Efraldo Yudistira
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IMPLEMENTASI KEBIJAKAN PELAYANAN KESEHATAN LANSIA MELALUI PEMERIKSAAN FUNGSIONAL DI TINGKAT DESA: STUDI DESKRIPTIF DI PURWODADI 13A METRO Al Um Aniswatun Khasanah; Hapy Ardiaviandaru Siamy; Sri Yuliana; Afif Fairuz A Zain; Bota Muhammad Akbar; Dhofirul Fadhil Dzil Ikrom Alhazmi; Efraldo Yudistira
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. No, 1 (2026): Januari 2026
Publisher : Journal of Hospital Administration and Excellent Health Service

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Abstract

Peningkatan jumlah penduduk lanjut usia (lansia) menuntut penguatan sistem pelayanan kesehatan yang tidak hanya bersifat kuratif, tetapi juga promotif dan preventif. Salah satu bentuk implementasi kebijakan pelayanan kesehatan lansia berbasis komunitas adalah pemeriksaan fungsional di tingkat desa untuk mendeteksi dini risiko penurunan fungsi fisik. Penelitian ini bertujuan untuk mendeskripsikan implementasi kebijakan pelayanan kesehatan lansia melalui pemeriksaan fungsional menggunakan Sit and Reach Test di Balai Desa Purwodadi 13A Metro. Penelitian ini menggunakan desain deskriptif kuantitatif dengan teknik total sampling terhadap 14 lansia yang mengikuti kegiatan pemeriksaan kesehatan. Variabel yang diamati meliputi karakteristik responden (jenis kelamin, usia, berat badan) serta hasil fleksibilitas otot hamstring dan punggung bawah melalui Sit and Reach Test. Data dianalisis secara deskriptif menggunakan nilai minimum, maksimum, dan rerata. Hasil penelitian menunjukkan bahwa mayoritas responden adalah perempuan (78,6%) dengan rentang usia 51–77 tahun dan berat badan 48–75 kg. Pemeriksaan Sit and Reach Test memperoleh nilai terendah 9 cm dan tertinggi 20 cm, dengan rerata 14,07 cm. Sebagian besar lansia berada pada kategori fleksibilitas cukup hingga baik, serta lansia perempuan cenderung memiliki nilai fleksibilitas lebih tinggi dibandingkan laki-laki. Temuan ini menegaskan bahwa pemeriksaan fungsional lansia telah terlaksana sebagai bagian dari implementasi kebijakan pelayanan kesehatan lansia di tingkat desa. Pemeriksaan sederhana seperti Sit and Reach Test dapat menjadi indikator penting dalam pelayanan preventif serta dasar perencanaan program lanjutan, seperti senam lansia dan pemantauan kesehatan berkala.
ANALISIS MANAJEMEN PELAYANAN PEMERIKSAAN KLASIFIKASI ATLET PENYANDANG DISABILITAS DI NATIONAL PARALYMPIC COMMITTEE INDONESIA PROVINSI LAMPUNG M Tasa Kasumbang; Efraldo Yudistira; Bota Muhammad Akbar; Al Um Aniswatun Khasanah; Muhammad Faris Nuuruddin; Nabila Nur Afifah Fitri
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. 2 (2026): Juli
Publisher : Journal of Hospital Administration and Excellent Health Service

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Introduction: Athlete classification is a fundamental component of para-sports, ensuring fair competition by determining athletes' eligibility based on functional abilities according to the International Paralympic Committee (IPC) standards. At the regional level, classification requires not only accurate clinical assessment but also efficient health service management. However, the classification process at the National Paralympic Committee of Indonesia (NPCI) Lampung Province still faces challenges related to scheduling, infrastructure, and administrative management. Objective: This study aimed to analyze the health service management of athlete classification and propose strategies to improve service efficiency at NPCI Lampung Province. Methods: A qualitative descriptive approach was employed. Data were collected through in-depth interviews, observations, focus group discussions, and document reviews involving NPCI administrators, medical classifiers, physiotherapists, technical classifiers, and para-athletes. Data were analyzed using the Miles, Huberman, and Saldaña interactive model. Results: Three major challenges were identified, including scheduling inconsistencies, limited examination infrastructure, and paper-based administrative management. Based on these findings, an Integrated Para-Classification System (IPCS) was proposed to integrate administrative processes, medical screening, physiotherapy assessment, technical classification, and documentation into a single service pathway. Conclusion: The proposed integrated service model has the potential to improve service efficiency, strengthen multidisciplinary collaboration, and enhance the quality of athlete classification management at NPCI Lampung Province.
IMPLEMENTASI AKTIVITAS STIMULASI MOTORIK HALUS BERBASIS BERMAIN PADA BALITA DI POSYANDU BUNGA TANJUNG Al Um Aniswatun Khasanah; Nabila Nur Afifah Fitri; Efraldo Yudistira; Muhammad Tasa Kasumbang; Muhammad Faris Nuuruddin; Bota Muhammad Akbar
Journal of Hospital Administration and Excellent Health Service Vol. 3 No. 2 (2026): Juli
Publisher : Journal of Hospital Administration and Excellent Health Service

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Introduction: Fine motor development is a crucial aspect of child growth and development that should be stimulated early through play activities appropriate to the child's developmental stage. Posyandu (Integrated Health Service Posts) have the potential to serve as promotive and preventive community-based health services for providing developmental stimulation. This study aimed to describe the implementation of play-based fine motor stimulation activities for toddlers at Posyandu Bunga Tanjung. Methods: This study employed a descriptive observational design with a cross-sectional approach. The participants were all toddlers who attended the fine motor stimulation activities at Posyandu Bunga Tanjung on April 18, 2026, selected using a total sampling technique. The stimulation activities included color matching games, a marble maze, puzzles, and a ball relay using bottle caps. Data were collected through direct observation and analyzed descriptively using frequency distributions and percentages. Results: A total of 49 toddler participations were recorded, consisting of color matching games (n=22), marble maze (n=13), puzzles (n=8), and ball relay (n=6). The color matching games showed the greatest variation in repetition frequency, whereas the other three activities were predominantly completed with a single repetition. Conclusion: Play-based fine motor stimulation activities can be implemented in Posyandu as a promotive strategy to stimulate various components of fine motor skills according to the characteristics of each activity. The variation in repetition frequency reflects toddlers' participation patterns during the activities rather than the effectiveness of the intervention or improvements in fine motor skills.