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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 627 Documents
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Global Research Trends and Knowledge Structure of Interdialytic Weight Gain in Hemodialysis: A Bibliometric Analysis Study (2016–2025) Ginsa Sabella Elmorisna Sivanda; Arlina Dewi
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.v8i2.29269

Abstract

Purpose: This study aims to analyze global research trends on interdialytic weight gain (IDWG) in patients undergoing haemodialysis and to map the intellectual structure, publication patterns, and emerging research themes within the field. Design/Methodology/Approach: A bibliometric analysis with a descriptive quantitative approach was conducted using the Scopus database. Bibliographic data were retrieved on 19 January 2026 using keywords related to “interdialytic weight gain” and “hemodialysis”. A total of 170 English-language journal articles published between 2016 and 2025 met the inclusion criteria. Data were analyzed using the Bibliometrix package in RStudio and visualized using VOSviewer to examine publication performance, collaboration networks, keyword co-occurrence, and thematic evolution. Findings: The dataset comprised 170 articles published in 81 sources and authored by 1,049 researchers. The annual publication growth rate was 6.17%, with an average of 16.47 citations per document. Collaboration analysis revealed a high level of scientific cooperation, with an average of seven authors per article and an international co-authorship rate of 24.12%. Keyword co-occurrence and thematic mapping identified haemodialysis, interdialytic weight gain, and fluid management as the dominant research themes. Overlay and density visualizations indicated an increasing research interest in behavioral and psychosocial topics, including self-efficacy, adherence, and patient self-management. However, these themes remain less prominent than physiological and clinical research topics. Originality/Value: This study provides a comprehensive bibliometric overview of the global IDWG research landscape and highlights emerging thematic directions. The findings identify behavioral and psychosocial dimensions as developing but relatively underexplored areas, offering potential directions for future research in haemodialysis-related fluid management. Keywords: Bibliometric Analysis, Interdialytic Weight Gain, Haemodialysis, Self-Efficacy, Adherence to Fluid Restriction.
The Role of Motivational Climate and Career Development as Determinants of Job Performance among Primary Health Care Workers Muchti Yuda Pratama; Fitriani Pramita Gurning; Suharto Suharto; Fakhrurradhi Luthfi; Irwansyah Lubis; Nirma Juli Saputri; Roni Gunawan; Benri Situmorang
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.28732

Abstract

The quality of primary health care services is greatly influenced by the performance of health workers. Service quality and organizational effectiveness are supported by good employee performance. However, employee performance can be affected by increasing workload and limited organizational resources. Only limited empirical evidence has been provided on the roles of motivational climate and career development in improving job performance among primary health care workers, especially in Indonesia. This study was conducted to examine the effects of motivational climate and career development on the job performance of health workers in community health centers. A cross-sectional quantitative design was employed involving 350 health professionals from 18 community health centers in Dairi Regency, North Sumatra, Indonesia. Data were collected by using structured questionnaires. After the classical assumption tests were completed, the data were analyzed by using multiple linear regression. The findings indicate that both motivational climate and career development have positive and significant effects on job performance (p<0.001). Career development emerged as the strongest predictor (β=0.566), followed by motivational climate (β=0.279). It was found that 64.4% of the variance in job performance was explained by the regression model. Strong explanatory power was shown by the model. It is shown by these findings that stronger career development systems and a supportive motivational climate should be developed. These are considered important strategies for improving the performance of health workers in primary health care settings. Keywords: Motivational Climate, Career Development, Job Performance,  Primary Health Care, Workers
Development A Behavioral Model of Family Planning Participation Among Women Of Reproductive Age Based On Lawrence Green’s Precede–Proceed Framework in Medan City, Indonesia Nopita Yanti Sitorus; Helfrida Situmorang; Sri Dewi Br Siregar; Desi Handayani Lubis; Yulia Safitri
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.28425

Abstract

Participation of women of reproductive age (WRA) in the family planning (FP) programme in Medan City is only 42.2%, far below the national contraceptive prevalence rate of 59.4%. Existing programmes have not been guided by a locally validated behavioural model.  To develop a behavioural model of FP participation among WRA using Lawrence Green’s PRECEDE–PROCEED framework.  An analytical cross-sectional study was conducted in 2025 among 260 WRA attending 10 maternity clinics and 3 community health centres (puskesmas) in Medan City, selected by stratified random sampling with proportional allocation. Data were collected with a structured questionnaire measuring predisposing (education, knowledge, attitude, information-seeking behaviour, parity), enabling (income, access to health services, media exposure) and reinforcing (husband’s support, health-worker support) factors. Bivariate analysis used the chi-square test with prevalence ratios (PR) and 95% confidence intervals (CI); variables with p < 0.25 entered a multiple logistic regression (forward stepwise Wald). Forty-two respondents (16.2%) did not participate in the FP programme. Eight of ten variables qualified for multivariable modelling. Four determinants remained significant in the final model: knowledge (AOR = 31.37; 95% CI 12.29–80.06), education (AOR = 17.66; 95% CI 8.03–38.85), husband’s support (AOR = 9.52; 95% CI 4.42–20.50) and income (AOR = 2.83; 95% CI 1.20–6.66). Knowledge was the dominant predictor. A woman with poor knowledge, low education, an unsupportive husband and low income had a predicted probability of non-participation of 99.8%, compared with 0.9% for a woman with none of these characteristics. FP participation in Medan is determined by the interaction of predisposing, enabling and reinforcing factors. Interventions should combine contraceptive literacy education, couple-based counselling and economic empowerment of low-income households Keywords: Contraceptive Behaviour; Family Planning; Logistic Regression; PRECEDE–PROCEED Model; Women of Reproductive Age
The Relationship between the Role of Quality Control Circles and Improved Nurses’ Compliance with Standard Operating Procedures at Mitra Medika Tanjung Mulia Hospital Suherni Suherni; Lilis Pujiati; Chairul Munir; Heni Triana
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.28563

Abstract

Hospitals are required to maintain service quality and patient safety through consistent adherence to Standard Operating Procedures (SOPs). Quality Control Circles (Gugus Kendali Mutu; GKM) serve as an internal quality control mechanism that supports quality planning, audit implementation, monitoring, coaching, and follow-up of audit findings. This study aimed to examine the association between the role of Quality Control Circles and nurses’ compliance with SOPs at Mitra Medika Tanjung Mulia Hospital. A quantitative descriptive-analytic study with a cross-sectional design was conducted from November 2025 to March 2026, involving 35 active members of the Quality Control Circles selected through total sampling. Data were collected using structured questionnaires and analyzed through univariate analysis, bivariate analysis using Pearson Chi-square and Fisher’s Exact Test, and multivariate analysis using binary logistic regression. The results showed that 65.7% of respondents perceived the role of Quality Control Circles as good, while 74.3% of nurses were categorized as compliant with SOPs. Bivariate analysis revealed a significant association between the role of Quality Control Circles and nurses’ SOP compliance (χ² = 10.171; p = 0.001; Fisher’s Exact Test = 0.003). Multivariate logistic regression showed that nurses who perceived the role of Quality Control Circles as good had higher odds of complying with SOPs, although the association was not statistically significant after controlling for age, gender, educational background, and years of service (AOR = 6.228; 95% CI = 0.247–157.196; p = 0.267). These findings indicate that Quality Control Circles are relevant to strengthening SOP compliance, but their role should be reinforced through continuous supervision, structured feedback, and integrated quality improvement strategies. Keyword: Quality Control Circles; nurses’ compliance; Standard Operating Procedures; hospital quality management; patient safety
Analysis of the Negative Externalities of Tobacco Consumption: A Fiscal Comparison of Regional Cigarette Taxes and Healthcare Costs in Tebing Tinggi Nofi Susanti; Rani Suraya; Putra Apriadi Siregar; Abdillah Ahsan; Faiza Adinda; Nuraisyah Wulandari Panjaitan; Nurhayati Nurhayati
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.v8i2.30469

Abstract

The high prevalence of smoking in Indonesia poses a substantial financial burden on the national health insurance system. At the local level, regional governments frequently encounter a fiscal dilemma between relying on revenues generated from the tobacco sector and suppressing the escalating costs of curative services driven by the adverse impacts of tobacco. This study aims to empirically examine the relationship between tobacco fiscal instruments, regional revenues, and the healthcare cost burden resulting from smoking-related diseases in Tebing Tinggi City. A quantitative approach utilizing a descriptive-comparative study design was employed to analyze secondary data spanning the 2022–2024 period. Data were obtained from the Regional Development Planning Agency of Tebing Tinggi, including realized figures for Cigarette Taxes and the Tobacco Excise Revenue Sharing Fund, as well as medical service data from Dr. H. Kumpulan Pane Regional General Hospital in Tebing Tinggi City. In 2024, the total regional revenue generated from the tobacco sector in Tebing Tinggi City reached only IDR 14.48 billion (consisting of IDR 14.19 billion from Cigarette Taxes and IDR 288.68 million from Tobacco Excise Revenue Sharing Fund. Conversely, the total medical expenditure for 11 types of smoking-related diseases swelled massively, draining the regional budget by IDR 33.05 billion in the same year, predominantly driven by catastrophic cases such as stroke and tuberculosis. There exists a hidden fiscal deficit in Tebing Tinggi City, whereby revenues from the tobacco sector fail to cover even half of the total local healthcare expenditure caused by these negative externalities. To mitigate this hidden fiscal deficit and reduce long-term curative health expenditure, a comprehensive local policy enforcing a total ban on cigarette advertising is highly recommended as a direct upstream preventive intervention. Keywords: Fiscal Deficit, Cigarette Tax, Healthcare Costs, Negative Externalities, Tobacco Excise Revenue Sharing Fund
The Effectiveness of Antenatal Yoga Exercises in Reducing the Anxiety Levels of Primiparous Mothers Before Delivery at the Setia Janji Community Health Center Herviza Wulandary Pane; Sri Ilawati; Serli Bahri
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.29453

Abstract

Anxiety in primiparous women approaching childbirth may negatively affect labor outcomes and maternal–fetal well-being. Antenatal yoga is a safe non-pharmacological intervention that may improve maternal psychological health. This study aimed to evaluate the effectiveness of antenatal yoga in reducing anxiety among third-trimester primiparous women at the Setia Janji Community Health Center. A quasi-experimental study with a pretest–posttest control group design was conducted involving 60 third-trimester primiparous women selected using purposive sampling. Participants were assigned to an intervention group (n = 30), which received a structured antenatal yoga program for four weeks (eight sessions), and a control group (n = 30), which received routine antenatal care. Anxiety was assessed using the Hamilton Anxiety Rating Scale (HARS). Data were analyzed using the Shapiro–Wilk test, paired t-test, independent t-test, and non-parametric alternatives, with p < 0.05 considered statistically significant. The intervention group showed a significant reduction in mean anxiety scores from 24.6 ± 4.1 to 15.2 ± 3.5 (mean difference = −9.4; p < 0.001), whereas the control group showed no significant change (23.9 ± 4.3 vs. 22.8 ± 4.0; p = 0.082). Post-intervention anxiety was significantly lower in the intervention group than in the control group (mean difference = −7.6; 95% CI: −9.5 to −5.7; p < 0.001; Cohen's d = 2.02). Antenatal yoga is an effective complementary intervention for reducing anxiety in third-trimester primiparous women and can be integrated into routine antenatal care services, especially in preparing for the birth process in a calmer and more adaptive manner. Keywords: Antenatal yoga, Anxiety, Primiparous women , pregnancy, maternal health
Comparing Online Registration Systems for Waiting Time and Patient Satisfaction in an Oncology Outpatient Clinic Ninung Rose Diana Kusumawati; Bagoes Widjanarko; Sutopo Patria Jati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.29709

Abstract

Prolonged waiting times are particularly burdensome in oncology clinics, where patients require repeated and complex visits. The previous web-based registration system at Dr. Kariadi General Hospital did not provide real-time queue information and was reported to experience stability and loading issues. In contrast, the new application-based model incorporated real-time queue monitoring, automated notifications, and clearer scheduling information. This study aimed to compare outpatient waiting time sand patient satisfaction between the old and new online registration models in an oncology outpatient clinic. This cross-sectional observational study with a comparative design included 317 oncology outpatients recruited between October to December 2025, during  a period when both registration models were operational. Participants were classified according to the registration model used (old model, n = 187; new model, n = 130). Waiting time was defined at the interval between the Hospital Management Information System (HMIS)-recorded check-in time and the start of the physician consultation. Patient satisfaction was assessed across the five SERVPERF dimensions. Unadjusted between-group comparisons were performed using the Mann-Whitney U test. Semi-structured interviews were conducted solely to provide supplementary illustrative observations and were not included as a formal qualitative component.  The Mean waiting time was 83.10 minutes with the new model and 95.83 minutes with the old model group (mean difference, -12.73 minutes; p = 0.037). Mean overall satisfaction scores were 58.67 and 55.33, respectively (mean difference, +3.34; p = 0.003). Scores for tangibles, reliability, responsiveness, and assurance dimensions were significantly higher among users of the new registration model, whereas empathy scores did not differ significantly between groups (p = 0.071). In this unadjusted cross-sectional comparison, use of the new registration model was associated with modestly shorter waiting times and higher patient satisfaction, although overall waiting times remained prolonged. These findings support the integration of real-time digital features into hospital registration systems while highlighting the need for longitudinal studies to confirm their effectiveness and for strategies to ensure equitable access among patients with  limited digital literacy. Keywords: Oncology, online registration, outpatient services, patient satisfaction, SERVPERF, waiting time
The Effect of Prenatal Yoga on Physical Health of Third Trimester Pregnant Women: A Scoping Review Dewi Ratnasari; Oki Suwarsa; Ronny Lesmana; Vita Murniati Tarawan; Akhmad Yogi Pramatirta; Hadi Susiarno; Qorinah Estiningtyas Sakilah Adnani
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.29532

Abstract

Low back pain is commonly encountered in the later stages of pregnancy, being experienced by about half to two-thirds of pregnant women and possibly restricting normal activities and everyday functioning. This scoping review aimed to identify evidence on the effects of prenatal yoga on physical health in women in the third trimester of pregnancy. It was conducted in line with the PRISMA-ScR guidelines. A search of PubMed, ScienceDirect, and Google Scholar was performed for studies published between 2019 and 2025. This search resulted in 138 records. After removing duplicates, screening titles and abstracts, and reviewing full texts, seven studies met the eligibility criteria and were included in the review. The selection of studies and the extraction of data were each carried out by two reviewers. The studies included in the review employed a variety of research designs, such as randomized controlled trials, quasi-experimental studies, and pre-experimental studies. In genera, the outcomes suggested that prenatal yoga had a beneficial effect on a range of maternal health outcomes. It was associated with a decreased prevalence of low back pain, an improvement in the quality of sleep assessed by the Pittsburgh Sleep Quality Index, better balance, and increased general well-being. Moreover, all the studies identified a reduction in both anxiety and pain levels. There were no adverse effects related to prenatal yoga observed in any of the papers, which means that it can be considered a safe non-pharmacological approach for pregnant women. In summary, it can be concluded that prenatal yoga has the potential to bring about some positive changes to the physical health of women in the late pregnancy stage, particularly by decreasing musculoskeletal discomfort. At the same time, variability in study design and different intervention protocols needs further investigation through randomized controlled trials.Keywords: Prenatal Yoga, Pregnancy, Third Trimester, Low Back Pain, Musculoskeletal Pain, Non-Pharmacological Intervention.
Sheet Mask Bintangur (Calophyllum inophyllum L.) Ahmad Purnawarman Faisal; Adhisty Nurpermatasari
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.29676

Abstract

Environmental exposure, particularly ultraviolet radiation and pollution, can promote oxidative stress in the skin and contribute to premature skin aging, highlighting the need for safe natural antioxidants in preventive skin care. Bintangur (Calophyllum inophyllum L.) leaves contain bioactive compounds with potential antioxidant properties and may be developed as a botanical ingredient for topical preparations. This study aimed to formulate and evaluate the physical characteristics and stability of Bintangur leaf ethanol extract in sheet mask preparations. Bintangur leaves were extracted by maceration using 96% ethanol and formulated into sheet masks at concentrations of 0.5% (FI), 1.0% (FII), and 1.5% (FIII), with F0 serving as a negative control. The formulations were evaluated for organoleptic properties, homogeneity, pH, viscosity, skin irritation, and four-week stability. All formulations remained homogeneous, with initial pH values ranging from 6.70 to 7.42 and mean viscosities ranging from 533.33 to 621.33 cP. During four weeks of storage, all formulations maintained homogeneity and acceptable pH values, although slight brownish discoloration occurred in extract-containing formulations. No irritation was observed among the 10 panelists. FI (0.5%) showed the most favorable overall stability, particularly the smallest pH change during storage. These findings support further investigation of Bintangur leaf extract sheet masks as a locally sourced botanical formulation for preventive skin care. Keywords: Bintangur, Calophyllum inophyllum L., sheet mask, formulation
Mumps Spread in School Cluster: Risk Factors Behind the Surge of Mumps Cases at Elementary School 4 Magelang Arlyn Manggar; Muh Fauzi; Yudhy Dharmawan; Bhekti Noor Fitriani
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.29314

Abstract

Mumps is a viral infectious disease that primarily affects children and spreads easily among susceptible individuals and can be prevented through MMR vaccination, although it is not yet included in Indonesia’s national immunization program. Magelang City Health Office received a report of an increase in mumps cases on November 4, 2024, through the Early Warning and Response System (SKDR). Mumps transmission occurred within the Elementary School 4 Magelang cluster. An outbreak investigation was important to determine the magnitude of the problem and the factors that contributed to the occurrence of mumps. The research design employed a 1:4 case-control study involving all 12 identified mumps cases and 48 controls from a total population of 114. Cases were defined as students experiencing clinical symptoms of mumps, specifically posterior jaw pain and/or parotid gland swelling, or who were diagnosed by medical personnel. Data collection was conducted using interviews with the students and parents, observations, and case report data. The data were analyzed using bivariate analysis with the chi-square test. Twelve cases were reported in total, beginning with the first case on September  25, 2024, and peaking between November 5–11. The highest attack rate was observed among male students (14.06%), students aged 6–7 years (19.23%), and first-grade students (20%). The most common symptom was posterior jaw pain (100%), and the most common risk factors were a history of contact with patients (66.7%) and a history of travel (33.3%). Bivariate analysis revealed that sharing eating and drinking utensils (p-value 0.006) and travel history (OR = 11.5; 95% CI: 1.79–73.58) were significantly associated with mumps occurrence. However, other factors such as MMR vaccination status, history of contact with patients, and current illness status were not statistically significant. Schools should collaborate with healthcare facilities to strengthen infectious disease surveillance and prevent further cases.Keywords: Mumps, Disease Outbreak, School Health Service, Travel History, Outbreak Investigation, Case-control Studies.

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