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All Journal Jurnal e-Biomedik JURNAL BIOMEDIK KESMAS JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK ISM (Intisari Sains Medis) : Jurnal Kedokteran Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Jurnal Promotif Preventif Jurnal Kesehatan Tambusai Medical Scope Journal (MSJ) Jurnal Kesehatan International Journal of Health and Pharmaceutical (IJHP) Indonesian Biodiversity Journal Indonesian Health Journal Al Makki Health Informatics Journal Indonesian Biodiversity Journal
Dina Victoria Rombot
Fakultas Kedokteran, Universitas Sam Ratulangi, Manado, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Earth & Planetary Sciences Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Faktor-faktor yang berhubungan dengan tindakan masyarakat tentang pencegahan demam berdarah dengue di Kecamatan Malalayang Kota Manado Pioh, Joyseilin Rachela; Rombot, Dina Victoria; Porajow, Zwingly Christian Jefferson Gerard
Jurnal Kedokteran Komunitas dan Tropik Vol 13 No 2 (2025)
Publisher : UNIVERSITAS SAM RATULANGI

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Abstract

Background: Dengue Hemorrhagic Fever (DHF) remains a significant public health problem at global and local levels, including in Manado City. The Malalayang District reports high case numbers due to population density and environmental conditions that support vector breeding. Although preventive information is easily accessible, community preventive practices remain suboptimal. Aim: To identify the factors associated with community practices in dengue hemorrhagic fever prevention in Malalayang District, Manado City. Methods: A cross-sectional design was used involving 110 respondents selected across three high-risk areas. Data were analyzed using descriptive statistics and chi-square tests. Results: Most respondents were female (57.3%), aged 17–25 years (30.0%), had a senior high school education (49.1%), were in the emerging middle class category (53.6%), and were exposed to dengue-related information (93.6%). Age (p = 0.001) and education level (p = 0.020) were significantly associated with preventive actions, whereas sex (p = 0.843), economic status (p = 0.144), and information exposure (p = 0.966) showed no significant associations. Conclusion: Dengue prevention practices in Malalayang are influenced by age and education level, while sex, economic status, and information exposure are not significantly associated.
Faktor-faktor yang Berhubungan dengan Perilaku Pencegahan Penyakit Diare Pada Anak di Rumah Sakit Tingkat II R.W. Mongisidi Manado Veidi Powa; Odi Roni Pinontoan; Jeannette I. Ch. Manoppo; Oksfriani Jufri Sumampouw; Dina Rombot
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.43613

Abstract

Pengetahuan dan pendidikan orang tua berperan besar dalam penerapan perilaku pencegahan seperti pemberian ASI eksklusif, kebersihan makanan, serta cuci tangan pakai sabun. Studi menunjukkan bahwa ibu dengan pendidikan rendah lebih berisiko memiliki anak yang menderita diare dibanding ibu dengan pendidikan tinggi. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan perilaku pencegahan penyakit diare pada anak di Rumah Sakit Tingkat (RS Tk.) II R.W. Mongisidi Manado. Metode pengumpulan data dalam penelitian ini meliputi wawancara dengan menggunakan kuesioner sebagai instrumen penelitian. Variabel bebas yaitu usia orang tua, pendidikan orang tua, pengetahuan orang tua, dan sarana kesehatan. Variabel terikat yaitu perilaku pencegahan diare pada anak. Hasil penelitian menunjukkan bahwa tidak ada hubungan antara pengetahuan orang tua (p= 0,729), usia orang tua (p= 0,316) dan pendidikan orang tua (p=1,000) dengan perilaku pencegahan diare anak sedangkan variabel sarana kesehatan diperoleh nilai p=0,024 (p< 0,05) yang berarti sarana kesehatan berhubungan secara signifikan dengan perilaku pencegahan diare anak. Hasil analisis multivariat menunjukkan bahwa dari semua variabel independen (bebas) yang diduga memengaruhi perilaku pencegahan diare anak terdapat 1 (satu) variabel yang paling berpengaruh terhadap perilaku pencegahan diare anak dengan p-value 0,004 yaitu variabel sarana kesehatan. Nilai OR terbesar diperoleh yaitu 4,080 artinya sarana kesehatan dalam upaya pencegahan diare anak oleh responden mempunyai peluang 4,080 kali perubahan perilaku pencegahan diare anak. Kesimpulan penelitian ini yaitu sarana kesehatan merupakan faktor yang berhubungan dengan perilaku pencegahan diare anak di RS Tk. II R.W. Mongisidi Manado.
Implementasi Strategi Promosi Kesehatan dalam Upaya Penurunan Kejadian Stunting di Wilayah Kerja Puskesmas Talawaan Minahasa Utara Jeini Ester Nelwan; Githa Maasawet; Alexander Sam Leonard Bolang; Odi Roni Pinontoan; Dina Victoria Rombot
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47212

Abstract

Masih tingginya prevalensi stunting secara nasional dan daerah, meskipun telah terjadi penurunan. Di Minahasa Utara, stunting menurun dari 20,5% pada 2022 menjadi 10,9% pada 2023. Namun, kasus di Puskesmas Talawaan tetap ada dan memerlukan intervensi yang sistematis. Tujuan untuk menganalisis implementasi strategi promosi kesehatan dalam upaya penurunan kejadian stunting di wilayah kerja Puskesmas Talawaan, Kabupaten Minahasa Utara. Stunting merupakan masalah kesehatan masyarakat yang berdampak jangka panjang terhadap perkembangan kognitif, daya tahan tubuh, dan produktivitas individu. Meskipun angka stunting secara nasional menunjukkan penurunan, disparitas regional masih terjadi, sehingga diperlukan intervensi yang bersifat spesifik dan berbasis komunitas. Metode pendekatan kualitatif dengan desain studi kasus. Informasi dikumpulkan melalui wawancara mendalam, observasi, dan telaah dokumen. Empat informan dipilih secara purposive, terdiri atas petugas promosi kesehatan, pengelola program gizi, tokoh masyarakat, dan ibu yang memiliki balita. Analisis data dilakukan dengan model interaktif Miles dan Huberman, serta validitas data diuji melalui triangulasi sumber dan metode. Hasil penelitian menunjukkan bahwa strategi promosi kesehatan terdiri atas tiga pendekatan utama: (1) advokasi, melalui pelibatan pemangku kebijakan desa dalam perencanaan dan penganggaran kegiatan kesehatan; (2) dukungan sosial, yang melibatkan tokoh masyarakat, tokoh agama, dan organisasi lokal dalam meningkatkan partisipasi masyarakat; dan (3) pemberdayaan masyarakat, melalui edukasi gizi, demonstrasi memasak, intervensi berbasis sekolah, serta pelatihan kader kesehatan. Kesimpulan penelitian ini menunjukkan bahwa strategi promosi kesehatan berbasis komunitas berkontribusi positif terhadap peningkatan kesadaran dan keterlibatan masyarakat dalam pencegahan stunting. Namun, keterbatasan sumber daya manusia, waktu, anggaran, serta rendahnya literasi kesehatan masyarakat masih menjadi tantangan yang perlu diatasi
Evaluasi Implementasi Tata Kelola Mutu Dalam Pencapaian Indikator Nasional Mutu Pada Dinas Kesehatan Kota Manado Tahun 2021-2024 Yati Suriani Wangean; Jeannette I. Ch. Manoppo; Windy Mariane Virenia Wariki; Dina Victoria Rombot; Harsali Fransiscus Lampus
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.50466

Abstract

Penelitian ini bertujuan untuk mengevaluasi implementasi tata kelola mutu dalam pencapaian Indikator Nasional Mutu (INM) pada Dinas Kesehatan Kota Manado periode 2021–2024. Latar belakang penelitian ini berangkat dari rendahnya capaian beberapa indikator utama, khususnya keberhasilan pengobatan tuberkulosis (TB) dan cakupan antenatal care (ANC) sesuai standar, yang masih jauh dari target nasional meskipun kebijakan, regulasi, dan sistem informasi telah tersedia. Penelitian ini menggunakan pendekatan kualitatif dengan desain studi kasus. Informan terdiri dari enam pihak kunci, yaitu Kepala Dinas, Sekretaris Dinas, Kepala Bidang Pelayanan Kesehatan, Kepala Bidang Kesehatan Masyarakat, Kepala Bidang Pencegahan dan Pengendalian Penyakit, dan Kepala Puskesmas. Data dikumpulkan melalui wawancara mendalam, observasi, dan dokumentasi, kemudian dianalisis dengan metode analisis tematik. Hasil penelitian menunjukkan bahwa aspek input berupa kebijakan dan pembiayaan sudah tersedia, tetapi keterbatasan anggaran dan distribusi SDM masih menjadi kendala. Pada aspek proses, indikator kebersihan tangan, penggunaan APD, identifikasi pasien, dan kepuasan pasien relatif berhasil dicapai, sementara capaian indikator TB (57–85%) dan ANC (15–45%) konsisten tidak memenuhi target. Aspek output memperlihatkan adanya peningkatan jumlah Puskesmas yang melaporkan capaian, tetapi kualitas capaian belum merata. Penelitian ini menyimpulkan bahwa hambatan terbesar implementasi tata kelola mutu bukan hanya bersifat teknis, melainkan juga dipengaruhi faktor sosial-budaya masyarakat. Penelitian ini merekomendasikan penguatan SDM, integrasi sistem informasi kesehatan, intervensi berbasis komunitas, serta kampanye kesehatan berbasis budaya lokal untuk meningkatkan pencapaian INM di Kota Manado.
An Analysis Of Inpatient Satisfaction At Maria Walanda Maramis Regional General Hospital Venesia Pengan; Jehosua S. V. Sinolungan; Jimmy Posangi; Dina V. Rombot; Markus T. Lasut; Welong S. Surya
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 3 (2025): August 2025
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i3.381

Abstract

Patient satisfaction serves as a critical indicator of hospital service quality and overall performance. In Indonesia, government hospitals are required to adhere to public service standards, including routine evaluation through the Community Satisfaction Index (IKM). This study examines patient satisfaction among inpatients at RSUD Maria Walanda Maramis, North Minahasa, using four core service quality dimensions: system and procedure clarity, service completion time, staff competence, and infrastructure. To analyze the relationship between selected service quality variables and the level of patient satisfaction in a Type C public hospital. Methods: This research employed a quantitative, cross-sectional design involving 95 inpatients selected using simple random sampling. Data were collected via a structured questionnaire adapted from Permenpan RB No. 14/2017. Bivariate analysis using the Chi-square test was conducted to determine the significance of associations, and Odds Ratios (OR) were calculated to measure the strength of influence of each variable on satisfaction. Results: All four independent variables showed significant associations with patient satisfaction (p < 0.05). The strongest influence was found in the clarity of service systems and procedures (OR = 14.0), followed by infrastructure (OR = 4.219), staff competence (OR = 3.889), and turnaround time (OR = 3.372). Infrastructure received the highest percentage of positive responses (72.6%), while staff competence received the lowest (51.6%). Conclusion: Patient satisfaction at RSUD Maria Walanda Maramis is significantly influenced by administrative clarity, service efficiency, human resource competence, and facility quality. Enhancing procedural transparency and investing in continuous staff development are crucial strategies for improving hospital service quality and public perception.
Gambaran pengetahuan, sikap, dan tindakan dokter keluarga terhadap penyakit ginjal kronis di Sulawesi Utara EUGENIUS AGRO PALOBO; Frelly Valentino Kuhon; Dina Victoria Rombot
Jurnal Kedokteran Komunitas dan Tropik Vol 14 No 1 (2026)
Publisher : UNIVERSITAS SAM RATULANGI

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Abstract

Background: Chronic kidney disease (CKD) is a major global health problem with increasing morbidity and mortality. Family physicians, as the frontline providers in primary health care, play an important role in the prevention, early detection, and initial management of CKD. Adequate knowledge, positive attitudes, and appropriate practices of family physicians regarding CKD are expected to reduce disease progression and related complications. Aim: To describe the knowledge, attitudes, and practices of family physicians toward chronic kidney disease in North Sulawesi. Methods: This study is a descriptive study with a cross-sectional research design. Results: The level of knowledge of family physicians in North Sulawesi was predominantly good, with 89 physicians (97.8%) in the good category and 2 physicians (2.2%) in the fair category. All respondents (91 physicians; 100%) had good attitudes toward CKD. The level of practice was mostly good, with 88 physicians (96.7%) in the good category, 1 physician (1.1%) in the fair category, and 2 physicians (2.2%) in the poor category. Conclusion: The overall levels of knowledge, attitudes, and practices of family physicians toward chronic kidney disease in North Sulawesi was categorized as good.
Gambaran pengetahuan, sikap, dan tindakan masyarakat tentang pencegahan demam berdarah dengue di Kelurahan Paniki Bawah Kota Manado Darren Liono Smith; Dina Victoria Rombot; Ronald Imanuel Ottay
Jurnal Kedokteran Komunitas dan Tropik Vol 14 No 1 (2026)
Publisher : UNIVERSITAS SAM RATULANGI

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Abstract

Background: Dengue fever (DF) is one of the endemic diseases in Indonesia and remains a significant public health problem. Based on data from the Manado City Health Office, in 2024 there were 126 cases of dengue fever in Paniki Bawah Village. This number of cases is the highest of all recorded health centers. Aim: To describe the knowledge, attitudes, and actions of the community in Paniki Bawah Village regarding the prevention of dengue fever. Methods: This study used a quantitative descriptive design with a cross-sectional approach. The sample consisted of 109 respondents selected using proportional quota sampling. Data were collected using questionnaires and analyzed using univariate analysis. Results: The results showed that most respondents had good knowledge (60.6%), good attitudes (69.7%), and good preventive actions (75.2%). Conclusion: The community in Paniki Bawah Village has good knowledge, attitudes, and actions in preventing dengue fever.
Hubungan pengetahuan dan sikap dengan tindakan pencegahan demam berdarah dengue di Kelurahan Taratara Kecamatan Tomohon Barat Kota Tomohon Gloria Kairupan; Tyrsa Monintja; Dina Rombot
Jurnal Kedokteran Komunitas dan Tropik Vol 14 No 1 (2026)
Publisher : UNIVERSITAS SAM RATULANGI

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Abstract

Background: Dengue Hemorrhagic Fever (DHF) is a disease transmitted by the Aedes aegypti mosquito and is still a health problem in Taratara Village, which in 2024 recorded 115 cases. Community knowledge and attitudes play a role in shaping preventive measures. Objective: To determine the relationship between knowledge and attitudes with dengue prevention measures in Taratara Village, West Tomohon District. Aim: To determine the relationship between knowledge and attitudes with dengue prevention measures in Taratara Village, West Tomohon District. Methods: This study used a quantitative analytical design with a cross-sectional approach. The sample amounted to 95 respondents who were selected through purposive sampling. Data was collected using a questionnaire and analyzed using the Chi-Square test. Results: The majority of respondents had good knowledge (80%) and good attitudes (55.8%). However, most showed poor preventive measures (62.1%). The bivariate test showed no significant relationship between knowledge and action (p = 0.139) or between attitude and action (p = 0.415). Conclusion: The knowledge and attitude of the community is relatively good, but optimal dengue prevention measures have not been followed. Increased environmental support and community-based pemberantasan sarang nyamuk activities are needed.
Impact of Sleep Quality, Workload, Job stress, and Coping Strategies on Work Fatigue among Nurses at Hermina Hospital Manado Siti Adrianti; Theresia M. D. Kaunang; Greta J.P. Wahongan; Harsali Fransiscus Lampus; Dina Victoria Rombot
Viva Medika Vol 17 No 2 (2024)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i2.1475

Abstract

Work fatigue in nurses affects patient care, including patient safety, the risk of patient falls, and medical errors, and decreases organizational performance. This study evaluates the relationship between sleep quality, workload, job stress, and coping strategies with work fatigue among nurses at Hermina Manado Hospital. The approach utilized involves observational analysis using a cross-sectional method involving a sample of 63 nurses, using questionnaires, Spearman correlation analysis and logistic regression. The results show that most respondents experienced moderate levels of work fatigue (69.8%), poor sleep quality (61.9%), heavy workload (57.1%), moderate job stress (63.5%), and use of emotion-based coping strategies (85.7%). Spearman correlation showed a positive relationship between sleep quality (r = 0.444; p = 0.000), workload (r = 0.429; p = 0.000), job stress (r = 0.507; p = 0.000), coping strategies (r = 0.268; p = 0.034) and work fatigue. Multivariate analysis yielded (Exp(B) 14.756; p = 0.019) for job stress. It can be inferred that there is a relationship between sleep quality, workload, job stress, and coping strategies with work fatigue in nurses, with the most dominant factor being job stress.
Analisis Faktor Kualitas Layanan Berbasis SERVQUAL terhadap Kepuasan Siswa pada Program Makanan Bergizi Gratis: Studi Kuantitatif di SMA Negeri 2 Bitung Anastasia Malla; Dina Victoria Rombot; Alexander S.L. Bolang; Nova Helen Kapantow; Nurdjannah Jane Niode
Jurnal Promotif Preventif Vol 8 No 6 (2025): Desember 2025: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v8i6.2493

Abstract

Program Makanan Bergizi Gratis (MBG) merupakan kebijakan kesehatan dan pendidikan strategis yang bertujuan meningkatkan status gizi dan kesejahteraan siswa, namun keberhasilan implementasinya sangat dipengaruhi oleh kualitas layanan yang dirasakan oleh peserta program. Penelitian ini mengevaluasi kepuasan peserta Program Makanan Bergizi Gratis (MBG) di SMA Negeri 2 Bitung. Metode kuantitatif cross-sectional dengan sampel purposif 317 siswa digunakan. Data dikumpulkan via kuesioner untuk mengukur kepuasan dan lima dimensi SERVQUAL, kemudian dianalisis dengan uji Spearman dan regresi linier berganda. Hasil menunjukkan dukungan (98,7%) dan manfaat program (75,3%) sangat tinggi. Regresi mengungkap kelima dimensi bersama-sama menjelaskan 42,3% variasi kepuasan (R²=0,423). Bukti fisik (β=0,368) dan keandalan (β=0,289) berpengaruh positif signifikan, sementara empati (β=-0,180) berdampak negatif signifikan. Daya tanggap dan jaminan tidak signifikan. Bukti fisik merupakan faktor dominan. Disimpulkan, kepuasan peserta MBG terutama ditentukan oleh kualitas bukti fisik dan keandalan layanan. Temuan unik menunjukkan pendekatan empati yang terlalu personal justru mengurangi kepuasan, diduga kurang sesuai dengan karakteristik remaja. Rekomendasi utama adalah peningkatan kualitas fisik makanan dan konsistensi penyajian, serta penyesuaian pelayanan ke arah yang lebih profesional.
Co-Authors A.J. Pandelaki Aaltje E. Manampiring Aaltje E. Manampiring Aaltje Ellen Manampiring Adrian Jonathan Angir Alexander S.L. Bolang Alexander Sam Leonard Bolang Anastasia Malla Ang Lucia Baguna Angel C. Goni Anggreiny M. Tumimomor Anggyta Pradifta Kusuma Anira U. Syariffudin Arthur E. Mongan Aruperes, Novelia Athalia, Zelda Fitri Aviliana Revani Wenas Beatris Matei Benedictus Lampus Benedictus S. Lampus Billy J. Kepel Billy J. Kepel Billy J. Kepel Chenko Rayndi Cicilia Meyfree Karamoy Darren Liono Smith Dhanny E. P. Lagarense Dian Wahyu Laily Diana V. D. Doda Diana Vanda Daturara Doda Ellen Adil Ellen Manampiring, Aaltje EUGENIUS AGRO PALOBO Fatimawali . Fatimawali Fatimawali Felastri Delais Bororing Felix Eliezer Massie Finna R. Rombemba, Finna R. Frelly V. Kuhon Frelly Valentino Kuhon Githa Maasawet Gloria Kairupan Grace Debbie Kandou Grace Korompis Greta J.P. Wahongan Gustaaf A. E Ratag Gustaaf A. E. Ratag Gustaaf A. E. Ratag Harsali Fransiscus Lampus Harsali Fransiscus Lampus Henry Malcom Frank Palandeng Heski Deswan Momuat Husain, Anisa A. Ilham Maulana Zakaria Indriya Robot, Melisa Irma F. Tulungen Iyone E.T. Siagian Iyone Esra Tiurma Siagian Jeanette I. Ch. Manoppo Jeanette Irene Christiene Manoppo Jeannette I. Ch. Manoppo Jehosua S. V. Sinolungan Jeini Ester Nelwan Jimmy Posangi Jimmy Posangi Jimmy Posangi Jootje M.L. Umboh Karel Pandelaki Keren Kaawoan, Keren Kevin Wewengkang, Kevin Latun, Erick Lesar, Imelda Lidia Lucia I. R. Lefrandt Madianung Valentine Virginia Bonochdita Maissy C. Kenang Margareth Rosalinda Sapulete Maria R. Kasenda Mario Walean Markus T. Lasut Martin Simanjuntak Matasha E.G. Pongoh Mokolensang, Gerry Octapian Mokosuli Yermia Samuel Monica Michiko Mongi Monintja , Tyrsa Christine Natalia Naray, Gueen L. G. Nelwan, Ester Jeini Nova Helen Kapantow Nova Hellen Kapantow Nurdjannah Jane Niode Ocrico Isa, Roi Odi Roni Pinontoan Oksfriani Jufri Sumampouw Olaet P. Saweduling Pasla, Gersom Figo Chrystianto Pioh, Joyseilin Rachela Priska P.H. Kondoy Raynald A. Issakh, Raynald A. Reanita Jesi Markus Regina J. Karundeng Rhesa B. Wagiu, Rhesa B. Rogi, Joanne K. F. Ronald Imanuel Ottay Simangunsong, Natasya Glory Meicharisty Siti Adrianti Starry Homenta Rampengan Tampi, Meiny Ledya Theresia M D Kaunang Trevino A. Pakasi Trifena Manaroinsong, Trifena Tyrsa Monintja Veidi Powa Venesia Pengan Virjinia Bastian Wariki, Windy M. V. Welong Seftian Surya Wenny Rumanga Winda Sari Wiztafia A. Ajami, Wiztafia A. Woodford B. S Joseph, Woodford B. S Wulan P.J. Kaunang Yati Suriani Wangean Yulindah Novitah Tubuon Zulha, Zulha Zwingly C.J.G. Porajow