Pratiwi Ramlan
Faculty of Health Sciences, Universitas Muhammadiyah Sidenreng Rappang

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SIMGOS EFFECTIVENESS: ASSOCIATIONS WITH HUMAN RESOURCES, MANAGEMENT SUPPORT, AND SYSTEM DESIGN AT ADINDA MEDICAL CENTRE Nabila Yunus; Zulkarnain Sulaiman; Sunandar Said; Pratiwi Ramlan
JTH: Journal of Technology and Health Vol. 4 No. 1 (2026): July: JTH: Journal of Technology and Health
Publisher : CV. Fahr Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61677/jth.v4i1.835

Abstract

This study aims to analyze the relationship between human resources, management support, and system design with the effectiveness of the Generic Open Source Hospital Management Information System (SIMGOS) at Adinda Medical Centre, Sidenreng Rappang Regency, Indonesia. The study employed a quantitative analytic design with a cross-sectional approach involving 103 respondents selected using simple random sampling. Data were collected through structured questionnaires, observation, and documentation, and analyzed using univariate and bivariate analysis with the Chi-square test. The results showed that human resources had a significant relationship with the effectiveness of SIMGOS utilization (p = 0.001), indicating that users with better competence, experience, and understanding of the system tended to utilize SIMGOS more effectively. Management support also demonstrated a significant relationship with SIMGOS effectiveness (p = 0.001), reflecting the importance of organizational support, supervision, and training in ensuring optimal system implementation. However, system design did not show a significant relationship with SIMGOS effectiveness (p = 0.384), suggesting that users were still able to adapt to technical limitations within the system. The study concludes that the effectiveness of SIMGOS utilization is more strongly associated with human and organizational factors than with technological factors alone. Strengthening human resource capacity and improving management support are therefore essential strategies to enhance hospital information system utilization.
FACTORS ASSOCIATED WITH TREATMENT NON-ADHERENCE AMONG TUBERCULOSIS PATIENTS IN THE FREE HEALTHCARE PROGRAM AT BARANTI PUBLIC HEALTH CENTER Sulfa; Pratiwi Ramlan; Khaeriyah Adri; Sunandar Said
JTH: Journal of Technology and Health Vol. 4 No. 1 (2026): July: JTH: Journal of Technology and Health
Publisher : CV. Fahr Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61677/jth.v4i1.836

Abstract

This study examined factors associated with treatment non-adherence among tuberculosis (TB) patients enrolled in the free healthcare program at Baranti Public Health Center, Sidenreng Rappang Regency, Indonesia. A quantitative cross-sectional design was used, and all 30 eligible TB patients undergoing treatment during the study period were recruited through total sampling. Data were collected using structured questionnaires assessing knowledge, motivation, perceived barriers, family support, access to healthcare services, and treatment adherence. Univariate statistics were used to summarize the data, while Chi-Square or Fisher’s exact tests were applied as appropriate, with statistical significance set at p < 0.05. Fourteen respondents (46.7%) were classified as non-adherent. Perceived barriers were significantly associated with treatment non-adherence (p = 0.021), whereas knowledge (p = 0.156), motivation (p = 0.232), family support (p = 0.452), and access to healthcare services (p = 0.153) were not statistically significant. The novel contribution of this study is the simultaneous assessment of individual, family, service-access, and perceived-barrier factors in a free-treatment setting, where direct medication costs have already been removed. The findings indicate that residual treatment-related barriers remain relevant and should be addressed through patient-centered counseling, early management of medication-related problems, continuous follow-up, and practical support at the primary healthcare level.
THE RELATIONSHIP BETWEEN TREATMENT ADHERENCE AND KNOWLEDGE WITH THE RECOVERY LEVEL OF TUBERCULOSIS PATIENTS AT LAWAWOI PUBLIC HEALTH CENTER SIDENRENG RAPPANG REGENCY Suarni; Pratiwi Ramlan; Mardhatillah; Khaeriyah Adri
JTH: Journal of Technology and Health Vol. 4 No. 1 (2026): July: JTH: Journal of Technology and Health
Publisher : CV. Fahr Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61677/jth.v4i1.854

Abstract

Tuberculosis (TB), an infection produced by Mycobacterium tuberculosis, continues to pose a substantial public health concern. The World Health Organization estimated that 10.7 million individuals developed TB globally in 2024, and Indonesia remained among the countries carrying the greatest disease burden. At primary-care facilities, the proportion of patients who recover has also not consistently met the national minimum standard of 90%. This research examined whether treatment adherence and patient knowledge were related to the recovery level of TB patients at Lawawoi Public Health Center in Sidenreng Rappang Regency. A quantitative, observational-analytic study with a cross-sectional design was applied. The study population included 115 patients listed in the center's TB register, from whom 89 respondents were selected by simple random sampling. Information was gathered through observation, structured questionnaires, and document review, then tested with chi-square analysis at a 0.05 significance level. Treatment adherence was significantly associated with recovery (p = 0.033), whereas knowledge showed no significant association (p = 0.108). The results suggest that consistently completing therapy is a central behavioral element of TB recovery, while knowledge by itself is inadequate when it is not followed by sustained treatment practices and supporting systems. Ongoing counseling, participation of family members, supervision of therapy, and regular patient monitoring are therefore required to reinforce adherence and optimize treatment success. In this context, recovery was treated as the principal outcome of the complete course of care, rather than as a consequence of knowledge alone. The analysis therefore distinguished what patients knew from what they consistently practiced throughout treatment.