Ribka Elisabeth Wowor
Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Sam Ratulangi

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Gambaran pesepsi mutu jasa pelayanan kesehatan pada pasien rawat jalan Rosalinda Firginia Assa; Ribka Elisabeth Wowor; Adisti Aldegonda Rumayar
Hik Vol. 20 No. 6 (2026): Volume 20 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i6.3257

Abstract

Background: Primary health centers are first-level health facilities that provide comprehensive health services, including outpatient care. Assessment of service quality is important to identify aspects of healthcare services that need to be maintained and improved. The SERVQUAL model assesses service quality through five dimensions: reliability, assurance, tangibles, responsiveness, and empathy. Purpose: To describe outpatient patients’ perceptions of healthcare service quality. Method: Quantitative research using a descriptive survey method and a cross-sectional study design. The research was conducted at the Tanawangko Community Health Center, Borgo Village, Tombariri District, Minahasa Regency, from December 2025 to January 2026. The sample consisted of 110 respondents. Data were collected using a questionnaire assessing five SERVQUAL dimensions and analyzed descriptively using frequency and percentage distributions. Results: The majority of respondents perceived healthcare service quality as good across all dimensions. Reliability was rated good by 83.6% of respondents, assurance by 93.6%, tangibles by 68.2%, responsiveness by 94.5%, and empathy by 88.2%. Responsiveness had the highest proportion of good ratings, while tangibles had the lowest. Conclusion: Overall, outpatients rated the quality of healthcare services at the Tanawangko Community Health Center as good. Suggestion: Future research could also conduct analytical studies to examine the relationship between respondent characteristics and perceptions of service quality. Furthermore, the use of instruments tailored to specific service dimensions could be considered, enabling a more in-depth identification of service aspects requiring improvement.   Keywords: Health Care Services; Outpatients; Perceived Service Quality.
Gambaran higiene sanitasi kapal, perilaku awak kapal, dan keberadaan kecoa pada kapal penumpang Nur Anisa Ramdini Asiking; Odi Roni Pinontoan; Jootje Max Lahani Umboh; Vennetia Ryckerens Danes; Oksfriani Jufri Sumampouw; Ribka Elisabeth Wowor
Hik Vol. 20 No. 7 (2026): Volume 20 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i7.3870

Abstract

Background: Ships have a high potential to act as vehicles for the inter-regional spread of diseases via humans, animals, or cargo. The high mobility of passenger ships poses a risk of disease transmission through cockroach vectors, driven by gaps in sanitation standard implementation, poor environmental conditions, and crew behaviors that do not prioritize cleanliness. Purpose: To assess the ship's hygiene and sanitation status, crew behavior, and the presence of cockroaches on passenger ships. Method: A descriptive study with a cross-sectional design was conducted from February to March 2026 at Bitung Ocean Port. A purposive sampling technique was used, involving the inspection of four passenger ships and 28 crew members (with seven respondents representing each ship). Research instruments included a questionnaire, a sanitation inspection checklist, and a checklist for vectors and potential breeding sites. Results: Inspections of the four ships revealed that the majority (three ships or 75.0%—Ships A, C, and D) met the required standards. Meanwhile, one ship (Ship B, or 25.0%) was categorized as not meeting the applicable environmental health standards for ships. Overall, the majority of crew members demonstrated good behavior (92.9%). However, the presence of cockroaches was still detected on three ships (75.0%), particularly in areas that failed to meet sanitation standards. Conclusion: The majority of ships met sanitation standards, and crew behavior was generally categorized as good (92.9%). A small proportion of crew members (7.1%) fell into the "fair" behavior category, and no crew members exhibited "poor" behavior. Nevertheless, signs of cockroach presence were still found on three ships (75.0%). Suggestion: It is recommended to conduct scheduled fogging or insecticide spraying in galley and storage areas every three months and to seal structural gaps that could serve as cockroach harborages.   Keywords: Cockroaches; Crew Behavior; Sanitation and Hygiene; Passenger Ships.