Iwan Stia Budi
Bagian Administrasi Fakultas Kesehatan Masyarakat Universitas Sriwijaya

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Pendampingan Pengembangan Kepemimpinan untuk Meningkatkan Budaya Mutu di Puskesmas Simpang Timbangan Budi, Iwan Stia; Munawarah, Siti Halimatul; Najmah, Najmah; Hotmauli, Arnita; Kelara, Anggun; Desmonda F, Maria; Ramanda, Dea Fadhilah; Syafitri, Syafitri; Safirah, Salwa; Wardhani, Adelia Kesuma; Nabella, Luthfiana
Jurnal SOLMA Vol. 14 No. 2 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i2.18279

Abstract

Background: Kepemimpinan berperan untuk mengarahkan staf untuk mencapai standar mutu yang telah ditetapkan serta berpengaruh terhadap budaya mutu layanan Puskesmas. Kegiatan ini bertujuan untuk melakukan pendampingan kepemimpinan di Puskesmas Simpang Timbangan dan diharapkan dapat meningkatkan budaya mutu di Puskesmas. Metode: Kegiatan pendampingan dilakukan menggunakan metode ceramah melalui penyampaian materi dan penayangan video interaktif serta diskusi kelompok melalui studi kasus. Kegiatan dilaksanakan pada 01 November 2024 di Puskesmas Simpang Timbangan dengan responden berjumlah 31 orang. Evaluasi kegiatan dilakukan dengan melihat perbedaan tingkat pengetahuan tentang kepemimpinan dan budaya mutu sebelum dan sesudah intervensi melalui pengisian kuesioner pretest dan posttest. Hasil: Terdapat perbedaan tingkat pengetahuan responden sebelum dan sesudah intervensi serta responden mampu menyelesaikan studi kasus yang diberikan dengan baik. Kesimpulan: Kegiatan ini mendapatkan respon positif dari responden dan jajaran pimpinan Puskesmas serta terdapat  perbedaan tingkat pengetahuan tentang kepemimpinan dan budaya mutu sebelum dan sesudah intervensi. Diharapkan kegiatan ini dapat mengembangkan kepemimpinan dan budaya mutu di Puskesmas Simpang Timbangan sehingga bermanfaat dalam upaya menjaga mutu layanan di Puskesmas.
Evaluasi Program Pendampingan Pasien Tuberkulosis Resisten Obat Dalam Mencapai Keberhasilan Pengobatan di Komunitas Masyarakat Sehat Sriwijaya Kota Palembang Putri, Adisty Maharani; Munawarah, Siti Halimatul; Budi, Iwan Stia; Palingga, Indah Fasha
Jurnal Ilmu Kesehatan Masyarakat Vol. 14 No. 05 (2025): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v14i05.3911

Abstract

Tuberkulosis Resisten Obat (TB RO) menjadi tantangan besar dalam pengendalian TB di Indonesia. Kota Palembang mencatat kasus TB RO tertinggi di Sumatera Selatan pada 2023 dengan 96 kasus dan tingkat keberhasilan pengobatan hanya 58,97%. Berdasarkan Perpres No. 67 Tahun 2021, komunitas memiliki peran penting dalam penanggulangan TB. Penelitian ini mengevaluasi program pendampingan pasien TB RO oleh Komunitas Masyarakat Sehat Sriwijaya melalui variabel efektifitas dan efisiensi menggunakan model William Dunn dengan metode kualitatif deskriptif. Data dikumpulkan melalui wawancara, observasi, dan studi dokumen dengan informan dari dinas kesehatan, pengelola program, pendamping pasien, dan pasien TB RO. Hasil penelitian menunjukkan efektivitas program untuk cakupan investigasi kontak dan pendampingan telah mencapai 100%. Namun, hasil telaah dokumen menunjukkan bahwa tidak terdapat lampiran data yang dapat memastikan bahwa seluruh pasien telah diinvestigasi. Dari segi efisiensi, pemanfaatan SDM, dana, dan sarana sudah berjalan baik, meskipun jarak tempuh menjadi kendala. Layanan menjangkau daerah terpencil, namun hambatan geografis masih ada. Akses layanan sudah cukup merata, tetapi pasien monoresisten masih menghadapi kesenjangan. Responsivitas program dinilai baik, namun koordinasi dengan dinas kesehatan perlu ditingkatkan. Penelitian ini merekomendasikan peningkatan koordinasi lintas sektor, perluasan akses layanan di wilayah terpencil, serta edukasi berbasis komunitas yang melibatkan penyintas untuk mengurangi stigma TB.
Enhancing nutritional status of stunted toddlers via supplementary feeding programs in Musi Banyuasin, 2023 Dariusmansyah, Azmi; Najmah, Najmah; Wulandari, Anggun Restu; Maryadi, Maryadi; Mayasari, Yesi; Lestari, Ayu Seftiani; Sukaesi, Elvi; Marelinda, Cesa; Mazidawati, Mazidawati; Syamsia, Salwa; Budi, Iwan Stia; Safitri, Wulandari Dwi; Zalzabila, Anisah
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 14, No 1 (2025): December
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.14.1.68-74

Abstract

ABSTRACTBackground: Stunting is caused by long-term malnutrition. To reduce this problem, the government has launched the Supplementary Feeding Program (SFP). In Musi Banyuasin Regency, this program is called “BUNDA AS (Bunda dan Anak Sehat)”.Objective: To provide an overview and compare the nutritional status of stunted and wasted toddlers before and after the intervention of supplementary feeding program in Musi Banyuasin Regency in 2023.Materials and Methods: This study employed a quasi-experimental design with a pre-test and post-test approach. The human subjects in the study were 107 stunted and wasted toddlers aged 6-59 months, all from low-income families in the working area of Primary Health Care Center Musi Banyuasin. Anthropometric parameters were used to assess nutritional status. The Supplementary Feeding Program was implemented for 90 days. There are three main meals, one animal protein snack, and two additional supplementary feeding servings for toddlers aged 6-24 months each day. Paired t-tests was used to analyze the data and evaluate the effectiveness of SFP on the nutritional status of stunted and wasted toddlers.Results: The results showed significant changes in the nutritional status of toddlers based on the indicators of weight for Age (WAZ), height for Age (HAZ), as well as the ratio of weight to height (WHZ) before and after the BUNDA AS intervention. The paired t-test revealed a significant difference mean weight and height of toddlers (p = <0.0001).Conclusion: There was an effectiveness of SPF on the nutritional status of stunted and wasted toddlers before and after the intervention of the BUNDA AS program in Musi Banyuasin Regency in 2023.Keywords: BUNDA AS; nutritional status; stunting; toddlers
Kapasitasi Kader Kesehatan tentang Posyandu Integrasi Layanan Primer berbasis Aplikasi SIPADU-ILP di Desa Talang Aur, Kecamatan Indralaya, Kabupaten Ogan Ilir Siti, Siti Halimatul Munawarah; Budi, Iwan Stia; Najmah, Najmah; Tari, Putri Inrian
Jurnal SOLMA Vol. 15 No. 1 (2026)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

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Abstract

Background: Posyandu cadres play a crucial role in supporting the implementation of the Integrated Primary Care (ILP) program as part of the transformation of community-based health services. However, limited knowledge and digital literacy among cadres have hindered the optimal implementation of Posyandu activities. This community service activity aimed to improve the knowledge and skills of Posyandu cadres in Talang Aur Village, Indralaya District, Ogan Ilir Regency through education, simulation, and mentoring using an information technology–based approach. Methods: The implementation consisted of three main stages: education, simulation, and mentoring, involving 50 Posyandu cadres as participants. Evaluation instruments included a pre–posttest to measure knowledge improvement and an application evaluation questionnaire to assess ease of use, usefulness, and user satisfaction. The activity was conducted on October 27, 2025, at the Talang Aur Village Hall. Results: The results showed a significant increase in the average knowledge score of cadres from 65.60 to 96.40 (p < 0.05), along with a high level of satisfaction regarding the ease of use and usefulness of the SIPADU-ILP (Integrated Posyandu Recording System for Primary Care Integration) application. Conclusion: This community service program proved effective in strengthening the competencies of Posyandu cadres, enhancing the efficiency of digital-based recording and reporting, and supporting the acceleration of community-based and information technology–driven primary health care transformation.
A Position Analysis of BPJS Claims Administration Officers and Verifiers (Case Study: Jambi Province Regional Mental Hospital) Hanisah, Hanisah; Ainy, Asmaripa; Budi, Iwan Stia
Preventia: The Indonesian Journal of Public Health Vol. 8, No. 2
Publisher : citeus

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Abstract

The high coverage rate of handling partially rejected claim financing reaching 7.34% of the total 19,476 cases in the Outpatient Unit of the Jambi Provincial Mental Hospital (RSJD) in 2022, is closely related to the quality of human resources (HR) in this case, the claims officer and the suitability of what is done with the job description, job specifications and standard operating procedures (SOP) that have been made. This study aimed to analyze the position of administrative officers and claim verifiers in the outpatient unit of the Jambi Provincial Mental Hospital. This research used a qualitative method. Information was collected through in-depth interviews with eight informants, observation, and document review. Test validity by triangulating sources, techniques, and data. The results showed that officers already knew the claims administration and verification procedures. The claim administration SOP in this case, the RJTL claim submission SOP and the monthly reporting SOP have not been outlined in a decision letter for the coding SOP. However, it has been outlined in a decision letter but has not been adequately socialized to the officers concerned. The SOP for claim verification has not been outlined in a decision letter and still refers to the technical guidelines for claim verification issued by BPJS Health. It is still found that the delegation of tasks and the number of verification officers not following the calculation of workload and standards set are obstacles in implementing administration and verification of claims in the Jambi Province RSJD outpatient department.