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BARRIERS TO EARLY DETECTION OF HIV/AIDS IN PREGNANT WOMEN IN MEDAN HELVETIA SUB-DISTRICT MEDAN CITY 2023 Martalena Br S Kembaren; Ida Yustina; Nurmaini Nurmaini; R Kintoko Rochadi; Fikarwin Zuska; Fazidah Fazidah
International Journal of Midwifery Research Vol. 3 No. 1 (2023): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

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Abstract

Pregnant women are one of the populations at risk of contracting Human immunodeficiency Virus (HIV), Syphilis, and Hepatitis B diseases in children more than 90% are infected from their mothers. The risk of mother-to-child transmission for HIV/AIDS is 20%-45%, for Syphilis is 69-80%, and for Hepatitis B is more than 90%. All three have the same transmission routes in the form of sexual intercourse, blood, and this transmission mostly occurs through vertical transmission from mother to fetus during pregnancy. Triple elimination is a program that aims to achieve and sustain mother-to-infant elimination of HIV/AIDS, Hepatitis B, and Syphilis in order to achieve better health for women, children, and their families through a coordinated approach. Detection and prevention of HIV incidence during pregnancy or postpartum should be prioritized and is essential to reduce mother-to-child transmission of HIV. In line with the increasing cases of mother-to-child HIV transmission, the government has made various control efforts through the PPIA or PMTCT (Prevention of Mother-to-Child Transmission) program. This research used field research to obtain qualitative data. Researchers go to the field to make observations about a phenomenon in a natural situation and are closely related to participant-observation. The results of the research obtained ANC services have been running well. Barriers to ANC access are related to cultural aspects and organizational systems that have not made maximum efforts to improve services, especially STIs (HIV/AIDS). At Puskesmas Helvetia, every pregnant woman will be directed to do HIV testing. Integrated ANC services have been running well. Routine technical training to improve obstetric competence for midwives and other supporting training needed as well as laboratory examination training for laboratory analysts (including STI and HIV/AIDS testing training) has been running well and systematically.
THE CORRELATION OF MOTHER'S KNOWLEDGE AND MOTHER'S BEHAVIOR IN STUNTING PREVENTION EFFORTS IN TUNTUNGAN VILLAGE 2 DELI SERDANG REGENCY Dhani Syahputra; Ida Yustina; Nurmaini Nurmaini; Kintoko Rochadi; Fikarwin Zuska
International Journal of Midwifery Research Vol. 3 No. 1 (2023): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

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Abstract

Stunting is a situation of unbalanced nutrition which is a physical growth disorder and a decrease in the speed of growth in children. Nutritional problems related to stunting is still a problem that occurred in Indonesia. The long-term impact that occurs due to stunting is still physical, mental, intellectual and cognitive development disorders. The incidence of stunting in children with high resulted in the long-term problems and difficult to control so that it will cause a risk to off spring who will be vulnerable to a low birth weight. Nutrition survey data over the past year shows that nutritional problems are still high, one of which is stunting, which is the main problem. The role of the mother in the family greatly affects food preparation so that the mother's knowledge is needed to improve the nutrition of their family members. The purpose of this study was to determine the relationship between mother's knowledge and mother's behavior in preventing stunting in Tuntungan Village 2, Pancur Batu District, Deli Serdang Regency. This study was conducted on  mothers who have toddlers aged 6-59 months and this research is a qualitative research with an phenomenological approach. Mother's knowledge is very important in preventing stunting. Mothers who have good knowledge will be very influential in preventing stunting in the family. The importance of collaboration with all layers in order to support increasing maternal knowledge in preventing stunting.
IDENTIFICATION OF BARRIERS TO EXCLUSIVE BREASTFEEDING FOR POST SECTIO CAESAREA MOTHERS IN PAYA PASIR VILLAGE, MARELAN DISTRICT Elfalini Warnelis Sinaga; Ida Yustina; R Kintoko Rochadi; Nurmaini Nurmaini; Fikarwin Zuska
International Journal of Midwifery Research Vol. 3 No. 1 (2023): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

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Abstract

Giving support to women's breastfeeding after cesarean sections is important to adjust their attitudes, belief systems, and external environments, as well as help them improve their confidence. Information support provided by health workers is an initial effort to influence the understanding of mothers and families about the benefits of breastfeeding. This was a qualitative with a phenomenological approach that explores the various experiences of post-cesarean mothers in providing exclusive breastfeeding. The analysis used was thematic analysis with the help of the Nvivo 12 Plus software. The results of this study revealed three main themes regarding obstacles to exclusive breastfeeding for post-sectio caesarean mothers. The themes are anxiety, lack of knowledge, physical discomfort, and lack of support. The anxiety of breastfeeding mothers greatly influences their intention to provide exclusive breastfeeding. The first step in encouraging mothers to continue with exclusive breastfeeding is for health professionals to educate more people about it. Physical discomfort for post-sectio caesarean mothers can increase mothers' anxiety about breastfeeding.
Influence of Attitudes and Cosmetic Advertisements on the Selection of Cosmetics Containing Harmful Ingredients by Adolescents in Medan City Ratna Dianitami; R. Kintoko Rochadi; Nurmaini Nurmaini
East Asian Journal of Multidisciplinary Research Vol. 2 No. 11 (2023): November 2023
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/eajmr.v2i11.6844

Abstract

Cosmetics play a significant role in the daily routines, especially for teenagers in the city of Medan. However, concerns regarding the safety of cosmetics, particularly those containing harmful substances, are on the rise. This research aims to identify the attitudes and cosmetic advertisements influencing the selection of hazardous cosmetics by teenagers in Medan. Involving 385 respondents aged 17–22 in Medan, distributed across 18 districts, this study employs a cross-sectional approach and statistical analyses such as chi-square and multiple logistic regression to measure the impact of specific variables on the behavior of cosmetic selection among teenagers. The research findings indicate that attitudes and cosmetics advertisements play a crucial role in the decisions of cosmetic selection among teenagers. Therefore, actions to enhance positive attitudes, the availability of safe cosmetic products, and stricter regulation of cosmetic advertisements need to be considered. All of these measures are expected to assist teenagers in making wiser choices and supporting their health in selecting cosmetic products.
Southern Tapanuli Society Perception of Pulmonary TB Health and Diseases Fahmi, Ismail; Badaruddin, Badaruddin; Rochadi, R. Kintoko; Lubis, Rahayu
Budapest International Research in Exact Sciences (BirEx) Journal Vol 1, No 3 (2019): Budapest International Research in Exact Sciences, July
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v1i3.440

Abstract

Community empowerment programs to tackle pulmonary TB have never been implemented in South Tapanuli Regency, North Sumatra Province, Indonesia. Difficulties in designing interventions related to the socio-cultural community are one of the reasons. This study aims to understand people's perceptions of pulmonary TB health and disease and understand how the community prevents pulmonary TB. Qualitative research was carried out through focus group discussions and in-depth interviews. Participants were chosen purposively based on socioeconomic status, community / religious / adat leaders, and community health center officials, and government health officials. Data were analyzed using content analysis. The results of the analysis summarize the eight categories of statements that most often appear, namely: (1) Pulmonary TB is a dangerous disease; (2) the causes of pulmonary TB disease; (3) stigma related to pulmonary TB; (4) pulmonary TB treatment; (5) prevention of pulmonary TB; (6) information sources; (7) the role of community / religious / adat leaders; and (8) community action patterns. These eight categories are grouped into three domain structures, namely: (1) people's perception of pulmonary TB disease; (2) how to prevent pulmonary TB; and (3) health promotion strategies. The theme of deliberation, consensus, cooperation, and harmony that is identical to Dalihan Na Tolu's philosophy emerged as the perception of the people of South Tapanuli towards pulmonary TB disease.
Hubungan Pengetahuan dan Sikap dengan Status Gizi Siswa MAN Medan pada Masa Pandemi COVID-19 Tepriandy, Septo; Rochadi, R. Kintoko
TROPHICO: Tropical Public Health J. Vol. 1 No. 1 (2021): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (325.303 KB) | DOI: 10.32734/trophico.v1i1.6042

Abstract

Coronavirus Disease (COVID-19) merupakan penyakit menular yang disebabkan oleh virus SARS-CoV-2 yang masuk di Indonesia pada akhir tahun 2019. Pemerintah mengambil kebijakan untuk memutus rantai penularan COVID-19 ini yaitu melakukan pembatasan sosial, salah satunya dengan menghentikan kegiatan sekolah. Pemerintah juga mengimbau untuk menjaga pola hidup sehat, salah satunya dengan memerhatikan gizi seimbang agar status gizi menjadi baik. Penelitian ini bertujuan untuk menganalisis hubungan pengetahuan dan sikap dengan status gizi siswa MAN Medan pada masa pandemi COVID-19. Penelitian ini menggunakan desain cross-sectional, yang dilaksanakan di MAN 2 dan MAN 1 Medan. Sampel diambil dengan menggunakan simple random sampling yaitu pengambilan 60 orang siswa MAN 2 dan MAN 1 Medan. Data yang diperoleh dalam penelitian ini dianalisis secara univariat dan analisis bivariat dengan uji Chi Square kemaknaan α =0,05. Hasil penelitian menunjukkan terdapat hubungan antara pengetahuan dengan status gizi remaja di MAN 1 dan MAN 2 Kota Medan (p<0,05), dan tidak terdapat hubungan antara sikap dengan status gizi remaja di MAN 1 dan MAN 2 Kota Medan (p>0,05). Kesimpulan penelitian ini adalah ada hubungan antara pengetahuan dengan status gizi siswa MAN 2 dan MAN 1 Medan pada masa pandemi COVID-19, namun tidak ada hubungan sikap dengan status gizi siswa.
Gambaran pengetahuan, sikap dan kepercayaan ibu tentang imunisasi dasar lengkap pada masa pandemi Covid-19 di Kabupaten Padang Lawas Utara Siregar, Nilasari; Rochadi, R. Kintoko
TROPHICO: Tropical Public Health J. Vol. 2 No. 1 (2022): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (375.983 KB) | DOI: 10.32734/trophico.v2i1.8650

Abstract

Imunisasi adalah usaha yang bersifat preventif dengan tujuan meningkatkan imunitas seseorang menjadi aktif sehingga jika terpajan bibit penyakit akan menyebabkan sakit yang ringan bahkan tidak sakit. Pada tahun 2019 sampai sekarang dunia mengalami pendemi Covid-19 yang berakibat pada masalah imunisasi. Menurut WHO pada masa pandemi ada 68 negara dari 107 menghadapi masalah ataupun penghentian proses imunisasi baik imunisasi rutin dan pemunduran jadwal kampanye imunisasi terutama campak dan polio. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan, sikap dan kepercayaan ibu tentang pemberian imunisasi dasar lengkap pada masa pandemi Covid-19. Jenis penelitian ini kuantitatif dengan metode deskriptif. Populasi yaitu Ibu yang memiliki usia 0-12 bulan dan jumlah sampel sebanyak 182 orang teknik pengambilan sampel dengan accident sampling. Analisis data menggunakan analisis univariat. Hasil penelitian diperoleh pengetahuan ibu kategori baik sebanyak 59 orang (32,42 %), sikap kategori positif sebanyak 58 orang (31,87 %) dan kepercayaan ibu kategori baik sebanyak 49 orang (26,92 %). Kesimpulan penelitian ini adalah pengetahuan, sikap dan kepercayaan ibu tentang imunisasi dasar lengkap pada masa pendemi Covid-19 masih tergolong rendah karena ketiga variabel kategori baik lebih kecil dari 50 %. Saran diharapkan kepada dinas kesehatan dan pemerintahan desa bekerjasama untuk meningkatkan pengetahuan ibu di Kabupaten Padang Lawas Utara.
PENGARUH KEPEMIMPINAN DAN MOTIVASI KERJA TERHADAP KINERJA PEGAWAI PADA INSTALASI FARMASI RAWAT JALAN RSUD ABDUL MANAN SIMATUPANG Heman Gunanta Ginting; Zulfendri, Zulfendri; R. Kintoko Rochadi
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 2 No. 5 (2024): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/nutricia.v2i5.3030

Abstract

Kepemimpinan merupakan suatu fenomena sosiologis untuk menggerakkan para pegawai dalam mencapai kinerja yang efektif dan efisien. Dibutuhkan motivasi kerja yang tinggi dalam mewujudkan kinerja pegawai yang maksimal. Peran pemimpin sangat besar untuk menciptakan suasana kerja dengan motivasi kerja yang tinggi. Praktek Manajemen kepemimpinan juga terjadi pada instalasi farmasi rawat jalan RSUD Abdul Manan Simatupang. Dengan tantangan beban kerja yang tinggi seorang pimpinan harus mampu memberikan pengaruh terhadap motivasi kerja bawahannya agar dapat memberikan performa kinerja yang maksimal. Penelitian ini bertujuan untuk mengetahui hubungan kepemimpinan dengan kinerja pegawai, hubungan kepemimpinan dengan motivasi kerja pegawai dan hubungan motivasi kerja dengan kinerja pegawai di instalasi farmasi rawat jalan RSUD Abdul Manan Simatupang. Desain penelitian ini adalah crossectional. Penelitian dilakukan melalui metode kuantitatif dan menggunakan analisis statistik Regresi Linier Berganda untuk mengetahui seberapa besar pengaruh variabel bebas terhadap variabel terikatnya. Penelitian ini menggunakan total sampling pada teknik pengambilan sampel. Berdasarkan hasil penelitian, dapat disimpulkan bahwa kepemimpinan berpengaruh signifikan terhadap kinerja pegawai. Hal ini diindikasikan oleh nilai t-hitung X1 (3.212) > t-tabel (2.00) dan p-value (0,002) <0,05. Dengan kata lain, semakin baik kepemimpinan semakin baik pula kinerja pegawai. Kepemimpinan memberi pengaruh signifikan secara positif terhadap variabel terikat Y (kinerja pegawai). Hal ini diindikasikan oleh nilai t-hitung X2 (6.995) > t-tabel (2.00) dan p-value (0,000) <0,05. Hal ini berarti bahwa semakin baik motivasi kerja, semakin baik pula kinerja pegawai. Peningkatan implementasi manajemen kepemimpinan akan meningkatkan motivasi kerja petugas. Peningkatan motivasi kerja akan memberikan peningkatan kualitas kerja pegawai. Kinerja pegawai dapat meningkat melalui pemberian motivasi yang diberikan oleh pimpinan di instalasi farmasi rawat jalan RSUD Abdul Manan Simatupang. Untuk meningkatkan kinerja karyawan, Pimpinan pada instalasi farmasi rawat jalan RSUD Abdul Manan Simatupang perlu meluangkan waktu untuk memberikan motivasi pada bawahannya.
Paparan Lama Internet dan Media Sosial Hubungannya Terhadap Perilaku Seks Remaja Bukit, Dhani Syahputra; Rochadi, R. Kintoko; Keloko, Alam Bakti
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 19 No 1 (2024): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v19i1.342

Abstract

Introduction: Problems that dominate adolescence include sexuality, HIV/AIDS, and drugs.  sexual behavior of adolescents can hurt their health, both physically, psychologically, and socially, which often ends in unwanted pregnancies, early marriage, abortion, sexually transmitted infections, and other manifestations in the form of increased maternal mortality rates (MMR). Objectives: to examine one of the factors related to adolescents' exposure in shaping their sexual behavior, namely by analyzing the length of internet and social media access of adolescents in a day with adolescent sexual behavior. Methods: This study used a cross-sectional design, using a sample in the study of 170 adolescents in Terjun Village, Medan Marelan Subdistrict which was taken by simple random sampling. the data obtained were analyzed using the chi-square test. Results: show that there is a significant relationship between the length of internet access and adolescent social media in a day with adolescent sexual behavior with a p value = 0.0005 (p ≤ 0.05). Conclusions: To prevent risky sexual behavior in adolescents related to access to the internet and social media, better monitoring is needed from parents and also providing education to adolescents about positive internet access so that all adolescents become wiser in using the internet and social media they have.
THE ANALYSIS OF HEALTH PROMOTION STRATEGIES ON COMMUNITY PARTICIPATION IN PREVENTING STUNTING FOR MOTHERS WITH TODDLERS AT BANGUN PURBA SUB-DISTRICT Siregar, Maria Putri Rezeki; Rochadi, R. Kintoko; Andayani, Lita Sri
Lux Mensana: Journal of Scientific Health Vol. 2 Issue 2 (2023)
Publisher : jfpublisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56943/jsh.v2i2.291

Abstract

Introduction. Stunting is a growth disorder in children under five due to chronic malnutrition and recurrent infections. Therefore, efforts are needed to increase community participation in preventing stunting and the strategy to implement a health promotion strategy. Bangun Purba sub-district has been included in the stunting locus since 2020. This study aimed to analyze health promotion strategies (advocacy, partnerships, and community empowerment) on community participation in stunting prevention. Method. This type of research was a mixed method with an explanatory sequential design with a quantitative approach of interviewing 131 respondents and qualitative with in-depth interviews with 10 informants. The data were analyzed using univariate, bivariate and multivariate analysis (logistic regression). Result & Analysis. The results showed that 49.6% of respondents stated that advocacy was not good, there was an influence between advocacy and community participation (p=0.046), but the implementation of advocacy was good enough, along with public commitment and government support. The partnership was stated by 72.2% of respondents in the not good category because partnerships in stunting prevention not implemented optimally, there was an influence between partnerships on community participation (p=0.042). Community empowerment was stated by 72.5% of respondents in not good category due to activities not running actively, there was an influence between community empowerment on community participation (p=0.038). The community empowerment variable was the greatest variable influence on community participation with OR = 0.536. Discussion. Good coordination and synergize well in the prevention and control of stunting so that Deli Serdang Regency becomes a stunting-free Regency.
Co-Authors Abdul Jalil Amri Arma Achmad Noerkhaerin Putra Adi Wika Prasetya Ahmadi Ahmadi Alam Bakti Alam Bakti Keloko Alam Bakti Keloko, Alam Bakti Ameta Primasari Anita, Surya Asnija Sinambela Badaruddin Badaruddin Bangun, Henny Arwina Banurea, Fadli Fadhilah Bukit, Dhani Syahputra Cashtry Meher Chaidara Damanik, Wandi Dani, Eni Darma, Satria Debora Lestari Simamora Dermawanti Malau Destanul Aulia Destanul Aulia, Destanul Destanul Aulia, SKM., MBA., M.Ec., Ph.D Dewi Lindayani Dhani Syahputra Dinna Riza Sary Donal Nababan Donny Brezky Manurung Dya Astrid Hidayah Edy Syahrial Eka Lestari Sitepu Elfalini Warnelis Etti Sudaryati Eva Nirwana Natalia Hutabarat Evawani Martalena Silitonga Exaudi Telaumbanua Fachriza, Dicky Fahmi, Ismail Fahnidar Rahmah Fazidah Aguslina Siregar, Fazidah Aguslina Fazidah Fazidah Febri Yusnanda Feni Firdanigrum Fikarwin Zuska Fikarwin Zuska Fikarwin Zuska Fitri Saragih Frida Lina Tarigan Frida Lina Tarigan, Frida Lina Ghina Atikah Harahap, Rina Andriani Hasana LIsa Purba Hastuti, Mona Helena Pryadina Hutauruk Heman Gunanta Ginting Herida Purba Heru Santosa Heru Santoso Hiswani Hotmauli Manik Ida Yustina Ida Yustina ilham khairi Indra Wilson Purba Iradat Zega Irfannuddin Irfannuddin Irnawati Marsaulina Jannah, Hafzil Janno Sinaga Janno, Janno Jasmen Manurung Juanita Juanita Juanita Juanita Juanita Juanita Juanita Julia Alistawaty Purba Kartini S.H Panjaitan Ketaren, Otniel Lidya Natalia Br Sinuhaji Lina Rizki Linda T Linda T Maas Linda T. Maas Liory Olganita Banjarnahor Lita Sri Andayani Lorensia Eninta Maas, Linda T. Manullang, Yenni Manurung , Kesaktian Manurung, Kesaktian Marliani Marliani Marniati Marniati Marniati Marniati, Marniati Martalena Br S Kembaren Masdalina Pane Mega Gemala Meutia Mido Ester J. Sitorus Mona Hastuti Mula Tarigan Nababan, Donal Namora Lubis Namora Lumongga Namora Lumongga Namora Lumongga Lubis Namora Lumongga Lubis, Namora Lumongga Nova Linda Rambe Nur Amri Sari Harahap Nur Asiyah Nasution Nurbaity Nuriani Nuriani Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Oktarizal, Hengky Otniel Ketaren Pandapotan Sormin Prof. Dr. Ir Albiner Siagian M.Si Pulungan, Na'imah Purwana, Purwana Rahayu Lubis Rahmadani Rahmadani Ratna Dianitami Raysyah Rahmadhani Hasibuan Rika E Nurhidayah Riska Susanti Pasaribu Riski Sri Purwanti Pasaribu Riswani Tanjung Rita Mirdahni Roni Saputra Rosnella Sihombing Rusmalawaty Santi Nurida Br Nainggolan Sarmaida Siregar Sarumpae, Sorimuda Sembiring, Rinawati Seriusman H. Sitanggang Silitonga, Evawani Martalena Simangunsong, Dian Natalya Sinaga, Janno Sinurat , Arni Wetty Siregar, Dawiyah Siregar, Maria Putri Rezeki Siregar, Nilasari Siti Latifah Hanum Sitorus, Mido Ester Situmorang, Susy Hariaty Soekidjo Notoatmodjo Soekidjo Notoatmodjo Sondang Pintauli Sonny Priajaya Warouw Sri Rahayu Sanusi Sri Rahayu Yusnita Situmorang Sutomo Kasiman Sutomo Kasiman Syahri, Isyatun Mardhiyah Syarifah Syarifah . Tambunan, Martinus S Tarigan, Frida Lina Br Taruli Rohana Sinaga Taufik Ashar Tepriandy, Septo Toghur Arifani Lubis Toghur Arifani Lubis Toni Windra Tukiman . Tukiman, MKM Venni Yuasnita R. Damanik vidya lubis Wahyu Ajisah Wati, Evi Erlinda Wellina BR Sebayang Widia Astuti Tanjung yafrinal - siregar Yuanita Windusari Yulizar Yulizar Yusnanda, Febri yusrida fadma lubis Zulfendri Zulfendri Zulfendri Zulfendri Zulfendri Zulhaida Lubis Zulhaida Lubis Zulhaida Lubis