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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 Effectiveness of Hospital Management on Increasing Productivity of Nurse Performance in Hospitals Royal Prima, Medan M.Rizki Fadirah Harahap; Ermi Girsang; Santy Deasy Siregar
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.v6i2.22232

Abstract

This study aims to evaluate the effectiveness of hospital management in increasing the productivity of nurse performance at Royal Prima Hospital, Medan. This study uses a quantitative approach with a cross-sectional design, which was conducted at Royal Prima Hospital in 2024. The study population was 60 nurses working in the hospital, with a sample of 60 nurses selected using a random sampling technique. Inclusion criteria include nurses who have more than one year of work experience, are willing to be respondents, and are not on leave or in further education. The research instrument is in the form of a questionnaire that covers aspects of hospital management and nurse performance productivity. The data was analyzed using the Structural Equation Modeling (SEM) method with the Partial Least Square (PLS) approach using SmartPLS version 3.0. The results of the t-test showed that the effectiveness of hospital management had a significant positive influence on nurse productivity (t count = 3.981 > t table = 2.001; p-value = 0.000). The F test shows a significant model with a calculated F value of 12.34 (F table = 3.15). In the early stages of the analysis, the valid indicators were the effectiveness of management communication (X.2) and the level of patient satisfaction (Y.2), with an outer loading > of 0.7. After the removal of invalid indicators, all variables met convergent validity (AVE > 0.5) and reliability (Cronbach Alpha > 0.7). The results of the study emphasize the importance of effective communication and coordination between management and nursing staff to create a work environment that supports increased productivity. Hospitals are advised to improve communication-related training, strengthen cross-departmental coordination, and adopt data-driven management policies to support strategic decision-making. These findings are expected to strengthen the quality of health services and increase patient satisfaction. Keywords: Communication, Effectivenes, Hospital,Management, Nurse Productivity
Description of HIV/AIDS Incidence in Helvetia Health Center, Medan City Apriliani Apriliani; Rahmat Alyakin Dachi; Mido Ester Juniati Sitorus; Donal Nababan; Siska Evi Simanjuntak
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.v6i2.23537

Abstract

HIV/AIDS is a contagious disease that has become a strategic issue in the SDGs (Sustainable Development Goals) agenda, making it a priority for development in every country to achieve HIV/AIDS elimination by 2030. HIV/AIDS poses a significant challenge to public health globally, affecting both developed and developing countries, including Indonesia. This study aims to provide an overview of the incidence of HIV/AIDS at Puskesmas Helvetia. The study employed a quantitative design with a case-control approach. The research was conducted at Puskesmas Helvetia from December 2023 to June 2024. The population of this study consisted of all HIV-positive patients at Puskesmas Helvetia, totaling 855 individuals. A purposive sampling technique was used for case and control sampling, with a sample size of 154, split evenly between cases and controls (77 samples each). The study utilized both primary data, collected through interviews, and secondary data from the SIHA 2.1 application. The instrument used was a questionnaire. Data analysis was conducted using univariate descriptive analysis, including distribution and frequency. The results revealed that the majority of respondents were unemployed (53 individuals, 34.4%), had insufficient knowledge (80 individuals, 51.9%), had a history of sexually transmitted infections (STIs) (106 individuals, 68.8%), identified as homosexual (120 individuals, 77.9%), and did not use condoms (110 individuals, 71.4%). The low level of knowledge regarding STIs contributed to high-risk sexual behaviors, including inconsistent condom use. Therefore, there is a need for interventions such as more intensive health education, improved access to sexual health services, and economic empowerment programs for vulnerable groups to reduce STI incidence. Keywords: HIV, AIDS, Incidence
Analysis of Factors Influencing the Productivity of Inpatient Nurses at Mitra Medika Premiere Hospital Annisa Fadhillah Nasution; Chrismis Novalinda Ginting; Ali Napiah Nasution
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.v6i2.21191

Abstract

The productivity of nurses, being the frontline of healthcare services, is a crucial issue for maintaining and enhancing the quality of healthcare services. High productivity of nurses serves as a bridge to ensure the quality of healthcare services provided to both sick and healthy patients. This study aims to analyze the factors that influence the productivity of inpatient nurses at Mitra Medika Premiere Hospital. This research is an observational analytic study with a cross-sectional design. The study was conducted at Mitra Medika Premiere Hospital from November 2023 to March 2024. The population consists of all inpatient nurses at Mitra Medika Premiere Hospital, totaling 70 nurses, and the sample size is also 70 nurses. The sampling technique employed was total sampling. Data collection was done using primary data obtained from respondents through questionnaires. The data analysis consisted of three stages: univariate analysis using frequency, bivariate analysis using chi-square tests, and multivariate analysis using multiple logistic regression tests with a 95% significance level (α = 0.05). The results of the study indicate that the factors influencing the productivity of inpatient nurses at Mitra Medika Premiere Hospital are gender (p-value=0.036; ExpB=3.094), working hours (p-value=0.001; ExpB=17.832), and workload (p-value=0.012; ExpB=5.743). Gender, working hours, and workload significantly contribute to the productivity of inpatient nurses at Mitra Medika Premiere Hospital. The most dominant factor influencing the productivity of inpatient nurses is working hours. Recommendations for Hospital include reducing working hours, as shorter working hours can enhance concentration and motivation, thereby increasing nurse productivity. Additionally, reducing tasks and responsibilities can alleviate the workload of nursesKeywords: Inpatient, Nurses, Productivity
Adherence with Antiretroviral (ARV) Treatment of People with HIV (ODHIV) at Teladan Medan Health Center Sarah Fadhila Siregar; Donal Nababan; Janno Sinaga; Daniel Ginting; Asima Sirait
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.v6i2.23791

Abstract

Indonesia is the 5th most at-risk country for HIV/AIDS in Asia. HIV/AIDS cases have become a problem in the world and are the 4th leading cause of death. In overcoming the issue of HIV/AIDS, patients must take antiretroviral drugs which only improve the quality of life. However, in reality, there are still many sufferers who are not compliant with the treatment being carried out. This study aims to analyze the factors that influence compliance with ARV treatment at the Teladan Medan Health Center. This study uses a quantitative research type with a descriptive approach. The study was conducted on PLHIV at the Teladan Medan Health Center starting from September 2023 - March 2024. The study population was 1,356 people, and the sample was taken from 150 people using a purposive sampling technique. The instruments used were adopted from previous studies that had been tested for validity and reliability and for the saturation variable using the medication saturation questionnaire by the Maslach Burnout Inventory. The results of the study showed that the majority of knowledge of PLHIV at Teladan Medan Health Center was in the good category as many as 121 (80.7%), the distance of PLHIV health services to the Health Center was mostly far as many as 90 (60%), the majority of PLHIV had experienced side effects as many as 111 (74%), the majority of PLHIV had experienced stigma as many as 89 (59.3%), boredom as many as 98 (65.3%) and the majority of PLHIV did not receive support in ARV treatment as many as 114 (76%). It can be concluded that the factors that influence adherence to ARV treatment are knowledge, distance of service, side effects of drugs, stigma, boredom and family support. Keywords: Antiretroviral, Human Immunodeficiency Virus , Compliance
Strengthening Teacher Support and Adolescent Self-Efficacy Through the Teenager Care Method in Preventing Early Marriage Putu Sudewi Arsini; Dewi Kartika Sari; Diadjeng Setya Wardani; I Wayan Agung Indrawan; Sri Andarini; Agus Adi Putrawan
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.24047

Abstract

Indonesia is the country with the second-highest ranking in terms of child marriage. One preventive approach is to enhance teacher support and adolescent self-efficacy by utilizing innovative learning methods. This study aims to analyze the effect of the Teenager Care Method on improving teacher support and students' self-efficacy in preventing early marriage. This study used a quasi-experimental one-group pretest-posttest design. This research was conducted at Singosari State Junior High School. From a total population of 50 teachers and 250 students who met the inclusion and exclusion criteria, 44 teachers and 72 students were used as research samples. This research was conducted at one of the junior high schools in Singosari. The first involved the method for teachers, implemented through lectures, interactive dialogues, and role-play. The second intervention targeted adolescents and was conducted using lecture-based methods and small-group case discussions. This study utilizes IBM SPSS Statistics 26 software with a 95% confidence level. The significance limit value of alha is 0.05. Data were analyzed using the Wilcoxon Signed-Rank Test. The results showed a significant increase in teacher support for early marriage prevention after the implementation of the Teenager Care Method (p < 0.001). Similarly, there was a substantial improvement in students' self-efficacy regarding the prevention of early marriage (p < 0.001). The Teenager Care method effectively enhances teacher support and students' self-efficacy in preventing early marriage. This method could be a practical preventive strategy that involves active teacher participation and fosters adolescent empowerment.Keywords: Teacher Support, Self-Efficacy, Adolescents, Early Marriage
The Association Between Exclusive Breastfeeding, Parenting Styles, and Picky Eating Behavior Among Preschool Children at State Kindergarten Pembina Meulaboh, West Aceh (2024) Sayyida Wanda Aishah; Itza Mulyani; Laila Apriani Hasanah Harahap; Marniati Marniati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.22960

Abstract

Picky eating, also known as selective eating, is a common behavior observed in young children during their developmental years. It is characterized by a limited food variety and reluctance to try new food options, even when they are familiar or previously consumed. This study aims to examine the relationship between exclusive breastfeeding and parenting styles with picky eating behavior. Using a quantitative cross-sectional design, the research was conducted at State Kindergarten Pembina Meulaboh in August 2024. The study population consisted of 70 kindergarten children, with a total sampling technique yielding 64 participants. Data were analyzed using the chi-square test. The results indicated a significant relationship between the history of exclusive breastfeeding and picky eating behavior (p = 0.022; OR = 1.192). However, no significant association was found between parenting styles and picky eating (p = 0.875). Based on these findings, it is recommended that parents pay greater attention to food variety in children's diets to prevent boredom and encourage diverse eating habits. Keywords: Exclusive Breastfeeding History, Parenting, Picky Eater
Implementation of the Smoke-Free Policy in the Tourist Destination Area of Lake Toba, Toba Samosir Regency, Indonesia Novi Susanti; Desty Adinda; Abdillah Ahsan; Putra Apriadi Siregar; Dina Ayu Wardani; Nada Nurjanah Afrillia; Prima Yanti Siregar; Tri Bayu Purnama
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.23986

Abstract

The prevalence of smoking in Indonesia remains alarmingly high, with early initiation among children and adolescents contributing to a significant burden of smoking-attributable diseases and escalating national healthcare costs. Despite the implementation of a Smoke-Free Policy (SFP) in Toba Samosir Regency, particularly in the Lake Toba tourist area, compliance remains low, undermining efforts to create a healthy, smoke-free environment for both residents and visitors.Objectives: Beautiful scenery of Lake Toba is not followed by clean and healthy air; this is because there are still many smokers found, the smell of cigarette smoke and cigarette butts in the priority tourist attractions of Lake Toba, Toba Samosir Regency. This study aims to determine the implementation of the Toba Samosir Regents smoke-free policy on the Regional Regulation No. 55 of 2018 Toba Samosir in the priority tourist destination area of Lake Toba, Toba Samosir Regency. This study uses a cross-sectional design. The object of this research is the priority tourist destination area of Lake Toba, Toba Samosir Regency Random cluster sampling was used to choose samples from the population. These samples included 100 tourist facilities on Lake Toba, 100 tourists on Lake Toba tourist facilities, and 100 tourist managers. JASP version 16 was used to analyze the data. The results of this study show that tourist facilities still need to follow the smoke-free policy (SFP) more (21%). Beaches and waterfalls have the lowest rates of smoke-free policy (SFP) compliance for tourist facilities (0%), restaurants and cafes (8.3%), hills and mountains (20%), monuments (22.2%), hotels (38.1%), and markets and souvenir places (60%). Most smoke-free policy (SFP) violations are no sign (68%), smoking (42%), ashtrays (38%), and cigarette butts (32%). Overall compliance was low in Toba Samosir Regency due to many challenges. This information provides lessons regarding tobacco control policy in underdeveloped areas far from the central government. Keyword: Compliance, Smoke, Smoke-free policy, Tourism facilities.
Effectiveness of Fall Prevention Education on Nurses' Compliance and Patient Safety Attitude: Experimental Study in Elderly Liany Kimberly; Azizah Khoiriyati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.23764

Abstract

Falls pose a significant challenge in elderly hospital care, often resulting in severe injuries and increased morbidity risk. Two critical factors in reducing fall incidence are nurses' adherence to fall prevention protocols and their attitudes toward patient safety. The Fall Tailoring Intervention for Patient Safety (TIPS) toolkit is an innovative tool designed to enhance nurses' awareness and implementation of fall prevention strategies. However, its adoption in Indonesian hospitals remains limited, necessitating further research on its effectiveness. This study aims to evaluate the impact of the Fall TIPS toolkit on fall prevention by assessing its influence on nurse compliance and patient safety attitudes. Using a quasi-experimental pre-posttest design with a control group, this study involved 52 nurses from the adult inpatient unit of a private hospital in Manado, Indonesia. Participants were divided into an intervention group and a control group. Data on compliance and patient safety attitudes were collected through questionnaires. The Wilcoxon test showed no significant difference in nurse compliance before and after the intervention (p > 0.05), but a significant improvement was observed in patient safety attitudes (p < 0.05). Additionally, Mann-Whitney test results indicated a significant difference between the intervention and control groups in both compliance and patient safety attitudes. The findings suggest that the Fall TIPS toolkit is an effective strategy for enhancing nurses' compliance and patient safety attitudes in hospital settings. To ensure sustained adoption and effectiveness in fall prevention, hospitals are encouraged to integrate the toolkit into standard nursing protocols and provide continuous training.Keywords: Compliance, Fall Prevention Education, Safety attitude
Public Perception of Degenerative Diseases in Medan City in Choosing Herbal Medicine Sri Lestari Ramadhani Nasution; Tasyaa Dwi Hardiyani; Ermi Girsang
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.24066

Abstract

Herbal remedies have gained increasing popularity, particularly among individuals with degenerative diseases. This study aims to explore the factors influencing the use of herbal medicine among the degenerative disease community in Medan City, with a specific focus on internal factors such as knowledge and awareness, as well as external factors including social and cultural influences. The research involved 12 informants, comprising members of the herbal medicine user community, family members, and herbal medicine vendors. Data were collected through in-depth interviews and analyzed using the Miles and Huberman qualitative analysis framework. The findings reveal that public perception regarding the use of herbal medicine for degenerative diseases in Medan City is shaped by a relatively high level of knowledge and awareness. Most respondents reported acquiring information from friends and social media, underscoring the influential role of social networks and digital platforms in disseminating health-related information. Social and cultural factors also significantly affect decision-making processes. While traditional beliefs were not identified as dominant influences, support from family, friends, and the broader community emerged as critical motivators in the choice to use herbal remedies.In conclusion, the decision to use herbal medicine among individuals with degenerative diseases in Medan City is influenced by a combination of knowledge, awareness, and socio-cultural factors. A solid understanding of the benefits and risks associated with herbal medicine, coupled with high awareness, reinforces individuals' decisions. Moreover, social support from family, peers, and the community plays a vital role in enhancing trust and confidence in herbal therapies. It is recommended that reliable and evidence-based information about herbal medicine be disseminated more widely through social media and community networks. Additionally, public education and training initiatives should be implemented to promote the safe and effective use of herbal remedies, thereby maximizing their potential benefits in community health settings. Keywords: Herbal Medicine, Degenerative Diseases, Knowledge, Social Influence, Public Awareness.
Identification of Bacteria in Dental Plaque Syahdiana Waty; Nurul Hidayah
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.21578

Abstract

Oral health has an important role in overall body health. This study aims to evaluate the antibacterial efficacy of toothpaste with cinnamon ethanol extract against Streptococcus bacteria in vivo, analyze changes in the number of bacterial colonies before and after using toothpaste, and identify the type of Streptococcus bacteria in dental plaque. This pure experimental research was conducted at the Pharmacy Laboratory of the Poltekkes Kemenkes Medan and the Microbiology Laboratory of the Faculty of Medicine, University of North Sumatra. Samples included cinnamon extract, toothpaste formulation with 12.5% extract concentration, and dental plaque from 40 respondents. Data analysis used descriptive univariate test with SPSS 22.0 application. Results showed Gram-positive bacterial infections, especially Rothia dentocariosa (24%), dominated dental plaque, followed by Streptococcus mitis (16.4%). The use of cinnamon-active toothpaste was able to significantly reduce the number of bacterial colonies, especially at high concentrations. In addition, active compounds in cinnamon extracts such as cinnamaldehyde and eugenol showed the ability to damage bacterial cell walls and inhibit biofilm formation. Gargling was also shown to be effective in reducing bacterial colonies by clearing plaque and food debris. The conclusion of this study suggests that Gram-positive bacterial infections in dental plaque require special attention in management with appropriate antibiotics, while gargling and the use of cinnamon-based antimicrobial agents can be an effective preventive strategy. These findings support the development of natural ingredient-based oral health products to improve infection prevention and the quality of oral health care. Keywords: Oral Health, Streptococcus, Cinnamon, Antibacterial, Dental Plaque, Gargling

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