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All Journal Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Jurnal Berkala Epidemiologi Journal of Health Sciences Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) Jurnal Maternitas Kebidanan Jurnal Keperawatan Priority Jurnal Kesmas Prima Indonesia JURNAL PENELITIAN PERAWAT PROFESIONAL FORTE JOURNAL JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Public Health and Safety International Journal (PHASIJ) Jurnal Pengmas Kestra (JPK)
Rotua Sumihar Sitorus
Institut Kesehatan Medistra Lubuk Pakam, Deli Serdang, Indonesia
Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Analysis of Determinants of PCV Immunization Uptake and Pneumonia Incidence Among Under-Five Children in the Catchment Area of Sei Rampah Community Health Center Sirait, Reni Aprinawaty; Rotua Sumihar Sitorus; Yuliana
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/n7kqaz31

Abstract

Pneumonia remains a leading cause of morbidity and mortality among children under five, particularly in            developing countries. The Pneumococcal Conjugate Vaccine (PCV) is effective in preventing Streptococcus             pneumoniae infection; however, its utilization in Indonesia, including at Sei Rampah Primary Health Center, remains low. This study aimed to analyze factors influencing PCV utilization and its association with pneumonia incidence. A cross-sectional analytic design was applied to 262 mothers with children aged 0–59 months selected through simple random sampling. Data were collected using questionnaires and medical records, and analyzed using univariate, Chi-square, and logistic regression tests (p < 0.05; 95% CI). The results showed that knowledge, attitudes, and access to healthcare services were significantly associated with PCV utilization, with access being the most dominant factor (OR = 3.08; 95% CI: 1.75–5.42). Family support was significant in bivariate analysis but not in multivariate analysis. PCV utilization significantly reduced the risk of pneumonia (OR = 0.28; 95% CI: 0.13–0.60; p = 0.001). In conclusion, PCV utilization is mainly influenced by access to healthcare, knowledge, and attitudes, and has a protective effect against pneumonia. Strengthening health education and improving service access are essential to increase coverage
Analysis of Healthcare Professionals’ Professionalism in the Pediatric Inpatient Ward at Lahat Regional General Hospital, Lahat Regency, South Sumatra Mega Sakinah; Rotua Sumihar Sitorus; 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: 10.35451/091asd05

Abstract

Healthcare professionalism is a fundamental foundation in improving service quality and patient safety in hospitals. This study aimed to analyze the influence of skills, responsibility, ethics, and communication on the professionalism of healthcare workers in the Pediatric Inpatient Unit of Lahat Regional General Hospital, Lahat Regency, South Sumatra, in 2025. This research employed an analytic quantitative design with a cross-sectional approach. The population consisted of 82 healthcare workers, with a sample of 68 respondents selected using stratified random sampling technique. Data were collected using structured questionnaires and analyzed through univariate, bivariate (Chi-Square test), and multivariate (multiple logistic regression) analyses.The results showed that the majority of respondents were categorized as professional (70.6%). Bivariate analysis indicated that skills (p = 0.001), responsibility (p = 0.000), ethics (p = 0.000), and communication (p = 0.018) had a significant influence on professionalism. Multivariate analysis revealed that ethics was the most dominant variable affecting professionalism (OR = 7.25; p = 0.004), followed by responsibility (OR = 5.59; p = 0.009) and skills (OR = 4.26; p = 0.021), while communication was not statistically significant after being controlled with other variables (p = 0.078).In conclusion, ethics, responsibility, and skills are the main factors influencing healthcare professionalism. Enhancing professional ethics training, strengthening responsibility, and continuously developing clinical skills are necessary to improve the quality of healthcare services at Lahat Regional General Hospital.
Co-Authors Aritonang, Barita Arum Puspita Sari Asvia Rahayu Br Ginting Munthe, Novita Debi Meilani Dewi Sartika Munthe Dewi Susanti Eva Latifah Nurhayati Fahik, Agustinus Ginting, Desideria Yosepha Ginting, Joe Cresnando Handayani, Sri Harahap, Fitri Ramadani Harahap, Hasni Yaturramadhan Herlina . Herlina H Herlina Herlina Humayroh Jansfianti, Mira Karnirius Harefa Lubis, Basyariah Mega Sakinah Megawati Sinambela Mei Krismon Laoli Melda Bangun, Sri Monika Helen Sinaga Nurlela Petra Saragih Octavariny, Raisha Putri Novi Yanti Halawa Rahmad Gurusinga Rahmi, Nurfadhilah Rika Maya Sari Saragih Rosmianti Ge’e Rustiani, Rustiani Sarasani, Theresia Setia Alberkat Zalukhu Silalahi, Kristina L Simangunsong, Lindawati Sinambela, Megawati Sirait, Reni Aprinawaty Sri Melda Br. Bangun Suprianto Suprianto Syahri, Alfi Syamsiar, Syamsiar Tati Murni Karo Karo Triwanda Putri Hutagalung Victor Trismanjaya Hulu Washliati, Laily Wasliati, Balqis Yuliana Yuliana Yusnidar Laia