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Upaya Peningkatan Kepatuhan Minum Obat Pada Pasien Tbc di Wilayah Kerja Puskesmas Modung Kabupaten Bangkalan dengan Metode Antar Obat Langsung Ke Pasien (Anto Langka) Titin Trisnowati; Eny Susanti; Novi Anggraeni; Zakkiyatus Zainiyah
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.54071

Background: TB adalah infeksi mycobacterium tuberculosa yang menular melalui penghirupan droplet nuklei dari individu melalui batuk. Angka kejadian (TBC) di Indonesia mencapai 1.020.000 kasus TB baru per tahun dengan kasus kematian 100.000 paisen pertahun yang menjadikan Indonesia sebagai negara dengan kasus TBC terbanyak kedua di dunia. Purpose: Tujuan dari penelitian ini adalah untuk menganalisis perbedaan kepatuhan minum obat pada pasien TB sebelum dan setelah dilakukan intervensi antar obat langsung ke pasien (Anto Langka) di wilayah kerja Puskesmas Modung Kabupaten Bangkalan. Methods: Desain Penelitian Analitik dengan pendekatan esain quasi experimental dengan pendekatan one group pre test-post test design. Independent variable Anto Langka, dependent variable kepatuhan minum oabat. Sampel penelitian 11 pasien TBC baru di wilayah kerja Puskesmas Modung Kabupaten Bangkalan, tehnik sampling menggunakan purposive sampling. Uji statistik menggunakan Nonparametric-Tests 2-Related Sampel Wilcoxon. Results: Berdasarkan Hasil uji statistika menggunakan Wilcoxon Signed- Rank, hasil menunjukkan Asymp. Sig. (2-tailed) 0,014, <α (0.05). hal ini mengindikasikan bahwa ada perbedaan kepatuhan minum obat pada pasien TBC sebelum dan setelah dilakukan intervensi Anto Langka. Conclusion: Kapatuhan minum obat pada pasien TBC sangan penting guna meningkatkan kualitas hidup pasien dan menurukan resiko penularan sehingga dibutuhkan sinergi dukungan keluarga dan petugas kesehatan secara optimal. Keywords: Tuberculosa Patien, Taking medications complience, Directly Observed Treatment Short Course

Pemberdayaan Kader Dalam Upaya Perilaku Pencegahan Terjadinya Hipertensi Kehamilan Di Puskesmas Jaddih Kabupaten Bangkalan Novi Anggraeni; Sylvina Rahmawati; Nopita Yanti Sitorus
Jurnal Pengabdian Masyarakat IPTEKS Vol. 12 No. 1 (2026): PENGABDIAN MASYARAKAT IPTEKS
Publisher : Universitas Muhammadiyah Jember

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

Hipertensi pada kehamilan merupakan salah satu hal yang harus diperhatikan dikarenakan salah satu kasus dari komplikasi kehamilan sebagai penyumbang AKI di Indonesia adalah hipertensi dalam kehamilan. Salah satu penyebab hipertensi pada kehamilan diantaranya riwayat hipertensi sebelum hamil, kelainan plasenta, obesitas dan pengetahuan. Pengetahuan ibu dan orang sekitar tentang hipertensi harus baik dikarenakan pengetahuan menjadi pondasi manusia menentukan keputusan untuk kehidupannya. Kader harus memiliki pengetahuan tersebut dikarenakan kader adalah masyarakat yang dipercaya untuk membantu membangun kesehatan di desa tersebut. Salah satu upaya untuk meningkatkan pengetahuan kader yaitu dengan edukasi tentang upaya perilaku pencegahan terjadinya hipertensi kehamilan pada tanggal 14 Juli 2025 yang diikuti oleh 20 kader di Postandu Jaddih Selatan. Berdasarkan hasil penelitian didapatkan pengetahuan kader sebelum diberikan edukasi didapatkan setengahnya dalam kategori kurang sebanyak 10 orang (50%) dan sebagian kecil dalam kategori baik sebanyak 2 orang (20%) sedangkan pengetahuan kader setelah diberikan edukasi didapatkan setengahnya dalam kategori baik sebanyak 10 orang (50%) dan sebagian kecil dalam kategori kurang sebanyak 3 orang (15%). Hasil pengabdian masyarakat ini dapat disimpulkan bahwa ada peningkatan sebelum dan sesudah diberikan eduksi terhadap pengetahuan kader tentang hipertensi kehamilan

Inovasi Sobat Antar ObatKu: Optimalisasi Waktu Tunggu dan Kepuasan Pasien di RSIA Glamor Husada Ainul Yaqin; Novi Anggraeni; Mustofa Haris; Hasinuddin; Amriani
Jurnal Kesehatan Marendeng Vol. 10 No. 2 (2026): JURNAL KESEHATAN MARENDENG
Publisher : LPPM STIKES Marendeng Majene

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58554/jkm.v10i2.238

Hospital pharmacy services are one of the hospital activities that support quality healthcare. Based on Ministry of Health Regulation No. 72 of 2016 on Standards for Pharmaceutical Services in Hospitals. Prescription waiting times also influence patients’ expectations regarding hospital services, particularly those of the hospital pharmacy department. The objective of this study was to analyze differences in medication queue waiting times between groups that implemented the “Sobat Antar ObatKu” method and those that did not at RSIA Glamor Husada. The research method used was a quasi-experimental design with a post-test control group design. Subjects were selected using simple random sampling, with a sample size of 45 outpatients at RSIA Glamor Husada. Data analysis was performed using a t-test. Analysis results: There was a difference in medication queue waiting times between the group that implemented the “Sobat Antar ObatKu” method and the group that did not implement the “Sobat Antar ObatKu” method at RSIA Glamor Husada. Hospital management is advised to maintain and develop the “Sobat Antar ObatKu” innovation because it has been proven to shorten medication service waiting times and improve outpatient satisfaction

Pelayanan Ibu Hamil, Melahirkan, Nifas Dan Kontrasepsi Melalui Alarm Tersetting Sejak Awal Ulumiyah Ulumiyah; Novi Anggraeni; Eny Susanti; Eddy Moeljono; Amriani Amrian
Jurnal Kesehatan Marendeng Vol. 10 No. 2 (2026): JURNAL KESEHATAN MARENDENG
Publisher : LPPM STIKES Marendeng Majene

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58554/jkm.v10i2.239

Efforts to accelerate the reduction of the maternal mortality rate are carried out by ensuring that every mother has access to quality maternal health services, such as prenatal care, delivery assistance by trained health workers at health care facilities, postpartum care for mothers and infants, specialized care and referrals in the event of complications, and family planning services, including postpartum contraception. Continuity of care can be achieved through reminders—which can take the form of a messaging feature or an app—designed to help individuals remember that there is a specific task to be performed on a particular day or at a specific time. The novelty of this study lies in the development of an integrated reminder system designed to support the continuity of maternal care from pregnancy through childbirth, the postpartum period, and contraceptive services. The objective of this study is to analyze the impact of implementing the Kamal Port method on prenatal checkups, choice of delivery facility, postpartum visits, and contraceptive services. The research method used was a quasi-experimental study with a post-test with control group design. The sample consisted of 38 pregnant women in their second and third trimesters in January 2026 at the Ulumiyah-Kamal-Bangkalan Maternal and Child Health Center (TPMB), selected using simple random sampling. Data analysis was performed using bivariate analysis with a t-test. Analysis Results: There were significant differences in the continuity of prenatal care (p=0.000), choice of delivery method (p=0.011), postpartum visits (p=0.004), and contraceptive use (p=0.020) between the group that used alarm reminders to track their prenatal care schedule and the group that did not use alarm reminders.

Pengaruh Pemanfaatan Alarm Reminder Terhadap Peningkatan Kunjungan Balita Dan Ibu Hamil Di Posyandu Novi Anggraeni; Rohilatul Jannah; Umianita Risca Wulandari; Arkha Rosyaria Badrus; Sylvina Rahmawati
Journal of Health Educational Science And Technology Vol. 9 No. 1 (2026): J-HESTECH (Journal Of Health Educational Science And Technology)
Publisher : Faculty of Health Sciences , Dr. Soetomo University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25139/htc.v9i1.11261

Abstrak: Cakupan kunjungan ibu dan balita ke Posyandu di Jawa Timur pada tahun 2023 belum mencapai target yang ditetapkan. Di Kabupaten Bangkalan, capaian K6 masih di bawah standar, yaitu hanya 56% dari target 100%. Tujuan penelitian ini adalah untuk meningkatkan jumlah kunjungan Posyandu melalui penggunaan aplikasi pengingat alarm. Metode: Desain penelitian menggunakan analisis deskriptif dengan pendekatan deskriptif-komparatif. Populasi adalah balita dan ibu hamil yang terdaftar di wilayah kerja Posyandu Jaddih. Teknik pengambilan sampel yang digunakan adalah consecutive sampling. Hasil: Penelitian menunjukkan bahwa setelah penggunaan alarm pengingat, jumlah kunjungan ibu hamil meningkat sebesar 60% dibandingkan sebelumnya, dan jumlah anak pada kelompok usia tersebut juga meningkat sebesar 69%. Kesimpulan: Metode Alarm Pengingat cukup efektif dalam meningkatkan pelayanan promotif dan preventif serta kepatuhan pasien terhadap kunjungan Posyandu baik ibu hamil maupun balita di wilayah kerja Posyandu Jaddih.

Optimasi Anggaran UHC JKN melalui Kebijakan Mapping Kepesertaan Sih Retno Widiyati; Luthfiana Nur; Mustofa Haris; Novi Anggraeni; Eny Susanti
Jurnal Ventilator Vol. 4 No. 2 (2026): Juni : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i2.2455

Universal Health Coverage (UHC) through Indonesia’s National Health Insurance (JKN) program aims to ensure equitable access to quality healthcare without causing financial hardship. In Bangkalan Regency, the PBPU and Local Government Contribution (BP Pemda/PBI D) segment represented around 19% of JKN participants in 2024. However, the rapid increase in membership was not supported by adequate regional budget capacity for premium payments. This study analyzed how participant mapping policies through verification and validation processes could improve budget efficiency and support the sustainability of the UHC JKN program. A descriptive qualitative approach was applied using purposive sampling involving 10 heads of primary health centers (puskesmas) and one informant from the Population and Civil Registration Office. Data were collected through questionnaires and document reviews related to JKN membership and health financing regulations, then analyzed thematically. The number of PBPU and BP Pemda participants increased from 108,779 in January to 130,097 in July 2024, while the allocated budget ceiling decreased compared to 2023. Key challenges identified included invalid participant data, weak implementation of local JKN regulations, moral hazard among financially capable residents shifting to subsidized schemes, and limited monitoring mechanisms. The study found that membership mapping through systematic verification and validation could improve targeting accuracy, reduce inefficient premium payments, and strengthen budget sustainability. Strengthened local regulations, intersectoral coordination, and funding support from DBHPR, DBHCHT, and earmarked DAU are crucial for effective implementation.

Strategi Menuju Green Hospital melalui Pengelolaan Sampah Domestik, Limbah Air dan Kantong Plastik di Rsud Grati Kabupaten Pasuruan Ikka Deby Kardhian; M. Hasinuddin; Zakkiyatus Zainiyah; Novi Anggraeni; Rohilatul Jannah
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2561

RSUD Grati Pasuruan is a district-level referral healthcare facility with a very high service intensity, resulting in an increasing volume of non-medical waste each year. However, its waste management system has not yet fully implemented the principles of 3R (Reduce, Reuse, Recycle) and the circular economy approach. This study aims to determine the effectiveness of strategies for managing domestic waste, wastewater, and plastic bags at RSUD Grati Pasuruan. The research used a descriptive method through observation of data before and after the implementation of waste management strategy interventions. The observation results indicate that domestic waste production decreased because the hospital processes waste into compost and fish feed, reducing the amount of waste disposed of as residue. The use of plastic bags also declined due to the adoption of reusable plastic bags. In addition, water usage became more efficient as plant watering activities were replaced by the use of treated wastewater from the wastewater treatment plant (IPAL). These three interventions collectively contributed to cost efficiency. Overall, the findings show that the strategies implemented by RSUD Grati Pasuruan are effective in supporting the implementation of 3R principles (Reduce, Reuse, Recycle) and the circular economy, as well as in promoting the development of a green hospital environment.

Pemberdayaan Kader terhadap Kepatuhan Minum Obat bagi Penderita ODGJ di Puskesmas Gotowasi Raudah Abd. Gafur; Novi Anggraeni; M. Hasinuddin; Eddy Moeljono
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2662

Mental disorders are chronic illnesses that require a long process for recovery. One factor influencing the success of treatment in patients with schizophrenia is adherence to medication. It was found that 60% had a low level of medication adherence, which has the potential to hinder their recovery and increase the risk of relapse. Mental health community cadres act as an extension of healthcare workers in implementing mental health efforts. The purpose of this study was to examine medication adherence among people with mental disorders after a cadre empowerment intervention. This study used a quasi-experimental design with a pretest–posttest one-group approach. The sampling technique used was total sampling. The sample consisted of all People with Mental Disorders (ODGJ), totaling 18 individuals. The independent variable was cadre empowerment, while the dependent variable was medication adherence among people with mental disorders. The research instrument was a questionnaire adapted from the Morisky Medication Adherence Scale (MMAS-8). Data were analyzed descriptively using frequency distribution tables and diagrams. The results of this study show that medication adherence among people with mental disorders (ODGJ) increased following a community health worker empowerment intervention. These findings indicate that community health worker empowerment is an effective approach to supporting medication adherence and treatment success among people with mental disorders. Community health worker empowerment has the potential to serve as a community-based mental health care model in efforts to improve medication adherence among people with mental disorders at community health centers (Puskesmas).

Edukasi Penerapan Budaya “Lapor Pak” sebagai Upaya Peningkatan Laporan Insiden Keselamatan Pasien dan Budaya Keselamatan Pasien : Proyek Inovasi Diterapkan di Puskesmas Perawatan Subaim Kabupaten Halmahera Timur Faris Rakib; Novi Anggraeni; M. Hasinuddin; Eddy Moeljono
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2664

Every healthcare facility is required to ensure patient safety in order to improve the quality of care. The 2025 IKP report for East Halmahera shows that only 5 community health centers (31.25%) reported zero IKP incidents, while 11 community health centers (68.75%) did not submit a report. IKP reports tend to increase during Community Health Center accreditation surveys and decrease again after accreditation (IKP application reports). Low incident reporting rates are common, although the levels vary. Development of an Educational Innovation to Implement the “Lapor Pak” Culture (Report Patient Safety Incidents Immediately to the Community Health Center) as a Model for Strengthening the Implementation of Patient Safety Goals at Community Health Centers. The objective of this study is to analyze the educational program for implementing the “Lapor Pak” culture as an effort to improve patient safety incident reporting and foster a patient safety culture. The research design was quasi-experimental with a single-group pretest–posttest approach. The sample consisted of 57 staff members at the Subaim Community Health Center, with simple random sampling used as the sampling technique. The independent variable was education on the implementation of culture “Lapor Pak” (Report Patient Safety Incidents Immediately to the Community Health Center), while the dependent variables were the rate of Patient Safety Incident (PSI) reporting and patient safety culture. The research instrument was based on the Hospital Survey on Patient Safety Culture Version 2.0 User Guide published by the AHRQ (Agency for Healthcare Research and Quality). Data analysis was performed using a paired t-test. The results of this study show that there was no difference in the number of patient safety incident reports between the periods before and after the implementation of education on patient safety culture (Lapor Pak); p-value = 0.322 (p > 0.05), with the average score increasing from 0.00 to 0.0175, however, this increase was not statistically significant, and patient safety culture improved significantly before and after the implementation of education on patient safety culture (Lapor Pak). p-value = 0.044 (p < 0.05). The average patient safety culture score increased from 3.6995 to 3.8464

Penerapan PORTAL INM (Pelaporan Digital Indikator Nasional Mutu) sebagai Upaya Peningkatan Kepatuhan dan Kelengkapan Pelaporan Unit Pelayanan di RSUD Dr. Mohammad Zyn, Sampang Dewi Ratna Yuliana; Eny Susanti; Novi Anggraeni; Hamimatus Zainiyah
Jurnal Ventilator Vol. 4 No. 3 (2026): September : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i3.2665

Reporting on National Quality Indicators (INM) is a critical component of hospital quality management, as it serves as the basis for evaluating service performance, improving quality, and ensuring patient safety. However, the implementation of INM reporting at Dr. Mohammad Zyn Regional General Hospital in Sampang Regency still faces challenges, including reporting delays, incomplete data, and the use of an inefficient, paper-based manual system. To address these issues, the PORTAL_INM (Digital Reporting of National Quality Indicators) innovation was developed using Google Forms. This integrated system supports the hospital’s paperless policy. The objective of this study is to analyze the impact of implementing PORTAL_INM on improving compliance with reporting deadlines and the completeness of INM data across the hospital’s service units. The purpose of this study was to analyze the effect of implementing PORTAL_INM on improving compliance with reporting deadlines and the completeness of INM data in hospital service units. The study used a quasi-experimental design with a one-group pretest-posttest approach without a control group. The study population and sample consisted of all INM PICs (Persons in Charge) in 18 hospital service units, selected using total sampling. Data analysis was conducted descriptively and comparatively using the Crosstab test and Fisher’s Exact Test. The results showed a significant difference (p=0.0001) and a significant difference (p=0.002). This innovation supports digital transformation, strengthens a culture of quality, and enhances the effectiveness of sustainable hospital quality data management.

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