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Analysis of the Elderly Class Program in Siumbut Baru Village, Kisaran Timur District Sagala, Erlina Bernadet; Karnirius Harefa; Desideria Yosepha Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/bgr46e03

Abstract

The Elderly Class Program is a form of non-formal education that aims to improve the quality of life of the elderly through health, social, and empowerment education. This study aims to analyze the implementation of the Elderly Class Program in Siumbut Baru Village, Kisaran Timur District, with a focus on implementation, assistance, obstacles, and its benefits for elderly participants. The method used is descriptive qualitative with data collection techniques through in-depth interviews, observation, and documentation of the head of the health center, cadres, health workers, community leaders, and elderly participants. The results of the study indicate that the program has run according to its objectives, received support from various parties, and its benefits are felt by the elderly, especially in increasing understanding of healthy lifestyles, chronic disease management, and strengthening social functions. However, there are several obstacles such as the limited number of assistants and the inaccuracy of implementation time due to late participants. Routine evaluation and monitoring are carried out by officers and cadres to ensure that the quality of the program is maintained and obstacles can be overcome immediately. In conclusion, the Elderly Class Program in Siumbut Baru Village is an effective community education model, but requires strengthening in terms of human resources and cross-sector support to be more optimal
Implementation of Congenital Hypothyroidism Screening Program at Community Health Center Nasution, Ainun Budi; Reni Aprinawaty Sirait; Desideria Yosepha Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/yn7ka993

Abstract

Background: The implementation of the Congenital Hypothyroidism Screening (SHK) program at UPTD Puskesmas Tebing Syahbandar has not yet achieved the target of screening 100% of newborns, with coverage rates of only 1.36% in 2023 and 15% in 2024. Several challenges hinder the program’s effectiveness, including limited resources and resistance from parents.Objective: This study aims to analyze the implementation of the SHK program at UPTD Puskesmas Tebing Syahbandar, identify the factors contributing to the low screening coverage, and propose recommendations for improving the program’s effectiveness and achieving the desired target. Research Method: A qualitative approach is used in this study, employing in-depth interviews with informants including healthcare workers, midwives, and the head of Puskesmas. The data collected was analyzed to identify key themes and factors affecting the program’s implementation. Results: The findings indicate that while the SHK program follows the guidelines set in Permenkes No. 78/2014, it faces significant barriers such as insufficient supply of screening materials (e.g., filter paper), limited training for healthcare personnel, and lack of comprehensive education for parents. These issues result in low participation rates and missed opportunities for early detection of congenital hypothyroidism. Conclusion: Addressing the challenges related to material availability, enhancing healthcare worker training, and improving communication and education for parents are essential to reaching the program’s target of 100% screening coverage.
The analysis of the factors influencing the awareness of post-operative neurosurgery patients in the ICU of a hospital Karo-Karo, Julyenni; Barita Aritonang; Desideria Yosepha Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/p371wr57

Abstract

Background: Nurses' caring behavior significantly affects the quality of service and patient satisfaction. However, in Indonesia, the quality of nurses' caring behavior is still relatively low. High workloads and low work motivation can affect the quality of nurses' caring behavior. This study aims to analyze the relationship between work motivation and workload on nurses' caring behavior at Puskesmas Tigalingga in 2025.Objective: This study aims to determine the relationship between work motivation and workload on nurses' caring behavior at Puskesmas Tigalingga in 2025. Research Method: This study uses a quantitative design with a non-experimental descriptive correlation approach. The study was conducted at Puskesmas Tigalingga with a population of 57 nurses and midwives. The sampling technique used was Total Sampling. Data were collected using questionnaires and analyzed using Chi-Square tests and multiple logistic regression. Results: The results of the study indicate a significant relationship between work motivation and caring behavior (p-value = 0.003), as well as between workload and caring behavior (p-value = 0.003). Logistic regression analysis showed that workload has the greatest impact on caring behavior, with an Odds Ratio (OR) = 12.49. Conclusion: Managing workload effectively and increasing work motivation are crucial for improving nurses' caring behavior. Both factors play an important role in improving the quality of nursing services and patient satisfaction at Puskesmas Tigalingga.
Socio-Cultural Influence on Stunting Incidence in Children Aged 0 – 59 Months In Tarempa Village, Siantan District, Anambas Islands Regency In 2025 Sitorus, Christ Natalin; Kasim, Felix; Ginting, Desideria Yosepha
Jurnal Indonesia Sosial Sains Vol. 6 No. 6 (2025): Jurnal Indonesia Sosial Sains
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jiss.v6i6.1744

Abstract

Tarempa Village is a village with the highest stunting rate in Tarempa Village, Siantan District, which is 7.14%. Socio-cultural factors are characteristics of a nation or region that can form patterns of community behavior, which may have an indirect impact on health, derived from hereditary beliefs and traditions. Some of these are in line with health rules, while others are less aligned, and they are involved in their roles within the cultural, social, economic, and health service systems. This study aims to analyze the socio-cultural influence on the incidence of stunting in children aged 0–59 months in Tarempa Village, Siantan District, Anambas Islands Regency. The research sample consisted of 101 parents of toddlers, selected using a purposive sampling technique. The research design used is a Mixed Method. Data collection was carried out using questionnaires and the in-depth interview method. Questionnaire tests were used to guarantee the validity and reliability of the instrument. The study showed a significant influence of cultural, social, and health service systems on the incidence of stunting (p < 0.05) in Tarempa Village, Siantan District, Anambas Islands Regency. There is a significant influence between cultural, social, and health care systems and stunting. The researcher suggested that indigenous leaders should be directly involved in KIE (communicative, informative, and educational) efforts with the community, parents, and the environment, to play an active role in improving children's nutritional status, as well as the involvement of other stakeholders in realizing a qualified health service system.
The Effect of Giving Cinnamon Infusion with Honey on Primary Dysmenorrhea Pain in Adolescents Riris Sitorus; Desideria Yosepha Ginting; Grace Erlyn Damayanti S; Mayang Citra Hariati
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/317gzr74

Abstract

Primary dysmenorrhea is a condition that may reduce adolescents’ quality of life, as it can interfere with daily activities and increase the risk of absenteeism from school or work. The management of this condition remains suboptimal, as most adolescents tend to rely on analgesic medications, while the long-term use of chemical drugs is associated with potential adverse effects, including disorders of the gastrointestinal system, kidneys, and liver. Therefore, safer alternative therapies are needed, one of which is the use of natural ingredients such as cinnamon and honey. This study aimed to analyze the effect of administering a cinnamon infusion combined with honey on the intensity of primary dysmenorrhea pain in adolescents. A quantitative approach with a quasi-experimental design using a pretest-posttest control group design was employed. The study population consisted of 60 students experiencing primary dysmenorrhea, with a sample of 38 respondents selected using purposive sampling technique. Data analysis was performed using the independent sample t-test with a 95% confidence level (α = 0.05). The results showed a significant effect of administering a cinnamon infusion combined with honey on reducing primary dysmenorrhea pain in adolescents (p < 0.001). In conclusion, a cinnamon infusion combined with honey was proven to be effective in reducing primary dysmenorrhea pain; therefore, healthcare providers, particularly midwives, as well as schools are recommended to promote this intervention as an alternative management for dysmenorrhea pain in adolescents.
Strategy to Improve Exclusive Breastfeeding Coverage Through Optimizing the Role of Posyandu Cadres in the Working Area of Sibande Community Health Center, Pakpak Bharat Regency, 2025 Syafrida Eriyanti; Rahmad Gurusinga; Desideria Yosepha Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/6sc8nw40

Abstract

Exclusive breastfeeding during the first six months of life is an important indicator of maternal and infant health. However, the coverage of exclusive breastfeeding in the working area of the Sibande Community Health Center, Pakpak Bharat Regency, is still not optimal. One of the factors contributing to the improvement of exclusive breastfeeding coverage is the role of Posyandu cadres as the frontline of community-based health services. This study aims to describe the role of Posyandu cadres, identify the obstacles they face, and formulate strategies to improve exclusive breastfeeding coverage through the optimization of the role of Posyandu cadres. This study employed a qualitative approach with a phenomenological study design. Informants were selected purposively and consisted of 12 participants, including Posyandu cadres, breastfeeding mothers with infants aged 0–6 months, and health workers from the Sibande Community Health Center. Data were collected through in-depth interviews, observation, and documentation studies, and were subsequently analyzed using thematic analysis. The results showed that Posyandu cadres play roles as educators, motivators, companions, and intermediaries between breastfeeding mothers and health workers. However, these roles have not been performed optimally due to limited knowledge and counseling skills related to breastfeeding, the influence of local cultural practices, and the lack of continuous guidance and support. The discussion indicates that optimizing the role of cadres through exclusive breastfeeding counseling training, continuous mentoring, the provision of educational media, and strengthened cross-sector coordination has the potential to improve exclusive breastfeeding coverage. The conclusion of this study highlights that optimizing the role of Posyandu cadres is an important strategy for increasing exclusive breastfeeding coverage. It is recommended that the Community Health Center regularly conduct exclusive breastfeeding counseling training and strengthen supervision and support for Posyandu cadres.
Analysis of Individual and Behavioral Factors Affecting the Success of Pulmonary Tuberculosis Treatment at Sukaramai Public Health Center, Pakpak Bharat Regency Rusmiaty Sinaga; Reni Aprinawaty Sirait; Desideria Yosepha Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/1gn7jj71

Abstract

Pulmonary tuberculosis (TB) remains a major global public health problem, with suboptimal treatment success rates in many regions. This study aimed to analyze individual and behavioral factors affecting the success of pulmonary TB treatment at Sukaramai Public Health Center, Pakpak Bharat Regency. This study employed an analytical observational design with a cross-sectional approach. The population consisted of 328 TB patients, with a sample of 180 respondents selected using purposive sampling. The variables studied included age, sex, education, knowledge, and medication adherence. Data were analyzed using univariate, bivariate (Chi-square test), and multivariate (logistic regression) analyses with a significance level of 0.05. The results showed that most respondents were aged >40 years (63.9%), female (56.7%), had low education levels (71.1%), and had poor knowledge (50.6%). Medication adherence was relatively good, with 59.4% of respondents classified as adherent. Bivariate analysis indicated significant associations between knowledge (p=0.002) and medication adherence (p=0.019) with treatment success. However, multivariate analysis revealed that only medication adherence had a significant effect on treatment success (OR=3.12; 95% CI: 1.65–5.90; p=0.001), while knowledge was not statistically significant. In conclusion, medication adherence is the most dominant factor influencing the success of pulmonary TB treatment. Therefore, interventions should focus on improving patient adherence through continuous health education, family support, and strengthening treatment supervision systems to enhance treatment outcomes.
Food Taboos and Prevention of Postpartum Anemia in the Karo Ethnic Community Desideria Yosepha Ginting; Nur Indrawati Lipoeto; Adang Bachtiar; Joserizal Serudji
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6570

Abstract

Postpartum anemia is a condition characterized by reduced hemoglobin levels in the blood, which diminishes the blood’s ability to optimally transport oxygen to meet the body’s physiological needs. Although a global health issue, this condition remains frequently overlooked and under-researched. This study aims to explore the perceptions, meanings, and values associated with cultural practices, such as food taboos, and their relationship to the occurrence of postpartum anemia in the Karo ethnic community. Using a qualitative approach, data were gathered through in-depth interviews with three postpartum mothers. The interviews were conducted over multiple sessions with each participant until responses became consistent. The findings revealed that specific food taboos are practiced during the postpartum period, which are culturally significant but may affect iron intake and risk worsening anemia. Postpartum mothers in the Karo ethnic community avoid consuming seafood and leafy vegetables with hairy surfaces. These foods are restricted due to the belief that they may cause itching. Food taboos among postpartum mothers in the Karo ethnic community can lead to micronutrient deficiencies, contributing to anemia. This highlights the need for health interventions that integrate cultural context and local wisdom.
Effectiveness Of Lime Juice Administration (Citrus Aurantifolia) On Nausea Vomiting In Pregnant Women At Matahari Primary Clinic Tj. Morawa Desideria Yosepha Ginting; Cyntia Deana
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 1 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/enca1d55

Abstract

Background: Experiencing nausea or sickness while pregnant is common, especially in the first trimester, and it can have serious consequences for the mother's and foetus' health. Hormonal changes, gastrointestinal sensitivities, and psychological issues are usually associated with these symptoms, which about 70-80% of pregnant women experience. A natural cure that may alleviate nausea is lime, which is abundant in antioxidants and vitamin C. Lime has antiemetic qualities thought to be possessed by ingredients including citric acid and essential oils. When it comes to nausea and vomiting during pregnancy, using lime juice as a supplementary treatment is thought to provide a safer and more instinctual alternative. Objectives: This research is conducted to see if lime juice (Citrus aurantifolia) will help pregnant women who are experiencing nausea and vomiting during the first trimester who visit the Matahari Tj. Morawa Health Clinic. Research Method: This statistical study uses the non-parametric Wilcoxon test with a one-group pretest-posttest design. All moms at the Matahari Tj. Morawa Wellness Clinic who were in their first trimester were part of the research population. The intensity of vomiting was assessed using the PUQE-24, and a collection size of 14 participant was established using Slovin's algorithm. Research Results: At the Matahari Tj. Morawa Health Clinic, pregnant women in their first trimester reported less nausea and vomiting after drinking lime juice (p 0.001). Conclusion: Researchers at the Matahari Tj. Morawa Health Clinic found that pregnant women experiencing nausea and vomiting during the first trimester of their pregnancies found relief by drinking lime juice. The clinic should inform expectant moms about the benefits of lime juice for reducing morning sickness and vomiting, particularly in the first trimester.
Training on the Preparation of Cinnamon and Honey Infusions to Reduce Menstrual Pain among Adolescent Girls Riris Sitorus; ⁠Mayang Citra Hariati; Diah Evawanna Anuhgera; Grace Erlyn D. Sitohang; Desideria Yosepha Ginting
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/q95q7n54

Abstract

Menstrual pain is one of the most common reproductive health problems experienced by adolescent girls and may adversely affect learning concentration, productivity, and overall quality of life. Limited knowledge regarding non-pharmacological approaches to menstrual pain management often leads adolescents to endure the discomfort or rely on analgesic medications without adequate information. This community service program aimed to enhance adolescent girls’ knowledge and practical skills in preparing cinnamon and honey infusions as a complementary approach to alleviating menstrual pain. The program was implemented using an educational and participatory approach through health education sessions, interactive discussions, demonstrations, and hands-on practice. A total of 25 adolescent girls who had experienced menstruation participated in the activity. Program evaluation was conducted using pretests and posttests to assess knowledge improvement, observational checklists to evaluate practical skills, and participant satisfaction questionnaires. The results demonstrated a substantial increase in participants’ mean knowledge score, from 58.13 before the training to 87.73 after the intervention. The highest improvement (64.96%) was observed in knowledge related to the preparation procedure of cinnamon and honey infusions. Skills assessment revealed that 60.0% of participants achieved a very good category and 32.0% achieved a good category in preparing the infusion. Participant satisfaction was also remarkably high, with 84.0% reporting that they were very satisfied with the program. These findings indicate that training on the preparation of cinnamon and honey infusions is effective in improving adolescent girls’ knowledge and skills regarding non-pharmacological menstrual pain management through the utilization of safe, affordable, and readily available natural ingredients.