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Promotion Mix Strategy to Increase Inpatient Visits at F.L. Tobing General Hospital, Sibolga in 2025 Ade Afifah Aliyah; Rahmad Gurusinga; Sri Melda Bangun; Rahmadani Sitepu; Raisha Octavariny
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): 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/m2crmb33

Abstract

The implementation of hospital promotion strategies through public relations and brand management at F.L. Tobing General Hospital, Sibolga, is influenced by various inhibiting and supporting factors. The main inhibiting factors include limited marketing budgets, a lack of competent human resources in public relations and brand management, suboptimal use of digital media, intense competition from more aggressive private hospitals, and weak promotional effectiveness evaluation mechanisms. Meanwhile, supporting factors include F.L. Tobing General Hospital's status as a government referral hospital, support from local government policies, opportunities for collaboration with various institutions, and increasing management awareness of the importance of promotion and strengthening brand image to increase hospital competitiveness. This study used a descriptive qualitative approach with triangulation of data sources within the F.L. Tobing General Hospital's work area, involving one key informant and 11 triangulation informants, and data collection techniques through observation, interviews, and documentation. The results showed that the advertising strategy was still dominated by internal media such as banners, posters, and brochures. Inpatient sales promotion is conducted through non-tariff promotions due to regulations, including simplified BPJS and insurance administration, service package information, and supporting facilities. Personal selling through empathetic interactions with healthcare workers, oriented toward patient-centered care, is the most influential strategy in building trust and inpatient care decisions. Direct digital marketing through WhatsApp and a reservation system supports rapid information access and increases patient satisfaction and loyalty. Public relations strategies play a crucial role in building image, encouraging positive word of mouth, and increasing inpatient visits. Continuous improvement of interpersonal communication skills, optimization of digital media, and contextual health education for patients' families are recommended.
Analysis of Service Response Time in the Emergency Department (ED) of Grandmed Hospital Ayu Siti Chadijah Nasution; Rahmadani Sitepu; Novita Br Ginting Munthe
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): 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/g94t8q49

Abstract

The Emergency Department (ED) serves as the frontline of hospital services and requires a rapid response time to ensure patient safety. This study aimed to analyze the service response time in the Emergency Department of Grandmed Hospital Lubuk Pakam in 2025, as well as the factors influencing it. This research employed a quantitative analytic observational method with a cross-sectional approach. The sample consisted of 97 respondents selected using a consecutive sampling technique from the population of ED patients in 2025. Data were obtained from medical records and hospital information systems and analyzed using univariate, bivariate, and multivariate methods. The results showed that triage category (p = 0.001), compliance with response time standards (p = 0.000), number of medical personnel (p = 0.003), availability of treatment rooms (p = 0.002), and patient arrival time (p = 0.004) had a significant effect on service response time. Multivariate analysis indicated that compliance with response time standards was the most dominant factor, with an odds ratio (OR) of 5.21 (95% CI: 2.10–12.95; p = 0.000).In conclusion, service response time is influenced by patient-related factors, human resources, infrastructure, and service management systems. Therefore, it is recommended to improve compliance with response time standards, optimize the number of medical personnel, and enhance ED management to improve service quality and patient safety.
Analysis of colifrom bacteria of dishwasting water food stalls in Lubuk Pakam Rahmadani Sitepu; AHMAD ILHAM; ANGELIKA; ASVIA RAHAYU; RIMAYANI
Medistra Medical Journal (MMJ) Vol 1 No 2 (2024): Medistra Medical Journal (MMJ)
Publisher : Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/mmj.v1i2.2112

Abstract

Food stalls play a role in helping fulfil daily needs by offering convenient and fast services, so people like to eat food at food stalls. If contaminated cutlery is used, those who use it may be infected with disease-causing microbes. Objective: The purpose of this study was to determine the presence of Coliform bacteria in water both before and after being used to clean food utensils in food stalls around the Medistra Institute of Health Lubuk Pakam. Methods: The method used is quantitative, as well as experimental to test water quality with applicable quality standards and describe the results of research based on literature review. Results: Of the 4 food stalls around the Medistra Institute of Health, it shows that there are 3 food stalls in the category of not meeting health requirements and 1 other food stall in the category of meeting health requirements based on the maximum number of total coliforms for piped and non-piped water 10/100 and 50/100 ml of water samples respectively in accordance with Permenkes No. 416/Per/Menkes/IX/1990. The quality of washing water (clean water) used in food stalls around the Medistra Institute of Health based on the results of laboratory tests of total Coliform, from four food stalls around the Medistra Institute of Health, 3 food stalls in the category of not meeting health requirements and 1 other food stall in the category of meeting the requirements according to Permenkes No. 416/Per/Menkes/IX/1990, concerning clean water quality for piped and non-piped water with numbers 10/100 ml and 50/100 ml of water samples. Keywords : Coliform bacteria, Escherichia coli, Dishwasting Water
Socialization of Laboratory Management and Screening of Sexually Transmitted Diseases in Pregnant Women at Aek Natolu Health Center Nisa El Hasanah; Rahmadani Sitepu; Nur Afni Heryanti Octavia; Elsha Sinulingga; Surya Elisabet Hasibuan
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/xzz5e010

Abstract

A health laboratory is a healthcare facility that conducts examinations, analyses, and tests on human biological samples or non-biological materials to help identify diseases, determine the causes of health disorders, assess the health conditions of individuals or communities, and detect factors that can affect health status. Screening for sexually transmitted infections is a health check carried out to detect the presence of sexually transmitted infections in someone, even before symptoms appear, so that treatment can be done earlier to prevent complications and further transmission. For pregnant women, screening for sexually transmitted infections plays an important role in maintaining the health of both mother and baby and supporting efforts to reduce maternal and infant morbidity and mortality. The goal of this community service is to understand the relationship of health laboratory management in supporting sexual transmitted disease screening programs at pregnant women at Aek Natolu Health Center. The community service activity was carried out using a participatory approach based on health checks and education. Education was provided on the importance of laboratory tests during pregnancy, the prevention of sexually transmitted infections, and the importance of compliance with routine antenatal check-ups. This activity involved 25 participants, consisting of all pregnant women at Aek Natolu Health Center. The results of the examination showed that out of 25 respondents, 23 respondents (92%) did not have sexually transmitted infections, while 2 respondents (8%) had sexually transmitted infections. The results of this activity show that health laboratory management plays an important role in supporting early detection of sexually transmitted infections in pregnant women, which can serve as a basis for providing education, follow-up, and preventive efforts to improve the quality of maternal and child health services
Socialization of Human Immunodeficiency Virus and Hepatitis B Surface Antigen Screening Among Second-Trimester Pregnant Women Dian Hastari Ningrum; Asvia Rahayu; Rahmadani Sitepu
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/5f7x9979

Abstract

Human Immunodeficiency Virus (HIV) and Hepatitis B remain major public health concerns, particularly among pregnant women, due to the risk of mother-to-child transmission during pregnancy, childbirth, and breastfeeding. Limited knowledge among pregnant women regarding the importance of HIV and Hepatitis B Surface Antigen (HBsAg) screening may hinder early detection and the prevention of vertical transmission. This Community Service Program aimed to improve the knowledge and understanding of second-trimester pregnant women regarding the importance of HIV and HBsAg screening during pregnancy. The activity was conducted on April 18, 2026, at Grandmed Hospital, Lubuk Pakam, involving 25 second-trimester pregnant women. The program employed a one-group pre-test–post-test design through educational lectures, interactive discussions, question-and-answer sessions, and educational media. The educational materials covered the definition of HIV and Hepatitis B, modes of transmission, risk factors, the impact of infection on mothers and fetuses, and the importance of HIV and HBsAg screening as part of integrated antenatal care. The evaluation results showed that the participants' mean knowledge score increased from 58.4 in the pre-test to 87.6 in the post-test, representing an improvement of 29.2 points (49.9%). In addition, 96% of participants understood the benefits of HIV and HBsAg screening after participating in the educational program. The activity also increased participants' awareness of utilizing screening services available at healthcare facilities. Therefore, health education serves as an effective promotive strategy to support the prevention of HIV and Hepatitis B transmission while improving maternal and child health.