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Jurnal Kesmas dan Gizi (JKG)
Published by Institut Kesehatan Medistra Lubuk Pakam
ISSN : -     EISSN : 26550849     DOI : -
Core Subject : Health,
Public Health
Jurnal Kesmas & Gizi (JKG) terbit dua kali setahun yakni periode Mei-Oktober, dan November- April tiap tahunnya. Jurnal ini memberikan ruang bagi akademisi, peneliti dan pengguna hasil penelitian dan pengabdian untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan hasil penelitian dan pengabdian sebagai upaya meningkatkan kualitas kebijakan di bidang kesehatan masyarakat dan gizi yang berbasis ilmiah dan dapat dipertanggung jawabkan. Jurnal ini menyajikan hasil penelitian, pengabdian masyarakat serta artikel ilmiah di bidang kesehatan masyarakat dan gizi.
Arjuna Subject : -
Articles 473 Documents
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CIPP Evaluation of the Implementation of the Integrated Non-Communicable Disease Development Post (Posbindu PTM) and Stakeholder Dynamics in Gatak Village Lintang Martha Sari; Dwi Linna Suswardany
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/h3tvgp36

Abstract

Non-communicable diseases (NCDs) among adolescents show an increasing trend, necessitating promotive and preventive interventions through the Integrated Non-Communicable Disease Development Post (Posbindu PTM) for Adolescents. This study aims to evaluate the implementation of the Posbindu PTM for Adolescents in Gatak Village using the CIPP (Context, Input, Process, Product) approach. This qualitative case study design involved 17 informants from the village government, health workers, community health workers, community leaders, and active and passive adolescents. Data were collected through semi-structured interviews, observation, and documentation, and then analyzed using the Miles and Huberman interactive model.The results indicate that program planning is based on adolescent health needs and supported by cross-sector collaboration, although implementation of Primary Care Integration is not yet optimal. Resource availability is deemed adequate. The main differentiating factors between active and passive adolescents lie in peer influence and psychological readiness for health checkups. Qualitatively, the program contributed to increased knowledge and awareness of healthy lifestyle behaviors, especially among active adolescents, although the long-term quantitative impact has not been measured. The effectiveness of the program is influenced by stakeholder involvement and participatory strategies that are adaptive to the characteristics of adolescents, so that it is necessary to strengthen communication, activity innovation, and cross-sector synergy to increase the sustainability of the program.
The Relationship Between Mothers' Knowledge And Social Support And Preventing Cigarette Smoke Exposure At Home In Smoke-Free Villages (SFV) Fadillah, Alfi; Wijayanti, Anisa Catur
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/f1c2vd94

Abstract

Background: Exposure to secondhand smoke in the home is still a public health problem that harms non-smokers, but is often overlooked. Although the City of Surakarta has implemented the Smoke-Free Village (Kampung Bebas Asap Rokok/ KBAR) program to encourage a smoke-free environment, the practice of smoke-free houses at the family level is not optimal. Mothers have an important role in preventing exposure to secondhand smoke such as implementing rules, supervision and support so that family members do not smoke in the house. Research Objective: To analyze the relationship between knowledge and social support in mothers with the prevention of exposure to cigarette smoke at home in the area of Smoke-Free Village (KBAR), Karangasem Village, Surakarta City. Methods: This type of research is quantitative analysis with a cross-sectional approach. The total sample was 96 respondents with a sampling technique using purposive sampling. Results: Data analysis using the Chi Square Test showed that there was a relationship between knowledge (p-value 0.001) and social support of mothers (p – value 0.001) and the prevention of exposure to cigarette smoke at home in the Smoke-Free Village (KBAR) area of Karangasem Village. Conclusions: Prevention behaviors of exposure to secondhand smoke at home are influenced by the level of knowledge and social support that mothers receive. Some do not understand exposure to second-hand smoke and lack emotional support from neighbors and community leaders. Therefore, it is necessary to strengthen education regarding exposure to indirect cigarette smoke (third-hand smoke), especially not to smoke in the house and maintain smokers' personal hygiene after smoking. The education must be directed at strengthening emotional support involving community leaders and the social environment to increase joint commitment in preventing exposure to cigarette smoke at home.  
Factors Associated with Health Seeking Behaviour of Pneumonia Children Under Five in Lubuk Begalung Health Center 2024 Silvia Amanda Lodi; Ade Suzana Eka Putri; Yeffi Masnarivan; Dien Gusta Anggraini Nursal
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: 10.35451/5nb92c16

Abstract

Pneumonia remains a major contributor to mortality due to infectious diseases among children under five worldwide. Inappropriate health-seeking behavior when a child develops pneumonia may potentially result in delays in obtaining adequate medical care, thereby increasing the risk of complications and mortality. This study aimed to analyze the factors associated with health-seeking behavior for pneumonia among children under five in the working area of Lubuk Begalung Community Health Center. This study employed a cross-sectional design and was conducted at the Lubuk Begalung Community Health Center from February to June 2024. The study involved 87 mothers of children under five diagnosed with pneumonia who were selected using a simple random sampling technique. The findings revealed that 62.1% of respondents exhibited poor health-seeking behavior. There were significant associations between health-seeking behavior for pneumonia among children under five and maternal age (p = 0.004), maternal knowledge (p < 0.0001), and perceived severity of illness (p = 0.014). Family income (p = 0.017; PR = 16.406; 95% CI: 1.642–163.900) was the most dominant factor associated with treatment-seeking behavior for pneumonia among under-five children at Lubuk Begalung Primary Health Center, Padang. It is recommended that the Padang City Health Office and Lubuk Begalung Primary Health Center implement educational interventions on the signs, symptoms, and danger signs of pneumonia in under-five children and the importance of timely healthcare-seeking at health facilities, in order to reduce the risk of mortality and disease severity among children under five.
Exploration of Social Risk Factors in cases of Stunting in Children Aged 1-5 Years in Ngesrep sub-district, Semarang City aisyah, nisa; Nabila Nurul Hawa
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: 10.35451/87fges20

Abstract

Stunting in toddlers is not merely a medical issue but also a public health challenge in Indonesia, including urban areas such as Semarang City. This study aims to analyze social risk factors that play an important role in the occurrence of stunting among children aged 1–5 years in Kelurahan Ngesrep, Semarang City. The study employed a descriptive qualitative method with data collection techniques including in-depth interviews and direct observations involving mothers of stunted children, posyandu cadres and the village social welfare section (social welfare). The findings indicate that most stunted children come from families with relatively low maternal education levels, predominantly high school graduates. This level of education influences parents’ understanding in applying appropriate child-rearing practices. In addition to educational factors, parents’ time and attention toward their children are limited due to work-related demands. This condition affects the quality of parenting and social support within the surrounding environment. Work obligations also prevent some mothers from regularly attending posyandu activities, resulting in suboptimal monitoring of children’s growth and development.Based on these findings, it can be concluded that stunting is a multidimensional problem involving maternal education, parenting practices, and community social support. This study is expected to provide insights for the government and health professionals in designing more effective and efficient stunting prevention programs in urban areas.
The Influence of Digital Queue Service Quality on Patient Waiting Time Efficiency at the Polyclinic of TK.IV 01.07.02 Binjai Hospital in 2025 Normalini Potu; Felix Kasim; Sri Melda Br Bangun
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/hv0kvx68

Abstract

Queues occur when service demand exceeds facility capacity, causing patients to wait to receive care. Previous studies have shown that the implementation of a digital queuing system can reduce patient waiting times and improve efficiency as well as satisfaction with hospital services. This study aimed to analyze the effect of digital queuing service quality on the efficiency of patient waiting times at TK.IV 01.07.02 Binjai Hospital in 2025. This research used a quantitative method with a cross-sectional design. Sampling was conducted using the accidental sampling method. The sample in this study consisted of 113 patients who visited TK.IV 01.07.02 Binjai Hospital. The study was carried out at TK.IV 01.07.02 Binjai Hospital. The results showed that all dimensions of digital queuing service quality namely tangibles, reliability, responsiveness, assurance, and Empathy  had a significant effect on the efficiency of patient waiting times at TK.IV 01.07.02 Binjai Hospital in 2025 (p < 0.05). The tangibles aspect, such as the comfort of waiting rooms and digital facilities, helped accelerate service processes, while reliability and responsiveness improved the accuracy and speed of the system and staff in handling patients. The assurance aspect fostered patients’ sense of safety and trust in staff professionalism, while Empathy  encouraged humane communication and facilitated smoother service flow.Overall, improvements in all five aspects were proven to shorten waiting times and enhance service efficiency in hospital outpatient clinics. The conclusion of this study is that all dimensions of digital queuing service quality reliability, responsiveness, assurance, and Empathy  significantly affect the efficiency of patient waiting times at the hospital. Among the five aspects, Empathy  was identified as the most dominant factor in improving the efficiency of patient waiting times.
Analysis of the Implementation of Maryam Exercise in Prenatal Classes to Increase the Rate of Normal Deliveries at Fahri Mutiara Clinic, Asahan Regency, in 2025 FAHRI YANTI; Karnirius Harefa; 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/p751aq56

Abstract

Background: The childbirth process is an emotional experience that involves both physical and psychological mechanisms in mothers giving birth. Normal delivery is often a tense event for most women. A mother, especially one experiencing her first pregnancy (primigravida), tends to feel fear when facing childbirth because it is her first experience. When this fear arises, the brain automatically triggers the body to anticipate pain, making the pain during labor feel more intense. Each individual’s anxiety reaction varies depending on personality, emotional condition, level of understanding, cultural background, family support, education, and prior experiences. Objective: This study aims to describe and analyze the implementation of the Maryam exercise in prenatal classes to increase the rate of normal deliveries at the Fahri Mutiara Clinic, Asahan Regency, in 2025. Methods: qualitative with a case study approach, focusing on gathering detailed information. Result: Based on interviews with informants (IF1–IF7), pregnant women’s perceptions of the benefits of the Maryam exercise at Fahri Mutiara Clinic were very positive. This exercise was considered helpful in preparing both physically and mentally for childbirth. The motivation of pregnant women to participate was driven by the desire to give birth normally, reduce anxiety, and maintain the health of both mother and baby, supported by their husbands, healthcare workers, and the surrounding environment. Conclusion: The role of the midwife instructor was highly significant as a guide, motivator, and educator throughout the sessions. Mothers who regularly participated in the exercise reported calmer childbirth experiences, better breath control, and smoother labor without complications, along with increased inner peace and self-confidence.
Evaluation Of Medicine Procurement Policies On Health Administration And Medicine Demand at X Community Health Center, Deli Serdang Regency In 2025 Meirizal Jefrinaldi; Romauli Anna Teresia Marbun; Basyariah Lubis
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: 10.35451/7v0hjk62

Abstract

Background: The 2020–2024 health development agenda emphasizes strengthening primary health services and the utilization of technology, making drug availability an important indicator of service quality. Proper drug management through planning, procurement, distribution, and stock control—supported by competent human resources, adequate funding, and reliable information systems, is essential to prevent stockouts and ensure service continuity. Objective: To analyze and evaluate drug procurement policies in relation to health administration and drug demand at X Public Health Center, Deli Serdang Regency, in 2025 using a qualitative approach. Methods: This study employed a qualitative research design aimed at analyzing and evaluating drug procurement policies and their impact on health administration and drug demand at X Public Health Center, Deli Serdang Regency, in 2025. Results: The findings indicate that drug management is supported by structured policies, competent personnel, relatively adequate though limited budgets, and the use of SIMO, which improves data accuracy. However, policy flexibility and system reliability still need improvement. The procurement process has followed the stages of planning, submission, and distribution with fairly good interdepartmental coordination. Remaining challenges include delays in distribution, slow financial administration processes, and discrepancies between physical stock and system records. Overall, drug procurement has had a positive impact on health administration and service fulfillment, as reflected by relatively stable drug availability. Nevertheless, improvements in procurement speed, supply accuracy, and e-logistics system stability are still required to optimize service quality. Conclusion: Drug management and procurement have been implemented relatively well, supported by structured policies, competent personnel, budget allocation, and the SIMO system, resulting in relatively stable drug availability. However, challenges remain in distribution delays, financial administration, stock discrepancies, and e-logistics system stability, which need to be addressed to further enhance service quality.
The Relationship Between the Level Of Knowledge and Attitude with the Practice Of Implementing Occupational Safety and Health (K3) among Mechanical Engineering Students setyawan, dika angga; Rezania Asyfiradayati
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: 10.35451/9fmr5x96

Abstract

Occupational Safety and Health (OSH) education is essential in vocational schools, as practical activities carry a potential risk of workplace accidents. A health promotion approach emphasizes improving knowledge, fostering positive attitudes, and establishing safe behavior through education, strengthening safety culture, and creating a supportive learning environment from the early stages of education. Health promotion efforts in schools are expected to develop sustainable occupational safety behavior among students. This study aims to analyze the relationship between knowledge and attitudes with the practice of OSH implementation among Mechanical Engineering students at SMK N 1 Sawit Boyolali. This research is a quantitative study with an analytical approach using a cross-sectional design. Data were collected through questionnaires measuring knowledge, attitudes, and OSH practices. Data analysis was conducted using the Spearman correlation test. The results showed that most students had a high level of OSH knowledge (70.0%) and positive attitudes toward OSH (67.2%). Knowledge was not significantly related to OSH practice (r = 0.139; p = 0.064), indicating a very weak correlation. In contrast, attitudes had a significant but very weak relationship with OSH practice. These findings indicate that good knowledge does not necessarily translate into consistent safety behavior, while positive attitudes tend to support safer practices, although they are influenced by other factors such as the practice environment, supervision, and availability of safety facilities. In conclusion, strengthening practical OSH learning based on health promotion, improving supervision, and providing supportive school environments are necessary to enhance the consistency of OSH implementation among students. Further research is needed to examine other factors influencing occupational safety behavior.
Analysis of the Effect of Drug Management on the Level of Drug Availability in Central Sulawesi Province Asmanur Asri Rendelemba; Sudirman; Finta Amalinda
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/h7qtyt63

Abstract

The availability of essential medicines is one of the main indicators of healthcare service quality in primary health centers (Puskesmas). Inadequate medicine availability can hinder medical services and reduce public trust in healthcare facilities. Problems related to medicine availability are generally influenced by various aspects of the drug management cycle, ranging from planning to reporting. This study aimed to analyze the effect of drug management on the level of medicine availability in primary health centers in Central Sulawesi Province and to identify the most dominant influencing variables.This study employed a quantitative approach with a cross-sectional design. The study population consisted of all 219 primary health centers in Central Sulawesi Province, with a sample of 142 health centers selected using proportional random sampling. Data were collected through structured questionnaires administered to pharmaceutical personnel. The independent variables included planning, procurement, receiving, storage, distribution, and recording and reporting, while the dependent variable was medicine availability. Data were analyzed using univariate analysis, bivariate analysis with the chi-square test, and multivariate analysis using multiple logistic regression at a significance level of 0.05.The bivariate analysis showed that all drug management variables were significantly associated with medicine availability (p < 0.05). Multivariate analysis revealed that planning (p = 0.006; Exp(B) = 1.366), procurement (p = 0.006; Exp(B) = 1.365), and distribution (p = 0.016; Exp(B) = 1.346) were significant predictors of medicine availability. The regression model demonstrated a Nagelkerke R Square value of 0.406, indicating that 40.6% of the variation in medicine availability could be explained by the variables included in the model.It can be concluded that strengthening data-based planning, improving procurement effectiveness, and ensuring timely and accurate distribution are key factors in enhancing medicine availability at primary health centers. Integrated logistics information systems and capacity building for pharmaceutical personnel are necessary to ensure sustainable medicine availability.
Analysis of Factors Influencing Medication Adherence among Patients in the Back-Referral Program at Pagar Jati Health Center, Lubuk Pakam Novitasari Sihaloho; Romauli Anna Teresia Marbun; Novita 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/ykh8d832

Abstract

Background: The Back-Referral Program (PRB) is a health service for National Health Insurance participants with stable chronic diseases who still require long-term treatment, implemented at primary health care facilities to improve service effectiveness, access convenience, and medication availability. The success of PRB implementation is strongly determined by patient adherence to medication collection, as non-adherence can disrupt treatment continuity, worsen health conditions, and increase health care costs. Medication adherence is influenced by various factors, including patient knowledge and trust, service facilities and costs, the role of health care workers, medication availability, family support, and ease of access to health services. Objective: This study aimed to identify the factors influencing medication collection adherence among PRB patients at Pagar Jati Lubuk Pakam Community Health Center in 2025. Methods: This study employed a quantitative design with a cross-sectional approach, in which measurements of independent and dependent variables were conducted once at a single point in time. Data were collected by distributing questionnaires to PRB patients. The study was conducted at Pagar Jati Lubuk Pakam Community Health Center. Results: The results showed that all examined factors were significantly associated with medication collection adherence among PRB patients at Pagar Jati Lubuk Pakam Community Health Center (p-value < 0.05). However, multivariate analysis identified patient knowledge as the most dominant factor, with the highest level of adherence and the strongest statistical significance compared to other variables. Conclusion: Factors such as patient trust, service facilities, the role of health care workers, medication availability, family support, service costs, and ease of access contribute to supporting adherence; however, improving patient knowledge is the key factor in enhancing medication collection adherence among PRB patients. Therefore, patient education interventions should be prioritized and supported by comprehensive improvements in the health care service system.

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