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Implementation of Environmental Hygiene and Sanitation in Deli Tua Market, Deli Serdang District Lubis, Irwansyah; Lauchan, Agil Maritho; Prasetyo, Angga Dwi; Munthe, Ni’matul Ulya; Putra MS, Saidana Wahyudi
PROMOTOR Vol. 7 No. 6 (2024): DESEMBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i6.859

The market is a public facility that involves many people and physical interactions that can be a means of spreading disease. Further research is needed because the initial observation results show non- compliance with PERMENKES RI No. 17 of 2022 in terms of the application of personal hygiene, spatial arrangement, drainage, and market buildings. The purpose of this study is to analyze the extent of the application of environmental hygiene and sanitation in the Old Deli Market. This research uses qualitative methods with descriptive type research, and data collection using direct observation, in-depth interviews, and documentation. The selection of key informants in this study used purposive sampling method. The results showed that Deli Tua Market has not met the requirements of a healthy market according to PERMENKES RI No. 17 of 2020. Waste management facilities are still smelly and scattered. Clean water facilities are not available by the market manager. Vector control facilities have never been sprayed every month. Hand washing facilities are not available and are not equipped with soap and running water. The application of personal hygiene of traders is not in accordance with the requirements such as incomplete PPE, smoking, spitting, littering in the market environment and not washing hands while the hygiene of traders meets the requirements and drainage channels also meet the requirements because the drainage channels are cemented and covered with gratings and metal and drainage channels are smooth.

Implementation of Environmental Hygiene and Sanitation in Deli Tua Market, Deli Serdang District Prasetyo, Angga Dwi; Lubis, Irwansyah; Lauchan, Agil Maritho; Munthe, Ni’matul Ulya; Putra MS, Saidana Wahyudi
PROMOTOR Vol. 8 No. 1 (2025): FEBRUARI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v8i1.860

The market is a public facility that involves many people and physical interactions that can be a means of spreading disease. Further research is needed because the initial observation results show non- compliance with PERMENKES RI No. 17 of 2022 in terms of the application of personal hygiene, spatial arrangement, drainage, and market buildings. The purpose of this study is to analyze the extent of the application of environmental hygiene and sanitation in the Old Deli Market. This research uses qualitative methods with descriptive type research, and data collection using direct observation, in-depth interviews, and documentation. The selection of key informants in this study used purposive sampling method. The results showed that Deli Tua Market has not met the requirements of a healthy market according to PERMENKES RI No. 17 of 2020. Waste management facilities are still smelly and scattered. Clean water facilities are not available by the market manager. Vector control facilities have never been sprayed every month. Hand washing facilities are not available and are not equipped with soap and running water. The application of personal hygiene of traders is not in accordance with the requirements such as incomplete PPE, smoking, spitting, littering in the market environment and not washing hands while the hygiene of traders meets the requirements and drainage channels also meet the requirements because the drainage channels are cemented and covered with gratings and metal and drainage channels are smooth.

OVERVIEW OF THE IMPLEMENTATION OF OCCUPATIONAL SAFETY AND HEALTH AT PT. PLN PERSERO UPDL TUNUNGAN MEDAN Lubis, Irwansyah; Balqis, Alya Alfiyanti; Dalimunthe, Isnaini Alya Amanda; Zahara, Asni; Siregar, Nadia Safira; Siregar, Nazwa Syafira Irwani; Asti, Rahma Dwi; Artila, Tita; Wahyuni, Sri
HEARTY Vol 13 No 3 (2025): JUNI
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i3.20036

Occupational Safety and Health (K3) is an effort to create a workplace that is safe, healthy and free from environmental pollution, so as to protect and prevent workers from work accidents. PLN (Persero) UPDL Tuntungan is a State-Owned Enterprise (BUMN) agency engaged in the distribution of electrical energy and electricity services. The method used in this research is qualitative by systematically interviewing workers, managers, and HSE at PT PLN UPDL Tuntungan. The results showed that the company has run a number of structured and scheduled programs. These programs include internal and external training, provision of OHS facilities, periodic inspections, and involving workers in discussion and evaluation forums. A healthy and risk-free work environment will create a conducive working atmosphere, which in turn supports the achievement of company targets.

Peran Puskesmas Titi Papan Dalam Meningkatkan Kesadaran dan Pelaksanaan Deteksi Dini Kanker Payudara Melalui Program SADARI Lubis, Irwansyah; Marpaung, Assyifa Deswita; Sari, Wulan Dwi Citra; Ritonga, Fani Rulianda; Hasibuan, Nadhilah; Sikumbang, Eva Sahriani; Kesuma, Ade Ilham; Hasanah, Nur
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 1 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss1.1416

Kanker payudara adalah penyebab utama kematian akibat kanker pada wanita di Indonesia, dengan sebagian besar kasus ditemukan pada stadium lanjut. Deteksi dini seperti SADARI (Pemeriksaan Mandiri Payudara) telah terbukti efektif dalam menurunkan angka kematian, namun implementasinya masih menghadapi berbagai kendala. Penelitian ini bertujuan untuk mengetahui peran Puskesmas dalam meningkatkan kesadaran dan implementasi deteksi dini kanker payudara pada wanita usia subur (WUS) di wilayah kerjanya. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologis dan ParticipatoryActionResearch (PAR). Data diperoleh melalui wawancara mendalam dan focusgroupdiscussion (FGD) yang melibatkan WUS, kader kesehatan, dan tenaga kesehatan di Puskesmas Titi Papan. Hasil penelitian menemukan beberapa kendala utama, yaitu rasa malu, stigma sosial dan agama, kurangnya kesadaran dan kurangnya dukungan dari keluarga dan pasangan. Kendala lainnya termasuk kendala waktu karena pekerjaan dan lokasi yang jauh. Puskesmas mengatasi hal ini dengan edukasi berkelanjutan, penyaluran media informasi, pelatihan teknis SADARI, dan melibatkan tokoh agama dan masyarakat. Kesimpulannya, puskesmas memiliki peran strategis dalam upaya promotif dan pencegahan deteksi dini kanker payudara. Dukungan pendidikan, sosial, dan budaya diperlukan untuk meningkatkan kesadaran dan implementasi SADARI di kalangan perempuan usia subur.

Evaluasi Layanan dan Strategi Pengendalian Tuberkulosis (TBC) Di Puskesmas Padang Bulan: Tantangan dan Harapan Lubis, Irwansyah; Fadillah, Indah; Adelia, Nelsih; Ramadani, Rani; Mawarni, Dwiyana; Adinda, Putri; Nasution, Amanda Dwika
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 1 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss1.1429

Tuberkulosis (TBC) masih menjadi masalah utama dalam sistem kesehatan Indonesia, dengan angka kasus dan kematian yang tinggi sehingga menjadikan Indonesia sebagai negara dengan beban TBC kedua terbesar di dunia setelah India. Dalam upaya memahami isu ini secara lebih mendalam, penelitian ini berfokus pada persepsi dan pengalaman tenaga kesehatan dalam memberikan pelayanan kepada pasien TBC di Puskesmas Padang Bulan, Kota Medan. Pendekatan kualitatif dengan metode deskriptif digunakan untuk mengeksplorasi makna subjektif, pengalaman, serta pandangan tenaga kesehatan melalui wawancara mendalam, observasi, dan dokumentasi. Hasil penelitian menunjukkan bahwa pelayanan TBC di lapangan menghadapi berbagai kendala, terutama sikap pasien dan stigma masyarakat, serta keterbatasan sumber daya manusia dan sistem informasi. Penelitian ini diharapkan mampu memberikan rekomendasi praktis kepada pengelola layanan kesehatan dalam menyusun strategi penanganan TBC yang lebih optimal, meningkatkan kompetensi tenaga kesehatan, serta memperkuat jaringan pelayanan guna mendukung pencapaian program eliminasi TBC di tingkat nasional. Oleh karena itu, pemerintah beserta seluruh pihak terkait harus memperkuat kebijakan yang dapat meningkatkan kemampuan tenaga kesehatan, mengintegrasikan sistem informasi kesehatan, serta menggalakkan intervensi edukasi demi mengatasi kendala dalam pelayanan TBC secara berkelanjutan.

Evaluasi Program Antenatal Care Pada Pelayanan Kesehatan Ibu dan Anak Di Puskesmas Gunung Tinggi Winanti, Sumi Fitri; Azwa, Nadia Amanda; Anjaini, Nurul; Lubis, Irwansyah; Suryani, Suryani; Israyani, Israyani; Kandau, Rahayu Sri Rezeki; Andini, Zahra
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 1 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss1.1455

Pelayanan antenatal care (ANC) merupakan bagian penting dalam upaya meningkatkan kesehatan ibu dan bayi, terutama dalam mencegah komplikasi selama kehamilan dan persalinan. Evaluasi terhadap pelaksanaan program ANC sangat diperlukan, khususnya di wilayah dengan keterbatasan akses seperti Puskesmas Gunung Tinggi.Tujuan penelitian mengevaluasi pelaksanaan program ANC dengan menggunakan model CIPP (Context, Input, Process, Product), untuk menilai kesesuaian pelaksanaan dengan target serta mengidentifikasi hambatan dan potensi perbaikan. Penelitian ini menggunakan metode kualitatif deskriptif dengan teknik pengumpulan data berupa wawancara mendalam, observasi lapangan, dan studi dokumen. Informan utama adalah bidan pelaksana program dan kepala tata usaha puskesmas. Hasil Penelitian menunjukkan tidak terdapat kasus kematian ibu dan bayi dalam empat tahun terakhir. Cakupan kunjungan ANC tahunan telah mencapai target, meskipun terjadi fluktuasi kunjungan harian akibat kendala transportasi dan ekonomi. Ketersediaan fasilitas, tenaga kesehatan, serta pendanaan dari JKN dan BOK dinilai memadai. Kesimpulan secara proses, pelayanan ANC sudah sesuai standar, meskipun edukasi kepada ibu hamil belum merata. Dari sisi hasil, terdapat peningkatan kunjungan K4, peningkatan pemahaman ibu hamil, dan penurunan risiko komplikasi. Disarankan strategi kunjungan lapangan dan pendekatan komunitas untuk menjangkau daerah terpencil. Hasil penelitian ini memberikan gambaran penting bagi perbaikan layanan ANC, terutama dalam konteks daerah dengan keterbatasan akses. Evaluasi yang menyeluruh tidak hanya mendukung peningkatan mutu layanan, tetapi juga berkontribusi nyata dalam menurunkan risiko kematian ibu dan bayi secara berkelanjutan.

Evaluasi Pelaksanaan Program IVA Test Di UPT Puskesmas Sei Mencirim: Tinjauan Kualitatif H Sihotang, Oryza Sativa; Lubis, Irwansyah; Suryani, Suryani; Faiz, Muhammad Nabil; Alwini, An'nisa; Raniah, Sofia; Sumpeno, Salsabilla Julianda; Rahayu, Sri
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 1 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss1.1516

Early detection of cervical cancer through Visual Inspection of Acetic Acid (VIA) is an important strategy in reducing the incidence and mortality of cervical cancer in Indonesia. This study aims to describe the implementation of the VIA Test program at UPT Puskesmas Sei Mencirim and identify supporting factors and obstacles in increasing community participation through an advocacy approach. The study used a qualitative method with in-depth interviews with the Head of the VIA Test Program as a key informant. The results show that the program has been running for 12 years and is integrated in the Free Health Check (CKG) service, with IVA services every Wednesday at no cost for BPJS participants and local residents. Advocacy is conducted through collaboration with village heads and PKK mothers to increase participation, especially among women without clinical complaints. Constraints faced include social stigma and limited trained personnel. In conclusion, the implementation of the program is considered effective with the support of community-based advocacy, but needs to strengthen education and referral systems to increase screening coverage in a sustainable manner. Keywords: VIA Test, Cervical Cancer, Health Advocacy

Pemanfaatan Poli PTM Di Puskesmas Pulo Brayan: Tinjauan Perspektif Tenaga Kesehatan Lubis, Irwansyah; Harahap, Suryani; Pane, Jihan Mawaddah; Syahfitri, Dewi; Hasibuan, Nur Cahaya; Barokah, Wuni; Adelia, Difa; Ghiffari, Wirdah Muhammad Syukri Al Ghiffari
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 1 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss1.1608

Penyakit Tidak Menular (PTM) adalah kelompok penyakit yang tidak disebabkan oleh infeksi dan umumnya bersifat kronis, berlangsung dalam jangka panjang, serta berkembang secara perlahan. Penelitian ini bertujuan menganalisis pemanfaatan Poli Penyakit Tidak Menular (PTM) di Puskesmas Pulo Brayan berdasarkan perspektif petugas kesehatan. Penelitian ini menggunakan pendekatan kualitatif dengan teknik wawancara mendalam terhadap 4 informan kunci, yang terdiri dari Kepala Puskesmas, dokter penanggung jawab Poli PTM, dan dua petugas program PTM. Analisis data dilakukan melalui proses reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa pemanfaatan Poli PTM telah berjalan namun masih menghadapi kendala dalam implementasinya. Faktor-faktor yang mempengaruhi pemanfaatan poli meliputi ketersediaan sumber daya manusia, fasilitas dan sarana pendukung, kesadaran masyarakat, serta sistem rujukan yang belum optimal. Penelitian ini menyimpulkan bahwa strategi peningkatan pemanfaatan Poli PTM perlu difokuskan pada penguatan kapasitas petugas kesehatan, peningkatan sarana dan prasarana, serta edukasi masyarakat tentang pentingnya pencegahan dan pengendalian penyakit tidak menular. Penelitian ini berkontribusi dalam merumuskan strategi penguatan pelayanan PTM berbasis puskesmas, yang dapat dijadikan acuan dalam peningkatan efektivitas layanan kesehatan primer di Indonesia.

Efektivitas Program Pencegahan Stunting Di Puskesmas Medan Tuntungan Lubis, Irwansyah; Salsabila, Rizka Fauziah; Rahma, Putri Aulia; Pulungan, Dea Rizka Ananda; Fahny, Vira Zul; Nazli, Amanda Husnatul; Ritonga, Aprida Khairani
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 1 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss1.1609

Stunting is a serious global public health problem, especially in developing countries like Indonesia, because its prevalence is still relatively high. This study aims to evaluate the effectiveness of the stunting prevention program at the Medan Tuntungan Health Center. Through a qualitative-descriptive approach, this study collected data through interviews with the Head of the Stunting Prevention Program, cadres, and the local community. The results show that this program is able to reduce stunting rates significantly, although there are still challenges such as social stigma from parents regarding their children's stunting status and limited funds for the provision of nutritional assistance. Cross-sector collaboration, community participation, and cadre dedication are very important in increasing public awareness and understanding of the importance of nutrition for children. It is hoped that with continued support, this program can contribute more to reducing the prevalence of stunting in the future.

Analisis Pemanfaatan Layanan BPJS Kesehatan Di UPT Puskesmas Medan Sunggal Tahun 2025 Sitepu, Dhea Salsabila Br.; Lubis, Irwansyah; Wardani, Icha Febi; Aulia, Supangge Tiara; Darus, Nanda Fadilah; Novrinda, Nazla; Salsabila, Mutiara; Cahaya, Fika Ayu
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 1 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss1.1613

One of the programs organized by the Indonesian Government is the implementation of the National Health Insurance (JKN) program organized by the Social Security Administering Agency (BPJS). Health centers in the JKN/BPJS system have a major role for BPJS health participants. If the health center services provided are good, more BPJS participants will utilize health services. This study aims to determine how patient knowledge and perceptions are with the utilization of BPJS Health services at the Medan Sunggal Health Center. The type of study used a qualitative approach method with in-depth interviews with one of the Medan Sunggal health center staff. The data collection technique used was a semi-structured in-depth interview and documentation to one of the special staff at the Medan Sunggal Health Center UPT. The results of this study indicate that the Medan Sunggal Health Center has provided the best and most comfortable service in implementing BPJS, this can be seen from the large number of patient visits each month.

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