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Carving Positive Changes: Knowledge and Attitudes of Mothers of Toddlers through Nutrition Counseling Br Ginting Munthe, Novita; Sembiring, Iskandar Markus
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 2 (2024): 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/jkk.v6i2.2139

Complementary Feeding is food and drinks given to babies who have reached the age of 6 months and above to fulfill their nutritional needs. Therefore Complementary Feeding is only introduced to babies after they reach the age of 6 months or older. Complementary Feeding represents the transitional stage from breastfeeding to family foods gradually, both in terms of types and frequency of provision, portion sizes, and the form of food that is suitable for the age and digestive capacity of the baby. The purpose of this study is to identify the impact of counseling on MP-ASI on the knowledge and attitudes of mothers of toddlers aged 0-24 months at Nurtiana Ginting Clinic from December 2023 to March 2024. This research method uses an experimental approach with a pre-experimental design known as the one-group pretest-posttest design. In this approach, before counseling, respondents were asked to fill out questionnaires before (pretest) and after (posttest) counseling. Subsequently, the researcher compared the results of the pretest with the posttest. The research sample consisted of 38 mothers who had toddlers aged 0-24 months. Bivariate data analysis used the Wilcoxon test because the data were not normally distributed. Initially, only 5 respondents (13%) had good knowledge. However, after counseling, the number of respondents with good knowledge increased to 34 people (89%). The attitudes of mothers before counseling showed that 11 respondents (29%) had good attitudes, while after counseling, the number of respondents with good attitudes increased to 32 people (84%). The results of bivariate analysis using the Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating the rejection of the null hypothesis (Ho) and acceptance of the alternative hypothesis (Ha). Thus, it can be concluded that there is a significant influence on the knowledge and attitudes of mothers of toddlers after counseling. These findings indicate that nutrition counseling is effective in carving positive changes in the knowledge and attitudes of mothers of toddlers. The implication of this research is the need for broader and more focused nutrition counseling programs to support the health and nutrition of toddlers.

Sharing Knowledge: Utilizing Cape Gooseberry Fruit to Reduce the Risk of Hypertension in Pregnant Women Br Ginting Munthe, Novita; Sembiring, Iskandar Markus
JURNAL PENGMAS KESTRA (JPK) Vol. 3 No. 2 (2023): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v3i2.1996

One of the frequently encountered health issues, particularly among pregnant women, is hypertension. Hypertension during pregnancy poses a serious risk to the health of both the pregnant woman and the fetus. This issue requires special attention, especially in providing information to the public about alternative approaches to managing blood pressure. To address this problem, an educational campaign on the benefits of cape gooseberry for hypertensive pregnant women was conducted. Cape gooseberry, scientifically known as Physalis angulata, holds the potential in helping to reduce blood pressure in hypertensive individuals. Compounds found within the cape gooseberry, such as flavonoids and polyphenols, possess anti-hypertensive properties that could benefit health. Several studies indicate that cape gooseberry can lower blood pressure. The Community Engagement Activity (PKM) was held in Lau Rakit Village, STM. Hilir Sub-district, Deli Serdang Regency, on November 29th, 2023, involving 15 participants. The primary aim of this PKM is to enhance public knowledge, particularly among hypertensive pregnant women, regarding the benefits of cape gooseberry in reducing blood pressure and the appropriate methods of consumption. Additionally, this activity aims to raise awareness about the significance of nutrition in maintaining health during pregnancy. The educational campaign succeeded in increasing public knowledge about the benefits of cape gooseberry in reducing blood pressure. Positive responses were evident through active participation among the community in seeking further information regarding cape gooseberry and its consumption. It is anticipated that this educational campaign will serve as a foundation in the endeavor to manage community health, particularly concerning hypertension during pregnancy.

Smart Nutrition for a Golden Generation: Nutrition Education for Mothers of Toddlers Br Ginting Munthe, Novita; Sembiring, Iskandar Markus; Ginting, Nurtiana
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 1 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v4i1.2164

Optimal nutrition during early childhood is crucial in supporting the overall growth and development of children. This period is known as the golden age, during which brain and physical development occur very rapidly. Therefore, nutrition education for mothers of young children is a vital step in ensuring that future generations grow up to be healthy and intelligent individuals. Knowledge about the nutritional needs of young children, the proper way to provide complementary feeding (MP-ASI), and the prevention of malnutrition are the main focuses of this education. This article also presents various essential nutrients needed by young children and practical tips for mothers in providing MP-ASI. The Community Service Program (PKM) was held at the Nurtiana Ginting Clinic, Serdang Bedagai Regency, on May 4, 2024, involving 18 participants. The primary goal of this PKM is that with good nutrition education, it is hoped that mothers will become more skilled in providing healthy and balanced meals, thus supporting the creation of a healthy and intelligent golden generation. Adequate knowledge will help mothers make the right decisions regarding diet and food choices, ultimately supporting the creation of a healthy, intelligent, and highly competitive golden generation. Nutrition education also plays an important role in preventing various health problems that can arise from nutritional deficiencies or excesses, thereby significantly improving children's quality of life.

Determinant of Neonatal Visit Coverage Rate in Serdang Bedagai Regency North Sumatra Indonesia Br Ginting Munthe, Novita; Machmud, Rizanda; Semiarty, Rima; Serudji, Joserizal; Bachtiar, Adang; Fitry Yani, Finny; Symond, Denas; Nelwati, Nelwati
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.3.401-413

Neonatal mortality is a leading cause of infant deaths, particularly in developing countries. In Serdang Bedagai Regency, the coverage of neonatal visits remains low, contributing to the high neonatal mortality rate and causing economic losses. This study aims to identify factors related to the neonatal visit coverage rate in Serdang Bedagai Regency, North Sumatra, Indonesia. This study used a cross-sectional design with multivariate analysis. Data were collected from 200 mothers with babies aged 0-28 days in five health centers in Serdang Bedagai Regency. The variables analyzed include age, education, economic status, knowledge, maternal attitudes, culture, family support, midwife attitudes, access to health facilities, and service quality. The data were analyzed using logistic regression. The results showed that the variables consistently and significantly affecting the increase in neonatal visit coverage were maternal education, knowledge about neonatal visits, local culture, husband/family support, and the quality of visit services. Factors that significantly contributed to increasing coverage of neonatal visits were maternal education (p-value = 0.004, OR = 14.285), maternal knowledge (p-value = 0.000, OR= 75.920), local culture (p-value = 0.000, OR = 57.105), husband/family support (p-value = 0.000, OR = 77.763), and service quality (p-value = 0.000, OR = 47.474). These factors have a major influence in supporting the success of the neonatal visit program, with maternal knowledge and family support being the most dominant factors.. Efforts to increase coverage should involve educating mothers, involving families, and enhancing services while considering local wisdom.

Relationship Between Knowledge of Giving Warm Water Compresses to Prevent Breast Milk Retention in Postpartum Mothers Br Ginting Munthe, Novita; Sembiring, Iskandar Markus
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 1 (2024): 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/jkk.v7i1.2357

Breast milk dams are a common problem often experienced by postpartum mothers, which if not treated properly can cause pain, infection and obstacles in the breastfeeding process. One method that is known to be effective in preventing breast milk dams is by applying warm water compresses. This study aims to analyze the relationship between the level of knowledge of postpartum mothers regarding giving warm water compresses and preventing breast milk dams. This study used a cross-sectional design involving 60 postpartum mothers at the Juliana Clinic, Deli Serdang Regency, North Sumatra, Indonesia. Data was collected through a questionnaire that measured the mother's level of knowledge about warm water compresses and the incidence of breast milk dams. The results showed that the majority of mothers had sufficient (41.7%) and good (33.3%) knowledge about warm water compresses, while 25% of mothers had insufficient knowledge. As many as 58.3% of mothers did not experience breast milk dams, while the other 41.7% experienced breast milk dams. The results of the chi-square test showed that there was a significant relationship between postpartum mothers' knowledge about warm water compresses and prevention of breast milk dams (p-value < 0.05). Mothers with good knowledge experience breast milk dams less often than mothers who have less knowledge. In conclusion, good knowledge about warm water compresses has proven effective in preventing breast milk dams. More intensive education and counseling for postpartum mothers is needed to increase their knowledge about appropriate breast care techniques to prevent lactation problems.

Community Education on Neonatal Visits: Reducing Risks, Enhancing Hope Br Ginting Munthe, Novita; Sembiring, Iskandar Markus
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v4i2.2434

The health of newborns is one of the key indicators of societal well-being. Neonatal visits play a crucial role in preventing health complications in infants. This article presents the outcomes of a community service program focused on educating the importance of neonatal visits. The community service activity was conducted at Mars Clinic, Deli Serdang Regency, North Sumatra, on November 29, 2024, involving 22 mothers of newborns. The primary goal of this community service initiative was to enhance the knowledge and awareness of the community regarding the significance of neonatal visits in preventing health risks in newborns. The activity was carried out using a participatory approach involving healthcare workers, community health volunteers, and the general public. A significant improvement was observed in the 'Good' category, increasing from 9.09% to 72.73%, alongside a drastic decrease in the 'Poor' category from 27.27% to 0%. The average increase in pre-test to post-test scores is 17.27 points, demonstrating the effectiveness of the educational methods implemented. The conclusion of this program underscores that community education can significantly reduce neonatal health risks and foster hope for a healthier generation.

ANALYSIS OF CASE MANAGER FUNCTIONS IN IMPROVING QUALITY CONTROL AND COST CONTROL OF INPATIENT (CASE STUDY) AT GRANDMED HOSPITAL LUBUK PAKAM Fitri Maya Sari Panjaitan; Kasim, Felix; Br Ginting Munthe, Novita
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 1 (2023): 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/jkg.v6i1.1783

Abstract The hospital has a process for implementing continuity of care in the hospital and integration between care-giving professionals (PPA) assisted by a patient service manager (MPP)/case manager. The current challenge that must be faced by hospitals in implementing the JKN program is implementing good quality control and cost control. The existence of MPP in the hospital case management system is expected to be able to support quality control and cost control. The purpose of this study was to analyze the functions of the case manager in improving quality control and cost control for inpatients (case study). This research was conducted at the Grandmed Lubuk Pakam Hospital, Deli Serdang Regency from September 2022 to May 2023. The type of research in this study was qualitative. The sample in this study were case managers at Grandmed Lubuk Pakam Hospital, Deli Serdang Regency, totaling 3 people and 1 director of medical services and 3 heads of inpatient rooms. The results showed that the implementation of case managers in improving quality control and cost control for inpatients was quite good. The case manager utility assessment has not gone well because there is no clear format for the initial screening of patients. Patient care planning by case managers has not been maximized. Not all case managers do patient care planning. The case manager's facilitation and advocacy has not been maximized. There are 2 case managers who do not coordinate with other fields, only coordinate with DPJP and nurses. The case manager evaluation has not gone well because there is no instrument format for case manager tasks so evaluation cannot be carried out. Post-discharge planning follow-up by the case manager has not gone well because the case manager has never followed up post-discharge planning. Case managers should carry out case manager functions for patients who are being treated in case management in accordance with the standard criteria set by STARKES 2022 accompanied by proper and accurate documentation to improve service quality and patient satisfaction. Keywords : Functions, Case Manager, Quality Control, Cost Control, Hospitalization, Case Study

Antenatal Care Education as an Initial Step Toward Maternal and Child Well-Being Br Ginting Munthe, Novita; Sembiring, Iskandar Markus
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/skq8z077

Maternal and infant mortality remain significant public health challenges in Indonesia, particularly in rural areas where awareness and access to healthcare are limited. This community service aimed to improve pregnant women’s understanding of the importance of antenatal care (ANC) as a preventive measure to enhance maternal and child well-being. The program was conducted at Klinik Pratama Rawat Inap Mars Deli Serdang and involved 35 pregnant women. Education was delivered through direct counseling sessions that included materials on ANC visit schedules, early detection of pregnancy complications, nutrition, and birth preparedness. Pre- and post-tests were used to evaluate changes in knowledge and attitudes. The results show a marked increase in the participants’ understanding of ANC, with a rise in knowledge from 40% to 88% after the session. Participants expressed greater motivation to attend routine ANC visits and actively engaged in discussions. The findings suggest that community-based education significantly enhances awareness and fosters positive behavioral change regarding ANC compliance. Collaboration between healthcare professionals, clinics, and academic institutions is crucial to sustain and expand such initiatives for long-term maternal and child health improvement.

Analysis Of Nursing Service Quality On Inpatient Satisfaction At Madani General Hospital, Medan Rustiani, Rustiani; Sitorus, Rotua Sumihar; Br Ginting Munthe, Novita
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Patient satisfaction is one of the important indicators that must be considered in nursing services. Patient satisfaction is the result of patient assessment of nursing services by comparing what is expected with the reality of nursing services received in a hospital. The purpose of the study was to analyze the quality of nursing services on the satisfaction of inpatients at RSU. Madani Medan. The type of research used in this study is quantitative using an observational approach. The research design used is cross-sectional. The population in this study includes inpatients at RSU. Madani Medan in January 2025 to February 2025 as many as 300 people. The number of samples to be studied according to Slovin was 175 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. The statistical tests used were the chi square test and logistic regression. The results of the chi square test showed a significant relationship between Direct Evidence, Reliability, Responsiveness, Assurance and Empathy of nursing services on inpatient satisfaction at RSU. Madani Medan, where the p-value = 0.000. From the results of the multivariate analysis, the most influential variables in this study were the Assurance variable with an OR value of 66.738, and the Empathy variable with an OR value of 22.142. Conclusion of the study; the majority of patients with respondent characteristics aged 27-38 years, female gender, high school education level, housewife occupation. The quality of nursing services Direct Evidence, Reliability, Responsiveness, Assurance and Empathy can be seen from the attitudes of nurses in providing nursing services carried out for the satisfaction of inpatients at RSU. Madani Medan.

Analysis Of Nursing Service Quality On Inpatient Satisfaction At Madani General Hospital, Medan Rustiani, Rustiani; Sitorus, Rotua Sumihar; Br Ginting Munthe, Novita
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Patient satisfaction is one of the important indicators that must be considered in nursing services. Patient satisfaction is the result of patient assessment of nursing services by comparing what is expected with the reality of nursing services received in a hospital. The purpose of the study was to analyze the quality of nursing services on the satisfaction of inpatients at RSU. Madani Medan. The type of research used in this study is quantitative using an observational approach. The research design used is cross-sectional. The population in this study includes inpatients at RSU. Madani Medan in January 2025 to February 2025 as many as 300 people. The number of samples to be studied according to Slovin was 175 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. The statistical tests used were the chi square test and logistic regression. The results of the chi square test showed a significant relationship between Direct Evidence, Reliability, Responsiveness, Assurance and Empathy of nursing services on inpatient satisfaction at RSU. Madani Medan, where the p-value = 0.000. From the results of the multivariate analysis, the most influential variables in this study were the Assurance variable with an OR value of 66.738, and the Empathy variable with an OR value of 22.142. Conclusion of the study; the majority of patients with respondent characteristics aged 27-38 years, female gender, high school education level, housewife occupation. The quality of nursing services Direct Evidence, Reliability, Responsiveness, Assurance and Empathy can be seen from the attitudes of nurses in providing nursing services carried out for the satisfaction of inpatients at RSU. Madani Medan.

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