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All Journal Jurnal Kesmas dan Gizi (JKG) JURNAL FARMASIMED (JFM)
Reni Aprinawaty Sirait
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Medicine & Pharmacology Public Health

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ANALYSIS OF DATA ON PROCUREMENT AND USE OF INSULIN IN DIABETES MELLITUS PATIENTS AT THE GENERAL HOSPITAL Dr. FL TOBING SIBOLGA Hasni, Hasni Yaturramadhan Harahap; Sofyan Syarifuddin; Debi Meilani; Deliwarni Rajagukguk; Fatimah Sari Simatupang; Reni Aprinawaty Sirait
Jurnal FARMASIMED (JFM) Vol 6 No 1 (2023): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jfm.v6i1.1907

Abstract

Abstract Drug management is a series of drug control starting from the process of selection, procurement, distribution, to use. Drug management is closely related to the budget and expenditure of health installations such as hospitals, health centers, and pharmacies. The aim of this study is to determine the suitability of insulin procurement in public hospitals. Dr. FL. Tobing Sibolga with the needs of diabetes mellitus patients in 2022. This research method includes descriptive research, namely by looking at usage reports and insulin request sheets at RSU Dr. FL. Tobing Sibolga. The results of the study showed that insulin was procured at the FL Hospital. Tobing is in accordance with the need/use of insulin throughout 2022 because the amount of procurement is greater than the need. And there is no significant difference in the planned amount of insulin and insulin needs throughout 2022. Keywords: Management, Use, Appropriateness  
Factors Related To Compliance With Hand Hygiene Implementation Among Health Care Workers Siringoringo, Dumaris; Reni Aprinawaty Sirait; Delita Br. Panjaitan
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 2 (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/jkg.v7i2.2696

Abstract

Background: The implementation of hand hygiene (HH) is an essential aspect of healthcare management, influencing the health of both healthcare workers and the general public. Objective: This study aims to identify the factors associated with compliance in the implementation of hand hygiene among healthcare workers. Research Method: This research is a quantitative study using a cross-sectional design, conducted at Puskesmas Sialang, Bangun Purba District, Deli Serdang Regency. Results: The analysis showed that several factors had a significant relationship with hand hygiene compliance among healthcare workers, including knowledge (p-value = 0.010), attitude (p-value = 0.022), availability of facilities (p-value = 0.009), and supervision by the Infection Prevention and Control (IPC) team (p-value = 0.000). Conclusion: There is a significant influence of knowledge, attitude, facility availability, and IPC team supervision on hand hygiene compliance among healthcare workers at Puskesmas Sialang. Therefore, it is recommended to conduct awareness campaigns on hand hygiene and the associated infection risks, establish a reward and recognition system for healthcare workers who consistently practice proper hand hygiene, ensure the availability of hand hygiene facilities in easily accessible locations for healthcare workers, and enhance communication between the IPC team and healthcare workers regarding hand hygiene practices.
Implementation of Congenital Hypothyroidism Screening Program at Community Health Center Nasution, Ainun Budi; Reni Aprinawaty Sirait; Desideria Yosepha Ginting
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/yn7ka993

Abstract

Background: The implementation of the Congenital Hypothyroidism Screening (SHK) program at UPTD Puskesmas Tebing Syahbandar has not yet achieved the target of screening 100% of newborns, with coverage rates of only 1.36% in 2023 and 15% in 2024. Several challenges hinder the program’s effectiveness, including limited resources and resistance from parents.Objective: This study aims to analyze the implementation of the SHK program at UPTD Puskesmas Tebing Syahbandar, identify the factors contributing to the low screening coverage, and propose recommendations for improving the program’s effectiveness and achieving the desired target. Research Method: A qualitative approach is used in this study, employing in-depth interviews with informants including healthcare workers, midwives, and the head of Puskesmas. The data collected was analyzed to identify key themes and factors affecting the program’s implementation. Results: The findings indicate that while the SHK program follows the guidelines set in Permenkes No. 78/2014, it faces significant barriers such as insufficient supply of screening materials (e.g., filter paper), limited training for healthcare personnel, and lack of comprehensive education for parents. These issues result in low participation rates and missed opportunities for early detection of congenital hypothyroidism. Conclusion: Addressing the challenges related to material availability, enhancing healthcare worker training, and improving communication and education for parents are essential to reaching the program’s target of 100% screening coverage.
The Relationship Between the Role of Posyandu Cadres and Elderly Posyandu Services in the Work Area of the Uptd Health Center Khoirul Anwar Pulungan; Reni Aprinawaty Sirait; Delita Br. Panjaitan
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/w85p8v53

Abstract

Background: The role of Posyandu cadres is crucial in improving the quality of health services for the elderly. The elderly are vulnerable to various health issues and require special attention, especially in areas such as Asahan Regency, where the role of cadres as companions, communicators, and motivators significantly impacts the quality of services. Elderly Posyandu aims to enhance the quality of life for the elderly through integrated health services, but challenges remain in increasing participation and service effectiveness. Research Objectives: This study aims to analyze the relationship between the role of Posyandu cadres and the quality of Posyandu services for the elderly in the working area of UPTD Puskesmas Bandar Pasir Mandoge, Asahan Regency. Research Methods: This research uses a quantitative design with a cross-sectional approach, involving 86 elderly participants selected through accidental sampling. Data were collected using questionnaires and analyzed using Chi-square tests to examine the relationship between the role of cadres and elderly satisfaction with Posyandu services. Results: The analysis shows a significant relationship between the role of Posyandu cadres and service quality. The p-values for the roles of cadres as companions, communicators, and motivators are all 0.000, indicating a significant positive impact on elderly satisfaction with Posyandu services. The better the role of the cadres in accompanying, connecting, and motivating, the higher the satisfaction of the elderly. Conclusion: The role of Posyandu cadres as companions, communicators, and motivators significantly affects the quality of Posyandu services for the elderly. Regular training to improve cadre capacity is essential to enhance the effectiveness of elderly health services in Asahan Regency.
Factors Affecting the Utilization of Pneumococcal Conjugate Vaccine (PCV) at Health Centers Yuliana; Reni Aprinawaty Sirait; Delita Br. Panjaitan
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/e1n8wf82

Abstract

Background: Pneumonia is one of the leading causes of death in children under five in Indonesia. Pneumococcal Conjugate Vaccine (PCV) immunization is a preventive measure, yet coverage in Serdang Bedagai Regency remains low. Factors such as knowledge, education, occupation, attitude, belief, health service accessibility, and family support are suspected to influence PCV utilization. Research Objectives: This study aimed to analyze the factors influencing PCV immunization utilization at Sei Rampah Health Center, Serdang Bedagai Regency. Research Methods: This research employed an analytic survey with a cross-sectional design. The population consisted of 900 mothers with children aged 11–12 months, and a sample of 262 mothers was selected using simple random sampling. Data were collected through questionnaires and secondary data from PWS-KIA. Univariable, bivariate (Chi-square), and multivariable analyses (multiple logistic regression) were performed to identify the dominant factors. Results: Bivariate analysis indicated that education (p=0.002; OR=6.882), occupation (p=0.000; OR=6.088), and knowledge (p=0.000; OR=15.400) were significantly associated with PCV utilization. Multiple logistic regression revealed knowledge as the dominant factor (p=0.000; Exp(B)=13.063), followed by occupation, attitude, belief, and family support. Age, health service accessibility, and education did not show a significant effect. Conclusion: Parental knowledge is the key factor influencing PCV immunization utilization. Efforts to increase immunization coverage should focus on continuous education by health workers and family involvement to improve parents’ awareness and compliance with child immunization schedules.
Co-Authors Debi Meilani Delita Br. Panjaitan Deliwarni Rajagukguk Desideria Yosepha Ginting Fatimah Sari Simatupang Hasni, Hasni Yaturramadhan Harahap Khoirul Anwar Pulungan Nasution, Ainun Budi Siringoringo, Dumaris Sofyan Syarifuddin Yuliana Yuliana