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Pengaruh Efisiensi Waktu Tunggu dan Kenyamanan terhadap Kepuasan Pasien di Puskesmas Bantarbolang Sinta Wulandari; Yuniarti Yuniarti; Teguh Irawan
Jurnal Kebidanan Harapan Ibu Pekalongan Vol. 11 No. 2 (2024): Jurnal Kebidanan Harapan Ibu Pekalongan
Publisher : LPPM Akademi Kebidanan Harapan Ibu Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37402/jurbidhip.vol11.iss2.326

Abstract

The quality of health services at community health centers can be indicated by patient satisfaction. Patient satisfaction shows how good the health service is. Patient satisfaction is measured by comparing the experience with the patient's expectations. Patient dissatisfaction can be caused by the behavior of medical personnel, as well as system factors such as waiting time and facility comfort. This study aims to determine the effect of waiting time and comfort on patient satisfaction at the Bantarbolang Community Health Center. Using a quantitative method, a cross sectional approach with a sample size of 98 patients, the sampling technique was incidental sampling. The majority of respondents were female (76.5%), aged <20 to 30 years (54.1%), and had a high school/vocational school educational background (41.8%). Most patients experience waiting times that exceed the standards set by Minister of Health Regulation No. 30 of 2022 (75.5%), the average waiting time is the longest in dental clinics (120 minutes). The majority of patients had a low level of comfort (60.2%). Although the majority were satisfied with the service (73.5%), the analysis showed a significant influence between waiting time and patient satisfaction (p-value=0.003). However, there was no significant influence between comfort level and patient satisfaction (p-value=0.703).
Studi Komparatif Implementasi Gerakan CANTIK di Puskesmas Stunting Tinggi dan Rendah Kabupaten Pekalongan Any Ayu Arrohmah; Yuniarti Yuniarti; Dewi Nugraheni Restu Mastuti; Wahyuningsih Wahyuningsih
SEHATI: Jurnal Kesehatan Vol 6, No 2 (2026)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v6i2.257

Abstract

The implementation of the CANTIK movement in Pekalongan Regency leaves disparities between Community Health Centers (Puskesmas). Bojong 1 Community Health Center (low stunting) is able to transform the seven theoretical variables into adaptive local practices, while Siwalan Community Health Center (high stunting) still faces systemic weaknesses. This study aims to examine the seven theoretical variables. The method used is a qualitative, descriptive comparative case study approach, comparing Siwalan Community Health Center and Bojong 1 Community Health Center descriptively to enrich the findings. Data collection through observation, in-depth interviews with 12 key informants, and documentation. The results show that the implementation of CANTIK is effective in Bojong 1 Community Health Center because the standards and goals/targets are clearly understood, communication is structured and adaptive, cadres are trained, budget is available, task division is clear, there is no double job, commitment and strong internal support, structured administrative procedures, flexible and adaptive bureaucracy, as well as responsive political support and low myth resistance. On the other hand, the Siwalan Community Health Center faces serious obstacles such as cadres not understanding the movement, inconsistent targets, SOPs not anticipating referral rejections, communication constraints, lack of sustainability of sector collaboration, Villages not allocating Village Funds (ADD), uneven availability/quality of resources (anthropometric tools, educational media), demotivation due to rewards not commensurate with work, late reporting, low participation and strong traditions/myths. In conclusion, the success of the program is determined by the ability to transform central policies into adaptive local practices. Therefore, it is necessary to map the capacity of cadres in Siwalan, Village advocacy regarding Village Fund allocation for interventions, cadre incentives, and equipment maintenance, provide simple daily record templates, cultural approaches/key figures, while in Bojong 1 document best practices
The Role of Posyandu Cadres in the Integrated Implementation of Specific and Sensitive Nutrition Interventions for Stunting Reduction at the South Pekalongan Health Center Chelsy Rachel; Yuniarti Yuniarti; Dewi Nugraheni Restu Mastuti
Jurnal Kesmas Prima Indonesia Vol. 10 No. 2 (2026): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v10i2.8665

Abstract

Stunting masih menjadi tantangan gizi utama di Indonesia. Puskesmas Pekalongan Selatan mencatat prevalensi stunting sebesar 7,70% pada awal tahun 2025, yang menyoroti perlunya intervensi gizi terpadu yang spesifik dan sensitif yang melibatkan berbagai pemangku kepentingan, termasuk kader posyandu . Studi ini bertujuan untuk menganalisis peran kader posyandu dalam mengimplementasikan intervensi gizi terpadu untuk mengurangi stunting. Pendekatan deskriptif kualitatif digunakan dengan menggunakan wawancara mendalam, observasi, dan dokumentasi. Data dianalisis menggunakan Model Keyakinan Kesehatan (Health Belief Model/HBM), yang berfokus pada efikasi diri dan hambatan yang dirasakan, bersamaan dengan teori implementasi kebijakan Edward III yang menekankan komunikasi dan sumber daya. Temuan menunjukkan bahwa peran kader posyandu secara umum efektif tetapi masih suboptimal. Beberapa kader melaporkan kepercayaan diri yang terbatas dalam menjalankan tanggung jawab tertentu, sementara beban kerja yang tinggi dan partisipasi masyarakat yang rendah menghambat implementasi program. Tantangan komunikasi, termasuk miskomunikasi sesekali di antara pemangku kepentingan, juga memengaruhi penyampaian layanan. Selain itu, keterbatasan sumber daya manusia karena meningkatnya tuntutan program dan langkah-langkah efisiensi anggaran membatasi optimalisasi program. Penguatan kapasitas kader, peningkatan komunikasi, peningkatan partisipasi masyarakat, dan memastikan alokasi sumber daya yang memadai sangat penting untuk meningkatkan efektivitas intervensi gizi terpadu dan mempercepat upaya pengurangan stunting.
Evaluasi Pelaksanaan Program Dapur Sehat Atasi Stunting (DASHAT) Berbasis Model CIPP di Kota Pekalongan Galuh Dian Pratiwi; Yuniarti; Dewi Nugraheni Restu Mastuti
Health Research Journal of Indonesia Vol 4 No 6 (2026): Health Research Journal of Indonesia
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/hrji.v4i6.1564

Abstract

Stunting masih menjadi masalah kesehatan masyarakat di Kota Pekalongan, termasuk di Kelurahan Jenggot dan Kelurahan Panjang Wetan, sehingga pelaksanaan Program Dapur Sehat Atasi Stunting (DASHAT) perlu dievaluasi. Penelitian ini bertujuan mengevaluasi pelaksanaan Program DASHAT menggunakan model Context, Input, Process, dan Product (CIPP). Penelitian ini menggunakan pendekatan kualitatif dengan desain studi kasus. Populasi penelitian adalah seluruh pihak yang terlibat dalam pelaksanaan Program DASHAT, dengan 15 informan yang dipilih menggunakan teknik purposive sampling. Penelitian dilaksanakan pada Desember 2025–Maret 2026. Data dikumpulkan melalui wawancara mendalam, observasi, dan dokumentasi, kemudian dianalisis menggunakan model analisis interaktif Miles dan Huberman. Hasil penelitian menunjukkan bahwa tujuan dan sasaran program telah sesuai dengan kebutuhan keluarga berisiko stunting, namun pelaksanaannya belum optimal akibat keterbatasan sarana prasarana dan jumlah kader, partisipasi keluarga sasaran, serta faktor lingkungan. Program memberikan manfaat berupa peningkatan pengetahuan gizi keluarga dan pemanfaatan pangan lokal, meskipun perbaikan status gizi belum merata. Evaluasi menggunakan model CIPP menunjukkan bahwa Program DASHAT telah mendukung upaya percepatan penurunan stunting, namun efektivitas pelaksanaannya masih perlu ditingkatkan melalui penguatan sarana prasarana, kapasitas kader, serta pendampingan keluarga secara berkelanjutan.
Risk Factors Associated with Leprosy Incidence in the Endemic Area of Pekalongan City: A Case-Control Study, 2025 Nisrina zulfa Akmala; Yuniarti Yuniarti; Dewi Nugrahaeni
Jurnal Kesmas Prima Indonesia Vol. 10 No. 2 (2026): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v10i2.8621

Abstract

Abstract Leprosy is one of the Neglected Tropical Diseases (NTDs) that remains a public health problem in Indonesia. Pekalongan City is one of the endemic areas, reporting 75 new cases in 2025. Leprosy transmission is influenced by individual characteristics, history of close contact, household environmental conditions, and personal hygiene practices. This study aimed to analyze the risk factors associated with leprosy incidence in the endemic area of Pekalongan City. An observational analytic study with a 1:1 case-control design was conducted from October 2025 to April 2026 involving 76 respondents. Data were collected through structured questionnaire-based interviews and observations and analyzed using univariate analysis, bivariate analysis with the Chi-square or Fisher's exact test, and multivariate logistic regression. Bivariate analysis showed that education, occupation, personal hygiene, history of close contact, household ventilation, floor condition, and household lighting were significantly associated with leprosy incidence. Multivariate analysis identified education, occupation, and history of close contact as significant factors, with history of close contact being the most dominant risk factor (OR = 15.785; p = 0.001). A history of close contact was identified as the strongest risk factor for leprosy. Therefore, leprosy control efforts should prioritize early case detection, household contact surveillance, improvement of personal hygiene practices, health education, and enhancement of household environmental conditions.