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Linking Planning and Implementation with the Realization of the Health Operational Assistance Budget in Kolaka and East Kolaka Rukayah Rukayah; Sunarsih Sunarsih; Erwin Azizi Jayadipraja
Waluya The International Science of Health Journal Vol. 5 No. 1 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/xv0s1v21

Introduction: Health issues in Indonesia, particularly in Kolaka and East Kolaka Regencies, still face significant challenges in improving access to quality healthcare services. Community Health Centers, as primary health care facilities, rely heavily on Health Operational Assistance Funds for their operations. However, Health Operational Assistance budget realization shows significant variation between the two regencies, caused by factors such as budget management, human resource capacity, and infrastructure challenges. This study aims to analyze Linking Planning and Implementation with the Realization of the Health Operational Assistance Budget in Kolaka and East Kolaka. Method: This research is quantitative and uses a cross-sectional study design. It was conducted in all community health centers within the jurisdiction of the Kolaka and East Kolaka District Health Offices. The population comprised 72 Health center employees involved in policy-making and budget management, resulting in a sample size of 70. The sample size was calculated using the Lameslow formula. Result: This indicates that planning has a strong relationship with the realization of Health Operational Assistance funds, with Pearson Chi-Square values of 20.822 and 15.892, respectively, and a significance of 0.000. Meanwhile, implementation shows a moderately significant relationship with a Pearson Chi-Square value of 15.892 and a significance of 0.000. Conclusion: Planning has a strong relationship with the realization of the Health Operational Assistance budget in Kolaka and East Kolaka Regencies, while implementation has a moderate relationship. The effectiveness of Health Operational Assistance fund use is most influenced by sound planning and guidance.

Relationship between Access to Health Services and Quality of Health Services with Compliance with Tuberculosis Treatment in Kolaka Regency Ida Purwastuti; Rahmawati Rahmawati; Sunarsih Sunarsih
Waluya The International Science of Health Journal Vol. 5 No. 2 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/y7kef768

Introduction: This study examines the factors associated with low tuberculosis treatment coverage in Kolaka Regency using a cross-sectional study design. The main objective of this study is to examine the relationship between access to health services and quality of health services with compliance with tuberculosis treatment in Kolaka Regency. Method: This type of research is quantitative, design cross-sectional study. The study was conducted at 14 Community Health Centers in Kolaka Regency. The study population consisted of 449 confirmed tuberculosis patients, with a sample of 208 patients taken using the cluster simple random sampling method. The sample distribution was carried out according to the population proportion in each community health center. Result: The calculated X²count of 37.627 indicates a significant difference, with a correlation coefficient (ϕ) of 0.436 indicating a moderate relationship between access to health services and the calculated X²count of 9.504 indicating a significant relationship, with a correlation coefficient (ϕ) of 0.224 indicating a weak relationship between the quality of health services and medication adherence. Conclusion: Develop an effective monitoring system to monitor the quality of healthcare services and medication adherence and integrate service quality data into healthcare applications.

Differences in Hypertension Risk Factors Between Coastal and Non-Coastal Communities in Kolaka Regency Musfikayana Musfikayana; Sunarsih Sunarsih; Rahmawati Rahmawati
Waluya The International Science of Health Journal Vol. 5 No. 2 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/e1qev135

Introduction: Based on data on hypertension cases at the Watubangga Community Health Center, there were 1,022 cases (54%) in 2022, 1,183 cases (65%) in 2023, and 1,789 cases (91%) in 2024. Meanwhile, at the Kolaka Community Health Center in 2022, there were 4,503 cases (59%), 7,013 cases (91%) in 2022, and 9,955 cases (95%) in 2024. This study aims to analyze Differences in Hypertension Risk Factors Between Coastal and Non-Coastal Communities in Kolaka Regency. Method: This research is a comparative study. The population consisted of 325 hypertension patients registered at the Kolaka Community Health Center and Watubangga Community Health Center. Systematic random sampling was used, with 75 respondents. The statistical tests used were the chi-square test, the Mann-Whitney test, and logistic regression. Result: This study shows that there are differences in risk factors for caffeinated drinks with a P-value of 0.000 and a Mann-Whitney test of 0.000. Risk factors for salty foods with a P-value of 0.003 and a Mann-Whitney test of 0.003. Conclusion: Community health centers need to carry out promotive and preventive efforts by utilizing the Integrated Non-Communicable Disease Development Post activities as an opportunity to approach the community, especially regarding hypertension risk factors.

Animal Protein Intake and Maternal Chronic Energy Deficiency during Pregnancy as Factors Associated with Stunting among Toddlers in North Buton Regency Astrit Jelina; Sunarsih Sunarsih; Rahmawati Rahmawati
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/tcbrny70

Introduction: Stunting in toddlers can be influenced by several factors such as food intake and infectious diseases. One of the causes of stunting is pregnant women who suffer from chronic energy deficiency (CED). This chronic energy deficiency causes stunted growth and development, so that babies can be born with a weight of less than 2500 grams and can have an impact on stunted growth in the future. The purpose of this study was to examine animal protein intake and Maternal Chronic Energy Deficiency during Pregnancy as Factors Associated with Stunting among Toddlers in North Buton Regency. Method: This study used a case-control study approach. The population was 3,654 people. The sample size was 204, consisting of 102 cases and 102 controls. The sampling technique used was simple random sampling. Data were analyzed using the odds ratio test and chi-square test. Result: The results of the study showed that animal protein intake had an OR of 2.129, LL value 1.217, UL 3.726, and X2 value 8.715. Pregnant women with CED had an OR of 2.496, LL value 1.403, UL 4.441, and X2 value 9.807. Conclusion: Shows that there is a relationship between animal protein intake, pregnant women with CED, and the incidence of stunting in toddlers in North Buton district.

Analysis of the Relationship between Child Health and Integrated Policy System and Pulpitis Incidence in Kendari City Sri Galuh Deviarsita; Sunarsih Sunarsih; Asbath Asbath
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/98ann756

Introduction: Pulpitis in children is a dental health problem that requires special attention through effective and integrated health policies. Kendari City faces challenges in reducing the incidence of pulpitis, thus supporting a child health policy system, the Child Health and Integrated Policy System (CHIPS). This study aims to analyze the relationship between the Child Health and Integrated Policy System and pulpitis incidence in Kendari City. Method: The research used a quantitative approach with the Partial Least Squares Structural Equation Modeling (PLS-SEM) model, data were collected through surveys of related agencies and health workers in Kendari City. Result: Child Health and Integrated Policy System were shown to have a very strong and significant influence on the incidence of pulpitis (β=0.667; p=0.000), which indicates that an integrated policy system can improve the detection, reporting, and handling of pulpitis cases effectively. Conclusion: Health workers in Kendari are encouraged to develop promotive and preventive approaches supported by the Child Health and Integrated Policy system to accelerate the detection and treatment of pulpitis in children.

Association of Clean Water and Handwashing Facilities with Stunting among Toddlers in the Morosi Community Health Center Mining Area Ayu Utami Suddin; Tasnim Tasnim; Sunarsih Sunarsih; Anry Hariadhin Depu
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/r4yj9p78

Introduction: Stunting is a chronic nutritional problem that remains a major public health challenge in Indonesia, including in mining areas. Although the prevalence of stunting in Indonesia has shown a downward trend, it has not yet reached the national target of 14%. In Konawe Regency, particularly in the area served by Morosi Community Health Center, the prevalence of stunting has increased over the past three years, from 14% in 2022 to 15% in 2024. This study aimed to examine the association between access to clean water and the availability of handwashing Association of Clean Water and Handwashing Facilities with Stunting among Toddlers in the Morosi Community Health Center Mining Area. Method: The study was quantitative, with a case-control study design. The sample consisted of 32 mothers with toddlers registered in the Morosi Community Health Center mining area during June 2025. Case data were collected using total sampling, and control data were collected using a matching system. Data were analyzed using the chi-square test, correlation coefficient, odds ratio, and binary longitudinal regression. Result: The results of the study obtained p-value (0.04), φ (0.29), OR (5.87) for clean water facilities; p-value (0.002), φ (0.416), OR (6.333) for handwashing facilities, p value (0.022), φ (0.318). The results of the binary longitudinal regression test obtained a significance of 0.004 and Wald 8.491 for handwashing facilities. Conclusion: There is a weak relationship between clean water facilities and a moderate relationship between handwashing facilities and stunting in the Morosi Community Health Center mining area.

Human Factors in Hospital Management Information System Implementation and Social Security Agency Claim Effectiveness: A Qualitative Study at Dr. H. LM. Baharuddin M.Kes Regional Hospital in Muna, Indonesia Darwangsah Adhe Arya; Sunarsih Sunarsih; Andi Asri
Waluya The International Science of Health Journal Vol. 5 No. 3 (2026): Waluya The International Science of Health Journal
Publisher : Magister Kesehatan Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54883/24ftfq74

Introduction: Hospital Management Information Systems (HMIS) support integrated clinical documentation, hospital operations, and health insurance claim processing. However, effective implementation depends not only on technological infrastructure but also on human factors, including user competence, discipline, collaboration, and acceptance. This study explored human factors associated with HMIS implementation and Social Security Agency of Health Insurance claim processing at Dr. H. L.M. Baharuddin M.Kes Regional General Hospital, Muna Regency, Indonesia. Method: This study uses a qualitative approach based on the philosophy of postpositivism with reference to the HOT-Fit model. Data source sampling was carried out purposively and by snowball sampling. Data collection techniques used triangulation; data analysis was inductive. Informants in this study were 4 informants consisting of 1 key informant and 3 regular informants. Data processing was carried out using the NVivo V15 application. Result: The findings identified several human-related factors affecting HMIS implementation, including user competence, training needs, work experience, knowledge, problem-solving capacity, discipline, collaboration, commitment, and system acceptance. Among these factors, discipline in completing electronic medical records emerged as a prominent barrier to timely social security agency claim processing. Conclusion: Human factors play an important role in effective HMIS implementation and social security agency claim processing. Strengthening user competence, documentation discipline, continuous training, supervision, and organizational support may improve HMIS utilization and facilitate more timely and complete claim processing.

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