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Faktor Determinan yang berhubungan dengan Penanganan Program Tuberkulosis (TB) di Lombok Tengah Saimi, Saimi; Kosim, Nanang; Khalik, Lalu Abdul; Pratiwi, Dita Retno
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49438

Abstract

Introduction: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis, mainly attacking the lungs, but can affect other organs. The disease remains a significant global and national health problem, including one of the world's top 10 causes of death and the deadliest infectious disease. TB cases in Central Lombok in 2022–2024 fluctuated, rising from 1,220 to 1,538 and then dropping to 1,467 cases. Pediatric TB increased significantly, the success of therapy increased, but the rate of dropouts, failed treatment was high, and mortality also increased. The main potential barriers include low knowledge, stigma, poor access to services, and limited facilities, these conditions underscore the urgency of research on national TB elimination strategies. Purpose: to analyze determinant factors related to the Handling of the Tuberculosis (TB) Program in Central Lombok. Result: It was found that patient knowledge, access to TB services, social stigma, and medication adherence had a significant effect on the success of TB treatment (p < 0.005). Patients with low knowledge were at risk of 3.97 times of barriers, of difficulty of access increased risk 7.23 times, of stigma 8.13 times, and of low adherence 4.54 times. These findings underscore the need for TB control strategies that prioritize patient education, improved access to services, reduced social stigma, and support for ongoing treatment adherence to improve the success of TB programs. Conclusion: This study shows that successful TB treatment is significantly influenced by patient knowledge, access to services, social stigma, and medication adherence. The risk of treatment barriers increased nearly four times in low-knowledge patients, more than seven times in difficult access, and eight times in high-stigma. Low drug adherence also has a significant impact. TB control strategies must prioritize education, increased access, stigma reduction, and patient compliance assistance on an ongoing basis.
Kinerja Analisis Kinerja Rumah Sakit Umum Daerah Provinsi Nusa Tenggara Barat dengan Metode Balance Score Card Maulana, Afif; Saimi; Khalik, Lalu Abdul
Journal of Health Science and Prevention Vol. 9 No. 2 (2025): JHSP Vol 9 No 2 – 2025
Publisher : State Islamic University of Sunan Ampel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29080/jhsp.v9i2.1403

Abstract

Performance measurement is one of the important factors in a business organization, including BLUD, as mandated in Permendagri Number 79 of 2018. The purpose of this study was to analyze the performance of the NTB Provincial Hospital using the Balance ScoreCard method. The research method used a descriptive qualitative approach. Data collection was carried out through direct observation, in-depth interviews with seven informants, and documentation (document analysis). The results showed that the performance of the NTB Provincial Hospital in the customer perspective was rated quite good, as evidenced by the level of customer satisfaction with tangibles and assurance in the satisfied category, while in the aspects of reliability, empathy, and responsiveness, it was in the quite satisfied category. In the financial perspective, the solvency ratio and collection period are better than the ideal standard, while the liquidity ratio, total assets turnover, and cost recovery rate are less than the ideal standard. In the internal business process perspective, the NTB Provincial Hospital showed fairly good performance in most indicators; however, the high GDR and NDR rates indicate challenges in terms of the quality of critical patient care and mortality management. From the learning and growth perspective, the results are quite good with continuous employee competency development. NTB Provincial Hospital can start the process and efforts to improve performance by increasing the ability and motivation of HR work and innovation in the utiliz s of service information systems (learning and growth perspective), in order to improve the effectiveness and efficiency of business processes as an effort to improve the quality and quality of services provided to patients (internal business process perspective), thus customers will feel comfortable, trust, and be satisfied with the services provided by the hospital (increased customer perspective), until finally the hospital's income will also increase (financial perspective).
Pengaruh Kepatuhan Diet, Tingkat Kecemasan Dan Pengetahuan Terhadap Kadar Gula Darah Sewaktu Pada Pasien Diabetes Melitus Tipe 2 Di Puskesmas Praya Fardiman, Bambang; Saimi, Saimi; Khalik, Lalu Abdul
J-CEKI : Jurnal Cendekia Ilmiah Vol. 4 No. 6: Oktober 2025
Publisher : CV. ULIL ALBAB CORP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/jceki.v4i6.11709

Abstract

Prevalensi Diabetes Melitus di Provinsi Nusa Tenggara Barat (NTB) berjumlah 63.488 pasien, kabupaten Lombok Tengah merupakan kabupaten dengan prevalensi Diabetes Melitus tertinggi dibandingkan 9 kabupaten lainnya yang ada di NTB dengan jumlah 16.195 pasien. Tujuan penelitian ini adalah untuk mengetahui pengaruh kepatuhan diet, tingkat kecemasan, dan pengetahuan terhadap kadar gula darah sewaktu pada pasien Diabetes Melitus tipe 2 di Puskesmas Praya. Metode yang digunakan dalam penelitian ini adalah metode kuantitatif dengan desain penelitian Cross-Sectional untuk mengetahui pengaruh antar variabel dan memungkinkan seluruh variabel diukur dan diamati dalam waktu bersamaan (one point in time). Analisis data menggunakan analisis bivariat dan multivariat untuk mengetahui pengaruh antar variabel dan pengaruh kepatuhan diet, tingkat kecemasan dan pengetahuan terhadap kadar gula darah secara bersamaan. Hasil dari penelitian ini adalah ketiga variabel yaitu kepatuhan diet, tingkat kecemasan dan pengetahuan sama - sama memiliki pengaruh terhadap kadar gula darah sewaktu pada pasien DM tipe 2 di Puskesmas Praya, hal ini dapat dilihat dari nilai p = 0,000 < 0,05. Ketiga variabel tersebut memiliki kontribusi terhadap kadar gula darah sewaktu sebesar 0,735 atau 73,5%, sedangkan 26,5% di pengaruhi oleh variabel lain diluar model. Kontribusi dari penelitian ini adalah memberikan masukan bagaimana mengontrol kadar gula darah sewaktu.