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Analysis of Factors Influencing The Drop Out of Family Planning Acceptors Widyastuti, Yuni; Menap, Menap; Sastrawan, Sastrawan; Pratiwi, Intan Gumilang
Jurnal Kesehatan Prima Vol. 18 No. 2 (2024): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i2.1706

Abstract

Population issues are still the main focus of both developed and developing countries including Indonesia. The government through the Population and Family Planning Sector continues to strive to reduce the Total fertility Rate by reducing the drop out rate of contraceptive use. Drop out is the non-participation of fertile age couples to become family planning acceptors. The purpose of this study was to determine the factors that influence the drop out of family planning acceptors in West Lombok Regency. Previous studies stated that the factors causing drop out were knowledge, attitudes and distance from health services. The difference between this study and previous researchers is the research method used, the location of the study and the time of the study, and to determine the most dominant factors causing drop out. The research design used Cross-Sectional, a population of 135,076 with a sample size of 100 fertility age couple obtained randomly using the proportional to size method, the research instrument used a questionnaire. Data analysis used the chi square test to determine the effect and the multivariate logistic regression test to see the most dominant effect. Results: Chi Square test of knowledge factor obtained p value 0.000 < from alpha (0.05), motivation factor obtained p value 0.0005 < from alpha (0.05), access factor obtained p value 0.961 > from alpha (0.05), insurance ownership obtained p value 0.001 < from alpha (0.05) and work obtained p value 0.000 < from alpha (0.05) Conclusion: there is an influence of knowledge, motivation, insurance ownership and respondent's work with the occurrence of drop out in family planning acceptors while respondent access has no influence on the occurrence of drop out in West Lombok Regency. While the most dominant factor is motivation with OR value 5.575, meaning KB acceptors who do not have strong motivation have a risk or tendency of 5 to 6 times dropping out as family planning acceptors.
Hubungan persepsi beban kerja, motivasi, dan iklim kerja dengan kinerja tenaga kesehatan Fauziah, Fauziah; Sastrawan, Sastrawan; Setiawan, Sabar
Holistik Jurnal Kesehatan Vol. 19 No. 11 (2026): Volume 19 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i11.2078

Abstract

Background: Healthcare worker performance is a key factor in ensuring optimal quality healthcare services. Performance is influenced by various internal and external factors, including perceived workload, motivation, and work climate. Understanding the relationship between these three factors is necessary to support increased healthcare worker effectiveness in primary care facilities. Purpose: To determine the relationship between perceived workload, motivation, and work climate with healthcare worker performance. Method: This quantitative study employed a survey design. Data were collected through a questionnaire that had been tested for validity and reliability. Data were analyzed using Spearman Rank bivariate correlation and multiple regression with robust standard errors. The study sample was obtained purposively from healthcare workers at the Batukliang Utara District Community Health Center. Results: Bivariate analysis showed that work climate variables had a positive and significant correlation with performance, while perceived workload was not significant. Motivation had a strong and significant relationship with performance in both bivariate and multivariate tests. However, in multiple regression, work climate did not significantly affect performance. Conclusion: Motivation was the dominant factor influencing healthcare worker performance, followed by a supportive work climate. Perception of workload does not directly affect performance.   Keywords: Healthcare Workers; Motivation; Performance; Workload; Work Climate.   Pendahuluan: Kinerja tenaga kesehatan merupakan faktor kunci dalam memastikan mutu pelayanan kesehatan yang optimal. Kinerja dipengaruhi oleh berbagai faktor internal dan eksternal, di antaranya persepsi terhadap beban kerja, motivasi, dan iklim kerja. Pemahaman mengenai hubungan ketiga faktor tersebut diperlukan untuk mendukung peningkatan efektivitas tenaga kesehatan di fasilitas pelayanan dasar. Tujuan:  Untuk mengetahui hubungan antara persepsi beban kerja, motivasi, dan iklim kerja dengan kinerja tenaga kesehatan. Metode: Penelitian kuantitatif dengan desain survei. Data dikumpulkan melalui kuesioner yang telah diuji validitas dan reliabilitasnya. Analisis data menggunakan uji korelasi bivariat Spearman Rank serta regresi berganda dengan robust standard errors. Sampel penelitian diperoleh secara purposif dari tenaga kesehatan di Puskesmas Wilayah Kecamatan Batukliang Utara. Hasil: Analisis bivariat menunjukkan variabel iklim kerja memiliki korelasi positif dan signifikan dengan kinerja, sedangkan persepsi beban kerja tidak signifikan. Motivasi memiliki hubungan kuat dan signifikan terhadap kinerja baik pada uji bivariat maupun multivariat. Namun, pada regresi berganda, iklim kerja tidak berpengaruh signifikan terhadap kinerja. Simpulan: Motivasi merupakan faktor dominan yang memengaruhi kinerja tenaga kesehatan, diikuti dengan peran iklim kerja yang mendukung. Persepsi beban kerja tidak berpengaruh langsung terhadap kinerja.   Kata Kunci: Beban Kerja; Iklim Kerja; Kinerja; Motivasi; Tenaga Kesehatan.
Hubungan komponen health belief model (HBM) dengan kepatuhan minum obat dan tingkat stress pada pasien hipertensi Fauziah, Fauziah; Sastrawan, Sastrawan; Setiawan, Sabar; Mardani, Raden Ahmad Dedy
Holistik Jurnal Kesehatan Vol. 19 No. 12 (2026): Volume 19 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i12.2079

Abstract

Background: Hypertension is a silent killer because sufferers often do not experience any symptoms at all. Complications can occur if hypertension cannot be controlled or remains high for a long period of time. The Health Belief Model (HBM) is a model used to describe individuals' beliefs about healthy living behaviors, so that individuals will engage in healthy behaviors, which can be preventive behaviors or the use of health facilities. Purpose: To determine the relationship between components of the Health Belief Model (HBM) and medication adherence and stress levels in hypertensive patients. Method: This observational analytical study, using a cross-sectional design, was conducted at the North Batukliang District Community Health Center in hypertensive patients. A sample of 90 respondents was used. Data collection was conducted through interviews, surveys, and questionnaires. Multiple logistic regression was used as the data analysis technique. Results: Based on the results of statistical tests on the relationship between the health belief model (HBM) and medication adherence, the p-value was 0.000 (< 0.05), with an Odd Ratio (OR) = 9.425. Respondents in the high perception category were 9.425 times more likely to adhere to medication compared to those in the low perception category. The relationship between the health belief model (HBM) and stress levels yielded a p-value of 0.002 (<0.05) and an odds ratio (OR) of 4.286, indicating that respondents in the high perception category were 4.286 times more likely to experience stress than those in the low perception category. Conclusion: There is a relationship between medication adherence and stress levels with the health belief model (HBM) in hypertensive patients at the North Batukliang District Health Center. Suggestion: For future researchers, it is hoped that the research population will be larger and come from different places. Health workers should also play a role in encouraging the prevention of hypertension in healthy individuals and treatment at health centers for individuals who are already sick.   Keywords: Health Belief Model (HBM); Hypertension Patients; Medication Adherence; Stress.   Pendahuluan: Hipertensi merupakan penyakit pembunuh diam-diam karena penderita sering kali tidak merasakan gejalanya sama sekali. Komplikasi dapat terjadi jika penyakit hipertensi yang tidak mampu di kontrol atau tetap terus menerus tinggi berlangsung dalam jangka waktu yang lama. Health belief model (HBM) adalah suatu model yang digunakan untuk menggambarkan kepercayaan individu terhadap perilaku hidup sehat, sehingga individu akan melakukan perilaku sehat, perilaku sehat tersebut dapat berupa perilaku pencegahan maupun penggunaan fasilitas kesehatan. Tujuan: Untuk mengetahui hubungan komponen health belief model (HBM) dengan kepatuhan minum obat dan tingkat stress pada pasien hipertens. Metode: Penelitian analitik observasional dengan rancangan cross-sectional, dilakukan di Puskesmas Wilayah Kecamatan Batukliang Utara pada pasien hipertensi. Sampel yang digunakan sebanyak 90 responden. Pengumpulan data dilakukan dengan wawancara, survei, dan penyebaran kuesioner. Teknik analisis data yang digunakan regresi logistik berganda. Hasil: Berdasarkan uji statistik pada hubungan health belief model (HBM) dengan kepatuhan minum obat, diperoleh p-value: 0.000 (< 0.05), Odd Ratio (OR) = 9.425, responden kategori persepsi tinggi memiliki peluang 9.425 kali patuh minum obat dibandingkan kategori persepsi rendah. Dan hubungan health belief model (HBM) dengan tingkat stres diperoleh p-value: 0.002 (< 0.05), Odd Ratio (OR) = 4.286, responden kategori persepsi tinggi memiliki peluang 4.286 kali mengalami stress dibandingkan kategori persepsi rendah. Simpulan: Terdapat hubungan kepatuhan minum obat dan tingkat stres dengan health belief model (HBM) pada pasien hipertensi. Saran: Bagi peneliti selanjutnya, diharapkan populasi penelitian lebih besar dan berasal dari tempat yang berbeda. Dan untuk kader supaya ikut berperan serta mendorong pencegahan penyakit hipertensi pada individu yang sehat dan pengobatan ke puskesmas untuk individu yang telah sakit.   Kata Kunci: Health Belief Model (HBM); Kepatuhan Minum Obat; Pasien Hipertensi; Stres.