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Telaah Determinan Kejadian Hipertensi di Desa Sukamakmur Kecamatan Binjai Kabupaten Langkat Rapotan Hasibuan; Fauziah Ramadhani; Ajeng Husni Nanda; Dirayati Annisa Dalimunthe; Latifah Azmy Nasution; Ayunda Syahfira; Sintia Safitri; Ayu Ariska; Mega Adeliyani; Muhammad Alwi Siregar; Siti Khadijah; Febiayu Rahmanda; Azra Afifah Saktira Nasution
Preventia : The Indonesian Journal of Public Health Vol 5, No 2 (2020)
Publisher : Universitas Negeri Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17977/um044v5i22020p98-106

Abstract

Hipertensi dapat terjadi pada populasi lanjut usia, dewasa dan usia remaja. Hasil diagnosa dokter pada penduduk usia lebih dari 18 tahun di Indonesia menemukan angka prevalensi hipertensi sebesar 8,4 persen. Sukamakmur adalah salah satu desa di Kecamatan Binjai Kabupaten Langkat memiliki warga mengidap hipertensi sebanyak 59 orang tahun 2019 dan termasuk dalam 3 penyakit terbesar di Kabupaten tersebut. Penelitian bertujuan untuk mengetahui determinan kejadian hipertensi di Desa Sukamakmur. Penelitian ini merupakan penelitian analitik kuantitatif dengan desain cross sectional. Sampel sebanyak 70 orang kepala keluarga yang diambil secara purposive sampling. Data diperoleh menggunakan kuesioner step wise WHO. Analisis statistik univariat dan bivariat (chi-square) dilakukan dengan cara komputerisasi. Temuan penelitian memperoleh angka kejadian hipertensi sebesar 10 persen, namun tidak ada hubungan yang signifikan antara kebiasaan merokok  dalam kejadian hipertensi. Masyarakat yang mengalami kenaikan tekanan darah adalah sebanyak 7 orang (10 persen) dan yang mengalami kenaikan gula darah sebanyak 3 orang (4,3 persen). Hasil tersebut sesuai dengan data desa yang menyatakan hipertensi lebih tinggi dari diabetes.
Potret Upaya Perilaku Hidup Bersih Dan Sehat (PHBS) Menuju Adaptasi Kebiasaan Baru di Kecamatan Binjai Barat Kelurahan Sukaramai Nur Sakinah Hayati; Rapotan Hasibuan
Jurnal Kesehatan Ilmiah Aufa Royhan Vol 5 No 2 (2020): Vol.5 No. 2 Desember 2020
Publisher : Universitas Aufa Royhan di Kota Padangsidimpuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51933/health.v5i2.203

Abstract

COVID-19 is an infectious disease caused by a newly discovered type of coronavirus. This is a new virus and a previously unknown disease before the outbreak in Wuhan, China, in December 2019. The World Health Organization (WHO) declared the corona virus a pandemic on March 11, 2020, one of the countries affected by the corona virus is Indonesia. Coronavirus disease-19 (covid-19) in North Sumatra until August 19, 2020, which has confirmed Covid-19 totaling 5,898 people, who have recovered 2,833 people and who have died as many as 260 people. There were 104 cases of coronavirus disease-19 (covid-19) in Binjai City until August 19, 2020, which had confirmed Covid-19, 28 of whom had recovered and 10 who died. Purpose To know the Portrait of Clean and Healthy Behavior Effort (PHBS) towards a new adaptation in West Binjai District, Sukaramai Village. The research method used is descriptive with a qualitative approach. Data collection techniques through in-depth interviews. Types of data are primary and secondary data from observation and documentation. The number of informants used in the study were 5 people, namely people who live in West Binjai District, Sukaramai Village with a population of 9,268 people. Results and Discussion: In this study, it was found that the West Binjai people had very good efforts towards the new normal. This is evidenced by statements from several informants and relatively low case data in Binjai City.
GAMBARAN RESPON PESERTA JKN MENGENAI KENAIKAN PREMI PADA DUA PUSKESMAS KOTA MEDAN TAHUN 2019 RAPOTAN HASIBUAN
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 1, No 2 (2019): Vol 01 No 02
Publisher : UIN Sumatera Utara Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v1i2.7245

Abstract

Pemerintah mengeluarkan kebijakan kenaikan premi pada Agustus 2019 sehingga menimbulkan respon negatif maupun positif baik pada tingkat pemerintah maupun masyarakat sendiri. Penelitian ini bertujuan  untuk mengkaji seberapa sensitif masyarakat akan kebijakan kenaikan tarif premi JKN.  Pendekatan yang digunakan bersifat diskriptif kuantitatif non analitik dengan rancangan cross-sectional. Lokasi penelitian adalah Puskesmas Sering dan Puskesmas Selayang II dengan responden 100 orang yang dipilih secara convenience sampling. Instrumen yang digunakan berupa kuesioner meliputi sosio-demografi, persepsi layanan Jaminan Kesehatan Nasional (JKN) dan respon kenaikan premi. Analisis data secara univariat menggunakan proram IBM SPSS Statistics 21. Hasil penelitian menunjukkan secara umum pelayanan kesehatan yang dirasakan peserta JKN sudah cukup baik, sementara respon terhadap kenaikan premi sangat negatif. Perlu perhatian serius membahas potensi negatif kenaikan premi berdasarkan kajian ekonomi yang mendalam.
Respon Kenaikan Iuran Jaminan Kesehatan Nasional dan Utilitas Puskesmas Oleh Peserta JKN di Medan Rapotan Hasibuan; Tri Bayu Purnama; Nofi Susanti
Jurnal Kebijakan Kesehatan Indonesia Vol 9, No 4 (2020)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.59237

Abstract

Terjadi pro dan kontra begitu besar di kalangan peserta jaminan kesehatan nasional (JKN) setelah pemerintah mengeluarkan Peraturan Presiden Nomor 75 Tahun 2019 tentang Kenaikan Besaran Iuran JKN yang kemudian dibatalkan dengan keputusan Mahkamah Agung Nomor 7 P/HUM/2020. Pemerintah lalu mengeluarkan kembali Perpres No 64 Tahun 2020 tentang penyesuaian besaran iuran yaitu kenaikan 37,25% pada kelas III, 96,07% pada kelas II dan 87,5% pada kelas I. Tujuan penelitian ini adalah untuk mengetahui respon masyarakat terhadap kenaikan iuran JKN dan pengaruhnya terhadap pemanfaatan Puskesmas oleh masyarakat. Penelitian ini merupakan penelitian observasional dengan pendekatan cross sectional. Lokasi penelitian di tiga Puskesmas dengan responden 150 orang yang dipilih secara convenience sampling. Analisis data menggunakan uji chi-square dan uji regresi logistik. Hasil penelitian menunjukkan sebagian besar responden merupakan peserta JKN aktif (97,3%) dan mayoritas menolak kenaikan iuran (78,1%). Ditemukan faktor yang berhubungan dengan utilitas Puskesmas yaitu tingkat penghasilan responden (p=0,043) dan respon kenaikan iuran JKN (p=0,014), sementara faktor yang dominan berpengaruh adalah respon kenaikan iuran JKN (p=0,009 ; OR=2,381). Penelitian menyimpulkan penghasilan keluarga dan respon masyarakat berhubungan dengan utilitas Puskesmas. Temuan ini berkontribusi dalam pengembangan intervensi cakupan jaminan kesehatan nasional yang menargetkan seluruh warga. Pihak BPJS Kesehatan dan pemerintah disarankan melakukan sosialisasi intensif agar publik tercerahkan mengenai keuntungan dan kerugian kenaikan iuran. Selain itu, kenaikan iuran dipandang perlu diikuti pengoptimalan pelayanan kesehatan yang bisa dirasakan masyarakat.
Analysis of lead (pb) in cooking oils before and after frying that used by merchant at traffic light area of Medan city in 2012 Rapotan Hasibuan
Lingkungan dan Kesehatan Kerja Vol 3, No 1 (2014): Jurnal Kesehatan Lingkungan & Keselamatan Kerja
Publisher : Lingkungan dan Kesehatan Kerja

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Some fried food merchants located at the intersection of the highway near the traffic lights, where it was risk contaminated by lead resulting smoke emission vehicles. Lipophilic of lead could be attached to the cooking oils. This study was descriptive research, intended to know the levels of lead (Pb) in the cooking oils before and after fried that used fried merchants caused smoke pollution. The object of this study were 10 points cooking oils samples consist of 5 samples before and 5 samples after fried. The results of the study showed that there was one sample before frying cooking oils that were not eligible under the Regulation of BPOM RI No. HK.00.06.1.52.4011 2009, while the other four were eligible. For samples of cooking oils after fried, all points were not eligible. Behaviors of merchants at five intersections also was still not in accordance with the principles of food hygiene and sanitation in food processed  to avoid contamination of lead (Pb). It was recommended to the Medan City Health Department to coach and supervise the fried food trade that were found sold friend food in the highway intersections. Key words: cooking oils, lead, fried merchant, highway intersection
Analisa Kandungan Timbal (Pb) pada Minyak Sebelum dan Sesudah Penggorengan yang Digunakan Pedagang Gorengan Sekitar Kawasan Traffic Light Kota Medan Tahun 2012 Rapotan Hasibuan; wirsal hasan; evi naria
Lingkungan dan Kesehatan Kerja Vol 1, No 1 (2012): JURNAL LINGKUNGAN DAN KESELAMATAN KERJA
Publisher : Lingkungan dan Kesehatan Kerja

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (127.337 KB)

Abstract

Analysis of lead (pb) in cooking oils before and after frying that used by merchant at traffic light area of Medan city in 2012. Some fried food merchants located at the intersection of the highway near the traffic lights, where it was risk contaminated by lead resulting smoke emission vehicles. Lipophilic of lead could be attached to the cooking oils. This study was descriptive research, intended to know the levels of lead (Pb) in the cooking oils before and after fried that used fried merchants caused smoke pollution. The object of this study were 10 points cooking oils samples consist of 5 samples before and 5 samples after fried. The results of the study showed that there was one sample before frying cooking oils that were not eligible under the Regulation of BPOM RI No. HK.00.06.1.52.4011 2009, while the other four were eligible. For samples of cooking oils after fried, all points were not eligible. Behaviors of merchants at five intersections also was still not in accordance with the principles of food hygiene and sanitation in food processed  to avoid contamination of lead (Pb). It was recommended to the Medan City Health Department to coach and supervise the fried food trade that were found sold friend food in the highway intersections. Key words: cooking oils, lead, fried merchant, highway intersection
Implementasi Program Pengendalian Penyakit Demam Berdarah Dengue (P2DBD) di Wilayah Kota Medan Rapotan Hasibuan; Sri Suwitri; Sutopo Patria Jati
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (73.212 KB) | DOI: 10.14710/jmki.4.1.2016.35-43

Abstract

An incidence rate (IR) and a case fatality rate (CFR) of Dengue Haemorrhagic Fever (DHF) in Medan City tended to increase since 2012. This might be due to a problem in implementing DHF Disease Control Program (P2DBD). The aim of this study was to analyse the influence of factors of communication, attitude, health centres’ characteristics, understanding of a standard and a target, resource, and environment towards the success of the P2DBD implementation program in Medan City. This was an observational study using a cross-sectional approach. Data were collected using a structured questionnaire and observation followed by conducting indepth interview for qualitative data. Number of respondents were 39 DHF officers working at all main health centres in Medan City. Furthermore, data were analysed using a technique of structural equation model (SEM) processed by a software of visual partial least square (VPLS). The results of this research showed that most of the respondents had very good communication (66.7%), positive attitude in supporting the program (82.1%), good characteristics of health centres (84.6%), good understanding of a standard and a target (66.7%), good resource (74.4%), conducive environment (76.9%), and good implementation of P2DBD (51.3%), a moderate level. Bivariate analysis demonstrated that communication and environment influenced the implementation. Furthermore, multivariate analysis showed that the implementation could be explained by the factors of communication, attitude, health centres’ characteristics, standard and target, resource, and environment equal to 67.4%. The R 2 value was included as a substantial category in which the most influenced factor was the environment. District Health Office needs to regularly conduct training of DHF case management, to supervise a program at health centres, and to initiate the existence of cadres for monitoring mosquito wrigglers. Health workers need to motivate, to persuasively ask a community, and to coordinate revitalisation of a DHF working group.
Sikap Berhubungan dengan Tindakan Adaptasi Kebiasaan Baru (AKB) Remaja Rapotan Hasibuan
Jurnal Kesehatan Manarang Vol 7 No 2 (2021): Desember 2021
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v7i2.398

Abstract

The New Habit Adaptation (AKB) policy issued by Indonesian government is a form for implementing the new normal order during the COVID-19 pandemic, which has not been optimally implemented, especially for adolescents. Several studies and current observations showed that adolescents were still not adherent to implementing health protocols. This study, therefore, aims to analyze the link between knowledge, attitudes, and AKB adolescent practice in North Sumatra. A quantitative study with cross-sectional design was applied for this research involving 246 adolescents spread over 6 (six) working areas of Primary Health Care (Puskesmas) who was determined by purposive sampling. Data were collected using an online questionnaire which has been tested for validity and reliability, then data were analyzed descriptively by cross-tabulation and associatively by chi-square. The results showed the behavior of implementing AKB practice by adolescents was high (60.2%), knowledge was in the high category (92.7%) and adolescent attitudes were also positively supportive (90.7%). In addition, the significance test showed that there was a link between attitude and practice (p = 0.030; POR = 2.574). However, no link appeared to exist between knowledge and practice. This research contributes for developing of AKB policy outreach interventions by stakeholders and efforts to involve youth groups in the participatory achievement of AKB policy.
Implementasi Program Penanggulangan TB Paru dengan Strategi Directly Observed Treatment Shortcourse di Puskesmas Panyabungan Jae Kabupaten Mandailing Natal Mawaddah Marahmah; Rapotan Hasibuan
Jurnal Akademika Baiturrahim Jambi Vol 10, No 1 (2021): Maret
Publisher : Sekolah Tinggi Ilmu Kesehatan Baiturrahim Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v10i1.284

Abstract

TB cases in Southeast Asia contribute 40% of the world's TB cases and causes the highest mortality in Indonesia. Panyabungan Jae Health Center (PJHC) itself has the highest number of TB cases in Mandailing Natal Regency. This study, therefore, aimed to determine the implementation of the TB Control Program with the Directly Observed Treatment Shortcourse Strategy (DOTS) at PJHC.Qualitative methods with descriptive approach was used for this research. In-depth interviews was conducted with 5 informants in July 2020. The data were analyzed using data reduction, data presentation, and conclusion drawing.The research found that communication between the TB program officer and the DOTS strategy worked well in the PJHC as well as the disposition, resources and bureaucratic structures. Political commitment in the DOTS strategy with cross-sectoral cooperation has an important influence in the handling of TB cases,however village authorities have not played a role in efforts to reduce for number of TB cases. The patients had lack of understanding about TB and some localshad views TB as a disease caused by poison becomes an obstacle in treating patients. TB prevention with the DOTS strategy at the PJHC runs according to standard guidelines, and complemented by the Puskesmas innovation "Tor Tor Libas TB".The MNDHO officersare advised to collaborate with entire stakeholders in overcoming TB by strengthening education in the form of routine counseling to increase public knowledge about TB
GAMBARAN PROMOSI PHBS DALAM MENDUKUNG GAYA HIDUP SEHAT MASYARAKAT KOTA BINJAI PADA MASA PANDEMIC COVID-19 TAHUN 2020 Dini Tria Anggraini; Rapotan Hasibuan
Menara Medika Vol 3, No 1 (2020): Vol 3 No 1 September 2020
Publisher : Menara Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v3i1.2194

Abstract

Latar Belakang: Pandemic COVID-19 telah sangat berpotensi merubah kebiasaan masyarakat menjadi perilaku lebih bersih dan sehat. Salah satu kebiasaan yang terlihat dan paling gencar dipromosikan adalah kebiasaan PHBS baik saat di dalam rumah maupun di luar rumah. Data RISKEDAS tahun 2018 menunjukkan peningkatan persentase penerapan PHBS di Indonesia dari 60,89 % di tahun 2017 menjadi 70,62% pada tahun 2018. Di Provinsi Sumatera Utara, persentase pada tahun 2018 baru mencapai 45,45%. Tujuan: Penelitian ini bertujuan untuk mengetahui perkembangan PHBS dalam mendukung gaya hidup sehat masyarakat kota Binjai pada masa pandemic COVID-19 tahun 2020. Metode: Penelitian kualitatif ini menggunakan desain fenomenologi dengan melakukan wawancara mendalam kepada 5 informan. Informan terdiri dari 3 orang anggota tim relawan COVID-19 dan 2 orang warga Kota Binjai yang bertempat di lokasi promosi kesehatan dilakukan oleh tim relawan. Hasil: Hasil penelitian yang dilakukan pada 5 informan didapatkan data sebagian besar informan berusia 20-53 tahun. Penelitian yang sudah diterapkan terdapat 3 faktor yang telah diteliti, yaitu berdasarkan faktor pengetahuan bahwa seluruh informan telah mengetahui betapa pentingnya menerapkan PHBS bagi individu ataupun keluarga dalam gaya hidup sehat. Berdasarkan faktor tindakan bahwa kelima informan menerapkan PHBS untuk pencegahan penularan COVID-19. Berdasarkan faktor sikap bahwa kelima informan sangat perduli terhadap PHBS selama masa pandemic COVID-19. Kesimpulan: Penelitian ini menunjukkan bahwa Promosi PHBS telah mendukung gaya hidup sehat pada masyarakat kota Binjai di masa pandemic COVID-19 tahun 2020.