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Evaluasi Pelaksanaan Skrining Penyakit Tidak Menular pada Klaster 3 Integrasi Layanan Primer di Puskesmas Paal X Nafathu Rahmah; Willia Novita Eka Rini; Andy Amir; Dwi Noerjoedianto
PubHealth Jurnal Kesehatan Masyarakat Vol. 4 No. 4 (2026): Edisi April
Publisher : Ilmu Bersama Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56211/pubhealth.v4i4.1606

Abstract

Skrining Penyakit Tidak Menular (PTM) merupakan bagian dari upaya promotif dan preventif untuk mendeteksi berbagai faktor risiko dan penyakit kronis secara dini di tingkat pelayanan kesehatan primer. Namun, capaian skrining di Puskesmas Paal X Kota Jambi masih berada di bawah target Standar Pelayanan Minimal. Data Dinas Kesehatan Kota Jambi tahun 2024 menunjukkan cakupan skrining usia produktif sebesar 40,3%, pelayanan hipertensi 50,7%, dan diabetes melitus 15,0%, yang mencerminkan adanya kesenjangan antara target dan realisasi program. Penelitian ini bertujuan mengevaluasi pelaksanaan skrining PTM pada Klaster 3 Integrasi Layanan Primer menggunakan pendekatan Context, Input, Process, dan Product (CIPP). Penelitian ini menggunakan metode kualitatif deskriptif evaluatif melalui wawancara mendalam, observasi dan dokumentasi terhadap 10 informan yang terdiri dari kepala puskesmas, pengelola program PTM, dokter, bidan, kader, dan masyarakat sasaran skrining, sehingga mencerminkan keberagaman perspektif pelaksanaan program. Hasil penelitian menunjukkan bahwa kebijakan serta ketersediaan sumber daya manusia, sarana, dan pendanaan relatif memadai. Namun, perencanaan operasional belum terstruktur secara sistematis, pelaksanaan masih bersifat insidental, dan partisipasi masyarakat rendah. Kondisi tersebut berdampak pada rendahnya capaian skrining, terutama pada pelayanan diabetes melitus yang hanya mencapai 15,0%, sehingga menunjukkan kontras antara kesiapan sumber daya dan realisasi program di lapangan. Penguatan perencanaan berbasis pemetaan sasaran, optimalisasi peran kader, serta perbaikan sistem pencatatan dan tindak lanjut diperlukan untuk meningkatkan efektivitas dan cakupan skrining PTM di tingkat pelayanan primer.
Multiple Logistic Regression Model, Relationship between Maternal Nutritional Status, Maternal Condition History, and Maternal Knowledge about 1000 HPK on the Incidence of Stunting in Toddlers in Pandan Lagan Village Andy Amir; M. Ridwan; Arnild Augina Mekarisce; Aini Zulaikah
International Journal of Medicine and Health Vol. 1 No. 4 (2022): December: International Journal of Medicine and Health (IJMH)
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v1i4.1302

Abstract

One of the stunting locations in East Tanjung Jabung Regency is located in Geragai Sub-district, Pandan Lagan Village. According to data from the Puskesmas in 2019, the incidence of stunting in Pandan Lagan Village was 35 toddlers, in 2020 it was 17 stunting children out of a total of 70 children in Pandan Lagan Village. The purpose of this study was to determine the relationship between maternal nutritional status, history of maternal conditions, and maternal knowledge about 1000 HPK with the incidence of stunting in Pandan Lagan Village. This type of research is quantitative research, using a cross-sectional approach. The number of samples to be studied with the Lemeshow Formula is 45 respondents. The dependent variable is stunting and the independent variables are maternal nutritional status (pre-pregnant maternal BMI and weight gain during pregnancy), history of maternal conditions (maternal age during pregnancy, birth spacing), and maternal knowledge about 1000 HPK. The research instrument used a questionnaire sheet, then the data was processed through data editing, data coding, data entry, data cleaning, and data processing, then analyzed univariate, bivariate with a chi-square test, and multivariate with multiple logistic regression test. Based on the results of the study, there is a relationship between pre-pregnancy maternal BMI with a risk of 4,464 times, weight gain with a risk of 3,75 times, maternal age during pregnancy with a risk of 3,0 times, and spacing of babies with a risk of 2,444 times with the incidence of stunting. There is no relationship between maternal knowledge about 1000 HPK and the incidence of stunting with a p-value = 0,114, and it is known that the pre-pregnancy mother's BMI variable is the variable that has the greatest influence on infants with stunting nutritional status (odds ratio = 15,943). For this reason, it is expected to be more intensive in educating couples of childbearing age, pre-pregnant mothers, or early on to adolescent girls to pay attention to factors that affect stunted children, especially to have an ideal BMI so that it will reduce the risk of having children with stunted nutritional status.
Determinants Of Diarrhea Among Toddlers In Bram Itam Kiri Sub-District Bram Itam Barat Tanjung Jabung District Andi Subandi; Andy Amir
International Journal of Medicine and Health Vol. 1 No. 4 (2022): December: International Journal of Medicine and Health (IJMH)
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v1i4.1303

Abstract

Background : Diarrhea is still the leading cause of morbidity and mortality in the world. According to data from the United Nations Children's Fund (UNICEF) and the World Health Organization (WHO) in 2013 diarrhea is the second leading cause of death in children under five. The purpose of the study was to determine the relationship between mother's education level, occupation, income, mother's knowledge, and latrine ownership with the incidence of diarrhea in children under five in Bram Itam Kiri Village.Methods : Using a cross sectional approach with a population of 166 mothers, the number of samples was 68 respondents. The sampling technique was carried out using simple random sampling. Data were collected using a questionnaire sheet and analyzed univariate and bivariate using chi square analysis.Results : The level of education in the low category is 48.5%, employment in the unemployed category is 58.9%, income in the low category is 70.6%, knowledge in the poor category is 83.8%, latrine ownership in the category does not meet terms of 61.8%. Bivariate results of education level (0.003), mother's occupation (1,000), family income (0.019), knowledge (0.028), and latrine ownership (0.002) with the incidence of diarrhea in children under five.Conclusion : There is a relationship between the level of education, family income, knowledge, and ownership of latrines, and there is no relationship between the mother's occupation and the incidence of diarrhea in children under five.      
THE RELATIONSHIP BETWEEN KNOWLEDGE, ATTITUDE AND TRAINING OF EMPLOYEES REFILL DRINKING WATER DEPOTS WITH IMPLEMENTATION OF SANITATION HYGIENE REFILL DRINKING WATER DEPOTS IN THE WORKING AREA OF KENALI BESAR PUBLIC HEALTH CENTER Siti Manna Nasution; Andy Amir; Fajrina Hidayati
International Journal of Medicine and Health Vol. 2 No. 2 (2023): June : International Journal of Medicine and Health (IJMH)
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v2i2.1314

Abstract

Based on data from the Jambi Provincial Health Office in 2021 drinking water depots that meet health requirements have not reached the target of 92.6% of the 100% target. Sanitary hygiene is an effort made to control the risk factors for contamination of drinking water. The purpose of this study was to find out the relationship between knowledge, attitudes, and training with the implementation of sanitation hygiene at the drinking water depot in the working area of ​​the Kenali Besar Health Center in 2022. This research uses a quantitative research design with a cross-sectional research design. The research was conducted in the working area of ​​the Kenali Besar Health Center in August-February 2023. The population and samples of this study were 51 employees of the Kenali Besar Health Center (DAMIU) in the Work Area of ​​the Kenali Besar Health Center. The results of the study showed that the application of sanitation hygiene was in the proper category (52.9%). The statistical test results showed that the variables were knowledge (p=0.000 <0.05), attitude (p=0.000 <0.05), and training (p=0.01 <0.05). Concusion, there is a relationship between knowledge, attitudes, and employee training with the application of sanitary hygiene at refill drinking water depots (DAMIU) in the Working Area of ​​the Kenali Besar Health Center
Readiness for Electronic Medical Record Implementation at Simpang Kawat Public Health Center, Jambi City in 2024 Fazira Cahayatul Rahmi; Arnild Augina Mekarisce; Rumita Ena Sari; Andy Amir; Dwi Noerjoedianto
International Journal of Health Engineering and Technology Vol. 4 No. 5 (2026): IJHESS JANUARY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i5.544

Abstract

Human resources are the main asset that determines the success of Electronic Medical Record (EMR) implementation. This study aims to analyze the readiness for EMR implementation at Simpang Kawat Public Health Center, Jambi City in 2024 through the aspects of input, process, and output. This research used a descriptive qualitative method with in-depth interviews with informants selected purposively. Data collection techniques included interviews, observation, and documentation, with validity testing using source and method triangulation. In the input aspect, the quantity of human resources is sufficient, but routine training has not been scheduled. BOK funds are sufficient for monthly operations. Technical obstacles were found in the damaged generator. The service process is digital in accordance with PMK No. 24 of 2022. The output shows increased time efficiency and minimized data errors through the integration of NIK and BPJS. Overall, EMR implementation has been going well, but improvements are needed in supporting infrastructure, especially electricity backup, and periodic training to maintain the quality of digital services.  
Analisis implementasi kebijakan kawasan tanpa rokok di lingkungan pendidikan Natasya Zalta Amany; Andy Amir; Dwi Noerjoedianto; Asparian Asparian
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3201

Abstract

Background: The smoke-free zone policy is one of the government's efforts to create a healthy environment and protect the public from exposure to cigarette smoke, particularly in educational settings. Schools play a strategic role in preventing smoking among adolescents, as the number of new smokers continues to rise. However, the implementation of the smoke-free zone policy in schools is often suboptimal due to limited resources, lack of supervision, and the absence of clear operational guidelines. Purpose: To analyze the implementation of the smoke-free zone policy in educational settings. Method: This study used a qualitative descriptive design. This study was conducted at State Senior High School 5 in Jambi City, located at Simpang IV, Sipin Village, Telanaipura District, Jambi City, from March to April 2026. Informants included the principal, teachers, guidance counselors, students, security officers, and canteen vendors. Data collection was conducted through in-depth interviews, observation, and documentation. Data analysis was carried out through data reduction, data presentation, and drawing conclusions. Results: Policy implementation has not been optimal. Communication regarding the smoking ban has been implemented through regulations and socialization, but coordination with external parties remains limited. The resources, facilities, and infrastructure supporting the policy remain inadequate. Although the entire school community generally supports the policy, violations are still found due to low awareness and weak oversight. Furthermore, there is no organizational structure or specific standard operating procedures (SOPs) for smoke-free areas. Conclusion: The implementation of the smoke-free area policy still requires improvement, particularly in terms of supervision, provision of supporting facilities, and enforcement to create a healthy and smoke-free school environment. Suggestion: Future research should involve a larger sample size and location, and use quantitative or mixed methods to evaluate the effectiveness of the smoke-free area policy and identify factors influencing its successful implementation.   Keywords: Education System; Policy Implementation; Smoke-Free Area.
Hubungan keterjangkauan dan kualitas layanan BPJS kesehatan terhadap kepuasan layanan puskesmas pada masyarakat berpenghasilan rendah di wilayah 3T Kiki Andrean; Dwi Noerjoedianto; Arnild Augina Mekarisce; Andy Amir
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3206

Abstract

Background: Limited access to and quality of social security administering agency services in underdeveloped, frontier, and outermost (3T) regions is a major challenge for low-income communities and has the potential to reduce patient satisfaction at community health centers. Geographical barriers, limited facilities, and a lack of health resources often impact the effectiveness of health services in remote areas. Purpose: To analyze the relationship between service accessibility and service quality, as well as patient satisfaction among participants of the social security administering agency in low-income communities in 3T regions. Method: This study used a quantitative observational design with a cross-sectional approach. A total of 106 respondents were selected using a multistage and purposive sampling technique. This study was conducted at the Muara Kibul Community Health Center and the Aur Berduri Community Health Center in Merangin Regency since February 2025. Data were collected using a structured questionnaire that had been tested for validity and reliability. Data were analyzed using univariate and bivariate analyses, using the chi-square test to determine the relationship between variables. Results: Most respondents rated service affordability as good, particularly in economic, language, and social aspects, although geographic barriers remain a challenge. Service quality was rated as quite good in terms of reliability, but responsiveness, assurance, empathy, and tangibles still need improvement. Statistical analysis showed a significant relationship between service affordability and patient satisfaction (p = 0.000), as well as between service quality and patient satisfaction (p = 0.000). Respondents with poor service affordability and quality were at higher risk of experiencing dissatisfaction with healthcare services. Conclusion: Service affordability and quality are important factors influencing patient satisfaction among participants of the social security administration for health in the 3T regions. Improvements in health infrastructure, transportation access, responsiveness of healthcare workers, and supporting facilities are crucial to increasing patient satisfaction and strengthening healthcare services in remote areas. Suggestion: Further research is recommended to use a larger sample size and cover more health centers in the 3T region, so that the research results are more representative.   Keywords: Low-Income Communities; Patient Satisfaction; Service Affordability; Service Quality; Social Security Administration for Health.
Faktor-faktor yang berhubungan dengan keaktifan kepesertaan BPJS kesehatan di kalangan pekerja informal pada pedagang Florencia Tamba; Dwi Noerjoedianto; Andy Amir
Holistik Jurnal Kesehatan Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3294

Abstract

Background: Active participation by the social health insurance administration agency among informal workers remains a challenge in supporting the achievement of universal health insurance in Indonesia. Market traders, as part of the informal sector, have levels of participation and activity influenced by various factors such as knowledge, perception, income, and education. Purpose: To determine the relationship between knowledge, perception, income, and education with the active participation of traders in social health insurance administration agency. Method: This study used a quantitative design with a cross-sectional approach. The study was conducted from January to March 2026 at Angso Duo Market in Jambi City, with a sample of 98 respondents. Data were collected using a questionnaire and analyzed univariately and bivariately using the chi-square test. Results: The majority of respondents had high knowledge (79.6%), neutral perception (57.1%), high income (51.0%), and active BPJS membership status (85.7%). The bivariate analysis results showed a relationship between knowledge (p-value = 0.032), perception (p-value = 0.041), and income (p-value = 0.027) and active participation of the social health insurance administration agency. Meanwhile, education was not associated with active participation of the social health insurance administration agency (p-value = 0.218). Conclusion: Knowledge, perception, and income are associated with active participation of the social health insurance administration agency, while education level did not have a significant relationship. Suggestion: Future research can examine other variables related to active participation of the social health insurance administration agency among informal workers, especially traders.   Keywords: Active Participation; Informal Workers; Knowledge; Market Traders; Social Health Insurance Administration Agency.