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All Journal Jurnal Kesmas dan Gizi (JKG) JURNAL PENELITIAN KESMASY Jurnal Pengabdian Masyarakat Putri Hijau
Malau, Pitto Pratiwi
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Humanities Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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FOOD BASKETS DAN EDUKASI KESEHATAN LINGKUNGAN DALAM PENINGKATAN GIZI PENDERITA TUBERKULOSIS PARU DI KOTA MEDAN Silalahi, Novrika; Malau, Pitto Pratiwi; Tampubolon, Elmina; Annisa, Rizka
Jurnal Penelitian Kesmasy Vol 8 No 1 (2025): Jurnal Penelitian Kesmasy
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i1.2592

Abstract

Pulmonary tuberculosis (TB) remains a major public health problem in Indonesia, including in Medan City. Malnutrition among TB patients worsens prognosis and delays recovery. Nutrition-based interventions such as Food Baskets combined with environmental health education are expected to improve nutritional status while preventing TB transmission at the household level. This study applied a quasi-experimental design with a pre-post test control group. A total of 30 pulmonary TB patients were enrolled and divided into an intervention group (n=15; received Food Baskets + environmental health education) and a control group (n=15; standard care). Data collected included body weight, energy intake, protein intake, hemoglobin, albumin, knowledge score, and environmental health behavior score. Data were analyzed using paired t-tests and independent t-tests, with significance set at p < 0.05. The intervention group showed a significant increase in body weight (+2.6 ± 0.9 kg) compared to the control group (+1.0 ± 0.8 kg, p < 0.001). Energy intake increased by +370 kcal/day in the intervention group versus +110 kcal/day in the control (p < 0.001). Protein intake increased by +15 g/day in the intervention group versus +4 g/day in the control (p < 0.001). Knowledge scores improved from 58 to 82, while environmental health behavior scores increased from 60 to 83 (p < 0.001). Food Baskets combined with environmental health education are proven effective in improving nutritional status, knowledge, and health behavior of pulmonary TB patients. This intervention can serve as an additional strategy in community-based TB control programs.
STUDI ERGONOMI TERHADAP POSTUR, BEBAN KERJA, DAN FAKTOR LINGKUNGAN PADA PETANI TOMAT: LITETRATUR REVIEW Annisa, Rizka Rizka; Lubis, Fithri Handayani; J. EL-Matury, Herlina; Malau, Pitto Pratiwi
Jurnal Penelitian Kesmasy Vol 8 No 1 (2025): Jurnal Penelitian Kesmasy
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i1.2687

Abstract

Tomato cultivation is an intensive agricultural activity that demands high physical exertion and exposes workers to considerable ergonomic and environmental risks. Most cultivation processes including planting, maintenance, and harvesting are still performed manually, often involving prolonged bending, squatting, and static standing postures. These conditions substantially increase the risk of work-related musculoskeletal disorders (MSDs). This literature review aims to integrate recent findings on the interrelationships among working posture, physiological workload, and environmental factors affecting the health and productivity of tomato farmers. The synthesis revealed a high prevalence of MSDs among agricultural workers, particularly affecting the lower back, neck, and shoulders, primarily due to repetitive and static working postures (Widyanti, 2018; Akbar et al., 2023). Physiological workload studies demonstrated that workers in greenhouse environments experienced elevated body temperatures and fatigue correlated with work intensity and ambient heat (Silalahi et al., 2017; Jung & Kim, 2022). Environmental stressors especially heat and humidity further exacerbate these conditions, leading to heat stress that compromises physical performance and health (FAO, 2018; El Khayat et al., 2022). Furthermore, improper postures during manual harvesting negatively affect both worker well-being and tomato fruit quality, whereas ergonomic practices enhance both efficiency and yield quality (Kuta et al., 2023). Recommended interventions include improved tool and workplace design, task rotation, adequate ventilation and shaded rest areas, and training on ergonomic harvesting techniques (FAO, 2018; Ahamed et al., 2023). The review also highlights research gaps, notably the lack of longitudinal studies and intervention evaluations within smallholder tropical farming contexts. Future research should adopt mixed-method approaches combining physiological, postural, and environmental assessments to develop sustainable, safe, and efficient agricultural work systems.
HUBUNGAN PERSONAL HYGIENE IBU MENYUSUI DENGAN TINGKAT KEJADIAN DIARE PADA BAYI DI KELURAHAN SITIREJO 1 MEDAN KOTA Purba, Bahtera David; Silalahi, Novrika; Malau, Pitto Pratiwi; Sembiring, Ripando; Kembaren, Efrata
Jurnal Penelitian Kesmasy Vol 6 No 2 (2024): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v6i2.1727

Abstract

Diarrhea is a change in the shape and consistency of stools that are soft to liquid, defecate more than usual, namely 3 or more times a day. Diarrhea is the second leading cause of death in children under five years and kills around 760,000 children every year. Based on the percentage distribution of mortality in the world, diarrhea is still the main cause of death in infants by 15%. This type of research was an observational district with a cross-sectional approach which was carried out for 6 months starting from February in 2023. It was carried out in the Sitirejo 1 sub-district area of ​​Medan Kota. The sampling method used was using the Lemeshow and Iwanda formulas, so a sample of 51 breastfeeding mothers used univariate and bivariate analysis. The results showed that the age of most breastfeeding mothers was 21-30 years old 72.5%, at work the most respondents were housewives 58.8% of respondents and the most recent education was elementary school as many as 43.1% of respondents. In the cleanliness of the mother's nipples, 43 respondents (84.3%) were in the unclean category and produced a p=value of 0.001, in the mother's hand washing habits, 38 respondents (74.5%) did not wash their hands with a p=value of 0.013, 41 respondents (80.4%) opened baby clothes in the open category with a p=value of 0.027, 42 respondents (82.4%) opened baby food storage areas with a p=value of 0. 013, the cleanliness of the floor is included in the category of unclean as many as 39 respondents (76.5%) with a p=value of 0.011. So it can be concluded that the cleanliness of the mother's nipples, the place for storing baby clothes, the place for storing baby food and the cleanliness of the floor has a relationship with the incidence of diarrhea, therefore it is necessary to provide counseling, training and supervision that meets the mother's personal hygiene standards.
GERAKAN “SATU RUMAH SATU MASKER”: EDUKASI ETIKA BATUK DAN PENATAAN VENTILASI ALAMI UNTUK PENCEGAHAN TB DI KECAMATAN GUNUNG MERIAH KABUPATEN DELI SERDANG Silalahi, Novrika; Malau, Pitto Pratiwi; Annisa, Rizka
Jurnal Pengabdian Masyarakat Putri Hijau Vol 6 No 2 (2026): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v6i2.2902

Abstract

Tuberculosis (TB) remains a public health problem that requires family- and environment-based prevention efforts. This community service activity aimed to improve the knowledge and awareness of TB patients regarding cough etiquette, mask use, and the arrangement of natural ventilation through the “One House, One Mask” movement. The activity was conducted on February 10–11, 2026, in Gunung Meriah District, Deli Serdang Regency, involving 50 respondents with TB. The implementation methods included health education, demonstrations, discussions, mentoring, and evaluation through pre-test and post-test. The results showed that 42 respondents (84%) understood and were able to correctly practice cough etiquette, 44 respondents (88%) understood the importance of wearing masks in the household, and 39 respondents (78%) understood the importance of healthy natural ventilation. In addition, there was an average increase of 24% in knowledge scores based on the pre-test and post-test results. Active participation reached 46 respondents (92%), while 41 respondents (82%) expressed willingness to apply TB prevention behaviors in their households. This activity was effective in improving respondents’ knowledge, awareness, and participation in efforts to prevent TB transmission.
Survival Analysis of Tuberculosis in Children: Environmental and Family Behavior Factors in Medan Tuntungan Subdistrict Silalahi, Novrika; Malau, Pitto Pratiwi
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: 10.35451/4ffswc96

Abstract

Tuberculosis (TB) in children remains a significant public health issue, particularly in the context of household transmission. This study aimed to analyze the time-to-event of TB incidence among children and to identify environmental and family behavioral factors influencing its occurrence in Medan Tuntungan District, Medan City, in 2025. This study employed an analytical observational design with a retrospective cohort approach and survival analysis. A total of 40 children aged 6–10 years were selected using purposive sampling. Data were analyzed using Kaplan-Meier methods, Log-Rank tests, and Cox proportional hazards regression. The results showed that the median time to TB incidence was 8 months. Significant factors associated with TB incidence in children included exposure to cigarette smoke (HR=3.12; p<0.05), poor household ventilation (HR=2.78; p<0.05), household crowding (HR=2.15; p<0.05), and inadequate family preventive behavior (HR=2.40; p<0.05). In conclusion, environmental and family behavioral factors play a crucial role in determining the timing of TB incidence in children. Survival analysis provides a more comprehensive understanding of risk periods and determinants. TB prevention strategies should focus on improving household environmental conditions and family health behaviors.
Co-Authors Annisa, Rizka Rizka Elmina Tampubolon Herlina J. EL- Matury kembaren, efrata LUBIS, FITHRI HANDAYANI Novrika Silalahi Purba, Bahtera David Rizka Annisa Sembiring, Ripando Silalahi, Novrika