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All Journal Jurnal Kesmas dan Gizi (JKG) Vitamedica: Jurnal Rumpun Kesehatan Umum
Syafrina Ulfah
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Health Professions Public Health

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The Effect of Health Insurance Ownership, Travel Time, and Transportation Costs on the Use of Health Facilities by Stunted Toddlers in North Sumatera Province Syafrina Ulfah; Lubis, Fithri Handayani; Manullang, Hengki Frengki
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: 10.35451/5evn8x84

Abstract

One of the causes of stunting is limited access to health care and essential services. Based on SKI 2023 data, there are still stunted toddlers in North Sumatera who have not used healthcare facilities in the past year since the survey was conducted. The purpose of this study was to analyze the determinants of healthcare facilities utilization in stunted toddlers in North Sumatera, focusing on the factors of health insurance ownership, travel time, and transportation costs. The study design used was cross-sectional with a sample size of 801 stunted toddlers aged 24-59 months in North Sumatera. Univariate data analysis was performed by presenting the results in the form of frequency tables, bivariate analysis using chi-square, and multivariate analysis using logistic regression. Based on the results of bivariate analysis using the chi-square test, it was found that there was no effect of health insurance ownership (p=0.059) and travel time (p=0.108), and there was an effect of transportation costs (p=0.001) on the use of healthcare facilities. Multivariate analysis using logistic regression showed that the variable of transportation costs (p=0.001) had a significant effect on the use of healthcare facilities with an Odd Ratio (OR) value of 3.894. This shows that transportation costs are still a barrier to accessing health care, especially for stunted toddlers. Therefore, a service approach through home visits could be a potential solution so that high transportation costs no longer become a barrier to accessing health services.
Determinan Cakupan Imunisasi Dasar Lengkap Sebagai Bagian Upaya Pencegahan Stunting Di Kota Medan: Studi Literatur Syafrina Ulfah; Nurcholisah Fitra
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i4.602

Abstract

Stunting is a chronic nutritional problem characterized by a child’s height being inappropriate for their age, particularly among children under five years old. One of the interventions implemented to prevent stunting is immunization. However, immunization coverage, especially complete basic immunization, has not yet reached the target, including in Medan City. Therefore, this literature study aims to explore the determinants of complete basic immunization coverage in Medan City using the Google Scholar database. The literature search identified nine articles that were extracted and discussed in this study. The determinants of complete basic immunization coverage include individual maternal factors such as age, education level, knowledge, attitudes, and mothers’ beliefs or perceptions toward immunization; social support factors including family support, economic conditions, and prevailing norms and cultural practices within families and communities; as well as health service factors. Comprehensive and integrated interventions are urgently needed to achieve optimal complete basic immunization coverage in Medan City.
Transformasi Administrasi Kesehatan Masyarakat Dalam Penguatan Tata Kelola Pelayanan Kesehatan Primer Di Era Digital Tahun 2025: Suatu Tinjauan Literatur Nurcholisah Fitra; Syafrina Ulfah
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 4 (2025): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i4.603

Abstract

Public health administration plays a strategic role in strengthening primary health care governance amid increasingly complex health system challenges. This study aimed to synthesize recent evidence on the development, challenges, and implications of public health administration during the period 2020–2025. A literature review with a systematic approach was conducted by analyzing peer-reviewed articles retrieved from major scientific databases and selected through a PRISMA 2020 flow process. The findings indicate that effective public health administration—characterized by strong governance, adaptive leadership, and the integration of digital health information systems—contributes to improved performance of primary health care services in terms of service quality, efficiency, and sustainability. However, the review also reveals persistent gaps, particularly the limited empirical evidence examining causal relationships between administrative capacity and health service performance, as well as challenges related to human resource readiness and data governance in digital transformation. These findings highlight the need to strengthen administrative capacity, leadership competencies, and integrated information systems to support resilient primary health care. The study provides theoretical and practical implications for policymakers, health managers, and researchers in advancing public health administration toward more effective and sustainable health systems.
Co-Authors Hengki Frengki Manullang, Hengki Frengki LUBIS, FITHRI HANDAYANI NURCHOLISAH FITRA