Garuda - Garba Rujukan Digital

The Effect of Distance to Health Care Facilities on Tuberculosis Treatment Compliance in Tuberculosis Patients: A Meta-Analysis Rizki Aqsyari; Hendra Dwi Kurniawan; Safaruddin Safaruddin
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.957

Patient adherence to tuberculosis (TB) treatment is an essential factor in ensuring therapeutic success, preventing relapse, and mitigating the rate of drug resistance in the community. One structural barrier frequently associated with suboptimal adherence levels is the geographical distance between the patient's residence and healthcare facilities. Given that previous literature still exhibits variations in empirical findings, this study aims to quantitatively synthesize and estimate the magnitude of the effect of healthcare facility distance on the treatment adherence of TB patients. This systematic review and meta-analysis was designed in adherence to the standard Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The literature search strategy focused on the Google Scholar database by establishing inclusion criteria based on the PICO framework: TB patients (Population), easily accessible healthcare facilities (Exposure), inaccessible healthcare facilities (Comparator), and the level of treatment adherence (Outcome). Statistical synthesis was executed using Review Manager 5.3 software. The eligibility evaluation identified three case-control primary studies included in the analysis. The forest plot visualization confirmed that patients facing inaccessible healthcare facilities possess a significantly higher probability of non-adherence by 3.76 times compared to patients with easy access (aOR = 3.76; 95% CI = 2.11–6.70; p = 0.0001). Although the statistical test demonstrated perfect methodological homogeneity across the studies (I² = 0%), an indication of potential publication bias was detected through the funnel plot visualization. In conclusion, geographical distance barriers are proven to significantly degrade TB treatment adherence. Proactive policy interventions, such as service decentralization and community-based medical governance innovations, are highly crucial to overcome these spatial obstacles.

Relationship Between Digital Health Literacy and Hypertension Preventive Behavior among Adolescents in Urban Areas Hendra Dwi Kurniawan; Safaruddin Safaruddin; Rizki Aqsyari
Media Ilmiah Kesehatan Indonesia Vol. 4 No. 2 (2026): MAY
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v4i2.975

Hypertension in adolescents is an emerging public health concern because it can increase the risk of cardiovascular complications later in life. The advancement of digital technologies has made digital health literacy an important factor in shaping hypertension prevention behaviors. This study aimed to analyze the association between digital health literacy and hypertension prevention behaviors among adolescents in urban areas. A cross-sectional observational analytic design was employed, with a sample of 225 adolescents selected using purposive sampling. Data were collected using questionnaires on digital health literacy and hypertension prevention behaviors and analyzed using the Chi-square test. The results showed that most respondents had good digital health literacy and demonstrated appropriate hypertension prevention behaviors. Bivariate analysis indicated a significant association between digital health literacy and hypertension prevention behaviors (p < 0.001; OR = 3.225; 95% CI: 1.713–6.071). Adolescents with good digital health literacy were more likely to engage in hypertension prevention behaviors. Enhancing digital health literacy is a crucial strategy for promotive and preventive efforts targeting hypertension among adolescents in urban settings.

Analisis determinan kepuasan pasien terhadap loyalitas pasien pada pelayanan keperawatan maternitas Eunike Tamariska; Ditya Yankusuma Setiani; Diyono Diyono; Safaruddin Safaruddin
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 2 (2026): July Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i2.3436

Background: Patient loyalty is one of the indicators of the quality of healthcare services, including maternity nursing services. High-quality services are expected to improve patient satisfaction and loyalty toward the services provided. Purpose: To analyze the relationship between the quality of maternity nursing services based on the SERVQUAL dimensions, namely tangibles, empathy, reliability, responsiveness, and assurance, and patient loyalty at RSUD Ibu Fatmawati Soekarno, Surakarta. Methods: This quantitative study employed a cross-sectional design. The study population consisted of patients receiving maternity nursing services at RSUD Ibu Fatmawati Soekarno, Surakarta. A total of 282 respondents were selected using purposive sampling, and the data were analyzed using the chi-square test. Results: The reliability, responsiveness, and assurance dimensions were significantly associated with patient loyalty (p < 0.05). Meanwhile, the tangibles and empathy dimensions were not significantly associated with patient loyalty. Most respondents (99.3%) demonstrated a high level of loyalty toward maternity nursing services. Conclusion: There was a significant relationship between the reliability, responsiveness, and assurance dimensions of maternity nursing service quality and patient loyalty. Keywords: Maternity Nursing; Patient Loyalty; Patient Satisfaction. Pendahuluan: Loyalitas pasien merupakan salah satu indikator keberhasilan mutu pelayanan kesehatan, termasuk dalam pelayanan keperawatan maternitas. Kualitas pelayanan yang baik diharapkan mampu meningkatkan kepuasan dan loyalitas pasien terhadap layanan yang diberikan. Tujuan: Menganalisis hubungan kualitas pelayanan keperawatan maternitas berdasarkan dimensi SERVQUAL yang meliputi tangibles (bukti fisik), empathy (empati), reliability (keandalan), responsiveness (daya tanggap), dan assurance (jaminan) dengan loyalitas pasien di RSUD Ibu Fatmawati Soekarno Kota Surakarta. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross sectional. Pasien pelayanan keperawatan maternitas RSUD Ibu Fatmawati Soekarno Kota Surakarta. Pengambilan sampel dilakukan menggunakan teknik purposive sampling sehingga diperoleh sebanyak 282 responden, kemudian dianalisis dengan uji chi-square. Hasil: Menunjukkan bahwa dimensi reliability, responsiveness, dan assurance memiliki hubungan yang signifikan dengan loyalitas pasien (p-value <0.05). Sementara itu dimensi tangibles dan empathy tidak menunjukkan hubungan yang signifikan. Sebagian responden (993%) memiliki tingkat loyalitas yang tinggi terhadap pelayanan keperawatan maternitas Simpulan: Terdapat hubungan antara kualitas pelayanan keperawatan maternitas pada dimensi keandalan, daya tanggap, dan jaminan dengan loyalitas pasien. Kata kunci: Loyalitas Pasien, Kepuasan Pasien, Keperawatan Maternitas

Hubungan tingkat pemahaman masyarakat terhadap efektivitas penerapan aplikasi satusehat Soelaiman Toesara Hendradiwirja; Safaruddin Safaruddin; Lilik Sriwiyati; Hendra Dwi Kurniawan
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i3.3725

Background: Digital transformation in the health sector has led to the development of the SATUSEHAT Mobile application as a continuation of PeduliLindungi. Although downloaded millions of times, its active users have declined significantly, presumably due to low public understanding. In Boyolali Regency, users decreased from 52,241 in May to 17,753 in July 2025, while in Pulisen Village, only 2,143 of 3,958 households use the application. Purpose: To examine the relationship between the level of public understanding and the effectiveness of the implementation of the SATUSEHAT Mobile application in Pulisen Village, Boyolali, Central Java, in 2025. Methods: This study employed a quantitative research design with a cross-sectional approach. The research involved 108 respondents from the community of Pulisen Village, Boyolali. The sample selected using a purposive sampling method. Results: The results showed a significant relationship between the level of public understanding and the effectiveness of the implementation of the SATUSEHAT Mobile application. A higher level of public understanding was associated with more effective application implementation. Conclusion: Communities with a better level of understanding tend to demonstrate more effective implementation of the SATUSEHAT Mobile application. Improved public understanding plays an important role in optimizing the utilization of the SATUSEHAT Mobile application in supporting health services. Keywords: Community Understanding; Effectiveness; SATUSEHAT Application. Pendahuluan: Transformasi digital di sektor kesehatan mendorong lahirnya aplikasi SATUSEHAT Mobile, sebagai lanjutan dari PeduliLindungi. Meski telah diunduh jutaan kali, jumlah pengguna aktif menurun signifikan, diduga akibat rendahnya pemahaman masyarakat. Studi pendahuluan di Kabupaten Boyolali menunjukkan penurunan pengguna dari 52,241 orang pada Mei menjadi 17,753 orang pada Juli 2025. Di Kelurahan Pulisen, hanya 2,143 dari 3,958 kepala keluarga yang menggunakan aplikasi tersebut. Tujuan: Untuk mengetahui bagaimana hubungan tingkat pemahaman masyarakat terhadap efektivitas penerapan aplikasi SATUSEHAT di Kelurahan Pulisen Boyolali Jawa Tengah 2025. Metode: Penelitian ini menggunakan desain kuantitatif dengan cross sectional. Penelitian ini melibatkan 108 responden dari masyarakat Kelurahan Pulisen. Sampel ditentukan menggunakan purposive sampling. Hasil: Hasil penelitian menunjukkan adanya hubungan antara tingkat pemahaman masyarakat terhadap efektivitas penerapan aplikasi SATUSEHAT Mobile. Tingkat pemahaman masyarakat memiliki hubungan yang signifikan dengan efektivitas penerapan aplikasi SATUSEHAT Mobile. Simpulan: Masyarakat dengan tingkat pemahaman yang lebih baik cenderung menunjukkan penerapan aplikasi yang lebih efektif. Semakin baik pemahaman masyarakat terhadap aplikasi SATUSEHAT Mobile, maka semakin efektif pula penerapan aplikasi tersebut dalam mendukung layanan kesehatan. Temuan ini menunjukkan bahwa peningkatan pemahaman masyarakat menjadi faktor dalam mengoptimalkan pemanfaatan aplikasi SATUSEHAT Mobile. Kata Kunci: Aplikasi SATUSEHAT; Efektivitas; Pemahaman Masyarakat.

Social Determinant Model of Utilization of Free Health Check Program at Community Health Centers and Its Impact on the Quality of Life of the Community Rizki Aqsyari; Hendra Dwi Kurniawan; Safaruddin Safaruddin
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2655

The Free Health Check (CKG) Program is a promotive and preventive effort to improve early detection of health problems through primary health care services. Although provided free of charge, CKG utilization is not optimal and is influenced by social factors, access, and service delivery. In Surakarta City, as of December 22, 2025, 232,152 of the 588,419 residents had utilized CKG. This condition indicates a gap between service availability and utilization. The utilization of CKG has the potential to improve quality of life through early detection, education, and health follow-up, but research integrating social determinants, CKG utilization, and quality of life is still limited. To analyze the social determinants of CKG utilization, the relationship between CKG utilization and quality of life, and the relationship model between the two in the Surakarta City community. An analytical observational study using a cross-sectional approach involving 500 CKG target respondents from 10 Community Health Centers selected using stratified random sampling. Data were collected through structured interviews using a questionnaire administered directly to respondents. Analysis included univariate, bivariate, and Structural Equation Modeling (SEM) using maximum likelihood with p<0.05. Access to transportation (B=0.271; 95% CI: 0.180–0.362; p<0.001), family support (B=0.345; 95% CI: 0.255–0.435; p<0.001), perceived benefits (B=0.404; 95% CI: 0.312–0.496; p<0.001), and availability of services (B=0.166; 95% CI: 0.048–0.284; p=0.006) were positively associated with CKG utilization, while health needs were negatively associated (B=-0.147; 95% CI: -0.253–-0.041; p=0.007). CKG utilization was positively associated with quality of life (B=1.309; 95% CI: 1.108–1.510; p<0.001). The model showed adequate fit (RMSEA=0.055; CFI=0.915; TLI=0.885; SRMR=0.049). CKG utilization is influenced by access, social factors, perceptions, services, and health needs and is positively associated with quality of life. Strengthening access, family support, education, and facility readiness are needed to increase CKG utilization.

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