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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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Analysis of The Influence Total Quality Management Strategy in Improving Service Quality at Andimas Merangin Hospital Megawati Megawati; Ermi Girsang; Sri Lestari Ramadhani Nasution
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.v7i1.23738

Abstract

Total Quality Management (TQM) plays a critical role in hospitals by enhancing service quality, increasing patient satisfaction, and improving overall institutional performance. However, the implementation of TQM at Andimas Merangin Hospital has been suboptimal, with persistent challenges in problem identification, resolution, and the promotion of continuous improvement. This study aims to analyze the influence of TQM strategies on service quality improvement. A quantitative, cross-sectional design was employed, with data collected from all 202 staff members at Andimas Merangin Hospital, using total population sampling. Data analysis involved Chi-square tests and logistic regression. Univariate results indicated that the majority of respondents were over 45 years old (70.3%), female (61.4%), and held a bachelor's degree (86.1%). Bivariate analysis demonstrated significant associations between service quality improvement and several TQM components, including customer focus, total employee involvement, process orientation, integrated systems, strategic and systematic approaches, continuous improvement, evidence-based decision-making, and effective communication. Among these, the integrated systems component had the strongest influence on service quality enhancement. These findings suggest that integrated system implementation should be prioritized in hospital quality improvement strategies. It is recommended that Andimas Merangin Hospital utilize these insights to inform policy development and conduct regular evaluations aimed at strengthening service delivery. Keywords: Total Quality Management, Service Quality, Hospital Performance, Integrated Systems, Andimas Merangin Hospital
Impact of Shift Work on Nurse Fatigue and Productivity in an Indonesian Inpatient Ward: A Cross-Sectional Study Sri Rahayu; Andiko Nugraha Kusuma
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.v7i1.24073

Abstract

Shift work, particularly night shifts, is known to affect the health and productivity of healthcare workers. However, there is limited research on how shift work impacts nurses in low-resource settings, such as secondary hospitals in Indonesia. This study aims to explore the effects of different shift types on nurse fatigue and productivity in Indonesia, filling a critical gap in the literature. A cross-sectional study was conducted with 150 nurses from Rumah Sakit Umum Daerah Deli Serdang (RSUDDS) in Medan, Indonesia. Participants were selected using stratified random sampling based on their shift types (morning, evening, night). Fatigue was measured using the Nurse Fatigue Scale (NFS) and Pittsburgh Sleep Quality Index (PSQI), while productivity was assessed through both self-reports and objective task completion data. Statistical analyses included one-way ANOVA, multiple regression, and effect size calculations (Cohen's d). Night shift nurses reported significantly higher fatigue levels (mean NFS = 32.4) and lower productivity (mean self-reported productivity = 6.1) compared to morning (NFS = 28.3; productivity = 7.2) and evening shift nurses (NFS = 30.1; productivity = 6.9). The differences were statistically significant (p < 0.01). Cohen's d for the comparison of fatigue between night and morning shifts was 0.68, indicating a moderate effect. Multiple regression analysis revealed that fatigue (β = -0.48, p < 0.001), shift type (β = -0.29, p < 0.01), and work environment factors (β = -0.35, p < 0.05) were significant predictors of nurse productivity. Night shifts were strongly associated with higher fatigue and lower productivity among nurses. To mitigate these effects, hospitals should consider implementing policies such as limiting consecutive night shifts and providing structured rest breaks. Further research, particularly longitudinal studies, is needed to explore causal relationships and test scheduling interventions to optimize nurse well-being and performance. Keywords: Shift work, Occupational health, Nurse productivity, Fatigue
Combination of Oketani and Rolling Massage to Increase Breast Milk Production Rina Delfina; Sardaniah Sardaniah; Hermansyah Hermansyah
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.v7i1.23780

Abstract

Breast milk is the primary source of nutrition essential for infant growth and development. However, However, many mothers experience difficulties in breast milk production after childbirth, including first-time mothers lacking breastfeeding experience and those who have previously given birth. Several factors influence lactation, with breast care being a key determinant. Despite its importance, many postpartum mothers lack knowledge about proper breast care, leading to insufficient milk production that fails to meet their infants' needs. A combination of Oketani and rolling massage has been suggested as an effective intervention for enhancing milk production. The Oketani and rolling massage method is a specialized breast management technique known to improve milk production without causing discomfort. This study aimed to evaluate the effect of Oketani and rolling massage on increasing breast milk production among postpartum mothers at the Bengkulu City health center. The research employed a quasi-experimental design (pre-posttest with a control group), involving a sample of 60 postpartum mothers-30 in the intervention group and 30 in the control group. Breast milk production was measured before and after the intervention over five consecutive days. The findings, analyzed using the Mann-Whitney test, indicated a statistically significant effect of the intervention on breast milk production (ρ = 0.000 < α 0.05). Keywords: Breast Milk; Oketani Massage; Rolling Massage; Postpartum
Analysis of the Use of Herbal Medicine in the Management of Degenerative Diseases in Medan City Sri Lestari Ramadhani Nasution; Nada Nurjanah Afrillia; 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.v7i1.24070

Abstract

Degenerative diseases such as coronary heart disease, diabetes, cancer, and chronic respiratory disorders represent major public health challenges in Indonesia, including in Medan City, with their prevalence continuing to rise due to modern lifestyles characterized by high intake of sugar and fat and low dietary fiber consumption. In response, herbal medicine has emerged as a popular and culturally aligned alternative treatment, particularly due to its affordability. This study aims to analyze the factors influencing the perceived effectiveness of herbal medicine in managing degenerative diseases in Medan City. A quantitative, cross-sectional design was employed, involving 369 respondents selected through stratified proportional and purposive sampling across 21 sub-districts in Medan. Data were collected using a structured, content-validated, and reliability-tested questionnaire, and analyzed using chi-square and logistic regression techniques. The majority of respondents were female (79.9%) with a secondary education level (89.7%), and most perceived the availability of herbal medicine services as adequate (93.2%). Additionally, 90% of participants considered herbal medicine effective for managing degenerative conditions. Multivariate analysis revealed that educational attainment was the most significant predictor of perceived effectiveness (p = 0.012), with those possessing higher levels of education more likely to report positive outcomes. In contrast, gender and perceived service availability did not show significant associations. These findings highlight the need to enhance health literacy through educational interventions to optimize the safe and effective use of herbal medicine. Integrating herbal medicine into the formal healthcare system and promoting collaboration between traditional and biomedical practitioners are recommended strategies for improving degenerative disease management in urban populations such as Medan. Keywords: Herbal medicine; Degenerative diseases; Gender; Education level; Service availability
Impact of HICPAC Guideline Adherence on Catheter-Associated Urinary Tract Infection Rates: Evidence from a District Hospital in Indonesia Dian Nasution; Dona Nababan; Mido Ester Juniati Sitorus; Kesaktian Manurung; Frida Lina Tarigan
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.v7i1.24065

Abstract

Urinary tract infections (UTIs) are among the most common nosocomial infections, particularly affecting hospitalized patients with indwelling urinary catheters. The implementation of the Healthcare Infection Control Practices Advisory Committee (HICPAC) guidelines aims to reduce the incidence of UTIs through stringent infection control measures in hospital settings. This study aimed to examine the association between the implementation of HICPAC guidelines and the incidence of catheter-associated urinary tract infections (CAUTIs) among inpatients at Permata Hati General Hospital, Muara Bungo Regency, in 2024. A quantitative study using a quasi-experimental design was conducted at Permata Hati General Hospital from October 2024 to February 2025. The study population consisted of nursing staff and all inpatients with urinary catheters. A total of 68 respondents were included, divided equally into two groups: 34 patients before and 34 after the implementation of HICPAC guidelines. Data were collected through medical record reviews and structured questionnaires. Statistical analyses were performed using the Chi-square and Wilcoxon tests. The results showed a statistically significant association between the implementation of HICPAC guidelines and a reduction in CAUTI incidence (p = 0.040). Additionally, significant improvements were observed in nurses' knowledge, attitudes, and practices following the socialization and application of the guidelines. In conclusion, effective implementation of HICPAC guidelines significantly reduces the risk of CAUTIs in hospitalized patients. Hospitals are encouraged to strengthen nurses' adherence to infection control protocols to minimize the incidence of these infections. Keywords: Catheter Associated Urinary Tract Infection, HICPAC Guidelines, Infection Control, Hospitalized Patients, Urinary Catheters
Comparing Video Media and Teaching Aids to Improve Maternal Knowledge of the ‘Fill My Plate' Nutrition Program: A Quasi-Experimental Study in Indonesia Urhuhe Dena Siburian; Paruhum Ritonga
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.v7i1.24328

Abstract

Stunting remains a significant public health challenge in Indonesia, affecting an estimated 30% of children as of 2023. One of its primary causes is inadequate dietary intake. In response, the Indonesian government introduced the Fill My Plate nutrition program, promoting food diversity and appropriate portion sizes to ensure balanced meals. This study aimed to compare the effectiveness of video media and teaching aids in improving maternal knowledge of the Fill My Plate program as a strategy to prevent stunting. A quasi-experimental design with pre-test and post-test groups was utilized. The study was conducted in North Tapanuli Regency from July to December 2024, involving 30 mothers of toddlers. Participants were randomly assigned to either the video media group (n = 15) or the teaching aids group (n = 15). Maternal knowledge was assessed using a structured and validated questionnaire. Descriptive statistics were applied for univariate analysis, and an Independent Sample t-test was used for bivariate analysis at a 95% confidence level (α = 0.05). Mean differences were calculated to determine effect sizes. The results both interventions significantly improved maternal knowledge (p < 0.05). However, there was no statistically significant difference between the two groups (p > 0.05), indicating that video media and teaching aids were equally effective as educational tools. No statistically significant difference was observed between the two groups (p = 0.710). Video media and teaching aids are both effective in enhancing maternal knowledge about the Fill My Plate nutrition concept. Health educators are encouraged to integrate these media formats into community-based health programs to strengthen maternal engagement and support stunting prevention efforts Keywords: Fill My Plate, Maternal knowledge, Nutrition, Teaching aids, Video media
Determinants of Victim Blaming among Students in Sexual Violence Cases: A Case Study at Faletehan University, Indonesia Ismarina Ismarina
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.v7i1.23802

Abstract

Victim-blaming behavior is a key factor contributing to the underreporting of sexual violence cases, including within university settings. This reflects the presence of underlying structural and cultural barriers that require further investigation. This study aims to explore the determinants of victim-blaming attitudes among students in response to sexual violence cases at the Faculty of Health Sciences, Faletehan University, in 2024. Employing a qualitative approach with a case study design, participants were selected through snowball sampling, and data were collected via in-depth interviews. Thematic analysis was conducted through data reduction, presentation, and conclusion drawing, with triangulation used to enhance the credibility of findings. Ethical approval was granted by the Faletehan University Research Ethics Committee. The study involved 30 informants (8 males and 22 females) across a range of ages. Analysis revealed four primary factors associated with victim-blaming behavior: level of knowledge, socio-cultural values and norms, lecturer support, and peer support. While most students demonstrated adequate knowledge of sexual violence, their attitudes remained influenced by patriarchal norms and societal taboos surrounding sexuality. Lecturers generally provided informational support, whereas peers contributed emotional support. These findings underscore the need to strengthen gender equality education and promote open communication on campus as strategies to combat victim-blaming culture and foster a more supportive environment for survivors Keywords: Victim blaming, Sexual violence, Causal factors of victim blaming, University students, Indonesia
The Role of Social Support in Iron Folic Acid Supplement Adherence Among Adolescent Girls in a Public Junior High School in Jakarta Christin Jayanti; Olviany Ayu Anggraeni
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.v7i1.24085

Abstract

Iron deficiency anemia remains a pressing public health issue among adolescent girls, particularly in Southeast Asia. Despite the implementation of school-based weekly iron-folic acid (Fe) supplementation programs in Indonesia, adherence rates remain suboptimal. This study aimed to examine the association between family, teacher, and peer support and adherence to Fe tablet consumption among adolescent girls in DKI Jakarta Province. A quantitative, cross-sectional study was conducted in December 2024 at SMP Negeri 79 Jakarta. A total of 57 female students aged 12-15 years were selected through purposive sampling, based on their participation in the school-based Fe tablet supplementation program. Data were collected using structured, pre-validated questionnaires assessing levels of social support and adherence to Fe tablet intake, with adherence defined as consuming ≥75% of the recommended dosage over the previous four weeks. Statistical analysis was performed using the Spearman Rank correlation test via SPSS version 25.0, with significance set at p < 0.05 and a 95% confidence interval (CI). The findings revealed that most participants received low family (56.1%) and peer support (59.6%), while teacher support was reported as high in 42.1% of respondents. Only 24.6% of participants were categorized as adherent. Significant positive correlations were observed between adherence and family support (r = 0.724; 95% CI: 0.57-0.84), teacher support (r = 0.555; 95% CI: 0.34-0.72), and peer support (r = 0.677; 95% CI: 0.48-0.80), with all associations statistically significant at p < 0.001. Family, teacher, and peer support are critical determinants of adherence to iron-folic acid supplementation among adolescent girls. Strengthening multi-level social support mechanisms within school health programs could significantly enhance compliance and contribute to the prevention of anemia in this vulnerable population Keywords: Iron Folic Acid Supplementation, Adolescent Health, Social Support, Compliance
Overcoming Implementation Barriers in a Qualitative Study of the Supplementary Feeding Program for Malnourished Toddlers in Rural Indonesia Sri Wahyuni Nasution; Yerniyanti Lahagu; Chrismis Novalinda
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.v7i1.24365

Abstract

Nutritional problems among toddlers, particularly malnutrition, remain a significant public health concern in Indonesia. The Supplementary Feeding Program (PMT) is a key government initiative that utilizes local food resources to improve the nutritional status of children under five. However, the program continues to face several implementation challenges that must be addressed to ensure its effectiveness. This study aimed to identify the challenges and solutions associated with the implementation of the PMT in the Sei Mencirim Health Center area, Deli Serdang Regency. A qualitative case study design was employed, involving eight key informants comprising health workers, posyandu cadres, and parents of PMT recipients. Data were collected through in-depth interviews and analyzed thematically using the Miles and Huberman framework, which includes data reduction, data display, and verification. The findings revealed several key challenges: untimely distribution of PMT, declining food quality, budget constraints, low parental education levels, and limited parental involvement in program monitoring. To address these issues, a range of targeted solutions was implemented, including the formation of dedicated distribution teams, menu standardization, establishment of centralized food processing sites, improved data accuracy, continuous staff training, enhanced cross-sector coordination, and routine monitoring and evaluation. These interventions led to a 35% improvement in the timeliness of PMT distribution and a 50% increase in family participation, contributing positively to the nutritional outcomes of toddlers. In conclusion, targeted interventions and multisectoral collaboration significantly enhanced the effectiveness of PMT implementation in the study area. Keyword: Supplementary Feeding Program, Toddlers, Implementation Challenges, Nutritional Status, Qualitative Study.
The Correlation Between Body Mass Index and Body Fat Percentage in Menopausal Women in Padang: A Quasi-Experimental Study Muarif Arhas Putra; Alficandra Alficandra; Lolia Manurizal; Joni Taufik Hidayat; Rahmah Evita Putri; Yovhandra Ockta
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.v7i1.23792

Abstract

The global increase in overweight and obesity has become a critical public health concern, particularly among menopausal women who experience hormonal changes that contribute to increased body fat-especially in the abdominal region. High-Intensity Interval Training (HIIT) has emerged as a time-efficient alternative to conventional exercise, offering potential benefits in reducing Body Mass Index (BMI) and Body Fat Percentage (BFP). This quasi-experimental study, conducted in Padang, Indonesia, aimed to examine the correlation between BMI and BFP in menopausal women aged 50-60 years following a five-month HIIT intervention. A total of 50 obese menopausal women were selected using stratified sampling and assigned to either an experimental group (HIIT) or a control group (aerobic exercise). Pretest and posttest measurements were collected for body weight, BMI, and BFP. Statistical analyses included tests for normality and homogeneity, the Mann-Whitney U test, independent t-test, and Spearman's rank correlation. The findings revealed significant reductions in both BMI and BFP in the HIIT group compared to the control group. A very strong positive correlation was observed between BMI and BFP (r = 0.914, p < 0.001), suggesting that decreases in BMI are closely linked to reductions in body fat. This study provides preliminary evidence from Indonesia supporting HIIT as an effective and time-efficient intervention for addressing obesity-related outcomes in menopausal women. Further research is warranted to investigate the underlying mechanisms and to generalize these findings to broader menopausal populations. Keyword: High-Intensity Interval Training, Menopause, Body Mass Index, Body Fat Percentage, Obese Women.

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