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Faktor-Faktor Yang Mempengaruhi Kepatuhan Minum Obat Anti Tuberkulosis di UPTD Rumah Sakit Khusus Paru Provinsi Sumatera Utara Laowo, Oktorisman; Dachi, Rahmat Alyakin; Tarigan, Frida Lina; Manurung , Kesaktian; Sinaga, Janno
Journal of Pharmaceutical and Sciences JPS Volume 8 Nomor 2 (2025)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v8i2.821

Abstract

Tuberculosis (TB) is a preventable and usually curable disease. Yet, it remains one of the leading causes of death in the world, especially in high TB-burden countries such as Indonesia. In 2021, there was a significant increase in TB incidence and mortality in Indonesia, especially in North Sumatra province, which reported many TB cases, including drug-resistant TB (MDR-TB). Patient non-adherence to treatment is a significant factor exacerbating this situation, leading to increased drug resistance and broader transmission. Strategic efforts and treatment adherence are needed to address the TB epidemic, in line with the global TB elimination target by 2030. This study aims to determine the factors influencing adherence to anti-tuberculosis drugs at the UPTD Pulmonology Hospital of North Sumatra Province. The study was a quantitative study with a cross-sectional research design. The sample in this study was 37 people, with sampling using accidental sampling, and the data were analysed univariate, bivariate with the Chi-Square test at α = 5% level, and multivariate with multiple logistic regression test. The results of this study showed that there was an influence of knowledge on adherence to taking anti-tuberculosis drugs (p-value = 0.038), employment (p-value = 0.018), access to health services (p-value = 0.003), and family support (p-value = 0.006). There was no influence of medication's side effects on adherence to anti-tuberculosis drugs (p-value = 1) at the UPTD Pulmonology Hospital of North Sumatra Province. The dominant factor in this study was family support, which tended to be more compliant with taking anti-tuberculosis drugs by 19 times compared to respondents who received less family support. This study recommends that the UPTD Pulmonology Hospital of North Sumatra Province increase family involvement and education in supporting the treatment of tuberculosis patients, including family assistance programs, counselling on the importance of family support, and providing information related to drug side effects so that families can provide proper motivation and understanding to patients.
Faktor-Faktor yang Berhubungan Dengan Kejadian Stunting pada Anak Usia Dini di Wilayah Kerja Puskesmas Buhit Kecamatan Pangururan Kabupaten Samosir Tahun 2024 Sinurat , Arni Wetty; Manurung , Kesaktian; Sembiring, Rinawati; Rochadi, Kintoko; Sinaga, Janno
Journal of Pharmaceutical and Sciences JPS Volume 8 Nomor 3 (2025)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v8i3.1024

Abstract

Background: Stunting is a health problem resulting from chronic malnutrition over a long period. Although it serves as the district capital, Pangururan Sub-District still has a relatively high stunting prevalence, with 154 out of 2,460 measured toddlers (6.26%) affected. Identifying associated factors is necessary to design targeted interventions. Objective: This study aims to analyse the factors associated with the incidence of stunting in early childhood children in the working area of Buhit Community Health Centre, Pangururan Sub-District, Samosir Regency. Methods: This study used a cross-sectional design conducted in the working area of Buhit Community Health Centre. The study population consisted of mothers with toddlers in the area, with a sample size of 96 mothers selected using accidental sampling. Data were collected through questionnaires and anthropometric measurements and analysed using the Chi-Square test and logistic regression. Results: Bivariate analysis results showed significant relationships between maternal nutritional status (p=0.000), parenting patterns (p=0.000), maternal education level (p=0.000), family income level (p=0.003), and exclusive breastfeeding (p=0.029) with the incidence of stunting. Multivariate analysis indicated that maternal education level was the most dominant variable (p=0.013; OR=12.814), meaning that mothers with low education levels had a 12.8 times higher risk of having stunted children. Conclusion: Maternal nutritional status, parenting patterns, maternal education, family income, and exclusive breastfeeding were significantly associated with stunting, with maternal education level being the dominant factor. Therefore, stunting prevention efforts in this region should prioritise health education targeting mothers with low educational backgrounds.
Faktor Risiko Kejadian Stunting Pada Anak Usia Balita di Wilayah Kerja Puskesmas Mogang Kecamatan Palipi Kabupaten Samosir Tahun 2024 Duyo, Rosita; Zuska, Fikarwin; Sitorus , Mido Ester J.; Ketaren , Otniel; Manurung , Kesaktian
Journal of Pharmaceutical and Sciences JPS Volume 8 Nomor 3 (2025)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v8i3.1109

Abstract

Background: Based on the 2023 Indonesian Health Survey (SKI) in Samosir Regency, the prevalence of stunting was 22.4%, with Palipi District recording the highest rate. As of August 2024, the incidence of stunting in Palipi District reached 14.34% (182 toddlers). Although there has been a decline, stunting remains a priority program in Samosir Regency. Objective: This study aims to analyze the risk factors associated with the incidence of stunting among toddlers in the working area of Mogang Public Health Center, Palipi District. Method: This research employed a quantitative design with a cross-sectional approach conducted in the working area of Mogang Public Health Center in 2024. The study sample consisted of 93 mothers with toddlers, selected using accidental sampling techniques. Data were analyzed using univariate, bivariate (Chi-Square test), and multivariate (logistic regression) analyses. Results: The bivariate analysis revealed significant relationships between maternal nutritional status (p=0.000), parenting pattern (p=0.000), maternal education level (p=0.000), family income level (p=0.002), and household sanitation conditions (p=0.000) with the incidence of stunting. However, multivariate analysis identified only three dominant and independent variables: maternal education level (p=0.014; Exp(B)=26.410), parenting pattern (p=0.001), and household sanitation condition (p=0.023). Conclusion: Maternal education level, parenting pattern, and household sanitation are proven to be the dominant factors influencing stunting. Mothers with low education levels are 26 times more likely to have stunted children. Preventive efforts should prioritize interventions targeting these three factors through focused health education programs.