Claim Missing Document
Check
Articles

Lean Six Sigma Approach for Wait Time Analysis in Radiology Services at Krakatau Medika Hospital Nur Fadhilah, Alifah; Ayubi, Dian
Devotion : Journal of Research and Community Service Vol. 4 No. 12 (2023): Devotion: Journal of Research and Community Service
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/devotion.v4i12.631

Abstract

Krakatau Medika Hospital (RSKM), an integral part of Indonesia Healthcare Corporation (IHC), grapples with challenges in radiology services and wait time standards. Amidst the surge in healthcare facilities, IHC, overseen by PT Pertamina Bina Medika, strategically plans Lean Six Sigma implementation to enhance radiology quality, efficiency, and customer satisfaction. Non-Communicable Diseases (NCDs) complexities.  The research methodology adopts a qualitative approach, incorporating process flow observations, document reviews, and in-depth interviews at the Radiology Installation of Krakatau Medika Hospital. Data collection involves direct observations, in-depth interviews, and research instruments with various stakeholders. The study, encompassing January to July 2023, reveals RSKM's radiology indicators falling short, with excessive wait times jeopardizing service effectiveness. The Lean Six Sigma approach, utilizing the DMAIC methodology, aims to eliminate waste, improve processes, and enhance organizational performance. Findings emphasize the urgency for improvements, with Lean Six Sigma anticipated to play a pivotal role in reducing wait times and overall performance enhancement. Ethical considerations guide the research, ensuring informed consent and confidentiality. Collaborative efforts with RSKM management are vital for sustained positive outcomes. The study underscores Lean Six Sigma's potential benefits, emphasizing ethical healthcare research principles
Penilaian Kualitas Pelayanan Puskesmas dengan Model Donabedian: Studi Kasus Puskesmas di Kota Depok Ayubi, Dian
Kesmas Vol. 4, No. 1
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Perkembangan struktur sosio-demografi penduduk dan infrastruktur Kota Depok yang pesat berpengaruh terhadap masalah kesehatan yang semakin kompleks. Pada era desentralisasi, Dinas Kesehatan Pemerintah Kota Depok dituntut memberikan pelayanan kesehatan masyarakat yang berkualitas antara lain melalui pelayanan kesehatan tingkat primer di puskesmas. Penelitian ini bertujuan menganalisis mutu pelayanan puskesmas dan hubungan struktur dan proses terhadap hasil pelayanan puskesmas, kepuasan pelanggan. Survey di rumah responden dilakukan pada bulan Maret 2004, dalam wilayah kerja enam puskesmas kecamatan di Kota Depok. Populasi adalah semua penduduk yang bermukim di wilayah kerja Puskesmas Kecamatan se-Kota Depok. Sampel adalah 300 rumah tangga yang tersebar di setiap kelurahan wilayah kerja masing-masing puskesmas kecamatan dengan responden ibu rumah tangga. Analisis dilakukan dengan pendekatan Structure, Process dan Outcome berdasarkan penilaian pasien. Penelitian ini menemukan nilai median atribut mutu struktur, proses dan kepuasan pelanggan adalah 75; 71,4 dan 75,0. Variasi pada dimensi struktur lebih lebar daripada dimensi proses. Secara bersama-sama, ada hubungan statistik yang bermakna antara struktur dan proses terhadap hasil di puskesmas kecamatan di Kota Depok. Aspek atribut struktur pelayanan puskesmas yang dinilai pelanggan perlu perbaikan adalah kelengkapan sarana, sedangkan untuk atribut proses adalah waktu tunggu pendaftaran. Rapid growth of sociodemographic and infrastructure in Depok City has influenced the complexity of health problems. In the decentralization era, one of community health center function is to provide quality primary health care. The aim of this study is to assess quality of health services that was provided by sub-district community health center based on Donabedian Model (Stucture Process Outcome). Survey was conducted in six sub-district community health centers. Data were collected using questionnaires. Respondents were interviewed in their home during March 2004. Samples covered 300 households in six areas. Median of stucture, process and outcome atributes of health services is 75, 71.4 and 75.0. Variation of stucture attribute is wider than process attribute. This study found there is a statistically significant correlation between structure and process attributes to outcome (patient satisfaction) of community health center services. In the structure attribute, equipment or facility aspect of community health center is needed to be improved while for process attribute, it is the aspect of waiting time in admission.
Determinan Perilaku Pemberian Air Susu Ibu Eksklusif pada Ibu Pekerja Abdullah, Giri Inayah; Ayubi, Dian
Kesmas Vol. 7, No. 7
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Pemerintah Indonesia menargetkan cakupan pemberian air susu ibu (ASI) eksklusif sekitar 80%, tetapi hasil Riset Kesehatan Dasar tahun 2010 menunjukkan cakupan ASI eksklusif baru mencapai 15,3%. Dari tahun ke tahun, prevalensi pemberian ASI eksklusif cenderung menurun dengan berbagai alasan, antara lain ibu pekerja. Penelitian ini bertujuan untuk mengetahui proporsi pemberian ASI eksklusif pada ibu pekerja. Rancangan penelitian yang dipakai adalah potong lintang pada data primer yang terdiri dari 120 responden. Penelitian dilakukan pada bulan Mei 2012 menggunakan kuesioner yang diisi sendiri oleh responden. Analisis data yang dilakukan adalah analisis univariat, analisis bivariat menggunakan kai kuadrat, dan analisis multivariat menggunakan regresi logistik ganda model prediksi. Hasil penelitian menunjukkan proporsi pemberian ASI eksklusif pada ibu bekerja di Kementerian Kesehatan sebesar 62,5%, lebih rendah dari target nasional (80%). Alasan responden berhenti menyusui eksklusif bukan karena bekerja melainkan karena ASI sedikit. Faktor yang berhubungan dengan pemberian ASI eksklusif pada penelitian ini adalah sikap, ketersediaan fasilitas dan dukungan pengasuh. Variabel sikap merupakan faktor paling dominan dalam pemberian ASI eksklusif. Ibu pekerja yang mempunyai sikap mendukung berpeluang 5 kali memberikan ASI eksklusif dibandingkan dengan ibu yang mempunyai sikap kurang mendukung. Government of Indonesia has a target of 80% exclusive breastfeeding coverage. Health Baseline Research 2010 showed the coverage only reached 15.3%. Year by year, the prevalence of exclusive breastfeeding tends to decrease with a variety of reasons. One of the reasons is exclusive breastfeeding on working mothers. This study aimed to determine the prevalence of exclusive breastfeeding on the working mothers in the Ministry of Health. The study design used was cross sectional on the primary data consisted of 120 respondents. The study was conducted on May 2012 using self administered questionnaire by respondents. Data analysis was performed by univariate, bivariate analysis using chi-square, and multivariate analysis using multiple logistic regression prediction model. The results showed the proportion of exclusive breastfeeding on working mothers in Ministry of Health is 62.5%, lower than the national target (80%). Working is not a reason of respondents to stop breastfeeding is not because of insufficient breastfeeding supply. Factors associated with this behavior are the attitude, the availability of facilities and support of baby-sitter. Variable of attitude is the most dominant factor in exclusive breastfeeding. Working mothers having positiveness likely 5 times give exclusive breatfeeding compared with mother having negative attitude.
Parenting style trends before and during the COVID-19 pandemic: a bibliographic study Nuraeni; Ayubi, Dian
BKM Public Health and Community Medicine Vol 39 No 09 (2023)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v39i9.7348

Abstract

Purpose: This bibliometric research seeks to find differences in parenting research trends before and during the COVID-19 pandemic, particularly in the distribution of publications by country, author, and publication source. In addition, we analyze the differences in collaboration networks and keywords. Methods: The data comes from the Scopus.com database with the keywords "parenting AND style", the distribution of publications in 2016-2018 represents the pre-pandemic period, and 2020-2022 represents the period when the COVID-19 pandemic occurred. Acquisition data is stored in comma-separated value (CSV) format and analyzed using the VOSviewer application. Results: An increase in publications was found during the COVID-19 pandemic. The United States (US) had the most publications before and during the pandemic, followed by strengthening cooperation with China. Before the COVID-19 pandemic, the Journal of Child and Family Studies dominated publications with three network clusters. Hughes S.O. is the most author and the Pinquart with the most quotes. Meanwhile, the International Journal of Environmental Research and Public Health dominated publications during the pandemic. Garcia O.F. is the author with the most publications and citations. Finally, parenting styles is a keyword that often appears before and during a pandemic. Conclusion: The distribution of parenting style publications before and during the pandemic fluctuated but cumulatively increased. Meanwhile, there has also been a shift based on sources and countries with cooperative networks. In addition, topics related to parenting styles during the COVID-19 pandemic intersect with crisis conditions due to the pandemic, and there has been an increase in mental health topics.
Urban Farming: Empowerment to Increase Economic, Education, and Nutritional Benefit for the Sub-Urban Community Nasruddin, Nasruddin; Dwiyantama, Yusuf Donner; Muhammad, Banu; Bowalaksono, Anom; Ayubi, Dian; Pertiwi, Sarah Islamiati
ASEAN Journal of Community Engagement Vol. 6, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

This article discusses the urban farming program at Sekolah Master in Beji, Depok, Indonesia, which aims to provide the community with broader benefits, such as economy, education, and increased nutritional value. The project involves planting method that was introduced to this school community. The program itself consists of several stages, starting from the preparation—dissemination of the program and designing a plan for the greenhouse, the implementation—constructing the greenhouse and installing the automatic water system, planting the vegetation, and monitoring and evaluation of the program. Eventually, an evaluation of the successful program is required to determine whether the program can be implemented in the following year. As a result of the evaluation, the program has succeeded in completing several objectives. The urban farming program has also benefited the community through the natural science education program and also increasing nutritional value. Therefore, such programs should be continued in the following years so that the impact can be broader and more progressive.
EFEKTIVITAS INTERVENSI PENCEGAHAN COVID-19 PADA LANSIA: SYSTEMATIC REVIEW Fa Atulo, Bernand Gamaliel; Ayubi, Dian
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 5, No 3 (2022): Martabe : Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v5i3.886-894

Abstract

Sampai saat ini seluruh negara di dunia masih berjuang dalam menghadapi pandemi Coronavirus Disease 2019 (COVID-19) yang disebabkan Severe Acute Respiratory Syndrome Coronavirus 2 (SARS CoV-2). Pandemi COVID-19 menjadi ancaman yang serius bagi seluruh kelompok usia, terutama lanjut usia (lansia). Strategi pencegahan terhadap penyakit ini terus dilakukan kepada kelompok lansia guna menurunkan angka kejadian atau angka kesakitan. Studi ini menggunakan pendekatan systematic review yang dilakukan dengan mencari literatur- literatur terkait dengan topik yang diambil. Pencarian literatur menggunakan ScienceDirect dan PubMed dari tahun 2020-2021 serta memenuhi kriteria inklusi sehingga didapatkan 6 literatur yang eligible. Dari berbagai literatur tersebut studi ini membantu menginformasikan bagaimana gambaran dan hasil intervensi pencegahan pada kelompok lansia di tengah pandemi COVID-19.
Faktor Yang Mempengaruhi Perilaku Ibu Hamil Terhadap Pemeriksaan Antenatal Care: Literature Review Karimah Azzahra; Dian Ayubi
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.43673

Abstract

        Kunjungan Antenatal Care (ANC) merupakan upaya penting dalam meningkatkan kesehatan ibu dan janin serta menurunkan angka kematian ibu dan bayi. Namun, kepatuhan ibu hamil dalam melakukan kunjungan ANC masih rendah di berbagai wilayah. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang mempengaruhi perilaku ibu hamil terhadap pemeriksaan ANC melalui tinjauan literatur. Metode yang digunakan adalah studi literatur dengan menganalisis 9 artikel terpilih yang diperoleh dari enam basis data digital, yaitu PubMed, Scopus, Google Scholar, dan ScienceDirect. Proses pencarian menggunakan kata kunci berbahasa Inggris seperti: "factors" OR "determinants" AND "pregnant women" AND "behavior" OR "attitude" AND "antenatal care" AND "visits", serta dilanjutkan dengan penerapan kriteria inklusi dan eksklusi. Hasil tinjauan menunjukkan bahwa faktor yang mempengaruhi perilaku kunjungan ANC meliputi tingkat pendidikan, status sosial ekonomi, pengetahuan ibu, dukungan suami, paritas, jarak tempat tinggal, dan paparan media massa. Ibu hamil dengan pendidikan rendah, ekonomi rendah, paritas tinggi, serta tinggal jauh dari fasilitas kesehatan lebih berisiko tidak melakukan kunjungan ANC secara optimal. Sebaliknya, dukungan suami dan akses informasi melalui media atau internet dapat meningkatkan kepatuhan ibu dalam melakukan kunjungan ANC.
The Role of Physical Activity in Improving Quality of Life and Glycemic Control in Type 2 Diabetes Mellitus Patients: A Systematic Literature Review Citra Trisna; Dian Ayubi
Proceeding of Banten Internasional Conference on Health Advancement and Research Vol. 1 No. 1 (2026): Proceeding Banten International Conference on Health Advancement & Research (BI
Publisher : Poltekkes Kemenkes Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Type 2 diabetes mellitus (T2DM) is a chronic disease that poses a global health burden with a significant increase in cases and complications. Physical activity plays an important role in improving glycemic control and quality of life in T2DM patients. This study aims to analyze the role of physical activity on quality of life and glycemic control through a Systematic Literature Review (SLR) guided by PRISMA. Articles were searched through the PubMed and ScienceDirect databases using the keywords “Diabetes Mellitus Type 2,” “Physical Activity,” and “Quality of Life.” Of the 178 articles found, 11 met the inclusion criteria (English language, published between 2020 and 2025, full text, and studies on DMT2 patients). Most studies used a Randomized Controlled Trial (RCT) design. The synthesis results show that aerobic physical activity, resistance training, or a combination of both consistently improves the quality of life and physical function of patients with DMT2. Structured home-based exercise for 12 weeks and community-based and online programs showed significant improvements in physical, psychological, and social domains. In addition, seven of the eleven studies reported a decrease in blood glucose or HbA1c levels after intervention. Programs with supervision, whether in-person or online, provided better compliance and glycemic outcomes. Conclusion, regular physical activity, especially a supervised combination of aerobic and resistance training, effectively improves the quality of life and metabolic control of patients with type 2 diabetes and has the potential to be integrated into primary and community health services.
Aspek Sosial Budaya yang Mempengaruhi Upaya Promosi Kesehatan Obesitas pada Anak: A Systematic Review and Meta-Synthesis Of Qualitative Studies Edy Gunawan; Dian Ayubi
KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat Vol 9 No 1 (2023): January-June
Publisher : Universitas Widya Gama Mahakam Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24903/kujkm.v9i1.2206

Abstract

Background: The high incidence of obesity also occurs in children with a prevalence that continues to increase from year to year. Local socio-cultural aspects are often the cause of obesity in children. Sometimes the promotive and preventive efforts that are carried out experience obstacles from the socio-cultural aspect. Objectives: This study aims to synthesize research findings regarding socio-cultural aspects of health promotion efforts in the incidence of childhood obesity. Research Metodes: The study in this study was conducted using systematic review methods and meta-synthesis studies. The data search was carried out using 3 (three) databases, namely PubMed, Science Direct, Taylor & Francis with certain keywords and the 2017-2021 research study range. Results: There are several socio-cultural aspects related to the incidence of obesity in children, namely peers, home environment, school environment, access, and economy. Conclusion: Socio-cultural aspects have both positive and negative influences on promotive and preventive efforts in cases of childhood obesity, therefore the socio-cultural aspects must be a serious concern in solving local specific problems.
Experiences of People Living with HIV and Tuberculosis amid Fear, Guilt, and Silence: A Qualitative Study Amirudin, Ikhwan; Waluyo, Agung; Sujianto, Untung; Akbar, M Agung; Nursasi, Astuti Yuni; Ayubi, Dian
Nurse Media Journal of Nursing Vol 16, No 1 (2026): (April 2026)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v16i1.79237

Abstract

Background: People living with HIV–TB (PLHIV–TB) continue to experience persistent stigma, fear, guilt, and silence that shape their psychosocial wellbeing and social interactions. HIV–TB represents a double burden that intensifies stigma and moral judgment, particularly within sociocultural and religious contexts. However, the lived experiences of PLHIV–TB in Indonesia remain insufficiently explored, despite the country’s unique cultural and religious dynamics. Understanding these contextualized experiences is essential for strengthening holistic, culturally responsive, and stigma-sensitive HIV–TB care.Purpose: This study aimed to explore experiences of PLHIV-TB amid fear, guilt, and silence within the Indonesian sociocultural context.Methods: A descriptive phenomenological design was employed, with 20 PLHIV-TB purposively selected from Lampung, Palembang, Depok, and Yogyakarta between January and June 2025. Data were collected through in-depth, semi-structured interviews lasting 45–70 minutes and analyzed using NVivo software with Colaizzi’s method. Trustworthiness was ensured through member checking, peer debriefing, and reflexivity.Results: Six themes captured the essence of participants’ experiences: (1) living under constant fear of exposure, (2) choosing silence as protection, (3) bearing the weight of guilt and moral judgment, (4) loneliness amid social disconnection, (5) struggling with faith and moral reconciliation, and (6) searching for meaning and self-acceptance. Participants’ narratives revealed a transformation from concealment and shame toward spiritual reconciliation and dignity through emotional and faith-based resilience.Conclusion: The lived experiences of people living with HIV–TB in Indonesia are shaped by intertwined dynamics of fear, guilt, and silence within a context of pervasive stigma. At the same time, some individuals demonstrate adaptive processes that reflect a complex journey from suffering to meaning-making and self-acceptance. These findings underscore the need for stigma-sensitive, psychosocial, and spiritually informed interventions to support holistic HIV–TB care.
Co-Authors Adhanty, Shania Agung Waluyo Akbar, M. Agung Alfiandary, Amalia Ratna Allenidekania Allenidekania Alwi, Puspita Amirudin, Ikhwan Amrul Hasan Anshari, Dien Aprilianti, Ririn Citra Ardi Findyartini, Ardi Ari Purwohandoyo Astuti Yuni Nursasi Belinda Meliana Elisabet Bernand Gamaliel Fa Atulo Bowalaksono, Anom Bunga Pelangi Citra Trisna Dahlia, Debie - Damayanthie, Nasriah Danang Wahansa Sugiarto Danang Wahansa Sugiarto Dayan Hisni Dewi Gemilang Sari Diantha Soemantri Dwiyantama, Yusuf Donner Edy Gunawan Edy Gunawan Edy Gunawan, Edy Ella Nurlaella Hadi Ellya Niken Prastiwi Endah Purwanti Endang Purwaningsih Endro Dwi Iswanto Ervina, Lissa Evi Martha Fa Atulo, Bernand Gamaliel Fadilla Rizky Prameshwari Galuh Meifika Fathiyani Giri Inayah Abdullah Giri Inayah Abdullah Hanny Handiyani Hestilin Kartini Seilatu Ineu Isnaeni Isnaeni, Ineu Julia Christy Labetubun Karimah Azzahra Khairunnisa’, Rifdah Yuri Krisna Yetti Lutfiah Lutfiah Marfian, Kenvin Mayangsari, Awallokita Miranda Adriani Mirnawaty Muhammad, Banu Nani Nurhaeni Nasruddin Nasruddin Nur Fadhilah, Alifah Nuraeni Nurdianaturrahma Budi Rahayu Pakpahan, Martina Paramita Boni Lestari Pertiwi, Sarah Islamiati Pradana Soewondo Ratu Ayu Dewi Sartika Raya Faiha Calista Reza Dara Pertiwi Ria Andriani Riza Hayati Ifroh Rooslanda, Elfrida Rostiani Dewi Santi Purna Sari Shania Adhanty Sugiarto, Danang Wahansa Tri Danu Warsito Tri Krianto Tri Krianto Karjoso Trisni Handayani Trisni Handayani, Trisni Tsalitsa Putri Untung Sujianto Y Yulianti