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Contagion
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contagion@uinsu.ac.id
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Kota medan,
Sumatera utara
INDONESIA
Contagion: Scientific Periodical Journal of Public Health and Coastal Health
ISSN : -     EISSN : 26850389     DOI : 10.30829/contagion
Core Subject : Health,
Contagion: Scientific Periodical Journal of Public Health and Coastal Health, A Scientific Periodic Journal of Public Health published by the Public health Study Program of The Faculty of Public Health UINSU Medan. This Journal prioritiez the collaboration of lecturers and students with scope of the discussion is about Public Health, Health and Islam, and Coastal Health. This Journal is published twice, published on June and December.
Arjuna Subject : -
Articles 569 Documents
A Case Study Approach to Families Risk of Hyperemesis Gravidarum: Community Midwifery Care Sumaifa Sumaifa; Isnaeny Isnaeny; Rahmi Suci Ramadhani
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.v8i2.28227

Abstract

Hyperemesis gravidarum (HG) is a pregnancy complication characterized by excessive nausea and vomiting, which may lead to dehydration, electrolyte imbalance, weight loss, and adverse health problems for both mother and fetus. Effective management of HG requires not only clinical intervention but also comprehensive family support and community-based midwifery care. This case study describes the application of community midwifery care for families at risk of HG and  identifies family-related factors influencing the success of case management. A qualitative exploratory case study approach was employed to examine family perspectives on health services in depth, focusing comprehensively on a single case. Informants were selected purposively, with inclusion criteria targeting pregnant women at risk of HG. Data were collected through  observation, interviews, physical examinations, and home visits. The findings revealed that the pregnant woman, Mrs. R, experienced severe nausea and vomiting, which reduced her appetite and daily functioning. Risk factors  included her fourth pregnancy and limited family support, especially from her husband. Community midwifery interventions comprised education about HG, nutritional counseling, maternal condition monitoring, and family involvement in her care. Following these interventions, the mother's condition improved, as evidenced by reduced nausea and vomiting and enhanced family capacity to support her pregnancy. In conclusion, family-centered community midwifery care plays a crucial role in managing hyperemesis gravidarum. Ongoing education and family involvement  can mitigate  complications and promote  maternal and fetal health during pregnancy Keyword: Case Study, Midwifery Care, Community, Hyperemesis Gravidarum
Effectiveness of Social Media Message Framing on Caries Risk Perception among Health Science Students: A Quasi-Experimental Study Based on the Health Belief Model Idamawati Nababan; Member Reni Purba; Niki Yuchinda
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.v8i2.28747

Abstract

Despite increasing access to oral health education, the prevalence of dental caries remains high among health science students, indicating a gap between theoretical knowledge and individual risk perception. This study aimed to evaluate the effectiveness of message framing strategies delivered via social media in enhancing caries risk perception, based on the Health Belief Model (HBM). This study employed a pretest-posttest quasi-experimental design with a control group. A total of 130 students from the Faculty of Dentistry at Prima Indonesia University were selected using purposive sampling and divided into an intervention group (n = 65) and a control group (n = 65). The intervention group was exposed to gain-framed and loss-framed health messages through social media over one month, while the control group received no intervention. Risk perception was measured using six core HBM constructs and analyzed using the Wilcoxon Signed-Rank Test and Mann–Whitney U Test. The results showed statistically significant improvements (p< 0.001) in perceived susceptibility, severity, benefits, cues to action, and self- efficacy in the intervention group, while perceived barriers showed no significant change. These findings suggest that social media–based message framing is effective in improving caries risk perception and may help bridge the gap between knowledge and behavior among the productive-age population Keywords: Dental Caries, Digital Health Promotion, Health Belief Model, Message Framing, Risk Perception, Social Media Intervention
Characteristics of Mothers Undergoing Caesarean Section at Swadana Tarutung Regional General Hospital Urhuhe Dena Siburian; Paruhum Tiruon Ritonga
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.v8i2.29241

Abstract

Caesarean section (CS) delivery remains high in referral hospitals and requires continuous monitoring to support maternal health service planning. This study aimed to describe the characteristics of mothers undergoing CS at Swadana Tarutung Regional General Hospital in 2024. This study employed a retrospective descriptive design with a cross-sectional approach. The population consisted of 1,250 mothers who delivered by CS from January to December 2024. A total of 303 medical records were selected using systematic random sampling. Secondary data were obtained from medical records and delivery registers, including maternal age, gravidity, parity, education, and occupation. Data were analyzed using SPSS version 23.0. Univariate analysis was used to describe frequency distributions, while the Chi-square goodness-of-fit test was used to assess differences in the distribution of each characteristic, with a significance level of p < 0.05. The results showed that most mothers undergoing CS were aged 20–35 years (75.2%), multigravida (41.4%), multipara (50.8%), had completed senior high school education (66.7%), and worked as farmers (39.3%). The distribution of maternal age, education, occupation, gravidity, and parity among CS cases showed statistically significant differences. These findings indicate that CS cases were concentrated in certain maternal characteristic groups. However, because this study did not include non-CS deliveries as a comparison group, the findings should not be interpreted as determinants of CS incidence. Future studies are recommended to include both CS and non-CS deliveries and analyze clinical indications to identify factors associated with CS delivery Keywords:  Caesarean section, maternal characteristics, gravidity, parity, medical records
Effect of TIJEK Nuggets as a Local Supplementary Food on Weight Gain among Stunted Toddlers: A Pre-Experimental Study Erlina Nasution; Fitriyani Pulungan; Ida Nurhayati; Syahira Addina; Elisa Julianti
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.v8i2.28870

Abstract

Stunting remains a critical public health challenge in Indonesia, particularly in regions like Deli Serdang Regency, North Sumatra, where prevalence rates remain elevated despite ongoing interventions. This pre-experimental one-group pretest-posttest study evaluated the effect of TIJEK Nuggets a locally developed supplementary food made from tempeh (fermented soybeans), anchovies, chicken eggs, and spices as a nutrition intervention to improve the nutritional status of stunted toddlers aged 2-5 years in Pantai Labu Pekan Village. From a population of 45 eligible toddlers, 30 participants meeting the inclusion criteria (willingness to participate and measurable anthropometrics) were consecutively sampled. Baseline height and weight measurements served as pretest values, followed by daily administration of 100 grams of TIJEK Nuggets (divided into two servings) for 14 days, with posttest anthropometrics recorded thereafter. Nutritional analysis confirmed that 100 grams (4 pieces) of TIJEK Nuggets provided 150.61 kcal of energy, 26.83 g of carbohydrates, 7.92 g of protein, 11.61 g of fat, 62.56 g of water, and 1.40 g of ash, leveraging high-protein local ingredients to address macronutrient deficiencies common in stunting. Results showed no significant change in mean height (pretest-posttest: 92.72 cm ± 7.69 cm), but averages were identical due to minimal linear growth over the short term. However, mean weight increased significantly from 12.77 kg ± 2.03 kg to 13.39 kg ± 2.04 kg (p=0.001), indicating TIJEK Nuggets effectively promoted short-term weight gain. This aligns with biological expectations: height reflects chronic malnutrition, which responds to prolonged interventions, while weight responds more rapidly to energy-dense supplements. In conclusion, TIJEK Nuggets demonstrate promise as an accessible, effective supplementary food for short-term weight improvement in stunted toddlers, warranting broader, controlled applications within multifaceted anti-stunting strategies Keywords: Stunting, Toddlers, Nutritional Status, TIJEK Nuggets, Local Food
Effectiveness of Health Education on Self-care and Self-efficacy of Patients with Coronary Heart Disease: A Systematic Review Rita Rita; Azizah Khoiriyati; Erna Rochmawati
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.v8i2.28924

Abstract

Coronary heart disease is a leading cause of morbidity and mortality worldwide. Health education is needed to improve patient self-care and self-efficacy. This research aims to synthesize the literature on health education, focusing on self-care outcomes and self-efficacy among patients with coronary heart disease. A systematic review was conducted through a literature search on ScienceDirect, PubMed, Wiley Online Library, and Scopus. The search strategy used a combination of keywords with the Boolean operators "AND" and "OR." Study selection was performed by screening titles, abstracts, and full texts in Rayyan. The methodological quality of articles meeting the inclusion criteria was assessed using the Joanna Briggs Institute (JBI) instrument. Of the 3,520 identified articles, five studies with a total of 958 coronary heart disease patients met the inclusion criteria. The interventions evaluated included diversified and staged health education, eHealth cardiac rehabilitation, a workbook in health education, web-based education, and problem-based learning. Overall, Diversified and Staged Health Education, eHealth Cardiac Rehabilitation, and Workbook in Health Education were effective in improving self-care and self-efficacy. Furthermore, a problem-based educational approach had a positive impact on self-efficacy. Findings indicate that multifaceted and phased health education effectively improves self-care, and eHealth cardiac rehabilitation and workbooks in health education have been shown to increase self-efficacy in patients with coronary heart disease. These improvements in self-care and self-efficacy have the potential to support cardiovascular risk factor management and improve patient health outcomes. Health education based on diversified and staged health education, eHealth cardiac rehabilitation, and workbook in health education is effective in improving self-care and self-efficacy in coronary heart disease patients. Integrating these interventions into coronary heart disease service standards has the potential to improve the quality of care, prevent complications, and reduce the risk of rehospitalization. Keywords: Coronary Heart Disease, Health Education, Self-Care, Self-Efficacy.
Effectiveness of Red Dragon Fruit Juice in Reducing Blood Glucose Levels among Elderly Patients with Type II Diabetes Mellitus Febriyanti Febriyanti; Meria Kontesa; Em Yunir; Elsyie Yuniarti; Mira Andika; Mitayani Mitayani; Yani Maidelwita; Eka Putri Primasari
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.v8i2.28560

Abstract

Type II Diabetes Mellitus (T2DM) is a major chronic health problem among the elderly, characterized by persistent hyperglycemia and increased risk of complications. Alongside pharmacological therapy, safe and affordable non-pharmacological interventions are needed to support glycemic control. Red dragon fruit (Hylocereus polyrhizus) contains dietary fiber and bioactive compounds with potential hypoglycemic effects.  This study aims evaluate the effect of red dragon fruit juice on fasting blood glucose levels in elderly patients with Type II Diabetes Mellitus (T2DM). A quasi-experimental pretest–posttest control group design was employed. Fifty elderly patients aged 60-75 years with Type II Diabetes Mellitus were recruited through purposive sampling and assigned to an intervention group (n = 25) or a control group (n = 25). The intervention group received red dragon fruit juice (200–250 mL/day) for 14 days, while the control group received standard care. Fasting blood glucose levels were measured before and after the intervention and analyzed using paired sample t-tests. The intervention group demonstrated a significant reduction in mean fasting blood glucose from 139.20 mg/dL to 121.40 mg/dL, with a mean difference of 17.80 mg/dL (p = 0.001). In contrast, the control group exhibited only a slight decrease from 138.60 mg/dL to 136.80 mg/dL, with a mean difference of 1.80 mg/dL, which was not statistically significant (p = 0.075). These findings indicate that red dragon fruit juice significantly reduces fasting blood glucose levels in elderly patients with Type II Diabetes Mellitus (T2DM). This intervention may be considered a safe and practical complementary nutritional therapy to support diabetes management in the elderly.Keywords: Type II Diabetes Mellitus, Red Dragon Fruit Juice, Fasting Blood Glucose, Elderly, Complementary Nutrition.
Strengthening the Role of Case Manager in Quality and Cost Control in Hospital: A Case Study at Sembiring General Hospital, Deli Serdang, North Sumatra Efrata Efrata; Alprindo Sembiring; Friska Ernita Sitorus
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.v8i2.25505

Abstract

Case managers in hospitals play a vital role in keeping healthcare services both high in quality and efficient in cost. With the financing system now using a packaged fee model, hospital leaders are under pressure to manage expenses effectively without compromising patient care. This study looks at how the case manager function is carried out at Sembiring General Hospital and explores the challenges faced in practice. Conducted in April 2025, the research used a qualitative case study approach with six informants: five case managers and one medical services director. Data were collected through semi-structured interviews and were analyzed thematically. Findings show that case managers encounter two main sets of challenges: organizational issues and professional care provider (PPA) issues. On the organizational side, the obstacles include limited IT/data support, unclear authority, and insufficient training. On the PPA side, challenges involve physicians’ willingness to accept input, collaboration among care providers, and adherence to clinical pathways. To strengthen the role of case managers, hospital management needs to reinforce their authority across all service units, especially among patient care professionals. Practical steps include adding a dedicated menu in the hospital information system (SIM RS) so case managers can monitor costs in real time, and issuing a director’s decree to formally confirm their duties and authority. These measures are essential to optimize case managers’ contribution to cost and quality control Keywords: The Role of Case Manager, Quality and Cost Control, Professional Care Provider
Effectiveness of Family Planning Counseling in Improving Knowledge among Women Not Using Contraception in the Working Area of Siatas Barita Community Health Center, North Tapanuli Regency 2025 Naomi Isabella Hutabarat; Dimpu Rismawaty Nainggolan
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.v8i2.28514

Abstract

Insufficient understanding and misconceptions about contraceptive techniques may impede women's capacity to make educated reproductive health choices. This study investigated short-term alterations in family planning knowledge subsequent to counseling among women not utilizing contraception in the jurisdiction of Siatas Barita Community Health Center, North Tapanuli Regency, Indonesia. A pre-experimental one-group pretest-posttest study was executed in Pancurnapitu Village from July to December 2025. A total of 53 women aged 20 to 49 years, who were not utilizing contraception, were recruited via convenience sampling. The assessment of family planning knowledge was conducted prior to counseling and 12 days post-intervention utilizing a structured 10-item true-or-false questionnaire. Total scores were categorized as good knowledge, assigned a code of 1, or poor knowledge, assigned a code of 2; hence, a lower mean coded score signified superior knowledge. Differences between pre-intervention and post-intervention scores were examined utilizing a paired-samples t-test. The average coded knowledge score diminished from 1.74 ± 0.445 prior to counseling to 1.40 ± 0.494 subsequent to therapy, resulting in a mean difference of 0.34 points. The decrease in scores, which signified enhanced knowledge, demonstrated an improvement in family planning knowledge subsequent to counseling (p < 0.001). Furthermore, 35 women (66.04%) indicated a willingness to utilize contraception but had not obtained consent or support from their husbands or family members. Family planning counseling correlated with enhanced short-term knowledge in women not utilizing contraceptives. These findings endorse the use of structured, client-centered, and rights-based counseling within basic healthcare services. The lack of a control group, the application of non-probability sampling, and the brief follow-up duration constrain causal inference and generalizability. Additional controlled trials employing validated instruments, representative populations, and extended follow-up durations are necessary to ascertain if enhanced knowledge results in informed and maintained contraceptive utilization Keywords: Contraceptive Counseling, Family Planning, Health Education, Reproductive Health, Women Of Reproductive Age.
The Effectiveness of Video and Booklet Media in HIV/AIDS Health Education for Adolescents: A Quasi-Experimental Study Arihta Br. Sembiring; Novita Andriani Br. Manjorang
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.v8i2.28868

Abstract

Health education is an important strategy to improve HIV/AIDS prevention in adolescents, but the effectiveness of educational media can vary. This study aims to compare the effectiveness of video media and booklet media in HIV/AIDS health education in adolescents. The study used a quasi-experimental pretest–posttest design with a control group, involving 60 students (30 in each of the video media and booklet media groups). Knowledge, attitudes, and practices related to HIV/AIDS were measured before and after the intervention using a standardized questionnaire, and the data were analyzed to determine baseline equivalence and differences in outcomes between groups at pretest and posttest, with a significance level of 5%. The results showed that both groups had equivalent baseline means, indicated by no significant differences in the pretest knowledge (p=0.770), attitudes (p=0.802), and practices (p=0.715). After the intervention, the posttest mean knowledge of the video media group (86.03±4.916) was higher than that of the booklet media group (82.97±4.902) and was significantly different (p=0.019). In the attitude and action variables, the posttest mean of the video media group was also higher, but the difference was not significant (attitude: 84.73±5.595 vs 83.33±6.019; p=0.355; action: 84.67±5.713 vs 82.67±6.397; p=0.207). These findings indicate that both media are effective in improving post-intervention outcomes, with video media superior, especially in increasing knowledge. Conclusion: Video media is more effective than booklets in increasing HIV/AIDS knowledge in adolescents, while there is no significant difference in effectiveness between the two media in attitudes and actions Keyword: HIV/AIDS, adolescents, health education, video media, booklet, quasi-experimental