SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat

Gambaran Perencanaan Program Pengendalian Penyakit Tuberkulosis (TB) Paru di Puskesmas Sikumana Kota Kupang Tahun 2023

2025-08-28T03:22:52+00:00

Pulmonary tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis, often leading to illness, disability, and death. Sikumana Health Center, Kupang City, recorded the highest TB cases with 140 cases in 2023, indicating that the control program has not been fully effective. This study aimed to describe the planning of the TB control program at the health center in 2023. A qualitative approach was used through in-depth interviews and documentation, involving four informants. Data were analyzed through collection, reduction, presentation, and conclusion. The findings show that human resources in the TB clinic are still limited, causing service gaps when the person in charge is absent. Facilities and infrastructure are adequate, and the planning stages—preparation, situation analysis, problem formulation, and drafting of RUK and RPK—have been carried out properly. However, challenges such as wide service coverage and community stigma that TB is hereditary may hinder treatment. The output consists of RUK and RPK documents, and the health center needs to strengthen education and counseling to improve public knowledge about TB.

Evaluasi Program Penanggulangan ISPA di Puskemas Sikumana

2025-08-16T04:13:17+00:00

Acute respiratory infections are the leading cause of morbidity and mortality from infectious diseases in the world. ARI is the most common disease in outpatients at Puskesmas Sikumana, Kupang City with a percentage of 43%, in 2023. The purpose of this study was to determine the evaluation of the ARI Management Program at Puskesmas Sikumana. This research is a qualitative research that produces descriptive data in the form of descriptions and written or spoken words from information and observedbehavior. The selection of informants in this study was carried out using purposive sampling method. The results showed that the Input variable showed that there were 5 health workers involved in the ARI program, facilities and infrastructure supporting ARI in the Puskesmas Sikumana working area were less equipped with ventilator facilities but there was routine maintenance and care. In the process variable, the preparation of the program plan is carried out by the planning team at the Puskesmas every year. There is also a way to determine the status of people with ARI. In addition, there is monitoring of the ARI prevention program which is carried out every 3 months and there is mandatory recording and reporting every month and every year. The Output variable shows that there are strategies so that the program is right on target. In the implementation of the program, there are factors that influence. To improve the human resources of health workers at the Puskesmas, special training is always held to improve the human resources of health workers. The conclusion of this research is that inadequate input affects the process so that the output of ARI disease management at Puskesmas Sikumana has not achieved success. Facilities and infrastructure should be provided, especially ventilators to support the implementation of the ARI program.

Analisis Kepatuhan Pekerja dalam Penggunaan Alat Pelindung Diri (APD) Cleaning Service

2025-07-25T12:09:34+00:00

Cleaning service workers have a high risk of work accidents and exposure to hazardous materials, so the use of Personal Protective Equipment (PPE) is crucial. However, compliance with the use of PPE is still a challenge, especially in the informal sector and outsourcing companies that do not have an adequate K3 system. Objective: This study aims to analyze the level of compliance with the use of PPE in cleaning service workers and identify the factors that affect it. Methods: This study used a qualitative approach with a case study design. Data was collected through semi-structured interviews and direct observation of 15 cleaning service workers working at an outsourcing company in the office sector in North Kolaka Regency in January – March 2025. The data analysis technique is carried out thematically through data reduction, data presentation and conclusion drawn. Results: Results show that the majority of workers understand the importance of PPE and show a fairly high level of compliance. The main driving factors are awareness of personal safety and supervisory supervision, while inhibiting factors include PPE inconvenience, limited tools and lack of supervision. The most commonly used types of PPE are masks, gloves and safety shoes. Conclusion: Adherence to PPE use is influenced by individual, organizational and environmental factors. The company's active role is needed in providing appropriate PPE, supervising and forming a safety-oriented work culture. This research contributes to strengthening K3 policies in the informal sector.

Faktor- Faktor yang Berhubungan dengan Penyakit Demam Berdarah Dengue (DBD) di Wilayah Kerja Puskesmas Temindung Kota Samarinda

2025-09-13T08:17:26+00:00

Dengue Hemorrhagic Fever (DHF) remains a major public health concern, particularly in tropical regions such as Indonesia, where it has persisted for over five decades. In 2023, Samarinda ranked third among ten regencies or cities in East Kalimantan with the highest number of DHF cases. One of the primary health centers consistently ranking among the top three with the highest DHF cases in Samarinda from 2021 to 2023 is Temindung Public Health Center. Environmental conditions and community behavior are believed to play significant roles in the transmission of this disease. This study aimed to identify factors associated with DHF incidence, including the condition of water storage containers (TPA), lighting, the presence of mosquito larvae, and Mosquito Nest Eradication (PSN) behavior. A cross-sectional design with a quantitative approach was used, involving 138 respondents selected through purposive sampling within the working area of Temindung Public Health Center. Data were collected using questionnaires, direct observation, and lighting measurements, and analyzed using the Chi-square test. The results showed significant associations between the availability of TPA covers (p = 0.037), household lighting (p = 0.017), PSN behavior (p = 0.000), and the presence of mosquito larvae (p = 0.000) with DHF incidence. These factors are interrelated in increasing the risk of DHF transmission in residential areas. Proper management of water storage, adequate household lighting, mosquito larvae control, and improved PSN behavior are crucial in reducing DHF cases. Active involvement of both the community and public health centers is essential in implementing continuous and sustainable preventive measures.

Literature Review: Evaluasi Model Edukasi HIV/AIDS di Posyandu Remaja

2025-09-10T01:36:40+00:00

HIV/AIDS infection remains a public health challenge among Indonesian adolescents despite extensive educational efforts. This study presents a structured literature review (systematic review) following PRISMA guidelines to evaluate the effectiveness of HIV/AIDS education models in Youth Integrated Health Posts (Posyandu Remaja) from 2015 to 2025. Searches in Google Scholar identified four primary studies meeting inclusion criteria: two quantitative pre-post interventions with cadres and youth, one qualitative study, and one community service project. Findings indicate that interventions employing lectures, group discussions, informational leaflets, educational videos, and peer education enhanced adolescent knowledge scores by an average of 75 % and reduced the proportion of low-knowledge participants from 84% to zero after a brief session. Participatory approaches and collaboration with religious leaders and community institutions were key facilitators. Nevertheless, social stigma, limited cadre capacity, short program duration, and insufficient counseling facilities undermined long-term impact on actual behavior change, such as HIV testing uptake and consistent condom use. Consequently, this review recommends developing a comprehensive education module encompassing reproductive rights, sexual orientation diversity, the U = U concept, and psychosocial support; advanced cadre training; cross-sector integration; and digital technology utilization to ensure program sustainability and effectiveness.

Analisis Kebutuhan SDM Petugas Rekam Medis di Rumah Sakit Mekar Sari Bekasi Menggunakan Metode ABK-Kes

2025-08-28T09:38:08+00:00

Human resource planning is essential to ensure the availability of a workforce that meets current and future service needs. In the health sector, the health workload analysis method is used to objectively evaluate human resource needs. This study was conducted at Mekar Sari Bekasi Hospital to determine the ideal number of medical record and health information officers. Currently there are 9 medical record officers, consisting of 4 people with PMIK (Medical Recorder and Health Information) education backgrounds and 5 non-PMIK people. Conditions in the field show that officers often get additional workloads when colleagues are absent, and even have to work overtime to get the job done on time. This study uses descriptive quantitative methods through direct observation and interviews. The results show that the available work time (WKT) is 1201 hours or 72,000 minutes per year. With a Supporting Task Factor (FTP) of 8% and a Supporting Task Standard (STP) of 1.09, the ideal HR requirement is 10 people. This requires the addition of 1 officer with a PMIK background, who will be placed in the assembling section. Meanwhile, 1 officer each from the coding and filing sections will be transferred to the filing section.

Hubungan Pengetahuan dan Sikap dengan Perilaku Pencegahan Penularan Tuberkulosis Paruh di Wilayah Kerja Puskesmas Oesapa Kota Kupang

2025-09-19T14:03:20+00:00

Pulmonary tuberculosis (TB) is an infectious disease that remains a public health problem in Indonesia, including in the work area of the Oesapa Community Health Center in Kupang City. TB transmission occurs through droplets expelled when an infected person coughs or sneezes. This study aims to determine the relationship between knowledge and behaviors for preventing pulmonary TB transmission in TB patients. This study used a quantitative approach with a cross-sectional design. The population in this study was all adult pulmonary TB patients registered at the Oesapa Community Health Center in 2024, with a sample size of 70 individuals selected using a total sampling technique. The independent variables in this study included knowledge and attitudes, while the dependent variable was behavior related to preventing pulmonary TB transmission. Data were collected using a closed-ended questionnaire and analyzed univariately and bivariately using the chi-square test. The results showed that the majority of respondents (66.7%) exhibited poor prevention behavior. Furthermore, there was a significant relationship between knowledge (p=0.004) and attitude (p=0.004) and behavior related to preventing pulmonary TB transmission. The study concluded that prevention behavior is influenced by predisposing factors (knowledge and attitude), and aligns with Lawrence Green's theory. These results are expected to provide input for Community Health Centers (Puskesmas) in designing health promotion strategies and educational interventions to reduce the risk of TB transmission in the community.

Persepsi dan Niat Berhenti Merokok pada Perokok Dewasa Berdasarkan Theory of Planned Behavior

2025-09-13T08:43:28+00:00

This study aims to understand the perceptions and intentions to quit smoking among adult smokers in the Special Region of Yogyakarta using the Theory of Planned Behavior (TPB) approach. TPB is employed to identify how attitudes toward smoking, subjective norms, and perceived behavioral control influence individuals’ intentions to quit smoking. This research uses a qualitative approach with a phenomenological design, exploring the experiences and subjective meanings of the participants. The research subjects consist of four adult smokers selected purposively. Data collection techniques involved semi-structured interviews and observations, while data analysis used triangulation methods. The results indicate two differing perspectives regarding smoking: some subjects emphasized the negative impacts such as disease risk, physical fatigue, and financial losses that motivated their intention to quit, whereas others continued smoking for reasons of relaxation, stress reduction, and social interaction. The social environment was shown to play a dual role, both weakening and strengthening the motivation to quit depending on the prevailing norms. At the individual control level, subjects were influenced by internal factors such as stress and nicotine addiction, as well as external factors like social support and smoke-free zone policies.

Gambaran Sanitasi Gereja Masehi Injili di Timor (GMIT) di Wilayah Kecamatan Kelapa Lima Kota Kupang

2025-09-12T09:30:17+00:00

Public place sanitation requires serious attention because it is a gathering place for many people from various backgrounds. With the majority of Kupang City's population being Christian, churches, as places of worship, are one of the public places whose sanitation needs attention, especially those located in the Kelapa Lima District. Kelapa Lima District is located near the coast, making it prone to flooding and strong winds, which can damage church facilities and disrupt their sanitation. The purpose of this study was to determine the sanitation of the church environment and buildings, as well as its sanitation facilities. This research is a descriptive study using an observational checklist method based on the Church Inspection Form stipulated by Decree of the Minister of Health 288/MENKES/SK/III/2003 concerning Guidelines for the Sanitation of Public Facilities and Buildings. The results indicate that all Evangelical Christian Churches in Timor (GMIT) in the Kelapa Lima District meet environmental and building sanitation requirements with a score of 70% or more and meet sanitation facility requirements with a score of 75%. However, several churches do not meet the requirements for certain variables, such as yard sanitation, toilets, trash cans, and worship equipment. Churches are expected to pay special attention to church sanitation by establishing a regular cleaning schedule, such as washing offering trays and routinely cleaning church toilets, not only on Sundays but also every two weeks.

Hubungan Pengetahuan, Sikap dan Ketersediaan Sarana dengan Pengelolaan Sampah Penghuni Kost di Dusun 1, Desa Penfui Timur

2025-09-16T04:52:33+00:00

Waste is one of the environmental health problems that remains a major challenge in various regions. Population growth and changes in consumption patterns have led to increasing waste volumes, while suboptimal waste management has led to environmental pollution, aesthetic disturbances, and the risk of environmental-based diseases such as diarrhea, dengue fever, and skin infections. This waste problem becomes increasingly important when associated with the lifestyle of boarding house residents who generally have limited space, facilities, and time to carry out optimal waste management. This study aims to analyze the relationship between knowledge, attitudes, and availability of facilities with waste management of boarding house residents. The study was conducted in Hamlet 1, Penfui Timur Village, Kupang Tengah District, Kupang Regency and was carried out on May 12-June 12, 2025. The research design used in this study was an analytical survey with a cross-sectional study design approach. The study population was boarding house residents in Hamlet 1, Penfui Timur Village with a total sample of 100 people. The collected data were analyzed using the chi-square test. The results of the bivariate analysis showed that there was no relationship between knowledge and waste management (p-value = 0.687), there was a relationship between attitudes and waste management (p-value = 0.046), and there was also no relationship between the availability of infrastructure and waste management (p-value = 0.345) of boarding house residents.

Pendidikan Kesehatan Berbasis Media Kuartet untuk Meningkatkan Pengetahuan dan Sikap Menggosok Gigi Siswa Sekolah Dasar

2025-09-13T07:31:57+00:00

Dental and oral health problems in Indonesia remain a serious challenge, particularly among school-aged children. According to the 2023 Indonesian Health Survey (SKI), the national prevalence of decayed, damaged, or painful teeth is 45.6%, and among the 5–9 year age group it reaches 49.9%. In East Kalimantan, the prevalence of dental health problems is 44.8%, with the highest cases occurring in elementary school–aged children. The aim of this study was to analyze the effect of health education using quartet cards on improving toothbrushing knowledge and attitudes among students of MI Ar-Rahmah Loa Janan Ilir. This study employed a pre-experimental design with a one-group pretest–posttest approach. A total of 52 fourth-grade students participated as research samples, selected through proportionate stratified random sampling. The research instrument consisted of knowledge and attitude questionnaires that had been tested for validity and reliability. Data were analyzed using the Wilcoxon test. The results indicated a significant improvement in students’ knowledge and attitudes after receiving health education through quartet cards. The Wilcoxon test produced a p-value of 0.000 (p < 0.05) for both variables, confirming that quartet cards are effective as a learning medium to enhance students’ knowledge and attitudes regarding proper toothbrushing. Quartet cards are therefore effective for use in oral health education to improve students’ knowledge and attitudes toward correct toothbrushing practices. It is recommended that this medium be more widely implemented as an educational method in elementary schools.

Hubungan Pengetahuan dan Dukungan Suami dengan Penggunaan KB Pasca Persalinan : Scoping Review

2025-09-18T13:28:07+00:00

The achievement of postpartum family planning in Indonesia in 2022 is around 52.3% of the target of 70%. This shows that the use of postpartum family planning has not reached the desired target. Objective: This article aims to determine the relationship between knowledge and husband's support with the use of postpartum family planning. Method: The method used is the scoping review method. Literature search using 3 databases, namely ScienceDirect, PubMed, Willey Online Library, and one search engine; Google Scholar. Articles were selected using inclusion criteria, namely original articles, using Indonesian and English, published in the last 5 years (2020-2025). Results: The results of the review found data related to knowledge of postpartum family planning, husband's support and the relationship between knowledge and husband's support with the choice of postpartum family planning. From the review of 10 articles, it was found that 83.6% of respondents had good knowledge and used postpartum family planning and respondents with less knowledge (16.4%). Respondents who received support from their husbands (52.8%) and those who did not receive support from their husbands were (47.2%). Efforts to increase maternal knowledge by providing information, clear and correct motivation regarding postpartum family planning and encouraging husbands' participation in family planning programs.

Faktor Pengetahuan, Sikap, dan Dukungan Suami yang Berhubungan dengan Perilaku Wanita Usia Subur dalam Pemeriksaan IVA Tes di Desa Sukamanah, Kabupaten Bekasi

2025-09-19T03:32:43+00:00

Cervical cancer is one of the leading causes of death among women and is largely caused by Human Papilloma Virus (HPV) infection. Visual Inspection with Acetic Acid (VIA) is a simple, effective, and recommended method for early detection to reduce morbidity and mortality rates from cervical cancer. However, VIA screening coverage in Indonesia remains low, including in the working area of Sukatani Health Center. This study aimed to identify indicators associated with the behavior of women of reproductive age (WRA) in undergoing VIA screening in Sukamanah Village. This research employed a quantitative method with a cross-sectional design, involving 82 WRA respondents selected through consecutive sampling. Independent variables included education, knowledge, attitude, information sources, and spousal support. Data were collected using questionnaires and analyzed with the chi-square test. The results showed that 61% of respondents had never undergone a VIA test. Significant associations were found between VIA screening behavior and knowledge (p=0.003), attitude (p=0.021), and spousal support (p=0.003). Meanwhile, education (p=0.073) and sources of information (p=0.075) were not significantly associated. These findings highlight that improving knowledge, fostering positive attitudes, and strengthening spousal support are key strategies to increase WRA participation in VIA screening for early cervical cancer detection.

Efektivitas Terapi Metformin dalam Mencapai Target Kadar HbA1c <7% pada Pasien DMT2 di Puskesmas Imogiri 1:Perspektif Layanan Primer

2025-09-18T13:54:41+00:00

Type 2 Diabetes Mellitus (T2DM) is a chronic disease with high prevalence in Indonesia, include Bantul Regency,Yogyakarta. In September 2024 the number of cases reached 18,520, indicating a high disease burden at the primary healthcare level. At Puskesmas Imogiri 1, most T2DM patients receive metformin therapy, yet the coverage of care and effectiveness of treatment in achieving optimal glycemic control, particularly HbA1c levels, remain challenging in daily practice. This study aimed to assess the effectiveness of metformin dosage in achieving HbA1c <7% in T2DM patients at Puskesmas Imogiri 1. A quantitative study with a cross-sectional design and total sampling technique was conducted among T2DM patients treated at this facility. The variables studied included type and dosage of metformin therapy and HbA1c levels as indicators of glycemic control, with data collected from medical record reviews, including medication history and the most recent HbA1c test results. Of the 54 respondents, 35.2% achieved HbA1c <7%, while the majority remained above the target. Statistical analysis using Fisher’s Exact Test revealed no significant association between metformin dosage and glycemic control status. Likewise, duration of therapy, sex, and age were not significantly associated with HbA1c achievement (p>0.05). In conclusion, this study indicates that there is no significant relationship between metformin dosage, duration of therapy, age, or sex and the achievement of HbA1c targets in T2DM patients at Puskesmas Imogiri 1.

Gambaran Pengetahuan, Sikap, dan Tindakan Pencegahan HIV/AIDS pada Remaja Sekolah SMAN 8 Kota Kupang

2025-09-23T10:18:11+00:00

Adolescence is a transitional period characterized by physical, psychological, and social changes that have the potential to influence risky behavior, including the transmission of HIV/AIDS. Indonesia continues to experience an increase in HIV/AIDS cases from year to year, with productive age groups, including adolescents, as one of the most vulnerable. Lack of knowledge and low access to information related to HIV/AIDS are factors that contribute to the low awareness of prevention among adolescents. This study aims to determine the description of knowledge, attitudes, and actions to prevent HIV/AIDS among adolescents at SMA Negeri 8 Kupang City using a descriptive design with a cross-sectional approach. The study population was students of SMA Negeri 8 Kupang, with the number of samples determined based on inclusion criteria and using stratified random sampling. The research instrument was a questionnaire that included aspects of knowledge, attitudes, and HIV/AIDS prevention actions, and data were analyzed univariately to describe the frequency distribution of each variable. The results showed that most respondents had knowledge in the moderate category, attitudes that tended to be positive towards HIV/AIDS prevention efforts, but the application of preventive measures in everyday life was still not optimal, indicating a gap between knowledge and real behavior. Suggestions for adolescents include improving knowledge about HIV/AIDS supported by the development of positive attitudes and environmental reinforcement to encourage consistent preventive actions, while school-based health education and the active involvement of health workers are essential in strengthening HIV/AIDS prevention efforts among adolescents.

Studi Meta-Analisis: Aplikasi Teori Perubahan Perilaku Terencana (TPB) dalam Pemanfaatan Skrining Kanker Payudara

2025-09-30T11:14:14+00:00

In 2022, there were 2.3 million women diagnosed with breast cancer and 670,000 deaths recorded worldwide. Women aged 30-49 years have a higher potential to have pre-cancerous lesions so that screening is one of the most effective and cheapest methods to detect cancer cells early. Breast self-examination (BSE) is an effective and easy-to-teach screening if other types of screening are difficult to access. Theory of Planned Behavior (TPB) as a theory of behavioral change that focuses on internal cognitive behavioral factors. This study is a systematic review and meta-analysis study using secondary data that has been published in the last 10 years from 3 databases, namely: Pubmed, Google Scholar and Science Direct. The keywords used were “Breast Cancer Examination” OR “Breast Cancer Screening” AND “Theory of Planned Behavior” OR “attitude” OR “perceived behavioral control” OR “self-efficacy”. The articles used were English articles with a cross-sectional design. Articles were collected using the PRISMA flow diagram and analyzed using the Review Manager 5.4 application. A total of 18 cross-sectional articles from Ethiopia, Thailand, Nepal, Rwanda, East Africa and Nigeria were analyzed using meta-analysis. The total number of research subjects was 58,799. The results of the meta-analysis showed that positive attitudes (aOR = 1.74; 95% CI = 1.35 to 2.23; p <0.00) and strong perceived behavioral control (aOR = 1.31; 95% CI = 1.17 to 1.48; p <0.001) increased the utilization of breast cancer screening. Positive attitudes and strong perceived behavioral control can increase the utilization of breast cancer screening.

Pengaruh Pendidikan Kesehatan dengan Metode Demonstrasi terhadap Peningkatan Pengetahuan Remaja Putri tentang SADARI

2025-09-30T10:33:35+00:00

Breast cancer is recognized as a major global health challenge with 2.3 million cases recorded in 2020 and projections indicating a continuous increase until 2040 (WHO), where early detection becomes a crucial preventive measure that can be introduced through breast self-examination (BSE) education, yet the knowledge of adolescent girls regarding BSE remains low, requiring effective health education strategies; this study therefore aimed to assess the impact of health education using demonstration methods on improving BSE knowledge among adolescent girls at SMK Jayabeka 01 Karawang in 2025 by employing a quantitative approach with a pre-experimental one-group pretest–posttest design involving 103 respondents selected through total sampling, utilizing pretest and posttest questionnaires consisting of 20 items, and analyzing the data with the Wilcoxon Signed Rank Test due to non-normal distribution, with the results showing a significant improvement in knowledge after the intervention (p-value = 0.000, p < 0.05) where 85 respondents experienced an increase, 18 showed no change, and none experienced a decrease, while before the intervention most were in the “moderate” category (67%) and afterward the majority (82.5%) moved into the “good” category, thus confirming that health education delivered through demonstration methods is effective in enhancing adolescent girls’ knowledge of BSE and can be recommended as a suitable and sustainable strategy in school-based programs for early detection of breast cancer.

Efektivitas Metode Enhanced Milieu Teaching (EMT) terhadap Peningkatan Kosa Kata pada Kasus Autism Spectrum Disorders (ASD)

2025-10-13T06:06:09+00:00

Children with autism often have primary difficulties in social interaction, behavior, and communication, particularly in vocabulary acquisition. Enhanced Milieu Teaching (EMT) is one of the naturalistic-based methods aimed at improving language skills within the context of everyday play. This study aims to examine the effectiveness of the EMT method in increasing vocabulary in children with autism. It is an experimental study using a One-group Pretest-Posttest Design with a sample of 8 children with autism, aged 4-5 years, at Keanna Center, South Jakarta. The Receptive Verbal Vocabulary Test (TKV-R), which is valid and reliable in Indonesian, was used as the assessment. The intervention was conducted in 12 sessions, each lasting 45 minutes. There was an increase in 7 out of 8 vocabulary items in children with autism after receiving the EMT intervention. The analysis using the Wilcoxon Signed Rank Test showed an increase in the average score from 21 to 27 with a p-value of 0.018. This finding indicates that the EMT method is proven to be effective in improving vocabulary in children with autism.

Faktor-Faktor yang Berhubungan dengan Pencapaian Cakupan Imunisasi Dasar Lengkap pada Bayi di Puskesmas Ba’a Kabupaten Rote Ndao

2025-10-14T10:13:01+00:00

Immunization is an effort to increase a person's immune system to avoid disease. Complete basic immunization coverage in 2018-2022 at the Ba'a Community Health Center experienced a significant decline and tended to be low so that it did not reach the 90% strategic plan target. The purpose of this study was to identify events related to the achievement of complete basic immunization coverage for infants at the Ba'a Community Health Center. The type of research used was quantitative with a cross-sectional study design. The age of the infants in this study ranged from 10-12 months, and the respondents were mothers of infants residing in the Ba'a Community Health Center work area. The sampling technique used purposive sampling, a sample of 72 respondents. The data obtained were analyzed using the chi-square test. The test results show that there is a relationship with a sufficient level of correlation between the variables of knowledge (0.018; r = 0.343), attitude (0.004; r = 0.384), distance (0.010; r = 0.340) and family support (0.026; r = 0.322), with the completeness of basic immunization in infants, while the support of health workers has a very weak level of correlation (0.554; r = 0.118) so that there is insufficient evidence to accept that there is a relationship between the support of health workers and the completeness of basic immunization in infants. It is recommended that the husband/family be willing to accompany the mother to the immunization site and provide motivation for the mother.

Analisis Spasial Kejadian Penyakit ISPA Ditinjau Dari Lingkungan Fisik Daerah Permukiman Wilayah Desa Prambontergayang Kabupaten Tuban

2025-10-21T11:57:32+00:00

The distribution of Acute Respiratory Infections (ARI) varies across regions, highlighting the need to consider spatial factors and the physical environment of residential areas, including housing density, ventilation size, and waste management, which critically affect community quality of life. This study aimed to conduct a spatial analysis of ARI incidence in relation to the physical residential environment in Prambontergayang Village, Tuban Regency. A quantitative descriptive design with cross-sectional observation was applied, utilizing spatial modeling through geoprocessing techniques such as buffering, overlay, and Nearest Neighbor Analysis (NNA). The study included all 150 houses in the village, selected using purposive sampling. Data were analyzed using the Contingency Coefficient C test and geoprocessing. Findings indicated a clustered pattern of ARI cases, with 34.0% occurring among adolescents and 58.0% among females. Housing density met health standards in 63.3% of cases, ventilation size in 67.3%, and environmentally friendly household waste management in 56.7%. Significant associations were found between ARI incidence and housing density (p = 0.002), ventilation size (p = 0.000), and waste management (p = 0.000). The study concludes that environmental vulnerabilities related to housing density, ventilation, and waste management contribute to ARI incidence. Promoting clean and healthy living practices, adequate nutrition, environmental hygiene, and indoor air quality is essential for ARI prevention and control.

Hubungan Perilaku dan Faktor Internal Paramedis dengan Kepatuhan pada SOP Pengelolaan Limbah Medis di RSUD Waru Pamekasan

2025-09-12T09:54:43+00:00

The amount of medical waste generated by healthcare facilities is increasing, due to the increasing number of hospitals, health clinics, health laboratories, and other treatment centers. Improper medical waste management can compromise the health and safety of patients and healthcare workers, necessitating medical waste management in accordance with applicable SOPs. This study generally aims to analyze the relationship between paramedic behavior and internal factors and compliance with SOPs for medical waste management at Waru Pamekasan Regional Hospital. This study was a quantitative cross-sectional design, with a population of 49 and a sample of 44 individuals obtained through simple random sampling. Univariate and bivariate analyses were used, with statistical tests using Chi-Square. The results indicate a relationship between paramedical attitudes and compliance with medical waste management SOPs. There was no relationship between paramedical knowledge, age, length of service, and education level with compliance with medical waste management SOPs at Waru Pamekasan Regional Hospital. It can be concluded that there is a relationship between paramedical attitudes and compliance with medical waste management SOPs. There was no relationship between paramedic knowledge, age, length of service, and education level with compliance with medical waste management SOPs at Waru Pamekasan Regional Hospital. Therefore, regular training on medical waste management SOPs, internal supervision, and the implementation of rewards and punishments are needed to improve paramedic compliance with medical waste management SOPs.

Kesenjangan Pengetahuan, Sikap, dan Praktik (KAP) Pencegahan DBD di Wilayah Kerja Puskesmas Cakranegara: Diagnosis Komunitas

2025-10-21T11:25:32+00:00

Dengue remains a major public health concern in Indonesia. In 2024, the incidence rate (IR) more than doubled (91.1) versus 2023 (41.4), while the case fatality rate (CFR) fell from 0.96% to 0.57%, underscoring the need to shift from curative care to community-based prevention. This descriptive observational study using a community-diagnosis approach assessed knowledge, attitudes, and practices (KAP) for dengue prevention and household environmental conditions in RT 6 Selagalas Lama. The target population comprised 153 households; 60 respondents were selected with Slovin’s formula (10% margin of error). Data were collected via a KAP questionnaire and household environmental observations and analyzed descriptively (univariate). Most respondents showed good knowledge (86.7%) and positive attitudes (86.7%), yet preventive practices were suboptimal (good 28.3%; fair 35.0%; poor 36.7%). Household environments were predominantly poor (70.0%), with key misconceptions persisting (43.3% cited Anopheles as the vector; 46.7% believed dengue cannot be prevented). To address the K–A–P gap, we implemented hands-on, demonstration-based “3M Plus” education focused on weekly self-inspection of water-holding containers and improved personal protection (morning–afternoon protection; window/door screens and bed nets). The knowledge/attitude–practice gap remains a primary local risk; structured, measurable, demonstration-based interventions should be institutionalized and evaluated using practice indicators, vector indices, and clinical outcomes.

Tinjauan Pelaksanaan Standar Pelayanan Minimal pada Penderita Diabetes Melitus di Puskesmas Oesapa Kota Kupang Tahun 2024

2025-10-21T11:41:41+00:00

Diabetes Mellitus is a non-communicable disease that causes high morbidity and mortality, thus requiring proper and serious handling and treatment efforts. Data from the Kupang City Health Office shows that the Oesapa Community Health Center is the community health center with the highest cases of DM in Kupang City with a low achievement of 65.4% of the Oesapa Community Health Center's target of 100%. This study aims to determine the implementation of Minimum Service Standards (SPM) for diabetes mellitus patients at the Oesapa Community Health Center in Kupang City in 2024. This type of research is a qualitative descriptive study with 6 informants using a purposive technique. The results of the study indicate that input elements in the aspect of human resource availability have met the standards, sufficient funds, BMHP and medicines are available and examination tools such as glucometer tests are available. The service method provided is in accordance with the SOP. The market or target is in accordance with service standards, monitoring and evaluation are running well. The implementation of SPM at Oesapa Health Center has not reached 100% due to uneven training, unavailability of insulin, inconsistency of patients in conducting routine check-ups at Oesapa Health Center and late reporting from health posts due to low awareness of officers and busy daily services so that they do not input data on time. Therefore, the researcher suggests that the health center improve training for health workers, increase patient awareness through education, and establish a routine reporting schedule.

Implementasi Program Kesehatan Ibu dan Anak (Kia): Studi Kasus di Puskesmas Suro Makmur Kabupaten Aceh Singkil Tahun 2025

2025-10-20T09:08:15+00:00

The Maternal and Child Health (MCH) Program is a priority for reducing maternal and child mortality and improving public health. This study aims to evaluate the implementation of the MCH Program at the Suro Makmur Community Health Center (Puskesmas) in Aceh Singkil in 2025. The method used was a qualitative case study conducted between July 3-11, 2025. Primary data was collected through in-depth interviews with the Head of the Community Health Center, the person in charge of the MCH program, implementing midwives, integrated health post (Posyandu) cadres, and six mothers from the target group. Secondary data was drawn from Community Health Center documents. The analysis focused on input, process, and output aspects using normative, empirical, and gap analysis approaches. The results indicate that the MCH policy refers to the Health Office and central regulations. Human resources are adequate, but distribution and training are suboptimal. The MCH service process is structured, but obstacles arise from budget and infrastructure limitations. In terms of output, program achievements have not met targets, the quality of outreach is low, and community participation is influenced by culture, distance, and trust in health workers. In conclusion, the implementation of the MCH Program at the Suro Makmur Community Health Center (Puskesmas) was optimal, despite a gap between standards and field practice. This study provides important insights for improving the implementation of the MCH program at the community health center level to support efforts to improve maternal and child health more effectively.

Gambaran Rekam Medis Elektronik terhadap Sistem Informasi Manajemen di RSUD Dr. H. Moch. Ansari Saleh Banjarmasi Tahun 2025

2025-10-31T12:09:44+00:00

Electronic Medical Record (EMR) is a digital documentation system that stores comprehensive information regarding patient identity, examinations, treatments, and medical procedures during care in both inpatient and outpatient settings. The implementation of EMR is a complex process that requires careful management of technology and information systems. Given its critical function in modern healthcare, this study aims to analyze the contribution of EMR to the Management Information System (MIS) at RSUD Dr. H. Moch. Ansari Saleh Banjarmasin. Using a qualitative descriptive approach, the research explores actual conditions, phenomena, and variables related to EMR utilization. The findings show that EMR has been effectively applied and provides substantial benefits in several dimensions. In terms of Content, EMR supports the systematic and complete recording of patients’ social and medical data. In terms of Accuracy, it ensures that information is properly stored, easily traceable, and helps maintain previous medical histories, thereby enhancing diagnostic precision. Regarding Format, EMR follows standard medical record guidelines for health services. In terms of Ease, it simplifies access to data and medical histories, improving efficiency and saving time. Overall, the MIS at RSUD Dr. H. Moch. Ansari Saleh Banjarmasin facilitates computerized health records that enhance data completeness and reliability. The EMR’s main contributions are reflected in three managerial functions—Planning, Control, and Decision Making—which strengthen hospital management performance and service quality.