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PENGARUH FAKTOR PREDISPOSISI PENDUKUNG DAN PENDORONG IBU TERHADAP PEMBERIAN ASI EKSKLUSIF DI WILAYAH KERJA PUSKESMAS PANGIRKIRAN KECAMATAN HALONGONAN KABUPATEN PADANG LAWAS UTARA TAHUN 2015 Harahap, Ica Fauziah; Siagian, Albiner; Tampubolon, Elmina
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol 10 No 2 (2015): Jurnal Ilmiah PANNMED Periode September-Desember 2015
Publisher : Politeknik Kesehatan Kemetrian Kesehatan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (496.715 KB)

Abstract

Maternal breast feedy is the best nutrition at the early age of the baby's life. Exclusive breastfeeding is given only breast milk for baby without any additional food up to six months old. The Target exclusive breastfeeding in the Health Service of North Padang Lawas District is 85% but the scope of exclusive breastfeeding in the Puskesmas of Pangirkiran in February 2014 amounted to 30.5% and the scope of exclusive breastfeeding in August 2014 amounted to 36.2%. This study was an observational research design with a case-control and the study aims to analyze the influence of predisposing factors  (knowledge,  attitudes), enabling factors (lactation), reinforcing factors (family support, support health workers) loward exclusive breastfeeding in the working area Puskesmas of Pangirkiran Halongonan sub district of Halongonan district of North Padang Lawas. The Population of this research is all breast feedy mothers  who has baby in 6 – 12 months. The sample is 144 people consist of is people in 72 cases and 72 controls. Based on the results of the study indicate the variables of knowledge, attitude, lactation, family support and support health workers influence on exclusive breastfeeding. Expected to health workers in health centers in the Puskesmas Pangirkiran to further improve counseling on exclusive breastfeeding to the public so that exclusive breastfeeding to the baby can be improved.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT KEPUASAN PASIEN RUJUK ONLINE PADA PASIEN RAWAT JALAN BPJS DI RUMAH SAKIT ADVENT MEDAN TAHUN 2018 Tampubolon, Elmina; Ginting, Selamat; Sitio, Sri Sudewi
Jurnal Kajian Kesehatan Masyarakat Vol 1 No 2 (2020): Jurnal Kajian Kesehatan Masyarakat
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jk2m.v1i2.876

Abstract

The weakness of referral system has an impact on the use of human resources and in effficent advanced technology, have consequence in accumulation of patients in the hospital and finally impacted to the quality of health service. The purpose of research was to find out the factor of online referral that related to patient satisfaction in agency of social health service outpatients. The research was done using the quantitaive method with the cross sectional approach which analytical survey. The 96 samples is from purposive sampling method. The data instrument used questionnaire with the item correlation 0,361 and cronbach alpha 0,6. The data analysis was done with chi-square test (X 2 test) on the bivariate test, and regression logistic on the multivariate test with α= 0,05. The result of the analysis was related certainty of time (p=0,005), certainty of referral (p= 0,007),waiting time (p=0,034), acces to health service (p=0,011),quality of health service (p= 0,001), health care procces (p=0,004), health care system (p= 0,003) with the patient satisfaction in agency of social health service outpatients and the most dominant variable related with patient satisfaction is certainty of referral (RP=8,886). The research was concluded that there is related the certainty of time, certainty of referral, waiting time, acces to health service, quality of health service, health care procces and health care system related with the patients satisfaction. Suggested to doctor have to be on time in service so that service is more optimal.
PENGARUH KUALITAS PENCATATAN DAN PELAPORAN TERHADAP TATA KELOLA ADMINISTRASI DI WILAYAH KERJA PUSKESMAS SIBOLANGIT TAHUN 2017 Tampubolon, Elmina; Sitorus, Friska; Efriza, Efriza
Jurnal Inovasi Kesehatan Masyarakat Vol 1 No 1 (2019): Jurnal Inovasi Kesehatan Masyarakat
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jikm.v1i1.869

Abstract

Regristration and reporting system of Public Health Center is vital instrument in health system. The information about the pain, the use of health service at Public Health Center, death and many others health information is beneficial to have decision and policy maker at Regency stage, city and Sub-regency. This research aims to analyze the influence quality of registration and reporting toward administrative system at Pubilic Health Center of Sibolangit in 2017. This research is explanatory research with cross sectional as discover, analyze and explain how the influences quality or registration and reporting toward administrative system at Pubilic Health Center of Sibolangit in 2017. The sample of this research is all populations (random sampling) who are the staff who work in Public Health Center of Sibolangit as many as 50 people. The result of input factors found that budgeting in registration and reporting is good (82%), capacity resource support (86%), mainstay variable in handling good registration and reporting (74%), good respond (76%). The factor of process, data respondents collecting who said good (68%), good sending process of respondents data (52%), bad sending process (48%). From data analysis found that respondents who said good (65%). Output factors, good planning variable (36%), with good evaluation (58%), punctuality to handle and make good report (60%), safety of saving data file (52%). The bivariat result show that there is significant influences between collecting data, sending data, analysis data, planning, punctuality, completencess with implematation of administration system at Public Health Center of Sibolangit. There is no significant influences between budgeting, capacity resources, mainstay, respond capacity, and evaluation with administrative system at Pubilc Health Center of Sibolangit. The result of multivariate analysis found that dominant factors is collecting data with value 1,637. For health department needs the efforts comprehensive ordering on organizing of Registration and reporting system of Public Health Center to progress and application of health information system at Public Health Center.
ANALISIS DAMPAK KEBIJAKAN PROGRAM RUJUKAN ONLINE BERJENJANG BPJS TERHADAP PELAYANAN RAWAT JALAN DI POLI PENYAKIT DALAM RSUD DELI SERDANG TAHUN 2019 Tampubolon, Elmina; Sari, Nur; Hariati, Hariati
Jurnal Inovasi Kesehatan Masyarakat Vol 2 No 2 (2021): Jurnal Inovasi Kesehatan Masyarakat
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jikm.v2i2.870

Abstract

The era of National Health Security (NHS) enacted tiered referral system start in first level health services, then the hospital type D, type C, type B and type A. Community complaints and a significant decrease in the number of patients in type B hospital especially in outpatient services, the occurrence of patient accumulation and long queues in hospital type C, this indicates that the implementation of this tiered referral system policy program has not run well. The purpose of this study was to look at the impact of the implementation of this tiered referral program policy on outpatient care in poly Internal medicine at the Regional General hospital Deli Serdang Lubuk Pakam. This research is a qualitative research with a prosfective case study approach and uses a fixed case design. This study triangulation to obtain in-depth information on document from SIMRS data, in-depth interviews, Focus Group Discussion (FGD), direct observation in the field without intervention. This reseach was carried out at the Regional General Hospital Deli Serdang Lubuk Pakam , start from January until April 2019. The result of the study show that the implementation of the program has been carried out in accordance with the regulation of Director of Health Service No. 4 of 2014 regarding the referral system for health services carried out in stages. But there were several impacts from the implemention of the program, namely there was a decrease in the number of patient visits, patients cannot get the doctor’s service they want, patients service time is long because the patient must go through several referral procedur first. Recommendation for BPJS as The National Health Insurance Organizing Body to evaluate and improve existing regulations. If it is necessary to make new regulations so that people do not feel like they are being complicated to get services. Recommendation for the hospital to provide better facilities, both facilities and infrastructure, more competent medical personnel and paramedics.
Exclusive Breast Milk and Additional Milk For The Nutritional Status of Children Aged 12-23 Months in Limo District, Depok City Tampubolon, Elmina
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 1: March 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (610.13 KB) | DOI: 10.30604/jika.v6i1.796

Abstract

Stunting is the result of chronic or recurrent malnutrition and often lasts a lifetime. Stunting can be caused by a lack of awareness of mothers in the practice of feeding children. The purpose of this study was to determine the relationship between exclusive breastfeeding and supplementary milk with the nutritional status of children. The research hypothesis is that there is a relationship between exclusive breastfeeding and supplementary milk with the nutritional status of children. The research took place in Limo District, Depok City. The research design was a case-control study. The subjects in this study were children aged 12-23 months. Cases are stunted children aged 12-23 months with a PB/U index with a z score of -3 SD to less than -2 SD, while controls are children with normal nutritional status or who have a PB/U index with a z score of -2 SD to + 3 SD. Based on the sampling formula, a minimum sample of 50 was obtained. The final number of samples was 110 children. Data analysis was carried out univariate, bivariate and multivariate with multiple logistic regression. The results of the analysis showed that there was a relationship between supplementary milk feeding and the frequency of feeding with the nutritional status of the child, while exclusive breastfeeding was not associated with the child's nutritional status. Thus, supplemental feeding and frequency of feeding are related to the nutritional status of children. From these results, the researchers recommend that health workers need to strengthen their educational programs to the community, related to parenting, feeding and clean living patterns so that children's growth and development are optimal.Stunting merupakan hasil dari kekurangan gizi kronis atau berulang dan sering berlangsung seumur hidup. Stunting dapat disebabkan oleh kurangnya kesadaran ibu dalam praktik pemberian makanan pada anak. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara pemberian ASI Eksklusif dan susu tambahan dengan status gizi anak. Hipotesis penelitian adalah ada hubungan antara pemberian ASI Eksklusif dan susu tambahan dengan status gizi anak Penelitian berlangsung di Kecamatan Limo, Kota Depok. Desain penelitian adalah studi kasus kontrol. Subyek pada penelitian ini adalah anak usia 12-23 bulan. Kasus adalah anak stunting usia 12-23 bulan dengan indeks PB/U dengan z score -3 SD sd kurang dari -2 SD, sedangkan kontrol adalah anak dengan status gizi  normal atau yang memiliki indeks PB/U dengan z score -2 SD sd + 3SD. Berdasarkanrumuspengambilansampeldiperolehsampel minimal sebanyak 50.Jumlahakhirsampeladalah 110 anak. Analisis data dilakukan secara univariat, bivariat dan multivariat dengan regresi logistik berganda Hasil analisis menunjukkan bahwa ada hubungan antara pemberian susu tambahan dan frekuensi pemberian makan dengan status gizi anak, sedangkan pemberian ASI Eksklusif tidak berhubungan dengan status gizi anak. Dengan demikian Pemberian susu tambahan dan frekuensi pemberian makan berhubungan dengan status gizi anak. Dari hasil tersebut maka peneliti merekomendasikan bahwa Tenaga kesehatan perlu menguatkan program edukasinya kepada masyarakat, terkait pola asuh, pemberian makan dan pola hidup bersih sehingga pertumbuhan dan perkembangan anak optimal.
Determinan Stunting pada Balita di Masa Pandemi Covid-19 di Wilayah Kerja Puskesmas Pirak Timu Kabupaten Aceh Utara Tampubolon, Elmina; Girsang, Vierto Irennius
Jurnal Kesehatan Komunitas Vol 9 No 3 (2023): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol9.Iss3.1393

Abstract

The Covid-19 pandemic in Indonesia has prevented several basic health services, especially Posyandu, from being carried out, which can hinder the achievement of the 2024 national target, which is to reduce the stunting rate to 14%. The aim of the study was to analyze the determinants of stunting in toddlers during the Covid-19 pandemic in the Pirak Timu Community Health Center, North Aceh District. This type of research is quantitative analytic. The sample of this study was stunted toddler mothers who lived in the working area of the Pirak Timu Health Center, North Aceh Regency, totaling 65 people. Data collection was carried out using the interview method using a questionnaire carried out from December 2021 to January 1st, 2022. Data analysis was univariate, bivariate, and multivariate using a multiple logistic regression test. Variables related to the incidence of stunting in toddlers are history of exclusive breastfeeding, diet, knowledge, and income. Meanwhile, the variable that is not related to the incidence of stunting is parity. The conclusion obtained is that there is a relationship between a history of exclusive breastfeeding, diet, knowledge, and income with the incidence of stunting in toddlers during the Covid-19 pandemic at the Pirak Timu Health Center, North Aceh District
EDUKASI PENTINGNYA SIMRS DALAM PENERAPAN REKAM MEDIK ELEKTRONIK TERINTEGRASI DI RUMAH SAKIT UMUM SEMBIRING Wahab, Bachtiyar -; Sembiring, Alprindo; Tampubolon, Elmina; Sembiring, Efrata; Sinaga, Jon Piter
Jurnal Pengabdian Masyarakat Putri Hijau Vol 4 No 1 (2023): Jurnal Pengabdian Masyarakat Putri Hijau
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v4i1.1642

Abstract

The objective of this community service is to increase the understanding of the role of Hospital Management Information Systems (SIMRS) and how they contribute to the implementation of integrated Electronic Medical Records (RME) in hospitals. Key stakeholders, such as medical record personnel, IT staff, and hospital management, were involved in the counseling through Focus Group Discussion (FGD). The results of the Focus Group Discussion (FGD) showed that the application of SIMRS while implementing RME improved the quality of healthcare services and operational efficiency of the hospital. Key advantages found included better interdepartmental collaboration, accurate data management, and quick and easy patient access. Stakeholders agreed that education is the best way to maximize the benefits of this system. Medical personnel require specialized training to master the use of SIMRS and RME. The final conclusion of this community service activity is that the utilization of electronic medical records at the Sembirin Hospital facility in Deli Serdang Regency will facilitate employee activities.
EDUKASI KESEHATAN PENYEBAB DEMAM BERDARAH DENGUE DI DESA JATI KESUMA, KECAMATAN NAMORAMBE, KABUPATEN DELI SERDANG Silalahi, Novrika; Ginting, Sulastri Br; Malau, Pitto Pratiwi; Tinambunan, Tedty Rohaya; Tampubolon, Elmina; Purba, Bahtera David; Surbakti, Desmayanti Br
Jurnal Pengabdian Masyarakat Putri Hijau Vol 4 No 2 (2024): Jurnal Pengabdian Masyarakat Putri Hijau
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v4i2.1706

Abstract

Hamlet II, Jati Kesuma Village, Namborambe District, the dominant livelihood of its residents are casual daily laborers. A discussion was carried out on 5 diseases which were prioritized into 1 problem by considering aspects of the emergency of the problem, the size of the problem, the extent of disease distribution, the speed of spread using the Pan American Health Organization (PAHO) method, using a score of 1 – 10 and scoring using a matrix, it was found Dengue Hemorrhagic Fever. A community service program with counseling was carried out in Dusun II, Jati Kesuma Village, one meeting on March 6 2024 with 34 people attending, with the result of increasing understanding of the counseling material starting from a comprehensive understanding of the symptoms of dengue fever, ways to prevent it and the subsequent effects of dengue sufferers. or as much as 85% experienced an increase. And three main factors were found, namely that many people still collect water without using bucket lids, hamlet residents rarely drain or clean water reservoirs and landfills which are still not optimal, resulting in a buildup of rubbish in the residences of hamlet residents. Dusun II Desa Jati Kesuma Kecamatan Namborambe dominan mata pencaharian warganya buruh harian lepas. Dilakukan diskusi 5 penyakit yang diprioritaskan menjadi 1 masalah dengan mempertimbangkan aspek – aspek kegawatan masalah, besarnya masalah, luasnya distribusi penyakit, kecepatan penyebaran dengan menggunakan metode Pan American Health Organization (PAHO), dengan menggunakan skor 1 – 10 dan penilaiannya dengan matriks, maka ditemukan penyakit Demam Berdarah Dengue. Dilakukan program pengabdian masyarakat dengan penyuluhan di Dusun II Desa Jati Kesuma satu kali pertemuan di 06 Maret 2024 dengan jumlah peserta penyuluhan 34 warga yang hadir, dengan hasil peningkatan pemahaman dari materi penyuluhan mulai dari pemahaman menyeluruh gejala DBD, carah mencegah dan efek lanjutan dari penderita DBD atau sebanyak 85 % mengalami peningkatan. Dan ditemukan tiga faktor utama penyebab nya yaitu masih banyak melakukan penampungan air tanpa menggunakan tutup ember, warga dusun jarang menguras atau membersihkan tempat penampungan air dan TPA yang masih belum optimal sehingga terjadi penumpukan sampah di kediaman warga dusun
ANALISIS PENATALAKSANAAN PROGRAM PENANGGULANGAN TUBERKULOSIS PARU DENGAN STRATEGI DOTS DI PUSKESMAS KECEMATAN SULTAN DAULAT DAN PUSKESMAS KECAMATAN RUNDENGDI KOTA SUBULUSSALAM TAHUN 2022 Solin, Raju solin Raju; Tampubolon, Elmina; ariani, Peny
Jurnal Kajian Kesehatan Masyarakat Vol 4 No 1 (2023): JURNAL KAJIAN KESEHATAN MASYARAKAT
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jk2m.v4i1.1246

Abstract

Strategi DOTS (Directly Observed Treatment Short Course) adalah pengawasan langsung pengobatan jangka pendek dengan keharusan setiap pengelola program tuberkulosis untuk memfokuskan perhatian (direct attention) dalam usaha menemukan penderita dengan pemeriksaan mikroskop. Kemudian setiap penderita harus di observasi (observed) dalam menelan obatnya, setiap obat yang ditelan pasien harus didepan seorang pengawas.Jenis penelitian adalah adalah penelitian Kuantitatif analitik. Yaitu upaya seorang peneliti menemukan pengetahuan dengan memberi data berupa angka. Yang berujuan untuk menganalisis Penatalaksanaan Program Penanggulangan Tuberkulosis Paru Dengan Strategi Dots Di Puskesmas Sultan Daulat Kota Subulussalam tahun lalu,populasi berjumlah 60 orang responden yang ada di wilayah puskesmas kecamatan sultan daulat dan puskesmas kecamatan rundeng, dengan teknik consecutive sampling, data di peroleh dari hasil hasil wawancara dengan penyebaran kuesioner yang telah di siapkan oleh peneliti. Analisa data di lakukan secara univariat dan bivariat dengan uji uji Chi-square dan uji t independendan mann whitney dengan nilai alfa (a) 0.05.hasil penelitian berdasarkan tabel output uji t independet di peroleh nilai Signifikansi sebesar 0,595 maka dapat di simpulkan tidak ada perbedaan rata rata angka kesembuhan puskesmas sultan daulat dengan puskesmas rundeng tahun lalu, Berdasarkan tabel output uji t independet di peroleh nilai Signifikansi nilai sebesar 0,91 maka dapat di simpulkan tidak ada perbedaan rata rata kasus baru puskesmas sultan daulat dengan puskesmas rundeng tahun lalu, Berdasarkan tabel dengan menggunakan uji chi square nilai p value di peroleh 0,202 ( p < 0,05) dapat di simpulkan bahwa Ho di tolak yang artinya tidak ada perbedaan perkembangan resistensi ganda TB antara Puskesmas Kecamatan Sultan Daulat dengan Puskesmas Kecamatan Rundeng, Kota Subulussalam Tahun lalu, Berdasarkan tabel output di peroleh nilai Sig. (2-tailed) sebesar 0,001 < 0,05. maka dapat di simpulkan ada perbedaan rata rata Efisiensi Waktu Untuk Pasien Yang Kontrol Ulang puskesmas sultan daulat dengan puskesmas rundeng tahun lalu.Kesimpulan Perbandingan Angka Kesembuhan antara Puskesmas Kecamatan Sultan Daulat dengan Puskesmas Kecamatan Rundeng maka dapat di simpulkan tidak ada perbedaan rata rata angka kesembuhan puskesmas sultan daulat dengan puskesmas rundeng tahun lalu. Perbandingan Jumlah Kasus Baru antara Puskesmas Kecamatan Sultan Daulat dengan Puskesmas Kecamatan Rundeng dapat di simpulkan tidak ada perbedaan rata rata kasus baru puskesmas sultan daulat dengan puskesmas rundeng tahun lalu. Perbandingan perkembangan resistensi ganda antara puskesmas kecamatan sultan daulat dengan puskesmas kecamatan rundeng dapat di simpulkan bahwa perbedaan rata rata perkembangan resistensi ganda TB antara Puskesmas Kecamatan Sultan Daulat dengan Puskesmas Kecamatan Rundeng, Kota Subulussalam tahu lalu. Efisiensi Waktu Untuk Pasien Yang Mau Kontrol Ulang Hasil penelitian efisiensi waktu untuk pasien yang kontrol ulang antara puskesmas kecamatan sultan daulat dengan puskesmas kecamatan rundeng tahun lalu.
Analisis Faktor Yang Berhubungan Dengan Implementasi Sistem Informasi Manajemen Rumah Sakit (Simrs) Di Rumah Sakit Nurul Hasanah Kutacane Tahun 2022 Amelia, Inneke Mutiara; Tampubolon, Elmina; Ariescha, Putri Ayu Yessi
Jurnal Inovasi Kesehatan Masyarakat Vol 4 No 2 (2023): JURNAL INOVASI KESEHATAN MASYARAKAT
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jikm.v4i2.1417

Abstract

Hospitals must be able to adjust the management of data, information and must increase the efficiency and effectiveness of hospital administration by carrying out the implementation of SIMRS. According to the Indonesian Ministry of Health (2019), in Indonesia it shows that at the end of 2018 only 48% of hospitals had used SIMRS and increased by 4.05% to 52.05% in September 2018. The rest, hospitals already had SIMRS but were not functioning properly (5%), did not have SIMRS (16%) and the rest did not report using SIMRS. Nurul Hasanah Hospital was one of the private hospitals in the city of Kutacane, Southeast Aceh District that implements SIMRS. The tipe of this research were correlational descriptive quantitative study by analyzing factors related to SIMRS Implementation at Nurul Hasanah Hospital Kutacane by using the HOT-Fit Model (Human, Organization, Technology). The researcher chosen this model because has given an explanation and evaluation of the factors of HR, Technology and Organization.The sample of this study were 31 structural officers and staffs at Nurul Hasanah Hospital Kutacane. Based on the results of partial statistical tests by using Logistic Regression has got influence between HR and Technology for SIMRS Implementation at Nurul Hasanah Hospital Kutacane.