Claim Missing Document
Check
Articles

Analisis Hubungan Budaya Organisasi dan Sistem Manajemen dengan Kinerja Pegawai di Puskesmas Tanah Miring Kabupaten Merauke Provinsi Papua Selatan Inra Sari Mariyani Nainggolan; Agus Zainuri; Arius Togodly; Novita Medyati; Sarce Makaba; Roby Kayame
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.58949

Abstract

Kinerja pegawai merupakan faktor penting dalam keberhasilan pelayanan kesehatan di puskesmas. Budaya organisasi dan sistem manajemen yang baik diyakini dapat mendukung peningkatan kinerja pegawai dalam memberikan pelayanan yang efektif dan berkualitas. Namun, capaian beberapa indikator pelayanan kesehatan di Puskesmas Tanah Miring masih mengalami fluktuasi. Penelitian ini bertujuan untuk menganalisis hubungan budaya organisasi dan sistem manajemen dengan kinerja pegawai di Puskesmas Tanah Miring Kabupaten Merauke. Penelitian menggunakan metode kuantitatif dengan desain cross sectional. Populasi penelitian terdiri dari seluruh pegawai Puskesmas Tanah Miring sebanyak 66 orang yang diambil menggunakan teknik total sampling. Data dikumpulkan melalui kuesioner dan dianalisis secara univariat serta bivariat menggunakan uji Chi-Square dengan tingkat kemaknaan α = 0,05 dan pengukuran asosiasi menggunakan Rasio Prevalensi (RP). Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki kinerja baik (71,2%), budaya organisasi baik (54,5%), dan sistem manajemen baik (57,6%). Analisis bivariat menunjukkan tidak terdapat hubungan yang signifikan antara budaya organisasi maupun sistem manajemen dengan kinerja pegawai di Puskesmas Tanah Miring.
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PELAYANAN KESEHATAN IBU DAN ANAK DI KABUPATEN JAYAWIJAYA Odi Haluk; Novita Medyati; Dolfinus Yufu Bouway; Arius Togodly; Hasmi Hasmi; Agus Zainuri
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i3.13671

Abstract

Maternal and child health services are a priority program aimed at improving public health status and reducing maternal and infant mortality rates. Their implementation in Jayawijaya Regency continues to face geographical, socio-cultural, and access-related challenges. This study aimed to analyze the factors associated with maternal and child health services, including antenatal care (ANC) visits, community awareness, maternal education, access to services, and childbirth practices. A qualitative method with a phenomenological approach was employed. Informants consisted of three healthcare workers managing the maternal and child health program at Ilekma, Asolokobal, and Musaffak Community Health Centers. Data were collected through in-depth interviews, observation, and documentation, then analyzed using data reduction, data display, and conclusion drawing. The findings showed that ANC visits remained low because most pregnant women first sought antenatal care during the second or third trimester. Limited community awareness and low maternal education further hindered service utilization. Access to services was constrained by distance, mountainous topography, and limited transportation, while home delivery practices persisted and increased the risk of complications. Healthcare workers had undertaken health education, home visits, collaboration with cadres, and integrated health post (posyandu) activities to improve service coverage. Strengthening health promotion, referral systems, and cross-sectoral support is needed to improve maternal and child health services in the Papuan highlands. ABSTRAK Pelayanan kesehatan ibu dan anak merupakan program prioritas dalam upaya meningkatkan derajat kesehatan masyarakat serta menurunkan Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB). Pelaksanaannya di Kabupaten Jayawijaya masih menghadapi tantangan geografis, sosial budaya, dan keterbatasan akses fasilitas kesehatan. Penelitian ini bertujuan menganalisis faktor-faktor yang berhubungan dengan pelayanan kesehatan ibu dan anak, meliputi kunjungan antenatal care (ANC), kesadaran masyarakat, pendidikan ibu, akses pelayanan, dan praktik persalinan. Penelitian menggunakan metode kualitatif dengan pendekatan fenomenologi. Informan terdiri atas tiga tenaga kesehatan pengelola program KIA di Puskesmas Ilekma, Puskesmas Asolokobal, dan Puskesmas Musaffak. Data dikumpulkan melalui wawancara mendalam, observasi, dan dokumentasi, kemudian dianalisis menggunakan model reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan kunjungan ANC masih rendah karena sebagian besar ibu hamil baru memeriksakan kehamilan pada trimester kedua atau ketiga. Kesadaran masyarakat dan tingkat pendidikan ibu yang rendah turut menghambat pemanfaatan pelayanan kesehatan. Akses pelayanan terkendala jarak, topografi pegunungan, dan keterbatasan transportasi, sementara praktik persalinan di rumah masih ditemukan dan meningkatkan risiko komplikasi. Tenaga kesehatan telah melakukan penyuluhan, kunjungan rumah, kerja sama dengan kader, dan kegiatan posyandu untuk memperbaiki cakupan pelayanan. Penguatan promosi kesehatan, sistem rujukan, dan dukungan lintas sektor diperlukan untuk meningkatkan pelayanan kesehatan ibu dan anak di wilayah pegunungan Papua.
Analisis Implementasi Integrasi Layanan Primer Pada Penjaringan Kasus Tuberkulosis di Puskesmas Enarotali Kabupaten Paniai Papua Tengah Otniel Mote; Robby Kayame; Semuel Piter Irab; Yacob Ruru; Arius Togodly; Agus Zainuri
Jurnal Ners Vol. 10 No. 4 (2026): OKTOBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.58950

Abstract

Tuberkulosis (TBC) masih menjadi masalah kesehatan utama di Indonesia dengan tingginya angka kasus dan kematian. Pemerintah mengembangkan kebijakan Integrasi Layanan Primer (ILP) untuk memperkuat pelayanan kesehatan primer melalui penemuan kasus aktif, skrining berbasis komunitas, dan kolaborasi lintas program. Penelitian ini bertujuan menganalisis implementasi ILP dalam penjaringan kasus TBC di Puskesmas Enarotali, Kabupaten Paniai, Papua Tengah berdasarkan teori implementasi kebijakan George C. Edwards III. Penelitian menggunakan metode deskriptif kualitatif dengan 12 informan yang terdiri dari unsur Dinas Kesehatan, tenaga kesehatan, kader, tokoh masyarakat, dan masyarakat. Data dikumpulkan melalui wawancara dan observasi, kemudian dianalisis secara interaktif. Hasil penelitian menghasilkan empat tema utama yaitu komunikasi, sumber daya, disposisi, dan struktur birokrasi. Komunikasi program telah dilakukan melalui sosialisasi dan koordinasi lintas program, namun terkendala akses wilayah dan rendahnya pemahaman masyarakat. Sumber daya masih terbatas pada tenaga kesehatan, sarana, logistik, dan anggaran. Disposisi menunjukkan adanya komitmen positif tenaga kesehatan dan pemerintah daerah. Struktur birokrasi serta koordinasi lintas sektor telah berjalan, meskipun belum optimal akibat keterbatasan sumber daya dan akses pelayanan. Simpulan: Implementasi ILP dalam penjaringan kasus TBC di Puskesmas Enarotali telah berjalan namun belum optimal.
Faktor-Faktor yang Berhubungan Dengan Mutu Dokumentasi Rekam Medis di RSUD Paniai Rasmawati Rasmawati; Agus Zainuri; Muhammad Akbar Nurdin; Yacob Ruru; Arius Togodly; Hasmi Hasmi
Jurnal Ners Vol. 10 No. 4 (2026): OKTOBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.60958

Abstract

Mutu pelayanan kesehatan merupakan indikator penting keberhasilan sistem kesehatan, salah satunya ditunjang oleh rekam medis sebagai sumber informasi pasien, sarana komunikasi antar tenaga kesehatan, dasar pengambilan keputusan klinis, evaluasi pelayanan, serta bukti hukum. Namun, praktik pengisian rekam medis di lapangan masih belum optimal sehingga menurunkan kualitas dokumentasi dan berpotensi menimbulkan masalah tanggung gugat. Penelitian ini bertujuan menganalisis faktor-faktor yang berhubungan dengan mutu dokumentasi rekam medis di RSUD Paniai. Penelitian observasional analitik dengan desain cross sectional ini melibatkan 35 tenaga kesehatan sebagai sampel. Instrumen penelitian berupa kuesioner dan lembar observasi dokumentasi, dengan analisis menggunakan uji chi-square, rasio prevalensi, serta regresi logistik biner. Hasil menunjukkan variabel usia, masa kerja, pengetahuan, motivasi, sikap, koordinasi tim, dan kepatuhan berhubungan signifikan dengan mutu dokumentasi. Analisis multivariat menegaskan motivasi tenaga kesehatan sebagai faktor paling dominan (p=0,001; OR=67,5; CI95% 5,099–86,330). Temuan ini menekankan perlunya peningkatan motivasi, kepatuhan, dan koordinasi tim untuk memperbaiki mutu dokumentasi rekam medis serta mendukung peningkatan kualitas pelayanan kesehatan di RSUD Paniai.
Analisis Pengaruh Dimensi Keberhasilan Sistem Informasi Manajemen Rumah Sakit (SIMRS) Berdasarkan Model DeLone dan McLean Terhadap Efisiensi Operasional RS Sele Be Solu Kota Sorong Provinsi Papua Barat Daya Susiyanti Bless; Agus Zainuri; Yacob Ruru; Hasmi Hasmi; Arius Togodly; Sarce Makaba
Jurnal Ners Vol. 10 No. 4 (2026): OKTOBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.61206

Abstract

Implementasi Sistem Informasi Manajemen Rumah Sakit (SIMRS) merupakan bagian penting dari transformasi digital pelayanan kesehatan yang bertujuan meningkatkan kualitas layanan dan efisiensi operasional rumah sakit. Keberhasilan implementasi SIMRS dipengaruhi oleh berbagai faktor yang perlu dievaluasi secara komprehensif. Penelitian ini bertujuan menganalisis pengaruh dimensi keberhasilan SIMRS berdasarkan Model DeLone dan McLean, yaitu kualitas sistem, kualitas informasi, kualitas layanan, penggunaan sistem, kepuasan pengguna, dan manfaat bersih (net benefits) terhadap efisiensi operasional RS Sele Be Solu Kota Sorong. Penelitian ini menggunakan metode kuantitatif dengan desain cross sectional. Populasi penelitian adalah seluruh pegawai pengguna SIMRS sebanyak 55 orang dengan teknik total sampling. Data dikumpulkan menggunakan kuesioner skala Likert dan dianalisis menggunakan regresi linear berganda dengan bantuan SPSS. Hasil penelitian menunjukkan bahwa dimensi keberhasilan SIMRS secara simultan berpengaruh signifikan terhadap efisiensi operasional rumah sakit. Variabel manfaat bersih (net benefits) merupakan faktor yang paling dominan. Implementasi SIMRS berkontribusi terhadap peningkatan efisiensi waktu pelayanan, proses kerja, pemanfaatan sumber daya manusia, dan efisiensi biaya operasional.
Implementation of electronic medical records and data use for puskesmas decision-making in Jayapura City Agus Zainuri; Petrus YI Arwimbar; Suriyani
Berita Kedokteran Masyarakat Vol 41 No 11 (2025)
Publisher : Universitas Gadjah Mada

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

Abstract

Purpose: Electronic medical records (EMRs) are central to Indonesia's digital health transformation, but adoption alone does not ensure that routinely collected data inform action. In Puskesmas, patient data should support continuity of care, service improvement, program management, and recognition of disease-risk patterns in communities. This study examined whether EMR implementation in Puskesmas in Jayapura City had progressed from electronic recording to organizational data use. Methods: We used an explanatory sequential mixed-methods design. A cross-sectional survey included 114 staff members from 14 Puskesmas in Jayapura City between May and July 2025. The survey measured reported EMR use, perceived ease of use, data security and quality, and the main implementation barrier. Semi-structured interviews with six management and frontline informants explored how staff used EMR data in routine work. Survey data were summarized using frequencies and percentages, and interview data were analyzed thematically to explain the quantitative patterns. Results: Most respondents reported using the EMR (93.9%), finding it easy to use (96.5%), having secure patient data (96.5%), and reporting good data quality (83.3%). The most frequently reported barriers were limited training (37.7%), system-integration difficulties (21.9%), and limited internet connectivity (20.2%). Interviews indicated that EMRs mainly supported registration, clinical recording, and patient flow; routine use of EMR data for program planning and management review remained limited. Training gaps, duplicate entry across non- interoperable systems, connectivity problems, and inadequate hardware kept staff focused on recording rather than analysis. Conclusion: Jayapura City's Puskesmas have established electronic recording, but not yet routine data-informed management. Puskesmas managers should institute regular data-review meetings, assign responsibility for interpreting indicators and following up decisions, and train staff beyond data entry. The City Health Office should support interoperability, infrastructure, and supervision of data use. Another agenda is to convert aggregated, privacy-protected patient information into locally relevant risk profiles that Puskesmas teams can discuss with village and kampung leaders, so clinical care is linked to community action that reduces recurring exposure and illness.
Analysis of Planning and Procurement of Diagnostic Medical Equipment at Jayapura Regional Hospital: Challenges and Optimization Strategies Yudith Silvia Ester Siahaan; Arius Togodly; Rosmin M. Tingginehe; Sarce Makaba; Agus Zainuri; Muhammad Akbar Nurdin
Formosa Journal of Science and Technology Vol. 4 No. 4 (2025): April 2025
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjst.v4i4.59

Abstract

This research aims to analyze the planning and procurement processes of diagnostic medical equipment at Jayapura Regional Hospital in Papua Province. Using a qualitative approach with case study design, this research involved in-depth interviews with 11 informants consisting of key, primary, and supporting stakeholders. The results indicate that the planning and procurement processes are influenced by three determinant factors: government regulations, budget availability, and hospital management strategies. Jayapura Regional Hospital implements a bottom-up approach in planning that involves active participation from various staff levels. The primary constraints identified include budget limitations, funding allocation instability, and equipment specification mismatches. Optimization of the Hospital Management Information System (HMIS) has become a strategic solution to improve the efficiency of planning and procurement processes, while a comprehensive medical equipment maintenance program is essential to ensure continuity and quality of diagnostic services. This research recommends implementing data-based planning, strengthening the bottom-up approach, optimizing inter-departmental coordination, and developing a structured equipment maintenance program to improve the effectiveness of diagnostic medical equipment procurement at Jayapura Regional Hospital.
Uncovering the Incidence of Stunting Risk in Children Age 6-24 Months at Wosi Health Center West Papua Province Jenne Rottin; Samuel Peter Irab; Novita Medyati; Agus Zainuri; Sarce Makaba; Septevanus Rantetoding
Formosa Journal of Science and Technology Vol. 4 No. 5 (2025): May 2025
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjst.v4i5.104

Abstract

The study aims to reveal the risk factors for children aged 6-24 months at risk of stunting. At the Wosi Health Center. Types of analytical research, cross-sectional study approach. A sample of 73 people, taken by the Purposive Sampling technique. Analystsare Univariate, chi square, Prevalence Ratio and logistic regression data. The research findings are that there is a significance between exclusive breastfeeding parenting, infectious diseases and significant immunization status P = <0.05. The relationship between side dishes (SD)-BM parenting, toilet sanitation, number of members in the family, economic status, and LBW history was not significant P = >0.05. The results of the Prevalence Ratio (PR) value of the variable of the parenting history of exclusive breastfeeding had the most effect on the risk of stunting incidence with a risk value of 5.55 times.
Analysis of Health Financing in the Implementation of Minimum Service Standards (MSS) at the Jayapura City Health Office, Papua Province in 2024 Firman Firman; Agus Zainuri; Hasmi Hasmi; Septevanus Rantetording; Arius Togodly; Yacob Ruru
Formosa Journal of Science and Technology Vol. 4 No. 5 (2025): May 2025
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjst.v4i5.97

Abstract

This study aims to analyze financing for the implementation of minimum service standards in the health sector. The method used is a qualitative case study design. The informants consisted of seven people who were taken with the Purposive sampling technique. Data was collected through in-depth interviews and documentation, and analyzed thematically. The results show that budget planning is participatory and based on real needs, involving technical implementers in service facilities. Budget priorities are focused on vulnerable groups and infectious diseases. Budget realization is influenced by medium-term planning and accountability. The challenge is infrastructure and geographical conditions. To strengthen the system, a multisectoral approach, financing innovation, and integration of promotive and preventive strategies are needed.
Analysis of Health Human Resource Planning in Pukesmas throughout Manokwari Regency West Papua Province Fransina Nahumury; Hasmi Hasmi; Septevanus Rantetoding; Novita Medyati; Semuel Piter Irab; Agus Zainuri
Formosa Journal of Science and Technology Vol. 4 No. 5 (2025): May 2025
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjst.v4i5.80

Abstract

This study aims to evaluate Health Human Resource Planning (HR) in all Health Centers in Manokwari Regency. This study uses a qualitative method with a case study approach. A total of 33 informants were selected through purposive sampling techniques. The findings of the study show that the number and type of health workers in health centers are still insufficient. Although the planning of human resource needs has been designed quite well and structured, the limited funds from the APBD have caused some formations of health workers to not be fulfilled. The preparation of plans and the fulfillment of human resource needs by the Health Office is carried out through a special human resources application. The strategy implemented to meet the needs of health human resources is to carry out periodic monitoring and evaluation activities.
Co-Authors Afdal Kasimur Ami Cristina Pigome Anneke Yacob Ansar CS Antonius Satrio Wicaksono Dosinaeng Apen Sigele Arius Togodly Arius Togodly Asmawati Asmawati Baharuddin Hasan Bouway, Dolfinus Carles Mulait Deby Felia Prestianti Dolfinus Yufu Bouway Dolfinus Yufu Bouway Ermelinda Yersin Putri Larung Ermelinda Yersin Putri Larung Ervina Indrayani Evan Kusmiati Evi Sinaga Firman Firman Fransina Nahumury Gandinni, Nanda Aprilia Gerdha Kristina Ivoni Numberi Gerdha Kristina Ivony Numberi Grace Janice Martha Mantiri Hasmi Hasmi Hasmi Hasmi Hasmi Hasmi Hasmi Hasmi Hasmi Hebe Marlen Tiblola Heriq Rony Paulus Twenti I Putu Eka Wijaya Putra Ibrahim Ibrahim Ikhsan Ikhsan Ikhsan Ikhsan Imelda Bowaire Inra Sari Mariyani Nainggolan Ipa Sari Kardi Irap, S. Piter Irap, Samuel Piter Irfan Deny Oktavian Jems R. Awantano Jemy Landa Jenne Rottin Junalia Muhammad Kurdi Kurdi Lily Bauw Mantiri, Grace Janice Martha Markus Wahyu Moat Natin Lewar Marsuki Marsuki Martapina Anggai Matturungan, Minhas Maxi Tandi Payuk Medyati, Novita Meilani Paulina Lewier Merlina Saalino Miftah Fariz Prima Putra Milka Walli Mohamad Emin Refideso Muh Syaiful Syam Muhammad Akbar Nurdin Muhammad Fitrah Mubarak Mulait, Carles Sari Murib, Elman Nanda Aprilia Gandinni Nasruddin Nasruddin Nita Novita Medyati Novita Medyati Nurdin, Muhammad Akbar Odi Haluk Orpa Mayung Allo Otniel Mote Petrus YI Arwimbar Petrus Yohanes Ismail Arwimbar Pigome, Ami Cristina Putra, Mifta Fariz Prima Raihan Ramadhan Abdullah Rantetoding, Septevanus Rasmawati Rasmawati Ria Romantir Riani Parende Rita Watiningsih Robby Kayame Roby Kayame Rodhi Rusdianto Hidayat Romeicky Jenli Abram Korwa Rosmin M. Tingginehe Rosmin M. Tingginehe Rosmin M. Tingginehe Rosmin Mariati Tingginehe Rosmin Mariati Tingginehe Rumbiak, Darwin Kristian Rumboirusi, Ricky Lazarus Ruru, Yacob Saharuddin Ita Samuel Peter Irab Sarce Makaba Sarce Makaba Selli Reni Andeina Semuel Pitar Irab Semuel Piter Irab Semuel Piter Irab Septevanus Rantetoding Septevanus Rantetoding Septevanus Rantetording Skolastika Jelita Sugiyono Sugiyono Sukmawati Sulistiyana Sulistiyana Suriyani Susiyanti Bless Sutoro . Sutoro Sutoro Syahruddin Syahruddin Tasmiah Ainun Theodora Simandjuntak Tingginehe, Rosmin M. Tingginehe, Rosmin Mariati Togodly, Arius Tri Setyo Guntoro Velvie Michicha Kaparang Veronika Dogopia Watiningsih, Rita Wonda, Frengky Lani Wonda, Yumin Yacob Ruru Yacob Ruru Yakob Ruru Yimerni Margarith Mudumi Yogodly, Arius Yohan Rumar Yohanis Manfred Mandosir Yos Wandik Yudith Silvia Ester Siahaan Yuli Karapa Yuliana Reniban Yulius Mataputun Zakharias Giay