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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.
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Articles 465 Documents
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The Influence Functional Status on The Quality Life Post Patients Stroke Tiur Romatua Sitohang; Herlina Evi Yanti Manik
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21814

Abstract

Stroke is a functional brain disorder that occurs suddenly and is characterised by clinical symptoms both vocal and global which persist for a period exceeding 24 hours. These symptoms are caused by disorders affecting the blood circulation system. In patients who have suffered a stroke can result in difficulties for carrying out activities of daily living and in the development of motor skills. The research design was a correlational observational study with a cross-sectional approach. The study sample comprised 30 post-stroke patients. Inclusion criteria were patients post-stroke one year or more, seeking outpatient treatment at the Neurology Clinic from June to August 2024. Sampling was conducted using the purposive sampling technique. Spearman rho test for bivariat analysis is used to assess the impact of functional status on the quality of life of post-stroke patients. The research instrument was a questionnaire. The Functional Status Questionnaire employs the Barthel Index scale. The respondent indicated that they were fully independent. The quality of life questionnaire employs the Short Form Stroke-Specific Quality of Life Scale (SSQOL). P-value for the spearman correlation test is 0.046 (<0.05) indicates that there is a statistically significant influence between functional status and the patient's quality of life. The correlation coefficient value is r=0.368, indicating that the influence between functional status and quality of life is moderate to strong. These positive results indicate that as an individual's functional status improves, so does their quality of life one year after stroke. Consequently, the functional status of these patients can be improved through stroke rehabilitation, which is designed to enhance quality of life. Keywords: Functional Status, Stroke, Quality of Life
Food Poisoning Outbreak Prevention Model: The Role of Health Workers for Food Safety of Catering Owners Rapida Saragih; Hardisman Dasman; Ahmad Syafruddin Indrapriyatna; Finny Fitry Yani; Nur Indrawaty Lipoeto; Husna Yetti; Ilmiawati Ilmiawati; Harnavi Harun
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.22195

Abstract

Food poisoning is a serious problem that can have an impact on public health. This incident occurs when the food consumed is contaminated by bacteria, viruses, parasites or hazardous chemicals. Medan City is an area where food poisoning incidents occur every year. The purpose of this study is to examine the importance of the role of health workers in preventing extraordinary incidents of food poisoning. This study is an exploratory qualitative study through a phenomenological approach. The location of the qualitative research was conducted at the Medan City Health Office, in the working area of the Medan Area, Medan Deli, and Tuntungan Health Centers which were designated as research areas. Data collection was carried out through several main techniques, namely in-depth interviews with interview guidelines, observation, and focus group discussions. While The data processing process involves several stages, namely starting with data transcription, data reduction, and data presentation. The final stage is drawing conclusions and verification. Data analysis uses a triangulation approach to increase the credibility of research results, including data triangulation, observer triangulation, theory triangulation, and triangulation Methods. This study was conducted in 2024 with informants including the Disease Prevention and Control Team and the Public Health Team, the head of the health center. The results of this study indicate that efforts to prevent food poisoning outbreaks have not been going well. Where the cause is the suboptimal role of health workers in monitoring and evaluation due to limited human resources, in addition to the lack of training related to prevention and handling and the absence of a special policy for food poisoning outbreaks. This prevention can only be implemented if there is collaboration between health workers and catering owners to add a shared commitment to food safety. and it is necessary to carry out comprehensive coaching and supervision efforts. Keywords: Prevention, Extraordinary Events, Food Poisoning, Health Workers
Analysis Environmental Sanitation Distribution Patterns Stunting Incidence in Silahisabungan Subdistrict Deli Syaputri; Th Teddy Bambang S; Samuel Maganda H Manalu; Desy Ari Apsari; Riyanto Suprawihadi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21945

Abstract

Stunting is a public health problem caused by chronic malnutrition and is often exacerbated by poor environmental sanitation. Environmental sanitation factors that cause it are clean water management, waste management, feces management and sewerage management. Improving sanitation infrastructure and promoting healthy living behaviors are essential to reduce stunting and support sustainable health outcomes. In Silahisabungan Subdistrict, Dairi Regency, this study is to examine the distribution pattern of environmental cleanliness and its relationship to the prevalence of stunting. This type of research is observational with a case control design and ecological approach, to obtain an overview of the distribution patterns of stunting and environmental sanitation using geographic information system applications. The case sampling technique used total sampling. Where all stunted toddlers were taken as cases as many as 58 toddlers and controls as many as 58 toddlers. Purposive sampling was used to conduct the research sampling. This study's data was analysed using univariate, bivariate, and multivariate methods, including logistic regression, chi-square statistical tests, and mapping of stunting data using Google Earth and Quantum GIS. The results showed that there was a significant relationship between water management (p-value=0.000), waste management (p-value=0.032), waste management (p-value=0.000) and there was no significant relationship between feces management (p-value=0.193) with the incidence of stunting. Improving environmental sanitation is a key factor in reducing the prevalence of stunting. Interventions that focus on increasing access to clean water, building sanitation facilities, and educating the community about clean and healthy living behaviors need to be prioritized. Keywords: Environmental Sanitation, Distribution Pattern, Stunting
Relationship between Knowledge and Compliance of Pregnant Women in Consuming Fe Tablets in the Work Area of the Kartasura Public Health Center Arvinda Dwi Nugraheni; Sulastri Sulastri
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21712

Abstract

One of the common health issues that can seriously affect both the mother and the foetus is anaemia disease in pregnant women. Taking iron (Fe) supplements on a regular basis throughout pregnancy is one way to prevent anaemia. Numerous expectant mothers in the Kartasura Health Center's service area are still unaware of the benefits of taking iron supplements during pregnancy, which leads to anaemia in many of them. In the Kartasura Health Centre, the purpose of this study is to ascertain the association between pregnant women's level of understanding on the use of Fe pills. This study employed a cross-sectional methodology and an analytical survey design. The research was conducted in the Kartasura Health Center Working Area, Sukoharjo Regency, Central Java Province, and was carried out from August 2024. The study population of pregnant women in trimesters 1-3 who were in the Kartasura Health Center Working Area was 258. The sample was taken by purposive sampling from pregnant women registered at the Kartasura Health Center, so the research sample obtained was 72 pregnant women. Data collection was done through questionnaires. Univariate analysis and the bivariate chi-square test were used to analyse the data. The results showed a significant relationship between pregnant women's knowledge level and compliance level in taking Fe tablets (p-value=0.020 < α 0.05). When it comes to taking Fe pills, pregnant women with greater knowledge are generally more obedient than those with less information. It is recommended that health workers enrich the knowledge of patients by more routinely providing education related to the need to consume Fe tablets, using leaflets or posters that are made attractive. This can be given by health workers at every pregnant women's class meeting so that the level of knowledge of mothers becomes better and they become more compliant in consuming Fe tablets. Keywords : Knowledge, Compliance, Pregnant Women, Fe Tablets, Anemia
Correlation Between Self-acceptance and Quality of Life in People with Hypertension Muhammad Fajar Afnizar; Fahrun Nur Rosyid
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21636

Abstract

Low level of self-acceptance and quality of life often be one of the main problem faced by people with hypertension. Changes in many aspects of everyday life lead to the decrease of many physical and mental abilities of patients. Thiese abilities including their ability to cope mentally to their condition which is self-acceptance, and also their ability to adapt their physical conditiona to the new life style after hypertension which is quality of life. This research aims to determine the relationship between the level of self-acceptance and the hypertension sufferer's quality of life in The Kartasura Health Center working area. the research used a cross-sectional correlational analitic design which was carried out at The Kartasura Health Center in the period March - July 2024. The population of this research were 515 hypertension patients. The sample consisted of 215 participants taken through accidental sampling by taking random patients who checked themselves to Kartasura Health Center the days when the research occurred. Data collecting of this research using two kind of questionnaires. Self-acceptance measured through Unconditional Self-Acceptance Questionnaire (USAQ). Hypertension sufferer's quality of life measured through WHOQOL-BREF Questionnaire. The results of this research were obtained through univariate and bivariate test. Univariate analysis showed that the majority of people with hypertension had a moderate level of self-acceptance (75.3%) and a moderate level of quality of life (66%). Bivariate analysis correlation test with Spearman Rank showed that there is a significant relationship between the level of self-acceptance and the quality of life of people with hypertension (p-value = 0.000). Policy such as including not only physical but also mental-emotional check up and treatments such as emotional support therapy, behavioral therapy, mental counseling, and in team activities into posyandu and posbindu could be a good step to solve these problems. Keyword: Hypertension, Quality of Life, Self-acceptance
Risk Factors Associated with Prolonged Intensive Care Length of Stay among Coronary Artery Bypass Surgery Patients Shafira Rahmania; Helda Helda
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.22216

Abstract

Cardiovascular diseases, particularly coronary artery disease (CAD), remain one of the leading causes of global mortality. Coronary Artery Bypass Graft (CABG) surgery is one of the most common treatments for CAD, aiming to reduce morbidity and improve patient quality of life. However, extended stays in the Intensive Care Unit (ICU) post-CABG can negatively affect patient outcomes and increase healthcare resource burdens. This study aims to identify the risk factors that significantly contribute to prolonged ICU stays in post-CABG patients at the National Cardiovascular Center Harapan Kita. A retrospective cohort study was conducted on 4564 patients who underwent CABG surgery between January 2017 and August 2024. Factors such as age, renal failure, stroke, cardiogenic shock, ejection fraction, and use of Intra-Aortic Balloon Pump (IABP) were analyzed. Bivariate analysis was performed using Stata 15.1 version through the Chi-square test, resulting in P-Value and Confidence Interval, and followed by multivariate logistic regression to determine significant predictors. Among the patients, 747 (16.3%) experienced prolonged ICU stays (≥72 hours). Significant risk factors for prolonged ICU stay included age ≥59 years (OR 1.43, 95% CI 1.16-1.71), history of renal failure (OR 2.39, 95% CI 1.74-3.28), preoperative stroke (OR 1.85, 95% CI 1.38-2.48), cardiogenic shock (OR 13.9, 95% CI 5.42-35.64), low ejection fraction (OR 2.66, 95% CI 1.33-3.73), and IABP use (OR 36.34, 95% CI 26.20-50.40). This study showed that there are several risk factors such as age, history of renal failure, preoperative stroke, cardiogenic shock, low ejection fraction, and IABP usage which needs attention to produce better outcome, especially for ICU stay in isolated CABG patients in Indonesia. Keyword: CABG, Intensive Care, Prolonged Stay, Risk Factors
Description of The Level Of Knowledge Dietary Patterns for Diabetes Mellitus Among The Elderly at The Brati Community Health Center Charisma Alzura; Adisty Rose Artistin
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.19995

Abstract

As per the data from World Population Projection, there are currently 901 million individuals who are over 60 years of age. It is anticipated that this number will rise by approximately 56%, from 901 million to 1.4 billion. Hyperglycemia, or elevated blood sugar levels, is a hallmark of diabetes mellitus (DM), a chronic metabolic disease brought on by an imbalance between the supply and demand of insulin (David et al., 2018). Under the heading "Overview of the Knowledge Level of the Elderly About the Diabetes Mellitus Diet at the Brati Community Health Center," the author expresses interest in studying the lack of knowledge that the elderly have regarding the diabetes mellitus diet..The purpose of the study is to find out how much the elderly at the Brati Community Health Center know about the diabetes mellitus diet in 2024. This kind of cross-sectional, quantitative research uses an analytical correlation design. 71 respondents in all were used for the sample selection process in this study, which used total sampling. Cross-tabulation analysis was used to examine the research data, which were collected via a questionnaire about knowledge of the Diabetes Mellitus diet (crosstab). The majority of respondents, or 56 persons (78.9%), had a good understanding of the Diabetes Mellitus Diet, according to the results of a univariate analysis of the respondents' characteristics and their level of diet knowledge. According to the cross-tabulation results, women in their 60s and 70s with upper secondary education, a 3- to 5-year illness duration, and normal GDS measurement results <126 mg/dL were identified as having a good level of knowledge about the DM diet. Keywords: Diabetes Mellitus, Elderly, Level of Knowledge
The Relationship between Pregnancy Exercise and the Level of Anxiety of Pregnant Women in Confronting Normal Childbirth at the Kartasura Health Center Work Area Putri Nurlia Anggraini; Sulastri Sulastri
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21714

Abstract

The first of the psychological issues that pregnant women frequently face, particularly during the third trimester, is anxiety related to typical labor. Pregnancy exercises are among the non-pharmacological strategies that can be used to lessen anxiety. The purpose of this study is to ascertain how pregnant women's anxiety levels at the Kartasura Health Center working area relate to their prenatal exercise regimens. This study employed a cross-sectional design and a quantitative methodology. The research was conducted in the working area of the Kartasura Health Center which was carried out in August 2024. The population of this study were all third trimester pregnant women in the Kartasura Health Center area as many as 258. The sample technique used purposive sampling so that the sample in this study was 72. Data collection for this study used demographic questionnaires and PASS (Perinatal Anxiety Screening Scale) anxiety questionnaires. Data analysis in this study with Descriptive Univariate and Bivariate analysis with Chi-Square test. The results showed that pregnant gymnastics has a relationship with reducing anxiety and smoothness in facing the normal labor process at the Kartasura Health Center (p-value-0.036). It is expected that medical professionals can increase the pregnant exercise program and reduce maternal morbidity. Pregnant exercises can be included in the childbirth preparation program at the Kartasura Health Center to help pregnant women face childbirth more calmly. Keywords: Pregnancy Exercise, Anxiety, Third Trimester Pregnant Women
Analysis of Factors Associated with the Performance of HIV/AIDS Program Managers at the East Kutai District Health Service Rikka Oktora; Ratno Adrianto; Ratih Wirapuspita Wisnuwardani; Ratna Wati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21661

Abstract

It turns out that the East Kutai District Health Service has not been able to increase the SPM HIV/AIDS performance achievement to 100% in East Kutai District. This is proven by the SPM achievement still being at 98% in 2022 and 92% in 2023. Many factors are related to the performance of program managers, including the availability of infrastructure, motivation, opportunities and health services. This research aims to determine factors related to the performance of HIV/AIDS program managers at the East Kutai District Health Service. This research method is quantitative with a total sample of 50 people, data analysis uses statistical correlation analysis using the che squere test. The research results show that the relationship between infrastructure and the performance of HIV/AIDS program managers with a sig value of 0.000 means sig < α (0.05). The relationship between motivation and the performance of HIV/AIDS program managers with a sig value of 0.010 means sig < α (0.05). The relationship between opportunities and the performance of HIV/AIDS program managers with a sig value of 0.000 means sig < α (0.05), and the relationship between health services and the performance of HIV/AIDS program managers with a sig value of 0.001 means sig < α (0.05). This research concludes that there is a significant relationship between the availability of infrastructure, motivation, opportunities and health services and the performance of HIV/AIDS program managers at the East Kutai District Health Service. This requires efforts to increase the speed and accuracy of the distribution of infrastructure, provide space for team member creativity, provide incentives and rewards to employees, open up opportunities for team member career advancement and bring services closer to the community with easy and affordable services, especially for HIV/AIDS patients. Keywords: Performance, HIV/AIDS Program
Effect of Role Play Intervention on Knowledge, Attitudes, and Actions in Mosquito Nest Eradication for DHF Prevention in Tanjung Morawa Health Center, Deli Serdang Samuel Marganda Halomoan Manalu; Deli Syaputri; Nelson Tanjung; Erba Kalto Manik
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21946

Abstract

One of the endemic illnesses in Indonesia and other nations is dengue fever. Aedes genus mosquitoes, particularly Aedes aegypti, are the vectors of dengue fever transmission. The growth of Aedes aegypti mosquitoes is significantly influenced by the environment. The Tanjung Morawa Health Center's working environment demonstrates the existence of dengue fever-causing mosquito breeding grounds, including the buildup of trash in the shape of bottles, glasses, aqua, plastic, and discarded water holding cans. This study aims to determine the effect of the intervention of the role play method of DHF prevention efforts on increasing community knowledge, attitudes, and actions regarding the eradication of mosquito nests in the working area of the Tanjung Morawa Health Center, Deli Serdang Regency in 2024. This research is a Quasi Experiment research with Pre and Post Test design. The research was conducted in the working area of the Tanjung Morawa Health Center, Deli Serdang Regency, which was carried out in June 2024. The population in this study were all heads of families who had DHF patients in Deli Serdang Regency. Sampling used purposive sampling technique. Data collection using pretest and postest questionnaires. This health research used standing banners and mosquito nest eradication demonstrations to improve knowledge, attitudes, and actions of the community in preventing DHF. Data analysis with bivariate analysis paired sample t-test. The results showed a significant difference in knowledge, attitudes, and actions before and after the intervention with the role play method (p-value=0.001 <0.05). Keywords: Action, Attitude DHF, Knowledge, Role Play Method

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