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Evaluation of Health Promotion Implementation at General Ahmad Yani Hospital, Metro City Fansuri, Muhaimin; Setiaji, Bambang; Karyus, Aila; Budiati, Endang; Rolia, Eva; Irawan, Hengki
Miracle Journal of Public Health Vol 7 No 2 (2024): Miracle Journal of Public Health (MJPH)
Publisher : Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/mjph.v7i2.367

Abstract

The implementation of health promotion in hospitals faces various obstacles, one of which is the passive attitude of hospitals that only wait for patients to come without paying attention to health aspects in the surrounding environment. This study evaluates the suitability of implementing standards I, II, III, and IV of Hospital Health Promotion (PKRS) at RSUD Jenderal Ahmad Yani Metro City. The study used a qualitative approach with descriptive methods and involved eight informants. Data were collected through in-depth interviews, observation, and documentation. The results showed that the implementation of PKRS regulations at RSUD Jenderal Ahmad Yani has yet to reach the optimal level. Standard I has yet to be met due to the lack of regulation related to CHAP in the Hospital Strategic Plan (Renstra). In standard II, no health promotion needs assessment has been conducted for various related parties. Meanwhile, in standard III, health promotion interventions have been carried out well for patients and families, although there are still areas for improvement in interventions for hospital human resources. Standard IV shows that monitoring and evaluation have yet to be implemented consistently. Implementing the PKRS regulation at RSUD Jenderal Ahmad Yani still requires improvement to reach the optimal level.
Analysis of Compliance with the Use of the Elsimil Application in Reducing Stunting Rates in Metro Cities Septiyani, Desi; Setiaji, Bambang; Budiati, Endang; Pramudho, Kodrat
Miracle Journal of Public Health Vol 7 No 2 (2024): Miracle Journal of Public Health (MJPH)
Publisher : Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/mjph.v7i2.375

Abstract

The Family Facilitator Team (TPK) compliance in Metro City in using the Electronic Application Ready for Marriage and Pregnancy (Elsimil) is still low, even though this application plays an important role in efforts to reduce stunting. This study aims to analyze the predisposing, supporting, and driving factors that influence TPK compliance using the Elsimil application. The research design was descriptive quantitative with a cross-sectional method, involving 134 TPK members in five sub-districts of Metro City. Respondents consisted of 117 people (87.3%) aged >35 years and 17 people (12.7%) aged ≤35 years. Data were collected through questionnaires and analyzed using the Chi-Square test and multiple regression. The results showed that facilities and infrastructure factors significantly affected TPK compliance (p-value=0.000; OR=192). Predisposing factors, such as knowledge, were also significant (p-value=0.003; OR=85.3). In contrast, enabling factors, such as support from community leaders, did not show a significant association. Improvement of facilities and infrastructure and education on the Elsimil application are the main strategies for improving TPK compliance. Efforts to strengthen technological infrastructure and organize comprehensive educational programs are needed to optimize the use of the Elsimil application to support the stunting reduction program in Metro City.
Analisis Faktor Pendorong dan Pemungkin yang Berhubungan dengan Kepatuhan Minum Obat Pasien DM tipe II Iqbal, M Buyung; Budiati, Endang; Karyus, Aila; Pramudho, PA Kodrat
Jurnal Dunia Kesmas Vol 13, No 4 (2024): Volume 13 Nomor 4
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v13i4.16322

Abstract

Di Lampung Utara, ketidakpatuhan masih terjadi, berdasarkan hasil penelitian dari 412 responden, sebanyak 293 responden (71.1%) tidak patuh minum obat. Sedangkan hanya 119 responden (28.9%) patuh dalam mengkonsumsi obat. Penelitian bertujuan untuk menganalisis dukungan keluarga, peran perangkat desa, promosi kesehatan, peran petugas kesehatan dan peran tokoh masyarakat dengan kepatuhan minum obat pasien diabetes mellitus. Jenis penelitian kuantitatif dengan desain pendekatan cross sectional. Populasi penelitian yaitu seluruh pasien dengan sampel 412 responden. Teknik sampling stratified random sampling. Hasil diketahui ada hubungan dukungan keluarga p-value 0,002, OR 2.685, peran perangkat desa p-value 0,014 dan OR 2.061, promosi kesehatan p-value 0,017 OR 2.522, peran petugas kesehatan p-value 0,008 OR 2.267, peran tokoh masyarakat p-value 0,032 dan OR 1.823. Variabel dukungan keluarga menjadi dominan berhubungan dengan kepatuhan minum obat pasien diabetes mellitus tipe II di Kabupaten Lampung Utara dengan p-value 0,001 dan OR (Exp (B)) 2.782. Melakukan advokasi dan audiensi dalam perumusan kebijakan, yang berfokus pada penyediaan program edukasi khusus untuk keluarga pasien diabetes dilaksanakan oleh dinas dan melibatkan sector eksternal seperti perguruan tinggi, komunitas, atau organisasi profesi.
Analisis Faktor Penghambat Calon Pengantin dalam Pencatatan Elsimil di Kabupaten Pesawaran tahun 2024 Anggraeni, Gustira; Karyus, Aila; Irianto, Sugeng Eko; Budiati, Endang
Jurnal Dunia Kesmas Vol 14, No 1 (2025): Volume 14 Nomor 1
Publisher : Persatuan Dosen Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jdk.v14i1.16307

Abstract

Rendahnya pencatatan ELSIMIL pada calon pengantin di Indonesia berdampak pada beberapa masalah, diantaranya terhambatnya upaya pencegahan stunting, meningkatkan potensi angka stunting, memicu masalah kesehatan lainnya seperti anemia pada ibu, kekurangan gizi dan persalinan premature, melemahnya program pemerintah dalam pencegahan stunting. Di Kabupaten Pesawaran dari 612 calon pengantin yang ada, hanya 22% calon pengantin yang tercatat dalam aplikasi ELSIMIL. Tujuan penelitian, menganalisis faktor penghambat pencatatan ELSIMIL, dengan variabel independen pengetahuan, dukungan keluarga, dukungan petugas kesehatan, peran tokoh masyarakat, akses informasi dan motivasi calon pengantin. Jenis penelitian kuantitatif desain cross sectonal. Subjek penelitian seluruh calon pengantin di kecamatan Gedong Tataan (Perkotaan), Way Ratai (Pegunungan) dan Teluk Pandan (Pesisir) Kabupaten Pesawaran dengan jumlah 142 orang. Sampel penelitian sejumlah 105 responden. Teknik sampling proportional random sampling. Pengumpulan data dengan observasi dan wawancara. Hasil menunjukkan ada hubungan pengetahuan (p-value 0,020), dukungan keluarga (p-value 0,037), dukungan petugas kesehatan (p-value 0,000), peran tokoh masyarakat (p-value 0,033), akses informasi (p-value 0,010) dan motivasi calon pengantin (p-value 0,016) dengan pencatatan ELSIMIL. Variabel dukungan petugas kesehatan paling dominan dengan (p-value 0,000) dan OR 5.704. Diharapkan Membentuk tim pendukung yang terdiri dari petugas kesehatan, KUA, dan tokoh masyarakat untuk membantu dalam proses pencatatan ELSIMIL di terutama daerah terpencil.
Analisis Kualitas Pelayanan Terhadap Kepuasan Pasien di Instalasi Rawat Jalan RSUD Pringsewu Tahun 2024 Prihantini, Ika Swastika; Irianto, Sugeng Eko; Budiati, Endang; Karyus, Aila; Rahayu, Dewi
Ranah Research : Journal of Multidisciplinary Research and Development Vol. 6 No. 5 (2024): Ranah Research : Journal Of Multidisciplinary Research and Development (Juli 20
Publisher : Dinasti Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/rrj.v6i5.1048

Abstract

Kepuasan pasien merupakan salah satu indikator penting dalam menilai kualitas pelayanan kesehatan. Di RSUD Pringsewu, survey kepuasan dilakukan 6 bulan sekali, adapun, waktu tunggu dan kepuasan pasien belum memenuhi target indikator nasional sebesar 100%. Waktu tunggu mencapai 85,77%. Tujuan penelitian yaitu menganalisis hubungan akses, proses penerimaan, waktu tunggu, lingkungan fisik, konsultasi dokter, informasin pada pasien dengan kepuasan pasien di Instalasi Rawat Jalan RSUD Pringsewu. Jenis penelitian, kuantitatif, dengan desain cross sectional. Adapun jumlah sampel sebanyak 146 responden dengan teknik pengambilan sampel accidental sampling. Metode pengambilan data menggunakan kuesioner. Hasil analisis statistik menunjukan ada hubungan akses (p-value 0,042), proses penerimaan (p-value 0,017), waktu tunggu (p-value 0,005), lingkungan fisik (p-value 0,026), konsultasi dokter (p-value 0,022), informasi untuk pasien (p-value 0,018) dengan kepuasan pasien. Variabel waktu tunggu dominan berhubungan dengan kepuasan pasien di Instalasi Rawat Jalan dengan (p-value 0,006 dan OR 7,269). Diharapkan manajemen melakukan evaluasi rutin terhadap kinerja staf serta memberikan pelatihan yang diperlukan untuk meningkatkan efisiensi pelayanan dan kemampuan manajemen waktu
Relationship Between Personal Hygiene and the Incidence of Diarrhea in Children Komariah, Komariah; Aziza, Nurul; Putri, Dian Utama Pratiwi; Budiati, Endang
Proceedings of the International Conference on Nursing and Health Sciences Vol 6 No 1 (2025): January-June 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v6i1.5991

Abstract

Diarrhea is increasing frequency of defecate as much as 3 or more in 1 day and the consistency more liquid from normal humans. Diarrhea is usually a symptom of intestinal infection, which can be caused of some bacteria, virus, parasite. The infection are disperse through contaminated food and drink, or people to people as a effect of the poor hygiene. This research study is aimed to know the correlation of incidence of diarrhea with personal hygiene in children at regional Lemong public health center in 2023. Method used on this research is quantitative method with a cross sectional study approach. The sample is determined by probably sampling and sample obtained 55 respondents. The tools used to collect data in this research is questionnaire sheet then analyzed by Chi square statistical tests. The data is analyzed with statistic software. Statistical test results found a significant correlation or relationship between incindence of diarrhea and the behavior of washing hand with soup (ρ-value =0,001), significant correlation between the incidence of diarrhea with the behavior of maintaining hand and nail hygiene (ρ-value <0,002), significant correlation between the incidence of diarrhea with defecation behavior (ρ-value <0,048). It can be concluded that personal hygiene is related to the incidence of diarrhea in regional of Lemong public health center, west coast district in 2023. So it can be concluded that personal hygiene is related to the incidence of diarrhea in regional of the Lemong Public Health Center, Pesisir Barat District in 2023.
Optimizing the Role of Hospital Health Promotion in Improving Superior Services Fansuri, Muhaimin; Setiaji, Bambang; Karyus, Aila; Budiati, Endang; Irianto, Sugeng Eko; Rolia, Eva
Miracle Journal of Public Health Vol 8 No 1 (2025): Miracle Journal of Public Health (MJPH)
Publisher : Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/mjph.v8i1.409

Abstract

This study used a descriptive qualitative approach with the aim of evaluating the implementation of the Hospital Health Promotion Programme (PKRS) at RSUD Jenderal Ahmad Yani Metro City in 2024. The research sample consisted of 8 informants selected using purposive sampling technique, which included 1 Head of PKRS Installation, 3 medical staff, and 4 patients. Data collection techniques were conducted through in-depth interviews, direct observation, and documentation. Analysis was conducted using a thematic analysis approach. The results showed that the implementation of the Hospital Health Promotion Programme (PKRS) at RSUD Jenderal Ahmad Yani Metro City still faces obstacles, such as the lack of structured training for medical and non-medical staff, the non-integration of the PKRS programme in all hospital service lines, and the absence of structured ongoing evaluation. Strengthening the use of educational media, coordination between departments, and increasing the budget to support CSE activities are also needed. It is expected to improve service quality, reduce nosocomial infection rates, and strengthen public awareness of the importance of Clean and Healthy Living Behaviour (PHBS) in providing superior health services.
FAKTOR YANG BERHUBUNGAN DENGAN PARTISIPASI PEKERJA WANITA DALAM GERAKAN PEKERJA PEREMPUAN SEHAT DAN PRODUKTIF (GP2SP) Susanti, Ariani; Budiati, Endang; Rahayu, Dewi; Pramudho, Kodrat
Jurnal Ilmiah Kesehatan Media Husada Vol 14 No 1 (2025): April
Publisher : LPPMK STIKES Widyagama Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33475/jikmh.v14i1.416

Abstract

The impact of worker inactivity in GP2SP (Gerakan Pekerja Perempuan Sehat dan Produktif) includes not receiving education and facilities supporting workers' physical and mental health, unmet gender equality in the workplace, and hindered personal development, quality of life, and work productivity. Interview results revealed that only 65% of the GP2SP program's target has been achieved out of 3,000 workers. The purpose of this research is to analyze the factors related to the participation of female workers in the GP2SP. This quantitative study uses a cross-sectional design. The research sample consists of 101 respondents, selected through purposive sampling technique. The results showed a relationship between knowledge with a p-value of 0.010, workers' attitudes with a p-value of 0.021, family support with a p-value of 0.013, social support with a p-value of 0.036, and the role of the GP2SP team in the workplace with a p-value of 0.023. Among these, family support is dominantly related to worker participation in GP2SP with a p-value of 0.023 and an OR of 6.348. It is suggested to plan a mayoral policy to strengthen family support involving all sectors and fields through health education, communication, and guidance to the families of female workers.
Determinan Perilaku Wanita Melakukan Deteksi Dini Kanker Serviks Susanti, Ferlia; Setiaji, Bambang; Adyas, Atikah; Karyus, Aila; Budiati, Endang
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 4 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Oktober 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i4.3801

Abstract

Kanker serviks menempati urutan keempat pada wanita di dunia dengan 660.000 kasus baru dan 350.000 kematian pada tahun 2022. Deteksi dini menjadi upaya penting untuk menurunkan angka kematian, namun cakupan nasional tahun 2022 baru mencapai 9,19%, sedangkan di Kabupaten Lampung Selatan hanya 7,3%, jauh di bawah target renstra 45%. Tahun 2024, hanya 7,22% wanita di Kabupaten Lampung Selatan yang melakukan deteksi dini, dengan 200 kasus positif ditemukan. Penelitian ini bertujuan mengetahui determinan perilaku wanita melakukan deteksi dini kanker serviks di Kabupaten Lampung Selatan. Penelitian menggunakan kuantitatif dengan desain cross-sectional. Penelitian dilakukan bulan Februari-Maret 2025. Populasi penelitian ini wanita yang sudah menikah berusia 30-69 tahun berjumlah 262.599 orang. Sampel diambil sebanyak 120 responden menggunakan teknik proportional sampling. Data dikumpulkan melalui kuesioner yang telah diuji validitas dan reliabilitas. Dianalisis univariat, bivariat, serta multivariate dengan menggunakan uji regresi logistik. Hasil penelitian menunjukkan adanya hubungan signifikan pada pengetahuan (p-value=0,009), sikap (p-value=0,000), keterpaparan media informasi (p-value=0,039) dan tidak adanya hubungan signifikan (p-value>0,05) pada tingkat pendidikan, usia, keterjangkauan akses, status ekonomi, dukungan suami/keluarga, dukungan petugas kesehatan, dukungan kader kesehatan  dengan perilaku wanita melakukan deteksi dini kanker serviks. Variabel dominan adalah sikap (p-value=0,000;OR=5,101).
Analisis faktor yang berhubungan dengan keikutsertaan pemeriksaan deteksi dini kanker serviks metode iva pada wanita usia 30-50 tahun Surya, Syiefa Renanda; Setiaji, Bambang; Budiati, Endang; Irianto, Sugeng; Karyus, Aila
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 6 (2025): August Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i6.1133

Abstract

  Background: Early detection is an activity carried out to find out early about the possibility of a person having a disease. Early detection of cervical cancer is done to detect the possibility of someone having cervical cancer. The achievement of IVA examination in Bandar Lampung is only 36.2%. from the target of 50%. Purpose: To determine the factors associated with the participation of early detection of cervical cancer by the iva method in women aged 30-50 years Method: Quantitative research with cross sectional design. The process of collecting data using a questionnaire. The study population was women aged 30-50 years in the work area of the Health Center in Bandar Lampung City, totaling 183,855 people. The number of respondent samples calculated using the Slovin formula obtained a total of 440 samples. The sampling technique in this study was probability sampling. Results: There is a relationship between knowledge and participation in VIA examination with a p-value of 0.00 and an OR value of 78.053. There is a relationship between husband support and participation in VIA examination with a p-value of 0.00 and an OR value of 72.659. There is a relationship between support from community leaders and participation in VIA testing with a p-value of 0.00 and an OR of 52.567. There is a relationship between PKK cadre support and participation in VIA examination with a p-value of 0.00 and an OR value of 62.56. PKK cadre support is the most dominant variable with an OR value of (3.493). Conclusion: There is a relationship between husband's support for participation in VIA testing, there is a relationship between support from community leaders for participation in VIA testing, there is a relationship between support from PKK cadres and participation in VIA testing. Suggestion: PKK cadres are expected to provide counseling, motivation, and assistance for WUS to conduct early detection of cervical cancer by VIA method.