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Implementasi Kebijakan Promotif dan Preventif Terhadap Pengendalian Hipertensi: Analisis Kualitatif di Kota Tomohon, Indonesia Pojoh, Venita Septami; Manoppo, Jeanette Irene Christiene; Kaseke, Martha Marie; Nelwan, Jeini Ester; Mantjoro, Eva Mariane
Jurnal Promotif Preventif Vol 8 No 6 (2025): Desember 2025: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v8i6.2476

Abstract

Hipertensi merupakan masalah kesehatan masyarakat termasuk di Kota Tomohon, dengan prevalensi tertinggi berada di wilayah kerja Puskesmas Taratara, yang membutuhkan kebijakan promotif dan preventif sebagai bagian dari upaya pengendalian. Penelitian ini bertujuan menganalisis implementasi kebijakan promotif dan preventif terhadap pengendalian hipertensi di Kota Tomohon menggunakan model implementasi kebijakan George C. Edwards III. Penelitian ini menggunakan pendekatan kualitatif eksploratif dan dilaksanakan di Puskesmas Taratara pada Oktober–November 2025. Informan terdiri dari Kepala Puskesmas, kader kesehatan, dan penderita hipertensi yang dipilih secara purposive. Data dikumpulkan melalui wawancara mendalam, observasi, dan dokumentasi, kemudian dianalisis berdasarkan empat variabel Edwards III, yaitu komunikasi, sumber daya, disposisi, dan struktur birokrasi. Hasil penelitian menunjukkan bahwa komunikasi telah berjalan melalui mekanisme berjenjang, namun kejelasan dan konsistensinya belum optimal. Sumber daya manusia dan kewenangan relatif memadai, tetapi keterbatasan fasilitas, anggaran, dan informasi masih menjadi hambatan. Disposisi pelaksana menunjukkan komitmen yang baik, meskipun dukungan insentif belum optimal. Struktur birokrasi telah didukung oleh SOP, namun implementasinya dan koordinasi lintas sektor belum berjalan efektif. Penelitian ini menyimpulkan bahwa implementasi kebijakan promotif dan preventif pengendalian hipertensi di Kota Tomohon masih memerlukan penguatan pada seluruh aspek implementasi kebijakan.
Determinan Obesitas Pada Remaja di Kabupaten Minahasa Musa, Ester Candrawati; Nelwan, Jeini Ester; Tahulending, Jane
Jurnal Kesehatan Ilmiah Aufa Royhan Vol 10 No 2 (2025): Vol. 10 No. 2 Desember 2025
Publisher : Universitas Aufa Royhan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51933/health.v10i2.2276

Abstract

Obesitas pada remaja merupakan isu kesehatan masyarakat yang terus meningkat dan terkait dengan pola makan serta aktivitas fisik. Bukti lokal diperlukan untuk merancang intervensi berbasis sekolah di Minahasa. Penelitian ini bertujuan mengidentifikasi faktor yang berhubungan dengan obesitas pada remaja. Rancangan studi analitik potong lintang dilakukan di SMP Negeri 2 Pineleng dan SMA Negeri 1 Tondano selama Maret–November 2025 dengan total 137 responden. Variabel meliputi status obesitas, kesesuaian asupan makronutrien (protein, lemak, karbohidrat), dan tingkat aktivitas fisik. Data disajikan secara deskriptif dan dianalisis bivariat menggunakan uji Chi-kuadrat dengan α=0,05; ukuran asosiasi dilaporkan sebagai odds ratio (OR) dengan CI 95%. Prevalensi obesitas sebesar 27,7%. Ketidaksesuaian asupan cukup tinggi: protein 65,0%, lemak 70,8%, dan karbohidrat 67,2%; sementara 73,7% responden tergolong aktif secara fisik. Secara bivariat, asupan lemak (p=0,013) dan aktivitas fisik (p=0,009) berhubungan bermakna dengan obesitas; remaja yang tidak aktif memiliki peluang obesitas 2,873 kali lebih besar dibanding yang aktif (95% CI: 1,279–6,455). Asupan protein (p=0,061) dan karbohidrat (p=0,066) tidak menunjukkan hubungan bermakna. Disarankan program sekolah memprioritaskan perbaikan kualitas asupan, khususnya lemak, serta penguatan aktivitas fisik terstruktur.
Perbedaan Kepuasan Kerja Perawat Antara RSU GMIM Pancaran Kasih dengan RS Wolter Mongisidi Manado Ribka Anggie Maria Abuno; Diana Vanda Daturara Doda; Jeini Ester Nelwan
Jurnal Pengabdian Ilmu Kesehatan Vol. 5 No. 2 (2025): Juli: Jurnal Pengabdian Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpikes.v5i2.5530

Abstract

Jobstreet reported that job satisfaction in Indonesia in 2022 based on a survey of 17,623 respondents, showed that 73.0% of employees were dissatisfied with their jobs (Soejanto, dkk, 2025). Based on international research on 43,000 nurses from 700 hospitals in the United States, Canada, England, Scotland, and Germany, it showed that the number of nurses' dissatisfaction with their jobs was around 17% in Germany to 41% in America (Rusmianingsih, 2024). Nurse job satisfaction is one of the factors that affects nurse work productivity, because when nurses feel dissatisfied with their work and the services produced are less than optimal (Mulyaningtyas, et al. 2021). The purpose of this study was to determine the difference in nurse job satisfaction between RSU GMIM Pancaran Kasih and RS Wolter Mongisidi Manado. The type and design of the research used is descriptive analytical survey with cross-sectional research design (cross-sectional study). The number of samples taken was 100 respondents based on purposive sampling technique. The research instrument to measure the level of job satisfaction used the Job Satisfaction Scale (JSS) questionnaire. The results showed that the majority of nurses at Wolter Mongisidi Hospital Manado felt very satisfied 37 (74.0%) and there were no nurses who felt very dissatisfied while at GMIM Pancaran Kasih Hospital the majority of nurses felt very satisfied 23 (46.0%) and there were no nurses who felt very dissatisfied. The data were analyzed using the Mann-Whitney test which obtained a p value of 0.001. These results indicate that p <a which means there is a difference in the level of job satisfaction of nurses at GMIM Pancaran Kasih Hospital and Wolter Mongisidi Hospital Manado. The conclusion of this study is that there is a difference in the level of job satisfaction of nurses at GMIM Pancaran Kasih Hospital and Wolter Mongisidi Hospital. This study shows that the six dimensions of job satisfaction, namely the work itself, salary, promotion, supervision, coworkers, and work environment, all have different dimensions between nurses at GMIM Pancaran Kasih Hospital and Wolter Mongisidi Hospital.
Overview of Work Fatigue in Workers at Toyota Kombos Workshop in Manado City Yessie Angelika Simatupang; Jeini Ester Nelwan; Sri Seprianto Maddusa
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.5366

Abstract

The prevalence of work-induced fatigue reaches around 32% of workers globally. In Indonesia, fatigue is a contributor to work accidents recorded as many as 162,327 cases of work accidents and 358 cases of which were recorded in North Sulawesi. Workshop workers are prone to experiencing work fatigue due to the demands of work involving work activities, work environment conditions that do not meet ergonomic principles, forced work postures, repetitive and monotonous nature of work, insufficient energy intake, quality of rest time during working hours and pressure of service completion timevehicle. This study aims to find out the picture of work fatigue in workers at the Toyota Kombos workshop in Manado City. The design of this study is quantitative descriptive with a cross sectional approach on 43 respondents which is the total number of workshop workers selected using total sampling. Data were collected through interviews using the Work Fatigue Sentiment Questionnaire (KAUPK2) and then analyzed univariately to see the distribution of work fatigue. Mild work fatigue was more commonly found at the age level of 26-35 years, high school education level/equivalent, no history of illness, long working period (≥ 5 years), male, and mechanical/technician respondents. Research shows that the majority of workshop workers experience mild fatigue, which is 79.1% of respondents, workers who experience moderate fatigue are 7% of respondents, while other workers are in normal conditions, which is 13.9%. And in this study, no severe fatigue was found.
Modified Risk Factors for Coronary Heart Disease (CHD) in Minahasa Ethnic Group From Manado City Indonesia Nelwan, Ester Jeini; Widjajanto, Edi; Andarini, Sri; Djati, M. Sasmito
The Journal of Experimental Life Science Vol. 6 No. 2 (2016)
Publisher : Graduate School, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (901.297 KB) | DOI: 10.21776/ub.jels.2016.006.02.06

Abstract

Coronary heart disease (CHD) is a non-transmitted disease which is particular concern at the global, national, and local level. CHD has become a concern because it has caused a lot of deaths. Risk factors linked with CHD consist of permanent risk factors and variable risk factors. The purpose of the research is to analyze the correlation between variable risk factors and CHD in the Minahasa ethnic society in Manado City. This research was an observational case-control study conducted by Prof. dr. R. D. Kandou Hospital, Manado, from August to October 2016. In total, there were 220 patients included. The sampling used a simple random sampling method and the data obtained were analyzed by chi-squared test. According to the results, hypertension, smoking, and behavioral type were connected to cases of CHD. The correlation degree showed that the respondents suffering hypertension were 5.70 times more likely to suffer CHD, the smoking respondents were 2.25 times more likely to experience, and behavior type A respondents were 2.96 times more likely to suffer CHD. Hypertension, smoking, and behavioral type are linked with CHD, so there should be some promotion and preventive actions from the health governmental institution to society, especially aimed at adults, about the quality of life enhancement by healthy behavior and avoiding CHD risk factors. Keywords: behavioral type, Case-control study, hypertension, smoking behavior.
PARTICIPATORY EDUCATION IN PREVENTING DEVIANT BEHAVIOR IN ELEMENTARY SCHOOL STUDENTS IN MANADO CITY Frelly Valentino Kuhon; Ronald Imanuel Ottay; Oksfriani Jufri Sumampouw; Jeini Ester Nelwan
International Journal of Multidisciplinary Reseach Vol. 2 No. 2 (2026): April
Publisher : International Journal of Multidisciplinary Reseach

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Abstract

Deviant behavior among elementary school students remains a critical issue in basic education because it can disrupt the learning process and hinder character formation and children's psychosocial well-being. At this stage, students are increasingly exposed to broader environmental influences, including peers, digital media, and family dynamics, which have the potential to trigger behaviors such as dishonesty, bullying, and rule-breaking. This community service activity aims to increase students' understanding of the forms, causes, and impacts of deviant behavior, while equipping them with practical strategies to prevent and address it. Furthermore, this activity also aims to encourage students' role as agents of positive change and strengthen collaboration between students, teachers, and parents in strengthening character education. The activity was held on August 29, 2025, at Kartika Jaya Elementary School XXI-1, Manado City, using an educational-participatory approach through interactive lectures, case study-based group discussions, simulations and role-playing, and reflection sessions. Evaluation was carried out through direct observation and responsive feedback from participants. The results of the activity showed an increase in students' understanding of deviant behavior and its causal factors, as well as an increase in their ability to implement prevention strategies, such as rejecting negative influences, reporting inappropriate behavior, and building positive social interactions. Students also demonstrated a commitment to implementing positive behavior in their daily lives, supported by active participation and positive responses from both students and teachers. It was concluded that a participatory and contextual educational approach was effective in raising awareness and shaping positive attitudes in elementary school students. Therefore, ongoing mentoring, strengthening the role of parents, and integrating character education into the school curriculum are recommended to ensure the sustainability of the activity's impact.
THE EFFECTIVENESS OF HEALTH EDUCATION IN INCREASING PUBLIC KNOWLEDGE ABOUT NON-COMMUNICABLE DISEASES AS AN EARLY PREVENTION EFFORT Jeini Ester Nelwan; Oksfriani Jufri Sumampouw
International Journal of Multidisciplinary Reseach Vol. 2 No. 2 (2026): April
Publisher : International Journal of Multidisciplinary Reseach

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Abstract

Non-communicable diseases (NCDs) are the leading cause of mortality worldwide and represent a major challenge to public health development, including in Indonesia. The high prevalence of NCDs such as hypertension, diabetes mellitus, and cardiovascular diseases is closely associated with low levels of public awareness and unhealthy lifestyle behaviors. Therefore, promotional efforts through health education are essential strategies to enhance community knowledge and awareness regarding NCD prevention. This community service activity aims to improve public knowledge of non-communicable diseases and their prevention through health education interventions. The implementation method employed an educational approach through health counseling , accompanied by pre-test and post-test assessments to measure participants' knowledge before and after the intervention. The materials delivered included the definition of NCDs, risk factors, health impacts, and preventive measures through clean and healthy lifestyle behaviors . The educational sessions were conducted interactively using lectures, discussions, and question-and-answer sessions. The results showed that prior to the intervention, the majority of participants (93.3%) already had a good level of knowledge. After the health education intervention, this increased to 100% of participants achieving a good knowledge category. Additionally, participants demonstrate high enthusiasm during the activity, as reflected in their active participation in discussions and their ability to respond to questions related to the materials presented. In conclusion, health education counseling proved to be effective in improving community knowledge regarding non-communicable diseases. This improvement in knowledge is expected to serve as a foundation for promoting sustainable healthy behavior changes. However, follow-up efforts such as continuous mentoring and evaluation are necessary to ensure the practical implementation of knowledge in daily life in order to reduce the incidence of NCDs in the community.
EMPOWERING VILLAGE GOVERNMENTS THROUGH PARTICIPATORY TRAINING MANAGEMENT CYCLE: IMPLEMENTATION OF THE SIK ELHAN HEALTH INFORMATION SYSTEM IN TOMOHON CITY Oksfriani Jufri Sumampouw; Jeini Ester Nelwan
International Journal of Multidisciplinary Reseach Vol. 2 No. 2 (2026): April
Publisher : International Journal of Multidisciplinary Reseach

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Abstract

Health data management at the village level in Tomohon City faces significant challenges, including limited human resource capacity, non-integrated systems, and manual data collection that hinders the planning of priority health programs. This Community Service Program (PKM) aims to address these issues by establishing an information system and building the capacity of village officials, with the primary outcome being the creation of a sustainable Village Health Information System (SIK ELHAN). Methods: The study employed a participatory Training Management Cycle approach, consisting of four stages: (1) Training Needs Assessment to identify partner requirements; (2) Training Design to develop training programs and system architecture; (3) Training Delivery involving hands-on training, tutorials, and direct mentoring; and (4) Training Evaluation using Key Performance Indicators (KPIs) to measure effectiveness and impact. This methodology actively engaged partners throughout all stages. Results: The program successfully developed and implemented SIK ELHAN, a web-based system enabling structured and real-time recording and reporting of community health data. Thirty village officials and healthcare workers were trained, with 85% of participants demonstrating independent system operation capability. Evaluation results showed a 70% increase in participant understanding based on pre-test and post-test comparisons. The Village Government demonstrated strong commitment to sustainability by appointing dedicated administrators for SIK ELHAN management, supported by a 90% partner satisfaction rate. The participatory Training Management Cycle approach proved effective not only in providing the technical solution of SIK ELHAN but also in empowering partners through capacity building. This program successfully established a robust foundation for digital transformation of health data management at the village level, which is expected to support more effective data-driven health program planning and monitoring in Tomohon City.
Peningkatan Kapasitas tentang Pencegahan Stunting sejak Dini bagi Wanita Muda dan Ibu Hamil di Kota Manado Sapulete, Margareth Rosalinda; Sapulete, Ivonny Melinda; Monintja, Tyrsa Christine; Nelwan, Jeini Ester; Sumampouw, Oksfriani Jufri
Komunitas: Hasil Kegiatan Pengabdian Masyarakat Indonesia Vol. 4 No. 1 (2026): Februari : Komunitas : Hasil Kegiatan Pengabdian Masyarakat Indonesia
Publisher : Asosiasi Riset Ilmu Tanaman Dan Hewani Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/komunitas.v4i1.376

Abstract

Stunting merupakan masalah kesehatan gizi masyarakat yang signifikan, dengan prevalensi tertinggi pada anak berusia di bawah lima tahun. Kesiapan ibu muda dan ibu hamil dalam pencegahan stunting sangat penting untuk mencapai generasi emas Indonesia 2045. Penelitian ini bertujuan untuk meningkatkan kesadaran, pengetahuan, dan akses informasi tentang bahaya stunting serta strategi pencegahannya bagi wanita muda dan ibu hamil di dua jemaat GMIM di Kota Manado. Metode pendekatan menggunakan Siklus Manajemen Proyek (SMP) yang didasarkan pada Project Management Body of Knowledge (PMBOK) Guide, meliputi tahapan penilaian dan persiapan (kick-off meeting dan survei), desain kegiatan, serta implementasi. Kegiatan dilaksanakan di Jemaat GMIM Kalvari Malalayang Satu (17 September 2024, 12 peserta) dan Jemaat GMIM Sion Bailang (19 September 2024, 17 peserta). Hasil kegiatan menunjukkan peningkatan pemahaman peserta tentang stunting dan pentingnya peran ibu dalam mencegahnya. Luaran kegiatan mencakup artikel yang disubmit ke jurnal pengabdian nasional dan video dokumentasi yang diunggah di YouTube. Program ini memberikan implikasi positif dalam memberdayakan ibu dan calon ibu untuk menjaga kualitas kesehatan dan gizi keluarga.
From Knowledge to Practice: Strengthening Handwashing with Soap Behaviors among Elementary School Students Through an Interactive School-Based Health Promotion Program in Indonesia Ottay, Ronald Imanuel; Budiarso, Fona Dwiana Hermina; Sumampouw, Oksfriani Jufri; Nelwan, Jeini Ester; Sumampouw, Jeanneprita Jeksi Yesinta Endarini; Sumampouw, Jeannedria Jeisi Yuniar Eleanor
Komunitas: Hasil Kegiatan Pengabdian Masyarakat Indonesia Vol. 4 No. 1 (2026): Februari : Komunitas : Hasil Kegiatan Pengabdian Masyarakat Indonesia
Publisher : Asosiasi Riset Ilmu Tanaman Dan Hewani Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/komunitas.v4i1.378

Abstract

This community service program aimed to improve students’ knowledge and practical skills regarding proper HWWS at SDN 107 Manado. The program was conducted on September 9, 2025, using a group-based health education approach. Educational activities included interactive lectures, audiovisual media, posters, educational songs, demonstrations, and supervised practice of the six-step handwashing technique recommended by the World Health Organization (WHO). Program evaluation was conducted through observation, interactive questioning, and pretest–posttest assessment of students’ knowledge. Initial observations indicated that many students had limited understanding of the importance of HWWS and were unable to correctly perform the recommended handwashing procedures. Following the intervention, most participants demonstrated improved knowledge and were able to correctly perform the six-step handwashing technique. Students also showed high enthusiasm during practical sessions and actively participated in the learning process. In conclusion, the program effectively enhanced students’ knowledge and handwashing skills, highlighting the importance of interactive school-based health education in promoting healthy behaviors and preventing communicable diseases among elementary school students.
Co-Authors Aaltje Ellen Manampiring Aaltje Ellen Manampiring Aaltje Ellen Manampiring Aaltje Ellen Manampiring Adam, Avelia Gustia Anastasya Adam, Jeanne d'Arc Zafera Ameyly Kristiani Pangkey Andrytha Gicella Tamburian Ardiansa A.T. Tucunan Azizah, Rina B H. R. Kairupan Bara’allo, Brigita Putri Bella Cloudia Chairudin Bidjuni, mustapa Bitty, Frensy Budi T Ratag Budi T. Ratag Buntaa, Jeli Noura Cicilia Pali Cicilia Pali Dajoh, Ireine Norma Daud, Masyita Liana Deysi Ivoneke Juliske Pantow Diana Vanda Daturara Doda Dina Victoria Rombot Doda, Diana V.D. Edi Widjajanto Erick R.R. Manongga Esra Margaret Singal Eva Marianne Mantjoro F.L. Fredrik G. Langi Fidya Lestari Putri Abubakar Fima Langi Fona Budiarso Frelly Valentino Kuhon Frelly Valentino Kuhon G. Langi, Fima Lanra Fredrik Grace Debbie Kandou Grace Debbie Kandou Gustaaf Ratag Henry Malcom Frank Palandeng Irmawaty Buleno James Komaling Jeanette I. Ch. Manoppo Johanes Jiro Narande Joshua Runtuwene Julio Martin Pasimanyeku Kalesaran, Angela Fitriani Clementine Kuhon, Frelly Valentino Lebang, Sri Susanti Sakkung Lery Fransil Suoth Madianung Valentine Virginia Bonochdita Makaremas, Jane Elsada Mamonto, Ayun Kusuma Mangole, Daniel Agustinus Manoppo, Jeanette Irene Christiene Mantjoro, Eva Mariane Margareth Rosalinda Sapulete Marini Podayow Martha Marie Kaseke Matindas, Rygienia Moch Sasmito Djati Monintja, Tyrsa Christine Monisye Lesawengen1 Musa, Ester Candrawati Oksfriani Jufri Sumampouw Palembo, Brian Septian Pertiwi, Junita Maja Pinontoan, Odi Roni Pitters, Theresia S. Pojoh, Venita Septami Pratasik, Juwitly Yensy Ratag, Budi Tamardy Ratag, Budi Tarmady Ratuela, Jeineke E. Ratuela, Jeineke Ellen Reanita Jesi Markus Rianna J Sumampouw Ribka Anggie Maria Abuno Ronald Imanuel Ottay Ronald Imanuel Ottay Ronald Immanuel Ottay Rumambi, Euginia Firsty Runturambi, Yobert N. Sapulete, Ivonny Melinda Sapulete, Margaretha Rosalinda Sekeon, Sekplin A.S. Shania Nonutu Sri Andarini Sri Seprianto Maddusa Starry Homenta Rampengan Sumampouw, Jeannedria Jeisi Yuniar Eleanor Sumampouw, Jeanneprita Jeksi Yesinta Endarini Sumampouwa, Oksfriani Jufri Suoth, Lery Fransil Supit, Nikita Surotinoyo, Celline Vanessa Laurina Suryadi Tatura Tahulending, Jane Tamamilang, Christi Desi Tandi, Rut A. L. Tappi, Valerie Elma Ticoalu, Jansje Vera Timothy Sean Kairupan Tirsa Sheron Santi Torawoba, Oktavia Ruth Uguy, Jurgen M. Veronica Christy Elisabeth Laoh Villia Pingkan Nayoan Wariki, Windy M. V. Wasty, Inge Wulan P. J. Kaunang Wulan P.J. Kaunang Wulan Pingkan Julia Kaunang Wulan Pingkan Julia Kaunang Wulan Pingkan Julia Kaunang Wulan Pingkan Julia Kaunang Yessie Angelika Simatupang Yuliana, Ni made