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Potential fraud and its’ prevention in the implementation of national health insurance at Dadi Regional Hospita Saru, Amaliah Amriani Amran; Arifin, Muhammad Alwy; Darmawansyah, Darmawansyah; Razak, Amran; Syafar, Muhammad; Rahmatia, Rahmatia
International Journal of Public Health Science (IJPHS) Vol 12, No 3: September 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i3.22952

Abstract

The National Health Insurance program started running in Indonesia on January 1, 2014. Along with the increasing number of National Health Insurance participants and health facilities, more criticism has emerged from various parties, including from National Health Insurance providers regarding the alleged fraud. Fraud can have a negative effect on finances, the standard of medical care, and the perpetrator's reputation. This study's goal was to assess the likelihood that fraud may occur at Dadi Regional Hospital in Makassar, Indonesia. The study also explored the procedures and policies in place for preventing the fraud. This qualitative study employed phenomenological design. The results of the study show that there is a fraud prevention system at Dadi Regional Hospital in the form of policy and guideline formulation, a culture of prevention, implementation of quality control, and cost control. Even though they already have a prevention system in place, there is still some lack of information being disseminated about the fraud prevention team established. There are still frequent discrepancies between the diagnosis code input in the National Health Insurance system and the patient's diagnosis Hence, the Internal Monitoring Unit is still in the process of establishing a fraud prevention system
Factors Related To The Occurrence Of Gastritis At Lubuk Pinang Heakth Center, Mukomuko Regency Sepriwendi, Sepriwendi; Darmawansyah, Darmawansyah; Wulandari, Wulandari; Suyanto, Jipri; Habibi, Julius
Journal Hygeia Public Health Vol 3 No 1 (2024): December
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jhph.v3i1.7513

Abstract

Intoduction: Gastritis is a disease of the upper gastrointestinal tract characterized by severe pain in the upper abdomen. WHO data indicates that the number of gastritis cases reaches 1.8-2.1 million. The incidence of gastritis in Indonesia has a prevalence of 274,396 cases out of 238,452,952 residents. Data from the provincial health office records 1,620 cases, while data from Lubuk Pinang health center shows 64 cases. Many people have the habit of smoking, experience stress, and frequently consume Non-Steroidal Anti-Inflammatory Drugs (NSAIDs). The aim of this study is to identify the factors related to the incidence of gastritis. Method: This research is a quantitative study using a cross-sectional design. The population consists of 582 individuals. The sampling technique used is accidental sampling. The analysis used is univariate analysis and bivariate analysis with the Chi-Square test.Result and Discussion: A small percentage of respondents experienced gastritis, the majority of respondents did not consume NSAIDs, most respondents did not smoke, and most respondents experienced mild stress. There is a relationship between NSAID consumption (p=0.006) and stress levels (p=0.000) with the incidence of gastritis. There is no relationship between smoking habits and the incidence of gastritis (p=0.577). Conclusion: The conclusion of this study is that gastritis is influenced by stress levels and NSAIDs, but there is no relationship with smoking habits.
An Analysis Of Host Factor And Enviroment With The Incidence Of Pulmonary Tuberculosis In The Working Area Of Telaga Dewa Health Center, Bengkulu City Gustiana, Sika Mana; Darmawansyah, Darmawansyah; Sari, Fikitri Mrya; Rohani, Tuti; Retni, Retni
Journal Hygeia Public Health Vol 3 No 1 (2024): December
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jhph.v3i1.7514

Abstract

Intoduction: The World Health Organization (WHO) states that nearly one-quarter of the world's population is infected with the Mycobacterium tuberculosis bacteria, with approximately 89% of tuberculosis cases occurring in adults and 11% in children. Indonesia ranks third globally, with an estimated 9.9 million people suffering from pulmonary TB. In 2023, the Health Office of Bengkulu City reported 686 cases. There were 34 cases of pulmonary TB identified in the Working Area of the Telaga Dewa Health Center in Bengkulu City. The aim of this study is to identify the factors associated with the incidence of pulmonary TB in the Working Area of the Telaga Dewa Health Center in Bengkulu City. Method: The method used is an observational analytic study design with a case-control approach, collecting data through questionnaires distributed to 34 respondents who tested positive for pulmonary TB and 34 respondents who tested negative in the Working Area of the Telaga Dewa Health Center, using Total Sampling technique. Result and Discussion: This study shows that the frequency distribution indicates that the majority of respondents (57.4%) have low knowledge, 52.9% have no history of contact, 44.1% are smokers, 61.8% have inadequate ventilation area, and 72.1% live in adequate housing density. Bivariate analysis results indicate a relationship between knowledge and the incidence of pulmonary TB (P = 0.003), no relationship between contact history and the incidence of pulmonary TB (P = 0.224), a relationship between smoking status and the incidence of pulmonary TB (P = 0.007), a relationship between ventilation area and the incidence of pulmonary TB (P = 0.025), and no relationship between housing density and the incidence of pulmonary TB (P =0.105). Conclusion: community health center staff pay close attention to the complete and clear address data of pulmonary TB patients to facilitate investigations or research on patients with pulmonary TB.
Factors Related To The Occurrence Of Pulmonary Tuberculosis In The Working Area Of Padang Serai Helath Center, Bengkulu City Efendi, Heru; Surahman, Fery; Suyanto, Jipri; Darmawansyah, Darmawansyah; Wulandari, Wulandari
Journal Hygeia Public Health Vol 2 No 1 (2023): December
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jhph.v2i1.7517

Abstract

Intoduction: Pulmonary tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis that attacks the lungs and bronchi. Unhealthy lifestyles can lead individuals to be infected with tuberculosis, influenced by factors such as age, gender, education, knowledge, attitudes of patients, occupation, nutritional status, the role of health workers, housing density, and the environment. The aim of this study is to identify the factors associated with the incidence of pulmonary TB in the working area of Padang Serai Health Center in Bengkulu City. Method: The method used is a case-control study design, with data collected as primary data by distributing questionnaires to 30 cases with BTA (+) and 30 controls with BTA (-) in the working area of the Health Center in 2023 using total sampling technique. Result and Discussion: Data analysis was performed using the Chi-Square test. The results of univariate analysis showed that almost half of the respondents (45.0%) had low knowledge, more than half of the respondents (56.7%) lived in crowded conditions, and more than half of the respondents (55.0%) had an economic status of ≥Rp. 2,701,256. Bivariate analysis revealed there is a relationship between knowledge and the incidence of pulmonary TB (p=0.008), a relationship between housing density and the incidence of pulmonary TB (p=0.004), and a relationship between economic status and the incidence of pulmonary TB (p=0.038). Conclusion: The researchers recommend that the Health Center improve the role of health workers in educating patients about pulmonary tuberculosis.
Factors Related To The Occurrence Of Diarrhea In Toddlers In The Working Area Of Telaga Dewa Health Center, Bengkulu City Febriyanti, Fitria; Sari, Fikitri Marya; Fauzi, Yusran; Darmawansyah, Darmawansyah; Wulandari, Wulandari
Journal Hygeia Public Health Vol 3 No 1 (2024): December
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jhph.v2i2.7518

Abstract

Intoduction: Diarrhea is a disease that often causes death in toddlers, with an estimated 443,832 children under the age of 5 dying from diarrhea. The prevalence of diarrhea cases in toddlers in Indonesia increased by 26.4% in 2022. This study aims to identify the risk factors associated with diarrhea in toddlers in the Working Area of Telaga Dewa Health Center in Bengkulu City. Method: This research is quantitative with a cross-sectional design. The sample size for this study was 96 individuals, selected using simple random sampling. Data analysis was performed using the chi-square test with a significance level of 95%. Result and Discussion: he analysis results showed that a portion of the respondents had sufficient knowledge (51.0%), more than half of the respondents had unfavorable attitudes (68.8%), and more than half of the respondents did not provide exclusive breastfeeding (66.7%), while almost one-third of the respondents did not experience diarrhea (32.3%). Based on the bivariate analysis, there was a significant relationship between knowledge and exclusive breastfeeding with the incidence of diarrhea in the Working Area of Telaga Dewa Health Center, Bengkulu City. However, there was one variable that showed no significant relationship between attitude and the incidence of diarrhea at the health center.Conclusion: t is hoped that the health center can optimize preventive and promotional programs regarding factors related to the incidence of diarrhea in toddlers, and that mothers with toddlers understand the factors associated with the occurrence of diarrhea
Factor Associated With The Incidence Of Choronic Energy Deficiency Pregnant Mothers In The Health Office Area Of Pagar Alam City In 2024 Anggraini, Nova; Retni, Retni; Darmawansyah, Darmawansyah; Wulandari, Wulandari; Habibi, Julius
Journal Hygeia Public Health Vol 2 No 2 (2024): June
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jhph.v2i2.7523

Abstract

Intoduction: Chronic Energy Deficiency (CED) is a condition where a person's nutritional status is poor due to inadequate consumption of food sources of energy that contain macro- nutrients. There are 9 community health centers (Puskesmas) spread across all sub-districts in Pagar Alam City. From the preliminary survey data obtained in 2024, the number of CED cases in Pagar Alam City is 64 cases. The highest number is in Sidorejo, with 19 cases, while the lowest is at Gunung Dempo Health Center, with 1 case. The general objective of this study is to identify the factors associated with the incidence of Chronic Energy Deficiency in pregnant mothers in the Health Office area of Pagar Alam City in 2024. Method: The research design used is cross-sectional. The population in this study consists of all pregnant mothers who underwent Mid-Upper Arm Circumference (MUAC) measurement in the working area of Sidorejo health center, totaling 588 pregnant mothers. The sample size in this study is 57 pregnant mothers, selected using accidental sampling techniques. The results are presented in univariate and bivariate analyses with chi-square tests at α 5%. Result and Discussion: The results show a significant relationship between parity and the incidence of CED in the working area of Sidorejo health center in 2024 with p=(0.008). There is a significant relationship between maternal knowledge and the incidence of CED in the working area of Sidorejo health center in 2024 with p=(0.019). There is a significant relationship between maternal dietary diversity and the incidence of CED in the working area of Sidorejo health center in 2024 with p=(0.003). There is a significant relationship between maternal income and the incidence of CED in the working area of Sidorejo health center in 2024 with p=(0.012).Conclusion: It is recommended that the results of this study can serve as additional data for the community health center to evaluate the improvement of maternal and child programs, especially for pregnant mothers.
Factors Related To The Occurrence Of Type II Diabetes Melitus In The Working Area Of Pasar Ikan Hhealth Center In Bengkulu City Rahmawati, Nia; Fauzi, Yusran; Darmawansyah, Darmawansyah; Sari, Fikitri Marya; Wulandari, Wulandari
Journal Hygeia Public Health Vol 3 No 1 (2024): December
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jhph.v1i2.7524

Abstract

Intoduction: Based on the data from the International Diabetes Federation (IDF), the number of diabetes sufferers worldwide in 2021 reached 537 million. This figure is predicted to continue to rise to 643 million by 2030 and 783 million by 2045. Diabetes mellitus occurs in the age group ≥ 40 years. In Bengkulu City, the highest number of diabetes cases in 2021 was 797, and in 2022 it rose to 3,087 people, with the highest cases being 420 people in the working area of Pasar Ikan Health Center Bengkulu City. This study analyzes the Risk Factors for the Incidence of Type 2 Diabetes Mellitus in the Working Area of Pasar Ikan Health Center Bengkulu City.Method: his research method uses a Cross-Sectional design. The sample size is 54 respondents with a random sampling technique using a questionnaire instrument and data processing using SPSS 22. Data analysis was conducted using the chi-square test with a significance level of 95%. Result and Discussion: he analysis results show that the majority of respondents have light physical activity, are generally aged ≥ 40 years, most respondents are overweight, and the majority of respondents experience Type 2 DM in the working area of Pasar Ikan Health Center Bengkulu City. Based on bivariate analysis, there is a significant relationship between physical activity and the incidence of Type 2 DM, no significant relationship between age and the incidence of Type 2 DM, and a significant relationship between overweight and the incidence of Type 2 DM in the working area of Pasar Ikan Health Center Bengkulu City Conclusion: It is expected that the health center can optimize preventive and promotive programs regarding factors related to the incidence of Type 2 DM and that Type 2 DM sufferers reduce consumption of factors related to the incidence of Type 2 DM and undergo regular check-ups at Pasar Ikan Health Center Bengkulu City
Factors Related To The Occurrence Of Typhoid At Bhayangkara Polda Hospilat, Bengkulu In 2024 Gustian, Tedi; Wulandari, Wulandari; Darmawansyah, Darmawansyah; Suyanto, Jipri; Surahman, Fery
Journal Hygeia Public Health Vol 2 No 1 (2023): December
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jhph.v2i1.7525

Abstract

Intoduction: Typhoid is an acute intestinal infectious disease characterized by symptoms such as abdominal pain, skin rashes, and fever. The WHO estimates the global burden of typhoid fever at 11-20 million cases per year. In Indonesia, the incidence of typhoid fever is about 350-810 cases per 100,000 population. According to the Bengkulu City Health Office, there were 456 cases of typhoid in 2022. At Bhayangkara Hospital Polda Bengkulu, there were 355 cases of typhoid (typhoid fever) in 2022. The purpose of this study is to identify the factors associated with the incidence of typhoid at Bhayangkara Polda Hospital, Bengkulu in 2024. Method: This research is analytical with a cross-sectional study design. The population in this study consists of all patients visiting Bhayangkara Polda Hospital, Bengkulu over the last 3 months, specifically December 2023, January 2024, and February 2024, totaling 8,844 people. The sampling technique used in this study is accidental sampling, with a sample size of 38. Result and Discussion: The results of this study indicate a significant relationship between age and the incidence of typhoid at Bhayangkara Hospital Polda Bengkulu in 2024, with a p-value of 0.009. There is also a relationship between attitude and the incidence of typhoid, with a p-value of 0.019. Furthermore, there is a relationship between knowledge and the incidence of typhoid, with a p-value of 0.001. Conclusion: The recommendation of this study is that the results can enrich the scientific knowledge for researchers and serve as reading material for future research in analyzing factors related to the incidence of typhoid fever at Bhayangkara Polda Hospital, Bengkulu in 2024
Determinants of Gastritis Occurrence in The Working Area of Telaga Dewa Health Center, Bengkulu City in 2024 Nuvriyanti, Liza; Habibi, Julius; Surahman, Fery; Darmawansyah, Darmawansyah; Suyanto, Jipri
Journal Hygeia Public Health Vol 2 No 1 (2023): December
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jhph.v2i1.7526

Abstract

Intoduction: According to the World Health Organization (WHO), the highest prevalence of gastritis occurrence in the world is found in Canada at 35%. Based on the health profile of Indonesia in 2019, Indonesia ranks third in the highest cases of gastritis in Asia, after India and Thailand, with a fairly high prevalence of gastritis at 274,396 cases or 40% of the population of 238,452,952 people. From the data of the Bengkulu Provincial Health Office in 2022,there were still many cases of gastritis recorded as the third most common disease in Bengkulu Province, with a total of 51,069 cases. The Telaga Dewa Health Center reported the highest incidence of gastritis, with 1,689 cases recorded from patient visits in 2022.The purpose of this study is to determine the relationship between dietary patterns, stress, and knowledge with the occurrence of gastritis in the working area of Telaga Dewa Health Center, Bengkulu City in 2024. Method: The method used is a descriptive correlational research design with a cross-sectional approach, using purposive sampling technique. Data were collected by distributing questionnaires to 90 individuals representing all respondents in the working area of Telaga Dewa Health Center, Bengkulu City, based on inclusion and exclusion criteria. Result and Discussion: The results of the study showed that there is a relationship between dietary patterns and the occurrence of gastritis with a p-value of 0.000, a relationship between stress and the occurrence of gastritis with a p-value of 0.001, and a relationship between knowledge and the occurrence of gastritis with a p-value of 0.000. Conclusion: his study concludes that there is a relationship between dietary patterns, stress, and knowledge with the occurrence of gastritis in the working area of Telaga Dewa Health Center, Bengkulu City.
Factors Related To The Occurrence Of Dyspepsia At TK IV 02.07.01 Zainal Arifin Bengkulu Yuniarsih, Tri; Wulandari, Wulandari; Darmawansyah, Darmawansyah; Suyanto, Jipri; Retni, Retni
Journal Hygeia Public Health Vol 2 No 1 (2023): December
Publisher : LPPJPHKI Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jhph.v2i1.7527

Abstract

Intoduction: Dyspepsia is a disorder of the upper gastrointestinal tract that often occurs with complaints of upper abdominal pain, burning sensation, nausea, vomiting, fullness, and bloating. In 2023, it was estimated that the incidence of dyspepsia increased from 10 million individuals to 28 individuals, equivalent to 11.3% of the total population in Indonesia. Dyspepsia patients rank among the top 10 diseases, with 30,154 cases (4.9%) among inpatients in hospitals in Bengkulu Province. Data from 2023 at TK IV 02.07.01 Zainul Arifin Hospital Bengkulu indicated that the number of dyspepsia patients was 223. The objective of this study is to determine the relationship between age, knowledge, and irregular eating habits with the incidence of dyspepsia at TK IV 02.07.01 Zainul Arifin Hospital, Bengkulu in 2024. Method: This research is analytical with a cross-sectional study design. The population of this study consists of all patients visiting the hospital from January to March 2024, totaling 627 individuals. The sampling technique used in this study is accidental sampling, with a sample size of 44. Result and Discussion: The results of this study show a relationship between age and the incidence of dyspepsia at the hospital in 2024 with a p-value of 0.010. There is a relationship between knowledge and the incidence of dyspepsia at the hospital in 2024 with a p-value of 0.042. There is a relationship between irregular eating habits and the incidence of dyspepsia at the hospital in 2024 with a p-value of 0.003. Conclusion: This research is expected to provide information that supports the risk factors for the incidence of dyspepsia and the need for further research on other factors that influence the differences between functional dyspepsia and organic dyspepsia based on levels of depression and anxiety.
Co-Authors A. Hafiz Abadi, Muh Yusri Abadi, Muhammad Yusri Agutina, Maya Diana Ahmad, Mardiana Amanda, Dea Susita Amin, Muhammad All Aminuddin Mane Kandari, Aminuddin Mane Amran Razak Anggraini, Ika Novia Anggraini, Nova Apriani, Rensi Aprianti , Delta Arifin Arifin Arsyad Rahman Astuti, Rika Mulya Aulia, Ebik Azissah, Danur Azma, Azma Bagaswara, Azi Balqis Balqis Birawa, Rio Aristo Budu - Candra, Heri Darhamsyah, Darhamsyah diniarti, fiya Edi Santosa Efendi, Heru Emi Pebriani Erpina, Popi Fajrin, Muhammad Al Fauzan, Moh Rizki Febriani, Emi Febriyanti, Fitria Fikitri Marya Sari Gusnawati F, Riska Gustian, Tedi Gustiana, Sika Mana Habibi, Julius Hairil Akbar Handayani, Tita Septi Hanila, Rese Hatta, Herman Hermawati, Dwi Hermiati, Dilfera Hikmah Hikmah Indar indar Indarty Moedjiono, Apik Indriani, Vira Ardita Jainuddin H. Tajudin Jaya, Donal Jayanti, Riski Jihadi, Muhammad Jumrah Jumrah Kadir, Sultan A Khatimah, Khusnul M A Chozin M, Masmur M. Yamin Maharani, Fera Sepi Handaryanti Maharani, Nanda Mappajanci, Masni Marzuki, Dian Saputra Meriyansyah, Meriyansyah Milanisti, Anggi Yanda Putri Misnawati, Andi Muh Arif, Muh Muhammad Alwy Arifin Muhammad Rifial Muhammad Syafar Nia Rahmawati, Nia Novega, Novega Novelia Novelia, Novelia Nurdan, Jon Hendri Nuvriyanti, Liza Octafia, Hery Octavia, Hery Pebrianti, Nesa Pratama, Cindi Rahmatia Rahmatia, Rahmatia Rayani, Desma Retni Retni Risana, Dyah Ritonga, Arya Widura Rizki, Kemas Rosa, M Khairul Amri Rosdiana Rosdiana Rosita Rosita Rossita, Taufianie S. Otoluwa, Anang Samidah, Ida Saputra, Yopi Sari , Lola Anma Sari, Fikitri Marva Sari, Fikitri Mrya Sari, Hartini Saputri Endang Sari, Sandri Fatika Saru, Amaliah Amriani Amran Sepriwendi, Sepriwendi Sianturi, Saidah Sonia I, Putri Suci Rahmadani SULASTRI, MEPI Surahman, Feri Surahman, Fery SUSANTI, MERI EPRIANA Sutadi Lanyumba, Fitrianty Sutriyawan, Agung Suyanto, Jipri Teguh Wijayanto Theresiana, Yunita Tranado, Hengki Tuti Rohani, Tuti Wanti , Sindi Silviya Wijaya, M. Aldo Wulandari Wulandari Yulianti , Syami Yuniarsih, Tri Yuniarti, Elza Yusran Fauzi Yusran Fauzi Zantika, Ninalia