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Overview of Health Worker Training Effectiveness Using Blended andClassical Methods at Bapelkes East Kalimantan Asiyah, Nur; Adrianto, Ratno; Baharuddin Pakki, Irfansyah
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 Syawalia, Zheditya Ayu; Adrianto, Ratno; Azmiardi, Akhmad
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 Noor, Zulhijrian; Adrianto, Ratno; Pakki, Irfansyah Baharuddin
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.
The Relationship Between Mental Health Disorders and Smoking Behavior in Company X Mardiana, Desy Indah; Adrianto, Ratno
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 WHO study indicates that over 1.1 billion people globally consumed tobacco in 2023, with significantly higher rates among men than women. Furthermore, the Basic Health Research (Riskesdas) statistics from the Indonesian Ministry of Health in 2023 revealed that approximately 14 million adults aged 15 years and older, constituting 6% of Indonesia's population, suffer from symptoms of anxiety and depression. Anxiety and depression are closely associated with smoking behavior, as higher levels of depression correlate with increased smoking tendencies, and conversely, lower levels of depression correspond with decreased smoking tendencies. Workplace- related depression stemming from job stress, fatigue due to work, and reduced anxiety from work fatigue that affects sleep and concentration difficulties can lead to continuous consumption of cigarettes. Objective : The purpose of this study is to determine the relationship between mental health disorders and smoking behavior at Company X Research Methods/ Implementation Methods : This study employs a quantitative research approach with a cross-sectional design. Data were gathered using a questionnaire. The population for this study consists of employees at Company X, with a sample size of 90 respondents selected through accidental sampling. The instruments utilized in this research include the PHQ-9 (measuring depression levels) and GAD-7 (assessing anxiety levels). Statistical analysis for this study involves Spearman's rank correlation test. Results : The Spearman rank correlation calculation yielded a significant value (Sig.) = 0.000 (p value ≤ 0.05), indicating highly significant data. Therefore, H1 is accepted, suggesting a relationship between smoking behavior and mental disorders among employees at Company X. Additionally, the Spearman rank analysis revealed a correlation coefficient of 0.804, indicating a positive correlation Conclusion/Lesson Learned: Based on the research findings, there exists a relationship between mental disorders and smoking behavior among employees at Company X. Increased smoking correlates with higher levels of depression and anxiety. Future research could further develop by employing different research designs, varying independent variables, and expanding the sample size, thereby advancing research in the field of mental health.
Comparison of Hemodialysis Service Cost Effectiveness Using Activity-Based Cost Approach with Hospital Cost and Cost Recovery Rate in Regional Public Hospital IA Moeis Samarinda Hasan, Hismawati; Ratno Adrianto; Ike Anggraeni
Window of Health : Jurnal Kesehatan Vol 8 No 4 (October 2025)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.1485

Abstract

The determination of service rates in hospitals is often not based on unit cost calculations, but rather on fixed rates used by other hospitals for practicality and ease of implementation. This leads to the problem of differences between INA-CBGs rates and hospital rates in the era of the National Health Insurance (JKN). The study aimed to determine the unit cost of Hemodialysis services using the Activity-Based Costing method, and compare with hospital rates and INA CBGs, and calculate the recovery rate cost. This is a descriptive research study employing a case study approach. This research was conducted to describe the current condition of the hospital costing system, revealing the cost structure and calculation of service unit costs using the Activity-Based Costing method. The Hospital's financial transaction reports of 2023 were used as a data source. Data is grouped based on fixed costs, semi-variable costs, and variable costs, and then translated into direct costs and overhead costs to calculate the unit costs of hemodialysis. The results of the Hemodialysis unit cost calculation were compared with hospital rates and INA CBGs. The cost recovery rate was then calculated. The study results showed that the unit cost of Hemodialysis, calculated using the Activity-Based Costing method, was Rp1,364,257. The comparison result was that the unit cost was higher than the hospital rate (86%) and also than the INA CBGs rate (61%). The results of the cost recovery rate (CRR) calculation are still below 100%. Influencing factors include direct costs, overhead costs, and the number of actions.
PENGARUH CUSTOMER RELATIONSHIP MANAGEMENT (CRM) TERHADAP RELATIONSHIP QUALITY (RQ) DI RSUD ABDUL WAHAB SJAHRANIE Sumarni, Sumarni; Adrianto, Ratno; AR, Chaerunnisa; Rahayu, Eka Putri
Jurnal Manajemen Kesehatan Indonesia Vol 13, No 3 (2025): Desember 2025
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.13.3.2025.245-257

Abstract

This study analyzes the influence of Customer Relationship Management (CRM) on Relationship Quality (RQ) in inpatient services at Abdul Wahab Sjahranie Regional Public Hospital, Samarinda. CRM in healthcare comprises four dimensions: Customer Knowledge, Customer Knowledge Management Capability, Customer Interaction, and Customization, which theoretically support patient trust, satisfaction, and commitment. Using a quantitative analytical survey design, data were collected from 390 purposively selected inpatients who had visited the hospital at least twice in the past six months. A closed-ended Likert scale questionnaire was used, and data were analyzed with the Chi-square test. Results show that Customer Knowledge, Customer Knowledge Management Capability, and Customization significantly affect RQ, while Customer Interaction has no significant effect. These findings highlight that understanding patients comprehensively, effectively managing patient knowledge, and tailoring services to patient needs are strategic in strengthening hospital–patient relationships. Practical implications suggest prioritizing CRM strategies focused on patient needs and experiences to foster long-term, mutually beneficial relationships.
Analisis Faktor-faktor yang Berhubungan Dengan Kinerja Pegawai Puskesmas di Kota Samarinda Agustina Simanangi Pamowa; Ratno Adrianto; Akhmad Azmiardi; Irfansyah Baharuddin Pakki; Rahmat Bakhtiar; Ida Ayu Indira Dwika Lestari
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.44055

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Tantangan yang dihadapi Puskesmas dalam meningkatkan kinerja karyawan cukup kompleks. Beberapa kendala yang sering dihadapi termasuk beban kerja yang tinggi, keterbatasan sumber daya manusia, serta fasilitas yang kurang memadai. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan kinerja pegawai Puskesmas di Kota Samarinda. Penelitian ini merupakan penelitian survei analitik dengan menggunakan pendekatan cross sectional. Populasi penelitian ini ialah seluruh pegawai Puskesmas Sidomulyo, Puskesmas Remaja, Puskesmas Karang Asam dan Puskesmas Segiri dengan teknik pengambilan sampel menggunakan total sampling sebanyak 169 orang. Analisa data dilakukan dengan menggunakan analisa univariat dengan distribusi frekuensi, analisa bivariat dengan uji chi square dan analisa multivariat dengan uji regresi logistik. Hasil penelitian menunjukkan faktor yang berhubungan adalah kompetensi (p=0,010), motivasi (p=0,017), kepemimpinan (p=0,020), disiplin kerja (p=0,005), budaya organisasi (p=0,003) dan lingkungan kerja (p=0,011). Sedangkan faktor yang tidak berhubungan ialah kemampuan (p=0,228) dan penghargaan (p=0,420). Faktor yang paling dominan dalam penelitian ini ialah kompetensi (p = 0,003, OR= 18,289) yang berarti pegawai dengan kompetensi yang baik memiliki kemungkinan 18,3 kali lebih besar untuk memiliki kinerja yang baik dibandingkan dengan pegawai yang kompetensinya kurang.
Analisis Faktor-Faktor Mempengaruhi Implementasi Kebijakan Peraturan Daerah Nomor 8 Tahun 2017 Tentang Kawasan Tanpa Rokok (KTR) di SMK 6 Kota Samarinda Juliana Hasibuan; Ratno Adrianto; Nur Rohmah; Ike Anggraini G; Irfansyah Bahruddin Pakki; Ayu Indira Dwika Lestari
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47100

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Indonesia is currently facing a growing number of active smokers, particularly among adolescents. In an effort to protect the public from the negative impacts of cigarette smoke, the Government has established a Smoke-Free Area (KTR) policy. This study aims to analyze the factors influencing the implementation of Regional Regulation Number 8 of 2017 concerning Smoke-Free Areas (KTR) at SMK Negeri 6 Samarinda.This research employed a quantitative approach with a cross-sectional design. The sampling technique used was stratified random sampling, involving 428 student respondents. Data were collected using a questionnaire, and analyzed using path analysis with the help of SPSS software.The results show a direct influence of communication, bureaucratic structure, resources, and disposition on policy implementation (each with a p-value = 0.000). Furthermore, communication had a direct effect on resources (p-value = 0.000), and bureaucratic structure had a direct effect on disposition (p-value = 0.000). An indirect effect was also found between communication and implementation through resources (Sobel test value = 6.132 > t-table = 1.969), as well as between bureaucratic structure and implementation through disposition (Sobel test value = 8.625 > t-table = 1.969).In conclusion, communication, resources, bureaucratic structure, and disposition are key factors influencing the implementation of Regional Regulation No. 8 of 2017 on Smoke-Free Areas in the school environment. communication needs to be improved through regular and interesting socialization. Keywords: Implementation, Smoke-Free Areas, Adolescents, School, Smoking
Penerapan Metode Double Distribution Dalam Penetapan Tarif Pelayanan Poli Gigi Di RS LNG Badak Bontang Atik Suhargiati; Iriyani K; Riyan Ningsih; Jaya Mualimin; Ratno Adrianto; Rahmat Bakhtiar
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

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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.
Faktor-faktor yang Berhubungan Dengan Kinerja Pegawai Puskesmas dalam Meningkatkan Pelayanan Kesehatan di Puskesmas X Samarinda Nurul Rizkiana Tistania; Iwan Muhamad Ramdan; Blego Sedionoto; Nur Rohmah; Riyan Ningsih; Ratno Adrianto
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51316

Abstract

Kinerja pegawai di Puskesmas X merupakan elemen strategis dalam menjamin mutu layanan kesehatan primer, sehingga perlu ditingkatkan melalui pendekatan sistematis terhadap faktor-faktor internal pegawai. Penelitian ini bertujuan untuk menganalisis faktor-faktor apa saja yang berhubungan dengan kinerja. pegawai dalam meningkatkan pelayanan kesehatan di Puskesmas X Samarinda pada tahun 2025. Penelitian ini merupakan penelitian metode kuantitatif dengan pendekatan cross-sectional dengan teknik pengambilan sample yaitu Total Sampling dan jumlah 54 responden, penelitian dilakukan di Puskesmas X dengan pengumpulan data primer melalui kuesioner. Analisis data menggunakan uji Chi-Square sedangkan analisis multivariat menggunakan Analisis Regresi Logistik Hasil penelitian menunjukkan hubungan signifikan antara tekanan kerja (p=0,016), kepuasan kerja (p = 0,034) , dan loyalitas ( p = 0,007) terhadap kinerja pegawai Puskesmas X. Namun, tidak ditemukan hubungan antara kemampuan (p= (0,651) dan rekan kerja (0,313) dengan kinerja pegawai. Variabel yang paling dominan berpengaruh terhadap kinerja pegawai adalah loyalitas (Exp (B) = 4,714 yang mengindikasikan bahwa pegawai dengan loyalitas yang cukup memiliki peluang 4,7 kali lebih besar untuk menunjukkan kinerja yang baik dibandingkan dengan pegawai yang loyalitas nya kurang mendukung. Disarankan Puskesmas mengadakan pelatihan dan pengembangan kompetensi secara berkala menciptakan lingkungan kerja yang kondusif dengan menanamkan nilai-nilai budaya organisasi yang positif agar tercipta kinerja yang baik.
Co-Authors 'Aina 'Uruba, Huurul Adiyatsa, Reza Jales Mahesa Agustina Simanangi Pamowa Agustina, Elvi Akhmad Azmiardi Akhmad Azmiardi Alvie Magda Lesiwal Aminah Aminah Angelina, Grace Annisa Nurrachmawati Annisa Nurracmawati AR, Chaerunnisa AR., Chaerunnisa Astuti, Ashri Budi Astuti, Ayu Sri Mega Astuti, Prima Yulia Atik Suhargiati Atthoba, La Debi Auralia, Syalmita Auralia, Syalmitha Ayu Indira Dwika Lestari Baharuddin Pakki, Irfansyah Baharudin, Irfansyah Bahtiar, Rahmat Bakhtiar, Rahmat Basri, Samsinar Blego Sedionoto Budi, Eko Prasetya Cahyana, Yudi Jaya Chaerunnisa AR Chaerunnisa, Chaerunnisa Dahlia Dahlia Danu Putra, Muhammad Rangga Dedi Priansyah Dias Pratama Eka Dewi Sitepu, Abira Ivanca Eka Putri Rahayu Elvira, Vivi Filia Fajri, Audya Nada Fatimatuzzahra, Siti Firnanda, Rivana Gloria Priska Britani Sumlang Hamri, Ahmad Ahsyar Hapsari, Palupi Setyo Hasan, Hismawati Hilda Hilda Hutauruk, Hutauruk Huwaidah, Ayu Ida Ayu Indira Dwika Lestari Ike Anggraeni Ike Anggraini G 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'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 Lasari, Aramika Laura, Najoan Brigitta Lenik Gah, Regina Lestari, Ida Ayu Indira Dwika Listiyani, Dwi Mahardhika, Rizqa Mardiana, Desy Indah 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 Muhammad Rangga Muhammad Sultan Muhammad Sultan, Muhammad Nada, Abira Ivanca Audya Nada, Audya Najla, Syarifah Amira Najoan Brigitta Laura Nauli, Ruth Sekar Noor, Zulhijrian Noors, Ilfa Pratiwi M Noriah, Noriah Norsehan, Norsehan Nur Asiyah Nur Rohmah Nur Rohmah Nur, Syalmitha Auralia Nurlinda, Fitria Nursakti Nursakti Nurul Rizkiana Tistania Nuryanto, Muhammad Khairul Paramita, Tri Ratna Pasha, Yuliana Payung, Boli Matius Tandi Pratama, Dias Pratiwi, Fierda Eka Purnama, Tasha Citra Rahayu, Eka Putri Rahmat Bakhtiar Rahmi Susanti Ramadhani, Dewi Endah Ramdam, Iwan Muhammad Ramdan , Iwan M. Rangga, M. Ratih Wirapuspita Wisnuwardani Reny Noviasty Risky Amelia Rhamadani Riyan Ningsih Sadaria, Sadaria Saputra, Rudi Septiana, Lisa Septimaulida, Firda Setianingtyas, Endah Dwi Setiawati, Ronny Setyo Nugroho Sinar, Sinar siti nurlela Subirman - SUMARNI Sumarni Sumarni Syauqi, Ferdhitya Rizky Syawalia, Zheditya Ayu Taqie, Sayyid Muhammad Tricindra, Dzulhannisa Ulfah, Meilida Ulpah, Rini Wahidatul Utari, Ari W, Ratih Wirapuspita. Wahyudi, Ayu Huwaidah Wahyudianto, Yogik Wardani, Citra Rizki Wijayanti, Dwi Astuti Noor Wirapuspita W, Ratih Wirapuspita Wisnuwardani, Ratih Yadi, Yadi Yunus, Mudassir