Andy Amir
Kesehatan Masyarakat, Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Jambi

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Analisis implementasi kebijakan kawasan tanpa rokok di lingkungan pendidikan Natasya Zalta Amany; Andy Amir; Dwi Noerjoedianto; Asparian Asparian
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3201

Abstract

Background: The smoke-free zone policy is one of the government's efforts to create a healthy environment and protect the public from exposure to cigarette smoke, particularly in educational settings. Schools play a strategic role in preventing smoking among adolescents, as the number of new smokers continues to rise. However, the implementation of the smoke-free zone policy in schools is often suboptimal due to limited resources, lack of supervision, and the absence of clear operational guidelines. Purpose: To analyze the implementation of the smoke-free zone policy in educational settings. Method: This study used a qualitative descriptive design. This study was conducted at State Senior High School 5 in Jambi City, located at Simpang IV, Sipin Village, Telanaipura District, Jambi City, from March to April 2026. Informants included the principal, teachers, guidance counselors, students, security officers, and canteen vendors. Data collection was conducted through in-depth interviews, observation, and documentation. Data analysis was carried out through data reduction, data presentation, and drawing conclusions. Results: Policy implementation has not been optimal. Communication regarding the smoking ban has been implemented through regulations and socialization, but coordination with external parties remains limited. The resources, facilities, and infrastructure supporting the policy remain inadequate. Although the entire school community generally supports the policy, violations are still found due to low awareness and weak oversight. Furthermore, there is no organizational structure or specific standard operating procedures (SOPs) for smoke-free areas. Conclusion: The implementation of the smoke-free area policy still requires improvement, particularly in terms of supervision, provision of supporting facilities, and enforcement to create a healthy and smoke-free school environment. Suggestion: Future research should involve a larger sample size and location, and use quantitative or mixed methods to evaluate the effectiveness of the smoke-free area policy and identify factors influencing its successful implementation.   Keywords: Education System; Policy Implementation; Smoke-Free Area.
Hubungan keterjangkauan dan kualitas layanan BPJS kesehatan terhadap kepuasan layanan puskesmas pada masyarakat berpenghasilan rendah di wilayah 3T Kiki Andrean; Dwi Noerjoedianto; Arnild Augina Mekarisce; Andy Amir
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3206

Abstract

Background: Limited access to and quality of social security administering agency services in underdeveloped, frontier, and outermost (3T) regions is a major challenge for low-income communities and has the potential to reduce patient satisfaction at community health centers. Geographical barriers, limited facilities, and a lack of health resources often impact the effectiveness of health services in remote areas. Purpose: To analyze the relationship between service accessibility and service quality, as well as patient satisfaction among participants of the social security administering agency in low-income communities in 3T regions. Method: This study used a quantitative observational design with a cross-sectional approach. A total of 106 respondents were selected using a multistage and purposive sampling technique. This study was conducted at the Muara Kibul Community Health Center and the Aur Berduri Community Health Center in Merangin Regency since February 2025. Data were collected using a structured questionnaire that had been tested for validity and reliability. Data were analyzed using univariate and bivariate analyses, using the chi-square test to determine the relationship between variables. Results: Most respondents rated service affordability as good, particularly in economic, language, and social aspects, although geographic barriers remain a challenge. Service quality was rated as quite good in terms of reliability, but responsiveness, assurance, empathy, and tangibles still need improvement. Statistical analysis showed a significant relationship between service affordability and patient satisfaction (p = 0.000), as well as between service quality and patient satisfaction (p = 0.000). Respondents with poor service affordability and quality were at higher risk of experiencing dissatisfaction with healthcare services. Conclusion: Service affordability and quality are important factors influencing patient satisfaction among participants of the social security administration for health in the 3T regions. Improvements in health infrastructure, transportation access, responsiveness of healthcare workers, and supporting facilities are crucial to increasing patient satisfaction and strengthening healthcare services in remote areas. Suggestion: Further research is recommended to use a larger sample size and cover more health centers in the 3T region, so that the research results are more representative.   Keywords: Low-Income Communities; Patient Satisfaction; Service Affordability; Service Quality; Social Security Administration for Health.
Faktor-faktor yang berhubungan dengan keaktifan kepesertaan BPJS kesehatan di kalangan pekerja informal pada pedagang Florencia Tamba; Dwi Noerjoedianto; Andy Amir
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3294

Abstract

Background: Active participation by the social health insurance administration agency among informal workers remains a challenge in supporting the achievement of universal health insurance in Indonesia. Market traders, as part of the informal sector, have levels of participation and activity influenced by various factors such as knowledge, perception, income, and education. Purpose: To determine the relationship between knowledge, perception, income, and education with the active participation of traders in social health insurance administration agency. Method: This study used a quantitative design with a cross-sectional approach. The study was conducted from January to March 2026 at Angso Duo Market in Jambi City, with a sample of 98 respondents. Data were collected using a questionnaire and analyzed univariately and bivariately using the chi-square test. Results: The majority of respondents had high knowledge (79.6%), neutral perception (57.1%), high income (51.0%), and active BPJS membership status (85.7%). The bivariate analysis results showed a relationship between knowledge (p-value = 0.032), perception (p-value = 0.041), and income (p-value = 0.027) and active participation of the social health insurance administration agency. Meanwhile, education was not associated with active participation of the social health insurance administration agency (p-value = 0.218). Conclusion: Knowledge, perception, and income are associated with active participation of the social health insurance administration agency, while education level did not have a significant relationship. Suggestion: Future research can examine other variables related to active participation of the social health insurance administration agency among informal workers, especially traders.   Keywords: Active Participation; Informal Workers; Knowledge; Market Traders; Social Health Insurance Administration Agency.