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All Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Nasution, Sri Lestari Ramadhani
Faculty of Medicine, Dentistry and Health Sciences, Universitas Prima Indonesia
Health Professions Public Health

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Work Stress and Its Association with Employee Performance: Evidence from the North Sumatra Provincial Health Office Nasution, Sri Lestari Ramadhani; Lestari, Puji; Girsang, Ermi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.24530

Abstract

Work-related stress is a growing concern in public institutions, particularly in health departments where employees often face complex administrative tasks, urgent program execution, and public accountability pressures. This study aims to examine the relationship between work stress and employee performance at the Health Department of North Sumatra Province in 2025. Using a quantitative cross-sectional design, the study involved 300 employees selected through total sampling. Data were collected via structured questionnaires measuring four dimensions of work stress-task demands, role demands, organizational structure, and organizational leadership-and their association with employee performance. Chi-square tests and binary logistic regression were used for analysis. The results revealed that task demands, organizational structure, and leadership showed significant associations with performance, while role demands did not. In multivariate analysis, organizational leadership emerged as the most influential factor (Exp(B) = 2.470; 95% CI = 1.535-3.975), followed closely by organizational structure (Exp(B) = 2.345; 95% CI = 1.458-3.773). These findings indicate that employees who perceive strong leadership and well-defined organizational systems are significantly more likely to perform well. The results also suggest that unclear structures and rigid bureaucratic leadership styles may hinder performance. This study underscores the importance of organizational reforms that prioritize leadership development, structural clarity, and stress management strategies. It provides valuable empirical evidence for policymakers and health administrators to formulate targeted interventions that enhance employee well-being and institutional effectiveness in Indonesia's public health sector. Keywords: Work-Related Stress, Employee Performance, Organizational Leadership, Public Health Sector, Organizational Structure.
Associations of Treatment Effort, Economic Income, and Accessibility with the Utilization of Herbal Medicine in Medan City Nasution, Sri Lestari Ramadhani; Rezebri, Muhammad; Girsang, Ermi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.24206

Abstract

Herbal medicine has gained increasing attention as a complementary or alternative medicine in many countries, including Indonesia, where it is deeply rooted in cultural practices and supported by government policies. This study aimed to determine the association between treatment effort, economic income, and accessibility with herbal medicine utilization in Medan City. The research location was Medan City and the research time was from January to March 2025. Using a cross-sectional design, 369 respondents were selected through stratified proportional sampling. Independent variables are type of treatment business, economic income, and accessibility, while the Dependent Variable is the utilization of herbal treatment which has been tested for validity with five question items each on each variable. Data were collected through a structured questionnaire and analyzed using the chi-square test using IBM SPSS Version 29.0. The results showed that accessibility was the only variable significantly (p = 0.011; PR = 1.77, 95% CI: 1.14-2.76) associated with herbal medicine use. Respondents who reported frequent access to herbal products and services were more likely to use them regularly. In contrast, treatment effort and economic income were not significantly associated with utilization. These findings suggest that improving accessibility-through regulation, education, and service availability-is key to increasing the reach and legitimacy of jamu. Policy recommendations include integrating jamu services into the formal health system, ensuring quality control of jamu products, and promoting community-based education to build trust and informed use. Strengthening these structural supports can help bridge healthcare gaps and maintain the cultural relevance of traditional medicine in urban settings. Keywords: Herbal Medicine Accessibility, Economic Income, Treatment Effort, Public Health Behavior.
Co-Authors Girsang, Ermi Lestari, Puji Rezebri, Muhammad