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ANALISIS KESESUAIAN KINERJA PETUGAS PEMBERI PELAYANAN KESEHATAN DENGAN HARAPAN PASIEN BPJS DI PUSKESMAS PERUMNAS KECAMATAN KADIA KOTA KENDARI Sri Mulyani; Marwa Safitri
MIRACLE Journal Of Public Health Vol 3 No 2 (2020): Miracle Journal of Public Health
Publisher : Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/mjph/Vol3.Iss2/170

Pasien peserta BPJS mengeluhkan adanya ketidaksesuaian kinerja dengan harapan pasien terhadap pelayanan yang diberikan.Tujuan penelitian ini adalah untuk mengetahui kesesuaian kinerja petugas pemberi pelayanan dengan harapan pasien di Puskesmas Perumnas. Penelitian ini adalah penelitian kuantitatif dengan pendekatan Cross Sectional Study, populasi penelitian berjumlah 14.263 orang dengan jumlah sampel 100 orang. Teknik pengambilan sampel menggunakan Accidental Sampling kombinasi dengan Sistematic Random Sampling, metode analisis menggunakan Uji Chi Square dan Uji Phi. Hasil penelitian menunjukkan bahwa tidak ada hubungan pada bukti fisik dengan harapan pasien BPJS (X2 hitung = 1,240), ada hubungan lemah pada daya tanggap dengan harapan pasien BPJS (X2 hitung = 5,021, Phi ( ) = 0,245), ada hubungan sedang pada kehandalan dengan harapan pasien BPJS (X2 hitung = 5,808, Phi ( ) = 0,262), ada hubungan lemah pada jaminan dengan harapan pasien BPJS (X2 hitung = 4,458, Phi ( ) = 0,233), tidak ada hubungan pada empati dengan harapan pasien BPJS (X2 hitung = 0,021). Diharapkan kepada petugas Puskesmas Perumnas agar dapat meningkatkan kualitas pelayanan, yang kurang bisa ditingkatkan dan yang sudah baik bisa di pertahankan agar dapat sesuai dengan harapan pasien BPJS.

The Relationship Between The Health Centre Service Quality And Facilities With Inpatients Loyalty: The Health Centre Service Quality Sri Mulyani; Muhammad Ikhsan Akbar
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 5 No. 1 (2023): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol5.Iss1/158

Background : The quality of services and facilities at the health centre which are still very limited have resulted in complaints that are often heard from health service users in the form of low loyalty to the health services provided which can lead to a decrease in the number of visits over time. The purpose of this study was to determine the relationship between quality of service and facilities at the health centre with inpatient loyalty Methods: The type of research used is quantitative research with a Cross Sectional Study design. The population in this study were all patients who had been hospitalized at the health centre, with a total sample of 95 patients selected using a simple random sampling technique. Results: The results of the bivariate analysis showed that the patient's perceived low loyalty was 17( 29.82 % )in patients with poor reliability assessment, 27 ( 47.37 %) in patients with poor responsiveness, 9 ( 33.33 %) in patients with poor attention and23 ( 40.35 %) in patients who felt that the health centre facilities were lacking. The results of statistical tests using the Chi-Square test obtained a significance value that was lower than the alpha value so that it could be concluded that the variables of reliability, responsiveness, attention, health center facilities had an effect on inpatient loyalty with the value of each p- value: 0.000; 0.020; 0.031; 0.049. Conclusion: This study proves that the reliability, responsiveness, attention and facilities of the health centre are related to inpatient loyalty. There needs to be a policy by the service provider, in this case, the manager of the Health centre staff in improving the quality of health centre services.

Pengetahuan Ibu Post Partum dengan Pantang Makanan Selama Masa Nifas Yulli Fety; Sri Mulyani; Lisnawati Lisnawati; Rida Aprianti
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.6252

This study aims to determine the relationship between postpartum mothers' knowledge and food abstinence during the postpartum period. This research method uses a quantitative research type with a cross sectional study design. The population in this study was 55 people, with a simple random sampling technique with a sample size of 48 people. The analysis method uses statistical tests, namely the chi square and Cramer's tests. The results of this study indicate that the knowledge of post partum mothers is moderately related to abstaining from food during the postpartum period. The value obtained is (X2 Hit= 5.802 > North Wowonii District, Konawe Islands Regency. Keywords: Postpartum Period, Food Abstinence, Knowledge

Pemberdayaan Kader Posyandu Dan Ibu Ibu PKK Melalui Penyuluhan Dan Pelatihan “Golden Age Period For Golden Generation” Sebagai Upaya Pencegahan Stunting Di Desa Torobulu Titi Saparina L; Noviati Noviati; Sri Mulyani
Jurnal Mandala Pengabdian Masyarakat Vol. 4 No. 2 (2023): Jurnal Mandala Pengabdian Masyarakat
Publisher : Progran Studi Farmasi STIKES Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35311/jmpm.v4i2.291

Stunting merupakan kondisi gagal tumbuh pada anak balita akibat dari kekurangan gizi kronis sehingga anak menjadi terlalu pendek untuk usianya. Kekurangan gizi dapat terjadi sejak bayi dalam kandungan dan pada masa awal setelah anak lahir. Periode 0-24 bulan usia anak merupakan periode yang menentukan kualitas kehidupan sehingga disebut dengan periode emas. Salah satu Desa Di Wilayah Kerja Puskesmas Kecamatan Laeya memiliki jumlah balita stunting terbanyak dan di dukung data dari hasil Kegiatan KKN Tematik Mahasiswa Universitas Mandala Waluya Bulan Februari – Maret Tahun 2023 diperoleh data angka stunting yang cukup tinggi di Desa Torobulu yang berjumlah 51 Balita, angka ini lebih tinggi dibandingkan 2 Tahun sebelumnya. Tingginya angka stunting di Desa Torobulu dikarenakan masih rendahnya pengetahuan masyarakat tentang pemberian pola makan yang benar pada balita, pemenuhan gizi pada 1000 HPK, serta masih kurangnya pemanfaatan fasilitas sarana dan prasarana kesehatan secara maksimal oleh masyarakat dan kurangnya kader posyandu terlatih. Adapun tujuan dari kegiatan ini adalah Memberikan solusi kepada kelompok Masyarakat khususnya ibu yang memiliki bayi dan balita terkait pencegahan stunting, pemantauan pertumbuhan dan perkembangan melalui pengukuran status gizi dengan penggunaan KPSP (Kuesioner Pra Skrining Perkembangan) dalam deteksi dini stunting pada anak. Metode yang digunakan dalam kegiatan pengabdiana ini adalah metode ceramah, diskusi dan tanya jawab, pemberian pre test dan post untuk mengukuran pengetahuan peserta serta observasi kuesioner KPSP. Hasil dari kegiatan Program Kemitraan Masyarakat ini adalah pada kegiatan penyuluhan Kesehatan terdapat peningkatan pengetahuan ibu yang memiliki bayi dan balita terkait pencegahan stunting dengan kenaikan tingkat pengetahuan sebesar 24,3 % dari 52,2 % menjadi 94,5 % yang tergolong dalam kategori sangat baik. Sedangkan pada kegiatan pelatihan pemantauan melalui KPSP maupun pelatihan kader posyandu banyaknya peserta yang antusias dengan kegiatan ini terbukti dengan banyak respon peserta dengan memberikan pertanyaan kepada narasumber. Luaran yang dicapai dalam kegiatan Program Kemitraan Masyarakat adalah berupa Artikel Di Media Massa Elektronik, Video Youtube, Poster, HAKI dan Jurnal Pengabdian Masyarakat ber ISSN serta peningkatan pengetahuan dan pemahaman.

The Relationship Between The Health Centre Service Quality And Facilities With Inpatients Loyalty: The Health Centre Service Quality Sri Mulyani; Muhammad Ikhsan Akbar
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 5 No. 1 (2023): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol5.Iss1/158

Background : The quality of services and facilities at the health centre which are still very limited have resulted in complaints that are often heard from health service users in the form of low loyalty to the health services provided which can lead to a decrease in the number of visits over time. The purpose of this study was to determine the relationship between quality of service and facilities at the health centre with inpatient loyalty Methods: The type of research used is quantitative research with a Cross Sectional Study design. The population in this study were all patients who had been hospitalized at the health centre, with a total sample of 95 patients selected using a simple random sampling technique. Results: The results of the bivariate analysis showed that the patient's perceived low loyalty was 17( 29.82 % )in patients with poor reliability assessment, 27 ( 47.37 %) in patients with poor responsiveness, 9 ( 33.33 %) in patients with poor attention and23 ( 40.35 %) in patients who felt that the health centre facilities were lacking. The results of statistical tests using the Chi-Square test obtained a significance value that was lower than the alpha value so that it could be concluded that the variables of reliability, responsiveness, attention, health center facilities had an effect on inpatient loyalty with the value of each p- value: 0.000; 0.020; 0.031; 0.049. Conclusion: This study proves that the reliability, responsiveness, attention and facilities of the health centre are related to inpatient loyalty. There needs to be a policy by the service provider, in this case, the manager of the Health centre staff in improving the quality of health centre services.

Description Of Health Workers At The Soropia Health Center And The Morosi Health Center, Konawe District: Health Workers Muhammad Ikhsan Akbar; Hartian Dode; Yuliana Muslimin; Sri Mulyani
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 5 No. 2 (2023): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol5.Iss2/191

Background: Efforts to meet the need for health workers have not yet taken into account the conditions of the number, type, quality and distribution. The availability of health workers is still an important highlight due to the uneven distribution. Based on initial survey data at the Morosi Health Center, the number of health workers was 46 health workers. For the Soropia Health Center, the number of health workers is 57 health workers. The purpose of this study was to describe the need for health workers at the Morosi Health Center and Soropia District Health Center Method: This study uses a descriptive approach using the Minimum Tenacity Standard method. This research will be conducted in June 2023. The research was conducted at the Morosi Puksemsas and the Soropia Health Center, Konawe Regency, Southeast Sulawesi. The primary data source in this study is data obtained from research samples using the Minimum Power Standards method. Determination of Public Health Center was carried out by porpusive sampling. The data analysis technique in this study used the analysis of Minimum Employment Standards at the Community Health Centers based on the Standards issued by the Ministry of Health Results: Soropia Health Center, Konawe District. there is a shortage of dentists and medical laboratory personnel at the Soropia Health Center. The results of the study also showed that there were excesses of some health workers. The data shows that there is an excess of 24 nurses, an excess of 15 midwives, an excess of 3 nutritionists, and an excess of 2 pharmacists. The Morosi Health Center, Konawe Regency, has a shortage of Environmental Sanitation Workers at the Morosi Health Center. The results of the study also showed that there were excesses of some health workers. The data shows that there is an excess of 10 nurses, an excess of 12 midwives, an excess of 5 personnel for Health Promotion and Behavioral Sciences, an excess of 4 pharmacists, an excess of 2 nutritionists, and an excess of 2 medical laboratory personnel. Conclusion: Morosi Health Center and Soropia Health Center still have a shortage and excess of health workers. It is hoped that the regional government of Konawe Regency will use health workload analysis in the future in planning health workers because this will better answer the needs of health workers needed in each Public Health Center.

Child Risk Determinants to Predict Stunting: A Case-Control Study in Sorawolio, Bau-Bau City Fitri Rachmillah Fadmi; Sri Mulyani; Asfani Yuhadi; Wa Ode Justin
Public Health of Indonesia Vol. 12 No. 2 (2026): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i2.1699

Background: Stunting remains a major public health concern with serious consequences for human development and long-term productivity. Objective: This study analyzed child-related factors linked to stunting among children under five in the Sorawolio Health Center area, Baubau City, and developed a logistic regression prediction model. Methods: Using a case-control design, the researchers included 302 participants 151 stunted and 151 non-stunted children selected through proportional random sampling. Health center records provided the child's nutritional status, while structured interviews with a validated questionnaire collected data on birth order, low birth weight (LBW), birth length, immunization history, exclusive breastfeeding, and household exposure to cigarette smoke. Results: Multivariate logistic regression showed strong associations between stunting and being the firstborn (AOR=7.45; 95% CI: 3.64–15.26), LBW (AOR=7.16; 95% CI: 1.60–32.13), short birth length <48 cm (AOR=25.29; 95% CI: 11.51–55.55), absence of exclusive breastfeeding (AOR=9.10; 95% CI: 3.17–26.15), and cigarette smoke exposure (AOR=2.40; 95% CI: 1.21–4.79). Immunization status showed only a borderline effect (p=0.059). The final model (constant –16.712) indicated that stunting risk rises sharply when multiple risk factors occur together, supporting its use as an early screening tool in primary care. Conclussion: These findings highlight how biological, nutritional, and environmental factors interact to drive stunting and emphasize the urgency of targeted interventions in coastal communities with limited health resources.

Logistic Regression Analysis of Risk Factors for Stunting Among Toddlers Aged 24-59 Months in Southeast Sulawesi, Indonesia Fitri Rachmillah Fadmi; Sri Mulyani; La Djabo Buton; Wa Ode Sitti Justin; Yeni Riza
Health Dynamics Vol 2, No 2 (2025): February 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20206

Background: Stunting in toddlers is a health problem that can hinder human development globally.This condition has the potential to increase the number of stunting toddlers for toddlers under five years of age. The purpose of the study was to analyze the risk factors for stunting in toddlers under five during the pandemic. Methods: This research is an analytical survey of case-control study design with a 1:1 ratio selected using a simple random sampling technique source of data from primary and secondary data collection. Bivariate analysis was performed using Odds Ratio and chi-square tests, and multivariate analysis was performed using binary logistic regression. Results: The results showed that the variables that had risk factors for stunting were history of infectious disease (OR=5.769; p=0.004), low birth weight (LBW) (OR=4.444; p=0.017), history of exclusive breastfeeding (OR=4.552; p=0.010), family income (OR=6.314; p-value =0.004), knowledge (OR=3.818; p= 0.002) and the most dominant risk factor is family income. Conclusion: Important to reduce stunting cases through cross-sectoral collaboration regarding the modification of health services according to the socioeconomic level of the community.

Pulmonary Tuberculosis Treatment Failure in Coastal Poasia: Determinants from a Case-Control Study Fitri Rachmillah Fadmi; Sri Mulyani; Karol Octrisdey; Wa Ode Sitti Justin; Yeni Riza
Health Dynamics Vol 2, No 11 (2025): November 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21104

Background: Tuberculosis continues to be a major public health issue, particularly in coastal areas where access to healthcare services is often constrained and living conditions differ from inland settings. Treatment failure remains a persistent challenge for tuberculosis control programs at the primary healthcare level. This study aimed to identify factors associated with pulmonary tuberculosis treatment failure in a coastal primary healthcare setting. Methods: An analytical observational study with a case–control design was conducted, involving 48 participants, comprising 24 cases (treatment failure) and 24 controls (treatment success). Data were obtained from tuberculosis program records and through structured interviews. Bivariate analysis using the chi-square test was performed to identify potential determinants (p ≤ 0.25), followed by binary logistic regression to determine factors independently associated with treatment failure. Results: Treatment adherence was the only factor that remained significantly associated with treatment failure after adjustment (AOR = 14.81; p = 0.016). Other variables, including distance to health facilities, knowledge, history of comorbid disease, family support, anxiety, and the role of the treatment supervisor (Pengawas Minum Obat or PMO), did not show significant associations in the multivariable model, although some demonstrated a tendency toward increased risk. Conclusion: Adherence to treatment plays a decisive role in determining tuberculosis treatment outcomes. Strengthening adherence should therefore be prioritized to reduce treatment failure, particularly in coastal communities where structural and social conditions may affect patients’ ability to complete treatment.

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