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Hearty : Jurnal Kesehatan Masyarakat
Published by Universitas Ibn Khaldun Bogor
ISSN : 23387475     EISSN : 26207869     DOI : 10.32832/hearty
Core Subject : Education,
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Hearty: Jurnal Kesehatan Masyarakat (ISSN:2338-7475 & e-ISSN:2620-7869) is published semiannual by Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor.
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Articles 421 Documents
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FACTORS THAT AFFECT DENGUE PREVENTION EFFORTS IN THE WORKING AREA OF THE PEUSANGAN KEC HEALTH CENTER. BIREUEN ACEH REGENCY Nasution, Ramadhani Syafitri; Theo, Deli; Safitri, Sari
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.21555

Abstract

Dengue Hemorrhagic Fever (DHF) is an infectious disease transmitted through the bite of the Aedes aegypti mosquito and is still a public health problem. Dengue cases in the work area of the Peusangan Health Center continue to increase every year, so it becomes a threat to family health. This study aims to find out the factors that affect dengue prevention efforts in the working area of the Peusangan Health Center, Peusangan District, Bireuen Regency. The study uses a quantitative design with an analytical survey through a cross sectional study approach. The population is the entire community in nine villages with a total of 19,271 families. The sample was determined by stratified random sampling of 99 families. Data analysis was carried out in univariate, bivariate, and multivariate manners. The results of the study show that education, knowledge, attitudes, the role of health workers, water reservoirs, and the existence of waste have an effect on dengue prevention efforts. The most dominant factor was education with a value of p = 0.000 < 0.025; CI 95% = 5,389–316,539; and OR = 41.154. It was concluded that the educational variable has an important role in the prevention of dengue. The Peusangan Health Center is advised to conduct regular larval checks every three months, carry out fogging, and improve health promotion through the application of the 3M Plus principle to reduce the incidence of dengue incidence.
THE EFFECTIVENESS OF COUNSELING WITH DEMONSTRATION METHODS ON TOOTHBRUSHING BEHAVIOR IN STUDENTS GRADE 3 SDN 2 ATU LINTANG Itawarni, Fuja; Efendy, Ismail; Khairatunnisa, Khairatunnisa
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.21556

Abstract

Dental and oral health is an important aspect of children's growth and development because it plays a role in supporting nutritional fulfillment. Basic Health Research data shows that dental problems in Central Aceh are still high, including in the elementary school age group. This research was conducted at SD Negeri 2 Atu Lintang which does not yet have a School Dental Health Unit (UKGS), involving all 24 3rd grade students. The results showed a significant increase in toothbrushing behavior after being given counseling using the demonstration method. Before counseling, most students were in the medium category (29.1%), while after counseling it increased to good (87.5%). The statistical test showed a value of p = 0.000 (p < 0.05), so it can be concluded that the demonstration method is effective in improving toothbrushing behavior in students. Thus, dental and oral health counseling based on the demonstration method has been proven to improve the knowledge and skills of correct brushing practices in school children. It is hoped that this activity will be carried out continuously by strengthening micro-teaching and the use of counseling media so that the effectiveness of the program is more optimal.
ANALYSIS OF FACTORS AFFECTING HEPATITIS B IMMUNIZATION COVERAGE IN TODDLERS IN THE WORKING AREA OF THE GAMBIR BARU HEALTH CENTER, ASAHAN REGENCY Ridwan, Muhammad; Asriwati, Asriwati; Nasution, Ramadhani Syafitri
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.21594

Abstract

The coverage of Hepatitis B immunization in toddlers in the Gambir Baru Health Center Working Area in 2021 only reached 40.56%, far below the national target. This study aims to analyze the factors that affect the low immunization coverage. The method used is a mix method with an explanatory research design, to be carried out in July-August 2025. The research sample amounted to 66 mothers who had toddlers, obtained through purposive sampling, and 11 informants consisting of key, main, and supporting informants. Quantitative data were analyzed by univariate, bivariate (Chi-square), and multivariate (logistic regression) tests, while qualitative data used interactive analysis. The results showed that the majority of respondents were 36–45 years old (56.1%), had a high school education (53.0%), and worked as self-employed (37.9%). Factors of knowledge, attitude, trust, facilities, husband support, and health worker support affect immunization coverage. Multivariate analysis shows trust is the most dominant factor. Qualitatively, it was found that there is a public belief that the raw materials for Hepatitis B immunization are not halal, so many children are not immunized. It is suggested that the results of this study be a reference and evidence-based for students and health workers related to increasing immunization coverage.
FACTORS THAT AFFECT THE PERFORMANCE OF DOCTORS AT THE HAJI HOSPITAL MEDAN, NORTH SUMATRA PROVINCE Nasution, Ramadhani Syafitri; Harahap, Abidah; Effendy, Ismail
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.21546

Abstract

Doctors have a central role in improving the quality of hospital services, especially through medical decision-making, explanation of diagnosis, and medical measures that protect patients' rights. However, the performance of inpatient doctors at Haji Medan Hospital in North Sumatra Province is still low, with an achievement of only 47% of the expected target. This condition has the potential to reduce the quality of service if not handled immediately. This study aims to analyze the factors that affect the performance of inpatients at Haji Medan Hospital. The study used a quantitative design with a cross sectional approach. The sample consisted of 74 doctors with a total sampling technique. Data analysis was carried out through univariate, bivariate, and multivariate tests using logistic regression. The results showed that workload (p=0.015), work stress (p=0.008), work environment (p=0.001), incentives (p=0.003), and compensation (p<0.001) had a significant effect on physician performance. Thus, the main factors that affect the performance of doctors are aspects of workload, psychological condition, work environment support, and reward and compensation systems. These findings are expected to be input for hospital management to improve policies and create more supportive working conditions, as well as the basis for further research with broader variables.
FACTORS THAT AFFECT THE PERFORMANCE OF HONORARY HEALTH WORKERS AT THE UPT PUSKESMAS LOTU REGENCY NORTH NIAS Zega, Perdamaian; Theo, Deli; Effendy, Ismail
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.21547

Abstract

Health workers play an important role in improving the quality of services at health centers through direct interaction with patients. However, the performance assessment of honorary health workers at the Lotu Health Center Unit showed an achievement of only 47%, so an analysis of the factors that affect it was needed. This study used a quantitative design with a cross sectional approach on 34 honorary nurses with a total sampling technique. The analysis was carried out univariately, bivariately, and multivariate using logistic regression tests. The results showed that workload (p=0.015), work stress (p=0.008), work environment (p=0.001), incentives (p=0.003), and compensation (p=0.000) had an effect on the performance of honorary health workers. It was concluded that these factors need to be considered by management to improve the performance of health workers and the quality of services at the health center.
FACTORS THAT AFFECT THE UTILIZATION OF ELDERLY POSYANDU AT THE HEALTH CENTER FOR CARE OF BLANGKEJEREN CITY. GAYO LUES ACEH PROVINCE Mas, Sukri; Anggraini, Indah; Nasution, Ramadhani Syafitri
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.21550

Abstract

The use of elderly posyandu plays an important role in improving the quality of life, but the level of use is still low. This study aims to analyze the factors that affect the use of elderly posyandu in the Working Area of the Blangkejeren City Care Health Center. The research method used a cross sectional design with a sample of 91 respondents selected through stratified random sampling from a population of 973 elderly people. Data were collected using a questionnaire in March–May 2025 and analyzed by chi-square test and logistic regression. The results showed that education (p<0.001), attitude (p=0.001), knowledge (p<0.001), family support (p=0.016), health worker support (p=0.016), and health service facilities (p<0.001) were related to the use of elderly posyandu, while age (p=0.010) and distance (p=0.139) were not related. The dominant variable was attitude (p=0.001; Exp(B)=7.276). It was concluded that increasing the use of elderly posyandu needs to pay attention to education, attitudes, and family support and health workers.
ANALYSIS OF THE IMPLEMENTATION OF THE BOK POLICY IN INCREASING BASIC IMMUNIZATION COVERAGE AT THE BLANGKEJEREN CITY CARE CENTER, GAYO LUES REGENCY, ACEH PROVINCE Lubis, Masrida Riviah; Anggraini, Indah; Nasution, Ramadhani Syafitri
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.21553

Abstract

Complete basic immunization coverage is an important indicator in improving public health status. The government through the Health Operational Assistance (BOK) policy seeks to strengthen access and quality of immunization services, but in some areas coverage is still low. This study aims to analyze the implementation of BOK policies in increasing basic immunization coverage at the Blangkejeren City Treatment Health Center, Gayo Lues Regency, Aceh Province. The research method used a qualitative approach with in-depth interviews. The main informants are the head of the health center, the core informant in charge of the BOK program, and the supporting informant of the three midwives implementing immunization. Triangulation was carried out with five mothers under five. Data analysis uses thematic analysis techniques. The results of the study show that the implementation of BOK supports the implementation of basic immunization, but is not optimal. Supporting factors include routine fund allocation, coordination, and a positive attitude of officers. The main obstacles are limited health workers, ineffective planning and reporting, and low public participation due to lack of information and myths about vaccine side effects. In conclusion, BOK policies have helped the implementation of basic immunization, but there is still a need to strengthen coordination, program planning, and public education so that immunization coverage can be increased overall.
THE EFFECT OF HEALTHY LIVING EDUCATION ON REDUCING BLOOD PRESSURE IN ELDERLY PEOPLE WITH HYPERTENSION Apriyana, Eka; Indawati, Eli
HEARTY Vol 13 No 6 (2025): DESEMBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i6.16107

Abstract

Background: Background: Hypertension is where a person experiences an increase in blood pressure from the normal limit, where diastolic blood pressure is more than 140 mmHg and diastolic blood pressure is more than 90 mmHg. Self-management of hypertensive patients is a person's ability to maintain healthy living behavior to reduce blood pressure in elderly patients with hypertension in Kampung Warga I Cilangkap Cipayung, East Jakarta. This type of research is pre-experimental design research with a one group pre test-post test design approach. The sampling technique is non-probability sampling with a purposive sampling method with a sample size of 30 respondents. The instrument used is an intervention. Research Objective: To determine the effect of healthy living education on reducing blood pressure in elderly people with hypertension. This type of research is pre-experimental design research with a one group pre test-post test design approach. The parametric statistical test is the Wilcoxon test Research Results: Based on the results of the Wilcoxon statistical test in table 5.6, data on pre-post intervention systolic blood pressure was obtained, it was found that of the 30 respondents there were 22 people who experienced a decrease in systolic pressure (Negative rank), 3 respondents experienced an increase in blood pressure (Positive rank) and 5 people had constant blood pressure (Ties). Meanwhile, for the pre-test diastole, of the 30 respondents, 17 people experienced a decrease in diastolic pressure (Negative rank), 4 experienced an increase in diastolic pressure (Positive rank) and 9 people had constant blood pressure (Ties) and for systolic blood pressure the P value (ρ value) was 0.004 which means the overall value or total of everything. This means that there is an influence of healthy living education on reducing blood pressure in hypertensive patients in Warga Village I Cilangkap Cipayung. Conclusions and Suggestions: There is an influence of healthy living education on reducing blood pressure in elderly people with hypertension. It is hoped that the results of this study can increase
EFFECTIVENESS OF PROVIDING EDUCATION ON THE ANXIETY OF PATIENTS WHO WILL HAVE PCI PROCEDURES IN THE EMERGENCY ROOM AT HARUM SISMA MEDIKA HOSPITAL IN 2023 Lestari, Ketut Ayu; Khamid, Abdul
HEARTY Vol 13 No 6 (2025): DESEMBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i6.16108

Abstract

Background: Cardiovascular disease is the main cause of death throughout the world. The World Health Organization (WHO) states that every year deaths due to cardiovascular disease reach more than 17.8 million. Meanwhile, data from the Indonesian Ministry of Health in 2023 in Indonesia the death rate due to this disease will reach 650,000 people per year. Coronary heart disease is a type of cardiovascular disease. Coronary heart disease patients require Percutaneous Coronary Intervention (PCI) to improve their quality of life. Providing clear and complete information to patients is an effective intervention in increasing patient knowledge, reducing their symptoms of anxiety and fear. Nurses have an important role in health education for patients. Based on the results of a preliminary study at Harum Sisma Medika Hospital, data on the number of cases of patients with Coronary Heart Disease (CHD) in 2023 from January to October reached 256 and those referred out for Percutaneous Coronary Intervention (PCI) in the Emergency Room at Harum Hospital numbered 35 patients. And on average, these patients experience anxiety or anxiety when they are informed that Percutaneous Coronary Intervention (PCI) will be carried out. Purpose of writing: To determine the effect of providing education on the anxiety of patients who will undergo Percutaneous Coronary Intervention (PCI) in the emergency room at Harum Sisma Medika Hospital, Jakarta. Writing Method: The research method used in this research is Pre Experimental Design. This research used a Quasi Experimental design using the "Pre-Test and Post-Test" method with a sample of 55 respondents. Research Results: The results of this study show that before and after the intervention of providing education on the anxiety of patients who will undergo percutaneous coronary intervention (PCI) in the emergency room at Harum Sisma Medika Hospital, Jakarta, a P value of 0.001 < 0.05 is obtained, which means providing education to patients who will Percutaneous Coronary Intervention (PCI) in the emergency room at Harum Sisma Medika Hospital, Jakarta, was effective in reducing anxiety levels in respondents. Conclusions and Suggestions: There is a significant influence on providing education to patients who will undergo Percutaneous Coronary Intervention (PCI) to reduce anxiety before undergoing Percutaneous Coronary Intervention (PCI). It is recommended that all health workers, especially nurses, provide education before carrying out Percutaneous Coronary Intervention (PCI).
ANALYSIS OF ANXIETY FACTORS OF PREGNANT WOMEN ON SEXUAL RELATIONS IN TAMBELANG HEALTH CENTER, BEKASI DISTRICT, 2023 Mujayanah, Yoyoh; Putri, Dian Priharja
HEARTY Vol 13 No 6 (2025): DESEMBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i6.16109

Abstract

Background:Sexual intercourse is a primary need for married couples and can be carried out during pregnancy as long as no problems are found. However, some couples feel anxious about sexual relations during pregnancy. Anxiety during pregnancy is also related to emotional problems, hyperactivity disorders and impaired cognitive development in children. Research purposes: This research was conducted to determine the factors that cause anxiety among pregnant women regarding sexual relations at the Tambelang Community Health Center, Bekasi Regency in 2023. Research methods: This research is a quantitative study with a cross sectional design. This research was conducted at the Tambelang Community Health Center in December 2023-January 2024. The sample size was 130 pregnant women taken using accidental sampling technique. The factors that cause anxiety among pregnant women regarding sexual relations studied are age, gestational age, parity, experience of abortion, education, employment, and the mother's knowledge of sexual relations during pregnancy. Mother's knowledge was measured using a questionnaire and anxiety levels were measured usingHamilton Anxiety Rating Scale(HARS). Data analysis used the Chi Square test. Research results: Maternal age (p=0.012), gestational age (p=0.000), abortion experience (p=0.001), and knowledge (p=0.000) have significance values below 0.005, which means there is significant relationship between these factors and pregnant women's anxiety about sexual relations. Meanwhile, parity (p=0.386), last education (p=0.386) and employment (p=0.367) have significance values above 0.005, which means there is no significant relationship between these factors and pregnant women's anxiety about sexual relations. Conclusions and recommendations: Age, gestational age, abortion experience, and maternal knowledge have an influence on the level of anxiety of pregnant women regarding sexual relations at the Tambelang Community Health Center, Bekasi Regency in 2023. Meanwhile, parity, recent education, and employment have no influence on the level of anxiety of pregnant women. pregnant during sexual intercourse at the Tambelang Community Health Center, Bekasi Regency in 2023. The need to provide education to pregnant women regarding the impact of anxiety on sexual relations during pregnancy and how to prevent it.

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