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All Journal Hearty : Jurnal Kesehatan Masyarakat Jurnal Kebidanan Khatulistiwa Promotor: Jurnal Mahasiswa Kesehatan Masyarakat
Effendy, Ismail
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Health Professions Medicine & Pharmacology Nursing Public Health Veterinary Other

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ANALISIS FAKTOR YANG MEMENGARUHI KEPUASAN PELAYANAN KIA PADA IBU HAMIL DI PUSKESMAS PELABUHAN SAMBAS KOTA SIBOLGA Sumanti, Neni; Nuraini, Nuraini; Utami, Tri Niswati; Effendy, Ismail; Asriwati, Asriwati
Jurnal Kebidanan Khatulistiwa Vol 10, No 2 (2024): Jurnal Kebidanan Khatulistiwa
Publisher : Poltekkes Kemenkes Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30602/jkk.v10i2.1316

Abstract

Latar Belakang:Kesehatan ibu dan anak (KIA) merupakan salah satu program prioritas dalam pelayanan KIA masih menjadi masalah kesehatan di Indonesia. Penyebab langsung AKI yaitu hipertensi pada kehamilan (33,1%), perdarahan obstetri (27,03%), komplikasi non-obstetri(15,7%), dan komplikasi obstetri (12,04%). AKI dapat dicegah jika kualitas layanan sesuai dengan kebutuhan pasien dan pasien puas dengan layanan yang diberikan.Tujuan: Untuk menganalisis faktor-faktor yang memengaruhi kepuasan pelayanan KIA pada ibu hamil di Puskesmas Pelabuhan Sambas di Kota SibolgaMetode:Desain penelitianadalah surveyanalitikdengan cross sectional study. Populasi dalam penelitian adalah semua wanita hamil, berjumlah 607 orang. Sampel menggunakan rumus slovin yaitu sebanyak 86 ibu. Data yang digunakan dengan menggunakan data primer dan sekunder. Analisis data menggunakan univariat, bivariat dan multivariat menggunakan uji regresi binary.Hasil: Diperoleh dengan menggunakan chi square, ada pengaruh disiplin petugas, kemampuan petugas, kecepatan pelayanan, kepastian jadwal, persepsi mutu dengan kepuasan pasien KIA dengan p<0,05 dan tidak ada pengaruh kenyamanan lingkungan, prosedur pelayanan terhadap kepuasan KIA dengan p>0,05,  dan faktor yang paling dominan yaitu persepsi kualitas. Kesimpulan: Adanya Faktor yang memengaruhi kepuasan pelayanan pada ibu hamil di Puskesmas Pelabuhan Sambas Kota Sibolga. Diharapkan tenaga kesehatan di Puskesmas Pelabuhan Sambas meningkatkan kualitas pelayanan KIA sehingga dapat meningkatkan kepuasan pasien
ANALISIS FAKTOR YANG MEMPENGARUHI KUNJUNGAN ANTENATAL CARE (ANC) Tanjung, Faisah; Effendy, Ismail; Utami, Tri Niswati; Asriwati, Asriwati; Nasution, Ramadhani Syafitri
Jurnal Kebidanan Khatulistiwa Vol 10, No 2 (2024): Jurnal Kebidanan Khatulistiwa
Publisher : Poltekkes Kemenkes Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30602/jkk.v10i2.1317

Abstract

Background: Based on WHO data (2020), Indonesia's Antenatal Care (ANC) coverage percentage (82%) is still far from the standards set compared to other countries, where pregnancy checks for ANC (K1) coverage are 96.1%, and ANC (K4) coverage is 96.1%. amounting to 74.1%. The target of the strategic plan (Renstra) related to K1 is 100& and K6 coverage of pregnant women is 78%, in general it has not reached the target. The aim: of the research is to determine the analysis of factors influencing Antenatal Care (ANC) visits in the Sambas Port Health Center Working Area, Sibolga City in 2022 Metodh: The design of this research is analytical research using retrospective. The population in the study was all postpartum mothers ≤2 months, namely 216 people in October 2023. The sample used the Slovin formula, namely 68 respondents. The data used uses primary and secondary data. Data analysis using univariate, bivariate and multivariate using binary regression tests. Resulth: The research results were obtained using the chi square test, there was an influence of knowledge with Antenatal Care (ANC) visits (p= 0.017), there was no influence of employment with Antenatal Care (ANC) visits (p= 0.514), there was an influence of the role of health workers with Antenatal visits Care (ANC) (p= 0.001), there is an influence of husband's support with Antenatal Care (ANC) visits (p= 0.004), There is an influence of the attitude of health workers with Antenatal Care (ANC) visits (p= 0.027) and there is no influence of health facilities with Antenatal Care (ANC) visits (p= 0.017). The most dominant factor is the role of health workers with Antenatal Care (ANC) visits (p= 0.002) with an OR value of 6.160 (2.018-18.807). Conclusion:  the is that there is an influence of knowledge, attitude, role of health workers, husband's support, attitude of health workers with Antenatal visits in the Sambas Port Health Center Working Area. It is hoped that health workers at the Sambas Harbor Health Center will improve the quality of KIA services so that they can increase KIA patient satisfaction.
Service Quality Affects BPJS Patient Satisfaction at the Pematang Health Center, Serang Regency, Banten in 2024 Kurniyanti, Novia; Effendy, Ismail; Anggraini, Indah
PROMOTOR Vol. 7 No. 5 (2024): OKTOBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i5.1022

Abstract

Health service providers must strive to improve the quality of services for the realization of the highest degree of public health. The purpose of this study is to find out and analyze the quality of service affecting BPJS patient satisfaction at the Pematang Health Center, Serang Regency, Banten in 2024. The research design uses an analytical survey with a cross sectional design. The population in this study is all patients who are treated using BPJS as many as 4,210 people with an accidental sampling technique with a sample of 98 people. The data analysis used used was univariate analysis, bivariate using chi-square and multivariate using logistic regression. The results of the logistic regression analysis that affected were the variables of immediate service p = 0.003, politeness p = 0.005 and effective communication p = 0.000 and the most influential variable was effective communication with an Exp B value of 13.922. The conclusion of the variables that do not affect is the use of information technology, physical facilities, quick response, skills and attitudes and the variables that affect are prompt service, politeness and effective communication and the most influential is effective communication. It is recommended to the Puskesmas to make a budget  for Communication Skills  training for all health workers, mentoring, and implementation by making the motto of the Pematang Health Center to be (smile, greeting, polite fast and precise). Providing services in a timely, polite, friendly manner and can maintain patient privacy in order to increase patient satisfaction and provide physical facilities such as (chairs, air conditioners, loudspeakers and machines to take no queue) as well as provide information on the use of mobile JKN.
Analysis of Factors Influencing Pregnant Women in the Completeness of Antenatal Care Visits at UPTD Puskesmas Care Kutambaru, Lawe Bulan District, Southeast Aceh Regency Selian, Susi Fitri; Effendy, Ismail; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 8 No. 1 (2025): FEBRUARI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v8i1.1027

Abstract

ANC or anteatal care is the care of the mother and fetus during pregnancy. Currently, the proportion of maternal mortality is approximately 305 deaths per 100 thousand live births, where the largest deaths occur in hospitals, around 77% of mothers cannot be saved, one of which is because the mothers who are referred to the hospital are already in a condition of severe complications. The purpose of this study is to analyze pregnant women in the completeness of antenatal care visits in the Working Area of the Kutambaru Care Health Center, Lawe Bulan District, Southeast Aceh Regency. This type of research uses a mixed method. The population in this study was 112 respondents, the sample in the study was 53 respondents with a slovin formula with a random sampling technique for qualitative using 9 informants. The variable results entered the multivariate test because the P value was ≤ 0.25. The results of the Multivariate analysis showed significant values and the variables of Exp(B) were, Knowledge (0.015) Exp(B) (3.572), Education (0.001) Exp(B) (0.007), Attitude (0.018) Exp(B) (1.398), Parity (0.009) Exp(B) (1,786), Income (0.000) Exp(B) (0.008), Distance (0.001) Exp(B) (1,904), Maternal Health (0.005) Exp(B) (1,556), Health Worker Support (0.001) Exp(B) (2,387). Results of Qualitative Data Analysis with Data Reduction, Data Display and Conclusion Drawing/Verification.From the results of in-depth interviews, it was found that there was an influence on the completeness of the ANC visit with factors of knowledge, education, attitude, parity, income, distance, maternal health and support of health workers. The conclusion of this study is that there is a relationship between knowledge, education, attitude, parity, income, distance, maternal health and health worker support for the completeness of ANC visits, the knowledge factor is the most dominant influencing ANC examination in pregnant women with an Exp(B) value of 3.572. It is hoped that health workers at the Kutambaru Health Center will be more routine in delivering health education to pregnant women about the importance of ANC examinations.
Analysis of the Influence of Germas Implementation on the Health of the Elderly in the Working Area of the Brohol Tebing Tinggi Health Center Asrinab, Asrinab; Effendy, Ismail; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 8 No. 1 (2025): FEBRUARI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v8i1.1028

Abstract

The low implementation of germas has a great impact on public health, namely the increase in the number of diseases in the elderly. This study aims to analyze the effect of the implementation of Germas on the health of the elderly in the working area of the Berohol Tebing Tinggi Health Center.This study uses a type of quantitative research analytical survey with a cross sectional study design. The location of this research was carried out in the working area of the Berohol Tebing Tinggi Health Center. The research population is all elderly people who visit and actively participate in the Germas activity program in the work area of the Berohol Tebing Tinggi health center as many as 216 people. The number of samples in this study is 68 people. The technique used is purposive sampling. The survey data was analyzed using the chi-square test and logistics regression. The results of the study showed that there was an influence of physical activity on the health of the elderly, there was an influence of fruit and vegetable consumption culture on the health of the elderly who followed the implementation of Germas in the work area of the Berohol Health Center, there was an effect of smoking on the health of the elderly, there was an effect of not consuming alcoholic beverages on the health of the elderly, there was an effect of conducting periodic health checks on the health of the elderly, there was an effect of maintaining environmental cleanliness on the health of the elderly. health of the elderly who follow the implementation of Germas in the work area of the Brohol Tebing Tinggi Health Center, there is an influence of using latrines on the health of the elderly. The variable that most affects the health of the elderly who follow the implementation of Germas in the work area of the Brohol Tebing Tinggi health center is the variable of conducting periodic health checks. Based on the results of the research, it is suggested that the health center be more aggressive in promoting Germas activities and improving health services specifically for the elderly as well as providing input and improvement of the Germas program.
Evaluation of the Implementation of Salary Payment in Improving the Performance of Honorary Workers at the Aceh Singkil Hospital Fatimah, Fatimah; Effendy, Ismail; Asriwati, Asriwati
PROMOTOR Vol. 8 No. 1 (2025): FEBRUARI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v8i1.1071

Abstract

Improving the performance of hospital honorary staff is one of the most important things to maintain the quality of health services provided to patients. Many hospitals face obstacles in improving employee performance, such as high attendance rates, low productivity, and unsatisfactory service quality. In general, the decline in work morale and seriousness of work is due to the dissatisfaction of the workers concerned, both materially and non-materially. The purpose of this study is to evaluate the implementation of salary payments for honorary personnel in Aceh Singkil Regency which has an impact on the performance of honorary personnel at BLUD Aceh Singkil Hospital. This study uses a descriptive qualitative approach, to describe the phenomena that occur in the object of research. Data collection techniques are carried out by observation, interviews, and documentation. Data analysis through data collection, data condensation, data presentation, conclusion drawn. This study also used 10 informants consisting of 1 key informant, 3 main informants, and 6 supporting informants. Based on the results of observations, interviews and documentation of the Performance of BLUD Honorary Personnel of Aceh Singkil Hospital is not in accordance with the Optimization of the Implementation of SOPs for Inpatient and Outpatient Services has not been carried out properly, it is still found that honorary personnel have not complied in carrying out hand hygiene and the use of personal protective equipment. As well as the service waiting time which is relatively slow. The quality of service is considered poor. The work motivation of honorary staff is still relatively low and lack of discipline in work In addition, the Patient Satisfaction Level is still low because the service has not been in accordance with their expectations. This also has an impact on the Implementation of Salary Payments for Honorary Personnel of the Aceh Singkil Hospital against the decline in performance which results in less than optimal services at the BLUD Aceh Singkil Hospital. Advice to the management to be able to pay attention to honorary personnel, especially in the implementation of salaries to provide motivation or work spirit to improve performance at BLUD Aceh Singkil Hospital.
Analysis of Factors Influencing Nursing Discipline at Banda Regional General Hospital Central Maluku Regency Mayasari, Dyah Fitrah; Harahap, Juliandi; Effendy, Ismail
PROMOTOR Vol. 8 No. 5 (2025): OKTOBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v8i5.1393

Abstract

Background: Discipline is a crucial aspect of delivering quality healthcare services in hospitals, yet it is often overlooked. Effective service delivery can significantly enchance the overall quality of a hospital. This study aims to analyze the factors affecting the work discipline of nurses at Banda Regional General Hospital in Central Maluku. Methodology: This research employs a quantitative analytical survey design with a cross-sectional approach. The study population consists of 46 nurses employed at Banda Regional General Hospital. Data were collected using questionnaires and analyzed through Logistic Regression with significance level of α = 0,05. Results: The Chi-Square test results indicate that factors influencing the work discipline of nurses at Banda Regional Hospital include achievement, the job itself, leadership role models, close supervision and punitive sanctions. Logistic regression analysis revealed that most significant factor affecting nurses’work discipline is the job itself, with a p-value (sig) of 0,003. The limited number of nurses, coupled with the delegation of tasks that do not align with their core responsibilities, significantly increases their workload. As a results, nurses may struggle to maintain discipline in performing their duties. Conclusion: The study concludes that both internal and external factors impact the work discipline of nurses. Internal factors influencing nurse discipline at Banda Regional Hospital include achievement and the job itself. External factors include leadership role models, close supervision, punitive sanctions. Among these, the study highlights that the most influential internal factor is the job itself. Based on the findings, it is recommended that the management of Banda Regional Hospital in Central Maluku Regency implement strategies to enchance nurse discipline by addressing the influencing factors identified in this study. Additionally, nurses are expected to maintain high level of discipline and consistently deliver the highest quality of care.
FACTORS THAT AFFECT THE PERFORMANCE OF DOCTORS AT THE HAJI HOSPITAL MEDAN, NORTH SUMATRA PROVINCE Nasution, Ramadhani Syafitri; Harahap, Abidah; Effendy, Ismail
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.21546

Abstract

Doctors have a central role in improving the quality of hospital services, especially through medical decision-making, explanation of diagnosis, and medical measures that protect patients' rights. However, the performance of inpatient doctors at Haji Medan Hospital in North Sumatra Province is still low, with an achievement of only 47% of the expected target. This condition has the potential to reduce the quality of service if not handled immediately. This study aims to analyze the factors that affect the performance of inpatients at Haji Medan Hospital. The study used a quantitative design with a cross sectional approach. The sample consisted of 74 doctors with a total sampling technique. Data analysis was carried out through univariate, bivariate, and multivariate tests using logistic regression. The results showed that workload (p=0.015), work stress (p=0.008), work environment (p=0.001), incentives (p=0.003), and compensation (p<0.001) had a significant effect on physician performance. Thus, the main factors that affect the performance of doctors are aspects of workload, psychological condition, work environment support, and reward and compensation systems. These findings are expected to be input for hospital management to improve policies and create more supportive working conditions, as well as the basis for further research with broader variables.
FACTORS THAT AFFECT THE PERFORMANCE OF HONORARY HEALTH WORKERS AT THE UPT PUSKESMAS LOTU REGENCY NORTH NIAS Zega, Perdamaian; Theo, Deli; Effendy, Ismail
HEARTY Vol 13 No 5 (2025): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i5.21547

Abstract

Health workers play an important role in improving the quality of services at health centers through direct interaction with patients. However, the performance assessment of honorary health workers at the Lotu Health Center Unit showed an achievement of only 47%, so an analysis of the factors that affect it was needed. This study used a quantitative design with a cross sectional approach on 34 honorary nurses with a total sampling technique. The analysis was carried out univariately, bivariately, and multivariate using logistic regression tests. The results showed that workload (p=0.015), work stress (p=0.008), work environment (p=0.001), incentives (p=0.003), and compensation (p=0.000) had an effect on the performance of honorary health workers. It was concluded that these factors need to be considered by management to improve the performance of health workers and the quality of services at the health center.
Co-Authors Anggraini, Indah Asrinab, Asrinab Asriwati, Asriwati fatimah Fatimah Harahap, Abidah Harahap, Juliandi Kurniyanti, Novia Mayasari, Dyah Fitrah Nasution, Ramadhani Syafitri Nuraini Nuraini Selian, Susi Fitri Sumanti, Neni Tanjung, Faisah Theo, Deli Utami, Tri Niswati Zega, Perdamaian