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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 SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Window of Health : Jurnal Kesehatan Jurnal Epidemiologi Kesehatan Komunitas 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 Preventif : Jurnal Kesehatan Masyarakat
Adrianto, Ratno
Department Of Health Administration And Policy, Faculty Of Public Health, Mulawarman University, Samarinda, East Kalimantan, Indonesia
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Overview Of E-Kianpuas patient Satisfaction on Five DimentionsSERVQUAL in Airputih Dental Health Services Tasha Citra Purnama; Ratno Adrianto; Irfansyah Baharuddin Pakki
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Quality healthcare services are a top priority in improving community satisfaction as an indicator of public service performance. The Samarinda City Government, through the E- Kianpuas application, has introduced a digital-based public satisfaction survey to assess the quality of health services at community health centers (Puskesmas). This study focuses on dental and oral health services at the Air Putih Health Center, which play a vital role in enhancing community health status Objective : This study aims to describe community satisfaction with the quality of dental and oral health services using the E-Kianpuas application, analyzed through the five SERVQUAL dimensions: Tangibles, Reliability, Responsiveness, Assurance, and Empathy. Research Methods/ Implementation Methods : A quantitative descriptive survey approach was employed, referring to Regulation of the Minister for Administrative and Bureaucratic Reform (Permenpan) No. 14 of 2017. Data were collected from the E-Kianpuas application in 2024 involving 24 respondents aged 18–66 years. Measurements used a 1–4 Likert scale and were analyzed descriptively to calculate averages and convert them into the Community Satisfaction Index (IKM). Results : The overall IKM score was 84.38, categorized as “Good.” The Assurance and Responsiveness dimensions achieved the highest scores, reflecting fast, transparent, and safe services. Meanwhile, Tangibles, Reliability, and Empathy received lower scores, particularly regarding facilities, service time, and staff politeness. Conclusion/Lesson Learned : The E-Kianpuas application effectively evaluates health service quality and supports continuous improvement. Although Air Putih Health Center meets public expectations, enhancing physical facilities, procedural efficiency, and interpersonal communication is essential for optimal service quality.
Effectiveness of Artificial Intelligence for Early Dental Caries Screening in Samarinda Rivana Firnanda; Ratno Adrianto
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Artificial Intelligence (AI) has rapidly advanced in dentistry, offering opportunities to enhance the early detection and diagnosis of dental caries. In Indonesia, caries remains a significant public health problem, and conventional screening methods are often subjective, time-consuming, and less accurate. Integrating AI into dental screening can improve diagnostic precision and efficiency, especially in primary healthcare settings such as clinics in Samarinda. Objective : To evaluate the effectiveness of AI applications in early caries screening, explore healthcare professionals’ perceptions toward AI adoption in primary care, and analyze policy implications related to digital health integration in dental services in Samarinda. Research Methods/ Implementation Methods : A systematic review was conducted following PRISMA guidelines. Literature was sourced from PubMed, Scopus, and Google Scholar databases, covering publications between 2016 and 2025. Studies were selected based on inclusion criteria focusing on AI applications for caries detection, diagnostic accuracy, and relevance to primary healthcare. Data were synthesized descriptively to assess AI’s performance and implementation challenges. Results : The review revealed that AI models, particularly those based on deep learning and convolutional neural networks (CNN), demonstrated high diagnostic accuracy, with sensitivity and specificity exceeding 90%. AI applications improved diagnostic efficiency and decision-making in dental care. However, barriers such as limited digital infrastructure, low technological literacy among practitioners, and regulatory challenges persist in the implementation phase. Conclusion/Lesson Learned : AI shows strong potential to improve early caries screening in primary care by enhancing diagnostic speed and accuracy. Successful implementation requires adequate infrastructure, practitioner training, and supportive digital health policies. Integrating AI can contribute significantly to the digital transformation of oral healthcare services in Samarinda.
An Overview Of Outpatient Service Quality At RSIA AisyiyahSamarinda In 2025 Mudassir Yunus; Nur Rohmah; Rahmat Bahtiar; Ratno Adrianto
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Service quality is a crucial factor for patient satisfaction and loyalty in healthcare facilities. The Government of Indonesia, through the Minister of Health Decree (Kemenkes) RI Number 129/Menkes/SK/II/2008, has set Minimum Service Standards (SPM) for outpatient satisfaction at ≥90%. A study in 2024 showed a relationship between service quality and patient satisfaction at RSIA Aisyiyah Samarinda, and an internal survey report for the January-June 2024 periodindicated that outpatient patient satisfaction was still below the 90% threshold. Objective : This study aims to provide an overview of outpatient service quality at RSIA Aisyiyah Samarinda in 2025 Research Methods/ Implementation Methods : This was a descriptive quantitative study using accidental sampling technique, with data collected from 110 respondents (n=110). The service quality variable was measured using five dimensions (Tangibles, Reliability, Responsiveness, Assurance, Empathy) Results : The results showed that the overall average service quality at RSIA Aisyiyah Samarinda reached 90.6%, which falls into the “Very Good” category and meets the minimum standards set by the Ministry of Health (Kemenkes). The dimensions that exceeded the standard were Assurance (92.5%), Empathy (92.1%), and Reliability (91.0%). However, two dimensions remained below the 90% threshold, namely Responsiveness (89.3%) and Tangibles (88.0%). Conclusion/Lesson Learned : The overview of outpatient service quality at RSIA Aisyiyah Samarinda in 2025 was categorized as very good
Analysis of Health Service Quality and Patient Satisfaction Among Hypertension Patients in Samarinda Sayyid Muhammad Taqie; Ratno Adrianto
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Hypertension is one of the most common non-communicable diseases in Indonesia and requires long-term, continuous care. The Sungai Siring Community Health Center in North Samarinda records a high number of hypertensive patient visits every month. However, preliminary findings revealed several service issues, such as long waiting times, limited communication between patients and health workers, and lack of coordination among service units. These problems indicate a gap between patients’ expectations and the actual quality of services. Improving service quality is essential because it directly affects patient satisfaction, adherence to treatment, and continuity of care Objective : To analyze the relationship between the seven WHO dimensions of healthcare service quality—safety, effectiveness, timeliness, patient-centeredness, efficiency, equity, and integration— and patient satisfaction among hypertensive patients at the Sungai Siring Community Health Center, Samarinda. This study used an analytical observational design with a cross-sectional approach. A total of 139 hypertensive patients were selected through accidental sampling. Data were collected using a structured questionnaire covering respondent characteristics, assessments of the seven service quality dimensions, and patient satisfaction levels. The data were analyzed using the Chi-Square test with a significance level of 0.05 Results : All seven dimensions of service quality showed a significant relationship with patient satisfaction (p = 0.001) Conclusion/Lesson Learned : Effectiveness and timeliness were the most influential dimensions. Providing effective, timeliness, efficient, and patient-centered care and integration can increase patient trust, loyalty, and adherence to hypertension treatment at the community health center.
Management of Rational Drug Prescription at Lempake Community Health Centre, samarinda city Ilfa Pratiwi M Noors; Ratno Adrianto
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Stunting remains a significant chronic nutritional problem in Indonesia, particularly among children born to adolescent mothers. These young mothers often face limitations in nutritional knowledge, lower health literacy, and suboptimal reproductive preparedness, which collectively increase the risk of stunting in their children. Objective : This study aimed to conduct a review to determine the association between adolescent mothers’ nutritional knowledge and the incidence of stunting in toddlers, and to identify the contributing factors. Research Methods/ Implementation Methods : This was a systematic review conducting following the PRISMA guidelines and utilizing the Population, Concept, and Context (PCC) framework. Articles were collected through searching the Scopus, PubMed, Google Scholar, and Crossref databases for studies up to October 2025. Two reviewers independently screened and included full- text article that examined Mothers Knowledge and stunting, focusing on the concept of knowledge, adolescent mother, and stunting. Results : A review included five articles. Adolescent mothers’ knowledge had a significant association with the incidence of stunting. This association was often strengthened by confounding factors such as socio-economic status, low education levels, limited access to healthcare services, and inadequate childcare practices. Several studies found that improving maternal nutritional literacy and initiating early prenatal care can effectively reduce the risk of stunting in children. Conclusion/Lesson Learned : Low nutritional knowledge among adolescent mothers is confirmed as an important determinant of stunting in toddlers. Intervention efforts need to be focused on enhancing the education and nutritional literacy of adolescent girls through structured programs, including school-based education, adolescent mother classes in community health centers (Puskesmas), and targeted community campaigns. The integrated approach is crucial to break the intergenerational cycle of stunting and foster the development of quality human resources.
Study of Waiting Times and Outpatient Visit Rates for BPJS and Non BPJS Patients at the East Kalimantan Provincial Eye Hospital Sinar Sinar; Ratno Adrianto
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Hospital service waiting time is the time required from the time a patient registers until they are served by a specialist. The minimum outpatient waiting time standard is ≤ 60 minutes, but most patients exceed it. This long waiting time can result in decreased patient satisfaction and the risk of a decrease in the number of visitors. Objective : The aim to determine the waiting time for services and the number of visits by BPJS and non-BPJS participants at the East Kalimantan Provincial Eye Hospital. Research Methods/ Implementation Methods : This study was descriptive, with data sources from the Eye Hospital Information System. Analysis is carried out by presenting tables, graphs, and in- depth explanations. Results : Most patient service waiting times were more than 60 minutes, with a percentage ranging from 45.9% to 85.2%. From February to April 2025, there was an increase, then a decrease, and then an increase again in August 2025. In August 2025, the waiting time was the highest, with 1,883 people (85.2%). And the highest number of visits occurred in July 2025, with 2,514 people, comprising 2,319 (88.71%) BPJS participants and 295 (11.29%) non-BPJS patients. Conclusion/Lesson Learned : that patient waiting times exceeding 60 minutes were recorded for 75.3% of BPJS participants, while the average for non-BPJS patients was 55.3%. Meanwhile, patient visits from January to August 2025 increased by 2021.9 per month.
Overview Of The Achievement Of Minimum Service standards (Spm) For Health Samarinda City In 2022,2023, And 2024 Jami'an Jami'an; Ratno Adrianto
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : The Minimum Service Standards (SPM) in the health sector serve as key performance indicators for local governments in ensuring the community’s right to quality health services. Regular evaluation of SPM achievements is essential to assess the effectiveness of program implementation and improvements in public health status. Objective : This study aims to describe the achievement of health SPM across 26 Community Health Centers (Puskesmas) in Samarinda City during the 2022–2024 period Research Methods/ Implementation Methods : This research employed a quantitative descriptive design using secondary data from the SPM achievement reports of the Samarinda City Health Office. Data were analyzed based on the average achievement of each Puskesmas, then aggregated to calculate the city’s average achievement per year to identify trends from 2022 to 2024. Results : : The average SPM achievement in Samarinda City was 83.75% in 2022, increasing to 93.65% in 2023, and slightly declining to 90.77% in 2024. Overall, there was a 9.9% increase from 2022 to 2023, followed by a 2.9% decrease in 2024 compared to the previous year Conclusion/Lesson Learned : The health SPM achievement in Samarinda City showed an overall upward trend over the three-year period, despite a slight decline in 2024. Evaluation of factors contributing to fluctuations, particularly in indicators with lower scores, is necessary to maintain continuous improvement in the quality of basic health services.
Overview of Health Worker Training Effectiveness Using Blended andClassical Methods at Bapelkes East Kalimantan Nur Asiyah; Ratno Adrianto; Irfansyah Baharuddin Pakki
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Health worker training is a strategic effort to improve the competence, professionalism, and readiness of health workers in facing health service challenges. Research. Objective : This study aims to evaluate the application of training methods, participant distribution, and the effectiveness of both methods in improving the competence of health workers, as well as identifying gaps (GAP) in the implementation of training. Research Methods/ Implementation Methods : The research approach is descriptive and evaluative. Data were collected from 2247 trainees based on district/city, gender, employment status, profession, and training method. Results : Large cities such as Samarinda, Balikpapan, and Kutai Kartanegara dominated the number of participants, while remote districts were fewer. The majority of participants were women (77.9%) and ASN (69.5%). The dominant professions are nurses (29.6%) and midwives (24.3%), while minority professions (psychiatrists, medical records, nurse anaesthetists) are very few (<1%). The Classical Method is still dominant (90.5%) with 80% interactive, while the new Blended Learning is 9.48% with 20% interactive. Conclusion/Lesson Learned : Training at UPTD Bapelkes in East Kalimantan Province has reached various professions and districts, but there are still gaps in the distribution of participants, training methods, and participation of minority professions.
Gambaran Realisasi Belanja Dana BOK Puskesmas Air Putih Kota Samarinda: Tinjauan Efektivitas dan Pemanfaatan Anggaran-- (Analysis of the Health Operational Assistance (BOK) Fund Realization at Puskesmas Air Putih, Samarinda : An Evaluation of Effectivene Zheditya Ayu Syawalia; Ratno Adrianto; Akhmad Azmiardi
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background :Health is a fundamental right guaranteed by the 1945 Constitution of the Republic of Indonesia and has become a national development priority under the 2020–2024 (RPJMN). One of the government’s key health financing policies to strengthen primary health services is the Health Operational Assistance Fund (BOK) Objective :To provide a quantitative overview of the expenditure realization of the BOK Fund at Puskesmas Air Putih Samarinda in 2024 and to evaluate the effectiveness and utilization of the budget based on the principles of effectiveness, efficiency, transparency, and accountability as stipulated in the Ministry of Health Regulation No. 18/2024. The study employed a descriptive method with secondary data analysis sourced from BOK financial realization reports for 2022–2024 Research Methods/ Implementation Methods :The study employed a descriptive method with secondary data analysis sourced from BOK financial realization reports for 2022–2024 Results :The findings show the average realization rate of the BOK budget over the past three years reached 88.9%, with a decline in 2024 to 82%, despite a significant increase in the total allocation. The pattern of fund absorption was uneven, with most expenditures occurring in the fourth quarter. Analysis based on George R. Terry’s (1972) POAC theory (Planning, Organizing, Actuating, Controlling) identified issues in data-based planning, suboptimal intersectoral organization, inconsistent implementation, and reactive supervision Conclusion :The effectiveness of BOK management is influenced by misalignment among managerial functions; therefore, strengthening performance-based planning and monitoring is required to support the transformation of primary health services at the Puskesmas
Description of Community Satisfaction at Puskesmas Lok Bahu During The Implementation of Primary Care Integration Zulhijrian Noor; Ratno Adrianto; Irfansyah Baharuddin Pakki
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : In January 2025, the Mayor's decree designated all Community Health Center in Samarinda as Primary Health Service Integration Implementers. The initiative aims offer comprehensive services the encompass all stage of life, from infancy to the erderly. It is expected that change will improve the quality of care and enhance community satisfaction. Puskesmas Lok Bahu measures satisfaction through the Community Satisfaction Survey in accordance with Permenpan No.14 of 2017. Over the past three years, satisfaction scores have shown some variation but have consistenly remain in the very good category. Objective : This reasearch aims to describe community satisfaction at Puskesmas Lok Bahu during the implementation of primary care integration. Research Methods/ Implementation Methods : This reasearch employs a descriptive method, utilizing secondary data collected from a community satisfaction survey in first semester of 2025 from 398 respondents at Puskesmas Lok Bahu Results : The Community Satisfaction Index stands of 89. The lowest score was related to serviced periode, which received at rating of 3.435, while the highest score were for handling complaints from service users and service rates, both of which scored 3.857. A notable issue with service timing was identified due to an insufficient number of medical personnel in relation to patient visits, the center had only two doctors, and one of whom also served as the head of Puskesmas Conclusion/Lesson Learned : It is recommended to consider the addition of medical personnel and to enhance the queuing system along with information technology solutions to effectively redice patient wait times.
Co-Authors 'Aina 'Uruba, Huurul Agustina Simanangi Pamowa Agustina, Elvi Ahmad Ahsyar Hamri Akhmad Azmiardi Akhmad Azmiardi Alvie Magda Lesiwal Aminah Aminah Annisa Nurrachmawati Annisa Nurracmawati AR, Chaerunnisa AR., Chaerunnisa Ari Utari Ashri Budi Astuti Astuti, Ashri Budi Astuti, Prima Yulia Atik Suhargiati Auralia, Syalmita Auralia, Syalmitha Ayu Indira Dwika Lestari Ayu Sri Mega Astuti Baharudin, Irfansyah Bahtiar, Rahmat Bakhtiar, Rahmat Basri, Samsinar Blego Sedionoto Boli Matius Tandi Payung Cahyana, Yudi Jaya Chaerunnisa AR Chaerunnisa Chaerunnisa Dahlia Dahlia Danu Putra, Muhammad Rangga Dedi Priansyah Desy Indah Mardiana Dewi Endah Ramadhani Dias Pratama Disyanataly, Andi Dwi Listiyani Dzulhannisa Tricindra Edi Suhartono Eka Dewi Sitepu, Abira Ivanca Eka Putri Rahayu Eka Putri Rahayu Eko Prasetya Budi Elvira, Vivi Filia Fajri, Audya Nada Fatimatuzzahra, Siti Ferdhitya Rizky Syauqi Fierda Eka Pratiwi Gloria Priska Britani Sumlang Grace Angelina Hapsari, Palupi Setyo Hasan, Hismawati Hilda Hilda Hutauruk, Hutauruk Huwaidah, Ayu Ida Ayu Indira Dwika Lestari Ida Ayu Indira Dwika Lestari Ike Anggraeni Ike Anggraeni G Anggraeny Ike Anggraeni Gunawan Ike Anggraini Ike Anggraini G Ilfa Pratiwi M Noors Imanuddin, Khairul Irfansyah Baharuddin Pakki Irfansyah Bahruddin Pakki Iriyani K Iriyani Kamaruddin, Iriyani Isnaniah, Enny Ivanca, Abira Iwan M. Ramdan Iwan Muhamad Ramdan Iwan Muhamad Ramdan Jami&#039;an Jami&#039;an Jami’an Jami’an Jaya Mualimin Juliana Hasibuan Jumliana, Jumliana K., Iriyani Kartikasari , Dina Khalisha, Nailah Khalishah az Zahra Kurniawan Khotimah, Vika Khusnul Khusnul, Vika Kurniawan, Khalishah az Zahra La Debi Atthoba Lasari, Aramika Laura, Najoan Brigitta Lenik Gah, Regina Lestari, Ida Ayu Indira Dwika Marinda, Indri Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Maulana, Ady Mochamad Makin, Mochamad Mudassir Yunus Mudassir Yunus Muhammad Khairul Nuryanto Muhammad Rangga Muhammad Sultan Muhammad Sultan, Muhammad Nada, Abira Ivanca Audya Nada, Audya Najoan Brigitta Laura Nauli, Ruth Sekar Noriah, Noriah Norsehan, Norsehan Nur Asiyah Nur Rohmah Nur Rohmah Nur, Syalmitha Auralia Nurlianti Nurlianti Nurlinda, Fitria Nursakti Nursakti Nurul Rizkiana Tistania Panuturi Ratih Elizabeth Thresna Sinaga Paramita, Tri Ratna Pasha, Yuliana Pratama, Dias Rahayu, Eka Putri Rahmad Bakhtiar Rahmat Bahtiar Rahmat Bakhtiar Rahmat Bakhtiar Rahmat Baktiar Rahmi Susanti Ramdam, Iwan Muhammad Ramdan , Iwan M. Rangga, M. Ratih Wirapuspita Wisnuwardani Reny Noviasty Reza Jales Mahesa Adiyatsa Rini Wahidatul Ulpah Risky Amelia Rhamadani Rivana Firnanda Riyan Ningsih Riyan Ningsih Rizqa Mahardhika Ronny Setiawati Rudi Saputra Sadaria Sadaria Sayyid Muhammad Taqie Septiana, Lisa Septimaulida, Firda Setianingtyas, Endah Dwi Setyo Nugroho Sinar Sinar siti nurlela Subirman - Sumarni Sumarni Syarifah Amira Najla Tasha Citra Purnama Ulfah, Meilida W, Ratih Wirapuspita. Wahyudi, Ayu Huwaidah Wahyudianto, Yogik Wardani, Citra Rizki Wijayanti, Dwi Astuti Noor Wirapuspita W, Ratih Wirapuspita Wisnuwardani, Ratih Yadi, Yadi Zheditya Ayu Syawalia Zulhijrian Noor