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Anti-Stigma Promotion to Improve Tuberculosis Detection and Referrals: A 9P Marketing Mix Case Study Dian Ika Anggrai Ningrum; Mahendro Prasetyo Kusumo
Jurnal Ilmiah Manajemen Kesatuan Vol. 14 No. 3 (2026): JIMKES Edisi Mei 2026
Publisher : LPPM Institut Bisnis dan Informatika Kesatuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37641/jimkes.v14i3.5173

Abstract

Tuberculosis (TB) referral hospitals frequently face a performance paradox in which treatment success rates improve while case detection and laboratory referrals decline. This study aims to analyze how the integration of the 9P marketing mix influences tuberculosis referral laboratory performance and to explain the imbalance between downstream clinical success and upstream service utilization. A qualitative case study design was employed, using in-depth interviews, observations, and document analysis involving physicians, nurses, laboratory personnel, and promotion officers. Data were analyzed thematically using the nine dimensions of the 9P framework. The findings reveal that strong product quality, competent people, and standardized process elements sustain high cure and treatment success rates. However, weak promotion and public relations strategies, fragmented referral communication, and persistent social stigma significantly constrain case detection and laboratory utilization. The results demonstrate that TB service performance is a systemic organizational outcome shaped by the integration of marketing, policy, and partnership mechanisms rather than clinical excellence alone. This study advances the 9P Marketing Mix as a strategic framework for strengthening infectious disease program performance through integrated anti-stigma communication and referral network optimization.
Occupational Workload and Work Stress as Correlates of Fasting Blood Glucose among Police Officers in Yogyakarta, Indonesia Ameelia Rahma Basserawy; Mahendro Prasetyo Kusumo
Indo Green Journal Vol. 4 No. 2 (2026): Green 2026
Publisher : Published by Institut Teknologi Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/green.v4i2.199

Abstract

Police officers are exposed to high occupational demands that may contribute to psychological stress and metabolic health risks. However, evidence regarding the association between workload, work stress, and fasting blood glucose among Indonesian police officers remains limited. This study examined the association between workload, work stress, and fasting blood glucose among police officers at the Yogyakarta City Police Resort, Indonesia. This cross-sectional study involved 70 active male police officers aged 25–55 years. Workload was measured using the NASA Task Load Index, work stress was assessed using the Perceived Stress Scale-10, and fasting blood glucose was measured using a standardized glucometer. Data were analyzed using Spearman’s rank correlation test with a significance level of p < 0.05. Most respondents had high workload and moderate-to-high work stress. The mean fasting blood glucose level was 150.19 ± 26.74 mg/dL. Workload was positively correlated with fasting blood glucose (r = 0.370; p = 0.002). Work stress was also positively correlated with fasting blood glucose (r = 0.315; p = 0.008). Workload and work stress were significantly associated with fasting blood glucose among police officers. These findings highlight the need for occupational stress management, workload regulation, and routine metabolic screening in police institutions. Further longitudinal studies are needed to clarify causal pathways.
Occupational Workload and Work Stress as Correlates of Fasting Blood Glucose among Police Officers in Yogyakarta, Indonesia Ameelia Rahma Basserawy; Mahendro Prasetyo Kusumo
Indo Green Journal Vol. 4 No. 2 (2026): Green 2026
Publisher : Published by Institut Teknologi Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/green.v4i2.199

Abstract

Police officers are exposed to high occupational demands that may contribute to psychological stress and metabolic health risks. However, evidence regarding the association between workload, work stress, and fasting blood glucose among Indonesian police officers remains limited. This study examined the association between workload, work stress, and fasting blood glucose among police officers at the Yogyakarta City Police Resort, Indonesia. This cross-sectional study involved 70 active male police officers aged 25–55 years. Workload was measured using the NASA Task Load Index, work stress was assessed using the Perceived Stress Scale-10, and fasting blood glucose was measured using a standardized glucometer. Data were analyzed using Spearman’s rank correlation test with a significance level of p < 0.05. Most respondents had high workload and moderate-to-high work stress. The mean fasting blood glucose level was 150.19 ± 26.74 mg/dL. Workload was positively correlated with fasting blood glucose (r = 0.370; p = 0.002). Work stress was also positively correlated with fasting blood glucose (r = 0.315; p = 0.008). Workload and work stress were significantly associated with fasting blood glucose among police officers. These findings highlight the need for occupational stress management, workload regulation, and routine metabolic screening in police institutions. Further longitudinal studies are needed to clarify causal pathways.