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All Journal Jurnal Ilmu Kedokteran dan Kesehatan Jurnal Medika Malahayati Kumawula: Jurnal Pengabdian Kepada Masyarakat Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Jurnal Abdimas Mandiri Jurnal Kebidanan Mutiara Mahakam Jurnal Ners Indonesian Journal of Global Health research JOURNAL OF COMMUNITY MEDICINE AND PUBLIC HEALTH RESEARCH Jurnal Pengabdian dan Edukasi Sekolah (Jubaedah) Jurnal Pengabdian Kepada Masyarakat Mulawarman Jurnal Medika: Karya Ilmiah Kesehatan Bincang Sains dan Teknologi Jurnal Pengabdian Kesehatan Masyarakat Mulawarman Jurnal Sains dan Kesehatan Proceeding Mulawarman International Conference on Tropical Public Health
Bakhtiar, Rahmat
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Analisis Faktor-faktor yang Berhubungan Dengan Kinerja Pegawai Puskesmas di Kota Samarinda Pamowa, Agustina Simanangi; Adrianto, Ratno; Azmiardi, Akhmad; Pakki, Irfansyah Baharuddin; Bakhtiar, Rahmat; Lestari, Ida Ayu Indira Dwika
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

Abstract

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.
Association Between Birth Weight, Birth Length, and Stunting: A Case Analysis at Lempake Public Health Center, East Kalimantan, Indonesia Rahayu, Hanis Kusumawati; Muhlis, Abdu Nafan Aisul; Bakhtiar, Rahmat; Wijaya, Ramadhani Hengki; Akbar, M. Fachrian; Dzakwan, Sya'idah Alawiah; Rozi, Imam Fathur; Rusdi, Alief Fikri
Journal of Community Medicine and Public Health Research Vol. 6 No. 1 (2025): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v6i1.61270

Abstract

Stunting remains a significant public health concern in Indonesia, as it affects early childhood growth and development, leading to long-term health and cognitive impairments. Birth length and birth weight are critical predictors of stunting, as inadequate growth parameters at birth may contribute to poor nutritional status and delayed development. Toddlers, particularly those in low-resource settings, are among the most vulnerable age groups to dietary deficiencies, making early identification of risk factors essential for prevention efforts. This study aimed to assess the association between birth weight, birth length, and the incidence of stunting among children at Lempake Community Health Center in Samarinda, Indonesia. A quantitative analytic observational study with a case-control design was conducted to evaluate the relationship between these perinatal factors and stunting risk. The findings revealed that stunting was more prevalent among male infants (51.1%) aged 0–11 months. A statistically significant association was observed between birth weight and stunting (p = 0.00), with an odds ratio of 0.414 (95% CI: 0.23–0.72), indicating that children born with a birth weight of <2500 grams had a higher likelihood of experiencing stunting. Similarly, birth length was significantly associated with stunting (p =0.02), with an odds ratio of 0.264 (95% CI: 0.13–0.50), suggesting that infants with a birth length of <48 cm were at an increased risk. These findings underscore the importance of monitoring birth weight and length as early indicators for stunting prevention strategies in Indonesia.
Program Intervensi 1000 Hari Pertama Kehidupan di Desa Senoni, Kecamatan Sebulu, Kabupaten Kutai Kartanegara Anggraini, Fitria; Tandirogang, Nataniel; Yadi; Bakhtiar, Rahmat; Pramulia Yudia, Riries Choiru
Jurnal Abdimas Mandiri Vol. 9 No. 2
Publisher : UNIVERSITAS INDO GLOBAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36982/jam.v9i2.5749

Abstract

Stunting merupakan masalah gizi kronis yang memerlukan intervensi pada periode 1000 Hari Pertama Kehidupan (HPK) sebagai golden age tumbuh kembang anak. Indonesia menempati urutan kelima dunia dengan prevalensi stunting 37% atau hampir 9 juta balita. Program intervensi 1000 HPK dilaksanakan di Desa Senoni, Kecamatan Sebulu, Kabupaten Kutai Kartanegara pada 24 Mei 2025 sebagai upaya pencegahan stunting berbasis masyarakat. Kegiatan ini merupakan kolaborasi Fakultas Kedokteran Universitas Mulawarman dengan masyarakat setempat menggunakan pendekatan edukatif dan partisipatif untuk meningkatkan keterlibatan program. Metode pelaksanaan meliputi sesi edukasi oleh dr. Setya Wardana, Sp.OG dengan materi "Risiko Stunting Periode Kehamilan" dan dr. Magdalena Rusady Goey, MRes, Sp.A dengan materi "Deteksi Gangguan Tumbuh Kembang Anak", talkshow interaktif, pelayanan kesehatan komprehensif, dan evaluasi program. Hasil menunjukkan partisipasi masyarakat tinggi dengan kehadiran mencapai target 50 orang. Sesi edukasi berhasil meningkatkan pemahaman tentang pentingnya asupan gizi adekuat selama kehamilan dan deteksi dini gangguan tumbuh kembang, dibuktikan melalui wawancara 12 peserta yang menyatakan paham dan puas dengan jawaban yang diberikan. Tingginya antusiasme terlihat dari banyaknya peserta yang hadir dan mengajukan pertanyaan pada sesi talkshow interaktif. Pelayanan kesehatan komprehensif memberikan manfaat langsung melalui pemeriksaan antropometri, konsultasi medis, dan pelayanan caregiver. Pelaksanaan kegiatan mencapai dua tujuan utama: pencegahan stunting tingkat desa melalui edukasi 1000 HPK dan menciptakan model replikatif untuk wilayah lain. Program ini relevan karena merupakan inisiatif perdana pencegahan stunting yang menargetkan periode 1000 HPK di wilayah tersebut.
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.
Pengaruh Ekspektansi Usaha dan Kualitas Sistem Informasi terhadap Penggunaan Aplikasi Rekam Medis Elektronik Bachtiar, Silvani; Bakhtiar, Rahmat; Sedionoto, Blego
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.v9i4.48482

Abstract

Latar Belakang: Transformasi dari rekam medis manual ke Rekam Medis Elektronik (RME) menjadi bagian penting dari modernisasi layanan kesehatan berbasis teknologi informasi. Meskipun telah menjadi prioritas Kementerian Kesehatan, implementasi RME di sejumlah daerah, termasuk Kalimantan Timur, belum optimal. RS Siaga Al Munawwarah Samarinda mulai menerapkan RME sejak tahun 2023, namun aspek penerimaan pengguna belum sepenuhnya diperhatikan. Tujuan: untuk menganalisis pengaruh persepsi pengguna terhadap perilaku penggunaan RME berdasarkan model UTAUT 3, dengan fokus pada ekspektansi usaha dan kualitas sistem informasi. Metode: Penelitian menggunakan desain kuantitatif cross sectional dan dianalisis dengan SEM-PLS. Sampel terdiri dari 73 tenaga kesehatan yang dipilih dengan teknik disproportionate random sampling dan data dikumpulkan melalui kuesioner Likert. Hasil: ekspektansi usaha dan kualitas sistem informasi berpengaruh langsung terhadap perilaku pengguna. Ekspektansi usaha juga memengaruhi perilaku pengguna secara tidak langsung melalui niat perilaku. Namun, niat perilaku tidak memediasi pengaruh kualitas sistem informasi secara signifikan. Niat perilaku terbukti berpengaruh langsung terhadap perilaku pengguna. Simpulan: Untuk meningkatkan Perilaku Pengguna melalui Niat Pengguna, Rumah sakit perlu memastikan sistem yang mudah digunakan, berkualitas, dan didukung pelatihan serta komunikasi untuk memperkuat niat pengguna, agar implementasi RME lebih optimal dan berkelanjutan.
Analysis of Patient Complaint Handling Management Regarding Health Services in Maintaining Hospital Quality Ekawati, Muftiana Finansi; Bakhtiar, Rahmat; Sedionoto, Blego
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6326

Abstract

Complaints received by hospitals from patients and their families have the potential to provide (early) warnings that, if followed up, can prevent patient safety incidents. Complaints about services can be used to improve the standard of health facility services. Therefore, organizing complaint forms for hospitals minimizes complaints in the hope of reducing the risk of patient safety hazards and improving the quality of hospital services. This study aims to analyze and explore the management of complaint handling at Balikpapan Baru Hospital. Using a qualitative research method with a phenomenological approach with researchers as instruments. In-depth interviews with 5 informants through purpose sampling techniques. Data sources in the form of patient complaints for the period July-November 2023. Most patient complaints were related to the behavior (communication method) of health workers, patients who submitted complaints were directly directed to fill in and there were obstacles in the form of differences in perception of complaint categories by health workers. Complaint handling management at Balikpapan Baru Hospital is managed by team and involves various units. There were obstacles in the form of different perceptions in filling out the form and different responses regarding complaint handling related to communication between health workers.
Analysis of the Relationship Between Knowledge, Perception, and Workload of Nurses on Patient Safety Culture Norsehan, Norsehan; Adrianto, Ratno; Bakhtiar, Rahmat; Pakki, Irfansyah Baharuddin; Hilda, Hilda
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6442

Abstract

Patient safety culture refers to a pattern of behavior of both individuals and organizations that consistently seek to reduce the risk of harm or injury to patients due to the services provided, based on shared beliefs and values. This study aims to analyze the relationship between knowledge, perceptions, and workload of nurses on patient safety culture at Beriman Hospital, Balikpapan City. The method used in this study is a quantitative approach with a cross-sectional design, involving all nurses working in the service unit of Beriman Hospital, Balikpapan City, totaling 129 respondents (total sampling). This study was conducted from February to March 2025, with data collection using a questionnaire that had been tested for validity and reliability. Univariate data analysis, chi-square test, and logistic regression. The results showed good knowledge 81.4%, good perception 51.2%, high workload 50.4% and patient safety culture value 58.9%. The results of the chi-square test sig value of knowledge: 0.600 and perception: 0.302, both (p> 0.05) indicating no relationship between knowledge and perception of nurses towards patient safety culture. However, the sig value for workload is 0.006 (p <0.05) indicating a relationship between workload and patient safety culture. The results of the logistic regression test show that nurses' workload has a significant effect on patient safety culture with a significance value (Sig) of 0.009. The Odds Ratio (OR) value of 2.712 indicates that nurses with a higher workload are 2.7 times more likely to influence patient safety culture compared to those with a low workload. The conclusion is that workload is the factor most related to patient safety culture.
An Analysis of Relationship Between Organization Climate, Work Culture, and Work Environment on Employee Job Satisfaction Nursakti, Nursakti; Adrianto, Ratno; Bakhtiar, Rahmat; Pakki, Irfansyah Baharuddin; Hilda, Hilda
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6575

Abstract

The background of this research was based on the importance of job satisfaction in improving the quality of services in the health sector, especially in community health centers. This study aimed to analyze the relationship between organizational climate, work culture, and work environment on job satisfaction of employees at Klandasan Ilir Public Health Center and Manggar Baru Public Health Center in Balikpapan City. The research method used a quantitative approach with a survey technique conducted on employees at both public health centers using a cross-sectional approach. The sampling technique was total sampling with a total of 111 respondents. Data were collected through a questionnaire that included indicators of organizational climate, work culture, work environment, and job satisfaction. Data analysis was conducted using univariate analysis with frequency distribution, bivariate analysis with the chi-square test, and multivariate analysis with logistic regression. The study found that 80.2% of respondents were female, with the majority working in the General Services Unit. Most had a diploma-level education and more than three years of work experience. Bivariate analysis showed significant relationships between job satisfaction and all three independent variables. Multivariate analysis indicated that work culture was the most significant factor influencing job satisfaction (p = 0.001; OR = 0.147). Work culture had the strongest relationship with job satisfaction among Puskesmas employees. Efforts to improve work culture can lead to higher satisfaction and better service quality.
Efek Neuropsikiatri Halusinasi pada Pasien HIV dengan Pengobatan ARV/OAT: Pendekatan Kedokteran Keluarga: Neuropsychiatry Hallucinations on ARV/OAT Therapy HIV Patient: A Family Medicine Approach Rahayu, Hanis Kusumawati; Bakhtiar, Rahmat; Setiya, Aulia; Ramadhani, Tiara
Jurnal Sains dan Kesehatan Vol. 6 No. 3 (2024): J. Sains Kes.
Publisher : Fakultas Farmasi, Universitas Mulawarman, Samarinda, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25026/jsk.v6i3.2205

Abstract

A male 34th patient in Sempaja Health Care was diagnosed with TB-HIV. The patient came into primary health care services to take the ARV cocktail treatment. He started the medication on 2nd January 2023, he also got OAT treatment at Dirgahayu hospital.  After 4 days of consumption, the patient felt that he heard a whisper noise. This symptom is for two weeks and becomes progressively aggravated. Keywords:          HIV, ARV, Hallucination, OAT, Family Medicine   Abstrak Laki-laki 34 tahun didiagnosis dengan TB HIV di Puskesmas Sempaja. Pasien datang untuk mengambil Obat ARV (Anti Retro Virus). Pasien memulai konsumsi ARV sejak 2 Januari 2023, pasien juga mendapatkan pengobatan OAT (Obat Anti Tuberkulosis) dari Rumah Sakit Dirgahayu. Namun setelah mengkonsumsi obat pasien merasakan suara-suara bisikan, gejala ini berlangsung selama dua minggu dan semakin bertambah parah. Kata Kunci:         HIV, ARV, Halusinasi, OAT, Kedokteran Keluarga
Analysis of Drug Logistics Management at the Pharmacy Installation of Kerang Hospital Paser and Its Relationship to Patient Satisfaction Saputra, Rio; Bakhtiar, Rahmat; Sedionoto, Blego
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background :Drug logistics management is a crucial component in ensuring the quality of hospital health services. The effectiveness of drug logistics management which includes planning, procurement, storage, distribution, and control directly affects drug availability and patient satisfaction. This study aims to analyze the implementation of drug logistics management at the Pharmacy Installation of Kerang Regional General Hospital (RSUD Kerang), Paser Regency, and to determine its relationship with patient satisfaction levels. Objective : The research aims to analyze the pharmaceutical logistics management at the Pharmacy Department of Kerang Regional General Hospital, Paser Regency, and to examine its relationship with patient satisfaction Research Methods/ Implementation Methods : This research employed a mixed methods approach with a sequential explanatory design, combining qualitative and quantitative methods. Qualitative data were collected through in-depth interviews with pharmaceutical management staff, while quantitative data were obtained from questionnaires distributed to 100 patients using pharmacy services. Quantitative data were analyzed using Chi-Square and multiple logistic regression tests at a 95% confidence level. Results : The results showed that the overall implementation of drug logistics management at RSUD Kerang was in the “moderately good” category, with procurement being the highest-performing aspect. The Chi-Square test revealed that only the variables of drug procurement (p = 0.011) and drug distribution (p = 0.085) had a significant relationship with patient satisfaction, whereas planning, storage, and control did not show significant effects. Multiple logistic regression analysis identified drug procurement as the most influential factor on patient satisfaction with an Exp(B) value of 3.47, followed by drug distribution with an Exp(B) value of 2.44. Conclusion/Lesson Learned : In conclusion, effective procurement and distribution of drugs are the key determinants in improving patient satisfaction with pharmacy services. It is recommended that RSUD Kerang strengthen data-based drug planning systems, accelerate procurement and distribution processes through digitalization, and enhance the competence of pharmaceutical human resources.
Co-Authors Abdillah, Hazimah Qisthina Adrianto, Ratno Akbar, M. Fachrian Akhmad Azmiardi Anggraini, Fitria Dewi Puspita Bachtiar, Silvani Blego Sedionoto, Blego Dhesi Ari Astuti, Dhesi Ari Dzakwan, Sya'idah Alawiah Ekawati, Muftiana Finansi Endang Sawitri Fanny Metungku Fardal, Farah Azizzah Fikriah, Ika Hanis Kusumawati Rahayu Harianja, Gabriella Bioctin Hary Nugroho Hilda Hilda Idris, Fagil Rananda Irfansyah Baharuddin Pakki Iriyani K Krispinus Duma Lanang Karunia Lestari, Ida Ayu Indira Dwika Maina, Annin Dya Mona Zubaidah Mualimin, Jaya Muhlis, Abdu Nafan Aisul Nanda, A. Luthfiah Nataniel Tandirogang Nisa R, Indhira Zakhiatun Norsehan, Norsehan Nursakti Nursakti Nuryanto, Muhammad Khairul Pamowa, Agustina Simanangi Pramulia Yudia, Riries Choiru Putri, Nabiela Annisa Rachman, Syarifah Awwaliyyah Rahmah Retnaningrum, Yuliana Ramadhani, Tiara Ramadhanny, Candra Ramadhany, Candra RASYID, ERWIN Riko Riries Choiru Pramulia Yudia Riyan Ningsih Rizky, Andi Aulya Ronny Isnuwardana Rosyady, Phisca Aditya Rozi, Imam Fathur Rusdi, Alief Fikri Salsabila, Naila Cantika Sanjaya, Regina Anastasia Saputra, Rio Saputra, Rudi Setiya, Aulia Sholichin Siti Khotimah Sri Purwatiningsih Subagio, Kiki Jayapratama Sudarso, Sulistiawati Suhargiati, Atik Syahrun Ulyah, Rochimah Thul Vera Yuli Erviana Warsiti Wibowo, Hutomo Judhi Christianto Wijaya, Ramadhani Hengki Yadi Yadi Yasir