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All Journal Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Jurnal Kesehatan Andalas Jurnal Kesehatan Vokasional Jurnal Kesehatan Komunitas Buletin Ilmiah Nagari Membangun
Tuty Ernawati
Fakultas Kesehatan Masyarakat Universitas Andalas
Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Nursing Public Health Veterinary Other

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Factors Associated with Female Bodily Autonomy in West Pasaman District Markolinda, Yessy; Ernawati, Ch Tuty; Ramadani, Mery; Husna, Nadiyatul
Jurnal Kesehatan Vokasional Vol 10, No 2 (2025): May
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.101853

Abstract

Background: Women's involvement in decision-making related to health services has a significant impact on improving maternal and child health, as well as strengthening women's empowerment. In 2022, the Maternal Mortality Rate (MMR) in Pasaman Barat District was 195 per 100,000 live births, ranking first among districts and cities in West Sumatra Province.Objective: This study aims to identify factors associated with women's physical independence in accessing maternal and child health (MCH) services.Methods: This is an analytical study using a cross-sectional design. The sample size was 106 participants.Results: 3.2% of respondents had low independence in utilizing MCH services. Residential area (p-value = 0.038; AOR = 0.321) and knowledge about MCH (p-value = 0.001; AOR = 7.015) were the dominant factors associated with women's physical independence in utilizing MCH services. Meanwhile, husband's education, number of family members, mother's occupation, age group, mother's education, husband's occupation, family income, and access to health facilities were confounding variables in this study.Conclusion: The low level of women's autonomy in utilizing KIA services is primarily influenced by the area of residence and the level of knowledge about KIA. Educational efforts, training of health workers, and cross-sectoral collaboration are needed to improve access and gender equality in health services.
Analisis Pelaksanaan Pelayanan Penderita Hipertensi dan Diabetes Mellitus dalam Peningkatan Capaian Standar Pelayanan Minimal Ernawati, Tuty; Siswati, Sri; Anshari, Luthfil Hadi
Jurnal Kesehatan Komunitas Vol 11 No 2 (2025): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol11.Iss2.2303

Abstract

Indonesia is currently facing a double burden of disease, comprising both communicable and non-communicable diseases (NCDs), each of which has a significant impact on public health and national economic growth. NCDs such as hypertension and diabetes mellitus have become leading causes of morbidity and mortality, requiring serious attention.To ensure the quality of healthcare services, the government has established standards through Minister of Health Regulation No. 6 of 2024 concerning Technical Standards for Fulfilling the Quality of Basic Services under the Minimum Service Standards (SPM) in the health sector.This study aims to analyze the implementation of healthcare services for patients with hypertension and diabetes mellitus in an effort to improve SPM achievement at Alahan Panjang Public Health Center (Puskesmas), Solok Regency.The research employed a mixed-methods approach, combining quantitative and qualitative methods to gain a more comprehensive understanding.The results showed that 44.6% of patients had a low level of knowledge about their disease, while 55.4% had a high level of knowledge. The Puskesmas has implemented an NCD program based on Minister of Health Regulation No. 71 of 2015 and has its own Standard Operating Procedures (SOPs). The performance of healthcare personnel was generally adequate, but there were challenges due to scheduling conflicts with integrated Posyandu (community health post) activities. Budget constraints from the district health office also affected program funding. In addition, the availability of medical equipment, such as blood pressure monitors, remains limited. The implementation of integrated Posyandu services alongside NCD programs and other life cycle-based activities has been initiated, but these efforts do not always run optimally due to limited human resources and infrastructure. These findings highlight the need to strengthen support for NCD services to achieve the 100% SPM target.
Analisis Tantangan Kesiapan Implementasi Rekam Medis Elektronik di Puskesmas Kota Padang Siswati, Sri; Ernawati, Tuty; Khairunnisa, Muthia
Jurnal Kesehatan Vokasional Vol 9, No 1 (2024): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.92719

Abstract

Latar   Belakang: Puskesmas merupakan salah satu fasilitas kesehatan yang wajib melaksanakan Rekam Medis Elektronik (RME) paling lambat 31 Desember 2023 melalui Permenkes Nomor 24 Tahun 2022 tentang Rekam Medis. Namun, faktor kesiapan sumber daya manusia menjadi tantangan dalam implementasi.Tujuan: Penelitian ini bertujuan untuk mengetahui faktor dan hambatan yang mempengaruhi kesiapan tenaga kesehatan dalam menerapkan RME di Puskesmas.Metode: Penelitian ini menggunakan mixed-method dengan model sequantial explanatory dilakukan pada Mei sampai Oktober 2023 di 23 Puskesmas Kota Padang. Pengambilan data kuantitatif dengan crosssectional dilakukan pada 69 sampel, yaitu dokter, perekam medis, dan perawat, sedangkan kualitatif dilakukan terhadap 46 informan, yaitu 23 kepala puskesmas dan 23 perekam medis dengan cara purposive sampling. Hasil: Tenaga Kesehatan yang siap menerapkan RME hanya 33 orang (47,8%). Faktor Tingkatpendidikan, pengalaman kerja, pengetahuan, dan persepsi berpengaruh signifikan terhadap kesiapan tenaga kesehatan melaksanakan RME. Temuan wawancara mendalam diketahui penyebab belum siap tenaga kesehatan dalam melaksanakan RME adalah kurangnya pengetahuan tentang RME karena pelatihan RME tidak diberikan ke seluruh tenaga kesehatan selain itu keterampilan penggunaan komputer menjadi hambatan utama. Kesimpulan: Tidak semua tenaga kesehatan siap menerapkan RME karena pelatihan hanya oleh perekam medis sehingga perlu pelatihan serta pendampingan dari dinas kesehatan guna memantau keberhasilan implementasi
Optimalisasi Manajemen Logistik Puskesmas untuk Meningkatkan Kualitas Layanan Kesehatan di Kabupaten Solok : Empowerment of Community Health Centers (Puskesmas) in Logistics Management to Improve the Quality of Health Services in Solok Regency Ernawati, Tuty; Anshari, Luthfil Hadi; Fitria, Mia
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 8 No. 3 (2025)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v8i3.768

Abstract

Effective logistics management in the maintenance and storage of medical equipment plays an important role in ensuring patient safety and supporting service efficiency at community health centers (Puskesmas). However, several Puskesmas in Solok Regency still face challenges such as suboptimal logistics management, limited storage facilities, and inadequate monitoring and evaluation processes. These issues increase the risk of equipment damage, service disruption, and occupational safety hazards for both medical staff and patients. This community service program aimed to strengthen the logistics management capacity of Puskesmas through socialization and training on the implementation of Occupational Health and Safety (OHS) principles and integrated logistics management. The methods included coordination with the Solok District Health Office, training for Puskesmas staff, mentoring in logistics recording, and the provision of educational media such as banners and leaflets. The results showed an improvement in participants’ understanding of logistics management and OHS principles, with more than 80% of participants able to apply proper storage systems and conduct periodic monitoring of medical equipment. In addition, internal coordination in the procurement and distribution of medical equipment at partner Puskesmas improved significantly. This program contributed to enhancing safety, availability, and the quality of health services at Puskesmas, and is expected to serve as an initial step toward developing a sustainable logistics management system in Solok Regency.
Hubungan Unsafe Action dan Unsafe Condition dengan Kecelakaan Kerja di PT X Padang Anshari, Luthfil Hadi; Azkha, Nizwardi; Ernawati, Tuty
Jurnal Kesehatan Komunitas Vol 11 No 3 (2025): Jurnal Kesehatan Komunitas
Publisher : Universitas Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol11.Iss3.2328

Abstract

Unsafe actions are behaviors that can endanger workers or others and have the potential to cause workplace accidents. In addition, unsafe conditions in the work environment are also important factors that increase the risk of accidents. This study aims to determine the relationship between unsafe actions and unsafe conditions with the incidence of occupational accidents among workers at PT X in 2024. This research employed a quantitative method with a cross-sectional design. The sampling technique used was proportional random sampling. From a total population of 129 workers, 55 were selected as research samples. The study was conducted from March to September 2024 at PT X Padang. The results showed that 52.7% of respondents experienced workplace accidents, 52.7% performed unsafe actions, and 56.4% worked under unsafe conditions. The chi-square analysis indicated a significant relationship between unsafe actions and workplace accidents (p=0.001), as well as between unsafe conditions and workplace accidents (p=0.002). These findings confirm that unsafe behaviors and unsafe working conditions contribute to the occurrence of workplace accidents. Therefore, companies need to strengthen the implementation of Standard Operating Procedures (SOPs), enhance supervision and safety training, and encourage workers to consistently use Personal Protective Equipment (PPE) to prevent occupational accidents. Moreover, effective occupational safety management is essential to minimize the risk of workplace accidents.
Integrasi Layanan Primer dalam Pemberdayaan Masyarakat Dewasa untuk Mewujudkan Lansia Mandiri di Puskesmas Pauh: Health Education and Elderly Exercise Program to Enhance the Independence of Adult and Elderly Groups at the Integrated Posyandu of Pauh Health Center Ernawati, Tuty; Fitria, Mia; Benito, Farel; Desril, Fadya
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 8 No. 4 (2025)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v8i4.825

Abstract

Cluster 3 of the Primary Care Integration framework plays a critical role in strengthening community capacity through health education and preventive interventions. This study aimed to improve the knowledge of adult health cadres as well as the physical fitness and independence of older adults at the Pauh Public Health Center. A pre–post intervention study without a control group was conducted involving 25 adult cadres and 15 older adults. Assessment instruments included a structured knowledge questionnaire covering three domains healthy lifestyle and chronic disease prevention, the role of cadres within Primary Care Integration, and communication techniques as well as measurements of physical activity and functional independence among older adults. The intervention consisted of health education for adult cadres, training in elderly assistance and communication techniques, and the implementation of structured exercise sessions accompanied by routine health monitoring for older adults. Results demonstrated substantial improvement in cadre knowledge, with an overall increase of 43.0%, including increases in healthy lifestyle knowledge (39.0%), understanding of cadre roles in Primary Care Integration (44.8%), and communication techniques (45.3%). Among older adults, weekly exercise participation increased from 46.7% to 86.7%, balance ability improved from 8.2 seconds to 13.5 seconds (a 64.6% increase), and daily functional independence rose by 30.0%, resulting in an overall improvement of 44.9%. In conclusion, the Primary Care Integration based health education and elderly exercise program effectively enhanced the capacity of adult cadres and improved the physical fitness and independence of older adults.
Co-Authors Anshari, Luthfil Hadi Ayu Wulandari Benito, Farel Desril, Fadya Dhina Uswatul Husna, Nadiyatul Khairunnisa, Muthia Luthfil Hadi Anshari Markolinda, Yessy Mia Fitria Nizwardi Azkha Nur Afrainin Syah Ramadani, Mery Sri Siswati Ulfah Winanda Putri