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Kimberley Maharani Maulibulung Hutapea
Universitas Prima Indonesia
Health Professions Medicine & Pharmacology Nursing

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Healthy Roots of Community: Social Empowerment in Inclusive Health Service Practices Kimberley Maharani Maulibulung Hutapea; Dwight Mahaputera Marulitua Hutapea
Journal of Public Health Indonesian Vol. 2 No. 2 (2025): JULY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/nshzf341

Abstract

This study examines the dynamics of social empowerment in inclusive health service practices in Medan City using a descriptive qualitative approach. The background of this study stems from structural inequalities in access to and quality of health services, which place marginalized communities as passive recipients of health programs. Although the rhetoric of participation and inclusivity is often emphasized in policy documents, field practice demonstrates the dominance of a top-down approach that fails to adequately consider local values, power relations, and the socio-cultural context of the community. Through in-depth observations and interviews in several sub-districts such as Medan Marelan, Belawan, and Tembung, this study uncovers the importance of transforming the role of cadres and communities as active subjects who independently manage the health agenda. Thematic analysis results indicate that the success of equitable and inclusive service delivery depends heavily on genuine community involvement throughout the program cycle and the recognition of local knowledge as social capital. Approaches such as Community-Based Participatory Research (CBPR) and Asset-Based Community Development (ABCD) have proven relevant in building democratic and equitable health practices. This research emphasizes that health service must be a dialectical space that encourages social transformation, not simply an administrative instrument that reproduces inequality.
Hambatan yang Dirasakan dalam Kepatuhan Pengobatan pada Orang Dewasa dengan Diabetes Melitus Tipe 2 Dwight Marulitua Mahaputera Hutapea; Kimberley Maharani Maulibulung Hutapea
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.51115

Abstract

Diabetes melitus tipe 2 (DM tipe 2) merupakan penyakit kronisdengan prevalensi yang terus meningkat di seluruh dunia, termasuk Indonesia. Kepatuhan pengobatan menjadi kunciutama dalam keberhasilan manajemen DM tipe 2, namunmasih banyak hambatan yang memengaruhinya. Penelitian inibertujuan mengeksplorasi kepatuhan pengobatan sertahambatan yang dirasakan oleh orang dewasa dengan DM tipe2. Penelitian menggunakan desain mixed method sequential explanatory dengan tahap kuantitatif melibatkan 164 partisipanmelalui kuesioner untuk mengukur tingkat kepatuhan dan hambatan, dilanjutkan dengan tahap kualitatif melaluiwawancara mendalam mengenai pengalaman subjektif.Sebanyak 90 responden (54,9%) patuh terhadap pengobatan, sedangkan 74 responden (45,1%) tidak patuh. tujuh temautama hambatan yang ditemukan meliputi: lupa karenarutinitas yang sibuk, persepsi negatif terhadap efek sampingobat, biaya dan akses layanan kesehatan, kurangnya dukungankeluarga, kompleksitas regimen obat, sikap terhadap obat, serta informasi dari tenaga kesehatan. Hambatan-hambatantersebut menunjukkan perlunya pendekatan holistik dan dukungan interprofesional untuk meningkatkan kepatuhanpengobatan pada pasien DM tipe 2.
Co-Authors Hutapea, Dwight Mahaputera Marulitua