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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 471 Documents
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Analysis of Minimum Service Standards on General Patients’ Revisit Intention at the Outpatient Department of RS Grandmed Lubuk Pakam in 2026. Maharani, Putri; Ramadhani Sitepu; Tati Murni Karokaro
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/chtfx419

Abstract

This research aimed to examine the influence of Minimum Service Standards (MSS), which include human resources, facilities and infrastructure, management and governance, and budget, on the revisit intention of general outpatients at RS Grandmed Lubuk Pakam in 2026. The study applied a quantitative method using a cross-sectional design. The population consisted of all general patients who had made repeat visits, with a sample of 95 respondents selected through purposive sampling. Data were gathered using structured questionnaires and analyzed through the Chi-square test for bivariate analysis and multiple logistic regression for multivariate analysis. The results of the univariate analysis indicated that most respondents considered human resources (75.8%), facilities and infrastructure (80.0%), management and governance (60.0%), and budget (71.6%) to be in poor condition. In addition, the majority of respondents showed a low level of revisit intention (54.7%). The bivariate analysis demonstrated significant associations between human resources (p=0.006), management and governance (p=0.017), and budget (p=0.007) with revisit intention. Meanwhile, facilities and infrastructure did not show a significant relationship with revisit intention (p=0.081). The multivariate analysis revealed that human resources had a significant impact on revisit intention (p=0.041), whereas management and governance and budget variables were not statistically significant. In summary, human resources were identified as the most influential factor affecting revisit intention among general outpatients. Therefore, efforts to improve staff competence, professionalism, and service attitudes should be prioritized in order to strengthen patient loyalty and promote repeat visits.
The Role of Management Functions in Enhancing Community Empowerment for Stunting Prevention in Batu Bara District Sianturi, Herlina; Reni Aprinawaty Sirait; Raisha Octavariny; Karnirius Harefa
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/zssjx722

Abstract

A Stunting remains a major public health problem in Indonesia, including in Batu Bara District. The success of stunting reduction is not only determined by technical interventions but is also influenced by the effectiveness of management functions and the level of community empowerment. This study aims to analyze the effect of basic management functions on community empowerment in stunting prevention efforts in the working area of the Batu Bara District Health Office. This study employed an analytical quantitative design with a cross-sectional approach. The population consisted of 250 stunting program implementers and posyandu cadres, with a sample of 167 respondents selected using proportional random sampling. Data were collected through a structured questionnaire that had been tested for validity and reliability. Data analysis was conducted using univariate, bivariate (Chi-square test), and multivariate (logistic regression) analyses. The results showed that all aspects of management functions planning, organizing, actuating, and controlling, had a significant effect on community empowerment (p < 0.001). The most dominant variable was controlling (PR = 5.84), followed by actuating (PR = 5.70), planning (PR = 4.32), and organizing (PR = 3.23). In conclusion, management functions play an important role in enhancing community empowerment in stunting prevention. Therefore, strengthening management functions, particularly in controlling and actuating, is necessary to improve the effectiveness of stunting prevention programs.
The Provision of Communication and Emotional Support by Drug Swallowing Supervisors (DSS) in the Treatment Success of Pulmonary Tuberculosis Nasution, Ferani; Sirait, Reni Aprinawaty; Harefa, Karnirius
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/d73dfk04

Abstract

Pulmonary tuberculosis (TB) remains a major public health concern, with treatment success rates that have not yet reached optimal levels. The success of TB treatment is not solely determined by the availability of anti-tuberculosis drugs, but is also influenced by the quality of support provided by Drug Swallowing Supervisors (DSS), particularly in terms of communication and emotional support. This study aimed to analyze the effect of DSS communication and emotional support on the success of pulmonary TB treatment at the Simangalam Public Health Center in 2025. This study used an explanatory research design with a cross-sectional approach and was conducted from October to December 2025. The study population consisted of 327 pulmonary TB patients, with a sample of 150 respondents selected through purposive sampling. Data were collected using structured questionnaires and medical records. Data analysis included univariate descriptive analysis, bivariate analysis using the chi-square test, and multivariate analysis using binary logistic regression with a 95% confidence level. The results showed that the treatment success rate of pulmonary TB was 64.0%. DSS communication had a statistically significant effect on treatment success (p-value=0.001; OR=6.644), , indicating that good communication increased the likelihood of successful treatment by approximately seven times. In contrast, emotional support did not show a significant effect. Effective communication plays a crucial role in improving patient adherence, whereas the limited impact of emotional support may be due to the long duration of TB treatment, reducing its effectiveness if not provided consistently. In conclusion, DSS communication is the most influential factor in the success of pulmonary TB treatment. It is recommended that public health centers enhance DSS capacity through training and implement standardized communication procedures.
Factors Related to Fire Fighter Performance Ginting, Rosita; Irmayani; Aamura, Jul Asdar Putra; Putri Ashari Visar
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/z6emnr66

Abstract

Fire is a type of disaster that frequently occurs in various countries and has the potential to cause significant losses, both in the form of material damage and loss of life. In such conditions, firefighters play a very important role, especially in fire extinguishing efforts and victim evacuation. The performance of firefighters is influenced by various factors, both internal and external to the organization. This study aims to identify and analyze factors related to the performance of firefighters at the Lubuk Pakam Fire Department, Deli Serdang Regency. The study used a quantitative method with a cross-sectional design. The study population included all firefighters serving at the Deli Serdang Fire Department, totaling 30 people. The sampling technique used the total sampling method. Data collection was carried out using a questionnaire covering the variables of facilities and infrastructure, training, counseling, and officer performance. The data obtained were then analyzed using the Chi-Square test with a 95% confidence level. The results showed that 53.3% of respondents had good performance. The results of the study showed a significant relationship between infrastructure (p=0.008) and training (p=0.021) with firefighter performance. Conversely, the community outreach variable did not show a significant relationship with officer performance (p=0.586). Based on these findings, it can be concluded that internal organizational factors, particularly the availability of work facilities and training, play a significant role in improving firefighter performance. Therefore, relevant agencies are advised to continue improving the quality of facilities and infrastructure and to conduct regular training to strengthen officer competency in dealing with fire emergency situations
The Relationship Between the Implementation of Basic Management Functions and Service Quality in the Outpatient Department of the ObstetricsClinic at Primaya Hospital North Bekasi in 2025 Br Sipayung, Lispeno Waty Agustina; Kasim, Felix; Br Bangun, Sri Melda
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/vn642724

Abstract

In the era of globalization characterized by increasing competition, the demand for improved hospital service quality continues to rise. Patients as healthcare service users have become more selective and critical in evaluating the quality of services provided. Therefore, hospitals are required to continuously enhance service quality through innovation and effective management. Service quality is not only determined by the availability of facilities and technology, but is also significantly influenced by the implementation of management functions, including planning, organizing, actuating, and controlling (POAC). The optimal application of these management functions can promote a more efficient, integrated, and patient-oriented service system.  This study employed a quantitative approach with a cross-sectional design to analyze the relationship between POAC management functions and service quality at the Obstetrics Outpatient Clinic of Primaya Hospital Bekasi Utara. The study population consisted of 8,321 patients, with a sample of 90 respondents determined using the Slovin formula. Data analysis included univariate analysis, bivariate analysis using the chi-square test, and multivariate analysis using logistic regression.  The results showed that most respondents rated the implementation of management functions as good, including planning (66.7%), organizing (70.0%), actuating (65.6%), and controlling (74.4%). Service quality was also perceived as good by the majority of respondents (72.2%). Bivariate analysis indicated that all management function variables were significantly associated with service quality (p ≤ 0.001). Multivariate analysis revealed that planning, actuating, and controlling had significant effects on service quality, while organizing did not show a statistically significant effect. Among all variables, planning was identified as the most dominant factor.  In conclusion, the implementation of POAC management functions plays a crucial role in improving service quality, with planning as the most influential factor that needs to be continuously optimized.
Analysis of the Effectiveness of Quality Management through the Implementation of Quality Assurance (QA) and Quality Control (QC) in Improving Microbiology Laboratory Examination Results at Grandmed Hospital Lubuk Pakam Rahmawati; Ritonga, Ahmad Hafizullah; Sa’adah Siregar
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: 10.35451/2g87nb78

Abstract

Microbiology laboratories play an important role in supporting diagnosis and clinical decision-making, so the quality of test results must be guaranteed. The complexity of the testing process requires the consistent application of quality management through Quality Assurance (QA) and Quality Control (QC) at all stages of pre-analytical, analytical, and post-analytical. This study aims to analyze the effectiveness of QA and QC implementation in improving microbiology laboratory test results at Grandmed Lubuk Pakam Hospital. This study uses a qualitative approach with a case study design. Data were collected through in-depth interviews, observations, and quality document reviews of the head of the laboratory, the doctor in charge, microbiology laboratory analysts, and administrative staff. Data analysis was conducted thematically to examine the QA and QC implementation process and factors affecting the effectiveness of quality management. The results showed that QA and QC had been implemented through SOPs, internal quality control, result validation, and quality documentation. However, their implementation has not been optimal due to limited human resources, overlapping tasks, and inconsistent evaluation and follow-up of quality audits. Nevertheless, the implementation of QA and QC has contributed positively to improving the reliability of test results and clinician confidence. The conclusion of this study is that the effectiveness of microbiology laboratory quality management through the implementation of QA and QC is influenced by the adequacy of human resources, management commitment, and consistency of implementation at the operational level
The Role of Quality Management in Ensuring the Accuracy of Clinical Laboratory Teest Result at Grandmed Lubuk Pakam Hospital Ramadhani, Siti; Ritonga, Ahmad Hafizullah; Lubis, Basyariah
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/gx956d91

Abstract

Clinical laboratories hold an important role in modern healthcare services because approximately 60–70% of medical decisions depend on laboratory examination results. Therefore, the accuracy of these results becomes a fundamental aspect that must be maintained through the implementation of comprehensive quality management. Laboratory quality is strongly influenced by three main phases, namely the pre-analytic, analytic, and post-analytic phases. Various studies show that most errors occur in the pre-analytic phase, such as incorrect patient identification, improper specimen collection, and unsuitable storage conditions. Thus, the ability of laboratory personnel to apply standard operating procedures (SOPs) becomes a crucial factor in efforts to improve result accuracy. This study aims to analyze the relationship between human resource competence, the implementation of Quality Assurance (QA), and Quality Control (QC) with the accuracy of laboratory examination results at Grandmed Lubuk Pakam Hospital. The research used a quantitative approach with a cross-sectional design and involved 30 laboratory personnel. Data were obtained through structured questionnaires and analyzed using the Spearman’s rho correlation test. The results showed a very strong relationship between human resource competence and examination accuracy (r = 0.938; p < 0.001), QA and accuracy (r = 1.000; p < 0.001), as well as QC and examination accuracy (r = 0.984; p < 0.001). These findings emphasize that good quality management—supported by competent laboratory personnel and consistent implementation of QA and QC—plays a major role in ensuring the accuracy of examination results. Regular quality evaluations are necessary to improve patient safety and support more accurate clinical decision-making.ongoing basis through improving laboratory personnel competence, ensuring consistent application of QA and QC at all stages of laboratory testing, and conducting regular quality evaluations to support patient safety and accurate clinical decision-making.
Analysis of the Relationship between Risk Management of Laboratory Test Errors and the Quality of Laboratory Personnel Services at GrandMed Lubuk Pakam Hospital manullang, Selda; Aritonang, Barita; Pranata, Chandra
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: 10.35451/753ef675

Abstract

Risk management is an essential component of a laboratory quality system to prevent errors in examination results and to improve service quality. This study aimed to analyze the relationship between risk management of laboratory result errors and the service quality of laboratory personnel at GrandMed Hospital Lubuk Pakam. This study employed a quantitative method with a cross-sectional design. A total of 30 respondents were recruited using a total sampling technique. Data were collected using questionnaires and analyzed using the Spearman Rank correlation test. The results show that the type of error is significantly associated with service quality (r = 0.389; p = 0.034), risk identification has a very strong and significant association (r = 0.752; p = 0.000), and risk analysis is significantly associated with service quality (r = 0.382; p = 0.037). However, risk control is not significantly associated (r = 0.156; p = 0.410), and user satisfaction is also not significantly associated (r = 0.052; p = 0.784). Overall, risk management of laboratory errors shows a very strong positive correlation with the service quality of laboratory personnel (r = 0.823; p = 0.000). In conclusion, risk identification and risk analysis are the main factors associated with improving the service quality of laboratory personnel. Therefore, strengthening standard
Laboratory Officer Compliance with Standard Operating Procedures at the Laboratory Installation of Grandmed Lubuk Pakam Hospital Based on the Quality of Laboratory Examination Results Prahesti, Ajeng; Ritonga, Ahmad Hafizullah; Munthe, Novita Br Ginting
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: 10.35451/2gjg1x56

Abstract

Standard Operating Procedures (SOP) serve as work guidelines to ensure the quality and consistency of laboratory services. Laboratory personnel compliance with SOPs is essential to minimize errors in the pre-analytical, analytical, and post-analytical stages that may affect the quality of examination results. This study aimed to analyze laboratory staff compliance with SOP  and its relationship with the quality of laboratory examination results at Grandmed Hospital, Lubuk Pakam. This research used a quantitative approach with an analytical cross-sectional design. The population consisted of all laboratory personnel at Grandmed Hospital Lubuk Pakam, totaling 30 people, selected using total sampling. Data were collected through questionnaires and observation, then analyzed using descriptive analysis and the Chi-Square test. The results showed that the level of laboratory personnel compliance with SOPs was in the high category. The Chi-Square test indicated that examination result quality, individual factors, and organizational factors had a significant relationship with SOP compliance (p < 0.05), while environmental factors showed no significant relationship (p > 0.05). In conclusion, compliance with SOPs plays an important role in maintaining the quality of laboratory examination results. Therefore, regular supervision, periodic SOP training, and continuous evaluation are needed to improve the quality of laboratory services
The Effectiveness of the Real Food Consumption Education Programme on Nutritional Knowledge among the Youth Red Cross Community Styaningrum, Silvia Dewi; Yuliati, Endri; Sari, Siska Puspita; Noviartika, Fera; Astriana, Kuntari
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/g6w02b15

Abstract

Adolescents in Indonesia face complex nutritional challenges, primarily due to high consumption of ultra-processed foods (UPFs) and excessive intake of sugar, salt, and fat (SSF), which contribute to an increased risk of non-communicable diseases (NCDs). Nutrition education in schools is a strategic approach to fostering healthy eating behaviours. This study aims to measure the effectiveness of nutrition education on the consumption of real food using a lecture and question-and-answer method within the Red Cross Youth (PMR) community. This study employs a quantitative approach, using a quasi-experimental design (one-group pretest-posttest design). A total of 82 PMR student members participated in completing the pre-test and post-test questionnaires. The educational material covered the definition and examples of real food, the health risks associated with ultra-processed foods (UPFs), restrictions on the consumption of sugar, salt, and fat (SSF), and how to read processed food labels. The instrument used to measure knowledge was a validated 15-item multiple-choice questionnaire completed via a Google Form link. Analysis using the Wilcoxon signed-rank test revealed a statistically significant difference in median pretest and posttest scores (p = 0.000). There was an increase in the median knowledge score from 83.33 to 100. A total of 53.66% of students improved their knowledge scores following the education. Nutrition education on real food, delivered through a lecture and question-and-answer method, proved effective in improving the nutritional knowledge of PMR members. PMR members are expected to act as peer educators by sharing knowledge and promoting healthy eating behaviours to their peers within the school community.

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