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All Journal Jurnal Sosialisasi: Jurnal Hasil Pemikiran, Penelitian dan Pengembangan Keilmuan Sosiologi Pendidikan Jurnal Riset Gizi Jurnal Manajemen Kesehatan Indonesia UNEJ e-Proceeding Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Kesehatan Komunitas Jurnal Ilmiah Manuntung Jurnal Manajemen Informasi dan Administrasi Kesehatan Faletehan Health Journal Poltekita : Jurnal Ilmu Kesehatan Afiasi : Jurnal Kesehatan Masyarakat Jurnal Ners Indonesian Journal of Global Health research Kampurui Jurnal Kesehatan Masyarakat Yumary: Jurnal Pengabdian kepada Masyarakat Jurnal Kesehatan Masyarakat Mulawarman (JKMM) Jurnal Pengabdian Kepada Masyarakat Mulawarman Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Eduvest - Journal of Universal Studies Jurnal Riset Gizi Journal of Community Empowerment Proceeding Mulawarman International Conference on Tropical Public Health
Adrianto, Ratno
Department Of Health Administration And Policy, Faculty Of Public Health, Mulawarman University, Samarinda, East Kalimantan, Indonesia
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Analysis of Factors Affecting Antiretroviral Adherence in HIV/AIDS Patients Makin, Mochamad; Pakki, Irfansyah Baharuddin; Azmiardi, Akhmad; Adrianto, Ratno; Yadi, Yadi; Lestari, Ida Ayu Indira Dwika
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6944

Abstract

Human Immunodeficiency Virus (HIV) remains a major global public health issue, with antiretroviral (ARV) therapy playing a critical role in its management. Adherence to ARV therapy is essential to suppress viral load, prevent drug resistance, and improve the quality of life of people living with HIV/AIDS (PLWHA). However, cases of non-adherence persist. At RSUD A. Wahab Sjahranie, a referral hospital in East Kalimantan, 16% of patients have been found to be non-adherent to their ARV medication. Ensuring adherence is vital to avoid complications and prevent HIV transmission. This study aims to identify and analyze the factors influencing ARV adherence among HIV/AIDS patients at the Anyelir Outpatient Clinic, RSUD A.W. Sjahranie, Samarinda. This study employed a quantitative analytical approach with a cross-sectional design. It involved 106 HIV/AIDS patients who were actively receiving antiretroviral therapy (ART). The independent variables included knowledge, self-efficacy, duration of therapy, side effects, family support, social support, and healthcare staff attitude. Data were collected using a structured questionnaire administered directly to respondents and supported by secondary data from medical records. A total sampling technique was applied, and data were analyzed using chi-square tests and logistic regression at a 95% significance level. A total of 85.8% of respondents were classified as adherent to ARV treatment. Bivariate analysis showed that knowledge (p = 0.019), family support (p = 0.018), social support (p = 0.011), healthcare staff attitude (p = 0.006), and self-efficacy (p = 0.002) were significantly associated with ARV adherence. Multivariate analysis identified family support (OR = 4.275), healthcare staff attitude (OR = 6.834), and self-efficacy (OR = 20.241) as the most influential factors. Knowledge, side effects, family support, social support, healthcare staff attitude, and self-efficacy are significant determinants of ARV adherence among PLWHA. Among these, self-efficacy emerged as the most dominant factor.
Analisis Faktor-Faktor yang Berhubungan dengan Kepuasan Pasien Rawat Jalan RSUD Kudungga Marinda, Indri; Adrianto, Ratno
Jurnal Kesehatan Komunitas Vol 11 No 2 (2025): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol11.Iss2.2158

Abstract

Medical services are assessed through indicators that gauge patient satisfaction with the services rendered by hospitals, contingent upon the quality of those services. Numerous complaints from the public regarding Kudungga Hospital persist. This study seeks to analyze the factors influencing outpatient treatment satisfaction at Kudungga Hospital. A cross-sectional approach is employed in the study, utilizing a quantitative methodology. Independent variables include access, admission process, waiting time, physical environment, doctor consultation, information for patients and the dependent variable is outpatient satisfaction. The population is outpatients at Kudungga Hospital in December 2023 as many as 3373 people. The sample technique was purposive sampling technique and through Slovin calculation there were 358 respondents as samples in this study. The research analysis used Spearman Rank and multiple logistic regression. The results showed that the factors associated with employee performance at Puskesmas were access (0.0001), admission process (0.0001), waiting time (0.0001), physical environment (0.015), doctor consultation (0.0001), information for patients (0.0001). The dominant variable was the admission process with 5.24 (95% CI OR = 2.585-10.656). The conclusion is that patient satisfaction will be high if the services provided are good starting from reception officers, hospital facilities, health workers and access to health care facilities. It is recommended that hospital management evaluate the quality of hospital services through suggestions and criticisms from patients who seek treatment.
Analisis Faktor-Faktor yang Berhubungan dengan Kinerja Pegawai Dinas Kesehatan Kabupaten Kutai Timur Tahun 2024 Astuti, Prima Yulia; Adrianto, Ratno; Nurrachmawati, Annisa
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i8.61572

Abstract

Performance appraisal is a system that is carried out periodically to review and assess individual performance. The Health Department's work results are not yet optimal, as shown by the 12 Minimum Service Standards (SPM) indicators, all SPM indicators have not reached 100% and there are four indicators that have decreased. Discipline is still low, there are often vacancies during effective office hours. The level of employee attendance at morning roll call activities held on Mondays and Thursdays is very low. This research aims to determine the relationship between work discipline, work ability, work motivation, leadership style, work environment and job satisfaction with the performance of East Kutai District Health Office employees. This was a quantitative research with cross sectional design. The population were Health Department employees with civil servant status (95 people), taken using purposive sampling method. Data analysis used logistic regression tests. The research results show that there is a relationship between work discipline (p=0.021), work ability (p=0.000), work motivation (p=0.012), leadership style (p=0.009), work environment (p=0.019) and job satisfaction (p=0.001) with the performance of East Kutai Health Department employees in 2024. The variables work ability, job satisfaction and leadership style are the variables that have the most dominant relationship with the performance of East Kutai Health Department employees in 2024. The East Kutai Health Office needs to improve employee work ability, apply a democratic leadership style, increase employee discipline, implement the best work environment and pay attention to aspects of employee satisfaction by giving awards to employees who excel.
Hubungan Mutu Pelayanan Kebidanan Dengan Kepuasan Ibu Hamil dalam Mendapatkan Pelayanan Antenatal Care di Puskesmas Muara Ancalong Kabupaten Kutai Timur Nurlinda, Fitria; Adrianto, Ratno; W, Ratih Wirapuspita.
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i8.61573

Abstract

The quality of health services is the level of individual and community health services that can improve optimal health outcomes. The maternal mortality rate in Indonesia is still a big problem, so maternal health services are a top priority in health development. The purpose of this study is to determine the relationship between the quality of midwifery services and the satisfaction of pregnant women receiving antenatal care services. This type of cross-sectional quantitative research was conducted on 95 pregnant women respondents in the Muara Ancalong Health Center area in 2024. Bivariate analysis uses chi-square test, while multivariate analysis uses logistic regression test. The results showed that there was a relationship between the security variable and the satisfaction of pregnant women (p=0.032), there was a relationship between the comfort variable and the satisfaction of pregnant women (p=0.0001), there was a variable relationship of technical competence to the satisfaction of pregnant women (p=0.0001), there was a variable relationship of access/easy access to the satisfaction of pregnant women (p=0.041) and there was a variable relationship of reliability to the satisfaction of pregnant women (p=0.002). The variables that have the greatest relationship with the satisfaction of pregnant women getting antenatal care services are comfort and technical competence. The variables of comfort and technical competence have a strong relationship with the satisfaction of pregnant women in getting antenatal care services, the suggestion of the Puskesmas to give priority to pregnant women regarding their comfort and evaluate needs related to the comfort factor of service recipients and the need to improve the competence of service providers.
A Healthy Family Home without Cigarette Smoke Adrianto, Ratno; AR, Chaerunnisa; Lenik Gah, Regina; Nurlela, Siti; Maulana, Ady; 'Aina 'Uruba, Huurul; Lasari, Aramika; Pasha, Yuliana; Khalisha, Nailah
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Objective : The goal of this program is toincrease public knowledge and awareness about the dangers of smoking to one's own health and the health of the family, thereby preventing the occurrence of chronic diseases. Research Methods/ Implementation Methods : This program uses an extension method in the form of delivering material using PowerPoint, with the reading of pre-test questions (before the material) and post-test questions (after the material) to the community in Argomulyo Village. Results : The results of the PreTest and PostTest show an increase in knowledge after the counseling. Conclusion/Lesson Learned : This program can enhance the knowledge and awareness of both active and passive smokers regarding the impacts of smoking and the dangers of smoking indoors, so that smokers can make better decisions to quit smoking and create a healthier environment for themselves and those around them. Thus, this program contributes to efforts to maintain public health and reduce the risk of diseases caused by exposure to cigarette smoke.
AGE, SEX AND OBESITY HOSPITAL'S WORKERS IN BALIKPAPAN Agustina, Elvi; Adrianto, Ratno; Azmiardi, Akhmad; Wirapuspita Wisnuwardani, Ratih
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Obesity remains a global health issue and a significant contributing factor to Non Communicate Disease (NCDs), so efforts to reduce the prevalence of obesity are very important. The impact of obesity on workers are very broad and includes aspects of physical, mental and productivity helath. The problem of study was the prevalence of obesity in RSUD dr. Kanujoso Djatiwibowo workers and its relationship with age and gender. Objective : This study aimed to determine the prevalence of obesity among workers of dr. Kanujoso Djatiwibowo hospital Balikpapan and in relationship with age and gender. Research Methods/ Implementation Methods : This research was cross sectional study conducted at Medical Check Up RSUD dr. Kanujoso Djatiwibowo Balikpapan in February 2023. A total 838 participants were selected by total sampling technique. Age and gender data were collected by medical record document and obesity data was calculated by measuring BMI and interpreted using WHO BMI Classification for Asia Pacific. The data were analyzed by Chi Square using SPSS. Results : Prevalence of obesity for workers in hospital ‘X” was 50,5%. Most was woman (51,8%) and age 41-50 years old (58,4%). There was a significant relationship between age and obesity (p value = 0,001), meanwhile gender was not statistically significant with obesity (p value = 0,353) Conclusion/Lesson Learned : More than half workers of hospital were obesity and age is statistically significant with obesity.
Description of Patient Satisfaction Towards Dental and Oral Health Services During Bulan Kesehatan Gigi Nasional (BKGN) 2022 At The Dentistry Study Program of Mulawarman University Septimaulida, Firda; Adrianto, Ratno; Nurrachmawati, Annisa
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Patient satisfaction is the primary indicator of the standards of a healthcare facility and a measure of service quality. When patient expectations are met by high-quality healthcare services, it results in a high level of service quality. There are several factors that affect oral health, including genetics, environment, behavior, and services. Riskesdas (2018) reported that 61.5% of the population in East Kalimantan faced oral health issues, with only 13.8% seeking treatment from dental professionals. In response, the Dentistry Study Program at Mulawarman University organized free dental care services during BKGN 2022, aiming to promote oral health awareness. This threeday event, held from December 5 to 7, 2022, included oral health counseling, tooth extraction, tooth filling, tartar cleaning (scaling), topical fluoride application, and fissure sealant procedures. Objective : The aim of this study was to explore an overview of patient satisfaction with dental and oral health services in Bulan Kesehatan Gigi Nasional (BKGN) 2022. Research Methods/ Implementation Methods : This study was a quantitative descriptive study with cross-sectional research design with a sample size of 300 individuals (total sampling). In this study, patients who have completed their treatment were asked to fill out a quetionnaire. Results : Descriptive analysis of the data revealed that tartar cleaning (scaling) was the most frequently performed procedure, accounting for 41% of cases. In terms of gender, women (66%) sought dental care more frequently than men (34%). Regarding age groups, the highest frequency of oral care was observed among individuals aged 17-25 years, corresponding to the late adolescence stage. Overall, the distribution of respondents who stated that they were satisfied with the oral health services at BKGN 2022 was (55.3%) and patients who stated that they were very satisfied were (36%). Conclusion/Lesson Learned : Overall, the distribution of respondents who stated that they were satisfied with the oral health services at BKGN 2022 was (55.3%). The predominant type of oral care provided during BKGN 2022 was scaling, whereas fissure sealants were the least commonly administered treatment.
Feasibility Study: Potentcy of Service Development at Taman Husada Public Hospital, Bontang City- East Kalimantan Paramita, Tri Ratna; Adrianto, Ratno; Ramdan , Iwan M.
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Health as a basic human right is an important thing in life. Legally, the government is responsible for ensuring that the health of citizens is fulfilled. The right of citizens to obtain health services can be seen from the provision of health facilities. Based on regulations, as a health service facility, hospitals are required to provide facilities and infrastructure according to the provisions. Taman Husada Hospital as a class B referral hospital needs to adjust facilities and infrastructure according to regulations and meet the needs of the community for service development through a feasibility study. Objective : This study was conducted to obtain an overview of the potential for service development at Taman Husada Hospital so that it could provide recommendation for hospital development planning policies Research Methods/ Implementation Methods : Primary data were collected with questionnaires, analyzed descriptively quantitatively and presented through tables and narratives Results : All of respondents were not satisfied with the inpatient facilities, where 85.2% of respondents had difficulty in getting an inpatient room, and 59.3% of respondents had problems with waiting time for an inpatient room Conclusion/Lesson Learned : The condition of inpatient care and supporting facilities have not met the needs of the community at this time and all respondents provided support for the construction of new buildings and the addition of supporting facilities. It is expected that the hospital can improve inpatient services by increasing the capacity and quality of inpatient facilities, managing patient flow and adding supporting facilities
Penerapan Metode Double Distribution Dalam Penetapan Tarif Pelayanan Poli Gigi Di RS LNG Badak Bontang Suhargiati, Atik; K, Iriyani; Ningsih, Riyan; Mualimin, Jaya; Adrianto, Ratno; Bakhtiar, Rahmat
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.48462

Abstract

Penetapan tarif layanan kesehatan yang tidak berbasis perhitungan biaya nyata dapat menyebabkan kerugian bagi rumah sakit atau membatasi akses masyarakat terhadap layanan. Di RS LNG Badak Bontang, tarif layanan Poli Gigi selama ini ditetapkan berdasarkan estimasi dan perbandingan dengan rumah sakit lain, bukan dari analisis biaya aktual. Penelitian ini bertujuan untuk menganalisis struktur biaya dan menghitung unit cost layanan Poli Gigi sebagai dasar penetapan tarif yang lebih rasional dan berkelanjutan. Metode yang digunakan metode deskriptif kuantitatif dengan pendekatan double distribution, menyesuaikan dengan keterbatasan data klinis yang tersedia. Hasil penelitian menunjukkan bahwa Total biaya operasional Poli Gigi mencapai Rp14,4 miliar, dengan 62,9% berupa biaya semi-variabel, didominasi gaji pegawai. Biaya tetap hanya 4,7%, dan variabel 32,5%, sebagian besar tercatat sebagai “operasional lainnya,” menunjukkan kelemahan pencatatan biaya rinci. Konsultasi dan asuhan keperawatan menyerap biaya besar karena volumenya tinggi, sementara tindakan seperti Pulp Capping memiliki unit cost tertinggi dan berisiko merugi. Hasil ini menunjukkan bahwa sebagian besar layanan masih menguntungkan dengan tarif internal (CRR >100%), namun berisiko rugi jika mengacu pada tarif lama sehingga RS memerlukan penyesuaian tarif berbasis biaya riil dan peningkatan efisiensi agar layanan berkelanjutan.
Co-Authors 'Aina 'Uruba, Huurul Abira Ivanca Eka Dewi Sitepu Agustina, Elvi Akhmad Azmiardi Akhmad Azmiardi Alvie Magda Lesiwal Annisa Nurrachmawati AR, Chaerunnisa AR., Chaerunnisa Astuti, Ashri Budi Astuti, Prima Yulia Audya Nada Fajri Auralia, Syalmita Auralia, Syalmitha Ayu Huwaidah Wahyudi Baharudin, Irfansyah Bahtiar, Rahmat Bakhtiar, Rahmat Basri, Samsinar Cahyana, Yudi Jaya Chaerunnisa AR Chaerunnisa AR Dahlia Dahlia Dias Pratama Eka Putri Rahayu Elvira, Vivi Filia Fatimatuzzahra, Siti G, Ike Anggraini Gloria Priska Britani Sumlang Hapsari, Palupi Setyo Hasibuan, Juliana Hilda Hilda Hilda Hilda Hutauruk Hutauruk Hutauruk, Hutauruk Huwaidah, Ayu Ida Ayu Indira Dwika Lestari Irfansyah Baharuddin Pakki Iriyani K Iriyani Kamaruddin, Iriyani Isnaniah, Enny Ivanca, Abira Iwan M. Ramdan Iwan Muhamad Ramdan Jumliana Jumliana Jumliana, Jumliana Kartikasari , Dina Khalisha, Nailah Khalishah az Zahra Kurniawan Khusnul, Vika Kurniawan, Khalishah az Zahra Lasari, Aramika Laura, Najoan Brigitta Lenik Gah, Regina Lestari, Ayu Indira Dwika Lestari, Ida Ayu Indira Dwika Lisa Septiana Marinda, Indri Masithah, Masithah Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Maulana, Ady Meilida Ulfah Mochamad Makin, Mochamad Mualimin, Jaya Muhammad Rangga Muhammad Rangga Danu Putra Muhammad Sultan Muhammad Sultan, Muhammad Nada, Abira Ivanca Audya Nada, Audya Najoan Brigitta Laura Norsehan Norsehan Nur Rohmah Nurlinda, Fitria Nursakti Nursakti Pakki, Irfansyah Bahruddin Pamowa, Agustina Simanangi Paramita, Tri Ratna Pasha, Yuliana Pratama, Dias Rahayu, Eka Putri Rahmat Bakhtiar Rahmi Susanti Rahmi Susanti Ramdam, Iwan Muhammad Ramdan , Iwan M. Rangga, M. Reny Noviasty Risky Amelia Rhamadani Riyan Ningsih Ruth Sekar Nauli Septimaulida, Firda Setianingtyas, Endah Dwi Setiawati, Ronny siti nurlela Subirman - Suhargiati, Atik SUMARNI Sumarni Sumarni Sumarni Sumarni Syalmitha Auralia Nur Ulfah, Meilida Vika Khusnul Khotimah W, Ratih Wirapuspita. Wahyudianto, Yogik Wardani, Citra Rizki Wijayanti, Dwi Astuti Noor Wirapuspita W, Ratih Wirapuspita Wisnuwardani, Ratih Yadi, Yadi