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All Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Deli Syaputri
Politeknik Kementerian Kesehatan Medan
Health Professions Public Health

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The Effect of Clean Water Facilities and Household Food Sanitation Hygiene on Stunting in Toddlers Samuel Marganda Halomoan Manalu; Deli Syaputri; Th. Teddy Bambang S; Nelson Tanjung; Risnawati Tanjung; Adisyah Putra Damanik
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 3 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i3.17239

Abstract

Stunting is a linear growth disorder of a child's body that becomes short or short based on height for age with a Z-score threshold of < -2 standard deviations. Multi-dimensional factors, including environmental factors, cause stunting. Environmental factors that cause stunting are the mother's personal hygiene, sanitation, clean water and drinking water sources. This study aimed to determine the effect of clean water sanitation facilities and household food sanitation hygiene on stunting in toddlers. Observational study with a case-control design in children aged 0-59 months in Silahisabung District, Dairi Regency. The population used in this research is 453 toddlers aged 0-59 months. Case sampling technique using total sampling. All stunting toddlers were taken as cases of 78 toddlers and 78 as controls. Using weight scales and body length measuring instruments, research data was collected using questionnaires and tools to determine the nutritional status of babies under two years old. Data processing and analysis included univariate and bivariate using the chi-square test. The results showed that there were stunted toddlers, namely 61.5% did not have access to water facilities that met the requirements, and 44.9% of toddlers who suffered from stunting were in the age range of 21-40 months. Bivariate analysis using the chi-square test showed an effect of clean water sanitation (p=0.002, OR=2.764) and household food sanitation hygiene (p=0.004, OR=2.562) on the incidence of stunting in toddlers. Management of stunting events requires good coordination and collaboration between health workers, the government and the community in reducing risk factors. Personal hygiene will be further improved in preparing and processing food by practising the principles of food sanitation hygiene.Keywords: Food Hygiene, Sanitation, Stunting, Toddlers
Effect of Role Play Intervention on Knowledge, Attitudes, and Actions in Mosquito Nest Eradication for DHF Prevention in Tanjung Morawa Health Center, Deli Serdang Samuel Marganda Halomoan Manalu; Deli Syaputri; Nelson Tanjung; Erba Kalto Manik
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21946

Abstract

One of the endemic illnesses in Indonesia and other nations is dengue fever. Aedes genus mosquitoes, particularly Aedes aegypti, are the vectors of dengue fever transmission. The growth of Aedes aegypti mosquitoes is significantly influenced by the environment. The Tanjung Morawa Health Center's working environment demonstrates the existence of dengue fever-causing mosquito breeding grounds, including the buildup of trash in the shape of bottles, glasses, aqua, plastic, and discarded water holding cans. This study aims to determine the effect of the intervention of the role play method of DHF prevention efforts on increasing community knowledge, attitudes, and actions regarding the eradication of mosquito nests in the working area of the Tanjung Morawa Health Center, Deli Serdang Regency in 2024. This research is a Quasi Experiment research with Pre and Post Test design. The research was conducted in the working area of the Tanjung Morawa Health Center, Deli Serdang Regency, which was carried out in June 2024. The population in this study were all heads of families who had DHF patients in Deli Serdang Regency. Sampling used purposive sampling technique. Data collection using pretest and postest questionnaires. This health research used standing banners and mosquito nest eradication demonstrations to improve knowledge, attitudes, and actions of the community in preventing DHF. Data analysis with bivariate analysis paired sample t-test. The results showed a significant difference in knowledge, attitudes, and actions before and after the intervention with the role play method (p-value=0.001 <0.05). Keywords: Action, Attitude DHF, Knowledge, Role Play Method
The Influence of Clean and Healthy Living Behavior Education on Changes in Student Behavior Deli Syaputri; Samuel Marganda Halomoan Manalu; Desy Ari Apsari; Riyanto Suprawihadi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 4 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i4.17857

Abstract

A Clean and Healthy Lifestyle is an action or behavior related to health that is carried out based on self-awareness so that the family and all its members are able to be independent in maintaining their own health and have a high desire to maintain their health. The aim of this research is to determine the effect of counseling about clean and healthy living behavior on changes in student behavior regarding knowledge, attitudes and actions in increasing awareness of the importance of health and clean and healthy lifestyles in the school and community environment. This type of research is quasi-experimental and the research design used is One-Group Pretest-Posttest. The sample selection was taken from grades 4 and 5, totaling 45 students attending the State Elementary School 104274 Pematang Kasih, Pantai Cermin District, Serdang Bedagai Regency. sampling using total sampling technique. The instrument used in this research was a questionnaire and the socialization process was carried out through lectures, presentation of power points and videos to attract children's attention. data analysis using paired t-test with the help of Statistical Program for Social Science (SPSS) software version 20. The research results show that there is an influence of providing counseling about clean and healthy living behavior on students' knowledge p-value=0.000, there is an influence of providing counseling about clean and healthy living behavior on students' attitudes p-value=0.000, and there is an influence of providing counseling about clean and healthy living behavior on students' actions p-value=0.000 at State Elementary School 104274 Pematang Kasih, Pantai Cermin District, Serdang Bedagai Regency.Keywords: Actions, Attitudes, Counseling, Clean and healthy living behavior, Knowledge
The Influence of Environmental Sanitation and Community Behavior on Dengue Fever Incidence: A Case-Control Study in Siantar Utara District Deli Syaputri; Samuel Marganda
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.25915

Abstract

Dengue remains a persistent urban health challenge in Indonesia. Household-level factors, such as physical barriers and daily behaviours, may influence indoor vector-host contact but are inconsistently addressed in routine control programs. We conducted a community-based case-control study in Siantar Utara (Pematang Siantar, North Sumatra) to assess household attributes associated with dengue occurrence. Cases were physician-confirmed dengue patients; controls were neighbourhood peers without recent dengue-compatible illness. A total of 36 case and 36 control households were enrolled. Prespecified exposures included: window/ventilation screening (≥50% of openings with intact mesh), presence of larvae in water-holding containers (WSC) and non-WSC, indoor hanging clothes (≥5 garments visible), and health-officer support within the preceding 3 months. Data were collected through standardized interviews and on-site observations. Associations were analyzed using χ² and Fisher's exact tests (α = 0.05). Households lacking mesh screening were disproportionately represented among cases, with a statistically significant association between screening and dengue status (p = 0.011). Indoor hanging clothes were more common in case households and significantly associated with dengue incidence (p = 0.016). Health-officer support demonstrated a strong protective effect (p < 0.001). Larval presence in WSC and non-WSC was not statistically significant (p = 0.326 and p = 0.233, respectively These findings support a mechanistic pathway in which intact screening and reduced indoor resting sites lower exposure to day-biting Aedes aegypti. In this urban Indonesian context, window/ventilation screening and clothing-storage practices were associated with dengue occurrence, highlighting modifiable, low-cost targets for the 3M Plus strategy. Programmatic integration should prioritize mesh coverage and integrity checks, counseling to reduce indoor hanging garments, routine container management, and regular cadre visits, with monitoring via ABJ and simple household indicators. Further cluster or stepped-wedge trials are recommended to validate effectiveness and sustainability. Keyword: Dengue, Aedes aegypti, Environmental, Sanitation
Analysis Environmental Sanitation Distribution Patterns Stunting Incidence in Silahisabungan Subdistrict Deli Syaputri; Th Teddy Bambang S; Samuel Maganda H Manalu; Desy Ari Apsari; Riyanto Suprawihadi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21945

Abstract

Stunting is a public health problem caused by chronic malnutrition and is often exacerbated by poor environmental sanitation. Environmental sanitation factors that cause it are clean water management, waste management, feces management and sewerage management. Improving sanitation infrastructure and promoting healthy living behaviors are essential to reduce stunting and support sustainable health outcomes. In Silahisabungan Subdistrict, Dairi Regency, this study is to examine the distribution pattern of environmental cleanliness and its relationship to the prevalence of stunting. This type of research is observational with a case control design and ecological approach, to obtain an overview of the distribution patterns of stunting and environmental sanitation using geographic information system applications. The case sampling technique used total sampling. Where all stunted toddlers were taken as cases as many as 58 toddlers and controls as many as 58 toddlers. Purposive sampling was used to conduct the research sampling. This study's data was analysed using univariate, bivariate, and multivariate methods, including logistic regression, chi-square statistical tests, and mapping of stunting data using Google Earth and Quantum GIS. The results showed that there was a significant relationship between water management (p-value=0.000), waste management (p-value=0.032), waste management (p-value=0.000) and there was no significant relationship between feces management (p-value=0.193) with the incidence of stunting. Improving environmental sanitation is a key factor in reducing the prevalence of stunting. Interventions that focus on increasing access to clean water, building sanitation facilities, and educating the community about clean and healthy living behaviors need to be prioritized. Keywords: Environmental Sanitation, Distribution Pattern, Stunting
Co-Authors Adisyah Putra Damanik Desy Ari Apsari Desy Ari Apsari Erba Kalto Manik Nelson Tanjung Risnawati Tanjung Riyanto Suprawihadi Riyanto Suprawihadi Samuel Maganda H Manalu Samuel Marganda Samuel Marganda Halomoan Manalu Tanjung, Nelson Th Teddy Bambang S Th. Teddy Bambang S