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Analisis Faktor-Faktor yang Mempengaruhi Kinerja Pelayanan Petugas Puskesmas di UPT BLUD Puskesmas Pemenang Kabupaten Lombok Utara Asmadi, Andi; Menap, Menap; Khalik, Lalu Abdul
Bioscientist : Jurnal Ilmiah Biologi Vol. 12 No. 2 (2024): December
Publisher : Department of Biology Education, FSTT, Mandalika University of Education, Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/bioscientist.v12i2.13349

Abstract

This study aims to identify the dominant factors that influence the performance of health services at the UPT BLUD Puskesmas Pemenang. This study used a cross-sectional design with 60 respondents. Data collection was carried out through questionnaires. Data analysis used Spearman correlation to test the relationship between variables such as competence, discipline, and service facilities, and their impact on service quality. The results showed that (1) the competence and discipline of health workers were the most significant factors influencing service performance; (2) competence showed a strong positive correlation with service performance (ρ = 0.828, p < 0.001), which means that skilled staff can provide more effective services; (3) discipline had a substantial positive impact (ρ = 0.760, p < 0.001), which means that the importance of compliance with protocols and schedules; (4) the availability of adequate facilities had a moderate effect on service performance (ρ = 0.342, p = 0.008). This confirms that improving the performance of health services in Community Health Centers requires a comprehensive approach, so that continuous professional development to improve staff competence, discipline enforcement, and strategic investment in service infrastructure is very important.
Analysis of Factors Influencing Nurse Compliance in Implementing Standard Precautions at Hospital X in West Nusa Tengara Parindra, I Ketut; Menap, Menap; Khalik, Abdul; Sastrawan, Sastrawan; Saimi, Saimi; Sulaiman, Lalu
Bioscientist : Jurnal Ilmiah Biologi Vol. 13 No. 1 (2025): March
Publisher : Department of Biology Education, FSTT, Mandalika University of Education, Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/bioscientist.v13i1.14278

Abstract

This study aimed to analyze factors influencing nurses' compliance with standard precautions at Hospital X in West Nusa Tenggara, Indonesia. Compliance with these precautions is essential for preventing healthcare-associated infections (HAIs), yet adherence among nurses remains inconsistent. Understanding the determinants of compliance is crucial for improving infection control practices and ensuring patient safety, particularly in resource-limited settings. A quantitative descriptive-analytic design was employed, involving 221 nurses selected through simple random sampling. Data were collected using structured questionnaires and analyzed using Chi-square and logistic regression tests. The findings revealed that 74.7% of nurses demonstrated compliance, 24.4% had moderate compliance, and 0.9% were non-compliant. Several factors significantly influenced compliance, including education level (p = 0.047), knowledge (p = 0.005), infection prevention and control (IPC) training (p = 0.013), management support (p = 0.000), supervision (p = 0.000), and infrastructure availability (p = 0.000). Among these, infrastructure availability emerged as the most dominant factor, with compliance reaching 93.2% in well-equipped environments. The study highlights the importance of structured training programs, strong managerial support, and adequate infrastructure to enhance compliance with standard precautions and reduce HAIs. Strengthening these aspects is particularly crucial in resource-limited healthcare settings. Future research should focus on designing and evaluating intervention strategies to sustain high compliance rates and further mitigate the risks associated with HAIs.
Analysis of Factors Influencing The Drop Out of Family Planning Acceptors Widyastuti, Yuni; Menap, Menap; Sastrawan, Sastrawan; Pratiwi, Intan Gumilang
Jurnal Kesehatan Prima Vol. 18 No. 2 (2024): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i2.1706

Abstract

Population issues are still the main focus of both developed and developing countries including Indonesia. The government through the Population and Family Planning Sector continues to strive to reduce the Total fertility Rate by reducing the drop out rate of contraceptive use. Drop out is the non-participation of fertile age couples to become family planning acceptors. The purpose of this study was to determine the factors that influence the drop out of family planning acceptors in West Lombok Regency. Previous studies stated that the factors causing drop out were knowledge, attitudes and distance from health services. The difference between this study and previous researchers is the research method used, the location of the study and the time of the study, and to determine the most dominant factors causing drop out. The research design used Cross-Sectional, a population of 135,076 with a sample size of 100 fertility age couple obtained randomly using the proportional to size method, the research instrument used a questionnaire. Data analysis used the chi square test to determine the effect and the multivariate logistic regression test to see the most dominant effect. Results: Chi Square test of knowledge factor obtained p value 0.000 < from alpha (0.05), motivation factor obtained p value 0.0005 < from alpha (0.05), access factor obtained p value 0.961 > from alpha (0.05), insurance ownership obtained p value 0.001 < from alpha (0.05) and work obtained p value 0.000 < from alpha (0.05) Conclusion: there is an influence of knowledge, motivation, insurance ownership and respondent's work with the occurrence of drop out in family planning acceptors while respondent access has no influence on the occurrence of drop out in West Lombok Regency. While the most dominant factor is motivation with OR value 5.575, meaning KB acceptors who do not have strong motivation have a risk or tendency of 5 to 6 times dropping out as family planning acceptors.
Management of HIV/AIDS Services in MSM Group (Men Who Have Sex With Men) Triyono, Wahyu Wirawan; Menap, Menap; Sismulyanto, Sismulyanto; Saimi, Saimi; Sulaiman, Lalu
Jurnal Kesehatan Prima Vol. 18 No. 2 (2024): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i2.1755

Abstract

The focus of the global problem that is of concern both in the world and in Indonesia is the HIV/AIDS case, that reported HIV/AIDS cases in districts/cities in Indonesia were 22,331 HIV cases and 4,534 AIDS cases. Meanwhile in NTB in 2022, there were 1471 accumulated AIDS cases and the addition of 192 new cases, in Central Lombok Regency there were 378 HIV cases and 220 AIDS cases as of September 2022, as well as 211 HIV cases in the MSM group. The strategy determined was to carry out in-depth interviews using the Snow Ball method with 4 informants, namely the VCT/KTH Mandalika Team at Praya Regional Hospital, Management at Praya Regional Hospital, MSM Clients at KTH at Praya Regional Hospital and the HIV Program Holder of the Central Lombok District Health Service. Test the validity of the data with Credibility, Continuous Observation, Triangulation, Transferability, Depreciability, Confirmability. This research has received ethical approval from the Ethics Committee of Qamarul Huda Badaruddin Bagu University with Number: 022/EC/FKES-UNIQHBA/YPPQH/VIII/2023. Management of HIV/AIDS Prevention Services in the MSM Group at KTH Mandalika RSUD Praya still needs to improve the effectiveness of HIV/AIDS prevention, more intensive strategic planning is needed to overcome the increase in HIV prevalence, involving an approach through a TEAM of Field Officers in providing more effective education and social support through VCT services and hotline counseling. Coordination and a stable organizational structure in KTH Mandalika RSUD Praya cannot be ignored, so that response efforts can run more focused. Staff training and development, especially those related to handling PLWHA, needs to be based on objective selection and unit needs, while the use of information technology, such as the SIHA 2.1 application and RS SIM, can be improved to ensure accurate recording and reporting. Management of BHP and ARV availability needs to be optimized through efficient coordination with the District and Provincial Health Services, and regular evaluations need to be carried out to increase distribution efficiency. Implementing the recommendations from 4 informants can have a significant positive impact in managing the management of HIV/AIDS prevention services at KTH Mandalika RSUD Praya, so as to reduce HIV transmission, and provide better support to PLWHA in the MSM community..
A Literature Review on Factors Influencing Non-Adherence to Antiretroviral (ARV) Among People Living with HIV Imtihani, Nila; Menap, Menap
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 3 (2025): EDITION NOVEMBER 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i3.7209

Abstract

Non-adherence to antiretroviral therapy (ART) among people living with HIV (PLHIV) remains a significant global challenge in the effort to control the HIV/AIDS epidemic. In Indonesia, although access to ART continues to expand, adherence rates remain below the optimal threshold, thereby compromising treatment effectiveness and increasing the risk of drug resistance and secondary transmission. This literature review aims to explore and categorize the factors contributing to ART non-adherence among adult PLHIV. A narrative literature review was conducted through systematic searches of four major databases: PubMed, ScienceDirect, Scopus, and SpringerLink. Articles were selected based on inclusion criteria such as publication year (2019–2025), relevance to ART adherence, and focus on adult PLHIV populations. Ten eligible articles were analyzed thematically to identify common barriers to adherence. The findings indicate that ART non-adherence is influenced by a combination of individual, social, and health system-related factors. Individual-level barriers include depression, anxiety, medication side effects, and lack of motivation. Social factors such as stigma, insufficient family or peer support, and cultural beliefs significantly hinder adherence. Meanwhile, health system barriers encompass unwelcoming services, inflexible schedules, lack of patient education, and complex administrative procedures. These results underscore the importance of a comprehensive, multidisciplinary approach involving psychosocial support, stigma reduction, community-based interventions, and health system reform. This review also recommends future empirical studies employing more rigorous methodologies and localized research that can inform the development of contextually and culturally appropriate interventions.
Co-Authors Abdul Haris Abdul Khalik Abdul Khaliq Abdul Muin Abdurrahman Abdurrahman Agus Supinganto Amir Amir Amir Amir Aniharyati, Aniharyati Arip Usman AS, Iwan Kusmayadi Asmadi, Andi Baiq Maryam Bakir, Bakir Bayani, Faizul Budiman Budiman Bustanul Atfal D Mustamu Kamal Pa'ni Deby Ayu Alandari Eni Andriani Fitra Arsy Nur Cory'ah Fitra Arsy Nur Cory'ah Fitria Hidayati, Fitria Fitriana, Huniza Harmaen Harmaen Hartati, Budi Hartini Haryandi, Halid Imtihani, Nila Karjono M, Karjono Khalik, Khalik Kusmayadi AS, Iwan Lalu Abdul Khalik Lalu Abdul Khalik Lalu Abdul Khalik Lalu Hersika Asmawariza Lalu Jupriadi Lalu Muhammad Sadam Husen Lalu Sulaiman Lalu Sulaiman Lalu Sulaiman Lalu, Sulaiman Lia Arian Apriani Made Mahaguna Putra Maryam, Baiq Moh Ali Muh Sapi'i Muhamad Yunus Muhammad Luthfi Mursaka Musawirin, Musawirin Musparlin Halid Nova Budiharjo Nurhayati Nurhayati Ovie Lestya Nurdiana Parindra, I Ketut Pratiwi, Dita Retno Pratiwi, Intan Gumilang Prayogi, Saiful Rahmatien, Baiq Hikma Rasyid, Muh. Emilia Sa’di Reza Indra Wiguna Rizal Pratama Adi Putra Saimi Saimi , Saimi Saimi Saimi Saimi Saimi Saimi, Saimi Sapi'i, Muh Sastrawan Sastrawan Sastrawan Sastrawan Sastrawan, Sastrawan Setiawan, Sabar Sismulyanto Srigede, Lalu Wirawan Suardi Suardi Sulaiman, Lalu Sulastri Sulastri Sulwiyatul K Sani Suswinda Yuli Sutomo Swandayana, Putu Gede Wawan Taufandas, Maruli Triyono, Wahyu Wirawan Uswatun Hasanah Wahyu Wirawan Triyono Wahyu Wirawan Triyono Yuni Widyastuti