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An analysis of the maternal health referral system: a case study of the BAKSOKUDA system in Central Lombok, Indonesia Sastrawan, Sastrawan; Sulaiman, Lalu; Erawati, Eva
International Journal of Public Health Science (IJPHS) Vol 14, No 2: June 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i2.24349

Abstract

Maternal mortality remains a critical concern in Central Lombok, with over 50% of maternal deaths in hospitals involving cases referred through the BAKSOKUDA referral system. This suggests potential failures within the referral process, raising concerns about systemic issues compromising maternal health emergencies. This research uses a qualitative case study methodology to investigate the BAKSOKUDA system, aiming to identify the challenges contributing to high maternal mortality and provide insights for improving healthcare outcomes. Data were collected through semi-structured interviews with eleven participants: midwives, doctors, nurses, and a hospital manager. Thematic analysis identified several critical issues: communication breakdowns, inconsistent adherence to protocols, difficulties in securing family cooperation, inadequate infrastructure, and lack of community support for blood donation. These findings highlight four interrelated components—human resources, the professional environment, patients and families, and community support—as central to effective maternal health systems. To address these challenges, the study recommends enhancing communication and protocol adherence, providing comprehensive midwife training, promoting cultural sensitivity, and addressing systemic issues like ambulance availability. Strategic planning, resource allocation, and regional coordination are essential to improving infrastructure and ensuring effective referrals. The findings stress the need for a holistic approach, continuous improvement, and active community engagement to optimize maternal care.
EDUKASI DENGAN MEDIA POSTER TERHADAP PENGETAHUAN TERKAIT PENCEGAHAN DEMAM BERDARAH DENGUE (DBD) DENGAN 3 M PLUS PADA REMAJA Firdaniansyah, Al Aminniati; Sulaiman, Lalu; Fathoni, Akhmad
Jurnal Pengabdian Masyarakat Sasambo Vol 6, No 1 (2024): November
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jpms.v6i1.1573

Abstract

Infeksi virus dengue menyebabkan demam berdarah dengue (DBD) yang merupakan penyakit akut.  Manifestasi klinisnya ditandai dengan perdarahan yang dapat mengakibatkan syok bahkan kematian jika tidak ditangani dengan baik.  Nyamuk Aedes aegypti, pembawa virus demam berdarah, menyebarkan penyakit ini ke orang lain.  Di Indonesia, upaya pencegahan penyakit demam berdarah difokuskan pada pemberantasan sarang nyamuk dengan menerapkan kegiatan 3M Plus (Mengeringkan, Menutup dan Mengubur ditambah kegiatan tambahan lainnya).  Penelitian ini bertujuan untuk meningkatkan pengetahuan masyarakat tentang penerapan metode 3M Plus untuk mengurangi risiko tertular penyakit demam berdarah.  Metode yang digunakan adalah pengukuran melalui pre-test dan post-test yang kemudian direkapitulasi dan diuji dengan menggunakan uji t berpasangan.  Hasil kegiatan menunjukkan adanya peningkatan pengetahuan sebelum dan sesudah diberikan pendidikan.  Pada saat pre test tingkat pengetahuannya hanya 60%, namun setelah diberikan edukasi dan pelaksanaan post test tingkat pengetahuannya meningkat menjadi 91%.  Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara pendidikan yang diberikan dengan peningkatan pengetahuan remaja dengan hasil p<0,005.  Dapat disimpulkan bahwa penyuluhan yang diberikan kepada remaja sekolah efektif dalam meningkatkan pengetahuannya tentang pencegahan penyakit DBD melalui penerapan 3M Plus.
Pemberdayaan Lansia melalui Program LABU (Lansia Bugar) sebagai Upaya Penanganan Asam Urat Husen, Lalu Muhammad Sadam; Yulandasari, Vera; Mastuty, Amalia; Hardiansah, Yayan; Sulaiman, Lalu
Jurnal Peduli Masyarakat Vol 7 No 3 (2025): Jurnal Peduli Masyarakat: Mei 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v7i3.6432

Abstract

World Health Organization memperkirakan bahwa sekitar 335 juta orang di dunia mengidap penyakit gout arthritis. Jumlah ini sesuai dengan adanya peningkatan manusia berusia lanjut. Masalah musculoskeletal merupakan masalah kronis yang paling lazim terjadi pada lansia dengan sekitar 49% lansia mengalami beberapa bentuk arthritis Di Indonesia berdasarkan hasil RISKESDAS 2013 diketahui prevalensi penyakit sendi yang salah satunya disebabkan oleh gout artritis. Berdasarkan data di atas, maka kami tertarik untuk mengajukan sebuah ide pengabdian kesehatan pada kelompok lansia dengan asam urat melalui program LABU (Lansia Bugar). LABU merupakan salah satu program inovasi kesehatan sebagai upaya dalam promosi kesehatan pada kelompok lansia dalam mengontrol asam urat. Kegiatan LABU bertujuan untuk meningkatkan kemampuan lansia dalam mengontrol dan menangani asam urat. Metode yang digunakan yaitu dengan melakukan posyandu dan penyuluhan dengan sasaran pada kelompok lansia di Dusun Tanak Beak Barat Desa Tanak Beak Kecamatan Narmada yang berjumlah sekitar 32 lansia, kegiatan LABU dilakukan selama 4 hari yang di dampingi oleh kader kesehatan lansia. Kegiatan penyuluhan yang dilakukan pada program LABU berupa edukasi tentang masalah asam urat pada lansia. Tingkat keberhasilan kegiatan program LABU dievaluasi dengan tanya jawab terkait pengetahuan dan membandingkan pengukuran kadar asam urat pada kartu monitoring posyandu lansia sebelum dan setelah dilakukan promosi Kesehatan. Hasil kegiatan LABU adalah dapat meningkatkan pengetahuan lansia tentang asam urat dan meningkatnya kemampuan lansia dalam mengontrol asam urat secara berkala yang ditandai dengan sebanyak 62,5% lansia mengalami penurunan kadar asam urat.
Hubungan Pengetahuan, Pola Makan, Konsumsi Fe dan Peran Petugas Kesehatan dengan Kejadian Anemia Pada Ibu Hamil Mileniaputri, Ni Putu Rainita; Sulaiman, Lalu; Fatoni, Akhmad
MAHESA : Malahayati Health Student Journal Vol 5, No 6 (2025): Volume 5 Nomor 6 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i6.18356

Abstract

ABSTRACT The prevalence of anemia in pregnant women in Indonesia, which reaches 48.9%, is a serious problem that can cause various health problems. Important factors, such as iron deficiency and lack of knowledge, as well as inadequate diet, all contribute to the prevalence of anemia. Anemia in pregnant women increases the risk of premature birth as well as maternal and child death. The purpose of this study is to look at the study of the impact of knowledge, diet, fe consumption and the role of health workers with the incidence of anemia in pregnancy with a review of cross-sectional studies. The method used is observational analysis with a cross-sectional design of the number of pregnant women samples as many as 93 people from 1,313 pregnant women population which will be taken by simple random sampling. The location of the research was carried out in the Working Area of the Cakranegara Health Center, Mataram City. Data was collected through a questionnaire on knowledge and role of officers, and an FFQ form to find out the diet, as well as a checklist form to observe fe consumption. The analysis was carried out using Chi square and multiple regression static tests. The results showed that knowledge, diet, fe consumption and the role of officers were significantly related (p < 0.05) and the dominant factor for the dependent variable, namely fe consumption and diet. The conclusion of this study is that knowledge, diet, fe consumption and the role of officers are significantly related to the incidence of anemia in vulnerable groups, one of which is pregnant women. Keywords: Knowledge, Diet, Fe Consumption, The Role Of Officers, Anemia  ABSTRAK Prevalensi anemia pada ibu hamil di Indonesia yang mencapai 48,9% merupakan sebuah masalah serius yang dapat menimbulkan berbagai masalah kesehatan. Faktor-faktor penting, seperti kekurangan zat besi dan kurangnya pengetahuan, serta pola makan yang tidak memadai, semuanya berkontribusi terhadap prevalensi anemia.Anemia pada ibu hamil menambah risiko kelahiran prematur juga kematian ibu dan anak. Tujuan penelitian ini adalah untuk melihat kajian dampak dari Pengetahuan, pola makan, konsumsi fe dan peran petugas kesehatan dengan kejadian anemia pada Hamil dengan tinjauan studi cross sectional. Metode yang digunakan adalah observasional analitik dengan desain cross-sectional jumlah sampel ibu hamil sebanyak 93 orang dari 1.313 populasi ibu hamil yang akan diambil secara simple random sampling. Lokasi penelitian di lakukan di Wilayah Kerja Puskesmas Cakranegara, Kota Mataram. Data dikumpulkan melalui kuesioner Pengetahuan dan peran petugas, dan Form FFQ untuk mengetahui pola makan, serta form ceklist untuk mengobservasi konsumsi fe. Analisis dilakukan dengan menggunakan uji stastik Chi square dan Regresi berganda. Hasil menunjukkan Pengetahuan, pola makan, konsumsi fe dan peran petugas berhubungan signifikan (p < 0,05) dan faktor dominan terhadap variabel dependen yaitu Konsumsi fe dan pola makan. Kesimpulann dari studi ini yaitu pengetahuan, pola makan, konsumsi fe dan peran petugas berhubungan signifikan dengan kejadian anemia pada kelompok rentan salah satunya Ibu Hamil.  Kata Kunci: Pengetahuan, Pola Makan, Konsumsi Fe, Peran Petugas Kesehatan, Anemia 
Analysis of The Quality of Inpatient Services From The Patient's Perspective At The Bima Regional General Hospital Nurwahidah, .; Sastrawan, .; Sulaiman, Lalu; P, Imam Fadhlullah; Kemalahayati, Annisa Dwi; Fahrurrahman, Muhammad
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol. 6 No. 2 (2024): OKTOBER
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v6i2.547

Abstract

The problem raised in this research is the lack of patient satisfaction when being treated at Bima Hospital. According to data on the number of customer complaints regarding the quality of service at Bima Hospital in 2021, there were 1281 complaints, with details including: the number of complaints in inpatient installations was 454 (35.4%), outpatient installations were 295 (23%), Emergency Rooms were 289 (22.6%). %), Radiology was 123 (9.6%), Pharmacy was 45 (3.5%), Nutrition was 44 (3.4%), Others were 35 (2.7%). This is what influences patient satisfaction regarding the services provided by the hospital. Patient satisfaction is a big challenge in providing health services today. This research is a descriptive analytical research using a quantitative approach. With a cross-sectional study research design. This study aims to measure the quality of health services from the patient's perspective while being treated in hospital, analyzing data for descriptive hypothesis testing using the t-test. This research was conducted at Bima Regional Hospital with the research sample consisting of 97 inpatient patients with the sampling technique used was Probability sampling, namely Simple Random Sampling.The results of the research were obtained from the t-Test test of expectations and reality, showed that the Std.Deviation of 9.115 expectations was smaller than the Std.Deviation of 20.265 of reality. So the results of the T-Test test with a p value of 0.000 could be concluded that there was a difference between expectations and the reality that was accepted in review the score given by the patient. And the level of conformity to the results of this research shows that many patients feel that the quality of service provided by the Bima Regional Hospital is very much in line with their expectations.
Prediction Model for Low Birth Weight (LBW) in East Lombok Regency Nurlaili, Mustika; Masyhurrosyidi, Hadi; Sastrawan, Sastrawan; Sulaiman, Lalu
Adult Health Nursing Journal Vol 2, No 1 (2025): Adult Health Nursing Journal
Publisher : Fakultas Kesehatan, Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ahnj.v1i2.11068

Abstract

Introduction: The success of midwifery care has an impact on maternal health and greatly influences future generations of the nation and state. Purpose: recommendations for reducing the incidence of LBW based on an analysis of the influence of the determinants of the cause. Method: observational study with cohort design. The population is all pregnant and giving birth women in East Lombok Regency amounting to 27,463 people. The sample was calculated using the binomial formula, using the simple random sampling technique, and obtained 400 samples (α = 0.05). Results Spontaneous delivery, delivery at the polindes, and delivery assisted by a midwife, while newborns are female and weigh more than 2,500 grams. The determinant effect of the mother on the incidence of low birth weight babies (LBW) consists of the age of the mother with a significance value of 0.005 RR: 1,544 (1,026 to 2,497), gestational age 0,010 RR: 1,406 (1,058 to 2,159), frequency of antenatal care (ANC) 0,005 RR: 1,763 (1,186 to 2,620). The prediction model for LBW incidence was obtained by simultaneously testing the determinants of the causes of LBW incidence in East Lombok District, namely Antenatal Care (ANC) with PR: 2,381, 95% CI (1,387 to 4,088) and a significance of 0.002. Recommendation: health promotion is carried out by taking into account the characteristics of the mother so that it is easy to understand, the team of officers will follow up on the services provided such as providing supplements, blood pressure, healthy diet and adequate family involvement.
Kolaborasi MEMS dengan Stakeholder dalam Sistem Penanggulangan Gawat Darurat Terpadu Melalui Pendekatan Collaborativ Governance Susila, Lalu Dhanne Perwira; Sulaiman, Lalu; Khalik, Lalu Abdul
Jurnal Kebijakan Kesehatan Indonesia Vol 14, No 1 (2025): March
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.90909

Abstract

Kota Mataram berhasil mengembangkan sistem manajemen darurat terpadu berbasis teknologi yang disebut MEMS. MEMS merupakan kolaborasi dari beberapa lembaga yaitu Rumah Sakit, Puskesmas, Polisi, Pemadam Kebakaran, Badan Penanggulangan Bencana Daerah, Kodim, Satuan Polisi Pamong Praja. Kolaborasi adalah salah satu tantangan dalam mewujudkan PSC karena melibatkan multi sektor yang rentan konflik sehingga banyak daerah yang belum mampu mewujudkan PSC meskipun teknologi dapat diduplikasi dan sumberdaya tersedia. Tesis ini bertujuan untuk menganalisis proses kolaborasi Mataram Emergency Medical Service (MEMS) di Kota Mataram dengan stakeholder melalui pendekatan Collaborative Governance. Pada implementasinya keterlibatan stakeholder lain dalam penaggulangan kegawatdaruratan di Kota Mataram masih tidak maksimal diantaranya call center belum terpadu, sistem informasi dengan  terkait tidak melalui satu pintu, alur komunikasi dan peran masing-masing  tidak sesuai dengan standar. Penelitian ini menggunakan metode penelitian kualitatif deskriptif, pengumpulan data melalui wawancara, Temuan dalam penelitian ini menunjukkan bahwa MEMS dimulai dengan kolaborasi yang kondusif antar yang dimotori oleh leading sector yaitu RSUD Kota Mataram dan Pemerintah Kota Mataram. Analisis kolaborasi menggunakan teori Collaborative Governance dari Ansell dan Gash yang menunjukkan bahwa keberhasilan MEMS karena tercapainya komitment bersama yang kuat, leader yang inovatif dan fasilitatif, tahapan inovasi yang benar, serta SDM yang berkompeten di bidang emergency management system. Rekomendasi dari penelitian ini adalah pentingnya Collaboration Design atau desain kolaborasi bagi daerah yang ingin mewujudkan PSC, selain pengembangan di bidang teknologi.
Socio-Cultural And Maternal Mental Health Factors In Stunting Among The Sasaq Tribe Central Lombok Sulaiman, Lalu; Sastrawan; Husein, Lalu Muhammad Sadam; Muslim, Al
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 13 No. SI2 (2025): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V13.ISI2.2025.143-152

Abstract

Background: Stunting is one of the indicators of the success of a nation's development, especially development in the health sector. Stunting will not only affect the shape of children's body posture which is shorter than other children of the same age, but stunting can also have implications for children's cognitive abilities which determine the nation's competitiveness in the future. Objective: The general objective of this study is to explore socio-cultural factors and maternal mental health related to stunting. Method: The method used in this study is a qualitative-descriptive method with a content analysis approach. Data were collected through in-depth interviews using interview guidelines. Results: The results of this study indicate that the risk factors for stunting are high rates of child marriage, low family economic resources, high divorce rates, high rates of high-risk pregnancies and maternal mental health conditions. Based on the results of this study, it can be concluded that socio-cultural factors and maternal mental health conditions are determinants of stunting. From the results of this study, it is recommended that local governments empower adolescents to reduce the rate of child marriage in preventing maternal mental health disorders, for example by forming youth classes in each village as a forum to socialize the negative impacts of child marriage.
Education on Normal and Caesarean Delivery Based on Leaflets and Animated Videos Wulandari, R.A; Sastrawan, Sastrawan; Sismulyanto, Sismulyanto; Sulaiman, Lalu; Anggraeni, Ni Putu Dian Ayu
GUYUB: Journal of Community Engagement Vol 6, No 3 (2025): September
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/guyub.v6i3.12264

Abstract

The cesarean section (CS) rate in Mataram City has reached 67.2%, far above the national average. This increase raises medical, social, and economic concerns, especially since many procedures are performed without clear medical indications. A key contributing factor is low health literacy among women of reproductive age, including limited understanding of childbirth options, fear of pain, misconceptions about safety, and lack of family support. This community service activity applied a Participatory Action Research (PAR) approach in four stages: (1) problem identification with health centers, cadres, and women of reproductive age; (2) development of educational media in the form of leaflets and animated videos; (3) implementation through interactive lectures and discussions with 30 participants at Yarsi Mataram; and (4) participatory reflection and evaluation using pre–post tests. the findings showed an increase in average knowledge scores from 72.33 to 91.33. Beyond knowledge, participants also reported reduced fear of normal delivery, greater confidence in making childbirth decisions, and stronger commitment to seek support from health workers and families. This activity demonstrates that targeted health education can effectively improve both knowledge and attitudes toward childbirth. Replication is recommended in other areas with high CS rates, with cadres and community leaders trained as facilitators to ensure sustainability and wider impact.
Pengaruh Kombinasi Terapi Murottal Al-Quran dengan Relaksasi Nafas Dalam Terhadap Penurunan Tingkat Kecemasan Pada Pasien Pre Operasi Bedah Umum di RSUD Provinsi NTB Sulaiman, Lalu; Amrullah, Muhammad
Jurnal Kesehatan Qamarul Huda Vol. 7 No. 1 (2019): Juni 2019
Publisher : Universitas Qamarul Huda Badaruddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37824/jkqh.v7i1.2019.65

Abstract

Kecemasan adalah situasi di mana seseorang merasa khawatir, cemas, bahkan takut seolah-olah sesuatu yang berdampak buruk akan terjadi padanya. Kecemasan terjadi pada banyak pasien sebelum operasi. Kombinasi antara terapi murottal Al-Qur'an dan relaksasi pernapasan dalam adalah salah satu jenis terapi non-farmakologis. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh kombinasi ini pada penurunan tingkat kecemasan pada pasien pra operasi di Rumah Sakit Umum Pusat Provinsi Nusa Tenggara Barat (RSU-NTB). Penelitian ini termasuk penelitian Pra-Eksperimental dengan desain satu kelompok pretest-posttest dengan menggunakan purposive sampling. Sampel dalam penelitian ini adalah semua pasien pra operasi sebanyak 16 responden. Data dianalisis dengan uji-t berpasangan. Hasil analisis menunjukkan bahwa nilai t-hitung lebih besar dari t-tabel (9,667> 1,761). Ini berarti bahwa ada pengaruh yang signifikan dari perawatan ini untuk mengurangi tingkat kecemasan pada pasien sebelum operasi. Berdasarkan hasil penelitian direkomendasikan untuk menggunakan jenis perawatan ini dalam upaya untuk mengurangi anexity pasien pra operasi.