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Length of Stay Among Schizophrenia Patients in Referral Health Facilities 2023: Kaplan-Meier and Cox Analysis Saefurrohim, Muhamad Zakki; Putri Rahayu , Eka; Ariyanti, Rea; Putri Rahayu , Agustin; Pratomo , Hadi
Jurnal Jaminan Kesehatan Nasional Vol. 5 No. 2 (2025): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v5i2.379

Abstract

Schizophrenia contributes significantly to global disease burden, with hospitalization management being crucial for treatment outcomes. This study aimed to determine factors influencing length of stay and recovery outcomes among schizophrenia patients in Indonesian referral health facilities. Secondary data analysis was conducted using BPJS Kesehatan sample data from 2023. Of 54,820 mental health records, 2,562 schizophrenia patients treated at referral facilities were analyzed. Cox proportional hazards regression was used to identify factors associated with discharge status, while Kaplan-Meier analysis examined length of stay distribution. Mean length of stay was 19.9 days. Significant factors associated with better recovery outcomes included: treatment at general hospitals (HR=2.31, p<0.001), public hospitals (HR=0.57, p<0.001), undifferentiated (HR=1.45, p<0.001) and catatonic schizophrenia subtypes (HR=1.70, p=0.029), single medical procedure (HR=0.73, p<0.001), and local treatment facilities (HR=1.42, p=0.028). Healthcare service factors and clinical characteristics significantly outweigh demographic factors in determining recovery outcomes. These findings emphasize the importance of healthcare service quality and accessibility in schizophrenia treatment, supporting integrated care models and universal healthcare access policies.
Meningkatkan pengetahuan dan skill terkait TB, PTM dan gizi melalui pemberdayaan dan pelatihan kader kesehatan Siswanto Siswanto; Irfansyah Baharuddin Pakki; Muh Amri Arfandi; Muhamad Zakki Saefurrohim; Akhmad Azmiardi
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 9, No 3 (2025): May
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v9i3.30727

Abstract

Abstrak Wilayah kerja Puskesmas Palaran di Samarinda dihadapkan dengan berbagai tantangan kesehatan dalam 3 tahun terakhir, termasuk tingginya angka penyakit menular seperti tuberkulosis, serta masalah stunting dan malnutrisi pada balita yang diperparah oleh komplikasi kehamilan pada ibu dengan obesitas, hipertensi, dan diabetes. Program pengabdian masyarakat ini dirancang untuk memperkuat kapasitas kader kesehatan melalui ceramah, demonstrasi serta praktik langsung, sehingga mereka dapat berkontribusi secara efektif dalam pencegahan dan deteksi dini masalah kesehatan masyarakat. Kegiatan dilaksanakan pada tanggal 16 November 2024 bertempat di Puskesmas Palaran, Kecamatan Palaran, Kota Samarinda. Sebanyak 20 orang kader kesehatan di wilayah kerja Puskesmas Palaran, Kecamatan Palaran, Kota Samarinda menjadi sasaran dalam kegiatan ini. Pemberian edukasi dilakukan melalui presentasi materi, pembagian modul kesehatan serta praktik pemeriksaan kesehatan oleh kader, yang diawali dengan pemberian pre-test kemudian pemberian post-test pada sesi akhir. Hasil menunjukkan adanya peningkatan pengetahuan kader yang ditandai dengan peningkatan jumlah kader yang memiliki pengetahuan yang baik setelah mendapatkan edukasi dan pelatihan (TB: 5 menjadi 16 orang (220%), PTM: 13 menjadi 18 orang (38%), Antropometri: 16 menjadi 20 orang (25%)). Hasil tersebut menunjukkan adanya pengaruh positif dari pemberian edukasi terhadap tingkat pengetahuan kader kesehatan terkait TB, PTM (HT dan DM) serta Antropometri (Uji wilcoxon : p < 0.05). Kader posyandu kini lebih memahami pentingnya deteksi dini TBC, pemantauan pertumbuhan balita menggunakan antropometri, dan pencegahan serta pengelolaan penyakit tidak menular. Direkomendasikan untuk melaksanakan pelatihan kader secara rutin dengan materi terkini, didukung oleh monitoring dan evaluasi untuk memastikan penerapan di lapangan. Kata kunci: edukasi; hipertensi; kader kesehatan; pemberdayaan; tuberkulosis Abstract Palaran Public Health Center (Puskesmas Palaran) in Samarinda has faced various health challenges over the past three years, including a high incidence of infectious diseases such as tuberculosis (TB), as well as issues related to stunting and malnutrition among children under five. These conditions are further exacerbated by pregnancy complications in mothers with obesity, hypertension, and diabetes. This community service program was designed to strengthen the capacity of health cadres through lectures, demonstrations, and hands-on practice, enabling them to contribute effectively to the prevention and early detection of public health problems. The activity was conducted on November 16, 2024, at the Palaran Public Health Center, Palaran Sub-district, Samarinda City. A total of 20 health cadres in the Palaran working area participated in this initiative. The educational sessions were delivered through material presentations, distribution of health modules, and practical health check-ups conducted by the cadres. These activities were preceded by a pre-test and concluded with a post-test. The results showed an increase in cadre knowledge, as indicated by the rise in the number of cadres with good understanding following the education and training sessions (TB: from 5 to 16 cadres, a 220% increase; NCDs: from 13 to 18 cadres, a 38% increase; Anthropometry: from 16 to 20 cadres, a 25% increase). These findings indicate a positive impact of the educational intervention on cadre knowledge related to TB, non-communicable diseases (NCDs: hypertension and diabetes), and anthropometric measurement (Wilcoxon test: p < 0.05). As a result, Posyandu cadres now have a better understanding of the importance of early detection of TB, monitoring child growth using anthropometry, and the prevention and management of non-communicable diseases. It is recommended that cadre training be conducted regularly with updated materials, supported by monitoring and evaluation to ensure effective implementation in the field.. Keywords: education, empowerment, health cadres, hypertension, tuberculosis
Meningkatkan Pemanfaatan Sistem Antrian Online JKN Mobile melalui Intervensi Pendidikan Berbasis Komunitas (Program SEHATI) di Puskesmas Sungai Kapih Putri, Salwa Az Zahra; Fahmi, Achmad Sabrani; Sa'diyah, Putri Wahiddatus; Asysyifa, Thisna Nugra; Juniarti, Tirsa Aulia; Saefurrohim, Muhamad Zakki
Sinesia : Jurnal Pengabdian Masyarakat Vol 3 No 1 (2026): Pemberdayaan Masyarakat dan Inovasi Pendidikan untuk Pembangunan Sosial Berkelanj
Publisher : Yayasan Penelitian Dan Pengabdian Masyarakat Sisi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69836/sinesia-jcs.v3i1.740

Abstract

Problems in health service delivery at Sungai Kapih Primary Health Center include the low utilization of the Mobile JKN online queue system and limited public understanding of service flow procedures. This community service activity aimed to improve public understanding and support the utilization of the Mobile JKN online queue system through the SEHATI (Sehat dan Tertib Antrean) Program as a community-based educational intervention. The activity was conducted in the form of Field Learning Practice (PBL) by students under the supervision of lecturers and staff of Sungai Kapih Primary Health Center from December 18, 2025 to January 22, 2026. Methods included direct observation, interviews with health workers, and focus group discussions to identify service problems and formulate appropriate intervention strategies. Program implementation consisted of educational sessions, direct assistance in using the Mobile JKN application, and dissemination of information regarding service flow and online queue procedures through visual educational media. Quantitative before–after data regarding the increase in understanding and online queue utilization were not comprehensively available during the implementation period. Therefore, the results primarily describe the implementation process and educational intervention carried out through the SEHATI Program. Observational findings and brief interviews indicated improved patient awareness and understanding regarding the use of the Mobile JKN online queue system. The main output of this activity was the provision of a SEHATI standing banner as a sustainable informational medium placed in the service area of the primary health center.
Time Series Forecast of Tuberculosis Cases in Samarinda City: The Box-Jenkins Method Saefurrohim, Muhamad Zakki; Utami, Dian Margi; Ariyanti, Rea; Wisnuwardani, Ratih Wirapuspita
Jurnal Kesehatan Pasak Bumi Kalimantan Vol 9, No 1 (2026): JKPBK Juni 2026
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/j.kes.pasmi.kal.v9i1.18181

Abstract

Prediksi insidensi TB diperlukan sebagai upaya pencegahan dan pengendalian TB di Kota Samarinda. Penelitian ini bertujuan untuk memprediksi insidensi TB tahun 2025 di Kota Samarinda. Model prediksi TB dikembangkan menggunakan metode Box-Jenkins berdasarkan analisis insidensi dari tahun 2020 sampai November 2024. Model terbaik yang terpilih adalah SARIMA(0,1,1). Hasil model menunjukkan rata-rata kesalahan prediksi sebesar 0,81 dengan RMSE sebesar 31,10 dan MAE sebesar 24,91. Nilai MPE sebesar -1,26 dan MAPE sebesar 12,10% menunjukkan kesalahan prediksi yang dapat diterima dengan bias yang kecil. Nilai MASE sebesar 0,44 dan ACF1 residual sebesar 0,08 menunjukkan tidak adanya autokorelasi signifikan dalam residual sehingga menghasilkan prediksi yang valid dan akurat untuk kejadian TB di Kota Samarinda. Studi ini menunjukkan bahwa model SARIMA(0,1,1) merupakan pilihan yang optimal untuk memprediksi insidensi TB di Kota Samarinda. Model ini memprediksi kasus TB di Samarinda naik dari 296 (Januari 2024) menjadi 296 (Januari 2025), dengan interval kepercayaan 90% pada Januari 2025 sebesar 220–372 kasus. Hasil prediksi dapat digunakan untuk mendukung upaya pencegahan dan pengendalian TB di Samarinda.
Faktor Risiko Kejadian Demam Berdarah Dengue (DBD) pada Anak Usia 10-14 Tahun di Wilayah Kerja Puskesmas Temindung Kota Samarinda Nindy Nurhalizah; Siswanto Siswanto; Irfansyah Baharuddin Pakki; Muhamad Zakki Saefurrohim; Rina Tri Agustini
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 4 No. 3 (2025): Juli 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v4i3.5950

Abstract

Dengue Hemorrhagic Fever (DHF) remains a major public health issue in Indonesia. In 2023, a total of 114,720 DHF cases were reported nationwide, with an incidence rate (IR) of 41.4 per 100,000 population—still far above the national target. East Kalimantan is one of the provinces with the highest IR (147.33/100,000). Samarinda City is among the top three areas with the highest number of cases. One of the affected areas in Samarinda is Temindung Public Health Center, which recorded 83 DHF cases, with 52% occurring in children aged 10–14 years, indicating that this age group is the most vulnerable to DHF. This study aimed to analyze the risk factors associated with DHF incidence among children aged 10–14 years in the working area of Temindung Public Health Center. A quantitative approach was used with a case-control study design and total sampling of 81 respondents, consisting of 27 cases and 54 controls. Data analysis was conducted using the Chi-Square test and Odds Ratio (OR) calculation. The results showed significant associations maternal knowledge (p= 0.001; OR= 11.440), PSN behavior (p= 0.001; OR= 7.231), cadre support (p= 0.022; OR= 3.571), and health facilities availability (p= 0.034; OR= 9.100). Therefore, it’s recommended to involve students as mosquito larvae monitors, conduct thematic health education with PSN practice demonstrations, and optimize the distribution of facilities through Musrenbang and CSR-based partnerships.
Analisis Prediktor Perilaku Seksual: Studi Kasus Kesehatan Mental dan Dinamika Sosial Remaja di Kota Samarinda Rea Ariyanti; Muhamad Zakki Saefurrohim; Agustin Putri Rahayu; Muh Amri Arfandi
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 3 (2026): Agustus 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i3.7750

Abstract

Premarital sexual behaviour among adolescents has become a serious public health challenge, particularly with the rising cases of sexually transmitted infections and unintended pregnancies in Samarinda. The objective of this study is to analyse the factors associated with premarital sexual behavioural intentions among students at State Senior High School X Samarinda, considering both demographic aspects and current psychological conditions. The present study employed a quantitative approach with a cross-sectional design, and involved 125 respondents who were selected through a multistage random sampling technique. The data were collected through face-to-face interviews using the DASS-21 instrument, the Self-Harm Inventory, as well as scales for intention and peer pressure. The subsequent analysis employed multiple linear regression. The findings of the study indicated that intentions regarding sexual behaviour in the premarital context were found to be significantly influenced by grade level (p = 0.029) and peer pressure (p = 0.011). In the eleventh grade, students demonstrated a decline in intentions, whilst high levels of peer pressure resulted in an escalation in sexual intentions. It is noteworthy that psychological variables, including depression, self-control, and self-esteem, did not demonstrate a substantial impact in this model. The findings of this study indicate that sexual intention among adolescents in Samarinda is more situational-social in nature, rather than being merely an internal individual issue. It is recommended that educational institutions consider the implementation of enhanced peer education programmes and assertiveness skills training as a means of mitigating the potentially detrimental influences of the social environment.
Unsuccessful Drug-Resistant TB Treatment Outcomes among Patients with Short-Term Regimen in Central Java, Indonesia Intan Henda Ardiani; Dwi Sarwani Sri Rejeki; Siwi Pramatama Mars Wijayanti; Muhamad Zakki Saefurrohim
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.9483

Abstract

Tuberculosis which shows resistance to various types of drugs poses a significant burden in efforts to prevent and control tuberculosis globally. Since 2020, guidelines from the WHO have recommended a shorter treatment with an all-oral regimen for Drug Resistant Tuberculosis (DR-TB), with the inclusion of bedaquiline instead of an injectable agent. However, the treatment success rate for DR-TB in Indonesia is still low. This study aimed to determine factors contributing to unsuccessful DR-TB treatment using STR in Central Java. This was a nested case-control study of 412 DR-TB patients enrolled with a Short-Term Regimen, registered in 2021 to 2023 who had treatment results in a subset of the Tuberculosis Information System cohort data. Independent variables analyzed included age, gender, patient employment status, history of previous TB treatment, DM status, HIV status, resistance pattern, initial sputum examination results, drug side effects, treatment initiation interval, body mass index, and BPJS ownership status. Statistical analysis was done using SPSS version 22 software, with logistic regression analysis to identify the determinants. The determinant of unsuccessful treatment outcome in Central Java Province which is 51.04% was the positive results of initial sputum examination of treatment (aOR=10.501; 95%CI=5.056-21.807), drug side effects (aOR=1.853; 95%CI=1,000-3.436), obesity (aOR=3.115; 95%CI=1.188-8.166) and BPJS non-possession status (aOR=2.213; 95%CI=0.932-5.255). More strategies are needed to improve the success of treatment with STR.
Co-Authors Abdul Hakam Agustin Putri Rahayu Akhmad Azmiardi Akhmad Azmiardi Al-Ayubi, Moch Thoriq Assegaf Alvy Fajri Amanda Hesti Pratiwi Andreas Wilson Setiawan Anggun Dessita Wandastuti Arfandi, Muh. Amri Ariyanti, Rea Arlina Azka Arulita Ika Fibriana Asysyifa, Thisna Nugra Atika Aulia Atika Aulia Aufiena Nur Ayu Merzistya Aufiena Nur Ayu Merzistya Azmiardi, Akhmad Akhmad Baiq Diken Safitri Basrowi, Ray Wagiu Casmuti, Casmuti Dani Miarso Dina Nur Anggraini Ningrum Dwi Sarwani Sri Rejeki Fahmi, Achmad Sabrani Farida, Eko Fatihah, Ana Nur Fitria Ningsih Intan Henda Ardiani Intan Zainafree Intan Zainafree, Intan Irfansyah Baharuddin Pakki Irsam, Muhamad Isbandi Isbandi Juniarti, Tirsa Aulia Jusran, Alek Kholifah, Siti Putri Nur Lukman Fauzi Mahalul Azam Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Minhajul Mubarok Mona Subagja Muh Amri Arfandi Muh. Amri Arfandi Muhamad Anbiya Nur Islam Muhammad Aidil Fitrah Mustafa Daru Affandi Mustika Suci Susilastuti Nabila Vebiana Soviadi Nadia Syukria Nindy Nurhalizah Nur Dian Rakhmawati Nur Dian Rakhmawati Nur Wahidah Nur Wahidah Prasetya, Henky Yoga Pratomo , Hadi Putri Rahayu , Agustin Putri Rahayu , Eka Putri, Salwa Az Zahra Rahayu, Eka Putri Ratih Wirapuspita Wisnuwardani Rea Ariyanti Rina Tri Agustini Risva Risva Risva Roma Yuliana Rr. Sri Ratna Rahayu S Siswanto Sa'diyah, Putri Wahiddatus Silfia Addina Siswanto Siswanto Siswanto SITI MARIA ULFA Siwi Pramatama Mars Wijayanti Soesmeyka Savitri Sri Ratna Rahayu Suci Susilastuti , Mustika Tatik Atmini Ulfa, Siti Lutfiyah Utami, Dian Margi Utomo , Dewi Natalista Dwi Warsono Warsono Widya Hary Cahyati Zaimatuddunia, Irma Zainafree , Intan Zuyyinatun Muflikhah