Jurnal Inovasi Kesehatan Masyarakat 2020-11-28T08:08:13SE Asia Standard Time Ripai Siregar, SKM.MKM Open Journal Systems <div style="text-align: justify;"> <p>Jurnal Inovasi Kesehatan Masyarakat (JIKM) diterbitkan oleh Program Masgister Kesehatan Masyarakat Institut Kesehatan Deli Husada yang bertujuan memberikan ruang bagi akademisi, peneliti dan pengguna hasil penelitian dan pengabdian untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan hasil penelitian dan pengabdian sebagai upaya meningkatkan kualitas kebijakan di bidang kesehatan masyarakat yang berbasis ilmiah dan dapat dipertanggung jawabkan. Jurnal ini menyajikan artikel ilmiah di bidang inovasi teknologi, meteodologi, teori di bidang kesehatan masyarakat. Jurnal Inovasi Kesehatan Masyarakat (JIKM) bersifat independen, ilmiah, memberi kesempatan yang sama kepada akademisi dari berbagai jenjang dan asal pendidikan tinggi.</p> </div> PENGARUH MOTIVASI TERHADAP KINERJA PERAWAT DI RUANG RAWAT INAP DI RSU SEMBIRING DELITUA TAHUN 2019 2020-11-28T07:52:51SE Asia Standard Time Sentosa Barus The primary role is to manage the implementation of health care such as training programs, trainers and participate in program activities are responsible. In other words, health care workers assigned as managing existing activities. Lack of motivation and retraining or refresher training for employees of the health department and the lack of guidance led to a lack of ability of public health officials in performing their duties. This resulted in an inaccuracy in the execution of his duty personnel. Therefore, it needs to be researched "The Effect Of Motivation On The Performance Of Employees In Sembiring Hospital District 2019.” This study uses descriptive analytic survey with cross sectional approach. Population as well as samples in this study were all employees of Sembiring Hospital District in 2019 with the number of employees 133 people. Processing and analysis of data is done by univariate, bivariates. The results of chi square analysis showed that there is an influence between the variables of achievement, respect, responsibility, supervision, working conditions, payment and safety, and policies with the employee performance where p value less than 0.05. While variable work itself does not affect the performance. Suggested to the leader of the health department, to give more attention in terms of creating a healthy working environment, apply the same policy that applies to all employees and also give rewards to employees who show the best performance. Based on the findings and limitations in this research, ongoing research needs to be done using a variety of other conditional factors. 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## THE FACTORS THAT INFLUENCE MIDWIVES TO EXAMINING THEMSELVES THROUGH PAP SMEAR EXAMINATION AT GENERAL Dr. PIRNGADI HOSPITAL MEDAN CITY IN 2020 2020-11-28T07:53:47SE Asia Standard Time friska apriani sihombing Cervical cancer is killer cancer that most often attacks women who cause death. One of the efforts for early detection of cervical cancer is by conducting a pap smear examination. According to WHO cervical cancer is the second most common type of cancer in Indonesia as many as 32,469 cases or 9.3%. The purpose of this study was to determine the factors that influence midwives to examining themselves through pap smear examination at general Dr. Pirngadi hospital Medan City in 2020. The study method used observational analytic with cross-sectional approach. This research was conducted at genera Dr. Pirngadi hopital Medan city from January to March 2020. The population in this study were all health workers who work as midwives and the sample was 83 people. Data analysis with Chi Square and Multiple Logistic Regression. The results showed 53.0% have a pap smear examination and 47.0% have no a pap smear examination. There is a significant relationship between husband's support and length of work on pap smear p <0.05, there is no significant relationship between age, education, knowledge, attitude and motivation on pap smear examination p = <0.05. The results of multiple logistic regression tests found that the factors that most influence the pap smear examination were length of work and husband's support. For health workers in general Dr. Pirngadi hospital Medan City is expected to be able to foster a positive attitude towards pap smear examination and is expected to be able to carry out checks more regularly in order to avoid losses due to cervical cancer. 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## FAKTOR-FAKTOR YANG MEMPENGARUHI RENDAHNYA CAKUPAN Hb.0 DI DESA SAIT BUHIT PUSKESMAS PEMATANG SIDAMANIK KABUPATEN SIMALUNGUN TAHUN 2019 2020-11-28T07:54:31SE Asia Standard Time sri leni betty saragih <p>ABSTRACT</p> <p>&nbsp;</p> <p>Immunization is the process by which a person is made immune or resistant to infectious diseases, usually by being given a vaccine. Immunization is important for babies. The antibodies possessed by infants are not perfect, therefore babies need vaccines in the form of immunizations to ward off various diseases that can strike at any time. The mother is a person who plays an important role in caring for children and in making decisions in the household for the completion of child immunization. Hepatitis B vaccine must be given immediately after birth, bearing in mind that hepatitis B vaccination is a very effective preventive measure to break the chain of transmission from mother to her baby immediately after birth. The success of immunization requires community involvement, especially the role of mothers / parents who have babies in immunization. This study aims to determine how the analysis of factors that influence the low HB 0 immunization coverage in the village of Sait Buttu, the working area of Pematang Sidamanik Community Health Center, Simalungun Regency in 2019. This study is a survey with a cross-sectional research design. Sampling is done by purposive sampling technique. The total sample in this study were 76 respondents. Data were analyzed by Chi Square test with α 0.05. The results of the study with bivariate analysis showed that there were influences between factors related to mother's attitudes, namely knowledge with p value (0.030) &lt;α 0.05, education with p value (0.006) &lt;α 0.05, age with p value (0.002 )&lt;α 0.05, and work with a p value (0.004) &lt;α 0.05 in the coverage of HB 0 in the Pematang Sidamanik Community health center in 2019. For the Simalungun District Health Office to provide more information about the benefits of HB-0 immunization, especially to pregnant mothers so that the mother gives HB-0 immunization to her baby later when the baby is born. For the Pematang Sidamanik Community Health Centre so that all midwives in the Community can always provide information to mothers and families to be willing to allow their babies to be given HB-0 immunization immediately after birth (age 0-7 days)</p> <p>&nbsp;</p> <p>Keywords: Mother's Attitude, Low HB 0, and Community Health Centra.</p> <p>&nbsp;</p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## ANALISIS PROGRAM GERAKAN MASYARAKAT HIDUP SEHAT (GERMAS) DENGAN ORGANISASI PERANGKAT DAERAH (OPD) DI KEC. SIANTAR BARAT KOTA PEMATANGSIANTAR TAHUN 2020 2020-11-28T07:55:02SE Asia Standard Time anna rosita <p><em>Changes in the pattern of disease (epidemiological transition) are characterized by increased deaths and morbidity due to PTM that have an impact on increasing the financing of health services that must be borne by the community and government as well as decreasing productivity of the people of Pematangsiantar City. is expected to be overcome by implementing GERMAS in Pematangsiantar City. This research is a descriptive qualitative research that aims to analyze the GERMAS Program with Regional Apparatus Organizations in Kecamatan Siantar Barat, Pematangsiantar City in 2020. The selection of informants uses snowball sampling techniques. The informants in this study were 4 people, each representing representatives from the Regional Apparatus Organization, the Salimah Women's Community Organization , PHBS cadres and the Community of Kecamatan Siantar Barat.</em></p> <p><em>The results showed that the Regional Organization, Salimah Women's Community Organization and PHBS cadres supported the implementation of the GERMAS in Kec. Siantar Barat, Pematangsiantar City. The obstacle in implementing GERMAS is the low awareness of the community to participate in the implementation of GERMAS.</em></p> <p><em>It is hoped that the Regional Apparatus Organization, the Salimah Women's Community Organization, PHBS cadres remain committed in providing support for the implementation of the GERMAS and the community is expected to be more active in socialization activities and other GERMAS programs. to increase knowledge about the importance of applying GERMAS in everyday life.</em></p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## EFESIENSI DAN EFEKTIFITAS UTILISASI KAMAR OPERASI DI RSUD PERDAGANGAN KABUPATEN SIMALUNGUN TAHUN 2020 2020-11-28T07:55:34SE Asia Standard Time Jeni Mardini <p><em>The operating room is one of the high-cost units but can generate huge profits for the hospital. The challenge of operating room management is to increase the efficiency and effectiveness of the operating room by considering aspects of operating scheduling, operating types and operating room monitoring. This study aims to analyze in depth about the Increased Efficiency and Effectiveness of Operating Room Utilization in Simalungun District Hospital in 2020 using a qualitative descriptive study conducted from January to April 2020. This study used snowball sampling techniques with initial informants totaling 4 people.</em></p> <p><em>The results of the analysis concluded that it is necessary to increase the effectiveness and efficiency of operating theater utilities in the General Trading Hospital. Things that need to be done are: Improve SOPs or policies regarding work procedures and service standards in operating room installations, applications to monitor officer functions, provide periodic education and training for officers, Implement periodic maintenance of buildings, Add new / up-to-date equipment operations and support , Implementation of monitoring and evaluation of the quality and quality of operating room installation services on a regular basis.</em></p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## Persepsi ibu hamil trimester III terhadap hubungan senam yoga dalam mengurangi kecemasan di sekolah emak ( yayasan ibu sejati indonesia ) medan permai, kelurahan medan tuntungan kota medan 2020-11-28T07:56:06SE Asia Standard Time Juniar Alpina Br sitorus <p><em>Pregnancy is a time when a woman carries an embryo or fetus in her body, at the time of pregnancy the mother has the perception that childbirth is frightening, and has anxiety, to overcome this problem, namely yoga exercises, the purpose of this study is to determine the perceptions of pregnant women in trimester. III regarding yoga exercises in reducing anxiety in the mother school, the Indonesian True Mother Foundation, Medan, Medan, Medan, in 2020. This type of research is a descriptive study with a qualitative approach, the sample in this study amounted to twelve people, consisting of ten pregnant women, one Chairperson of the Mother School Foundation of the Indonesian True Mother Foundation, and one Yoga Gymnastics Coach at the mother's school foundation. true mother of Indonesia. The results of this study, that doing yoga exercises can reduce anxiety in the face of childbirth, reducing anxiety is because during yoga exercise mothers are prepared to face childbirth by exercising muscle control, breathing techniques, relaxation and practicing peace of mind. Pregnant women say that before doing yoga exercises, mothers feel anxiety so that yoga exercises are needed to reduce anxiety in facing childbirth. Yoga exercise also has useful meditation techniques to help calm the mind, reducing stress yoga has the benefit of reducing stress. Suggestion For the research site, it is hoped that the research site will provide a forum for health workers, especially midwives, to take part in yoga exercise training so that midwives can apply yoga exercises to classes for pregnant women.</em></p> <p><em>&nbsp;</em></p> <p><strong><em>Keywords: Perception, Anxiety, Yoga, pregnant women</em></strong></p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## ANALISIS PELAKSANAAN MANAJEMEN FASILITAS DAN KESELAMATAN BERBASIS SNARS EDISI 1 TAHUN 2018 DI RSU DELI MEDAN TAHUN 2020 2020-11-28T07:57:33SE Asia Standard Time Meilani Lie <p>&nbsp;<em>Facilities Management and Safety Standards (FMS) is one of the 15 hospital accreditation standards that must be fulfilled. FMS standards are very closely related to the implementation of Hospital Occupational Safety and Health (OSH). If the OSH is not implemented, the FMS standard cannot be fulfilled which impacts the quality of health services. This research aims to analyze the implementation of Facilities and Safety Management based on the Hospital Accreditation National Standar</em><em>d</em><em>s (HANS) 1st Edition 2018 at Deli Hospital Medan. The type of research is a qualitative study using a phenomenological approach. The research period is from December 2019 to March 2020. The number of informants are 10 people (1 person in charge of accreditation and 9 people in charge of OSH). Data collection is done through in-depth interviews, document checks and observations. Data were analyzed with descriptive statistics to describe the achievements of each FMS standard and continued with thematic analysis to conclude the results of the interview. The results showed that the achievements of FMS based on HANS 1st Edition obtained an average of 61.90%. Obstacles to fulfillment include: limited availability of facilities and infrastructure, limited number of Human Resources (HR), awareness of HR, lack of HR knowledge about OSH, limited budget allocation to support the implementation of FMS standards, readiness of the training in conducting training and simulation has not been maximized, </em><em>the lack of compliance of the Hazardous and Toxic Waste provider to attach the Material Safety Data Sheets. Achievement of FMS standard fulfillment based on HANS Edition 1.1 was 67.14%, but did not become an obstacle in hospital accreditation from the First rank to the Basic rank. It is expected that the person in charge of accreditation prioritizes the improvement of FMS 2 (implementing facilities and environmental risk management programs), FMS 6 (developing, maintaining, disaster management programs to respond to disasters and natural disasters) and FMS 6.1 (conducting simulation handling / responding to emergencies, epidemics and disasters ) because the fulfillment is still &lt;50%. Hospital management should do a simulation before accreditation from Hospital Accreditation Commission to fulfill the achievement of at least 80%, add competent human resources in the field of OSH which also plays a role in assisting the implementation of FMS standards and allocating funds for training activities.</em></p> <p>&nbsp;</p> <p><strong><em>Keywords: Hospital, Accreditation, Facilities Management and Safety</em></strong></p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN SIKAP IBU DALAM PEMBERIAN MP-ASI DINI DI WILAYAH KERJA PUSKESMAS PERDAGANGAN KECAMATAN BANDAR KABUPATEN SIMALUNGUN TAHUN 2020 2020-11-28T07:58:11SE Asia Standard Time erna manik <p>Mother's Milk (ASI) is the perfect substance for baby's growth and can accelerate the development of baby's weight. Complementary Food for Mother's Milk (MP-ASI) is food or drink that contains nutrients that are given to infants / children to meet nutritional needs. Appropriate complementary feeding is greatly influenced by the behavior of mothers who have babies. However, there are still many mothers who provide complementary foods for less than 6 months which can have a negative impact on the health of the baby. Many factors are related to early breastfeeding by the mother. These factors include knowledge, health and occupation of the mother, MP-ASI advertisements, health workers, cultural and socioeconomic. In order for the organizer's health efforts to be optimal, the Puskesmas must carry out a good assessment. This study aims to determine how mothers' attitudes towards early breastfeeding in the area of ​​Puskesmas Commerce in Bandar subdistrict, Simalungun Regency in 2020. This study is a survey with a cross-sectional research design. Sampling is done by using perposive sampling technique. The total sample in this study were 76 respondents. Data were analyzed by Chi Square test with α 0.05. The results of the study with bivariate analysis showed that there were influences between factors related to mother's attitudes namely education with p value (0.011) &lt;α 0.05, occupation with p value (0.023) &lt;α 0.05, husband support with p value ( 0.011) &lt;α 0.05, and breastfeeding culture with a value of p (0.005) &lt;α 0.05 in the provision of early breastfeeding MP in trade health centers in 2020. For the Simalungun District Health Office in order to provide counseling to the community especially to post partum mothers to always give exclusive breastfeeding to her baby until the age of 6 months without providing additional food such as formula milk, tea water, rice porridge and so forth. For trade Puskesmas so that Puskesmas employees can always provide the best service by providing information about early MP-ASI, how to give, due to giving MP-ASI too early to the mother so that the mother's insight becomes wider and her knowledge will be better.</p> <p>&nbsp;</p> <p>Keywords: Mother's Attitude, Giving MP-ASI, and Puskesmas.</p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## Hubungan kualitas pelayanan perawat dengan kepuasan pasien diabetes melitus type II 2020-11-28T07:59:48SE Asia Standard Time hany pratiwi <p><strong>ABSTRACT</strong></p> <p>Patient satisfaction is an indicator of service success that affects satisfaction in nursing services. If the service is approprite to expectations, the quality of service is considered good and satisfying, otherwise the service received is not satisfactory, the quality of service is as poor. The 5 dimensions of patient satisfaction are tangibles, reliability, responsiveness, assurance, and empathy. The purpose of this research was to determine the relationship of tangibles, reliability, responsiveness, assurance and empathy with the satisfaction of type 2 diabetes mellitus patients in Citra Medika 2 Clinic, Medan City. The type of research used associative research, that aims to determine the effect or also the relationship between two or more variables. This research is quantitative, with a cross sectional design which is a research design by examining the relationship between two variables in a situation or group of subjects. The population of this research were all patients with Diabetes Mellitus Type 2 in Citra Medika 2 Clinic, Medan City, totaling 1,524 people. The sample of 86 people was obtained using the Purposive Sampling technique, the research instrument used questionnaire.The results obtained that variables that related to patient satisfaction with Diabetes Mellitus Type 2, are tangibles (p value = 0,000), assurance (p value = 0.004), Empathy (p value = 0.006). It is recommended to Citra Medika 2 Clinic especially nurses to maintain good service quality and continue to improve the quality of service to patients.</p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN IMPLEMENTASI PROGRAM PIS-PK DI PUSKESMAS GADING PADANG LAWAS TAHUN 2020 2020-11-28T08:00:06SE Asia Standard Time rini yunika andalia <p>Policy implementation is a way for a policy to achieve its objectives. The implementation of this policy is the Healthy Indonesia Program with a Family Approach. In implementing the healthy indonesia program family approach policy there are related factors, namely knowledge, attitudes, communication, bureaucratic structure. Study was to determine the Factors Associated with the healthy indonesia program family approach in Gading Padang Lawas Health Center in 2020. The type of study is quantitative study with cross sectional approach that independent variables with the dependent variable faced by community health center staff in implementing the healthy indonesia program family approach in the work area of ​​the Ivory Law Center in Padang Lawas in 2020. The population of this study is all family heads registered in the community health center in Gading Padang Lawas totaling 115 people. a sample of 57 people using a questionnaire. The results obtained by variables related to healthy indonesia program family approach Policy Implementation are: knowledge (p value = 0,000), attitude (p value = 0,000), communication (p value = 0,000), bureaucratic structure (p value = 0.002). It is recommended for respondents to increase healthy clean living behavior on themselves and be diligent to check themselves to the nearest health center when sick</p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## Analisis Faktor Penghambat Implementasi Manajemen Puskesmas Sukaramai Kota Medan Tahun 2020 2020-11-28T08:00:53SE Asia Standard Time Katarina Susi Kartika Simaremare <p><em>The Community Health Center of Sukaramai is one of 41 Community Health Centre in Medan and It is one of the outpatient Community Health Centers. The management of Community Health Centre will integrate all existing management in solving health priority problems in their working areas. The process and stages of Community Health Centre Management at Community Health Center&nbsp; of Sukaramai cannot be carried out effectively and efficiently, where the human resources (HR) are still lacking and performance achievements have not reach targets. This study aims to analyze the inhibiting factors in the implementation of the management of the Community Health Center in Medan with a qualitative research design with a phenomenological design. Informants in this study were 6 people. Data collection by in-depth interviews. Triangulation of the head of the Community Health Centre, the head of administration and the staff of Community Health Centre. This research was conducted at the Community Health Center of Sukaramai in Medan from March to April 2020. The results showed that the inhibiting factors in the implementation of the Community Health Center management were the availability of incomplete data, internal and external meetings that could not run effectively, supervision, control and performance evaluation were not carried out. Routinely, the lack of management openness in matters of funds, fund management is still not optimal, communication is not good and effective, lack of resources both human, physical and financial resources as well as a lack of employee understanding of Community Health Centre management. The Community Health Center Management of Sukaramai is expected to be able to carry out the management of Community Health Centre with maximum, fair and open.</em></p> <p><em>open.</em></p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU IBU DALAM PEMBERIAN MP-ASI DINI DI PUSKESMAS SIRAPIT KABUPATEN LANGKAT TAHUN 2020 2020-11-28T08:01:34SE Asia Standard Time Sevty Lolo Marheyeni <p><strong><em>THE RELATED FACTORS WITH MOTHER'S BEHAVIOR IN PROVIDING EARLY COMPLEMENTARY FEEDING AT COMMUNITY HEALTH CENTRE </em></strong></p> <p><strong><em>OF SIRAPIT LANGKAT REGENCY </em></strong></p> <p><strong><em>IN 2020</em></strong></p> <p><strong><em>&nbsp;</em></strong></p> <p><strong><em>&nbsp;</em></strong></p> <p><em>Sevty Lolo Marheyeni Manik<sup>1</sup></em><em>, </em><em>Arlinda Sari Wahyuni</em><em><sup> 2</sup></em><em>,</em><em>Bahtera Bindavid Purba</em><em><sup> 3</sup></em></p> <p><em>Email: </em><a href=""><em></em></a></p> <p><sup>1</sup><em>Masters Program Faculty Alumni of Public Health Institute of DELI HUSADA Deli Tua</em></p> <p><sup>2</sup><em>Lectureof Public Health Institute of DELI HUSADA Deli Tua</em></p> <p><strong><em>&nbsp;</em></strong></p> <p>&nbsp;</p> <p><strong><em>ABSTRACT</em></strong></p> <p><strong><em>&nbsp;</em></strong></p> <p><em>Appropriate complementary feeding is greatly influenced by the behavior of mothers who have babies. This study is to analyze what factors are related to maternal behavior in providing early complementary feeding in the Serapit Health Center in Langkat Regency in 2019. This research is an analytic study with a cross sectional approach to 86 mothers who have babies aged 6-12 months in the region the work of the Sirapit District Health Center in Langkat Regency. Sampling was done by purposive sampling with inclusion and exclusion criteria. The research instrument uses a structured questionnaire that has been tested for validity and reliability then is analyzed univariately and bivariately using the Chi Square test. Analysis of factors related to maternal behavior in giving early complementary feeding is used logistic regression at 95% confidence level (α = 0 , 05). The results of this study indicate that the majority of respondents who have poor knowledge 73.3%, who have low education 76.7%, mothers who are 75.6%, poor attitude 74.4%, socio-cultural that is not entrenched 76.7 % and poor maternal behavior 54.7%. The results of bivariate analysis revealed that knowledge (p = 0.003), education (p = 0.005), occupation (p = 0.012), attitude (p = 0.006) and social culture (p = 0.001) were significantly related to maternal behavior in giving Early breastfeeding in the Sirapit Community Health Center. It is therefore recommended for health workers to further improve health education to mothers, families and the community to increase understanding of the importance of providing correct and appropriate early complementary feeding.</em></p> <p><em>&nbsp;</em></p> <p><strong><em>Keywords</em></strong><em>: Knowledge, Education, Work, Attitude, Socio-Culture, Maternal Behavior, Early Complementary Feeding</em></p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## ANALISIS GERAKAN MASYARAKAT PADA LANSIA YANG MENDERITA PENYAKIT DIABETES MELITUS DI PUSKESMAS GUNTING SAGA LABUHAN BATU UTARA TAHUN 2020 2020-11-28T08:02:38SE Asia Standard Time sri rizky afiani <p><em>The elderly are one of the groups that are vulnerable to health problems. DM disease is increasing rapidly sufferers in the world due to the influence of lifestyle and people's diet. GERMAS is a national movement initiated by the President of the Republic of Indonesia that puts forward promotive and preventive efforts, without prejudice to curative-rehabilitative efforts by involving all components of the nation in promoting a healthy paradigm. Many people with diabetes in Indonesia who do not know they are diabetic, so do not do early detection. In fact, if early detection is done then complications can be prevented. The Healthy Living Community Movement invites the public to cultivate healthy living, to be able to change unhealthy habits or behavior. The purpose of this study was to analyze the movement of healthy people living in the elderly who suffer from diabetes mellitus at Saga Labuhan Batu Utara Scissors Health Center in 2020. The type of research used was descriptive qualitative research using the case study method. Intake of informants in this study using purposive sampling technique with a homogeneous sampling approach. The informants in this study consisted of 2 main informants, 3 additional informants. The implementation of Germas, in general, all activities have been carried out well by health workers, but in the process of implementing GERMAS that is currently underway at Saga Scissors Puskesmas is still not effective, because the elderly are less concerned with the disease and less concerned about their health.</em><em>&nbsp;</em><em>&nbsp;</em><em>Keywords: Germas Program,</em><em> Diabetes Mellitus,</em><em> Healthy Living, Elderly</em></p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## UJI EFEKTIVITAS AIR PERASAN DAUN JERUK NIPIS (Citrus aurantifolia Swingle.) SEBAGAI PESTISIDA NABATI TERHADAP LALAT BUAH TAHUN 2020 2020-11-28T08:03:14SE Asia Standard Time hengki frengki manullang <p><em>Fruit fly is one of the&nbsp; potential pests of fruit destroyers which is very loss to fruit farmers. Lime leaves (Citrus aurantifolia Swingle.) Have been examined to contain several compounds that have the potential to control fruit fly pests. The purposes to find out whether the juice of lime leaves is effective as a vegetable pesticide against fruit flies. In this study using experimental methods. With the stages of sampling, sample processing, phytochemical screening, making juice, making fruit fly traps, and testing the juice of lime leaves as vegetable pesticides with different concentrations of 0%, 5%, 10%, 15% and 20% sprayed on the surface of guava fruit (Psidium guajava) and observed its effect on fruit flies. The average results of research on the juice of lime leaves as a vegetable pesticide against fruit flies indicate that the higher the concentration the higher the number of fruit fly deaths based on observations made for 3 days. Based on data analyzed statistically by the ONE WAY ANOVA method. It can be concluded that at a concentration of 20% the juice of lime leaves is the most effective as a vegetable pesticide. Based on the results of this study, the juice of lime leaves is expected to be an alternative as a vegetable pesticide.</em></p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## PENGARUH KUALITAS PELAYANAN KESEHATAN TERHADAP KEPUASAN PASIEN BPJS KESEHATAN DI PUSKESMAS PATUMBAK KABUPATEN DELI SERDANG TAHUN 2020 2020-11-28T08:04:03SE Asia Standard Time VIKTOR EDYWARD MARBUN <p><em>Many human resources at public health center assume that the number of participants Social Health Care Assurance will burden or increase their workload so that the impact on the quality of health services in health centers. Similary, the assumption of the patient Social Health Care Assurance, because using Social Health Care Assurance card&nbsp; then the services that obtained feared can not be satisfactory. The purpose of this research is the analyze the effect of quality of health services on Social Health Care Assurance patient satisfactory.</em> <em>The research is quantitative research with survey method through explanatory research approach. The research was conducted at Patumbak Public Health Center Deli Serdang District. The Population of this research is 32.016 people and 90 people as sample. Data analysis use univariate analysis, bivariate analysis with chi-square and multivariate analysis use multiple logistic regression test at 95 confidence level (α=0,05)The results showed that the quality of health services significantly affected the satisfaction of BPJS Patients at Patumbak Community Health Center, P = 0,000. All dimensions of health service quality have an effect on patient satisfaction of BPJS at Patumbak&nbsp; Community Health Center that is direct evidence (tangibles, reliability (reliability), responsiveness, assurance and empathy. All confounding variables are sex, education occupation, membership of BPJS, distance of house to Health Center, none has an effect on patient satisfaction BPJS , with p &gt; 0,05. The most dominant variable of the effect on patient satisfaction is the variable of Empathy, with the value of RP = 0,235 means that respondents stated that reliable health services will services. It is suggested to health workers at Patumbak Public Helath Center, Deli Serdang district regency to maintain good service quality and continuously improve service quality to patients by showing Empathy in work, hospitality to all patients, responding to problems complained of patients and empthy on patients.</em></p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN RENDAHNYA KUNJUNGAN ULANG PASIEN UMUM DI UNIT RAWAT JALAN PUSKESMAS BANDAR TINGGI KABUPATEN SIMALUNGUN 2020-11-28T08:04:37SE Asia Standard Time Evi Noperia Damanik Felix Kasim Nur Mala Sari <p><strong>Latar Belakang:</strong> Rendahnya angka kunjungan ke Puskesmas dapat dipengaruhi oleh berbagai faktor baik dari faktor masyarakat sebagai pengguna atau pun dari Puskesmas sebagai penyedia pelayanan kesehatan.</p> <p><strong>Tujuan:</strong> Menganalisis faktor yang berhubungan dengan rendahnya kunjungan ulang pasien umum di Unit Rawat Jalan Puskesmas Bandar Tinggi Kabupaten Simalungun.</p> <p><strong>Metode:</strong> Jenis penelitian ini adalah penelitian kuantitatif dengan rancangan penelitian <em>cross sectional</em>. Sampel penelitian berjumlah 96 orang. Analisis statistik menggunakan uji <em>chi square dan regresi logistik</em> pada taraf kepercayaan 95% (p&lt;0,05).</p> <p><strong>Hasil:</strong> Ada hubungan pelayanan administrasi (p= 0,000), pelayanan dokter (p= 0,000), pelayanan perawat/bidan (p= 0,000), ketersediaan fasilitas dan obat-obatan (p= 0,000), akses (p= 0,000), dan kenyamanan (p= 0,000) dengan kunjungan ulang pasien umum di unit rawat jalan Puskesmas Bandar Tinggi tahun 2020.</p> <p><strong>Kesimpulan:</strong> Pelayanan administrasi merupakan variabel paling dominan berhubungan dengan kunjungan ulang pasien umum dengan nilai B (4,153)</p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## ANALISIS PERBEDAAN KUALITAS PELAYANAN PADA PASIEN BPJS DAN PASIEN UMUM DI UNIT RAWAT INAP RSUD TUAN RONDAHAIM PAMATANG RAYA 2020-11-28T08:06:23SE Asia Standard Time Angge Ayune Aderia Saragih Elisabeth Dame Manalu Peny Ariani <p><strong>Latar Belakang:</strong> Tingkat pelayanan yang berbeda dapat mempengaruhi kesehatan pasien, dengan itu pentingnya untuk melihat kualitas pelayanan rawat inap.</p> <p><strong>Tujuan:</strong> Menganalisis perbedaan kualitas pelayanan pada pasien BPJS dan pasien umum di Unit Rawat Inap RSUD Tuan Rondahaim Pamatang Raya.</p> <p><strong>Metode:</strong> Jenis penelitian ini adalah penelitian kuantitatif dengan pendekatan <em>cross sectional</em><em> study</em>. Sampel penelitian berjumlah 60 orang. Analisis statistik menggunakan uji <em>t-independent</em> pada taraf kepercayaan 95% (p&lt;0,05).</p> <p><strong>Hasil:</strong> Hasil penelitian menunjukkan ada perbedaan prosedur pelayanan (p= 0,000), sarana dan prasarana (p= 0,000), profesionalisme (p= 0,000), reputasi (p= 0,000), sikap (p= 0,000), keandalan (p= 0,000), perbaikan layanan (p= 0,000) dan kepuasan pasien (p= 0,000) pada pasien BPJS dan pasien umum di unit rawat inap RSUD Tuan Rondahaim Pamatang Raya.</p> <p><strong>Kesimpulan:</strong> ada perbedaan prosedur pelayanan, sarana dan prasarana&nbsp; profesionalisme, reputasi, sikap, keandalan, perbaikan layanan dan kepuasan pasien pada pasien BPJS dan pasien umum di unit rawat inap RSUD Tuan Rondahaim Pamatang Raya</p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## EVALUASI PELAKSANAAN PROGRAM UKGS PADA SISWA SD 091407 DI WILAYAH KERJA PUSKESMAS SARIMATONDANG KABUPATEN SIMALUNGUN TAHUN 2020 2020-11-28T08:07:03SE Asia Standard Time Maria Olivia Sinaga <p><em><strong>ABSTRACT</strong></em></p> <p><strong><em>&nbsp;</em></strong><strong><em>&nbsp;</em></strong></p> <p><em>Dental caries in 6-12 years old primary school students is a major dental and oral health problem that requires attention and prevention through the implementation of the School Dental Health Program (SDHP). The purpose of the study was to evaluate the implementation of the SDHP program and analyze the relationship between toothbrush behavior and the incidence (number) of caries and Decay Missing Filled-Teeth Index (DMF-T Index) numbers at Primary School 091407 Sarimatondang in the working area of ​​the Sarimatondang Public Health Center in Simalungun Regency. This type of research uses a mixed methods research approach which is a qualitative method with a case study approach and quantitative with a cross sectional approach. The study was conducted at the Puskesmas Sarimatondang and the time of the study began in December 2019 - April 2020. The informants selected in this study were carried out intentionally (purposive sampling) namely the school principal and supervisor of SDHP. The research sample was all students in Class I - VI totaling 168 students. Data were collected through in-depth interviews and using questionnaires. Data were analyzed by thematic analysis and Pearson correlation. The results showed that the SDHP Program activities at Primary School 091407 Sarimatondang had not been carried out thoroughly. There are 5 M (Man, Money, Material, Method, Machine) obstacles in the implementation of the SDHP Program. There is a relationship between toothbrush behavior (knowledge) with the incidence (number) and DMF-T Index number. It is recommended that SDHP supervisors should take part in training to increase their knowledge and insights on dental health and at the same time act as a mobilizer for SDHP activities. Principals make schedules for the overall implementation of the SDHP program and It carried out routinely and the Head of Sarimatondang Puskesmas supports and implements SDHP activities in accordance with the Guidelines School Dental Health (SDHP) Program established by the Indonesian Ministry of Health in 2012.</em></p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## UPAYA MENINGKATKAN AKREDITASI PUSKESMAS KE TINGKAT UTAMA DI UPT PUSKESMAS SARIMATONDANG KECAMATAN SIDAMANIK KABUPATEN SIMALUNGUN TAHUN 2020 2020-11-28T08:08:04SE Asia Standard Time Yani Fridiana Saragih <p><strong><em>ABSTRACT</em></strong></p> <p><em>&nbsp;</em></p> <p><em>Community health center accreditation is an obligation as stipulated in Minister of Health Regulations of Republic Indonesia No. 46 of 2015 in an effort to improve the quality of health services. Not all Community health center have the same ability to fulfill accreditation standards in achieving accreditation status. The purpose of this study was to increase the accreditation of Community health center &nbsp;to the primary level at Service Unit of Community health center Sarimatondang, Sidamanik Sub District, Simalungun District. This type of research is a case study research with a qualitative approach. The research location was in Community health center Sarimatondang and the research period began in December 2019 until April 2020. The number of informants consisted of 8 Chairpersons of Public Health Efforts,&nbsp; Chair of Accreditation Quality, Head of Community health center, Midwife, Staff,&nbsp; Chair of Public Health Personal, Head of Environment-VII Sarimatondang, and Chairperson Admin. Data collection is done through in-depth interviews, document review and observation. Data is analyzed to make it easier to see data more simultaneously. The results showed that the average achievement score of&nbsp; Chapter IX accreditation standards was 76.82%. Achievement scores of Community health center accreditation standards for Chapter I, Chapter II, Chapter IV, and Chapter V ≥ 75%, Chapter VII and Chapter VII &gt; 60%, and Chapter III, Chapter VI and Chapter IX &gt; 20%. Inhibiting factors in the implementation of accreditation standards fulfillment at Sarimatondang Community health center include financial resources, variations in the level of education of human resources of Community health center staff and integrated service center cadres, staff assigned as program managers not in accordance with their main tasks and functions, limited time from the accreditation advisory team providing guidance and direction in preparation for accreditation. Efforts to improve the status of accreditation from Middle to Main, the Community health center Sarimatondang must improve the achievements of the scores of Chapter I, Chapter II, Chapter IV, Chapter V, Chapter VII, and Chapter VIII ≥ 80%; and the total achievements of Chapter III, Chapter VI, and Chapter IX ≥ 60%. It is recommended that the accreditation team that has been formed can maximize its activities to coordinate activities, conduct meetings discussing the obstacles faced in fulfilling accreditation, monitoring and evaluation standards to fit the tasks and functions. The accreditation team increases collaboration with external parties to help solve the problem of meeting accreditation standards and works based on the timeline to make the stages of activities that need to be carried out until the fulfillment of accreditation standards can be achieved when accreditation activities will begin.</em></p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement## PERAN CASE MANAGER DALAM UPAYA MENINGKATKAN CITRA PELAYANAN RUMAH SAKIT UMUM DAERAH ROKAN HULU TAHUN 2020 2020-11-28T08:08:13SE Asia Standard Time RENI HERLINA <p><strong><em>ABSTRACT</em></strong></p> <p><strong><em>&nbsp;</em></strong></p> <p><em>Case Manager is a new innovation designed by an Independent Institution, the Hospital Accreditation Commission (HAC), in order to meet the needs of quality and efficient health services so as to improve the image of health services to the community. Case managers can play an active role in helping to achieve quality indicators in service units effectively. The purpose of this reasearch is to examine how the case manager's role activity is in efforts to improve the image of health services in the Rokan Hulu District General Hospital. This reasearch uses qualitative research with a qualitative descriptive study approach. Informants in this that&nbsp; were Professional Care Providers (PCP) consisting of the Physician in charge , nurses represented by the head of the intensive room (ICU) and of the dahlia ward room, and the Pharmacist. Hospital management, represented by the head of the nursing section, and the head of the hospital's education and training section. Patients / families as well as the case manager team itself. Data collection methods used in this reasearch are by observation, deep interview, and documentation.</em> <em>The results obtained from this study are that the case manager in the upstream regional public hospital is considered not yet effective in carrying out its role as a case manager. There is no interprofessional collaboration that&nbsp; related to meeting patient service needs, has not been active as advocacy and facilitating patients during this periode care.</em> <em>Factors that influence the role of the case manager include internal factors in which the case manager is still concurrent with other tasks, as well as the competence of the case manager itself.</em> <em>Meanwhile, external factors are the provision of rewards to case manager officers and poor coordination and evaluation systems from the hospital management.</em></p> 2020-10-31T00:00:00SE Asia Standard Time ##submission.copyrightStatement##