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Menavigasi Hibriditas: Tantangan dan Peluang Kolaborasi Publik-Privat dalam Transformasi Layanan Kesehatan Indonesia Rulinawaty, Rulinawaty; Samboteng, Lukman; Andriyansah, Andriyansah; Kasmad, M. Rachmat; Alwi, Alwi; Basit, Mutmainnah
Ranah Research : Journal of Multidisciplinary Research and Development Vol. 6 No. 6 (2024): Ranah Research : Journal Of Multidisciplinary Research and Development (Septemb
Publisher : Dinasti Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/rrj.v6i6.1594

Abstract

Hybrid organizations that combine elements of the public and private sectors are growing in healthcare in Indonesia, but their impact and management are still debated. This study aims to identify and analyze the dimensions of hybridity and its impact in operational practices. A qualitative case study method was used with a multidimensional analysis of three hybrid healthcare organizations in Indonesia, involving in-depth interviews, observation, and document analysis. The results showed that organizational hybridity includes variations in legal form, ownership, funding, activities, strategic orientation, organizational culture, and governance, which simultaneously create positive impacts such as innovation, efficiency, and improved service quality, as well as negative effects such as internal value conflicts, unfair cross-subsidies, and public accountability challenges. This study confirms the importance of strategic management and pragmatic approaches in understanding and managing hybrid organizations, and makes significant theoretical and practical contributions to health sector policy development. Further research is recommended to explore optimal governance strategies in the context of other hybrid organizations in Indonesia.
Navigating Hybrid Organizations: Bridging Governance Gaps in Healthcare Policy Implementation in Indonesia Rulinawaty, Rulinawaty; Samboteng, Lukman; Andriyansah, Andriyansah; Kasmad, M. Rachmat; Alwi, Alwi; Mutmainnah Basit, Mutmainnah Basit
UJoST- Universal Journal of Science and Technology Vol. 4 No. 1 (2025): March 2025
Publisher : Faculty of Science and Technology University of Pramita Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11111/ujost.v4i1.167

Abstract

Effective healthcare policy implementation is critical for achieving universal healthcarecoverage. This study evaluates the implementation of Indonesia's National Health Insurance Program (Jaminan Kesehatan Nasional - JKN), aiming to identify significant regional variations and underlying factors influencing policy effectiveness. A qualitative case study approach was adopted, employing semi-structured interviews, focus group discussions, and document analysis across selected Indonesian regions. Findings indicate substantial discrepancies in policy implementation outcomes, primarily driven by institutional capacities, governance quality, administrative complexities, resource constraints, and varying levels of community engagement. The discussion highlights the necessity of addressing institutional fragmentation, improving governance mechanisms, and strengthening stakeholder collaboration to overcome existing barriers. This research underscores the importance of context-specific strategies and contributes to a deeper understanding of healthcare policy implementation challenges. The insights offer valuable guidance for policymakers and suggest areas for further investigation into governance improvements and region-specific implementation frameworks.
The Influence of Interactive Visual Media in Learning Basic Volleyball Techniques on Students' Learning Interest Kasmad, M. Rachmat; Haeril, Haeril
Journal of Sport Education, Coaching, and Health (JOCCA) Vol 6 No 2 (2025): June
Publisher : Sains Global Institut, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35458/jc.v6i2.4799

Abstract

This study aimed to determine the effect of the use of interactive visual media on students' learning interest in basic volleyball techniques at SMA Negeri 9 Makassar. The method used was a quasi-experimental study with a pretest-posttest control group design. The sample consisted of 40 students divided into two groups: an experimental group (n=20) receiving treatment using interactive visual media, and a control group (n=20) using conventional learning methods. The descriptive analysis showed that the average learning interest score in the experimental group increased from 67.40 (SD = 6.12) in the pretest to 85.10 (SD = 5.73) in the posttest. Meanwhile, in the control group, the score increased from 66.85 (SD = 5.89) to 72.45 (SD = 6.18). The t-test results showed a significant difference between the two groups in the posttest, with a p-value of 0.000. The effect size calculation using Cohen's d yielded a value of 2.12, which is considered a large effect size. These findings indicate that the use of interactive visual media can significantly increase student interest in learning basic volleyball techniques. This media provides a more engaging learning experience, facilitates technical understanding through visualization, and encourages active student participation. Therefore, interactive visual media is recommended as an effective learning strategy in physical education at the secondary school level.
The Effect of Structured Swimming Training on Improving Motor Coordination and Physical Fitness of Elementary School Students Kasmad, M. Rachmat; Saleh, Muhammad Syahrul
Journal of Sport Education, Coaching, and Health (JOCCA) Vol 6 No 3 (2025): September
Publisher : Sains Global Institut, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35458/jc.v6i3.4821

Abstract

This study aimed to analyze the effect of structured swimming training on improving motor coordination and physical fitness of students at SD Inpres Unggulan BTN Pemda Makassar. The study used a quasi-experimental design with a One Group Pretest–Posttest model, involving 20 students. The variables measured included motor coordination using the Alternate Hand Wall Toss Test and physical fitness components, namely VO₂max, muscle strength, and agility. The structured swimming training program was implemented for six weeks, twice weekly. The results showed significant improvements in all variables after the intervention. Motor coordination increased on average from 15.8 to 26.4. VO₂max increased from 28.5 to 34.2 ml/kg/min, muscle strength increased from 11.4 to 14.8 kg, and agility showed a time reduction from 14.2 to 12.6 seconds. A paired sample t-test showed a p-value <0.05 for all variables, indicating a significant effect of structured swimming training on motor coordination and physical fitness. The results of this study confirm that swimming, as a structured activity, can comprehensively improve students' motor skills and physical condition. Integrating swimming training into physical education is considered relevant for supporting the physical development of elementary school-aged children. Further research is recommended using a control group design and a longer intervention duration to strengthen the generalizability of the findings.
ANALISIS KANDUNGAN ZAT BESI DAN UJI ORGANOLEPTIK PADA MUFFIN INOVATIF DENGAN SUBSTITUSI TEPUNG BAYAM MERAH DAN PUREE PISANG AMBON Aprilia, Vina; Kasmad, M. Rachmat; Kamaruddin, Ilham
JOURNAL HEALTH AND NUTRITIONS Vol 12, No 1 (2026): Health and Nutritions
Publisher : Jurusan Gizi Politeknik Kesehatan Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jhn.v12i1.1668

Abstract

Iron is an essential mineral that plays a crucial role in hemoglobin formation. Inadequate iron intake may increase the risk of anemia, particularly among adolescent girls. One strategy to improve iron intake was through food innovation based on local ingredients. The study was aimed to analyze iron content, iron contribution of muffin, and organoleptic acceptance of innovative muffins substituted with red spinach flour and ambon banana puree. The experimental study employed a Completely Randomized Design (CRD) consisting of four formulations namely F0 (100%:0%:0%), F1 (80%:10%:5%), F2 (70%:20%:10%), and F3 (55%:30%:15%) for flour: red spinach flour: ambon banana puree. Iron content was analyzed using laboratory methods, while organoleptic evaluation assessed color, texture, smell and taste. The results showed significant differences in iron content among formulations, with F3 having the highest iron content and F0 the lowest, indicating that higher substitution levels of red spinach flour and ambon banana puree positively increased muffin iron content. Formulations 2 and 3 were able to meet the target 30% of daily iron requirements for adolescent girls with two cup muffin while remaining within the recommended energy limits for snacks. Organoleptic test results revealed that F2 was the best formulation, demonstrating the highest panelist preference and the most balanced sensory characteristics. The conclusion of the study was the substitution of red spinach flour and Ambon banana puree in muffins increases iron content, with F3 having the highest level, F2 and F3 were able to meet approximately 30% of iron requirements as snack options, while formulation F2 was considered the best due to its highest level of acceptability and most optimal sensory characteristics.Zat besi merupakan mineral esensial yang berperan penting dalam pembentukan hemoglobin. Kekurangan zat besi dapat meningkatkan risiko anemia, khususnya pada remaja putri. Upaya peningkatan asupan zat besi dapat dilakukan melalui inovasi pangan berbasis bahan lokal. Penelitian ini bertujuan untuk menganalisis kandungan zat besi, pemenuhan zat besi muffin, serta penerimaan organoleptik muffin inovatif dengan substitusi tepung bayam merah dan puree pisang ambon. Penelitian ini menggunakan desain eksperimental dengan Rancangan Acak Lengkap (RAL) yang terdiri atas empat formulasi, yaitu F0 (100%:0%:0%), F1 (80%:10%:5%), F2 (70%:20%:10%), dan F3 (55%:30%:15%) untuk perbandingan tepung terigu: tepung bayam merah: puree pisang ambon. Analisis kandungan zat besi dilakukan melalui analisis laboratorium, sedangkan uji organoleptik meliputi aspek warna, tekstur, aroma, dan rasa. Hasil penelitian menunjukkan terdapat perbedaan kandungan zat besi pada setiap formulasi, dengan nilai tertinggi pada F3 dan terendah pada F0, yang menandakan bahwa peningkatan substitusi tepung bayam merah dan puree pisang ambon berpengaruh terhadap peningkatan kadar zat besi muffin. Formulasi 2 dan 3 mampu memenuhi target kontribusi 30% kebutuhan zat besi harian remaja putri dengan dua cup muffin dan tetap sesuai dengan batas energi makanan selingan. Hasil uji organoleptik menunjukkan bahwa F2 merupakan formulasi terbaik dengan tingkat penerimaan panelis tertinggi dan keseimbangan karakteristik sensorik yang optimal. Kesimpulan penelitian ini adalah substitusi tepung bayam merah dan puree pisang ambon pada muffin meningkatkan kadar zat besi dimana F3 memiliki kandungan tertinggi, F2 dan F3 mampu memenuhi sekitar tiga puluh persen kebutuhan zat besi sebagai makanan selingan, serta formulasi F2 menjadi yang terbaik karena paling disukai dan memiliki karakteristik sensorik paling optimal.
HUBUNGAN TINGKAT PENDAPATAN KELUARGA DAN POLA MAKAN DENGAN STATUS GIZI BALITA Masnur, Nur Ilmi; Kasmad, M. Rachmat; Arfanda, Poppy Elisano; Nurfaidah, Nurfaidah; Kartini, Kartini
JOURNAL HEALTH AND NUTRITIONS Vol 12, No 1 (2026): Health and Nutritions
Publisher : Jurusan Gizi Politeknik Kesehatan Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jhn.v12i1.1701

Abstract

Nutritional status of toddlers is an important indicator of child health influenced by socioeconomic factors and dietary patterns. The study was aimed to analyze the relationship between family income level and dietary patterns with the nutritional status of toddlers. The research employed a quantitative method with a cross-sectional design and a descriptive correlational approach. The sample consisted of 58 toddlers determined using the slovin formula. The variables measured included family income level and dietary patterns as independent variables and nutritional status of toddlers as the dependent variable. Data were collected through structured questionnaires and anthropometric measurements. The results showed that the majority of families had low income (94.8%), and many toddlers had moderate dietary patterns (55.2%). The nutritional status of toddlers was categorized into good nutrition (43.1%), undernutrition (41.4%), and severe malnutrition (15.5%). Statistical analysis using the chi-square test indicated that there was no significant association between family income and the nutritional status of toddlers (p=0.623), and no significant association between dietary patterns and nutritional status (p=0.774). In conclusion, the nutritional status of toddlers is not only influenced by family income and dietary patterns, but also by other factors such as parenting practices, nutritional knowledge, and environmental conditions. It is recommended to improve parental nutrition education, enhance feeding practices, and strengthen health programs as well as integrative environmental interventions to improve the nutritional status of toddlers. Status gizi balita merupakan indikator penting kesehatan anak yang dipengaruhi oleh faktor sosial ekonomi dan pola makan. Penelitian ini bertujuan untuk menganalisis hubungan antara tingkat pendapatan keluarga dan pola makan dengan status gizi balita. Penelitian ini menggunakan metode kuantitatif dengan desain cross-sectional serta pendekatan deskriptif korelasional. Sampel penelitian terdiri dari 58 balita yang ditentukan menggunakan rumus Slovin. Variabel yang diukur meliputi tingkat pendapatan keluarga dan pola makan sebagai variabel independen serta status gizi balita sebagai variabel dependen. Data dikumpulkan melalui kuesioner terstruktur dan pengukuran antropometri. Hasil penelitian menunjukkan bahwa sebagian besar keluarga memiliki pendapatan rendah (94,8%), dan sebagian besar balita memiliki pola makan sedang (55,2%). Status gizi balita dikategorikan menjadi gizi baik (43,1%), gizi kurang (41,4%), dan gizi buruk (15,5%). Analisis statistik menggunakan uji chi-square menunjukkan bahwa tidak terdapat hubungan yang signifikan antara pendapatan keluarga dengan status gizi balita (nilai p=0,623), serta tidak terdapat hubungan yang signifikan antara pola makan dengan status gizi (nilai p=0,774). Kesimpulan, status gizi balita tidak hanya dipengaruhi oleh pendapatan keluarga dan pola makan, tetapi juga faktor lain seperti pola asuh pengasuhan, pengetahuan gizi dan kondisi lingkungan. Disarankan perlu peningkatan edukasi gizi kepada orang tua, perbaikan pola asuh dalam pemberian makan anak, serta dukungan program kesehatan dan perbaikan lingkungan secara terpadu guna meningkatkan status gizi balita.