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PEMBERDAYAAN DUKUNGAN KELUARGA TERHADAP PENINGKATAN KEPATUHAN PENERAPAN PROTOKOL KESEHATAN PENCEGAHAN COVID-19 Beni Satria; Felix Kasim; Anggi Isnani Paranduri; Irmayani Irmayani; Sri Melda Br Bangun; Kuat Sitepu
JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

COVID-19 became a world health problem in early 2020. This case began with information from the WHO on December 31, 2019 which stated that there was a cluster case of pneumonia with unclear etiology in Wuhan City, Hubei Province, China. This case continued to grow until there were reports of deaths and imports outside China. In Indonesia, on March 2, 2020, Indonesia has reported 2 (two) confirmed cases of COVID-19. Cases are increasing and spreading rapidly throughout Indonesia. This paper aims to empower family support to improve compliance with the implementation of COVID-19 prevention health protocols. The method of implementing the activity is in the form of observation and providing health education about the application of health protocols in an effort to prevent COVID-19 to the community, based on the results of activities carried out by the community enthusiastically welcoming this activity. Through this activity, it is hoped that there will be an increase in compliance in the application of the COVID-19 prevention health protocol so as to suppress the decline in COVID-19 cases.

The Role of Leaflets as a Means of Reproductive Health Education for Adolescents at Trisakti Private Middle School, Lubuk Pakam Octavariny, Raisha; Sri Melda Br Bangun; Wilda Wahyuni Siregar; Helni W.L Simarmata
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: 10.35451/7av5yf11

Adolescents are in a critical stage of growth and development, making reproductive health education essential. This study aimed to analyze the role of leaflet media as an educational tool in improving adolescents' knowledge about reproductive health at SMP Swasta Trisakti Lubuk Pakam. The research used a quantitative design with a pre-test and post-test approach involving 41 respondents selected purposively. Data were collected using questionnaires before and after the health promotion intervention. Analysis was conducted with paired sample t-test. The results show a significant increase in knowledge after leaflet distribution, with respondents in the good knowledge category increasing from 56.1% to 78.0%. The statistical test yielded a p-value = 0.001 (p < 0.05), indicating a significant effect. It can be concluded that leaflet media is effective as an educational tool to increase adolescent reproductive health knowledge, and it can be recommended as a school-based health promotion strategy.

Evaluation of the Implementation of Regional Regulation Number 1 of 2019 on the Rehabilitation of Victims of Narcotics, Psychotropic Substances, and Other Addictive Substances Abuse Taufik Ismail, Muhammad; Samran; Sri Melda Br Bangun
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/mmavwf81

Background: The abuse of Narcotics, Psychotropic Substances, and Other Addictive Substances (NAPZA) in North Sumatra Province has become a serious issue. To address this, Regional Regulation Number 1 of 2019 was enacted, aiming to improve the rehabilitation of NAPZA victims. However, the implementation of this policy still faces challenges, such as ineffective intersectoral coordination, limited funding, and insufficient training for rehabilitation staff. These issues hinder the effectiveness of rehabilitation programs and the social reintegration of former NAPZA users. Research Objectives: This study aims to analyze the implementation of Regional Regulation Number 1 of 2019, identify the barriers in rehabilitating NAPZA victims in North Sumatra, and provide policy alternatives to address these barriers and improve the effectiveness of rehabilitation programs. Research Methodology: This research uses Grounded Theory with a qualitative approach. Data were collected through interviews with government officials, rehabilitation staff, and relevant committees. To determine priority policies, the researcher also employed the Analytical Hierarchy Process (AHP). Research Findings: The findings show that weak intersectoral coordination, limited funding, and insufficient training for rehabilitation staff are the main barriers. Additionally, social stigma towards former NAPZA users exacerbates their social reintegration. Conclusion: Enhancing intersectoral coordination, increasing funding, and providing continuous training for rehabilitation staff are necessary to improve the implementation of the regulation. The post-rehabilitation program, based on economic empowerment, must be strengthened to support better social reintegration.

Implementation of Lean Hospital in the Pharmacy Service at the Outpatient Department of a General Hospital Jayanti, Irma; Felix Kasim; Sri Melda Br Bangun
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/gr8fch53

Background: The medication service at the Outpatient Pharmacy of RSUD Drs. H. Amri Tambunan experiences long waiting times, especially for BPJS guarantee prescriptions, which contradicts the established service time standards, i.e., dispensing medications ? 30 minutes and preparing compounded medications ? 60 minutes, in accordance with health service regulations. Research Objective: This study aims to analyze the waiting times for medication services at the Outpatient Pharmacy, identify types of waste within the service process flow, and identify factors that hinder service efficiency. Additionally, the study aims to provide recommendations for improvement to reduce waiting times and enhance service quality. Research Method: This qualitative study uses Value Stream Mapping (VSM) to analyze the medication service process and identify waste in each service stage. Additionally, a fishbone diagram is used to identify root causes affecting waiting times. Data is collected through interviews with pharmacy staff, the head of the pharmacy installation, and direct field observations. Research Results: This study found various types of waste in each stage of the medication service, including waiting, motion, defects, and overproduction. Factors hindering service time include patient congestion during peak hours, medication unavailability, and prescription inconsistencies with the formularium. Suboptimal use of information systems and a shortage of pharmacists were also identified as major hindrances. Conclusion: Improvements in process flow, coordination between departments, routine training, and the implementation of an integrated hospital management information system are needed to minimize waste and expedite service times at the Outpatient Pharmacy of RSUD Drs. H. Amri Tambunan.

The Influence of Digital Queue Service Quality on Patient Waiting Time Efficiency at the Polyclinic of TK.IV 01.07.02 Binjai Hospital in 2025 Normalini Potu; Felix Kasim; Sri Melda Br Bangun
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/hv0kvx68

Queues occur when service demand exceeds facility capacity, causing patients to wait to receive care. Previous studies have shown that the implementation of a digital queuing system can reduce patient waiting times and improve efficiency as well as satisfaction with hospital services. This study aimed to analyze the effect of digital queuing service quality on the efficiency of patient waiting times at TK.IV 01.07.02 Binjai Hospital in 2025. This research used a quantitative method with a cross-sectional design. Sampling was conducted using the accidental sampling method. The sample in this study consisted of 113 patients who visited TK.IV 01.07.02 Binjai Hospital. The study was carried out at TK.IV 01.07.02 Binjai Hospital. The results showed that all dimensions of digital queuing service quality namely tangibles, reliability, responsiveness, assurance, and Empathy had a significant effect on the efficiency of patient waiting times at TK.IV 01.07.02 Binjai Hospital in 2025 (p < 0.05). The tangibles aspect, such as the comfort of waiting rooms and digital facilities, helped accelerate service processes, while reliability and responsiveness improved the accuracy and speed of the system and staff in handling patients. The assurance aspect fostered patients’ sense of safety and trust in staff professionalism, while Empathy encouraged humane communication and facilitated smoother service flow.Overall, improvements in all five aspects were proven to shorten waiting times and enhance service efficiency in hospital outpatient clinics. The conclusion of this study is that all dimensions of digital queuing service quality reliability, responsiveness, assurance, and Empathy significantly affect the efficiency of patient waiting times at the hospital. Among the five aspects, Empathy was identified as the most dominant factor in improving the efficiency of patient waiting times.

Analysis of the Quality of Healthcare Services in the Emergency Department of Permata Hati Hospital, Asahan Regency, 2026 Dewi Ramayani; Rahmad Gurusinga; Sri Melda Br Bangun
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/pys2xp97

The Emergency Department (ED) is an essential unit within hospital services that plays a crucial role in handling patients experiencing emergency situations. The quality of care provided in the ED greatly influences patient safety, the satisfaction of patients’ families, and the overall reputation of the hospital. This study aimed to examine the quality of healthcare services in the Emergency Department of Permata Hati Hospital, Asahan Regency, in 2026 by applying the five SERVQUAL dimensions, namely tangible, reliability, responsiveness, assurance, and empathy. This research used a quantitative method with a cross-sectional study design. The population consisted of family members who accompanied patients in the Emergency Department of Permata Hati Hospital during the research period. A sample of 97 respondents was obtained through probability sampling using an accidental sampling technique. Data collection was conducted using a structured questionnaire, and the data were analyzed using univariate analysis, bivariate analysis with the chi-square test, and multivariate analysis through logistic regression. The findings indicated that the majority of respondents considered the quality of healthcare services in the Emergency Department to be good. The bivariate analysis showed that reliability, responsiveness, assurance, and empathy were significantly associated with the quality of healthcare services, while the tangible dimension did not demonstrate a significant relationship. Furthermore, the multivariate analysis identified responsiveness as the most influential factor affecting the quality of healthcare services in the Emergency Department. In summary, the quality of healthcare services in the Emergency Department of Permata Hati Hospital is determined by several dimensions of service quality, particularly the responsiveness of healthcare professionals. Therefore, hospital management is encouraged to improve service responsiveness, strengthen effective communication, and foster empathetic attitudes among healthcare staff in order to continuously enhance the quality of emergency care services.

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