisi kepala ruangan dengan produktivitas kerja perawat pelaksana (p value=0.000, r=0.698). Diharapkan bidang keperawatan dapat menetapkan kebijakan dalam pelaksanaan supervisi sehingga kepala ruangan dapat meningkatkan fungsi supervisi dan melakukan penilaian terhadap produktivitas kerja perawat pelaksana.   Kata kunci: fungsi supervisi, produktivitas kerja, perawat pelaksanaABSTRACTNursing supervision is a professional activity in nursing services which is instructed by nuraing chief to nurse practitioners, it includes formative, restorative, and normative functions. Nursing supervision is intended to increase work productivity of nurse practitioners. Productivity itself includes effectiveness and efficiency in providing nursing services. The objective of the research was to find out the relationship between the function of supervision of nursing chief and work productivity of nurse practitioners at dr. Pirngadi regional General Hospital Medan. The research used descriptive correlation method with cross sectional design. The samples were 160 nurse practitioners, taken by using simple random sampling technique. CVI value was 0.87, work productivity was 0.90 with the reliability value of the function of supervision was 0.948, and work productivity was 0.924. The result of normality test was 0.506. The data on the correlation analyzed by using Pearson Product Moment. The result of the research showed that the function of supervision of the nursing chief been performed well at mean value of 160.75, median 162.50, minimum value was 128, maximum value was 186 with range of 53; work productivity of nurse practitioners had been performed well at mean value of 118.48, median 119, minimum value was 101, maximum value was 136 with range of 35. The results showed significant relationship between the functions of supervision of nursing chief and work productivity of nurses (p value = 0.000, r = 0698). It is recommended that the nursing administrator make a policy in the implementation of supervision so that nursing chief can increase the function of supervision and assess the work productivity of nurse practitioners.Keywords: supervision function, work productivity, nurse practitioners      
Faktor-Faktor yang Berhubungan dengan Penggunaan Kontrasepsi Metode Operasi Pria di Kecamatan Siantar Marihat Kota Pematangsiantar Rosnella Sihombing; Kintoko Rochad; Heru Santosa
Jurnal Kesehatan Masyarakat Indonesia Volume 16. No. 2. Tahun 2021
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (520.369 KB) | DOI: 10.26714/jkmi.16.2.2021.121-130

Abstract

Latar Belakang: Vasektomi merupakan metode KB alternatif bagi pria yang sudah memutuskan tidak ingin mempunyai anak lagi dengan menjalani pembedahan ringan. Masih rendahnya partisipasi pria dalam ber-KB dipengaruhi banyak faktor. Salah satunya adalah kurangnya informasi yang didapatkan masyarakat mengenai kontrasepsi vasektomi.Tujuan: Untuk mengetahui faktor-faktor yang berhubungan dengan penggunaan kontrasepsi vasektomi .Metode: Penelitian ini merupakan jenis penelitian survey analitik dengan desain cross-sectional yang dilaksanakan di wilayah Kecamatan Siantar Marihat Kota Pematangsiantar. Sampel dalam penelitian ini sebanyak 94 orang dengan tehnik pengambilan sampel secara proporsional random sampling. Pengumpulan data dengan menggunakan kuesioner dan dianalisis dengan uji chi-square, multivariat, dengan uji regresi logistik berganda.Hasil: Berdasarkan hasil penelitian menunjukkan bahwa terdapat hubungan antara pendapatan dengan penggunaan kontrasepsi Vasektomi dimana p=0,017, pengetahuan dengan penggunaan kontrasepsi Vasektomi dimana p=0,007, peran petugas kesehatan dengan penggunaan kontrasepsi Vasektomi dimana p=0,019, dukungan istri dengan penggunaan kontrasepsi Vasektomi dimana p=0,029. Variabel yang paling dominan adalah pengetahuan.Kesimpulan: Diharapkan pihak dinas pengendalian penduduk dan keluarga berencana agar membuat kebijakan ataupun program dalam meningkatkan penggunaan KB di wilayah Kecamatan Siantar Marihat Kota Pematangsiantar, khususnya dalam penggunaan kontrasepsi Vasektomi sehingga dapat meningkatkan derajat kehidupan masyarakat.
Relation of Reproductive and Economic Functions to the Selection of Long-Term Contraception in Women of Fertile Couples in Belukur Makmur Village, Rundeng Sub-District, Subulussalam City Irma Yuspita Sari Siahaan; Heru Santosa; Sri Rahayu Sanusi
Britain International of Exact Sciences (BIoEx) Journal Vol 2 No 1 (2020): Britain International of Exact Sciences Journal, January
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v2i1.154

Abstract

One of the population problems faced by the Indonesian people today is a large population and high maternal mortality rates. One way to suppress this growth rate is that the achievement of long-term contraceptive use must reach 65% and the role of family members in motivating the selection of contraceptives is needed. The study aimed to analyze the relationship of reproductive function and family economy with the selection of long-term contraception in women of childbearing age in Belukur Makmur Village, Rundeng Sub-District, Subulussalam Municipality. This type of research is analytical research with a cross sectional approach. The study was conducted in Belukur Makmur Village, Rundeng Sub-District, Subulussalam City, with a sample of 123 people using contraception, data collection was done by interview using a questionnaire. Data were analyzed using the chi square test. The results showed that there was a relationship between reproductive function (p = 0.014) and economic function (p = 0.006) with the selection of long-term contraception in women of childbearing age in Belukur Makmur Village, Rundeng District, Subulussalam City. Recommended to the medical workers to improve education, socialization and motivating couples of childbearing age to choose a long-term contraceptive devices through a family approach.
The Effect of Extrinsic Motivation on Housewife Actions in IVA Test in the Working Area of Community Health Center at Bandar Kalipah Vani Olin Arysha; Heru Santosa; Sri Rahayu Sanusi
Britain International of Exact Sciences (BIoEx) Journal Vol 2 No 1 (2020): Britain International of Exact Sciences Journal, January
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v2i1.164

Abstract

Cervical cancer is a cancer that attacks many women. The high number of cervical cancer sufferers in Indonesia is caused by only 5% who screen for cervical cancer, because this disease does not cause symptoms and low awareness of women to check their health. Every woman of childbearing age should be motivated to do an IVA Test. The purpose of this study is to analyze the effect of extrinsic motivation on housewives actions in IVA Test. The design of this study is a case control with 36 samples in cases and controls. Processing data using chi square analysis with a 95% significance level by calculating the odds ratio. The results showed that there was an influence of extrinsic motivation (p = 0,000) on the housewives actions in IVA Test. The results of the analysis showed that the OR 10.969 95% CI (3.425-35.129) that did Possible IVA Test 10.9 is more effect than housewives who have extrinsic motivation.
Job Description of Family Planning Field Officers in the Decrease of Total Fertility Rate (TFR) in Population Control and Family Planning Department Widia Astuti Tanjung; Heru Santosa; Kintoko Rochadi
Britain International of Exact Sciences (BIoEx) Journal Vol 2 No 1 (2020): Britain International of Exact Sciences Journal, January
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v2i1.176

Abstract

Performance of Family Planning Field Officers can be seen by achieving the number of TFR, in accordance with the national target of 2.4. The total TFR of Sibolga city in 2016 was 2.6. Sibolga City is a city that consists of 4 districts and 17 villages. Sibolga City has 31 Family Planning Field Officers. The purpose of this study is to determine the performance of Family Planning Field Officers to reduce the total fertility rate. This type of research is qualitative with a phenomology approach. The results shows that the performance of Family Planning Field Officers in Population Control and Family Planning Department of Sibolga City PPKB Office is still not optimal. This is marked by the performance evaluation carried out and monitored only through social media chat groups, but the implementation of direct monitoring is still not good, there are gaps in report data in the field found by the difference in the number of Family Planning participants in the field with the number of Family Planning participants in Population Control and Family Planning Department Office, delays in sending reports, the number of human resources has exceeded the provisions but the TFR target has not been achieved, PLKB skills in counseling are still lacking, Population Control and Family Planning Department work discipline is still often violating things such as being late for work and leaving the workplace without a clear reason. This study recommends that Population Control and Family Planning Department conduct routine monitoring of Population Control and Family Planning Department in the Family Planning Health Center, provide training to PLKB in terms of counseling, give rewards to the districts with the lowest TFR, conduct scheduled outreach to the community regarding family planning programs in terms of reduction TFR number.
Relationship of Family Income and Family Support with Maternal Reference in Pregnant Women in Pantai Cermin BEmONC, Langkat District, 2019 Siti Maryam Hsb; Heru Santosa; Asfriyati Asfriyati
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 3, No 1 (2020): Budapest International Research and Critics Institute February
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v3i1.798

Abstract

Basic emergency obstetric and newborn care (BEmONC) is an inpatient Publlich Health Center that is able to provide obstetric and neonatal emergency/ basic complications services 24 hours a day and 7 days a week. In Public Health Center the referral service ideally is no more than 15%, the high number of maternal referrals in BEMONC Pantai Cermin Langkat District exceeds the Standard (> 15%). The number of maternal referrals in pregnant women starting from 1 May 2018 to 31 October 2018 was 104 people. Factors related to maternal referral to pregnant women in Pantai Cermin BEmONC, Langkat district are maternal knowledge, and support of health workers. The purpose of this study was to determine the relationship of maternal knowledge, and support of he alth workers with the maternal referral process in pregnant women. This study used a cross sectional design, with 104 pregnant women being referred at Pantai Cermin BEmONC, Langkat district by method of total sampling. Data collection methods consist of primary data and secondary data. Based on the results of the study note that out of 104 respondents there were 54 (51.9%) maternal referral processes in incompatible pregnant women and 50 (48.1%) maternal referral processes in pregnant women in accordance with the reference standard. Variables related to the maternal referral process in pregnant women were family income (p = 0.049), and family support (p = 0.028).There is a relationship between family income and family support with the maternal referral process for pregnant women at the BEMONC Public Health Center Pantai Cermin Langkat Regency.
Peran Tenaga Kesahatan Terhadap Pengetahuan Ibu Hamil Tentang Buku Kia (Kesehatan Ibu Dan Anak) Di Puskesmas Gajah Mada Tahun 2020 Apriyanti Sihole; Heru Santosa; Zulhaida Lubis
Jurnal Health Sains Vol. 1 No. 2 (2020): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v1i2.16

Abstract

Buku KIA merupakan alat untuk mendeteksi secara dini adanya gangguan atau masalah kesehatan ibu dan anak, alat komunikasi dan penyuluhan dengan informasi yang penting bagi ibu dan keluarga dan masyarakat mengenai pelayanan kesehatan ibu dan anak termasuk rujukannya dan paket (standar) pelayanan KIA, gizi, imunisasi dan tumbuh kembang balita. Cakupan kepemilikan buku KIA di Puskesmas Gajah Mada sebesar 71,09% dengan jumlah kematian ibu 1 orang akibat pendarahan. Penggunaan buku KIA selama puluhan tahun di Indonesia belum sepenuhnya dapat menurunkan angka kematian ibu dan anak sesuai dengan standar WHO (World Helath Organization). Penelitian ini merupakan penelitian kuantitatif dengan desain cross sectional melalui metode analitik. Jumlah responden adalah 51 orang. Data peran tenaga kesehatan diperoleh dengan kuesioner. Uji statistik analisisa menunjukkan bahwa data nilai p value peran tenaga kesehatan 0,99% (p value>0,05) terhadap pengetahuan ibu hamil tentang buku KIA. Sehingga dapat disumpulkan bahwa tidak ada pengaruh peran tenaga kesehatan dengan pengetahuan ibu tentang buku KIA
Description Iva Test Results Women of Childbearing Age With Flour Albous at Puskesmas Medan Sunggal Fatwa Imelda; Heru Santosa
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 7 No. 1 (2022): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1136.652 KB) | DOI: 10.32734/abdimastalenta.v7i1.6779

Abstract

Cervical cancer is a women's health problem in Indonesia with a high mortality rate. Delay in diagnosis at an advanced stage, weak condition, social status, low economy, limited resources, limited facilities and infrastructure, type of histopathology and degree of education participate in determining the prognosis of the patient. An effective screening that can be used is the IVA Test (Visual Acetate Inspection) which is a direct examination without using a magnification tool (the naked eye) after swabbing the cervix with 3-5% acetic acid. This community service was carried out to 44 women of childbearing age (WUS) with flour albous who did the IVA Test Puskesmas Medan Sunggal. The results of the community service that carried out the IVA Test examination on WUS The majority of WUS with flour albous were >35 years old 56.8%, married status (97.7%), Diploma/Bachelor education level was 50%, working status was (65.9%), history of parity <2 is (32%) , menstrual age > 12 years by (65.9%). IVA Test results majority of 37 people (84.1%) IVA Test was negative, and 7 people (15.9%) IVA Test was positive. It is hoped that health workers can improve education and health promotion about cervical cancer prevention by holding seminars or cervical cancer detection checks by conducting an IVA Test, and women who have done an IVA Test with a negative result can do a repeat IVA Test a year later, and on a positive IVA Test result can repeat the IVA Test 6 months later.
Strengthening of Public Capacity and Health Energy Towards SMART Welfare in Pulo Brayan City Prefecture of West Fields of the City of Medan Heru Santosa; Sri Malem Indirawati; Winni R.E. Tumanggor; Fitri Khairani; Indra Cahaya
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 8 No. 2 (2023): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/abdimastalenta.v8i2.14245

Abstract

The Pulo Brayan City urban area is an urban area that has a strategic location because it is in the middle of the city of Medan. However, the village still has flood-prone areas due to the lack of proper drainage and settlements that have poor sanitation and stunting problems. The purpose of this assisted village activity is to increase the capacity of the community and health workers towards SMART (Healthy, Independent, Safe, Religious and Resilient) villages in Pulo Brayan urban village. The methods used are community development, FGD, advocacy, community empowerment, and community organizing. The results of this activity were the drafting of the strategic plan of the Public Health Center, the formation of “Gemilang” environmental cadres, the KSM organization group for latrines, the improvement of the skills of Posyandu cadres in measuring the height of children under five, and cultivating catfish and growing vegetables vertically. Activities in traditional markets increase the movement for the development of the “SERASI” culture at the Pulo Brayan Traditional Market and increase the community's ability to implement 3R waste processing in watersheds. The outputs generated from all activities are published in online mass media and youtube in the official FKM and draft journals.
Co-Authors Apriyanti Sihole Delina Hasan Fatwa Imelda Fazidah A. Siregar Fitri Khairani Havija Sitohang Indra Cahaya Irma Yuspita Sari Siahaan Nirma Juli Saputri Nurmaini Nurmaini R.Kintoko Rochadi Rita Kristina Pasaribu Rosnella Sihombing Salbiah, Salbiah Sarma Nursani Lumbanraja Shirly Kumala Siti Maryam Hsb Sri Malem Indirawati Sri Rahayu Sanusi Vani Olin Arysha Widia Astuti Tanjung Winni R.E Tumanggor Zulhaida Lubis