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Analisis Pelaksanaan Program Pelayanan Kesehatan Peduli Remaja (PKPR) di UPTD Puskesmas Pabatu Khofipah, Siti; Aidha, Zuhrina; Susilawati, Susilawati
Jurnal Promotif Preventif Vol 8 No 3 (2025): Juni 2025: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v8i3.1883

Abstract

Remaja merupakan kelompok usia yang rentan terhadap berbagai permasalahan kesehatan baik fisik, mental maupun sosial. Untuk mengatasi hal tersebut, pemerintah menerbitkan Standar Nasional PKPR Tahun 2014 sebagai pedoman pelaksanaan PKPR di UPTD Puskesmas. Namun dalam implementasinya, pelaksanaan PKPR di UPTD Puskesmas Pabatu masih menghadapi berbagai kendala yang menghambat pencapaian standar pelayanan remaja yang ideal. Penelitian ini bertujuan menganalisis pelaksanaan program PKPR di UPTD Puskesmas Pabatu serta hambatan dalam implementasinya berdasarkan Standar Nasional PKPR 2014. Penelitian ini menggunakan pendekatan kualitatif dengan jenis deskriptif. Informan penelitian ini berjumlah 11 orang yaitu kepala puskesmas, penanggung jawab program serta remaja dan kader remaja pada program tersebut. Teknik analisis data menggunakan wawancara, observasi dan persetujuan informan sebagai keabsahan data dari penelitian ini. Pelaksanaaan dari Program PKPR masih terhambat dengan kurangnya pemahaman remaja terkait program ini, belum optimalnya UPTD Puskesmas Pabatu dalam memenuhi SN PKPR 2014 dan jumlah kunjungan remaja yang mengalami fluktuasi untuk kurun waktu tujuh bulan terakhir di tahun 2024. Pelaksanaan PKPR di UPTD Puskesmas Pabatu masih memerlukan berbagai perbaikan untuk dapat mencapai hasil yang lebih optimal. Remaja merupakan bekal masa depan yang akan melahirkan generasi yang tumbuh dengan sehat. Oleh karena itu, diperlukan langkah-langkah konkret yang lebih terarah agar menyiapkan generasi emas di masa mendatang.
Analisis Pelaksanaan Program Penanggulangan Malaria di Puskesmas Gambir Baru Alayda, Nurul Fifi; Wasiyem, Wasiyem; Aidha, Zuhrina
Jurnal Promotif Preventif Vol 8 No 3 (2025): Juni 2025: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v8i3.1884

Abstract

Malaria adalah masalah kesehatan masyarakat yang serius dan berpotensi fatal. Upaya eliminasi malaria dilakukan di Indonesia untuk menciptakan masyarakat yang bebas dari penularan malaria pada tahun 2030. Tujuan penelitian ini adalah untuk menganalisis pelaksanaan program penaggulangan malaria di Puskesmas Gambir Baru. Penelitian ini menggunakan metode kualitatif deskriptif dengan pendekatan fenomenologi. Data diperoleh melalui wawancara mendalam dan dokumentasi dari informan terpilih secara purposive sampling. Informan penelitian ini berjumlah 6 orang yaitu kepala puskesmas, pengelola program malaria serta dokter yang menangani, tokoh masyarakat, serta masyarakat penderita malaria dan masyarakat yang tidak menderita malaria. Analisis data menggunakan analisis tematik. Hasil dari penelitian ini adalah program penanggulangan malaria di Puskesmas Gambir Baru menghadapi, distribusi obat yang belum optimal, serta rendahnya kesadaran masyarakat. Simpulan dari penelitian ini adalah program penanggulangan malaria di Puskesmas Gambir Baru menghadapi kendala dalam tenaga kesehatan, distribusi obat, dan kesadaran masyarakat. Diperlukan peningkatan jumlah dan kapasitas tenaga kesehatan, ketersediaan obat yang mencukupi, serta penyuluhan yang lebih efektif. Upaya ini diharapkan dapat meningkatkan partisipasi masyarakat dalam pencegahan dan pengobatan malaria.
The Determinants of Drug-Resistant Tuberculosis Incidence at the Special Lung Hospital, Health Department of the Provincial Government of North Sumatera, 2021-2024 Dalimunthe, Mawaddah Sri Rezeki; Susanti, Nofi; Aidha, Zuhrina; Batubara, Abdul Karim
MEDFARM: Jurnal Farmasi dan Kesehatan Vol 14 No 1 (2025): Medfarm: Jurnal Farmasi dan Kesehatan
Publisher : LPPM Akafarma Sunan Giri Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48191/medfarm.v14i1.539

Abstract

Along with the increase in tuberculosis (TB) cases, there has also been a rise in the number of Drug-Resistant Tuberculosis (DR-TB) cases, which poses a serious threat to global TB control efforts. Globally, there are 400,000 DR-TB cases according to the WHO report in 2024, with Indonesia contributing 7.4% of the total cases. In North Sumatra, the incidence of DR-TB cases reached 54%. This study aims to analyze and identify the factors influencing the incidence of DR-TB among DR-TB patients at the Special Lung Hospital of the Provincial Government of North Sumatra. The study uses a quantitative approach with a case-control design utilizing secondary data from the SITB application at the Special Lung Hospital of the Provincial Government of North Sumatra from 2021-2024. The sample consists of 204 individuals with a 1:1 ratio, comprising 102 individuals with DR-TB and 102 controls with non-DR-TB. The sampling technique used is purposive sampling. This study sets DR-TB incidence as the dependent variable, while independent variables include sex, employment status, age, treatment outcome, access to health service facilities, residence, contact examination, TB treatment history, diagnosis type, diabetes mellitus status, and HIV status. Data were analyzed using three tests: univariate analysis, bivariate analysis, and multivariate analysis with the use of statistical software version 22. The results show that factors significantly influencing DR-TB incidence include age (CI 95%: 4.7 [2.3-9.5]), employment (CI 95%: 3.4 [1.7-6.6]), and a history of previous TB treatment (CI 95%: 14.7 [5.5-39]).
ANALISIS IMPLEMENTASI PROGRAM POSYANDU DI DESA KOLAM KECAMATAN PERCUT SEI TUAN Isnaini, Muharrammah; Aidha, Zuhrina; Khairunnisa, Khairunnisa; Siregar, Nabilla Yurisna
Jurnal Ilmiah Publika Vol 11 No 1 (2023): Jurnal Ilmiah Publika
Publisher : Faculty of Social and Political Sciences, Universitas Swadaya Gunung Jati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33603/publika.v11i1.8223

Abstract

Posyandu Balita yang diperuntukan pada anak yang berada pada rentang usia 0-5 tahun. Yang mana dimasa balita kita harus memantau perkembangan anak dan proses tumbuh kembang anak untuk menghindari status gizi buruk dan menghindari pekembangan anak yang abnormal. Tujuan penelitian adalah untuk menganalisis implementasi program posyandu balita di Desa Kolam Kecamatan Percut Sei Tuan. Jenis penelitian ini adalah penelitian kualitatif dengan menggunakan metode studi kasus. Teknik pengambilan sampel menggunakan Teknik purposive sampling. Responden penelitian ini berjumlah 6 orang, yang terdiri atas 3 masyarakat yang menghadiri posyandu di desa kolam, dua kader posyandu dan 1 bidan desa. Hasil dari penelitian diketahui berdasarkan dari wawancara bahwa posyandu diwilayah kerja puskesmas di desa kolam kecamatan percut sei tuan secara rutin dilaksanakan setiap satu bulan sekali pada tanggal 6. Para kader posyandu dan bidan desa aktif dalam melaksanakan tugas nya. Pemberian imunisasi di Posyandu belum maksimal karena masih banyak orang tua yang tidak mau anaknya diimunisasi dengan alasan antara lain takut demam setelah diimunisasi, imunisasi tidak memberi manfaat apapun karena anaknya yang lain tetap sehat walaupun tidak diimunisasi, serta imunisasi itu haram. Kesimpulan dari penelitian ini berdasarkan hasil wawancara dapat disimpulkan bahwa para kader posyandu dan bidan desa aktif dalam melaksanakan tugas nya setiap bulannya. Perkembangan posyandu juga sangat tinggi dengan antusias para ibu balita serta para kader yang keliling disetiap rumah untuk memberitahu jadwal posyandu.
Analysis of factors causing work accidents among oil palm harvesters at PTPN IV Dolok Ilir Ms, Saidana Wahyudi Putra; Aidha, Zuhrina; Arrazy, Syafran
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2043

Abstract

According to the ILO every year more than 250 million people experience accidents at work. Throughout 2023, 224 thousand cases of work accidents occurred in the oil palm plantation sector Based on the Occupational Safety and Health Profile, according to data from BPJS Employment, cases of work accidents in North Sumatra in 2024 reached 9,319 work accidents. Work accidents that often occur at PT Dolok Ilir Palm Oil Plantation are impaled by palm thorns, crushed by palm fronds, cut by machetes, eyes exposed to palm waste, scratched by palm fruit thorns. The purpose of this study was to determine the factors that cause the incidence of work accidents in labor workers. This research method uses quantitative with a cross-sectional approach. Sampling using the sloving formula with cluster random sampling technique. The results of the study showed that there were factors that influenced the incidence of work accidents in oil palm harvesters were age, use of PPE, and attitudes with a Sig value. < 0,05. Attitude is the most dominant factor in the incidence of work accidents with an Exp B value = 3.892, which means that a negative attitude is 3.892 times more risky than a positive attitude. It is expected that workers can increase awareness about the importance of prioritizing safety when working.
Factors influencing the utilization of the tetanus toxoid immunization program among pregnant women at terjun public health center, Marelan district Anggreini, Dina; Nurhayati, Nurhayati; Aidha, Zuhrina
Science Midwifery Vol 13 No 4 (2025): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i4.2015

Abstract

Neonatal tetanus remains a significant cause of infant mortality, particularly in developing countries, despite being preventable through Tetanus Toxoid (TT) immunization during pregnancy. This study aimed to analyze the factors influencing the utilization of TT immunization among pregnant women at Terjun Public Health Center, Marelan District. Using a cross-sectional quantitative approach, data were collected from 46 third-trimester pregnant women through questionnaires. Bivariate and multivariate analyses were conducted using chi-square tests and logistic regression. The results showed that knowledge (p=0.002) and attitude (p=0.001) were significantly associated with TT immunization uptake, while age (p=0.536) and spousal support (p=0.603) were not. Multivariate analysis revealed that attitude was the dominant factor influencing immunization utilization (OR=4.7; p=0.045). Although knowledge had a higher odds ratio (OR=5.59), it did not reach statistical significance (p=0.056). The model explained 38.9% of the variation in immunization status (Nagelkerke R² = 0.389). These findings underscore the importance of promoting positive maternal attitudes and improving knowledge through targeted health education to enhance immunization coverage and prevent neonatal tetanus
Implementation of Health Promotion at The Special Pulmonary Hospital UPTD of North Sumatera Province in 2025 Aidha, Zuhrina; Amalona, Ridho Angga; Qur-ani, Oktfera Halmi; Melinda, Siska; Handoko, Fauziah; Paramitha, Lydia; Andwina; Nurdilla, Niswa
CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal Vol. 6 No. 2 (2025): October
Publisher : Perhimpunan Dokter Kedokteran Komunitas dan Kesehatan Masyarakat Indonesia (PDK3MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/comphijournal.v6i2.315

Abstract

This study aims to describe the implementation of Hospital Health Promotion (PKRS) at the Special Pulmonary Hospital Technical Implementation Unit of North Sumatra Province in 2025. The background of the study is based on the importance of PKRS in increasing the awareness, attitude, and healthy behavior of patients and their families, as well as supporting the achievement of public health status. The study uses a qualitative approach with observation and in-depth interviews with PKRS officers, as well as a review of hospital documents. The results of the study indicate that the implementation of PKRS has been going quite well, marked by the existence of a special PKRS unit and support from hospital management through the preparation of SOPs and regular monitoring and evaluation. Health promotion activities are carried out through individual or group counseling, as well as utilizing print, electronic, and social media. Thus, the study found several obstacles, including budget limitations, infrastructure, and patients' limited time to participate in education. The program's accessibility is considered quite good because health information can be accessed through various hospital services and social media. Overall, the PKRS at UPTD RS Khusus Paru PROVSU has been implemented according to standards, although it still requires reinforcement in terms of resources and budget support to reach a wider audience and be sustainable.
The Relantionship between Workload and Work Fatigue of Health Workers Sari, Dian Purnama; Aidha, Zuhrina; Susilawati, Susilawati
Indonesian Journal of Global Health Research Vol 6 No 2 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i2.3110

Abstract

This study aims to explore the relationship between workload and work fatigue among health workers at Puskesmas Sei Balai, Batu Bara Regency. Data was collected from 46 respondents consisting of doctors, nurses, midwives, analysts, nutritionists, and public health workers. This study used a quantitative approach with a cross-sectional research design. The sample consisted of 46 health workers at the Sei Balai Health Center. Data was collected through questionnaires that measured workload levels and burnout. Statistical analysis was performed using the Chi-Square test and Fisher's exact test. The results showed that heavy workload was positively correlated with high work fatigue. This shows the importance of effective workload management to reduce the risk of burnout among health workers. The implications of this research can be used to devise better workload management strategies at Puskesmas Sei Balai and encourage further research in this domain. Based on the results of the study obtained p (p-value) = 0.00 (p < 0.05) that there is a relationship between workload and work fatigue of health workers at the Sei Balai Health Center, Coal Regency.
The Relationship between Work Posture and Nutritional Status with Complaints of Musculoskeletal Disorders in the Driver Ramadan, Novrizal; Suraya, Rani; Aidha, Zuhrina
Indonesian Journal of Global Health Research Vol 6 No 2 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i2.3143

Abstract

Work posture is a reference to the position of the body when carrying out activities in a job, the driver profession really needs more attention to this. Good work posture is able to adjust the sitting or standing position to be ergonomic, keep the back straight, and avoid tension in certain parts. This study aims to determine the relationship between work portur and nutritional status with complaints of musculoskeletal disorders in trans metro deli medan drivers. This research method uses Cross-sectional study. The study runs from February to March in 2024. Located at Trans Metro Deli Medan Bus Stop corridors 1 to 5. Populasai in this study amounted to 151 drivers using stratified random sampling techniques. The determination of the number of samples in this study used the table determining the number of samples of Issac &Michael which obtained a sample of 105 samples with an error rate of 5%. The results of statistical analysis using the chi square test Based on the results of bivariate analysis of work posture has a relationship with complaints of musculoskeletal disorders (p = 0.034), as well as nutritional status can be concluded to have a relationship with complaints of musculoskeletal disorders (p = 0.048), so it can be known that there is a significant relationship between nutritional status and complaints of musculoskeletal disorders On Trans Metro Deli Medan driver. The relationship between work posture and nutritional status with complaints of musculoskeletal disorders in trans metro deli medan drivers, each driver is expected to stretch and rest enough to avoid work fatigue and musculoskeletal disorders, trans metro deli medan drivers are also expected to maintain body mass index in normal nutritional status.
The Relationship Between Mothers' Knowledge and Behavior about Nutritional Status with the Incidence of Stunting Bancin, Anggina; Aidha, Zuhrina; Ashar, Yulia Khairina
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i3.3382

Abstract

Child health problems that are currently the top priority that the government wants to improve are regarding child growth and developm Child health problems that are currently the top priority that the government wants to improve are regarding child growth and development. Of the many growth and development problems that occur in children, one of the health problems is stunting. Stunting is short or very short based on height length according to age that is less than -2 standard deviations (SD) on the WHO growth curve that occurs due to irreversible conditions due to inadequate nutritional intake and/or recurrent/chronic infections that occur in the First 1000 Days of Life (HPK). This study aims to analyze the relationship between knowledge and behavior of mothers about nutritional status with the incidence of stunting in Binanga Boang Penanggalan Village. The type of research in this study is quantitative research, with a cross sectional design, the population in this study is 101 mothers of people who have toddlers in Penanggalan Binanga Boang village. The sampling technique uses accidental sampling technique. The research instrument uses questionnaires. Validity test on the mother's knowledge variable of 15 questions there are 10 valid questions, on the mother's behavior variable of 12 questions there are 10 valid questions. After testing the reliability of the questions which were declared valid, all questions from the knowledge and behavior variables were declared reliable or (alpha symbol) >0.6. The number of samples in this study was 40 mothers who had toddlers at the sun posyandu. Data analysis was performed with the ChiSquare test. The results of this study showed that there was a significant relationship between maternal knowledge and the incidence of stunting in Binanga Boang Penanggalan Village (p = 0.000). There is a significant relationship between maternal behavior and the incidence of stunting in Penanggalan Binanga Boang village (p = 0.000). It is recommended for Poskesdes to increase public knowledge through preventive measures and health promotion to the community and increase counseling on stunting to pregnant women, adolescents, or catin. And for the community, especially parents who have toddlers to participate more in every activity held by the Puskesmas. ent. Of the many growth and development problems that occur in children, one of the health problems is stunting. Stunting is short or very short based on height length according to age that is less than -2 standard deviations (SD) on the WHO growth curve that occurs due to irreversible conditions due to inadequate nutritional intake and/or recurrent/chronic infections that occur in the First 1000 Days of Life (HPK). This study aims to analyze the relationship between knowledge and behavior of mothers about nutritional status with the incidence of stunting in Binanga Boang Penanggalan Village. The type of research in this study is quantitative research, with a cross sectional design, the population in this study is 101 mothers of people who have toddlers in Penanggalan Binanga Boang village. The sampling technique uses accidental sampling technique. The research instrument uses questionnaires. The number of samples in this study was 40 mothers who had toddlers at the sun posyandu. Data analysis was performed with the ChiSquare test. The results of this study showed that there was a significant relationship between maternal knowledge and the incidence of stunting in Binanga Boang Penanggalan Village (p = 0.000). There is a significant relationship between maternal behavior and the incidence of stunting in Penanggalan Binanga Boang village (p = 0.000). It is recommended for Poskesdes to increase public knowledge through preventive measures and health promotion to the community and increase counseling on stunting to pregnant women, adolescents, or catin. And for the community, especially parents who have toddlers to participate more in every activity held by the Puskesmas.
Co-Authors ABdul Karim Batubara, ABdul Karim Agustin, Annisa Marsya Aiga Nurkhalilah Pasaribu Alayda, Nurul Fifi Alfino, Triski Aliyyah, Annisa Fijjannah Almira, Salwa Siti Amalona, Ridho Angga Amru Siddiq, Muhammad Ananda Br.SK, Dea Andreansyah, Risky Andwina Andwina, Andwina Anggreini, Dina Anju Minta Marito Anwar, Zhafira Kurnia Apriansyah, Bagus Halfin Araafi, Alif Asiyah Siregar, Nur Aulia Zahara AULIA, RIZKA Ayu A., Delfriana Ayu, Delfriana Azalia, Zalfa Naifah Azhari Akmal Tarigan Azzahra, Dwi Vira Bancin, Anggina Berutu, Mastuti Bintang Rizki Angeli Chairani, Nasya Cantik Dalimunthe, Mawaddah Sri Rezeki Dara Maulidini Akbar Deby A. Lubis, Rini Dedek Syafitri Delfriana Ayu Delfriana Ayu Devika May Nisha Dharma, Rifanny Ananta Dian Purnamasari Difhanny, Chairunnisyah Nurma Dimas Ardiansyah Dwanti Pane, Shahrani Eliska Eliska Fadiah, Nifazatil Fahmi Tegar Fahzirah, Ranti Fardani, Siti Nurhaliza Faris N, Tengku Muhammad Fernanda, Deza Fitriani Pramita Gurning Gadis Permata Hati Manalu Goslan Siregar, Muthia Afrah Gunawan, Amanda Natasya Hafidzah, Fidiana Handoko, Fauziah Harahap, Mhd Abdul Rajab Harahap, Reni Agustina Harahap, Yardina Fauziah Hasibuan, Serahayati Heri Yusuf Simbolon Hirdanti, Dwi Isnaini, Muharrammah Kalifah Fitria Lubis Karina Aulia Putri Kartika, Widia Khairunnisa Khairunnisa Khairunnisa Khairunnisa Khofipah, Siti Kyky Sartika Sari Lailatul Mardhiyah Lita Sri Andayani Lorensyifa, Abdinda Lubis, Nelly Revita Mahardika, Rangga Maishie Salwa, Jihan Mardyanti Br.Purba, Nanda Marpaung, Suci Melinda, Siska Ms, Saidana Wahyudi Putra Muharrammah Isnaini Muliyani Muliyani Munawarah, Vivi Ridha Nabila, Nazua Nabilla Balqis, Firstika Nabilla Yurisna Siregar Nasution, Sopiah Widia Rahma Ningrum, Tiara Pakar Nisa Mahfirah Lubis Nofi Susanti Nur Anisa Nur'ainun Berutu Nurdilla, Niswa Nurhayati Nurhayati Nurhayati Nurhayati Nurhayati, Talitha Syafira Nuriyah Nuriyah Nurul Azmi Paramitha, Lydia Pasaribu, Natasha Melfisyaira Putri Pelangi Asy-Syifaa Putri, Anna Tasya Qori Fauziah Nur Nasution Qur-ani, Oktafera Halmi Qur-ani, Oktfera Halmi Rahmadani Lingga, Suci Rahmi Atika Ramadan, Novrizal Reni Agustina Harahap Rian Atta Nayoan Nasution Ritonga, Sri Bulan Suci Sabila Tamimi Siregar Sabillah, Vany Silvia Salsabila Parinduri, Luthfia Aina Samosir, Fani Nurhadizah Shelly Shabina Putri Sinaga Siahaan, Mardiana Lestari Siddiq, Muhammad Amru Silangit, Nurhidayah Silvia, Vanny SIREGAR, FINDYANI Siregar, Nabilla Yurisna Siti Aziza Simatupang Sri Fatimah Hasibuan Suci Yustrianti Marpaung Suraya, Rani Surianti Surianti Susilawati Susilawati Susilawati, Susilawati Syafran Arrazy Syahmala, Arya Rahman Syahrida Hasibuan, Syahrida Syarifah, Ummi T. Syazanani Musfira Tanjung, Nadya Ulfa Utami, Tri Niswati Viona Afiqah Vivi Chairani Harahap Wasiyem, Wasiyem Windari, Oppy Oktavianty Yulia Khairina Ashar Yuliawati Anggraini Siregar Yusril Iza Mahendra Zahara, Mila