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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.

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 Preventing Stunting in Children in Boang Manalu Village, Pakpak Bharat Regency Widia Astuti Tanjung; Violent Violent
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.v4i01.337

Community empowerment in preventing stunting must involve various parties, including local governments, health workers, community leaders, and families. This can be done by increasing access to quality health, nutrition, and sanitation services in Boang Manalu Village, Pakpak Bharat Regency. Health workers also have an important role in community empowerment. They can provide education and training to the community about the importance of balanced nutrition, introduction to complementary feeding, and the importance of a healthy diet. In addition, they can also monitor and evaluate the nutritional status of children in Boang Manalu Village, Pakpak Bharat Regency. Based on the results of a survey conducted on December 19, 2024 in Boang Manalu Village, Families need to be aware of the importance of preventing stunting and adopting a healthy and nutritious diet for their children. In addition, they need to access and health services related to stunting prevention, such as immunization, exclusive breastfeeding, and complementary feeding. By making community empowerment efforts in preventing stunting in Boang Manalu Village, Pakpak Bharat Regency, it is hoped that it can reduce the prevalence of stunting in the area. This has a positive impact on the growth and development of children in Boang Manalu Village, Pakpak Bharat Regency, as well as improving their quality of life and future.

Community Empowerment in Family Planning Services at PUS in Ladang Bambu Village, Medan Tuntungan District Violent Violent; Widia Astuti Tanjung
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.v3i01.339

Utilization of Health Centers can be interpreted as a concept that is applied to provide services in the long term and continuously 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 May 23, 2024 in Ladang Bambu Village, Medan. 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 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.

RELATIONSHIP BETWEEN SOCIO DEMOGRAPHIC FACTORS AND FAMILY FAMILY SERVICES IN MEDAN TUNGUNGAN DISTRICT IN 2024 Violent Violent; Widia Astuti Tanjung
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.v3i02.344

One of the government's efforts to reduce population growth is through the Family Planning program oriented towards the Norm of a Happy and Prosperous Small Family (NKKBS). The development of the National Family Planning movement has succeeded in reducing the population growth rate and fertility rate (TFR). However, the implementation of the Family Planning program still needs to be improved to the community, especially regarding information and Family Planning services. This study aims to determine the socio-demographic factors and Family Planning services with Family Planning participation. Data collection was carried out on June 27 - August 09, 2024. This research is an analytical correlation using a cross-sectional method. The population in this study were all fertile couples (PUS) in Medan Tuntungan District with a sample technique used was purposive sampling with a total of 83 people. Primary data in this study were obtained from questionnaires and secondary data were obtained from the Village Head Office regarding the number of fertile couples (PUS). The analysis technique used was univariate analysis and bivariate analysis using the Chi-Square statistical test. The results of the study showed that there was no relationship between age and family planning participation with (p value 0.512), there was a relationship between education and family planning participation with (p value 0.001), there was a relationship between the number of children and family planning participation with (p value 0.000), there was a relationship between family income and family planning participation with (p value 0.010), there was a relationship between family planning services and family planning participation with (p value 0.003). It is expected that health workers who have an important role in providing information to the community in the form of counseling to increase community knowledge and motivation to participate in family planning, for fertile couples, they can determine the number of children by using family planning, if they are over 35 years old, they are expected not to get pregnant again.

PENGEMBANGAN SISTEM INFORMASI KESEHATAN KELUARGA BERBASIS BUDAYA UNTUK MENINGKATKAN PEMBERDAYAAN KELUARGA DALAM PENGAMBILAN KEPUTUSAN KESEHATAN DI KECAMATAN MEDAN TUNTUNGAN Ristika Julianty Singarimbun; Julaiha Siregar; Widia Astuti Tanjung; Cahya Aisyah Daulay
Journal of Innovative and Creativity (Joecy) Vol. 6 No. 2 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i2.12859

Pemberdayaan keluarga dalam pengambilan keputusan kesehatan merupakan determinan penting keberhasilan program kesehatan berbasis komunitas. Namun, sistem informasi kesehatan keluarga yang berkembang saat ini masih bersifat generik, teknokratis, dan belum mengakomodasi nilai budaya lokal masyarakat Sumatera Utara, khususnya di Kecamatan Medan Tuntungan yang multietnis. Penelitian ini bertujuan mengembangkan Sistem Informasi Kesehatan Keluarga Berbasis Budaya (SIKKBu) serta menguji efektivitasnya dalam meningkatkan literasi kesehatan, pemberdayaan keluarga, kualitas komunikasi, partisipasi, dan pengambilan keputusan kesehatan keluarga. Penelitian menggunakan desain Research and Development (R&D) yang dipadukan dengan mixed methods sequential exploratory melalui delapan tahap, yakni analisis kebutuhan, identifikasi budaya lokal, perancangan, validasi ahli, uji coba terbatas, revisi, uji lapangan, dan evaluasi efektivitas. Sampel berjumlah 250 keluarga yang dipilih melalui multistage random sampling, ditunjang oleh 20 informan kualitatif. Instrumen meliputi kuesioner tervalidasi (Cronbach α = 0,86–0,92), wawancara mendalam, FGD, observasi, dan System Usability Scale (SUS). Data kuantitatif dianalisis menggunakan uji paired t-test, independent t-test, regresi linier berganda, dan Structural Equation Modeling berbasis Partial Least Square (SEM-PLS), sedangkan data kualitatif dianalisis dengan thematic analysis. Hasil validasi ahli memperoleh nilai Content Validity Index (CVI) sebesar 0,93 (kategori sangat valid) dan nilai SUS 82,4 (kategori excellent). Uji efektivitas menunjukkan peningkatan signifikan (p < 0,001) pada literasi kesehatan (Δ = 22,7), pemberdayaan keluarga (Δ = 24,3), dan kualitas pengambilan keputusan (Δ = 20,9). Analisis SEM-PLS mengonfirmasi bahwa SIKKBu berpengaruh langsung terhadap pemberdayaan keluarga (β = 0,612; p < 0,001) dan tidak langsung melalui budaya kesehatan keluarga serta dukungan sosial. Penelitian menyimpulkan bahwa integrasi nilai budaya lokal ke dalam sistem informasi kesehatan keluarga terbukti efektif memberdayakan keluarga dan meningkatkan kualitas keputusan kesehatan sehingga layak diadopsi oleh puskesmas dan pemerintah daerah.

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