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The Provision of Health Services Affects Performance of Health Personnel at Community Health Centers Hutabaginda, North Tapanuli Regency Ismail Efendy; Endang Maryanti; Sevenris CD Butar butar
Journal of Community Health Provision Vol. 2 No. 2 (2022): Journal of Community Health Provision
Publisher : PSPP JOURNALS

The study aimed to investigate the impact of delivering health services on the performance of health workers at the Hutabaginda Health Centre. This study was quantitative with a cross-sectional design. The population was the Civil Servants with a minimum education of 3rd Diploma totaling 84 people. The samples taken from all population. Data analysis was performed by univariate, bivariate and multivariate analysis. The statistical test used chi-square test and logistic regression. With a p-value of 0.000<.05 for education, multiple assignments, attendance, years of service, and responsibility, it was found that education, multiple assignments, attendance, years of service, and duties influenced the performance of health professionals. Furthermore, the multiple logistic regression test reveals that education, with an odds ratio (OR) of 47,802, has a greater influence on health worker performance. It is advised that education be prioritized since it influences the performance of health professionals in delivering exceptional service that the community can be proud of (customer satisfaction), service providers, and service institutions.

Analysis of Infection Prevention and Control Program Implementation on Nurses in the Room Dr. Fauziah Bireuen Hospitals Makasaar Amirullah Amirullah; Asriwati Asriwati; Mappeaty Nyorong; Nur'aini Nur'aini; Endang Maryanti
Journal of Community Health Provision Vol. 2 No. 3 (2022): Journal of Community Health Provision
Publisher : PSPP JOURNALS

The study aims to analyze the implementation of infection prevention and control programs. This type of research is qualitative with a phenomenological approach. The research informants were 11 people consisting of 3 nurses, 3 heads of rooms, 1 head of the PPI committee, 1 IPCN, 1 Deputy Director of Services, 1 Head of Nursing and 1 Head of Medical Services. The research was conducted in November–December 2021 through interviews and observations. The data were analyzed using qualitative descriptive through the stages of data reduction, presentation and conclusion drawing. It can be concluded that the implementation of the PPI (Infection Prevention Program) program is not entirely in accordance with SPO (Standard Operating Procedures) due to the lack of compliance by nurses, lack of implementation of aseptic actions in HAIs (Healthcare Associated Infection) bundles, lack of regular and inaccurate training. submission of monthly reports. So it is recommended for hospital management and staff to make policies that regulate the commitment of all health workers in implementing the PPI (Infection Prevention Program) program, being a role model / role model in the implementation of the PPI (Infection Prevention Program) program such as in inviting, familiarizing hand hygiene activities. , use of PPE (Personal Protective Equipment) and aseptic measures and routinely carry out training / training on a regular basis.

Strategi Promosi Kesehatan terhadap Partisipasi Masyarakat dalam Pencegahan Diare pada Anak Balita Endang Maryanti; Indah Anggraini; Sri Lasmawanti; Fahmashufyani Fahmashufyani; Muhammad Crystandy
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.4757

This study aims to determine the health promotion strategy for community participation in preventing diarrhea in children under five in the working area of the Tomuan Siantar Public Health Center. The method used is quantitative observational with a cross-sectional approach. The results showed that the value of p advocacy was 0.001, social support was p = 0.008, and community empowerment was p = 0.005. In conclusion, advocacy, social support, and community empowerment influence community participation in preventing diarrhea in children under five in the working area of the Tomuan Health Center. Keywords: Toddlers, Prevention of Diarrhea, Promotion Strategy

Evaluasi Pelaksanaan Peraturan Daerah Kota Medan Nomor 3 Tahun 2014 Tentang Kawasan Tanpa Rokok (KTR) Di RS Haji Medan Sartianun Siregar; Mappeaty Nyorong; Endang Maryanti
JURNAL KEBIDANAN, KEPERAWATAN DAN KESEHATAN (BIKES) Vol 2, No 2 (2022): J-BIKES NOVEMBER
Publisher : Mata Pena Madani

Indonesia menduduki peringkat keempat dengan jumlah perokok terbesar di dunia, untuk mengurangi risiko yang lebih tinggi pemerintah menerapkan kebijakan KTR salah satunya fasilitas pelayanan kesehatan. Berdasarkan Peraturan Daerah Kota Medan Nomor 3 Tahun 2014 tentang KTR di Rumah Sakit Haji Medan. Indikator yang telah ditetapkan pemerintah belum sepenuhnya terlaksana, masih ada perokok yang melanggar peraturan tersebut. Penelitian ini bertujuan untuk mengetahui hambatan-hambatan dalam mengimplementasikan kebijakan dan sejauh mana kebijakan tersebut diimplementasikan. Penelitian ini menggunakan metode deskriptif kualitatif. Pengumpulan data menggunakan teknik observasi, wawancara dan dokumentasi. Informan terdiri dari sembilan orang, empat informan kunci dan lima informan pendukung. Hasil penelitian menunjukkan bahwa kebijakan KTR belum terlaksana dengan baik karena beberapa kendala yaitu: 1) belum adanya panitia khusus untuk memantau pelaksanaan kebijakan 2) Penerapan sanksi masih minim karena hukuman yang diterapkan tidak sesuai sesuai dengan pedoman peraturan pemerintah (3) kurangnya kesadaran masyarakat tentang larangan merokok. (4) Evaluasi dan monitoring pelaksanaan kebijakan belum sepenuhnya dilaksanakan, (5) pelaksanaan kebijakan sudah berjalan namun belum maksimal karena kurangnya koordinasi antara penanggung jawab kebijakan dengan pelaksana kebijakan KTR di Rumah Sakit Haji Medan. Pasalnya, pelaksanaan KTR belum berjalan sesuai dengan Perda Kota Medan. Perlu dilakukan monitoring dan evaluasi secara berkala baik oleh pimpinan lembaga maupun pengelola KTR.

Factors Influencing the Prevention of Hypertension in the Working Area of Martubung Health Center, Medan Labuhan District Wagini Wagini; Ismail Efendy; Endang Maryanti
Journal La Medihealtico Vol. 4 No. 1 (2023): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v4i1.789

The objective of the study was to identify the factors that influence the prevention of hypertension in the Martubung Public Health Center's service area in the Labuhan District of Medan.The research design employed a quantitative method that was implemented through an analytical survey employing the Cross Sectional Study methodology. The cohort of this research consisted of hypertensive patients who visited as many as 712 patients. With the technique of Accidental Sampling, 88 respondents comprised the sample. The analysis of data employed univariate, bivariate, and multivariate methods.Knowledge p = 0.000, attitude p = 0.000, culture p = 0.008, diet p = 0.000, physical activity p = 0.000, and the role of health workers p = 0.001 were found to have an effect on hypertension prevention at the Martubung Public Health Center in the Medan Labuhan District. While knowledge is the most influential factor, p = 0.001 with 95% CI = 5.663-201,428 and Exp(B) = 104,118.This study concludes that knowledge, attitude, culture, diet, physical activity, and the function of health employees influence the prevention of hypertension at the Martubung Public Health Center in the Labuhan District of Medan. It is recommended that the Martbung Health Center optimize the counseling and dissemination of health information related to health promotion, general and special protection, and regular health checks in accordance with the program currently being implemented by the government, so that the community can actively participate in realizing healthy behavior, including the management of noncommunicable diseases.

Faktor Yang Memengaruhi Perilaku Cuci Tangan Pakai Sabun Siswa/I Di Masa Pandemi Covid 19 Di Madrasah Ibtidaiyah Negeri 3 Kecamatan Kuta Blang Kabupaten Bireuen Hilma Muzni; Ismail Efendi; Endang Maryanti
Jurnal Kesehatan dan Fisioterapi Vol 3, No 1 (2023): Jurnal KeFis - Januari 2023
Publisher : LPPM STIKES Siti Hajar dan Insight Power

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (238.789 KB)

Abstract- Washing hands with soap is an effective way for preventive health efforts. This study aims to analyze the factors that influence the behavior of washing hands with soap in students during the Covid 19 pandemic at Madrasah Ibtidaiyah Negeri (MIN) 3 Bireuen, Kuta Blang District, Bireuen Regency. This research is a quantitative study with a cross-sectional study design that takes place from May to June 2022. The research sample is all school age children from grades III, IV and grades V totaling 70 people. The technique used is proportional stratified random sampling. The survey data were analyzed using Chi Square test and logistic regression. The results showed that there was an influence of knowledge on the behavior of washing hands with soap in students during the Covid 19 pandemi (p=0,009), there was an influence of the ease of getting a Washing hands with soap place on the behavior of washing hands with soap (p=0,000), there was an influence of the role of parents on the behavior of washing hands with soap (p=0,000), there was an influence of the role of parents on the behavior of washing hands with soap (p=0,000). teachers on the behavior of washing hands with soap (p=0,000), there was an influence of the role of school friends on the behavior of washing hands with soap for students during the Covid 19 pandemic at Madrasah Ibtidaiyah Negeri (MIN) 3 Bireuen, Kuta Blang District, Bireuen Regency (p=0,000). The conclusion in this study is that the five variables in this study have an influence on the behavior of washing hands with soap and the variables that affect the behavior of washing hands with soap in students during the Covid 19 pandemic at Madrasah Ibtidaiyah Negeri (MIN) 3 Bireuen, Kuta Blang District, Bireuen is the variable of the parent's role p value 0,001 with OR 7,382, CI 2,322-30,072. The suggestions in this study are for parents to always pay attention and supervise their children's behavior and provide information about the factors that influence hand washing behavior in school children. Keywords: Factors, Washing Hands with Soap, Covid 19

Analisis Strategi Promosi Kesehatan Terhadap Partisipasi Masyarakat Dalam Pencegahan Diare Pada Anak Balita Di Wilayah Kerja Puskesmas Tanding Buhit Kecamatan Balige Kabupaten Kota Endang Maryanti; Mappeaty Nyorong; Freddi Seventry Sibarani
Jurnal Kesehatan dan Fisioterapi Vol 1, No 1 (2021): Jurnal KeFis - Oktober 2021
Publisher : LPPM STIKES Siti Hajar dan Insight Power

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (818.587 KB)

Abstrak − Penyakit diare masih merupakan masalah kesehatan masyarakat di negara berkembang seperti di Indonesia, karena morbiditas dan mortalitasnya yang masih tinggi. Survei awal peneliti dengan masyarakat hasil wawancara dengan responden berjumlah 10 orang bahwa 6 orang pernah mengalami diare dan 4 orang tidak mengalami diare. Berdasarkan advokasi kepada kepala puskesmas masih banyak ditemukan kasus diare di wilayah kerja Puskesmas Tandang Buhit, untuk dukungan social masih kurangnya masyarakat dalam mendukung program puskesmas. Tujuan penelitian untuk analisis strategi promosi kesehatan terhadap partisipasi masyarakat dalam pencegahan diare pada anak balita di Wilayah Kerja Puskesmas Tandang Buhit Kecamatan Balige Kabupaten Toba. Desain penelitian menggunakan metode survey analitik research (penelitian analitik) dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua masyarakat sebanyak 134 Ibu yang memiliki anak balita menderita diare. Sampel menggunakan sistem cluster random sampling sebanyak 57 Ibu yang memiliki anak balita menderita diare. Analisis data menggunakan analisis univariat, bivariat dan multivariate. Hasil penelitian menunjukkan bahwa ada pengaruh antara variable advokasi p = 0,001, dukungan sosial p = 0,008 dan pemberdayaan masyarakat p = 0,005. Sedangkan faktor yang dominan yang berpengaruh terhadap partisipasi masyarakat dalam pencegahan diare pada anak balita adalah advokasi p = 0,001 < 0,05 dengan 95% CI = 3.470-109.570. Kesimpulan dari penelitian ini adalah ada pengaruh advokasi, dukungan sosial dan pemberdayaan masyarakat terhadap partisipasi masyarakat dalam pencegahan diare pada anak balita di Wilayah Kerja Puskesmas Tandang Buhit Kecamatan Balige Kabupaten Toba. Disarankan kepada Puskesmas Tandang Buhit agar penyuluhan diare direncanakan dengan baik secara lanjut. Hal ini bertujuan untuk meningkatkan pengetahuan dan keterampilan masyarakat agar dapat memahami bahayanya penyakit diare dan peduli akan kesehatan lingkungan. Kata Kunci: Advokasi, Dukungan Sosial, Pemberdayaan, Partisipasi Masyarakat Dalam Pencegahan Diare Abstract− Diarrhea is still a public health problem in developing countries such as Indonesia, because of its high morbidity and mortality. The researcher's initial survey with the community, the results of interviews with respondents amounted to 10 people, that 6 people had diarrhea and 4 people did not experience diarrhea. Based on advocacy to the head of the puskesmas, there are still many cases of diarrhea in the working area of the Tandang Buhit Health Center, for social support there is still a lack of community support for the puskesmas program. The purpose of the study was to analyze health promotion strategies on community participation in the prevention of diarrhea in children under five in the work area of the Tandang Buhit Public Health Center, Balige District, Toba Regency. The research design used an analytical survey research method (analytic research) with a cross sectional approach. The population in this study were all 134 mothers who had children under five suffering from diarrhea. The sample used a cluster random sampling system as many as 57 mothers who had children under five suffering from diarrhea. Data analysis used univariate, bivariate and multivariate analysis. The results showed that there was an influence between the advocacy variable p = 0.001, social support p = 0.008 and community empowerment p = 0.005. While the dominant factor that influences community participation in preventing diarrhea in children under five is advocacy p = 0.001 <0.05 with 95% CI = 3.470-109,570. The conclusion of this study is that there is an effect of advocacy, social support and community empowerment on community participation in preventing diarrhea in children under five in the work area of the Tandang Buhit Public Health Center, Balige District, Toba Regency. It is recommended to the Tandang Buhit Public Health Center so that diarrhea counseling is well planned in advance. It aims to increase the knowledge and skills of the community so that they can understand the dangers of diarrheal disease and care about environmental health.Keywords: Advocacy, Social Support, Empowerment, Community Participation in Diarrhea Prevention

Pengaruh Pemberian Informasi Covid-19 Dengan Metode Demonstrasi Terhadap Perilaku Masyarakat di Puskesmas Bestari Kecamatan Medan Petisah Irma Juliana Tanjung; Mappeaty Nyorong; Endang Maryanti
Jurnal Kesehatan dan Fisioterapi Vol 3, No 1 (2023): Jurnal KeFis - Januari 2023
Publisher : LPPM STIKES Siti Hajar dan Insight Power

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (301.692 KB)

Abstract-The public's ignorance of Covid-19 information was related to the provision of information provided by officers at the Bestari Health Center. This study aimed to analyze the effect of providing information on covid 19 with the demonstration method on Community Behavior in the Bestari Health Center, Medan Petisah. This research was a quantitative Quasy-Experimental type with a one group pretest-posttest design that takes place from October to September 2021. The research sample uses purposive sampling, namely some of the people who visit the Bestari Health Center, Medan Petisah, as many as 89 peoples. The survey data were analyzed using the t-test. The results of the univariate studied showed that from 89 respondents, most of the respondents were 36-45 years old, as many as 33 (37.1%) respondents, female as many as 50 (56.2%) respondents, with bachelor education as many as 47 (52, 9%) of respondents, have a job as self-employed as many as 53 (59.6%) respondents The bivariate results showed that there was an effect of providing information on Covid-19 with the demonstration method on public knowledge, there was an effect of providing information on Covid-19 with the demonstration method on people's attitudes, there was an effect of providing information on Covid-19 with the demonstration method on community actions in the work area of the Bestari Health Center. Medan Petisah District (p=0.000). Based on the results of the study, it was concluded that the providing of information on Covid-19 with the demonstration method had an effect on the knowledge, attitudes and actions of the community. It is recommended that this research can be used as input for conducting counseling with the demonstration method so that people can understand more quickly what is conveyed by health workers. Keywords: Knowledge, Attitude, Action, Demonstration Method, Covid-19

Analisis Strategi Promosi Kesehatan Terhadap Partisipasi Masyarakat Dalam Pencegahan Diare Pada Anak Balita Di Wilayah Kerja Puskesmas Tanding Buhit Kecamatan Balige Kabupaten Kota Endang Maryanti; Mappeaty Nyorong; Freddi Seventry Sibarani
Jurnal Kesehatan dan Fisioterapi Vol 1, No 1 (2021): Jurnal KeFis - Oktober 2021
Publisher : LPPM STIKES Siti Hajar dan Insight Power

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (818.587 KB)

Abstrak − Penyakit diare masih merupakan masalah kesehatan masyarakat di negara berkembang seperti di Indonesia, karena morbiditas dan mortalitasnya yang masih tinggi. Survei awal peneliti dengan masyarakat hasil wawancara dengan responden berjumlah 10 orang bahwa 6 orang pernah mengalami diare dan 4 orang tidak mengalami diare. Berdasarkan advokasi kepada kepala puskesmas masih banyak ditemukan kasus diare di wilayah kerja Puskesmas Tandang Buhit, untuk dukungan social masih kurangnya masyarakat dalam mendukung program puskesmas. Tujuan penelitian untuk analisis strategi promosi kesehatan terhadap partisipasi masyarakat dalam pencegahan diare pada anak balita di Wilayah Kerja Puskesmas Tandang Buhit Kecamatan Balige Kabupaten Toba. Desain penelitian menggunakan metode survey analitik research (penelitian analitik) dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua masyarakat sebanyak 134 Ibu yang memiliki anak balita menderita diare. Sampel menggunakan sistem cluster random sampling sebanyak 57 Ibu yang memiliki anak balita menderita diare. Analisis data menggunakan analisis univariat, bivariat dan multivariate. Hasil penelitian menunjukkan bahwa ada pengaruh antara variable advokasi p = 0,001, dukungan sosial p = 0,008 dan pemberdayaan masyarakat p = 0,005. Sedangkan faktor yang dominan yang berpengaruh terhadap partisipasi masyarakat dalam pencegahan diare pada anak balita adalah advokasi p = 0,001 < 0,05 dengan 95% CI = 3.470-109.570. Kesimpulan dari penelitian ini adalah ada pengaruh advokasi, dukungan sosial dan pemberdayaan masyarakat terhadap partisipasi masyarakat dalam pencegahan diare pada anak balita di Wilayah Kerja Puskesmas Tandang Buhit Kecamatan Balige Kabupaten Toba. Disarankan kepada Puskesmas Tandang Buhit agar penyuluhan diare direncanakan dengan baik secara lanjut. Hal ini bertujuan untuk meningkatkan pengetahuan dan keterampilan masyarakat agar dapat memahami bahayanya penyakit diare dan peduli akan kesehatan lingkungan. Kata Kunci: Advokasi, Dukungan Sosial, Pemberdayaan, Partisipasi Masyarakat Dalam Pencegahan Diare Abstract− Diarrhea is still a public health problem in developing countries such as Indonesia, because of its high morbidity and mortality. The researcher's initial survey with the community, the results of interviews with respondents amounted to 10 people, that 6 people had diarrhea and 4 people did not experience diarrhea. Based on advocacy to the head of the puskesmas, there are still many cases of diarrhea in the working area of the Tandang Buhit Health Center, for social support there is still a lack of community support for the puskesmas program. The purpose of the study was to analyze health promotion strategies on community participation in the prevention of diarrhea in children under five in the work area of the Tandang Buhit Public Health Center, Balige District, Toba Regency. The research design used an analytical survey research method (analytic research) with a cross sectional approach. The population in this study were all 134 mothers who had children under five suffering from diarrhea. The sample used a cluster random sampling system as many as 57 mothers who had children under five suffering from diarrhea. Data analysis used univariate, bivariate and multivariate analysis. The results showed that there was an influence between the advocacy variable p = 0.001, social support p = 0.008 and community empowerment p = 0.005. While the dominant factor that influences community participation in preventing diarrhea in children under five is advocacy p = 0.001 <0.05 with 95% CI = 3.470-109,570. The conclusion of this study is that there is an effect of advocacy, social support and community empowerment on community participation in preventing diarrhea in children under five in the work area of the Tandang Buhit Public Health Center, Balige District, Toba Regency. It is recommended to the Tandang Buhit Public Health Center so that diarrhea counseling is well planned in advance. It aims to increase the knowledge and skills of the community so that they can understand the dangers of diarrheal disease and care about environmental health.Keywords: Advocacy, Social Support, Empowerment, Community Participation in Diarrhea Prevention

PERILAKU PERSONAL HYGIENE TERHADAP KEJADIAN SKABIES DI PESANTREN JABALNUR WILAYAH KERJA PUSKESMAS DEWANTARA KABUPATEN ACEH UTARA Nisa Ul Husna; Asriwati Asriwati; Endang Maryanti
Jurnal Kesehatan dan Fisioterapi Vol 3, No 2 (2023): Jurnal KeFis - April 2023
Publisher : LPPM STIKES Siti Hajar dan Insight Power

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (327.605 KB)

Complaints of scabies are caused by a lack of personal hygiene in humans. This study aims to analyze the effect of personal hygiene behavior on the incidence of scabies in the Jabalnur Islamic Boarding School in the working area of the Dewantara Public Health Center, North Aceh Regency. This research is an analytic survey with a cross sectional study design which was conducted at the Jabalnur Islamic Boarding School in the working area of the Dewantara Public Health Center, North Aceh Regency, from August to September 2022. The sample consisted of 89 people using purposive sampling technique. Data were analyzed using Chi Square test and Logistic Regression. Based on the results of the study, it was found that there was an effect of hand and nail hygiene (p=0.004), clothing cleanliness (p=0.000), towels cleanliness (p=0.000), bed cleanliness (p=0.035) and clean water facilities (p=0.000) ) to the incidence of scabies in the Jabalnur Islamic Boarding School in the working area of the Dewantara Health Center, North Aceh Regency. The personal hygiene variable that most dominantly influences the incidence of scabies in the Jabalnur Islamic Boarding School in the working area of the Dewantara Health Center, North Aceh Regency is the towel hygiene behavior variable. The conclusion of the study is that there is an effect of hand and nail hygiene, clothing cleanliness, towel cleanliness, bed cleanliness and clean water facilities on the incidence of scabies in the Jabalnur Islamic Boarding School working area of the Dewantara Health Center, North Aceh Regency. Based on the conclusions in this study, it is suggested that the results of this study can be used as evidence based on preventing the incidence of scabies by paying attention to aspects of personal hygiene. Keywords: Personal Hygiene, Scabies Incidence

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