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Factors Associated with Patient Satisfaction at Kalideres Community Health Center, West Jakarta Krestanti, Yeni Padmini; Endarti, Ajeng Tias; Djaali, Nur Asniati
Jurnal Kesehatan Masyarakat Perkotaan Vol. 5 No. 2 (2025): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v5i2.3154

Abstract

Marketing strategies are used to ensure business success, including in the healthcare sector, which now faces intense competition among hospitals, clinics, and community health centers. Community health centers, as the primary government healthcare facilities, play a crucial role in providing first-level services. Patient satisfaction is a key indicator of service quality in primary healthcare facilities, including community health centers (puskesmas). Preliminary observations at Kalideres Community Health Center, West Jakarta, showed a satisfaction level of 77.8%, although complaints regarding waiting time, facility completeness, and cleanliness were still reported. Sociodemographic factors, BPJS insurance membership, and visit frequency may influence patients’ perceptions and expectations of healthcare services. This study aimed to analyze factors associated with patient satisfaction at Kalideres Community Health Center. A quantitative approach with a cross-sectional design was used. The sample consisted of 100 patients selected through non-probability incidental sampling. Data were collected using a structured questionnaire and analyzed through univariate, bivariate, and multivariate methods. Bivariate analysis showed that monthly income (p=0.005; OR=3.840; CI 1.55–9.55) and visit frequency (p=0.000; OR=11.806; CI 4.17–33.41) were significantly associated with patient satisfaction. Multivariate analysis produced a Nagelkerke R² of 0.317, identifying employment status (p=0.038; OR=2.872), income (p=0.037; OR=0.282), and visit frequency (p=0.000; OR=0.138) as significant predictors. Visit frequency was the most dominant factor influencing satisfaction. These findings recommend optimizing BPJS administrative processes, strengthening patient education regarding the benefits of regular visits, enhancing satisfaction monitoring, and improving communication quality and service delivery to support sustained patient satisfaction.
Validity and Reliability Test of the WHOQOL-HIV BREF Instrument on PLHIV in Bandar Lampung City in 2025 Prahastuti, Brian Sri; Endarti, Ajeng Tias; Solikhin, M Halfani
Jurnal Kesehatan Masyarakat Perkotaan Vol. 5 No. 2 (2025): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v5i2.3168

Abstract

Quality of life (QoL) is an essential indicator for assessing the physical, psychological, social, and spiritual well-being of People Living with HIV (PLHIV). For people living with HIV (PLHIV), this concept is particularly important because HIV infection is chronic and requires long-term therapy, which carries various clinical and psychosocial consequences. The impact of HIV is not only related to physiological changes but also emotional and social problems caused by societal stigma and discrimination. Measuring the quality of life of people living with HIV requires valid, reliable instruments that accurately reflect the patient's condition. The WHOQOL-HIV BREF is an instrument developed by the World Health Organization to measure QoL among PLHIV across six main domains. This study aimed to evaluate the validity and reliability of the Indonesian version of WHOQOL-HIV BREF among PLHIV in Bandar Lampung City in 2025. A cross-sectional design was employed, using purposive sampling to recruit PLHIV who met the inclusion criteria. The Indonesian version of WHOQOL-HIV BREF was administered as the research instrument. Validity testing was conducted using item-total correlation analysis, while reliability testing employed Cronbach’s Alpha coefficient. The results showed that all 31 items of the WHOQOL-HIV BREF were valid (r‑calculated > r‑table 0.349), indicating that the instrument is suitable for assessing the quality of life of PLHIV. These findings provide a strong basis for the implementation of WHOQOL-HIV BREF in clinical practice, research, and health program planning for PLHIV at the local level..
The Influence of Workload on Work Motivation of Health Workers at the Sukatani Community Health Center in Purwakarta Marliana, Rina; Djaali, Nur Asniati; Endarti, Ajeng Tias
Jurnal Kesehatan Masyarakat Perkotaan Vol. 5 No. 2 (2025): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v5i2.3201

Abstract

Health workers who are less motivated to work will show less than optimal performance, characterized by higher levels of fatigue, decreased work discipline, and decreased concern for service quality. Often the lack of motivation is caused by things such as lack of opportunities for career development, inadequate compensation, excessive workload, and lack of appreciation for performance. To determine the effect of workload on the work motivation of health workers at the Sukatani Health Center in Purwakarta. This study uses a quantitative research method with a cross-sectional approach. The sampling technique uses a total sampling method of 60 health workers at the Sukatani Health Center in Purwakarta. Bivariate analysis uses the chi-square test and multivariate analysis uses multiple logistic regression. Based on the Chi-square test, the P value is 0.000 <0.05, which indicates that there is a significant influence between workload on the motivation of health workers at the Sukatani Health Center with an Odd Ratio (OR) value of 13. The results of the multiple logistic regression test obtained the largest result of 63.865 which indicates that the variable number of positions as the most dominant confounder factor influences workload on work motivation. Health center management should develop policy plans that can reduce workload and increase employee motivation by managing time wisely to help reduce stress, conducting open discussions in finding solutions together with task division and target adjustments, delegating tasks and integrating activities to increase efficiency, ensuring adequate rest to avoid physical and mental fatigue, optimizing the use of existing systems to reduce manual workload, providing regular training on occupational safety (K3).
The Relationship Between Literacy About the JKN System and Outpatient Satisfaction at the Bungursari Community Health Center, Purwakarta Regency Marlina, Rina; Endarti, Ajeng Tias; Djaali, Nur Asniati
Jurnal Kesehatan Masyarakat Perkotaan Vol. 5 No. 2 (2025): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v5i2.3202

Abstract

Low levels of patient satisfaction can negatively affect the quality of health care facilities, particularly at the primary care level such as community health centers (puskesmas). One of the factors influencing patient satisfaction is the limited level of patient literacy regarding the National Health Insurance (Jaminan Kesehatan Nasional—JKN) system. Insufficient understanding of patients’ rights, procedures, and service pathways may lead to misunderstandings, dissatisfaction, and even negative perceptions of service quality. This condition poses a challenge for Puskesmas Bungursari, Purwakarta, which is a primary health care facility with a high patient visit rate. This study aimed to determine the relationship between literacy regarding the JKN system and patient satisfaction at Puskesmas Bungursari, Purwakarta Regency. A quantitative study with a cross-sectional design was conducted. The study population consisted of 1,431 individuals, with a sample size of 257 respondents. The sampling technique used was non-probability sampling with an accidental sampling approach. The research instruments were literacy and satisfaction questionnaires that had been tested for validity. Statistical analysis included the chi-square test and multivariate analysis using multiple logistic regression. The results showed a significant relationship between literacy and patient satisfaction at Puskesmas Bungursari, Purwakarta Regency (p-value < 0.001), with an odds ratio of 13.084. Furthermore, literacy remained significantly associated with patient satisfaction (p-value < 0.001) after controlling for the employment variable (p-value = 0.019). To improve patient satisfaction at puskesmas, efforts should focus on enhancing health literacy through the use of visual strategies and effective communication, as well as improving the quality of empathetic services that include attentive listening to patient complaints and fair treatment.
The Effect of Hypnotherapy on Students’ Anxiety Levels and Learning Motivation in Mathematics at SMPN 252 Jakarta Noviyanti, Adhe; Endarti, Ajeng Tias; Djaali , Nur Asniati
Jurnal Kesehatan Masyarakat Perkotaan Vol. 6 No. 1 (2026): Jurnal Kesehatan Masyarakat Perkotaan
Publisher : LPPM Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jkmp.v6i1.3345

Abstract

Mathematics anxiety and low learning motivation are psychological factors that may hinder students’ academic achievement. Emotional-based learning approaches are needed to create a more effective and humanistic learning process. This study aimed to analyze the effect of hypnotherapy on students’ anxiety levels and learning motivation in mathematics at SMPN 252 Jakarta. A quantitative method with a quasi-experimental pretest–posttest control group design was employed. The sample consisted of 52 students divided into an intervention group (26 students) and a control group (26 students). Data were collected through questionnaires administered before and after the intervention and analyzed using the Wilcoxon test and paired sample test. The results showed a significant decrease in anxiety levels in the intervention group from 9.346 to 5.250 (p = 0.000) and a significant increase in learning motivation from 54.827 to 76.173 (p = 0.000). The control group showed no significant changes in anxiety (p = 0.180) or motivation (p = 0.745). It can be concluded that hypnotherapy is an effective psychoeducational intervention to reduce mathematics anxiety and enhance students’ learning motivation.