Delita Br. Panjaitan
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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.
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.