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All Journal KESANS : International Journal of Health and Science
Muldiasman Muldiasman
Universitas Jabmbi, Indonesia
Chemistry Health Professions Medicine & Pharmacology Physics Public Health

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Determinants of Stunting in Toddlers Aged 24-59 Months in East Jambi District, Jambi City in 2025 Kiki Ayu Apriani; Asparian Asparian; Herwansyah Herwansyah; Dwi Noerjoedianto; Muldiasman Muldiasman; Willia Novita Eka Rini
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 7 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i7.615

Abstract

Introduction: Stunting is a chronic nutritional problem that remains a challenge in Indonesia, including in Jambi City. This condition is influenced by various factors. Objective: This study aims to identify factors associated with stunting among toddlers aged 24–59 months in East Jambi District in 2026. Methods: This study used a quantitative design with a cross-sectional approach. The population was 1,861 toddlers, with a sample of 329 respondents selected using a purposive sampling technique. Data were collected through interviews using a questionnaire and analyzed using the Chi-Square test. Results and discussion: The results of the study showed that there was a relationship between maternal history of KEK (p=0.000; PR=2.718), history of LBW (p=0.018; PR=1.698), early initiation of breastfeeding/IMD (p=0.026; PR=1.662), exclusive breastfeeding (p=0.040; PR=1.591), time of complementary feeding (p=0.005; PR=1.877), immunization status (p=0.012; PR=1.758), and history of diarrhea infection (p=0.000; PR=3.654) with the incidence of stunting in toddlers. Conclusion: There is a significant association between maternal factors, infant feeding practices, health services, and a history of infectious diseases with stunting. Efforts to improve maternal nutrition education, optimize maternal and child health services, and prevent infectious diseases are needed to reduce stunting rates
A Systematic Review of Reimbursement Mechanisms: Effectiveness, Efficiency, and Patient Satisfaction in Insurance-Based Health Financing Systems Neliyana Neliyana; Ummi Kalsum; Asparian Asparian; Dwi Noerjoedianto; Wilia Novita Eka Rini; Muldiasman Muldiasman
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i9.646

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Introduction: The reimbursement mechanism is a fundamental component in an insurance-based financing system that affects service effectiveness, operational efficiency, and patient satisfaction. Objective: This study aims to conduct a systematic review of the literature that discusses reimbursement mechanisms with a focus on these three main dimensions. Method: Using the Systematic Literature Review approach following the PRISMA 2020 guidelines, a comprehensive search was conducted through four electronic databases to identify peer-reviewed articles for the 2021-2025 period. Of the 30 articles initially identified, six studies met the inclusion criteria and were analyzed in depth. Results and Discussion: Results show that the Diagnosis Related Groups system is effective in reducing costs but has the potential to negatively impact the quality of service. Differential reimbursement and cost-sharing mechanisms have been shown to be able to direct healthcare seeking behavior, although their effectiveness is highly contextual dependent on geographic and socio-economic factors. Patient satisfaction shows significant variation by service class with disparities in the dimensions of effectiveness, accessibility, patient-centeredness, and equity. The utilization rate of health services in Indonesia's National Health Insurance system is still relatively low, indicating the need for a comprehensive evaluation of the design of reimbursement mechanisms. Conclusion: This study emphasizes that optimizing the reimbursement system requires a holistic approach that balances cost efficiency, service quality, and patient satisfaction as interrelated outcomes in the health financing ecosystem
The Influence of Service Quality on BPJS Inpatients’ Satisfaction at Raden Mattaher Hospital: A Cross-Sectional Study Nurwan Alkahfi; Dwi Noerjoedianto; Andi Subandi; Willia Novita Eka Rini; Muldiasman Muldiasman; Asparian Asparian
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 9 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i9.667

Abstract

Introduction: Service quality is a key determinant of patient satisfaction in hospital settings, particularly for National Health Insurance (BPJS) participants. Raden Mattaher Hospital Jambi, as a referral hospital, experiences increasing BPJS inpatient visits. However, complaints and fluctuations in satisfaction index indicate potential service quality gaps. This study aimed to analyze the influence of service quality dimensions on BPJS inpatient satisfaction. Objective: This study aimed to analyze the influence of service quality dimensions on BPJS inpatient satisfaction. Method: This quantitative study used a cross-sectional design conducted in the inpatient wards of Raden Mattaher Hospital in 2025. A total of 424 BPJS inpatients were selected using purposive sampling. Data were collected using a SERVQUAL-based Likert questionnaire covering tangibles, reliability, responsiveness, assurance, and empathy. Data were analyzed using univariate, bivariate (simple linear regression), and multivariate (multiple linear regression) analysis with SPSS at α=0.05. Result and Discussion: Most respondents rated service quality as good (58.3%). The mean satisfaction score was 79.10±12.71. Partially, reliability (p=0.048) and assurance (p=0.000) significantly influenced satisfaction, while tangibles (p=0.312), responsiveness (p=0.087), and empathy (p=0.421) were not significant. Simultaneously, all dimensions significantly affected satisfaction (p=0.000) with R²=0.106. Assurance was the dominant factor (β=1.238). Conclusions: Service quality significantly influences BPJS inpatient satisfaction, with assurance as the strongest determinant. Strengthening professional competence and patient trust is essential to improve satisfaction levels.
Co-Authors Andi Subandi Asparian Asparian Dwi Noerjoedianto Herwansyah Herwansyah Kiki Ayu Apriani Neliyana Neliyana Nurwan Alkahfi Ummi Kalsum Wilia Novita Eka Rini Willia Novita Eka Rini