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All Journal Indonesian Journal of Health Science Proceeding Muhammadiyah International Public Health and Medicine Conference Madani : Jurnal Pengabdian Kepada Masyarakat SEGARA : Jurnal Pengabdian Kepada Masyarakat Journal of Indonesian Health Policy and Administration Symbiohealth Academia Open
Della Dwi Ayu
Universitas Pembangunan Nasional Veteran Jakarta
Humanities Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Quality of Health Service Outpatient Unit UPT Puskesmas Ciputat Timur Tahun 2019 Della Dwi Ayu; Fajar Ariyanti
Muhammadiyah International Public Health and Medicine Proceeding Vol. 1 No. 1 (2021): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - F
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (525.804 KB) | DOI: 10.53947/miphmp.v1i1.20

Abstract

One of the SDGs targets in achieving UHC is increasing access to quality essential health services. Puskesmas is the front line in providing essential health services in the community. However, several complaints were still found in the health services provided, which also decreased public access to the Puskesmas. This study aims to determine the quality of outpatient health services at the UPT Puskesmas Ciputat Timur in 2019. This research is an evaluation study using a descriptive-analytical survey method with a quantitative approach with a cross-sectional study design. The sample determination was based on the Probability Proportionate to Size sampling technique with a total sample of 341 samples according to the sample table from Krejcie and Morgan. Data were collected using a questionnaire with two methods of measuring service quality, namely Servqual and Community Satisfaction Index, and using univariate data analysis. The results of this study stated that outpatient satisfaction at the UPT Puskesmas Ciputat Timur was 2.16 (satisfactory) based on the servqual concept and 76.47 (good) based on the concept of community satisfaction index. This study concludes that the quality of outpatient health services at the UPT Puskesmas Ciputat Timur is good, although several items still need to be improved. Suggestions are needed to make information boards for patient registration requirements, increase discipline in-service time, make persuasive stickers or posters, add RM distribution officers, publish IKM results annually through the website and add waiting room seats for patients and their families.
The Managerial Roles of Ward and Unit Leaders and Their Correlation with Employee Burnout at Depok City Hospital During the COVID-19 Pandemic Dwi Ayu, Della; Sujendra, Jendrawan Pati
Symbiohealth Vol. 3 No. 2 (2025)
Publisher : Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/symbiohealth.1108

Abstract

The COVID-19 pandemic placed heavy psychological demands on healthcare workers, increasing their vulnerability to burnout, with managerial functions of ward and unit leaders playing a critical role in shaping staff well-being. This study aimed to examine the relationship between managerial functions and employee burnout at Depok City Hospital. A cross-sectional analytical design was conducted in March 2022 involving 252 respondents randomly selected from a population of 534 employees. Data were collected via an online questionnaire covering demographics, managerial functions (planning, organizing, staffing, directing, controlling), and burnout dimensions (physical exhaustion, depersonalization, reduced personal accomplishment) based on the Maslach Burnout Inventory. Logistic regression analysis revealed that burnout levels were balanced, with 50.4% of respondents experiencing low burnout and 49.6% high burnout. Managerial function scores ranged from 50% to 63%, with directing achieving the highest score (63.1%). Multivariate analysis identified directing as the most significant predictor of burnout (AOR 3.363; 95% CI 1.956–5.78). These findings indicate that the directing function is the dominant managerial factor influencing burnout, and strengthening direction through regular meetings, effective communication, and alignment of standard operating procedures with staff responsibilities may help reduce burnout risk and improve workforce resilience.
Dominant Factors of Recurrent Tuberculosis Treatment Visits in Jakarta: Faktor Dominan Kunjungan Berulang Pengobatan Tuberkulosis di DKI Jakarta Della Dwi Ayu; Syarif Rahman Hasibuan; Putu Erma Pradnyani
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.12985

Abstract

General Background: Tuberculosis remains a major public health challenge in Indonesia, with DKI Jakarta designated as a priority province for tuberculosis control. Specific Background: Despite high treatment coverage, the treatment success rate in Jakarta declined from 81% in 2023 to 63.7% in 2025, far below the national target of 90%, indicating persistent problems in treatment adherence and continuity of care. Knowledge Gap: Although recurrent tuberculosis treatment visits are recognized as indicators of treatment failure and potential progression to drug-resistant tuberculosis, evidence regarding the dominant sociodemographic determinants of these visits in Jakarta remains limited. Aims: This study aims to analyze the association between sociodemographic factors—age, sex, and marital status—and recurrent tuberculosis treatment visits in DKI Jakarta. Results: A quantitative cross-sectional study using secondary BPJS Health data involving 46,064 tuberculosis patients was analyzed using logistic regression. The results show that marital status is the dominant factor associated with recurrent visits (p=0.000; OR=5.320). Age is also significantly associated, where individuals under 60 years have lower risk compared with those above 60 years, while sex shows no significant relationship (p=0.510). Novelty: This study identifies marital status as the main sociodemographic determinant of recurrent tuberculosis treatment visits using large-scale national health insurance data. Implications: The findings indicate that tuberculosis control strategies in DKI Jakarta should integrate family-based approaches by involving spouses as treatment supporters and utilizing educational tools such as the LEKAT leaflet to strengthen adherence monitoring and reduce recurrent treatment visits. Highlights • Marital status emerges as the strongest predictor of repeated tuberculosis treatment attendance.• Individuals aged under sixty years demonstrate lower probability of repeated therapy visits compared with elderly patients.• BPJS Health data analysis reveals demographic determinants supporting family-oriented tuberculosis control strategies. Keywords Tuberculosis; Recurrent Tuberculosis; Marital Status; Treatment Adherence; Public Health Surveillance
Referral Patterns from Primary Care to Referral Care by ICD-10 Codes in Indonesia: Cross-Sectional Analysis of National Claims Data (2017–2024) Ayu, Della Dwi; Hasibuan, Syarif Rahman; Pradnyani, Putu Erma; Widyasanti, Nisrina
Journal of Indonesian Health Policy and Administration Vol. 11, No. 2
Publisher : UI Scholars Hub

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Abstract

Primary health care (PHC) facilities serve as gatekeepers within Indonesia’s tiered health system. However, PHC referral patterns to hospitals still show substantial variation and remain insufficiently characterized by disease groupings based on the International Classification of Diseases, 10th Revision (ICD-10). This study aimed to identify the most frequently referred diagnoses from PHC to secondary or tertiary care facilities and to determine the participant characteristics associated with referrals. This observational study employed a cross-sectional design using secondary data from the National Health Insurance (Jaminan Kesehatan Nasional – JKN) claims database for the period 2017–2024. The unit of analysis was each patient visit to a PHC facility. The outcome variable was referral status (referred vs. not referred), with ICD-10 diagnostic codes as the main independent variable, while age and sex were covariates. Descriptive and inferential analyses, including binary logistic regression, were conducted to identify factors associated with referral likelihood. Of 1.2 billion visit episodes, 14% resulted in referrals to higher-level facilities. The most frequent diagnoses were classified under ICD-10 Code J (respiratory system diseases, 21.5%), yet referrals were most common among cases under Code C (neoplasms). Referrals were also more frequent among older adults and male patients.
Evaluation of policies on community participation in the planning, implementation, and monitoring of health programs at the local level: A literature review Sudarningayuti Lintang Wahyu Azahra; Nadia Hafrisa; Della Dwi Ayu; Riswandy Wasir
Indonesian Journal of Health Science Vol 6 No 3 (2026)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v6i3.2216

Abstract

Community participation is a crucial element in health development efforts because the success of health programs depends heavily on the active involvement of the community, whether in the form of labor, ideas, or other forms of support. Community participation is necessary to assist the government in achieving its goals of improving health outcomes. Such participation is not merely defined by physical presence but also encompasses the community’s mental and emotional engagement in supporting development activities. Therefore, community involvement needs to be enhanced at various stages of activities, including in the implementation and monitoring of health programs at the local level. A literature review method was employed by searching for scientific articles through the Google Scholar, Garuda, and PubMed databases. Inclusion criteria focused on qualitative and quantitative studies regarding the evaluation of community participation published within the last five years. The selected articles were those relevant to the topic and aligned with the research objectives. An evaluation of community participation policies in the planning, implementation, and monitoring of health programs at the local level indicates that community involvement remains suboptimal. This is due to a lack of knowledge and awareness among the public, limited communication, and a lack of community involvement in health decision-making. During the implementation phase, a participatory approach through health education, outreach, community-based communication, and the empowerment of health volunteers can increase community involvement in health programs. However, during the monitoring phase, the community still does not play a significant role in evaluating health policies.
Optimalisasi Kesiapsiagaan Bencana Tim Keamanan Kampus melalui Pelatihan dan Simulasi Penggunaan APAR Anita Maria Silaban; Pritha Maya Savitri; Sofia Wardhani; Dwi Arwandi Yogi Saputra; Della Dwi Ayu; Jendrawan Pati Sujendra; Nurul Mawaddah Syafitri; Riri Oktavani Banjarnahor
MADANI: Jurnal Pengabdian Kepada Masyarakat Vol 12 No 1 (2026): MADANI: Jurnal Pengabdian Kepada Masyarakat (In Press)
Publisher : LPPM UPN Veteran Jakarta

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Abstract

Background: Kesiapsiagaan bencana merupakan komponen penting dalam menciptakan lingkungan kampus yang aman dan tangguh. Tim keamanan (security) memiliki peran strategis sebagai garda terdepan dalam penanganan awal kondisi darurat, sehingga diperlukan peningkatan kapasitas dalam menghadapi potensi bencana, khususnya kebakaran. Metode: Kegiatan pengabdian kepada masyarakat ini dilaksanakan melalui pendekatan edukatif dan partisipatif yang meliputi penyuluhan, demonstrasi, serta simulasi praktik penggunaan Alat Pemadam Api Ringan (APAR). Materi yang diberikan mencakup manajemen bencana, konsep kebakaran, teori segitiga api, dan sistem proteksi kebakaran. Hasil: Kegiatan menunjukkan adanya peningkatan pengetahuan, keterampilan, dan kesadaran peserta dalam menghadapi potensi kebakaran di lingkungan kampus. Peserta mampu memahami prinsip dasar kebakaran serta melakukan praktik penggunaan APAR secara tepat dan aman Kesimpulan: Pelatihan dan simulasi penggunaan APAR efektif dalam meningkatkan kapasitas kesiapsiagaan bencana pada Tim Security. Kegiatan ini berkontribusi dalam mendukung upaya mitigasi risiko bencana dan penguatan sistem keamanan kampus yang lebih responsif.
Penguatan Peran Guru dan Siswa dalam Mewujudkan Sekolah Sehat melalui Penyuluhan PHBS di TK-PAUD Gemilang Della Dwi Ayu
Segara : Jurnal Pengabdian Kepada Masyarakat Vol 3 No 2 (2025): Vol. 3 No. 2 (2025): SEGARA : Jurnal Pengabdian Kepada Masyarakat
Publisher : Fakultas Kedokteran UPN "Veteran" Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/segara.v3i2.12356

Abstract

Sekolah tidak hanya menjadi tempat pembelajaran terkait ilmu pengetahuan saja tetapi juga sebagai tempat membentuk karakter dan perilaku anak, salah satunya adalah perilaku sehat. Perilaku Hidup Bersih dan Sehat (PBHS) adalah kebiasaan atau perilaku yang dilakukan oleh setiap siswa, guru, dan lain-lain dengan kesadarannya untuk mencegah penyakit, meningkatkan kesehatan serta aktif dalam menjaga lingkungan sehat di sekolah secara mandiri. PBHS juga tercantum dalam penilaian akreditasi PAUD dan berdasarkan hasil wawancara belum pernah dilakukan penyuluhan PBHS di TK PAUD Gemilang. Oleh karena itu pengabdian masyarakat kali ini mengambil tema “Penyuluhan Perilaku Hidup Bersih dan Sehat (PBHS) untuk Siswa dan Guru di TK PAUD Gemilang.”Kegiatan ini dilaksanakan pada hari Jumat, 29 Agustus 2025 di Ruang Kelas B TK PAUD Gemilang, Tangerang Selatan. Jumlah peserta sebanyak 16 orang siswa dan 10 orang guru. Sebelum diberikan penyuluhan materi, para guru diberikan kuesioner pre test untuk melihat pengetahuan awal terhadap PBHS di Sekolah. Kegiatan yang dilakukan berupa penyuluhan dan pemutaran video PBHS di Sekolah. Setelah itu, para guru kembali diberikan kuesioner post test untuk melihat pemahaman para guru setelah penyuluhan PBHS di Sekolah. Berdasarkan hasil kuesioner pre test dan post test, terdapat peningkatan tingkat pengetahuan para guru sebelum dan sesudah dilakukannya penyuluhan Kata kunci: PHBS; sekolah; TK PAUD
Co-Authors Anita Maria Silaban Dwi Arwandi Yogi Saputra Erma Pradnyani, Putu Fajar Ariyanti Jendrawan Pati Sujendra Nadia Hafrisa Nurul Mawaddah Syafitri Pritha Maya Savitri Riri Oktavani Banjarnahor Riswandy Wasir Sofia Wardhani Sudarningayuti Lintang Wahyu Azahra Sujendra, Jendrawan Pati Syarif Rahman Hasibuan Syarif Rahman Hasibuan Widyasanti, Nisrina