HUBUNGAN KARAKTERSTIK SUAMI DENGAN PENGGUNAAN ALAT KONTRASEPSI INTRA UTERINE DEVICE (IUD) ISTRI DI PUSKESMAS GLUGUR DARAT MEDAN TAHUN 2019

Tingginya angka kelahiran (TFR) merupakan salah satu masalah besar dan memerlukan perhatian khusus dalam penanganannya dengan melaksanakan pembangunan keluarga berencana secara komprehensif. Peran suami dalam keluarga sangat dominan dan memegang kekuasaan dalam pengambilan keputusan di rumah tangga. Penelitian ini bertujuan untuk mengetahui hubungan karakteristik suami dan peran suami dalam penggunaan alat kontasepsi IUD puskesmas Glugur Darat kota Medan tahun 2019. Penelitian ini menggunkan metode penelitian kuantitatif jenis penelitain Cross Sectional dilaksanakan di Puskesmas Glugur Darat mulai bulan januari-agustus 2020 dengan jumlah sampel 80 orang. Hasil penelitian diketahui bahwa terdapat hubungan antara pendidikan (p=0,026), umur (p=0,018) dan jumlah anak (p=0,002) dengan pemilihan alat kontrasepsi IUD istri , sedangkan pekerjaan (p=0,090) tidak memiliki hubungan. Variable yang paling dominan yaitu variable jumlah anak dengan nilai Exp.B 3,105. Disarankan kepada Puskesmas glugur darat untuk meningkatkan informasi dan promosi kesehatan mengenai alat kontrasepsi jangka panjang untuk meningkatkan tingkat pengetahuan mengenai alat kontrasepsi. kader-kader kesehatan yang ada disetiap RT agar dapat memberikan untuk meningkatkan informasi tentang alat kontrasepsi IUD kepada Wanita Usia Subur dan  Diharapkan Masyarakat dapat menggunakan kontrasepsi yang efektif

HUBUNGAN KARAKTERSTIK SUAMI DENGAN PENGGUNAAN ALAT KONTRASEPSI INTRA UTERINE DEVICE (IUD) ISTRI DI PUSKESMAS GLUGUR DARAT MEDAN TAHUN 2019

Tingginya angka kelahiran (TFR) merupakan salah satu masalah besar dan memerlukan perhatian khusus dalam penanganannya dengan melaksanakan pembangunan keluarga berencana secara komprehensif. Peran suami dalam keluarga sangat dominan dan memegang kekuasaan dalam pengambilan keputusan di rumah tangga. Penelitian ini bertujuan untuk mengetahui hubungan karakteristik suami dan peran suami dalam penggunaan alat kontasepsi IUD puskesmas Glugur Darat kota Medan tahun 2019. Penelitian ini menggunkan metode penelitian kuantitatif jenis penelitain Cross Sectional dilaksanakan di Puskesmas Glugur Darat mulai bulan januari-agustus 2020 dengan jumlah sampel 80 orang. Hasil penelitian diketahui bahwa terdapat hubungan antara pendidikan (p=0,026), umur (p=0,018) dan jumlah anak (p=0,002) dengan pemilihan alat kontrasepsi IUD istri , sedangkan pekerjaan (p=0,090) tidak memiliki hubungan. Variable yang paling dominan yaitu variable jumlah anak dengan nilai Exp.B 3,105. Disarankan kepada Puskesmas glugur darat untuk meningkatkan informasi dan promosi kesehatan mengenai alat kontrasepsi jangka panjang untuk meningkatkan tingkat pengetahuan mengenai alat kontrasepsi. kader-kader kesehatan yang ada disetiap RT agar dapat memberikan untuk meningkatkan informasi tentang alat kontrasepsi IUD kepada Wanita Usia Subur dan  Diharapkan Masyarakat dapat menggunakan kontrasepsi yang efektif

KESIAPSIAGAAN PETUGAS DALAM MENGHADAPI BENCANA (STUDI KASUS DI BADAN PENANGGULANGAN BENCANA DAERAH KABUPATEN NIAS UTARA

To analyze the preparedness of officers to face disasters based on the administration of prevention and preparedness and HR preparedness at BPBD, a qualitative study was conducted at BPBD North Nias district, in January-June 2020. The informant of this study was snowball sampling which is part of nonprobability sampling. The objects observed or interviewed were the existing resources in the field of prevention and preparedness, namely 6 people, 1 Head of BPBD, 1 Head of Prevention and Preparedness, 1 Head of Prevention Section, 1 Head of Preparedness Section and 3 members. The data collection process will use interview, observation, and documentation methods. The results showed that the Prevention and Preparedness Policy in pre-disaster was not yet available. Coordination between related agencies was not well implemented, because there was no MOU. BPBD has not carried out monev and reporting, because there are no programmed preparedness activities, it is still limited to monitoring, evaluation and reporting when a disaster is reported per disaster event. The number of BPBD officers is adequate, but in terms of quality it is still not good, because all BPBD officers do not have a disaster education background and the lack of officers has received disaster training. BPBD has not maximally planned the Prevention and Preparedness activity program in disaster management. There needs to be formal coordination between related sectors during pre-disaster times, so that the activities of each agency during a disaster do not overlap in the field. BPBD needs to collaborate with related agencies, such as conducting joint training activities so that disaster management can run effectively and efficiently. SOPs need to be made starting from building organizational structures involved in disaster mitigation, compiling alternative plans by identifying potential obstacles, and ensuring the deadline for implementing the system with existing standards. Monitoring, evaluation and reporting are needed to assess the results obtained as a basis for future decisions. Officers Need to be provided with disaster education and training on an ongoing basis, in the context of developing and enhancing the skills and abilities of officers in carrying out disaster management efforts quickly and precisely. BPBD needs to make good planning and organization included in the BPBD budget, so that all activities that have been set out in the plan can run according to procedures so that all objectives can be achieved

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMBERIAN ASI EKSKLUSIF DI PUSKESMAS BUHIT SAMOSIR TAHUN 2023

Breast milk is the ideal nutrition for babies which contains nutrients that are best suited to the needs of babies as well as protective substances to fight disease. The success of exclusive breastfeeding is influenced by many factors. The aim of the research is to find out the factors related to exclusive breastfeeding at Buhit Samosir Health Center in 2023. Quantitative research method with a cross sectional approach. The research was carried out at the Buhit Samosir Health Center in November 2022-July 2023. The study population was 30 people, the total sampling technique was 30 people. Bivariate analysis of chi-square test and multivariate multiple logistic regression test. The results of the study showed that 10 people (33.3%) who gave exclusive breastfeeding were mostly 25-35 years old and 17 people (56.7%) who did not exclusively breastfeed were 25-35 years old. The majority of breastfeeding mothers have good knowledge (score 23-30) of 24 people (80%), the majority of mothers who give exclusive breastfeeding have good knowledge (score 23-30) of 8 people (26.7%) and the majority of mothers who do not give exclusive breastfeeding good knowledge (score 23-30) as many as 16 people (53.3%). The majority of breastfeeding mothers have a fairly good attitude (score 49-55) as many as 15 people (50%), the majority of mothers who give exclusive breastfeeding have a good attitude (score 56-75) as many as 5 people (16.7%) and the majority of mothers who do not exclusively breastfeed attitude is quite good (score 49-55) as many as 12 people (40%). The majority of breastfeeding mothers had no history of illness as many as 22 people (73.3%), the majority of mothers who gave exclusive breastfeeding had no history of illness as many as 11 people (36.7%) and mothers who were not exclusively breastfed the majority had no history of disease as many as 11 people ( 36.7%). The majority of breastfeeding mothers with first parity gave birth or parity > 4 as many as 18 people (60%), the majority of mothers who gave exclusive breastfeeding with first parity gave birth or parity > 4 as many as 7 people (23.3%) and mothers who were not exclusively breastfed the majority with first parity gave birth or parity> 4 as many as 11 people (36.7%). The dominant factor in exclusive breastfeeding is the attitude factor with a significance value of 0.001 <0.005.  Keywords: Exclusive breastfeeding, age, knowledge, attitudes, medical history, parit

PENGARUH PENYULUHAN DENGAN METODE CERAMAH TERHADAP PENINGKATAN PERILAKU PENGOBATAN PASIEN TUBERKULOSIS DI PUSKESMAS LOTU TAHUN 2023

Penyakit Tb merupakan penyakit yang paling mematikan bagi penderitanya, karena jika tidak segera ditangani dengan cepat akan menimbulkan komplikasi yang parah seperti pleurutis, efusi pleura, empyema dan lainnya. Penelitian ini bertujuan untuk mengetahui “pengaruh penyuluhan dengan metode ceramah terhadap peningkatan perilaku pengobatan pasien tuberkulosis. Jenis penelitian ini menggunakan penelitian kuantitatif dengan metode quasy experiment. Rancangan penelitian ini adalah non randomized pretest-posttest tanpa control group design. Populasi dalam penelitian ini adalah seluruh Pasien Tbyang sedang menjalani pengobatan di Puskesmas Lotu  Kabupaten Nias Utara Tahun 2023 sebanyak 29 pasien. Besar sampel dijadikan sebagai total sampling. Pengumpulan data berupa pembagian kuesioner sebelum dan sesudah diberikan penyuluhan dengan metode ceramah. Analisis data menggunakan uji normalitas data dan Wilcoxon. Hasil penelitian melaporkan bahwa terdapat perbedaan pengetahuan, sikap dan tindakan responden tentang pengobatan TB di Puskesmas Lotu sebelum dan sesudah diberikan metode ceramah (p= <0,001). Diharapkan kepada keluarga pasien untuk dapat melaksanakan peran dan fungsi perawatan keluarga khususnya penderita Tb dalam memberikan motivasi, dukungan, serta pengawasan perilaku pengobatan Tb

Hubungan perilaku kepala keluarga dengan pemberantasan sarang nyamuk demam berdarah dengue (PSN-DBD)

Background: The 3M Plus mosquito nest eradication movement is the most effective activity to prevent the occurrence of dengue disease and to realize environmental hygiene and healthy living behavior. The purpose of the 3M Plus mosquito nest eradication activity is to eradicate the breeding places of the Aedes mosquito through efforts to foster community participation so that dengue hemorrhagic fever (DHF) can be optimally prevented.Objective: The purpose of this study was to determine the relationship between the behavior of the head of the family with the implementation of eradicating the mosquito nests of dengue hemorrhagic fever.Method: This type of research uses a descriptive analytic approach with a cross sectional study design with a sampling technique using simple random sampling. The sample in this study were 73 heads of families from a population of 264 families. This research was conducted in March-September 2021. The data was collected by interview using a questionnaire, and supported by observational data. Data processing is carried out in a computerized manner starting with the stages of editing, coding, tabulating. Data analysis was performed bivariate (Chi-square test) and multivariate (Binary Logistics Regression) at 95% CI.Results: The results showed that there was a significant relationship between attitudes (p= 0.000) and the role of community leaders (p= 0.039) with the eradication of dengue mosquito nests. There was no relationship between knowledge (p= 0.767) and the eradication of dengue mosquito nests. The attitude variable is the dominant predictor of its relationship with the implementation of the eradication of dengue mosquito nests in Seunagan District, Nagan Raya Regency (Exp (B) = 7.2).Conclusion: There is a relationship between attitudes and the role of community leaders in eradicating dengue mosquito nests, but knowledge does not show a relationship. The success of eradicating dengue mosquito nests is dominated by the positive attitude of the local community

FAKTOR YANG MEMPENGARUHI PARTISIPASI MASYARAKAT DALAM PENCEGAHAN COVID-19 DI KELURAHAN PASAR GUNUNGTUA KABUPATEN PADANG LAWAS UTARA

Covid-19 is an infectious disease caused by a new type of coronavirus with common symptoms of fever, fatigue, cough, convulsions and diarrhea. 8 Covid-19 cases were found and 1 person died in Pasar Gunungtua Village. It is suspected that this is due to the low participation of the community in preventing Covid-19. The purpose of the study was to analyze the factors that influence community participation in preventing Covid-19 in Pasar Gunungtua Village, North Padang Lawas Regency. The type of research is descriptive analytic with a cross sectional approach carried out in March-June 2021. The population is the head of the family who lives in Pasar Gunungtua Village as many as 2,507 families and the sample is 113 people. The results of the bivariate analysis showed that all independent variables had an effect on community participation in the prevention of Covid-19 (p<0.05). Based on the results of multivariate analysis, the dominant variables that influence community participation in preventing Covid-19 are opportunity (OR=5,10), willingness (OR=10,810), ability (OR=6,791), the role of the environmental head (OR=6,613) and the role of cadres/health workers (OR=3.765). It was concluded that people who have a good will tend to participate 10,810 times in preventing COVID-19 disease than those who have a bad will

HUBUNGAN USIA DAN MASA KERJA DENGAN SIKAP SIAGA BENCANA

Penelitian ini bertujuan untuk menganalisis sejauh mana Sikap Siaga Bencana Perawat di Rumah Sakit Permata Bunda Medan dan bagaimana hubungannya dengan Usia dan Masa Kerja mereka. Jenis penelitian ini adalah kuantitatif korelasional dengan pendekatan survei. Populasi adalah perawat yang bekerja di Rumah Sakit Permata Bunda Medan, dengan sampel berjumlah 100 responden yang diambil dengan tehnik pengambilan sampel consecutive sampling. Instrumen yang digunakan adalah kuesioner yang telah diuji validitas dan reliabilitasnya. Pengumpulan data dilakukan melalui wawancara dengan menggunakan kuesioner yang sudah diuji coba validitas dan reliabiltasnya. Analisis bivariat menggunakan uji chi-square dan analisis multivariat dilakukan dengan menggunakan uji regresi logistik dengan batas kemaknaan (α = 0,05). Hampir seluruh responden (96%) memiliki sikap siaga bencana yang baik. Baik pada analisis bivariat (p=0.073) maupun multivariat (p=0.0573) menunjukkan tidak ada hubungan signifikan antara usia dengan sikap siaga bencana perawat, namun terdapat hubungan signifikan antara masa kerja dengan sikap siaga bencana perawat di RS Permata Bunda Medan, baik pada analisis bivariat (p=0.000) maupun analisis multivariat (p=0.008)

HUBUNGAN KEIKUTSERTAAN PENYULUHAN DAN PEROLEHAN INFORMASI DENGAN PENGETAHUAN SIAGA BENCANA

Penelitian ini bertujuan untuk Penelitian ini bertujuan untuk mengetahui sejauh mana Pengetahuan Siaga Bencana Dokter di RSU Haji Medan, dan bagaimana hubungannya dengan Keikutsertaan Penyuluhan dan Perolehan Informasi . Pengetahuan Siaga Bencana dikukur dengan menggunakan indikator Taksonomi Bloom C1 sampai dengan C4, yaitu mengingat, memahami, menerapkan, dan menganalisis informasi, karena dalam situasi bencana mencekam, agak susah menuntut seseorang untuk bisa mengevaluasi apalagi sampai menciptakan ide-ide baru. Penelitian kuantitatif korelasional dengan survei dengan rancangan penelitian cross sectional. Populasi penelitian adalah Dokter di RSU Haji Medan. Besar sampel minimal sebanyak 91 orang. Penarikan sampel menggunakan teknik Simple Random Sampling. Pengumpulan data dilakukan melalui wawancara menggunakan kuesioner yang sudah diuji coba validitas dan reliabilitasnya. Analisis bivariat menggunakan uji chi-square dan analisis multivariat menggunakan uji regresi logistik, sama-sama dengan batas kemaknaan ?= 0,05. Tingkat Pengetahuan Siaga Bencana Dokter di RSU Haji Medan sebagian besar tinggi (87,9%). Sebagian besar (86.8%) responden sudah pernah mengikuti kegiatan penyuluhan. Seluruh responden pernah memperoleh informasi mengenai bencana (100,0%), dimana 86.8% diantaranya mengatakan sering memperolehnya. Hasil analisis bivariat dan multivariat menunjukkan, baik keikutsertaan dalam Penyuluhan (p=0,035 dan p=0,024) maupun Perolehan Informasi (p=0,033 dan p=0,020) berhubungan secara signifikan dengan Pengetahuan Siaga Bencana dokter di RSU Haji Medan