cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Contagion
Contact Email
contagion@uinsu.ac.id
Phone
-
Journal Mail Official
zataismah@uinsu.ac.id
Editorial Address
-
Location
Kota medan,
Sumatera utara
INDONESIA
Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Published by Universitas Islam Negeri Sumatera Utara
ISSN : -     EISSN : 26850389     DOI : 10.30829/contagion
Core Subject : Health,
Health Professions Public Health
Contagion: Scientific Periodical Journal of Public Health and Coastal Health, A Scientific Periodic Journal of Public Health published by the Public health Study Program of The Faculty of Public Health UINSU Medan. This Journal prioritiez the collaboration of lecturers and students with scope of the discussion is about Public Health, Health and Islam, and Coastal Health. This Journal is published twice, published on June and December.
Arjuna Subject : -
Articles 38 Documents
 1   2   3   4 
Search results for , issue "Vol 7, No 3 (2025): CONTAGION" : 38 Documents clear
The Effectiveness of Health Education Using Web-Based Family Planning Information Media "Life Care" in Improving Acceptors' Knowledge Asnel, Roza; Oktoviani, Salsabila; SN, Tengku Hartian; Cahyani, Mailiza; Dale, Dewinny Septalia
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.25430

Abstract

One approach to strengthening the quality of human resources is to ensure that individuals have access to reliable reproductive health information, particularly by improving knowledge about contraception through innovative digital platforms. This study examined the effectiveness of digital health education delivered through the “LIFE CARE” platform in enhancing reproductive health knowledge related to contraceptive methods among current contraceptive users. The observation was carried out at the Karya Wanita Community Health Centre in Pekanbaru City from January to July 2024, involving 77 participants selected purposively from a total of 220 contraceptive users. A one-group pretest-posttest design was applied, and knowledge scores were analyzed using the Wilcoxon test with SPSS version 25 software. Results demonstrated a significant increase in knowledge after the intervention, with median scores rising from 75 (SD = 14.27) before the intervention to 95 (SD = 6.10) post-intervention (p < 0.001). These findings confirm that web-based educational interventions are effective in enhancing contraceptive knowledge and highlight their potential to strengthen family planning services and digital health education strategies at the primary healthcare level. Keywords: Digital Health Promotion, Web-Based Education, Family Planning, Contraceptive Knowledge, Reproductive Health
Implementation Analysis of Medan City Regional Regulation No. 3 of 2014 on Smoke-Free Areas in Medan Baru District Manurung, Jasmen; Sinaga, Lia Rosa Veronika; Munthe, Seri Asnawati; Bangun, Henny Arwina
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.25809

Abstract

The Medan City Government has enacted Regional Regulation No. 3 of 2014 concerning Smoke-Free Areas (SFA) to protect the public from exposure to tobacco smoke in public facilities. However, its implementation remains inconsistent across sectors and compliance remains low. This study aims to analyze the implementation of SFA regulations in Medan Baru District, Medan City, using William C. Edwards III's policy implementation framework, which focuses on communication, resources, disposition, and bureaucratic structure. Informants were determined purposively, representing implementers, supervisors, and policy targets. The SFA regulation has been socialized but not consistently. Limited human resources, insufficient budget, irregular monitoring, and the lack of SFA signage are weaknesses in implementing the SFA regulation. Policy implementers understand the policy objectives but remain weak in commitment. The bureaucratic structure, although the division of tasks between agencies is clear on paper, suffers from weak inter-agency coordination, SOP compliance, and law enforcement. Commitment from all parties is required to implement the SFA regulation in Medan City, as almost all sectors still have weaknesses in its implementation. Keywords: SFA Regulation, Policy Implementation, William C. Edwards III, Medan City
Toxicity Assessment of Ethanol Extract from Castanopsis Costata (Blume.) A. DC Leaves on the Microscopic Structure of White Rat Kidneys Nasution, Pratiwi Rukmana; Zulfikri, Zulfikri
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.24094

Abstract

Castanopsis Costata (Blume.) A. DC. leaves are traditionally used for medicinal purposes and are known to be rich in bioactive compounds such as flavonoids, tannins, and alkaloids. However, scientific validation regarding their safety profile remains limited. This study aimed to evaluate the acute toxicity effects of ethanol extract from Castanopsis Costata leaves on the renal histopathology of white rats (Rattus norvegicus). The study used a pretest and posttest in the experimental design method. Twenty-five male rats were randomly assigned into five groups and orally administered the ethanol extract at doses of 5, 50, 300, 2000, and 5000 mg/kg body weight for seven consecutive days. On the eighth day, the rats were euthanized, and kidney tissues were collected for microscopic examination. Data normality and homogeneity were assessed before conducting one-way ANOVA followed by Tukey's HSD post hoc test. Histopathological evaluation revealed no significant morphological alterations in renal tissues across all treatment groups. Statistical analysis confirmed that the data were normally distributed and homogeneous (p > 0.05). One-way ANOVA indicated no significant nephrotoxic effects associated with extract administration across the tested doses (p = 0.023). The ethanol extract of Castanopsis Costata leaves exhibited no observable renal toxicity at doses up to 5000 mg/kg body weight in white rats, suggesting its potential safety for further pharmacological exploration. Future studies should assess sub chronic and chronic toxicity to establish a more comprehensive safety profile Keywords: Castanopsis Costata, Ethanol Extract, Renal Histopathology, Acute Toxicity, White Rats
The Effect of Self-Efficacy Training on Nursing Students' Anxiety in Facing The National Objective Structured Clinical Examination (Osce) in Medan City basri, Basri; Halawa, Afeus
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.25004

Abstract

The National Objective Structured Clinical Examination (OSCE) is a key graduation requirement for nursing students, but its implementation often triggers anxiety. This anxiety can lower self-confidence, harm academic performance, and in severe cases, even lead to depression. One effective way to address this challenge is through self-efficacy training, helping students build belief in their ability to complete tasks successfully. Strong self-efficacy fosters motivation, effort, and perseverance, which are essential when preparing for OSCE. This study used a quasi-experimental, one-group pretest-posttest design. Training was delivered in eight sessions, each lasting 60 minutes. The population included all nursing students at Prima Indonesia University, Medan, and a sample of 40 students was selected using total sampling. Anxiety levels were measured with the Hamilton Anxiety Rating Scale (HARS), and data were analyzed using a paired sample T-test. The results showed that self-efficacy training significantly reduced students' anxiety in facing the national OSCE (p = 0.001) Keywords: Self-efficacy, Anxiety, Nursing Students, National OSCE
Activity Based Costing and Cost Recovery Rate of Ureteroscopy Under Indonesia's INA-CBGs Payment System Manasikana, Arina; Suryawati, Chriswardani; Harto, Puji
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.26193

Abstract

Universal Health Coverage (UHC) sustainability in Low-and Middle-Income Countries (LMICs) hinges on adequate Diagnosis-Related Group (DRG) tariffs, which frequently fail to cover the true cost of complex, high-technology procedures. This study aimed to estimate the actual unit cost of 360 Ureteroscopy (URS) encounters (January-December 2023) using Activity-Based Costing (ABC) and assess the resultant Cost Recovery Rate (CRR) under Indonesia's INA-CBGs payment system. A retrospective descriptive quantitative design cost analysis was performed at RSI Sultan Agung Semarang. The ABC unit cost ranged from IDR 9.322.737 (Class I) to IDR 8.322.737 (Class III). Compared to the INA-CBGs tariff, a significant and consistent deficit was found exclusively in Class III procedures, yielding the lowest CRR of 69%. The deficit was primarily driven by high expenditure on imported consumables and Operating Room time. Conclusion and Contribution: The INA-CBGs tariff is structurally inadequate for high-severity URS cases, threatening hospital financial sustainability. This study provides the first ABC micro-costing evidence linked to INA-CBGs for urological procedures, offering critical data to policymakers for a targeted tariff review and enabling hospital management to optimize key cost drivers Keywords: Diagnosis-Related Groups, Activity-Based Costing (ABC), Cost Recovery Rate (CRR), Ureteroscopy (URS), Universal Health Coverage (UHC), Unit Cost
The Impact of Electronic Medical Records on Hospital Revenue from INA-CBGs Claims Maryati, Warsi; Susanto, Anton
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.24641

Abstract

Incorrect diagnosis and procedure coding are the major factors which lead to substantial reductions of claims in the INA-CBGs system. Studies have indicated reported losses of up to 23% due to this alone. This paper discusses whether Electronic Medical Records, hereafter referred to as EMRs, will mitigate such financial risks through improved documentation and coding quality. The study is a cross-sectional analysis based on 100 INA-CBGs inpatient claim documents, 50 with the use of EMRs and another 50 with the use of manual records, selected by simple random sampling technique. Five key variables have been related using the Chi-square test, multiple logistic regression analysis, and Structural Equation Modeling (SEM). Of all claims analyzed in this study, only 55% had complete medical information; diagnosis codes were accurate in 66% of them while accurate procedure codes accounted for just about 48%. Hospitals where EMRs are used had less revenue reduction at IDR 119,444,050 or -23.47%, compared to hospitals without EMRs which used manual records with a revenue reduction rate standing at IDR 272,422,069 or -47.92%. Of the claims analyzed, 55% had complete medical information, 66% had accurate diagnosis codes, and 48% had accurate procedure codes. Hospitals using EMRs experienced a smaller revenue reduction (IDR 119,444,050 or -23.47%) compared to those using manual records (IDR 272,422,069 or -47.92%). Diagnosis codes at accuracy (b = 3.595; p = 0.001), procedure codes at accuracy (b = 4.461; p < 0.001), documentation at completeness (b = 2.331; p < 0.001) and EMR use (b = 0.425; p < 0.001) were all significant factors with results of claims. EMRs significantly improve coding accuracy and reduce claim deductions, mitigating financial risk. Accelerating EMR adoption is recommended to strengthen hospital claim performance in the national health insurance system. Keyword: Electronic medical record; Diagnosis; Procedure; Hospital revenue; INA-CBGs
Successful Appendiceal Ureteral Substitution in a Rare Ureteric Involvement of Rhabdomyosarcoma in a Child - A Case Report Ariyono, Ali; Soerohardjo, Indrawarman; Hendri, Ahmad Zulhan
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.25831

Abstract

Ureteral Rhabdomyosarcoma (RMS) in children is a rare malignancy that may involve the ureter, leading to obstruction and hydronephrosis. Management requires a combination of oncologic therapy and individualized surgical planning, particularly when tumor resection results in extensive ureteral defects. This case report describes an 8-year-old girl with pelvic embryonal RMS involving the right distal ureter, previously treated with pelvic radiotherapy and VAD (vincristine, actinomycin, and doxorubicin) chemotherapy. Imaging showed tumor compression of the distal ureter with grade III hydronephrosis. Surgical resection necessitated en bloc distal ureterectomy, creating a 10-cm ureteral defect. Due to prior pelvic radiation and concerns regarding bladder fibrosis and metabolic complications from bowel interposition, ureteral substitution using the appendix was performed. Postoperative recovery was uneventful, with stable renal function, normal electrolyte balance, and no urinary leakage. Follow-up imaging at 6 months demonstrated a well-functioning appendiceal conduit and no residual tumor. This case illustrates that appendiceal ureteral substitution can be a safe and effective reconstructive option for long distal ureteral defects in pediatric RMS, particularly when prior radiation limits alternative techniques. Careful surgical technique and close follow-up remain essential to ensure optimal outcomes Keywords: Ureteral Substitution, Ureteral Reconstruction, Appendix, Embryonal Rhabdomyosarcoma
Effectiveness Test of Bay Leaf Ethanol Extract as Antihyperuricemia Invivo S, Hilda; Panjaitan, Rosnike Merly; Hidayah, Nurul
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.26098

Abstract

The imbalance between high production and low excretion of uric acid in the body causes hyperuricemia, which can lead to gout. This disease is the second largest after stroke in Indonesia. Conventional therapy is not free from adverse effects. The tendency of society to go back to nature and the government's "Saintifikasi Jamu" program are efforts to explore safer alternative therapies. One of the plants that has the potential as an antihyperuricemia is bay leaves (Syzygium polyanthum Walp.). The purpose of this study is to optimize the use of scientifically based bay leaves as an antihyperuricemia agent. The research method used is experimental with a pre-posttest design . A total of 20 mice were divided into 5 test groups (induction, comparison, bay leaf extract group (EEDS) with doses of 100 mg/kgBW, 200 mg/kgBW, and 400 mg/kgBW. The effectiveness of antihyperuricemia was tested by inducing mice with 1% chicken liver juice and potassium oxonate. Uric acid levels were measured at T1, T7 and T14 days of the study using a Blood Uric Acid Meter. All groups of test extract doses showed effectiveness as agents to lower uric acid levels significantly compared to the induction group (p<0.05). The potential effectiveness of the antihyperuricemia extract showed an effect that was not statistically different from the comparison (allopurinol) (p>0.05) at all measurement points. The conclusion of this study shows that bay leaf ethanol extract has the potential as an antihyperuricemia agent, where a dose of 100 mg/kgBW showed the best effectiveness as an antihyperuricemia Keywords: Bay Leaves, Extract, Chicken Liver, Potassium Oxonate, Uric Acid
Determinant Risks of Adolescent Sex Behavior in Terjun Village Bukit, Dhani Syahputra; Rochadi, Kintoko; Keloko, Alam Bakti
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.22211

Abstract

Adolescent sexual behavior is a complex issue that has a major impact on the health and well-being of young people worldwide. In today's internet era, it is shaped by many factors, including peer influence, family support, access to pornography, and reproductive health services. This study set out to examine the variables that influence adolescent sexual behavior. Using a cross-sectional design, researchers surveyed 170 adolescents in Terjun Village, selected through random sampling. Data were analyzed with the chi-square test to identify relationships between variables. The results showed that knowledge (p = 0.006), family support (p = 0.0005), and access to pornographic content (p = 0.0005) were significantly related to adolescent sexual behavior. In contrast, reproductive health services (p = 0.196) and peer influence (p = 0.440) did not show a significant relationship. These findings suggest that to help adolescents live healthier and more responsible sexual lives, efforts should focus on comprehensive sex education, strong family support, reproductive health promotion, and policy advocacy that reinforce these strategies Keywords: Adolescent, Sexual Behavior, Health, Risk
Developing a Social Learning-Based Educational Model to Improve Pregnancy and Baby Care Behavior in Adolescent Mothers Susanti, Dewi; Faisal, Muhammad; Yusefni, Elda; Renidayati, Renidayati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.25510

Abstract

Adolescent pregnancy remains a serious public health issue, especially in developing countries. Many young mothers struggle because they lack the knowledge, emotional readiness, and support systems needed to maintain a healthy pregnancy and care for their babies. In Indonesia, these challenges are made worse by limited reproductive health education and the presence of social stigma. Padang, West Sumatra, faces similar concerns, with relatively high rates of adolescent pregnancy. The region's predominantly Muslim population and the Minangkabau culture; known for its strong emphasis on family and community values, play a significant role in shaping adolescent reproductive health behaviors. This study aims to design an educational model based on social learning theory to improve pregnancy and baby care practices among adolescent mothers in West Sumatra. A convergent mixed-methods design was used. Quantitative data came from structured questionnaires completed by 76 pregnant adolescents, while qualitative insights were gathered through interviews and focus group discussions with 11 informants, including adolescent husbands, family caregivers, midwives, and psychologists. The analysis showed that knowledge alone was not enough to encourage positive maternal behavior. Emotional readiness, stress management, family communication, and future planning were all significantly linked to better pregnancy care (p < 0.05). Qualitative findings further highlighted the importance of group-based training, interactive modules, accessible materials, and family involvement in strengthening adolescents' readiness and caregiving skills. The proposed educational model, grounded in social learning principles, offers a culturally sensitive and practical approach to empower adolescent mothers. If applied in community and clinical settings, it has the potential to improve maternal and child health outcomes and reduce the long-term risks associated with adolescent pregnancy Keywords: Adolescent pregnancy, educational model, social learning theory, maternal behavior, baby care

Page 1 of 4 | Total Record : 38

 1   2   3   4 

Filter by Year

2025 2025


Reset
Filter By Issues
All Issue Vol 8, No 1 (2026): CONTAGION Vol 7, No 3 (2025): CONTAGION Vol 7, No 2 (2025): CONTAGION Vol 7, No 1 (2025): CONTAGION Vol 6, No 2 (2024): CONTAGION Vol 6, No 1 (2024): CONTAGION Vol 5, No 4 (2023): CONTAGION Vol 5, No 3 (2023): CONTAGION Vol 5, No 2 (2023): CONTAGION Vol 5, No 1 (2023): CONTAGION Vol 4, No 2 (2022): CONTAGION Vol 4, No 1 (2022): CONTAGION Vol 3, No 2 (2021): CONTAGION Vol 3, No 1 (2021): CONTAGION Vol 2, No 2 (2020): CONTAGION Vol 2, No 1 (2020): CONTAGION Vol 1, No 01 (2019): VOL 01 NO 01 Vol 1, No 2 (2019): Vol 01 No 02 More Issue