TOUR HEALTH JOURNAL https://tourjurnal.akupuntour.com/index.php/tourhealthjournal <p>Tour Health Journal (eISSN: 2830-5515) menerbitkan artikel-artikel kajian empiris dan tinjauan pustaka yang berfokus pada isu-isu seputar kesehatan secara nasional dan internasional. Redaksi menerima naskah yang belum pernah diterbitkan dalam media lain dari dosen, peneliti, mahasiswa maupun praktisi sesuai dengan ketentuan penulisan. Naskah yang masuk akan dievaluasi menggunakan mekanisme <em>peer-review</em> di mana setiap naskah yang dikirimkan ditinjau secara anonim oleh reviewer yang ditunjuk oleh editor. Tour Health Journal menerbitkan empat terbitan dalam setahun (Maret, Juni, September, Desember). Tour Health Journal diterbitkan oleh Akupun Tour Publisher.</p> Akupun Tour Publisher en-US TOUR HEALTH JOURNAL 2830-5515 ANALISIS SANITASI KANDANG AYAM DAN KEPADATAN LALAT DI DESA NAMORIH DUSUN II KECAMATAN PANCUR BATU TAHUN 2023 https://tourjurnal.akupuntour.com/index.php/tourhealthjournal/article/view/123 <p><strong><em>Background: </em></strong><em>Broiler chicken farming business according to the Regulation of the Minister of Agriculture of the Republic of Indonesia No. 31/Permentan/140/2/2014, broiler chicken cultivation needs to be further developed to increase the income and welfare of breeders, livestock companies and the community, including increasing competitiveness. The large number of farms standing in residential areas can have an adverse impact on public health if the management of the farms does not comply with applicable regulations. Farmers still ignore environmental problems, so many people complain about the existence of these livestock businesses. Apart from causing environmental pollution impacts such as air pollution (odor), there are many flies hanging around the cage and the surrounding environment</em><em>. </em></p> <p><strong><em>Purpose:</em></strong> <em>To determine the Analysis Of Chickenhood Sanitation And Late Density In Namorih Village Dusun Ii Kecamatan Pancur Batu.</em></p> <p><strong><em>Method:</em></strong> <em>The type of research used was descriptive which aimed to describe the sanitation of chicken coops and the level of fly density in Namorih Dusun II Village, Pancur Batu District, Deli Serdang Regency. The population of this research were 5 broiler chicken breeders in Namorih Dusun II Village, Pancur Batu District, Deli Serdang Regency and a sample of 5 breeders was taken using total sampling technique. The data collection method is direct observation using a questionnaire. Data were processed using univariate analysis</em></p> <p><strong><em>Disscusion and Conclusion:</em></strong><em> The research results showed that of the 5 chicken coops that were observed, there were 3 (60%) chicken coops with good sanitation and 2 (40%) chicken coops with moderate sanitation. Of the 5 chicken coops observed, there were 4 (80%) chicken coops with medium fly densities and 1 (20%) chicken coops with high fly densities. It is hoped that broiler chicken breeders will improve sanitation facilities both in broiler chicken coops and the surrounding environment and control them.</em></p> David Siagian Yeheskiel Bukit Copyright (c) 2024 David Siagian, Yeheskiel Bukit https://creativecommons.org/licenses/by-nc-sa/4.0 2024-06-26 2024-06-26 3 2 60 67 THE RELATIONSHIP OF KNOWLEDGE, ATTITUDES AND OWNERSHIP OF A latrine AND THE ACT OF OPEN DEFEATING IN SEI BILAH EAST DISTRICT LANGKAT DISTRICT YEAR 2024 https://tourjurnal.akupuntour.com/index.php/tourhealthjournal/article/view/139 <p><strong><em>Background: </em></strong><em>Sanitation is one component of public health. Intentional behavior to promote clean living to prevent humans from coming into direct contact with dirt and hazardous waste materials. The behavior of defecating in open areas such as rivers or gardens has become a habit that is often carried out by the community. The habit of open defecation, which results in contamination of drinking water sources as well as recontamination of water sources and food eaten at home directly or indirectly. There are still people who do not have toilets at home or defecate in the open.</em></p> <p><strong><em>Purpose:</em></strong> <em>to determine the relationship between knowledge, attitudes and ownership of toilets with open defecation behavior in Sei Bilah Timur sub-district, Langkat Regency in 2024.</em></p> <p><strong><em>Method:</em></strong> <em>The type of research is an analytical survey with a cross sectional design. The population in this study is the II Mawar neighborhood in the working area of ​​the Community Health Center. The Old Village of Sei Lepan has 335 families. The sampling technique used is based on the Slovin formula. Based on the results of the research and discussion, it can be concluded that there is a relationship between knowledge and open defecation behavior in Sei Bilah Timur Village, Langkat Regency. with a P-Value of 0.000 or α&lt;0.05, and also a relationship between attitudes and open defecation behavior in Sei Bilah Timur Village, Langkat Regency. with a P-Value of 0.000 or α&lt;0.05 and there is a relationship between latrine ownership and open defecation behavior in Sei Bilah Timur Village, Langkat Regency. with a P</em><em>-Value of 0.000 or α&lt;0.05.</em></p> <p><strong><em>Disscusion and Conclusion:</em></strong><em> It is recommended that the STBM program be developed from the Sei Bilah Timur Langkat Community Health Center for heads of families who do not yet have a latrine, especially a healthy latrine with a trigger system to increase latrine ownership in the working area of ​​the Sei Bilah Timur Langkat Community Health Center.</em></p> Lia Rosa Veronika Sinaga Ita Veronica N Seri Asnawati Munthe Jasmen Manurung Copyright (c) 2024 Lia Rosa Veronika Sinaga , Ita veronica N, Seri Asnawati Munthe , Jasmen Manurung https://creativecommons.org/licenses/by-nc-sa/4.0 2024-06-26 2024-06-26 3 2 68 80 HUBUNGAN FAKTOR KESEHATAN LINGKUNGAN DENGAN KEJADIAN DIARE PADA BALITA DI WILAYAH KERJA UPTD PUSKESMAS GUNUNGSITOLI IDANOI TAHUN 2024 https://tourjurnal.akupuntour.com/index.php/tourhealthjournal/article/view/141 <p><strong><em>Background: </em></strong>The environmental conditions in the homes of toddlers suffering from diarrhea show that most of the clean water facilities do not meet health requirements, for example they are not protected from sources of pollution. Likewise, most of the latrine facilities do not have waterproof floors, are slippery, and flow directly into the river. Waste management is still far from health requirements and most rubbish bins do not have covers, there is no separation of organic and inorganic waste. Household waste water drainage channels are still close to the house, which creates a breeding ground for vectors that can carry disease.</p> <p><strong><em>Purpose:</em></strong> The aim of this research is to analyze the relationship between clean water facilities, latrine facilities, waste management, waste water drainage management and the incidence of diarrhea in the work area of the UPTD Puskesmas Gunungsitoli Idanoi District.</p> <p><strong><em>Method:</em></strong> The type of research is quantitative and cross sectional research, researchers analyzed data from 4,485 families, obtained through questionnaire and observation methods, data were analyzed using the chisquare test with a confidence level of 95%.</p> <p><strong><em>Disscusion and Conclusion:</em></strong><em> Results through statistical tests showed that all variables were related to the incidence of diarrhea in toddlers in the UPTD work area of the Gunungsitoli Idanoi District Health Center.All variables studied are related to the incidence of diarrhea, so various efforts need to be madethe role of the community and health workers in improving the quality of a healthy environmentwhich is related to the incidence of diarrhea in the UPTD work area of the Gunungsitoli Idanoi District Health Center</em>.</p> Debora Mendrofa Rahmat Alyakin Dachi Copyright (c) 2024 Debora Mendrofa, Rahmat Alyakin Dachi https://creativecommons.org/licenses/by-nc-sa/4.0 2024-06-26 2024-06-26 3 2 81 93 HUBUNGAN PROGRAM PENGELOLAAN PENYAKIT KRONIS (PROLANIS) DENGAN HIPERTENSI DI WILAYAH KERJA UPT PUSKESMAS DARUSSALAM KOTA MEDAN TAHUN 2024 https://tourjurnal.akupuntour.com/index.php/tourhealthjournal/article/view/142 <p><strong><em>Background: </em></strong><em>Prolanis is a program for managing chronic diseases such as hypertension and diabetes mellitus which is quite effective and efficient, but there are still many people who have not utilized this service. Hypertension is considered a serious health problem because it often occurs without complaints and can cause death (silent killer).</em></p> <p><strong><em>Purpose:</em></strong> <em>The aim of this research is to analyze the relationship between the chronic disease management program (Prolanis) and hypertension in the work area of ​​the UPT Puskesmas Darussalam Medan City in 2024.</em></p> <p><strong><em>Method:</em></strong> <em>This type of research is quantitative with a cross-sectional research design approach. The number of samples was determined using the Slovin formula as many as 93 people. Primary data collection was carried out directly through questionnaires and secondary data was obtained from the Darussalam Health Center, Medan City. Data analysis was carried out using univariate and bivariate methods. Univariate analysis was carried out to obtain a description of the research variables and bivariate analysis was carried out to test the hypothesis of the relationship between Prolanis and hypertension. Hypothesis testing uses the Chi-square statistical test. Based on statistical analysis, medical consultation was obtained (p=0.000), group education (p=0.000), SMS gateway reminder (p=0.000), home visit (p=0.001), health status monitoring (p=0.000).</em></p> <p><strong><em>Disscusion and Conclusion:</em></strong><em> All variables studied are related to whether blood pressure is controlled or not, where these various variables, if implemented properly, will be beneficial for the stability of blood pressure. It is hoped that this research can provide recommendations for further improving chronic disease management programs to achieve a more optimal quality of life.</em></p> Yohana Nursulyawati Gultom Nettietalia Br Brahmana Donal Nababan Seri Anawati Munthe Copyright (c) 2024 Yohana Nursulyawati Gultom, Nettietalia Br Brahmana , Donal Nababan, Seri Anawati Munthe https://creativecommons.org/licenses/by-nc-sa/4.0 2024-06-26 2024-06-26 3 2 94 106 THE RELATIONSHIP OF PUSKESMAS HEAD'S LEADERSHIP STYLE AND WORK MOTIVATION WITH EMPLOYEE JOB SATISFACTION AT UPT PUSKESMAS SUKARAMAI MEDAN YEAR 2024 https://tourjurnal.akupuntour.com/index.php/tourhealthjournal/article/view/143 <p><strong><em>Background: </em></strong>To determine the relationship between the leadership style of the head of the community health center and the job satisfaction of employees of the Sukaramai Community Health Center Technical Services Unit.</p> <p><strong><em>Purpose:</em></strong> This research aims to determine the relationship between the leadership style of the head of the Community Health Center and the work motivation of the Sukaramai Community Health Center employees.</p> <p><strong><em>Method:</em></strong> This type of research is quantitative research with a sample of 34 respondents. The data collection method used in data processing is using a direct questionnaire. The data processing technique uses the Chi Square test. The results of this research show that there is a relationship between leadership style and job satisfaction with a significant value of 0.000 which is smaller than 0.05. The research results also show that there is a relationship between work motivation and job satisfaction with a significant value of 0.000, which is smaller than 0.05. Based on the results of the hypothesis test, there is a significant influence between the leadership style variables on the job satisfaction of the Sukaramai Community Health Center Technical Services Unit employees.</p> <p><strong><em>Disscusion and Conclusion</em>:</strong> The results of the research show that the leadership style of the head of the community health center and work motivation are related to employee job satisfaction in the Sukaramai Community Health Center Technical Services Unit, so it is necessary to improve the quality of leadership through leadership training. Likewise, work motivation requires giving awards, opportunities to increase career levels, providing incentives and other efforts to increase job satisfaction.</p> Chory Vevayosa Br Sembiring Seri Asnawati Munthe Rahmat Alyakin Dachi Erwin Silitonga Copyright (c) 2024 Chory Vevayosa Br Sembiring, Seri Asnawati Munthe, Rahmat Alyakin Dachi, Erwin Silitonga https://creativecommons.org/licenses/by-nc-sa/4.0 2024-06-26 2024-06-26 3 2 107 116 HUBUNGAN KINERJA KADER POSYANDU DENGAN KEPUASAN IBU BALITA DALAM PELAYANAN POSYANDU DI WILAYAH KERJA UPT PUSKESMAS SUKARAMAI KOTA MEDAN TAHUN 2024 https://tourjurnal.akupuntour.com/index.php/tourhealthjournal/article/view/145 <p><strong><em>Background: </em></strong><em>The decrease in the number of visits by mothers of toddlers at the posyandu in the working area of ​​the UPT Puskesmas Sukaramai is something that needs to be paid attention to by health workers or cadres who work at the posyandu. </em></p> <p><strong><em>Purpose:</em></strong> <em>The aim of this research is to determine the relationship between the performance of posyandu cadres and the satisfaction of mothers of toddlers in posyandu services in the Sukaramai Community Health Center UPT Working Area, Medan City in 2024.</em></p> <p><strong><em>Method:</em></strong> <em>The population of this study was the number of mothers who made regular visits to the posyandu in the working area of ​​the UPT. Sukaramai Health Center, namely 507 toddlers. The number of samples was determined using the Slovin formula and the accidental sampling method as many as 84 people. Hypothesis testing used the Chi-square statistical test. The research results showed that the performance of posyandu cadres in the Sukaramai Health Center UPT Working Area, Medan City, was mostly (42.9%) in the poor category, 33.3% said the cadre performance was sufficient and only 23.8% said it was good. The majority of mothers (36.9%) felt dissatisfied with the satisfaction of mothers of toddlers who received services at posyandu in the working area of ​​the UPT Puskesmas Sukaramai Medan City, 35.7% felt quite satisfied, and only 27.4% felt satisfied with the performance of the cadres. in providing services.</em></p> <p><strong><em>Disscusion and Conclusion</em>:</strong> <em>The results of the hypothesis test show that there is a relationship between the performance of Posyandu cadres and the satisfaction of mothers of toddlers in posyandu services in the working area of ​​the UPT Puskesmas Sukaramai with a value of p=0.003 (p&lt;0.05). Seeing that there is a relationship between the performance of posyandu cadres and the satisfaction of mothers of toddlers with posyandu services in the work area of ​​the UPT. Puskesmas Sukaramai, it is necessary to make various efforts to improve the performance of posyandu cadres, such as training cadres to increase the satisfaction of mothers of toddlers with posyandu services. This will have an impact on increasing visits by mothers of toddlers to posyandu activities.</em></p> Elysa Simanullang Lia Rosa Veronika Sinaga Seri Asnawati Munthe Rahmat Alyakin Dachi Copyright (c) 2024 Elysa Simanullang, Lia Rosa Veronika Sinaga , Seri Asnawati Munthe, Rahmat Alyakin Dachi https://creativecommons.org/licenses/by-nc-sa/4.0 2024-06-26 2024-06-26 3 2 117 127 HUBUNGAN KEAKTIFAN DALAM MENGIKUTI KEGIATAN PROGRAM PENGELOLAAN PENYAKIT KRONIS (PROLANIS) DENGAN KUALITAS HIDUP PENDERITA DIABETES MELLITUS DI WILAYAH KERJA PUSKESMAS ONAN HASANG KABUPATEN TAPANULI UTARA TAHUN 2024 https://tourjurnal.akupuntour.com/index.php/tourhealthjournal/article/view/146 <p><strong><em>Background: </em></strong><em>Non-Communicable Diseases (NCDs), which are the highest cause of death in Indonesia, include Diabetes Mellitus (DM)</em><em>. </em></p> <p><strong><em>Purpose:</em></strong> <em>The aim of the research is to analyze the relationship between activeness in participating in Prolanis activities and the quality of life of DM sufferers. The type of research is quantitative research with a cross-sectional research design approach. The research was conducted in the Onan Hasang Community Health Center working area, North Tapanuli Regency from December 2023 to March 2024</em><em>.</em></p> <p><strong><em>Method:</em></strong> <em>The research population was all Prolanis Program participants who suffered from DM in the Onan Hasang Community Health Center working area, North Tapanuli Regency, namely 103 people. The number of samples was determined using the Slovin formula and the accidental sampling method as many as 82 people. Primary data collection was carried out directly through questionnaires and secondary data was obtained from the Onan Hasang Community Health Center, North Tapanuli Regency. Data analysis was carried out univariate and bivariate. Univariate analysis was carried out to obtain a description of the research variables and bivariate analysis was carried out to test the hypothesis of the relationship between activeness in participating in Prolanis activities and the quality of life of DM sufferers. Hypothesis testing uses the Chi-square statistical test</em><em>.</em></p> <p><strong><em>Disscusion and Conclusion</em>:</strong><em> The research results showed that the activeness in participating in Prolanis activities in the Onan Hasang Community Health Center working area, North Tapanuli Regency was 47.6% not good, 30.5% not good, and 22.0% good. The quality of life of DM sufferers was 67.1% poor and only 32.9% good. The results of hypothesis testing show that there is a relationship between activeness in participating in Prolanis activities and the quality of life of DM sufferers in the Onan Hasang Community Health Center working area, North Tapanuli Regency. This research provides recommendations to further increase participants' active motivation in participating in prolanis activities.</em></p> Fatimah Azhari S Pasaribu Rahmat Alyakin Dachi Hotman Manurung Rosetty Sipayung Copyright (c) 2024 Fatimah Azhari S Pasaribu, Rahmat Alyakin Dachi, Hotman Manurung, Rosetty Sipayung https://creativecommons.org/licenses/by-nc-sa/4.0 2024-06-26 2024-06-26 3 2 128 138