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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 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

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

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

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

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.

The Influence of Social Media Use on Preventive Behavior Against the Spread of Malaria in the Working Area of Mutiara Community Health Center, Asahan Regency, 2025 Zakiah Pulungan; Reni Aprinawaty Sirait; Raisha Octavariny
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/d7ma8s25

Malaria is one of the infectious diseases that remains a public health problem in many countries, particularly in tropical and subtropical regions. This disease is caused by the Plasmodium parasite, which is transmitted through the bite of an infected female Anopheles mosquito.This study aimed to analyze the influence of social media use on preventive behavior in preventing the spread of malaria. The study employed a cross-sectional design and was conducted at Mutiara Community Health Center, Asahan Regency, in 2025. The research was carried out from January to April 2025. The study population consisted of all patients seeking treatment at Mutiara Community Health Center, with a total sample of 100 respondents selected using a simple random sampling technique. Data analysis was performed using the Chi-square test and logistic regression.The results showed that there was no significant association between gender (p = 0.159; OR = 1.96; 95% CI = 0.863–4.434) and age (p = 0.840; OR = 1.09; 95% CI = 0.464–2.570) with preventive behavior against malaria transmission. However, there was a significant association between educational level (p = 0.009) and social media use (p = 0.047; OR = 2.70; 95% CI = 1.070–6.856) with preventive behavior against malaria transmission.Based on these findings, respondents are expected to increase their awareness and active participation in implementing preventive behaviors to reduce the spread of malaria, such as maintaining environmental cleanliness and using mosquito nets while sleeping.

Analysis of Individual and Behavioral Factors Affecting the Success of Pulmonary Tuberculosis Treatment at Sukaramai Public Health Center, Pakpak Bharat Regency Sinaga, Rusmiaty; Reni Aprinawaty Sirait; Desideria Yosepha Ginting
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: 10.35451/1gn7jj71

Pulmonary tuberculosis (TB) remains a major global public health problem, with suboptimal treatment success rates in many regions. This study aimed to analyze individual and behavioral factors affecting the success of pulmonary TB treatment at Sukaramai Public Health Center, Pakpak Bharat Regency. This study employed an analytical observational design with a cross-sectional approach. The population consisted of 328 TB patients, with a sample of 180 respondents selected using purposive sampling. The variables studied included age, sex, education, knowledge, and medication adherence. Data were analyzed using univariate, bivariate (Chi-square test), and multivariate (logistic regression) analyses with a significance level of 0.05. The results showed that most respondents were aged >40 years (63.9%), female (56.7%), had low education levels (71.1%), and had poor knowledge (50.6%). Medication adherence was relatively good, with 59.4% of respondents classified as adherent. Bivariate analysis indicated significant associations between knowledge (p=0.002) and medication adherence (p=0.019) with treatment success. However, multivariate analysis revealed that only medication adherence had a significant effect on treatment success (OR=3.12; 95% CI: 1.65–5.90; p=0.001), while knowledge was not statistically significant. In conclusion, medication adherence is the most dominant factor influencing the success of pulmonary TB treatment. Therefore, interventions should focus on improving patient adherence through continuous health education, family support, and strengthening treatment supervision systems to enhance treatment outcomes.

Factors Associated with Husbands' Participation in the Family Planning Program Yustina, Eka; Gurusinga, Rahmad; Raisha Octavariny; Karnirius Harefa; Reni Aprinawaty Sirait
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/wa4z5t57

Husband participation in family planning (FP) programs is a key factor in the success of population control and the improvement of family reproductive health. However, the level of husband involvement in FP programs in Indonesia remains relatively low and is influenced by various factors. This study aims to analyze the relationship between knowledge, attitudes, the role of health workers, and sociocultural factors with husband participation in family planning programs. This study employs a quantitative research design with a cross-sectional approach. The study population consists of married couples of reproductive age, with the sample selected using purposive sampling. Data collection was conducted using a structured questionnaire. Data analysis was performed using univariate and bivariate methods with the chi-square test, as well as multivariate analysis using multiple logistic regression to identify the dominant factors influencing husbands’ participation in family planning programs. The results indicate a significant relationship between knowledge, attitudes, and sociocultural factors and husbands’ participation in family planning programs (p < 0.05). Meanwhile, health workers did not show a significant association with husbands’ participation (p > 0.05). The knowledge variable was the factor most strongly associated with husbands’ participation in the family planning program, with a 1.65-fold higher likelihood of participating compared to husbands with lower knowledge levels, whereas attitudes and sociocultural factors did not show a significant influence after controlling for other variables. This study indicates that husbands’ participation in family planning programs is influenced by individual and environmental factors, particularly husbands’ knowledge regarding family planning. Therefore, efforts to enhance education and outreach focused on husbands, as well as sociocultural approaches involving families and communities, are needed to increase men’s involvement in family planning programs.

The Role of Management Functions in Enhancing Community Empowerment for Stunting Prevention in Batu Bara District Sianturi, Herlina; Reni Aprinawaty Sirait; Raisha Octavariny; Karnirius Harefa
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/zssjx722

A Stunting remains a major public health problem in Indonesia, including in Batu Bara District. The success of stunting reduction is not only determined by technical interventions but is also influenced by the effectiveness of management functions and the level of community empowerment. This study aims to analyze the effect of basic management functions on community empowerment in stunting prevention efforts in the working area of the Batu Bara District Health Office. This study employed an analytical quantitative design with a cross-sectional approach. The population consisted of 250 stunting program implementers and posyandu cadres, with a sample of 167 respondents selected using proportional random sampling. Data were collected through a structured questionnaire that had been tested for validity and reliability. Data analysis was conducted using univariate, bivariate (Chi-square test), and multivariate (logistic regression) analyses. The results showed that all aspects of management functions planning, organizing, actuating, and controlling, had a significant effect on community empowerment (p < 0.001). The most dominant variable was controlling (PR = 5.84), followed by actuating (PR = 5.70), planning (PR = 4.32), and organizing (PR = 3.23). In conclusion, management functions play an important role in enhancing community empowerment in stunting prevention. Therefore, strengthening management functions, particularly in controlling and actuating, is necessary to improve the effectiveness of stunting prevention programs.

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