Fazidah Aguslina Siregar
Faculty of Public Health, Universitas Sumatera Utara

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Performance of Tuberculosis Program Officers in the Implementation of Contact Investigations in Medan City Syafrina Ulfah; Siti Khadijah Nasution; Fazidah Aguslina Siregar
Journal of Social Research Vol. 2 No. 4 (2023): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v2i4.792

Abstract

Indonesia is the second country with the most TB cases in the world. One of the efforts to overcome TB in Indonesia is the active discovery of TB cases through contact investigations. However, the implementation of contact investigations has not been fully optimal, including in Medan City. The implementation of contact investigations still reached 14.79 percent in 2020. The performance of TB program officers is one of the factors that determine the achievement of the implementation of contact investigations. This study aims to explore the performance and factors that contribute to the performance of TB program officers in the implementation of contact investigations in Medan City. This research was qualitative research conducted from December 2022 to January 2023. The data collection method was an in-depth interview and review of documentation. The location of study was conducted at six health centers in Medan City. The research informants totaled 37 people consisting of the Deputy TB Supervisor (Wasor TB) of the Medan City Health Office, TB program officers of health centers, TB cadres, heads of health centers, laboratory analysts, doctors, TB sufferers, and drug swallowing supervisor (PMO). The results showed that the performance of TB program officers was not optimal. Factors that contributed to performance were the limited number of TB program officers at health centers, limited time from TB program officers because they had other duties, limited funds for the implementation of contact investigations, suboptimal coordination between TB program officers and cadres, and obstacles from the community who were not willing to conduct contact investigations.
Risk Factors of Type 2 Diabetes Mellitus in Elderly Yulia Afrina Nasution; Zulhaida Lubis; Fazidah Aguslina Siregar
Journal of Epidemiology and Public Health Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.198 KB)

Abstract

Backround: Non-communicable diseases arise in the elderly. The degenerative cycle decreases the resistance of the body, so that it is vulnerable to infectious diseases. Diabetes mellitus (DM) is characterized by chronic hyperglycemia and impaired carbohydrates, lipids, and proteins metabolism caused by complete or partial insufficiency of insulin secretion and/or insulin action. This study aimed to examine the risk factors of type 2 DM among elderly at Muhammadiyah General Hospital, North Sumatera.Subjects dan Method: This was a case control study carried out at Muhammadiyah Hospital, North Sumatera, in 2018. A total of 148 elderly patients was selected for this study, consisting of 74 patients with type 2 DM and 74 patients without type 2 DM. The dependent variable was the incidence of type 2 DM. The independent variables were family DM history, smoking habit, physical activity, carbohydrate diet, fiber diet, body mass index (BMI), abdo