Jurnal Kajian Kesehatan Masyarakat http://ejournal.delihusada.ac.id/index.php/JK2M <p>Jurnal Kajian Kesehatan Masyarakat (JK2M) 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 hasil penelitian dan pengabdian masyarakat di bidang kesehatan masyarakat. Jurnal Kajian Kesehatan Masyarakat (JK2M) &nbsp; bersifat independen, ilmiah, memberi kesempatan yang sama kepada akademisi dari berbagai jenjang dan asal pendidikan tinggi.</p> en-US dewisg491@gmail.com (Dewi Safitri Ginting) ridhosubali@hotmail.com (Ridho Subali) Thu, 23 Nov 2023 04:45:47 SE Asia Standard Time OJS 3.1.1.4 http://blogs.law.harvard.edu/tech/rss 60 ANALISIS PENATALAKSANAAN PROGRAM PENANGGULANGAN TUBERKULOSIS PARU DENGAN STRATEGI DOTS DI PUSKESMAS KECEMATAN SULTAN DAULAT DAN PUSKESMAS KECAMATAN RUNDENGDI KOTA SUBULUSSALAM TAHUN 2022 http://ejournal.delihusada.ac.id/index.php/JK2M/article/view/1246 <p>Strategi DOTS (Directly Observed Treatment Short Course) adalah pengawasan langsung pengobatan jangka pendek dengan keharusan setiap pengelola program tuberkulosis untuk memfokuskan perhatian (direct attention) dalam usaha menemukan penderita dengan pemeriksaan mikroskop. Kemudian setiap penderita harus di observasi (observed) dalam menelan obatnya, setiap obat yang ditelan pasien harus didepan seorang pengawas.<br>Jenis penelitian adalah adalah penelitian Kuantitatif analitik. Yaitu upaya seorang peneliti menemukan pengetahuan dengan memberi data berupa angka. Yang berujuan untuk menganalisis Penatalaksanaan Program Penanggulangan Tuberkulosis Paru Dengan Strategi Dots Di Puskesmas Sultan Daulat Kota Subulussalam tahun lalu,populasi berjumlah 60 orang responden yang ada di wilayah puskesmas kecamatan sultan daulat dan puskesmas kecamatan rundeng, dengan teknik consecutive sampling, data di peroleh dari hasil hasil wawancara dengan penyebaran kuesioner yang telah di siapkan oleh peneliti. Analisa data di lakukan secara univariat dan bivariat dengan uji uji Chi-square dan uji t independendan mann whitney dengan nilai alfa (a) 0.05.<br>hasil penelitian berdasarkan tabel output uji t independet di peroleh nilai Signifikansi sebesar 0,595 maka dapat di simpulkan tidak ada perbedaan rata rata angka kesembuhan puskesmas sultan daulat dengan puskesmas rundeng tahun lalu, Berdasarkan tabel output uji t independet di peroleh nilai Signifikansi nilai sebesar 0,91 maka dapat di simpulkan tidak ada perbedaan rata rata kasus baru puskesmas sultan daulat dengan puskesmas rundeng tahun lalu, Berdasarkan tabel dengan menggunakan uji chi square nilai p value di peroleh 0,202 ( p &lt; 0,05) dapat di simpulkan bahwa Ho di tolak yang artinya tidak ada perbedaan perkembangan resistensi ganda TB antara Puskesmas Kecamatan Sultan Daulat dengan Puskesmas Kecamatan Rundeng, Kota Subulussalam Tahun lalu, Berdasarkan tabel output di peroleh nilai Sig. (2-tailed) sebesar 0,001 &lt; 0,05. maka dapat di simpulkan ada perbedaan rata rata Efisiensi Waktu Untuk Pasien Yang Kontrol Ulang puskesmas sultan daulat dengan puskesmas rundeng tahun lalu.<br>Kesimpulan Perbandingan Angka Kesembuhan antara Puskesmas Kecamatan Sultan Daulat dengan Puskesmas Kecamatan Rundeng maka dapat di simpulkan tidak ada perbedaan rata rata angka kesembuhan puskesmas sultan daulat dengan puskesmas rundeng tahun lalu. Perbandingan Jumlah Kasus Baru antara Puskesmas Kecamatan Sultan Daulat dengan Puskesmas Kecamatan Rundeng dapat di simpulkan tidak ada perbedaan rata rata kasus baru puskesmas sultan daulat dengan puskesmas rundeng tahun lalu. Perbandingan perkembangan resistensi ganda antara puskesmas kecamatan sultan daulat dengan puskesmas kecamatan rundeng dapat di simpulkan bahwa perbedaan rata rata perkembangan resistensi ganda TB antara Puskesmas Kecamatan Sultan Daulat dengan Puskesmas Kecamatan Rundeng, Kota Subulussalam tahu lalu. Efisiensi Waktu Untuk Pasien Yang Mau Kontrol Ulang Hasil penelitian efisiensi waktu untuk pasien yang kontrol ulang antara puskesmas kecamatan sultan daulat dengan puskesmas kecamatan rundeng tahun lalu.</p> Raju solin Raju Solin, Elmina Tampubolon, Elmina Tampubolon, Peny ariani ##submission.copyrightStatement## http://ejournal.delihusada.ac.id/index.php/JK2M/article/view/1246 Thu, 23 Nov 2023 04:31:50 SE Asia Standard Time ANALISIS IMPLEMENTASI KEBIJAKAN KAWASAN TANPA ROKOK (KTR) BERDASARKAN PERDA NOMOR 8 TAHUN 2016 PADA MASA CORONAVIRUS DISEASE-19 DI UPTD PUSKESMAS KABUPATEN ACEH TENGGARA TAHUN 2021 http://ejournal.delihusada.ac.id/index.php/JK2M/article/view/1249 <p><em>COVID-19 outbreak that spread widely until it was declared a pandemic and threatened world health and smoking can worsen the body's immunity, in order to control diseases caused by smoking and exposure to cigarette smoke, the government has issued laws and regulations contained in Law Number 36 of 2009 concerning health in articles 113-115 which regulate Non-Smoking Areas (KTR). The No Smoking Area is a policy with efforts to stop smoking behavior in individuals during the COVID-19 pandemic, therefore it is very important to conduct an analysis through this study. The purpose of this study is to analyze the Implementation of the No Smoking Area Policy (KTR) Based on Regional Regulation Number 8 of 2016 During the CoronaVirus Diseases-19 Period at UPTD PuskesmasThe research method used in this study is a method based on natural object conditions carried out by triangulation (combined) is inductive or qualitative. The informant in this study was the Head of the Community Health Center (Puskesmas) located in 16 sub-districts in Southeast Aceh Regency.This research was carried out by the Puskesmas from December 2021 to May 2022.</em></p> <p><em>The results of the study explained that from the Communication Aspect it is still not running effectively, the Human Resources Aspect is still not the formation of a Supervisory team, the Disposition Aspect still has violations and there is no firm sanction only limited to verbal reprimands either in&nbsp; Health Office and Puskesmas, Bureaucratic Aspects only 2 Puskesmas and Health Office have made SK / SOP, while in 15 Puskesmas there is no SK / SOP. There needs to be an evaluation to be carried out based on the Law regulating Non-Smoking Areas (KTR).</em></p> <p>&nbsp;</p> <p>&nbsp;</p> Nanda Syahrina Husna ##submission.copyrightStatement## http://ejournal.delihusada.ac.id/index.php/JK2M/article/view/1249 Thu, 23 Nov 2023 04:32:01 SE Asia Standard Time Analisis Risiko Ergonomi Terhadap Gangguan Otot Rangka Akibat Kerja (GOTRAK) Pada Perawat Di Rumah Sakit Umum Haji Medan Tahun 2023 http://ejournal.delihusada.ac.id/index.php/JK2M/article/view/1265 <p><em>The majority of complaints involving the skeletal-muscle system are brought on by excessive muscle contraction as a result of exerting an excessive workload for an extended period of time. Ergonomics is the study of work harmony in a system. In its application, work will be safe for workers/humans and work efficiency will increase so that human welfare is achieved. Quantitative cross-sectional or cross-sectional research, or research that aims to examine the relationship between ergonomic risk (awkward posture, workload, duration and frequency) with work-related skeletal muscle disorders in nurses at the Hajj General</em><sup>i</sup><em> Hospital, Medan</em><sup>i</sup><em> City in 2023. The populace in this study were all nurses at Medan Hajj General Hospital. The Slovin formula was used in this study's sample selection, which resulted in 75 respondents. With a p value of 0.000, statistical tests performed with chi-square showed that awkward postures and work-related skeletal muscle disorders are related. There is also a relationship between workload and skeletal muscle disorders due to workp value of 0.009, there is a relationship between duration and skeletal muscle disorders due to work withp value of 0.018 and the relationship between frequency and skeletal muscle disorders due to work withp value of 0.000. It was discovered in the multivariate analysis that awkward postures and frequency were the dominant factors affecting skeletal</em><em>-</em><em>muscle disorders due to work in nurses at the Medan Hajj General Hospital in 2023, the value obtained</em> <em>p value </em><em>of 0.000 with</em> <em>Odd Ratio </em><em>100.189 for awkward posture and p value of 0.045 with</em> <em>Odd Ratio </em><em>of 8.237 for frequency. It is normal that nurses will actually want to apply work breaks or light extending for a couple of moments after carrying out repetitive activities for a long duration and for the directorate of Medan Hajj Hospital to pay more attention to and implement work stations with an ergonomic position.</em></p> <p><strong><em>Keywords: Nurse, Ergonomic Risk, Work-related Skeletal Muscle Disorders</em></strong></p> Idil Adriati Dwina, Herlina J. El-Matury, Friska Ernita Sitorus ##submission.copyrightStatement## http://ejournal.delihusada.ac.id/index.php/JK2M/article/view/1265 Thu, 23 Nov 2023 04:32:12 SE Asia Standard Time FAKTOR FAKTOR DOMINAN YANG BERHUBUNGAN DENGAN PENCEGAHAN PENYAKIT MALARIA DI KABUPATEN ASAHAN TAHUN 2023 http://ejournal.delihusada.ac.id/index.php/JK2M/article/view/1292 <p><em>Zumrohtul Husna.Dominant elements associated with Prevention of Malaria in Kisaran Barat District, Asahan Regency in 2023. Thesis, branch of grasp of Public health, school of Public fitness, Deli Husada Deli Tua health Institute.</em></p> <p><em>Asahan District is centered that allows you to dispose of malaria in 2025, but with a substantial growth inside the variety of fine instances remaining yr in 2 Districts and primarily based at the preliminary survey, particularly in West Kisaran and East Kisaran Subdistricts, there has been a trade in fame from the Low Endemic category to the mild Endemic class. the researchers are interested by inspecting the dominant factors associated with the prevention of malaria within the Asahan District, in particular inside the Kisaran Barat District.The studies method used in this take a look at became matched case-control. The populace in this take a look at were all high-quality malaria patients recorded inside the E-Sismal (electronic-Malaria Surveillance records device) and no longer malaria patients in the work place. Sidodadi sanatorium. The samples in this take a look at had been 39 instances and 39 controls. The statistics analysis used become univariate, bivariate the usage of the Chi-rectangular test, and multivariate evaluation the usage of the logistic regression check.The outcomes confirmed that there was a vast dating among using mosquito nets (p=0.020), the use of repellant (p=0.022), the set up of cord netting (p=zero.half), and the prevention of malaria. recommendations that can be given are to empower and mobilize the network to continue to be energetic in efforts to save you malaria, offer records to the network and additionally provide counseling associated with malaria on an ongoing basis, talk and endorse for the government to always actively help, and additionally provide motivation to the network for you to enhance malaria prevention measures.</em></p> zumrohtul husna, Putri Ayu YessyAriescha, Putri Ayu YessyAriescha ##submission.copyrightStatement## http://ejournal.delihusada.ac.id/index.php/JK2M/article/view/1292 Thu, 23 Nov 2023 04:32:24 SE Asia Standard Time ANALISIS PENERAPAN SISTEM MANAJEMAN KESELAMATAN DAN KESEHATAN KERJA (SMK3) DI PT. WIKA BK KSO PROJECT BENDUNGAN LAUSIMEME KABUPATEN DELI SERDANG TAHUN 2023 http://ejournal.delihusada.ac.id/index.php/JK2M/article/view/1380 <p><em>According to NIOSH construction is one of the most dangerous jobs in the world, resulting in the highest death rate of any sector. The risk of falling is the highest cause of accidents. The Employment Social Security Administration Agency (BPJS) throughout 2018 recorded 157,313 work accident cases that occurred in Indonesia. Therefore, the government as state organizers has an obligation to provide protection to workers. This is realized by the government with the issuance of regulations such as RI Law no. 1 of 1970 concerning work safety, and Government Regulation No. 50 of 2012 concerning the Occupational Safety and Health Management System (SMK3). The purpose of this research is to analyze how the implementation of SMK3 in PT. WIKA BK KSO Lausimeme Dam Project, Deli Serdang Regency, in 2023. The research design uses a mixed methods research method between quantitative methods and qualitative methods to be used together. Research informants as many as 4 people. The results of this study obtained the Implementation of Policy, Planning, Implementation of Performance Monitoring and Evaluation Plans and Reviewing and Improving the Performance of the Occupational Safety and Health Management System at PT. WIKA BK KSO The Lausimeme Dam Project has been fulfilled or implemented, it's just that the implementation of the SMK3 has not gone according to target. The conclusion in this study is the level of implementation of the Occupational Safety and Health Management System (SMK3) at PT. WIKA BK KSO Lausimeme Project is the achievement of (GOOD) implementation with a percentage of 71% conforming implementation and 29% non-compliance findings.</em><em>&nbsp;</em></p> Evfy Septriani Ginting ##submission.copyrightStatement## http://ejournal.delihusada.ac.id/index.php/JK2M/article/view/1380 Thu, 23 Nov 2023 04:32:39 SE Asia Standard Time