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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 569 Documents
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Analysis of Renal Resistive Index As A Predictor of Acute Kidney Injury in Critical Care Patients Denny Andrea; Nurul Machillah; Fadhilah Rahmi; Teuku Yasir; Muhsin Muhsin; Iskandar Zakaria; Maimun Syukri
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28532

Abstract

Acute kidney injury (AKI) is a common complication in critically ill patients and is associated with increased length of hospital stay. Early detection of renal dysfunction by measuring the renal resistive index (RRI) using Doppler ultrasound is a non-invasive parameter that reflects intrarenal vascular resistance and has the potential to predict AKI occurrence in critically ill patients. This study aims to compare RRI values between patients with and without AKI  based on severity levels classification from AKIN criteria, and to establish the RRI value as a predictor of AKI occurrence in critically ill patients. This study was an analytical observational study with a prospective cohort design conducted on critically ill patients treated in the ICU of dr. Zainal Abidin Banda Aceh General Hospital from June to August 2025. Data were obtained through Doppler ultrasound RRI examination performed within the first 24 hours and medical record data during treatment. Data were analyzed using ANOVA and ROC curve analysis to determine the cut-off value of RRI as an AKI predictor. Out of the 60 critically ill patients who met inclusion criteria, 30 patients (50%) developed AKI during treatment. There were significant differences (p<0.0001) between RRI and AKI occurrence as well as AKI severity, for both the right and left kidneys. ROC curve analysis identified an RRI cut-off value of 0.7 for predicting AKI, with a Receiver Operating Characteristic Area Under the Curve (AUC) of 0.9628 and CI 95% : 0.9155 – 1.000­, yielding a sensitivity and specificity of 90%. There are significant differences in RRI values between non-AKI patients and AKI patients at stages 1, 2, and 3. RRI value can be used as a predictor for AKI occurrence in critically ill patients.  Keywords: Acute Kidney Injury, Critically Ill, Doppler Ultrasonography, Renal Resistive Index.
The Combination of Balanced Nutrition Menu in Controlling Undernutrition in Toddlers Through Supplementary Feeding in Community Health Center Enok, Indragiri Hilir Regency Riski Novera Yenita; Rifa Yanti; Dilgu Meri
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.24549

Abstract

Undernutrition among children under five is a serious challenge in achieving Sustainable Development Goals (SDGs) Goal 2. In the working area of UPT Puskesmas Enok, especially Rantau Panjang Village, the prevalence of undernutrition still requires innovative interventions. Supplementary feeding (PMT) based on local food with a balanced nutritional menu is expected to be a sustainable solution compared to manufactured processed products. The purpose of the study was to analyze the effectiveness of providing PMT with a combination of a balanced nutrition menu in increasing the body weight of undernourished toddlers in Rantau Panjang Village. Type of quantitative research with a quasi-experiment one-group pretest-posttest design. The research was conducted in Rantau Panjang Village. The population of this study was all toddlers diagnosed with undernutrition in the work area of Community Health Center Rantau Panjang, 42 toddlers. The sampling technique was purposive sampling, obtaining 7 toddlers with an age range of 12-59 months. The results showed that the average body weight of toddlers before the intervention was 9.77 kg (SD = 2.4) and after the intervention increased to 10.38 kg (SD = 2.5), with an average increase of 0.6 kg. Statistical tests showed a p-value of 0.000 (p < 0.05), which means that there is a significant effect of providing a balanced nutrition menu PMT on toddler weight. Puskesmas are advised to adopt this balanced nutrition menu model as a standard operating procedure in handling underweight children. The Rantau Panjang Village Government is expected to integrate the village fund budget to support the sustainability of this program. Keywords: Balanced Nutrition Menu, Toddler, Undernutrition, Supplementary Feeding.
Analysis of Risk Factors for Stunting in Toddlers Donal Nababan; Hadiah Kurnia Putri
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.25622

Abstract

Stunting has been a significant public health burden in Indonesia, reflecting chronic malnutrition during the critical first 1,000 days of life. Despite a national decline, local prevalence in rural areas, such as in Langkat District, remains a challenge.  This study aims to analyze interrelated risk factors: maternal knowledge, antenatal care (ANC) visits, iron supplementation, exclusive breastfeeding, and complementary feeding, that contribute to stunting in toddlers. A cross-sectional study was conducted in the working area of the Secanggang Community Health Center, Langkat. A total of 162 toddlers participated in this study. Data were collected through interviews with mothers and anthropometric measurements. Bivariate analysis was performed using the Chi-square test to determine the relationship between variables. The prevalence of stunting was 40.7% (n=66). Statistical analysis showed that all factors studied were significantly associated with stunting (p < 0.05). Mothers' knowledge about stunting was generally low (70.4%). The highest risk was found in infants who did not receive exclusive breastfeeding, where 25.9% experienced stunting compared to those who received exclusive breastfeeding. Inadequate ANC visits (p < 0.05) and poor adherence to iron (Fe) tablets (p < 0.05) also significantly increased the risk of growth failure. Stunting in this population is triggered by the interaction between low maternal literacy and suboptimal antenatal and postnatal care. These findings indicate an urgent need for maternal education programs and breastfeeding support integrated into the primary health care (Puskesmas) framework to reduce long-term growth disorders. Keywords:  Maternal Knowledge, Antenatal Care, Exclusive Breastfeeding, Stunting, Toddlers
Risk Analysis Using the Enterprise Risk Management (ERM) Method in the Implementation of Standard Inpatient Class at Sultan Agung Islamic Hospital Ayu Sekar Melati; Sutopo Patria Jati; Septo Pawelas Arso
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.27534

Abstract

The implementation of the Standardized Inpatient Class (KRIS) is a national strategic policy aimed at improving equity and quality of care for participants of Indonesia’s National Health Insurance (JKN). However, the transition toward standardized inpatient facilities may generate complex operational, patient safety, and financial risks that extend beyond technical compliance. An Enterprise Risk Management (ERM) approach is therefore required to comprehensively identify and manage these cross-domain risks, which have been insufficiently explored in previous KRIS-related studies. This study aims to identify the risk profile and formulate mitigation strategies for KRIS implementation using an ERM framework. A mixed-methods sequential explanatory design was applied, consisting of a quantitative survey of 30 inpatient unit heads followed by qualitative in-depth interviews and Focus Group Discussions (FGD) with hospital management. Quantitative data were analyzed using descriptive statistics and a 5×5 risk matrix, while qualitative data were analyzed through thematic content analysis. The results identified three highest-priority risks: changes in service flow due to renovation (mean 18.3), reduced bed capacity during the transition period (17.9), and increased cross-infection risk due to crowding in temporary inpatient rooms (17.4). Financial risks, human resource readiness, regulatory uncertainty, and information system limitations were predominantly categorized as moderate to high. Integrated findings emphasize the importance of structured change management, strengthened infection prevention, comprehensive financial planning, and improved staff readiness supported by adequate information systems. In conclusion, KRIS implementation requires a systematic and integrated risk management approach to ensure effective, safe, and sustainable hospital service transformation. Keywords: Enterprise Risk Management, KRIS Implementation, Hospital Risk Assessment, Patient Safety, Health Policy Transition.
The Influence of Spinning Wheel Media and Module on The knowledge and Attitude of Adolescent Marriage Age Maturation at Bengkulu Elvi Destariyani; Yuniarti Yuniarti; Nispi Yulyana
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.26783

Abstract

Early marriage, according to the WHO, is a marriage that occurs in individuals under the age of 19. This phenomenon is often caused by a lack of knowledge and insufficient information about the importance of delaying marriage until an appropriate age. The impacts of early marriage include premature birth, delivery complications, divorce, domestic violence, school dropout, and other social problems. The aim is to determine the influence of spinning whell  media on the knowledge and attitude of adolescent marriage age maturation.  This study uses a Quasi-Experimental method with a Two Group Pretest and Posttest design. The research sample was taken using simple  Random Sampling, involving 32 respondents who were given pretest and posttest questionnaires. The normality test used the Shapiro-Wilk test, and non-normal data were analyzed using the Mann-Whitney test. The results showed that the group receiving education through Spinning Wheel media experienced a significant increase in knowledge (average before 5.81, after 13.16) and attitudes (average before 39.00, after 52.94). Meanwhile, the group receiving education through Modul also showed an increase, though to a lesser extent, with an average knowledge score before 7.50 to 11.63 and an attitude score before 43.53 to 48.22. Statistical analysis showed a significant influence of education through Spinning Wheel media on improving adolescents' knowledge (p-value=0.000) and attitudes (p-value=0.000) about the maturity of marriage age. The findings of this study are expected to encourage academics, educational institutions, and other researchers to use Spinning Wheel media and develop other game-based learning methods to improve adolescents' knowledge and attitudes about the maturity of marriage age Keywords: Knowledge, Attitude, Early Marriage, Spinning Wheel Game, Adolescent Health.
Utilization of the My ADA Application for ANC Visits for Pregnant Women in the City of Bengkulu Yuniarti Yuniarti; Elvi Destariyani; Nurniati Tianastia; Rahmadona Rahmadona
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.26300

Abstract

Antenatal care (ANC) plays an important role in the early detection and prevention of complications during pregnancy, childbirth, and the postpartum period. However, ANC utilization in Indonesia, including Bengkulu City, remains below the expected standard. Limited maternal knowledge and the less optimal use of conventional educational media, such as the Maternal and Child Health (KIA) book, contribute to low ANC attendance. Therefore, innovative digital-based educational media, such as the My ADA application, are needed to improve ANC utilization among pregnant women. This quantitative study employed a quasi-experimental design with a pretest–posttest two-group approach. The study was conducted at independent midwifery practices in Bengkulu City. A total of 50 second-trimester pregnant women who met the inclusion criteria were selected using purposive sampling and divided into two groups: the My ADA application intervention group and the KIA book comparison group. Data were collected before and after the intervention using structured questionnaires and ANC visit records. Statistical analysis was performed using appropriate parametric and non-parametric tests after normality testing with the Shapiro–Wilk test. The results demonstrated a statistically significant difference in ANC utilization and visit frequency between the intervention and comparison groups (p < 0.05). Pregnant women who used the My ADA application showed greater improvement in ANC utilization and higher ANC visit frequency compared to those who used the KIA book. The findings indicate that the My ADA application is more effective than conventional KIA book media in improving ANC utilization among second-trimester pregnant women. Digital health applications can be utilized as alternative educational and monitoring tools to support maternal health services and enhance adherence to antenatal care visitsKeyword : My ADA application, antenatal care, Pregnant women, Health technology, Maternal health, ANC utilization 
The Impact of Magic Lift-The-Flap Books on Knowledge and Attitudes of Children Regarding Obesity Prevention at SD IT Iqra 2, Bengkulu City Sevira Eka Azzahra; Lissa Ervina; Wisuda Andeka Marleni
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28523

Abstract

The issue of imbalanced nutrition among elementary school children became a health problem that could impact children in the future, such as obesity. The effects could include health and psychosocial problems in children. One of the factors that caused this condition was the lack of knowledge and attitudes among children. As a result, the Magic Lift-The-Flap Book is an example of the kind of interactive media that might be utilized to enhance children's understanding and beliefs. This study examines the effect of the Magic Lift-The-Flap Book on children’s knowledge and attitudes regarding obesity prevention at SD IT Iqra 2, Bengkulu City. A quantitative pre-experimental study with a single-group pre-test and post-test design was conducted. The sample consisted of 40 fifth-grade students aged 10–12 years who were randomly selected from a population of 129. Data were collected via questionnaires and analyzed using the Wilcoxon Signed Rank Test. The result of this study indicated that students’ knowledge scores rose from a mean of 69.25 prior to the intervention to 88.00 following the use of the Magic Lift-The-Flap Book. Similarly, the average attitude score improved from 24.50 prior to the intervention to 36.58 after the intervention. These findings demonstrated that the Magic Lift-The-Flap Book exerted a statistically significant influence on children’s knowledge and attitudes toward obesity prevention at SD IT Iqra 2, Bengkulu City, as indicated by a p-value of <0.001. Therefore, the Magic Lift-The-Flap Book was expected to function as an engaging educational medium to enhance elementary school children’s knowledge and attitudes regarding obesity prevention Keywords: Obesity, Magic Lift-The-Flap Book, Knowledge, Attitude
The Relationship Between Lifestyle and the Severity of Diabetic Peripheral Neuropathy at Sapta Medika Indrapura Hospital Heni Triana; Suherni Suherni; Lilis Pujiati; Chairul Munir
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.28038

Abstract

Diabetes mellitus (DM) is a chronic metabolic disorder whose prevalence continues to increase globally. One of its most detrimental microvascular complications is diabetic peripheral neuropathy (DPN), which is strongly influenced by the patient’s lifestyle. This study aimed to analyze the relationship between lifestyle and the severity of DPN in patients with DM at Sapta Medika Indrapura Hospital. This was a quantitative, descriptive-analytical study with a cross-sectional design. A total of 51 patients with DM were selected through purposive sampling. Lifestyle was measured using the FANTASTIC Lifestyle Checklist (covering family/friends, physical activity, nutrition, smoking, alcohol, sleep/stress, and behavioral patterns), and the severity of DPN was assessed using the Diabetic Neuropathy Score (DNS). Data were analyzed using Spearman’s rho correlation test. Most respondents had an unhealthy lifestyle (68.6%) and experienced severe DPN (64.7%). The Spearman’s rho test showed a significant but weak positive correlation between lifestyle and DPN severity (r = 0.116; p = 0.042; p < 0.05). Lifestyle is significantly associated with the severity of DPN in patients with diabetes, although the association is weak. Healthy behavioral change remains an important strategy to reduce the risk of further complications such as ulceration and amputation. The small, single-center sample limits generalizability, and the cross-sectional design precludes causal inference.Keywords: Diabetes Mellitus, Lifestyle, Diabetic Peripheral Neuropathy, Disease Severity, Indonesia.
Adaptation of Coastal Adolescents to Digital Technology in Improving Health Behavior Diah Wijayanti Sutha; Nathratul Ayeshah Binti Zulkifli; Christine Christine; Siti Novianti
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.27239

Abstract

Digital technology increasingly shapes adolescent health behavior; however, little is known about how adolescents in remote coastal communities adapt to digital health information environments. This study aims to explore how digital technology influences adolescent health behaviors and how environmental and social factors shape adolescents’ adaptation to digital technology in a coastal community. This qualitative study employed a phenomenological approach. Data were collected through in-depth interviews with 27 adolescents aged 15–19 years and two focus group discussions conducted in Mandangin Island, Madura, Indonesia. Participants were selected using purposive sampling based on their access to digital devices and internet connectivity. Data were analyzed using thematic analysis supported by NVivo 12 software. Digital technology, particularly social media platforms such as TikTok, Instagram, and YouTube, emerged as the primary source of health information for adolescents. Participants reported increased awareness of healthy behaviors, including diet, physical activity, and mental well-being. However, significant challenges were identified, including limited internet access, unequal device ownership, and difficulties in distinguishing credible information from misinformation. Peer influence played a central role in shaping how adolescents adopt and interpret online health information. Digital technology has the potential to support positive health behavior among adolescents in coastal communities. Nevertheless, digital inequality and limited digital health literacy restrict its effectiveness. Strengthening digital literacy and improving equitable access to technology are essential to optimize digital health interventions for adolescents in underserved coastal areas Keywords: Adolescent Health, Digital Health Literacy, Health Behavior, Digital Divide, Coastal Community, Qualitative Research
Risk Factors Associated with Hyperbilirubinemia in Newborns at Muhammadiyah Hospital Palembang Wita Solama; Widya Arisandy; Restu Khoiriah; Sari Lisa Nurjanah; Nadila Ayu Safira
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 2 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i2.27172

Abstract

Neonatal jaundice remains a significant global health challenge, contributing to substantial neonatal morbidity and potential long-term neurological complications if not managed effectively. This study investigated the risk factors associated with hyperbilirubinemia at Muhammadiyah Hospital Palembang. Utilizing an analytical survey with a case-control approach, we compared 30 neonates diagnosed with hyperbilirubinemia (cases) against 30 neonates without the condition (controls). Participants were selected through purposive sampling between October and December 2024. Data were analyzed using chi-square tests and multivariate logistic regression to determine the strength of associations. The analysis revealed that gestational age (OR = 4.2; 95% CI: 1.8–9.5; p < 0.001), type of delivery (OR = 3.8; 95% CI: 1.5–8.2; p < 0.001), male gender (OR = 2.5; 95% CI: 1.1–5.4; p = 0.001), and low birth weight (OR = 5.1; 95% CI: 2.1–11.3; p < 0.001) were significant independent risk factors for hyperbilirubinemia. These findings underscore the necessity for midwives to implement comprehensive early screening and specialized management for high-risk neonates to mitigate the incidence of severe jaundice. Preterm birth and low birth weight are the most critical predictors of neonatal hyperbilirubinemia in this clinical setting, necessitating targeted postnatal surveillance. Keywords: Neonatal Jaundice, Risk Factors, Case-Control Study, Midwifery Care, Low Birth Weight.

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