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THE INFLUENCE OF PUBLIC PERCEPTION OF SERVICE QUALITY ON THE UTILIZATION OF PRIMARY HEALTH SERVICES AT SIMALINGKAR COMMUNITY HEALTH CENTER IN 2025 Cahya Cahya; Ristika Julianty.S; Widia Astuti Tanjung
Benih : Journal of Midwifery Vol. 4 No. 01 (2025): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v4i01.329

Simalingkar Health Center is one of the facilities closest to the community, which is equipped with professional health workers. This study aims to determine the factors of service quality according to community perceptions that influence the utilization of basic health services at Simalingkar Health Center. The study was conducted in March - May 2025. This study is an explanatory research type with a cross-sectional approach while the population is the entire population in the Simalingkar Health Center work area with a sample of 72 people taken by random sampling. From the results of univariant & bivariate analysis using linear regression tests that there is a significant effect of service comfort on the utilization of basic health services p (0.000), there is an effect of service information on the utilization of basic health services p (0.009), while service continuity p (0.394), service efficiency p (0.391), and security p (0.480) and human rights in service p (0.685) do not affect the utilization of basic health services at Simalingkar Health Center. The seven dimensions assessed in this study were stated as moderate (continuity, efficiency, security, human rights, comfort, access and information). There is a need to improve the quality of service, especially in the areas of service comfort, service information, service access, without ignoring the other 4 dimensions (continuity, efficiency, security, human rights) in health services in order to realize quality health services as expected to create a prosperous society.

MOTHER'S BEHAVIORAL FACTORS REGARDING UMBILICAL CORD CARE IN INFANTS AGED 0-14 DAYS AT DELIMA BELAWAN CLINIC IN 2025 Julaiha Siregar; Cahya Cahya; Ristika Julianty.S
Benih : Journal of Midwifery Vol. 4 No. 01 (2025): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v4i01.330

In 2022, WHO (World Hearth Organization) found that infant mortality rate was 560,000 caused by umbilical cord infection. In Southeast Asian countries, it is estimated that there are 220,000 infant deaths caused by unclean umbilical cord care. Umbilical cord care is to treat and tie the umbilical cord which causes physical separation of mother and baby. Then, the umbilical cord is treated in a clean condition and free from umbilical cord infection. Good and correct umbilical cord care will have a positive impact, namely the umbilical cord will "fall off" on the 5th to 7th day without any complications, while the negative impact of improper umbilical cord care is that the baby will experience neonatal tetanus and can result in death. The study was conducted in February – April 2025. This study is an Analytical Correlation study, namely to determine the mother's knowledge about umbilical cord care in babies aged 0-14 days. The population in this study were all postpartum mothers who had babies aged 0-14 days at the Delima clinic with 30 respondents. From the results of the study conducted, it can be concluded that from 30 respondents who had good knowledge, there were 6 respondents (20%), who had sufficient knowledge, 11 respondents (36.67%) and who had poor knowledge, 13 respondents (43.33%). It is expected that health workers, especially midwives, will provide counseling on umbilical cord care for babies aged 0-14 days.

Community Service in Quality of Service for Utilization of Basic Health Services in Medan Tuntungan District Cahya cahya; Ristika Julianty.S; Widia Astuti Tanjung
Benih : Journal of Midwifery Vol. 4 No. 01 (2025): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v4i01.334

Utilization of Health Centers can be interpreted as a concept that is applied to provide services in the long term and continuously carried out to the community. As the most basic need. The purpose of this Community Service Program is to see Community Education About the Utilization of Health Centers in Optimizing Public Health Services in Medan Tuntungan District. Based on the results of a survey conducted on June 17, 2025 at the Medan Tuntungan. District Increasing Public Awareness by Providing an understanding to the community about the importance of utilizing health center services to improve their health and welfare. Building Community Independence in Health by Encouraging the community to be more independent in maintaining their health, by utilizing health center services as partners in maintaining health. This service reveals that Health services have a very important role in maintaining public health, especially when sick, where the community's need for health services will be met and health financing will be more secure with health insurance.

Community Empowerment in Postpartum Mothers' Behavior Regarding Umbilical Cord Care in Babies Aged 0-14 Days in Ladang Bambu Village, Medan Tuntungan District Julaiha Siregar; Cahya Cahya; Ristika Julianty.S
Benih : Journal of Midwifery Vol. 4 No. 01 (2025): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v4i01.335

Umbilical cord care is a care process that aims to care for the umbilical cord of a newborn baby to keep it dry and prevent infection. Improper umbilical cord care techniques will cause umbilical cord infection. The principle of umbilical cord care is to keep the umbilical cord dry, not wet and clean, therefore, it is not recommended to apply any material to the umbilical cord. Good umbilical cord care is one of the efforts to prevent neonatal infection. The purpose of this empowerment is to find out about umbilical cord care with the open method and the sterile gauze method on the length of umbilical cord release. Based on the results of a survey conducted on May 8, 2025 in Ladang Bambu Village, Medan. The methods used in the series of stages include counseling/education Health education. Providing material in the form of an understanding of the umbilical cord, how to care for the umbilical cord with the open method, how to care for the umbilical cord with the sterile gauze method. The results achieved after participating in community empowerment and discussion in Ladang Bambu Village, Medan Tuntungan District to find out about umbilical cord care with the open method and the sterile gauze method.

Community Empowerment of Mothers' Behavior in Overcoming the Occurrence of ISPA in Toddlers in Ladang Bambu Village, Medan Tuntungan District cahya cahya; Julaiha siregar
Benih : Journal of Midwifery Vol. 3 No. 02 (2024): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v3i02.340

ISPA is an upper respiratory tract disease that often attacks children and is the number one cause of death in infants and toddlers in Indonesia. Community Empowerment is one way to involve the community so that they can play an active role, especially in overcoming ISPA cases in toddlers. This community service program focuses on educating mothers of toddlers, posyandu cadres to be empowered and independent, so that it is hoped that posyandu cadres can become the main pillars of the community in preventing and overcoming ISPA in families. Based on the results of a survey conducted on August 21, 2024 in Ladang Bambu Village, Medan Tuntungan District. This community service activity was carried out in Ladang Bambu Village, Medan Tuntungan District with a health education method for cadres and mothers who have toddlers. This community service activity is divided into three stages, namely the first stage is the preparation stage, which includes licensing, data collection, situation analysis, and brainstorming; the second stage is the implementation of education on how to overcome ISPA in toddlers. Evaluation is carried out to determine the level of success of community service activities by observing the activities that have been carried out. This activity contributes to increasing knowledge and behavior of mothers who have toddlers and integrated health post cadres, therefore the sustainability of this activity needs to be facilitated by cadres and health center officers.

Community Empowerment in Postpartum Mothers' Behavior Towards Breast Milk Dams in Ladang Bambu Village, Medan Tuntungan District Widia Astuti Tanjung; Cahya Cahya
Benih : Journal of Midwifery Vol. 3 No. 02 (2024): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v3i02.341

The postpartum period begins after the placenta is born and ends when the reproductive organs return to their pre-pregnancy state. This period is a critical period for both the mother and the baby, so it needs to be considered. One of the problems during the postpartum period is breast milk engorgement. Breast milk engorgement can interfere with the comfort of postpartum mothers and hinder the effectiveness of exclusive breastfeeding. An important role in the success of providing exclusive breastfeeding is efforts to prevent breast milk engorgement in postpartum mothers, namely by empowering postpartum mothers to pay attention to good and correct breastfeeding techniques. By providing knowledge to postpartum mothers about the proper handling of breast milk engorgement, it is hoped that mothers can change their behavior to prioritize proper exclusive breastfeeding. Based on the results of a survey conducted on July 23, 2024 in Ladang Bambu Village, Medan Tuntungan District. The method in this community service uses interactive communication, education and direct training to 22 postpartum mother participants in Ladang Bambu Village, Medan Tuntungan District. The results of this community service activity were an increase in knowledge from postpartum mothers who had babies with an average of 33.2 increasing to 68.7. The conclusion is that there is an increase in mothers' knowledge and skills regarding the management of breast milk dams after education regarding breast milk was carried out in Ladang Bambu Village, Medan Tuntungan District.

ANALYSIS OF RISK FACTORS OF ISPA WITH THE OCCURRENCE OF ISPA IN TODDLERS AT SIMALINGKAR COMMUNITY HEALTH CENTER, MEDAN TUNGUNGAN DISTRICT IN 2024 Cahya Cahya; Ristika J. Singarimbun; Julaiha Siregar
Benih : Journal of Midwifery Vol. 3 No. 02 (2024): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v3i02.345

Acute Respiratory Tract Infection (ARI) is one of the causes of death in children in developing countries. ARI causes 4 out of 15 million deaths in children under 5 years of age each year. In general, there are 3 (three) risk factors for ARI, namely environmental factors consisting of indoor air pollution, home ventilation, housing density, individual child factors consisting of child age, birth weight, nutritional status, and immunization status, and behavioral factors, namely ARI management practices in the family. The purpose of this study was to analyze risk factors for ARI with the occurrence of ARI in toddlers at the Simalingkar Health Center, Medan Tuntungan District in 2024. This study was descriptive correlative with a cross-sectional design. The population in this study were all toddlers diagnosed with ARI totaling 248 and a sample of 72 toddlers was taken by accidental sampling. Data collection was carried out by observation and providing questionnaires directly. Data were analyzed using the chi square test with a significant value of p <0.05. The results show that the risk factors for ARI that are often experienced by toddlers are behavioral factors with a p value smaller than other factors, namely 0.000 and a value of x² = 19.502. Therefore, it is expected that toddler families increase their knowledge by listening to counseling and maintaining the cleanliness of the family environment, as well as providing balanced nutrition to toddlers. Health center officers provide counseling on behavior to prevent ARI, foster relationships with the sub-district to invite the community to clean the environment so as to reduce the risk factors for ARI in the environment.

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