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Study of Basic Immunization Program with a System Approach at the Batakte Health Center, Kupang Regency Lake, Maria Vianney; Sinaga, Masrida; Dodo, Dominirsep Ovidius
Timorese Journal of Public Health Vol 4 No 4 (2022): Timorese Journal of Public Health
Publisher : Faculty of Public Health, Nusa Cendana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/tjph.v4i4.7235

Abstract

The immunization program has a short-term goal, namely preventing the spread of disease. The achievement of 80 percent UCI in all districts is one of the benchmarks for the success of the immunization program. According to health profile, Kupang Regency in 2018, it has a coverage rate of 37.9%, with Batakte health center having the lowest coverage rate of 0.00 percent. This research is a descriptive qualitative research, took place in November 2021 at the Batakte Health Center. The head of the Puskesmas, immunization coordinator, and cadres were the three informants in this study. The stages of data analysis include identification of the research objective group, data management and interpretation, derivation, presentation, and verification or conclusion drawing. The findings reveal that there is no vaccine management officer in the input component, limiting the effectiveness of the immunization program. Planning, targeting, coverage, vaccination needs assessment, organizing, immunization services, vaccine chain management, documentation and reporting, and monitoring and evaluation are all part of the immunization process. The targeting data is not obtained directly from the Batakte Health Centers,but through the Health Office, ensuring that target data is different from the data collected in the field. It is intended that the Batakte Health Center will appoint personnel to oversee the vaccine chain and conduct immunization training at least twice a year in order to improve the quality of immunization services
An Overview of Traditional Markets Sanitation in Kupang City Kondi, Ceria Yulinar Dorkas; Doke, Soni; Sinaga, Masrida
Timorese Journal of Public Health Vol 5 No 1 (2023): Timorese Journal of Public Health
Publisher : Faculty of Public Health, Nusa Cendana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/tjph.v1i1.7446

Abstract

Market sanitation is disease prevention through observation and investigation of market impacts that are directly related to the emergence or spread of a disease. This study aims to describe the hygienic conditions in traditional markets in Kupang City. This type of research is descriptive with a survey design. The research population is traditional markets in the city of Kupang as many as 5 traditional markets. In this study, descriptive analysis is used as an analytical method to describe the hygienic conditions of traditional markets in Kupang City. The results of the study show that the sanitary condition of the availability of clean water for traditional markets in the City of Kupang 2021 is categorized as fulfilling the requirements. While the sanitation conditions of facilities and buildings (handwashing area, trash bins, SPAL, toilets and parking lots), the sanitary conditions of the construction (roof, walls, floors, ventilation and lighting) of traditional markets, the sanitary conditions of animal control of disease transmission or vectors of traditional markets are all This category does not meet health requirements. Suggestions to the local government of Kota Kupang should enact stronger regulations on market management in the private sector to promote a healthy market
Factors Related to Antenatal Care Visits in Seba Primary Health Center, District Sabu Raijua Djami, Ari Yantievada Ratu; Littik, Serlie K; Sinaga, Masrida
Timorese Journal of Public Health Vol 5 No 2 (2023): Timorese Journal of Public Health
Publisher : Faculty of Public Health, Nusa Cendana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/tjph.v5i2.9768

Abstract

The Maternal Mortality Rate (MMR) has increased from 2019 to 2021. Antenatal Care is one of the efforts to reduce MMR. The K4 coverage of the Puskesmas Seba in 2019–2021 fluctuated and tended to decrease, so that it had not been able to meet the target of minimum service standards for pregnant women visits of 85%. The purpose of this study was to identify the factors associated with antenatal care visits for mothers in the working area of ​​the Puskesmas Seba in 2022. This research was conducted in the form of an analytic survey with a cross-sectional design. The research sample consisted of 372 research participants, which included 77 respondents. The questionnaire instrument was used together with the interview method to obtain data. Descriptive analysis and Spearman's test with α=0.05 were used to process the data. The test results showed that antenatal care visits were related to knowledge (p = 0.000), perceived suscepibility (p = 0.004), perceived benefits (0.004), and perceived barrier (0.000). Age (p=0.163) and husband's support (p=0.056) were not related to antenatal care visits. The test results also show a fairly strong relationship between the variables of knowledge, perceived suscepibility and perceived benefits, while there is a very strong correlation between perceived barriers and antenatal care visits. The recommendation that can be given is that health workers can offer more counseling and counseling to mothers so that they will be more motivated to make visits.
Factor Associated with Exclusive Breastfeeding at Oebobo Public Health Center in Kupang City 2023 Radja, Angeline Miha; Sinaga, Masrida; Dodo, Dominirsep O.
Timorese Journal of Public Health Vol 6 No 4 (2024): Timorese Journal of Public Health
Publisher : Faculty of Public Health, Nusa Cendana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/tjph.v6i4.12601

Abstract

Exclusive breast milk is the process of providing breast milk within 6 months without any drinks or additional food for babies. Breastfeeding is exclusively beneficial in maintaining the health of the baby. Lack of breast milk intake causes unbalanced infant nutrition. The problem is that exclusive breastfeeding in Indonesia and the Oebobo Health Center have not reached the target. This research aims to find out what factors are related to exclusive breastfeeding at the Oebobo Health Center in 2023. This research is an analytical survey, with a cross sectional research design. The population in this study is mothers who have babies 6-7 months at the Oebobo Health Center. The sampenyal collection technique is simple random sampling and the number of sampenyal is 52 people. The data were analyzed using univariate and bivariate with chi square test. The results showed that there was a relationship between knowledge (ρ=0.002), attitude (ρ=0.002), work (ρ=0.003), family support (ρ=0.001), and health worker support (ρ=0.001). Health workers should provide a good explanation regarding exclusive breastfeeding to mothers and mothers' families since the mother checked for pregnancy, increase the frequency of counseling by utilizing various health promotion media, and guidance on breastfeeding counseling. It is hoped that mothers should also visit health facilities more regularly so that they can get information or counseling related to exclusive breastfeeding. Working mothers can seek exclusive breastfeeding by sucking milk before going to work.
TINGKAT KEPUASAN PASIEN PESERTA JKN TERHADAP MUTU PELAYANAN DI PUSKESMAS KOTA ENDE, KABUPATEN ENDE Tokan, Rany; Regaletha, Tadeus A. L.; Sinaga, Masrida
Kelimutu Nursing Journal Vol 2 No 1 (2023): Volume 2 Nomor 1 Juni 2023
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/knj.v2i1.1118

Abstract

The contentment of the patient is a matter of fact after a person receives a service and provides some good assessment of the services. National Health Insurance (JKN) is a Government Program that aims to provide health insurance for all Indonesians. In 2019, the Ende city health center effectuated a survey regarding the extent of contentment of Ende city residents and the results revealed that there is a lot of lamentation that is perceived such as unsociable health workers, the retardation in handling their duties, the services that are still complicated, the unsanitary environment, the cramped waiting room, the long queue counter, and the lack of infrastructure such as the seat and parking lot. This research intends to ascertain the extent of contentment of the JKN participant's patient's contentment at the end city health center. This sort of research exerts the quantitative study specifically the descriptive survey method with a cross-sectional research design. The results of the study showed that 99.5% of JKN participant patients were satisfied with the quality of services, and only 0.5% were dissatisfied, As seen from the distribution of contentment levels, the tangible dimensions of 92% of respondents were satisfied and 8% was dissatisfied, the reliability dimensions of 95% respondents were satisfied and 5% was not satisfied, the responsiveness dimensions of 94,% respondents were satisfied while 5.8% were dissatisfied, the assurance dimension was satisfied by 95.85% respondents and 4.15% was not satisfied, the dimensions of empathy of respondents were satisfied by 95.85% respondents while 4.15 was not satisfied. Ende City Health Center is expected to be communicative and hospitable during the service process at Ende City Health Center, extend the time of attendance and it is necessary to conduct periodic and accurate surveys of contentment levels to maintain service quality by the Regulation of the Minister of Health of the Republic of Indonesia of 2016 concerning Health Service Standards which states that the fulfilment of service quality for each type of basic service in Health SPM should stand on the top of 95% or equivalent to 100%.
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN PEMANFAATAN ANTENATAL CARE (ANC) DI PUSKESMAS NAIONI KOTA KUPANG TAHUN 2024 Sukhesy, Katharina Rayi; Sirait, Rina Waty; Sinaga, Masrida; G. Mado, Fransiskus
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.48130

Abstract

Antenatal care (ANC) merupakan pemeriksaan kehamilan yang bertujuan untuk meningkatkan kesehatan ibu hamil, baik fisik maupun mental secara optimal, mempersiapkan diri dalam menghadapi persalinan, masa nifas dan pemberian ASI ekslusif, serta memulihkan kesehatan alat reproduksi. ANC berperan dalam mencegah dan mengatasi permasalahan yang mungkin dapat dialami ibu hamil seperti masalah gizi, kehamilan beresiko, komplikasi kebidanan, penyakit menular, penyakit tidak menular dan masalah kesehatan jiwa ibu hamil.Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan pemanfaatan pelayanan antenatal care di Puskesmas Naioni Kota Kupang tahun 2024. Jenis penelitian yang digunakan adalah penelitian survei analitik dengan rancangan cross sectional terhadap sampel 50 ibu melahirkan. Penelitian ini dilaksanakan pada April-Mei 2025. Teknik pengambilan sampel dalam penelitian ini yaitu dengan purposive sampling. Analisis data univariat dan bivariat dengan uji statistic uji chi square. Hasil penelitian menunjukkan bahwa Sebagian besar responden yang memanfaatkan pelayanan ANC secara lengkap (K6) sebanyak 28 orang (56%), sedangkan yang kurang memanfaatkan pelayanan ANC (<6 kali kunjungan) sebanyak 22 orang (44%). Analisis Bivariat menunjukkan ada hubungan antara tingkat pengetahuan (p-value= 0,015), tingkat pendidikan ibu (p-value=0,007), sikap ibu (p-value=0,005), dukungan keluarga (p-value=0,003) dengan pemanfaatan pelayanan antenatal care di Puskesmas Naioni. Tidak ada hubungan antara aksesibilitas jarak tempuh (p-value=0,157) dengan pemanfaatan pelayanan antenatal care di Puskesmas Naioni. Diharapkan puskesmas mengupayakan peningkatan program KIA (Kesehatan Ibu dan Anak) dengan mengadakan penyuluhan terkait pentingnya pemanfaatan ANC minimal 6 kali secara berkala yang didukung melalui sarana prasarana yang lebih diantaranya menggunakan media leaflet, media poster/media informasi lainnya sehingga ibu dapat termotivasi untuk memanfaatkan pelayanan ANC guna untuk meminimalisir risiko bahaya kehamilan pada ibu dan janin.
DETERMINAN KELENGKAPAN IMUNISASI DASAR PADA BAYI DI WILAYAH KERJA PUSKESMAS MAUBESI Tas'au, Andreas Haki; Dodo, Dominirsep O.; Sinaga, Masrida; Syamruth, Yendris K.
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.48283

Abstract

Imunisasi merupakan upaya untuk meningkatkan kekebalan terhadap suatu penyakit. Pemberian imunisasi dasar secara lengkap penting dalam menjaga generasi penerus bangsa yang sehat sebagai perlindungan alami terhadap penyakit. Indonesia merupakan salah satu negara yang memiliki angka kematian bayi tertinggi di Asia Tenggara. Puskesmas Maubesi di Kabupaten Timor Tengah Utara belum mencapai target cakupan imunisasi yang maksimal, dari total 182 bayi, tercatat sebanyak 161 bayi telah menerima imunisasi dasar lengkap. Rendahnya cakupan imunisasi dasar lengkap disebabkan oleh beberapa faktor yaitu jarak kelahiran anak, jumlah anak, motivasi ibu dan peran petugas kesehatan. Penelitian ini bertujuan untuk mengetahui determinan kelengkapan imunisasi dasar pada bayi di wilayah kerja Puskesmas Maubesi, Kabupaten Timor Tengah Utara tahun 2024. Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian adalah case control. Analisis data menggunakan uji regresi logistik dengan nilai signifikansi p<0,05. Hasil penelitian membuktikan bahwa faktor jarak kelahiran anak (p=0,049), faktor jumlah anak (p=0,027), faktor motivasi ibu (p=0,003), secara signifikan berpengaruh terhadap kelengkapan imunisasi dasar di Puskesmas Maubesi. Faktor peran petugas kesehatan (p=0,081) menjadi faktor yang tidak berpengaruh terhadap kelengkapan imunisasi dasar di Puskesmas Maubesi. Petugas kesehatan diharapkan untuk dapat lebih aktif dalam memberikan informasi terkait imunisasi melalui penyuluhan kepada masyarakat, khususnya keluarga yang mempunyai bayi tentang pentingnya menjaga jarak kelahiran yang ideal, jumlah anak dan memotivasi ibu dalam mengimunisasikan anak.
Gambaran Kepuasan Pasien Rawat Jalan di RSUD Dr. T.C Hillers Maumere Kabupaten SIKKA More, Yohana F; Littik, Serlie K. A; Sinaga, Masrida
Jurnal Untuk Masyarakat Sehat (JUKMAS) Vol 7, No 2 (2023): Jurnal Untuk Masyarakat Sehat (JUKMAS)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jukmas.v7i2.3114

Abstract

Patient satisfaction is closely related to the expected service and the reality of the service that has been received. Preliminary studies show dissatisfaction related to the convenience of outpatient services at RSUD Dr. T.C Hillers Maumere, Sikka Regency. The purpose of this study was to describe the satisfaction of outpatients at RSUD Dr. T.C. Hillers Maumere, Sikka Regency. This research uses a quantitative descriptive method with a cross-sectional design. The sample size was 93 respondents taken using proportional sampling techniques. Data were analyzed using Importance Performance Analysis (IPA). The results of this study show that the reality of health services exceeds patient expectations (4.05 ≥ 3.93), with the category being very satisfied (tangibles dimension 97.7%; responsiveness dimension 97.3%; assurance dimension 99.2%; empathy dimension 98, 4%. Meanwhile, the reliability dimension (89.7%) is satisfied. The research results also show hospitals need a complaint center that is always ready to serve. Apart from that, they also need to improve orderliness in the timeliness of service, the friendliness of service, and the cleanliness of toilets. Keywords : Patient satisfaction, Tangibles, Reliability, Responsiveness, Assurance, Empathy
Factors Associated with Outpatient Waiting Times at Oesapa Health Center Mesah, Indri Melanie; Sirait, Rina Waty; Sinaga, Masrida
Media Kesehatan Masyarakat Vol 5 No 3 (2023): Media Kesehatan Masyarakat (Desember)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v5i3.10409

Abstract

The standard waiting time for medical services is 60 minutes, starting from the registration process to the time when patients enter the doctor's examination room. Long wait periods can aggravate patients' condition when they need a doctor's consultation and this impacts the health service quality offered by primary health care. The Oesapa Health Center was visited by 150 patients every day on average. Based on interviews with several patients, they had to wait 1-2 hours to receive service. This study aims to identify variables influencing the health center's outpatient waiting time in 2022. The cross-sectional research method was applied. The research sample consisted of 93 people selected by accidental sampling. Data collection used questionnaires and observation sheets. The data analysis was bivariate using the chi-square test. The results showed a relationship between the technical competence of health workers, timeliness of service, and facility and infrastructure availability with the waiting time for outpatients at the center. Puskesmas Oesapa needs to focus more on the service promptness, coordination among the staff, and ensuring the center equipped with needed facilities to speed up services and reduce patient waiting times.
GAMBARAN PEMBERIAN ASI EKSKLUSIF DAN STATUS GIZI BAYI USIA 6-12 BULAN DI WILAYAH KERJA PUSKESMAS NAIBONAT TAHUN 2023 Umbu Sasa, Endang; Sinaga, Masrida; Dodo, Dominirsep O.
Jurnal Kesehatan Tambusai Vol. 5 No. 1 (2024): MARET 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i1.23093

Abstract

Air Susu Ibu (ASI) merupakan makanan pokok ideal yang diberikan kepada bayi dari lahir sampai enam bulan, tanpa adanya makanan atau minuman tambahan. Pemberian ASI eksklusif yang tidak tepat dapat mempengaruhi status gizi anak. Profil Puskesmas Naibonat menunjukkan bahwa cakupan pemberian ASI eksklusif tahun 2020 sebesar 79,2%, tahun 2021 sebesar 75% dan di tahun 2022 terjadi kenaikan menjadi 97,6%. Hal ini dapat dilihat pada status gizi bayi yang mengalami perbaikan, tahun 2020 terdapat 248 kasus gizi kurang dengan 11 kasus stunting, tahun 2021 gizi kurang mengalami kenaikan menjadi 333 kasus, tahun 2022 gizi kurang menjadi 169 kasus dan gizi buruk sebanyak 37 kasus. Penelitian ini bertujuan untuk mengetahui gambaran pemberian ASI eksklusif dan status gizi bayi usia 6-12 bulan di wilayah kerja Puskesmas Naibonat tahun 2023. Jenis penelitian ini adalah deskriptif kuantitatif. Populasi penelitian ini adalah semua ibu yang mempunyai bayi usia 6-12 bulan sebanyak 187 orang dan sampel berjumlah 96 orang diambil secara simple random sampling. Analisis data menggunakan analisis univariat. Hasil penelitian menunjukkan bahwa responden yang memberikan ASI eksklusif (84,4%), dengan frekuensi 8-12 kali/hari (95,7%), berpendidikan tinggi (90,7%), berpengetahuan tinggi (91,9%), tidak bekerja (83,5%), dan mendapat dukungan keluarga (100%). Bayi yang mendapat ASI eksklusif berstatus gizi baik (96,2%), dan yang berstatus gizi buruk masih 25,0%. Maka disimpulkan bahwa sebagian besar responden telah memberikan ASI eksklusif  pada bayinya. Sebagian besar responden yang berpendidikan tinggi, tidak bekerja,  dan mendapat dukungan keluarga telah memberikan ASI eksklusif  pada bayinya selama 6 bulan. Sebagian besar bayi yang mendapat ASI eksklusif berstatus gizi baik.