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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..
Eksplorasi Kualitas Layanan Antenatal (ANC) Pada Ibu Hamil: Studi Kasus DI Puskesmas Kuta Lombok Tengah Baiq Hikma Rahmatien; Menap Menap; Sismulyanto Sismulyanto; Dita Retno Pratiwi; Saimi Saimi
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.v9i4.49767

Abstract

Pelayanan antenatal care (ANC) merupakan intervensi penting untuk menurunkan angka kematian ibu dan bayi melalui deteksi dini risiko kehamilan, pemantauan kesehatan ibu, serta pemberian edukasi. Penelitian ini bertujuan mengeksplorasi kualitas pelayanan ANC di Puskesmas dengan pendekatan kualitatif desain studi kasus. Informan terdiri dari tenaga kesehatan (dokter, bidan, pimpinan Puskesmas) dan ibu hamil yang pernah menerima layanan. Data diperoleh melalui wawancara mendalam, observasi, dan telaah dokumen, kemudian dianalisis dengan metode tematik. Hasil penelitian menunjukkan bahwa kualitas layanan ANC masih menghadapi keterbatasan, terutama terkait ketersediaan tenaga bidan yang kompetensinya belum sesuai rasio kebutuhan. Sarana pemeriksaan seperti Doppler dan USG tidak dikalibrasi berdampak tidak akurasi, serta ruang periksa belum memenuhi standar pelayanan. Selain itu, faktor non-teknis juga memengaruhi mutu layanan, antara lain sikap petugas yang kurang ramah, minimnya edukasi kepada ibu hamil, serta lamanya waktu tunggu yang menimbulkan ketidakpuasan pasien. Kesimpulan menekankan pentingnya penguatan sumber daya, peningkatan kompetensi, dan perbaikan sistem pelayanan untuk mengoptimalkan kualitas ANC di Puskesmas.
A Literature Review on Factors Influencing Non-Adherence to Antiretroviral (ARV) Among People Living with HIV Nila Imtihani; 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.
Analisis Faktor-Faktor yang Mempengaruhi Perilaku Masyarakat dalam Mengelola Obat Sisa dan Obat Kedaluwarsa di Rumah Tangga di Kecamatan Sekarbela Kota Mataram En Purmafitriah; Menap Menap; Sabar Setiawan
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21825

Abstract

ABSTRACT Household management of leftover and expired medications is a critical issue impacting public health and environmental sustainability. Improperly managed leftover and expired medications have the potential to pollute the environment and endanger health. Lack of knowledge and information is a major cause of inappropriate medication disposal. This study aims to analyze factors influencing community behavior in managing leftover and expired medications in Sekarbela District, Mataram City. This study used a quantitative design with a cross-sectional approach. A sample of 100 respondents was selected using consecutive sampling. Data were collected using a questionnaire that had been tested for validity and reliability, then analyzed using path analysis with SPSS. The results showed that information media had a significant influence (0.002) on community behavior, health promotion programs had a significant influence (0.032) on community behavior, and public knowledge had a significant influence (0.000) on community behavior. Thus, information media and health promotion programs have a direct and indirect influence through knowledge, significantly affecting community behavior. Public behavior in managing leftover and expired medications is influenced by information media, health promotion programs, and knowledge. Keywords: Leftover Medications, Expired Medications, Knowledge, Behavior.  ABSTRAK Pengelolaan obat sisa dan obat kedaluwarsa di rumah tangga menjadi isu penting yang berdampak terhadap kesehatan masyarakat dan kelestarian lingkungan. Obat sisa dan kedaluwarsa yang tidak dikelola dengan benar di rumah tangga berpotensi mencemari lingkungan dan membahayakan kesehatan. Kurangnya pengetahuan dan informasi menjadi salah satu penyebab utama perilaku pembuangan obat yang tidak sesuai. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi perilaku masyarakat dalam mengelola obat sisa dan obat kedaluwarsa di Kecamatan Sekarbela Kota Mataram. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional. Jumlah sampel sebanyak 100 responden yang dipilih secara consecutive sampling. Data dikumpulkan menggunakan kuesioner yang sudah diuji validitas dan reliabilitasnya, lalu hasil pengisian kuesioner dianalisis menggunakan analisis jalur dengan bantuan SPSS. Hasil penelitian menunjukkan bahwa media informasi berpengaruh secara signifikan (0,002) terhadap perilaku masyarakat, program promkes berpengaruh secara signifikan (0,032) terhadap perilaku masyarakat dan pengetahuan masyarakat berpengaruh secara signifikan (0,000) terhadap perilaku masyarakat. Dengan demikian, media informasi dan program promkes memiliki pengaruh langsung dan pengaruh tidak langsung melalui pengetahuan secara signifikan terhadap perilaku masyarakat. Perilaku masyarakat dalam mengelola obat sisa dan obat kedaluwarsa dipengaruhi oleh media informasi, program promosi kesehatan, dan pengetahuan.  Kata Kunci: Obat Sisa, Obat Kedaluwarsa, Pengetahuan, Perilaku.
Hubungan Tingkat Pengetahuan Penderita Hiperurisemia dengan Kepatuhan Diet Rendah Purin dalam Menurunkan Kadar Asam Urat di Puskesmas Labuapi En Purmafitriah; Menap Menap
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.20963

Abstract

ABSTRACT Hyperuricemia or gout is a form of arthritis that is common in the community, characterized by an increase in uric acid levels in the blood circulation which has the potential to trigger inflammation of the joints. Compliance with a low-purine diet is very important in the management of this disease, and the level of patient knowledge is thought to be an aspect that has a significant influence. This study was conducted to identify the relationship between the knowledge of hyperuricemia patients and patient compliance in undergoing a low-purine diet at the Labuapi Health Center. This study applies a quantitative method with a cross-sectional approach to observe the relationship between variables in one period. The data collection technique used a questionnaire instrument that had been previously validated and reliable. Data analysis was carried out by applying the chi-square test. The results of the study showed that the majority of respondents had a very good understanding (31%), but the level of compliance with a low-purine diet was still low, where 56.9% were not compliant. The chi-square test produced a significance value that indicated a meaningful relationship between how much knowledge a person had and how well they followed a low-purine diet (p = 0.019). There is a significant correlation between the level of knowledge of gout sufferers and compliance in undergoing a low-purine diet. Increasing education and counseling regarding a low-purine diet is needed to improve patient compliance in managing gout.  Keywords: Hyperuricemia, Knowledge, Low Purine Diet, Compliance.  ABSTRAK Hiperurisemia atau asam urat merupakan salah satu bentuk radang sendi (artritis) yang umum terjadi di kalangan masyarakat, ditandai oleh terjadinya kenaikan tingkat asam urat didalam sirkulasi darah yang berpotensi memicu radang pada sendi. Kepatuhan terhadap diet rendah purin sangat penting dalam pengelolaan penyakit ini, dan tingkat pengetahuan penderita diduga menjadi aspek yang memiliki pengaruh yang cukup besar. Penelitian ini dilakukan untuk mengidentifikasi hubungan antara tingkat pengetahuan penderita hiperurisemia dengan kepatuhan pasien dalam menjalani diet rendah purin dalam menurunkan kadar asam urat di Puskesmas Labuapi.  Studi ini menerapkan metode kuantitatif dengan pendekatan cross sectional untuk mengamati hubungan antar variabel dalam satu periode. Teknik pengumpulan data menggunakan instrumen kuesioner yang sebelumnya sudah tervalidasi dan reliabel. Analisis data dilakukan dengan menerapkan chi-square test. Hasil studi menunjukkan bahwa mayoritas responden memiliki pemahaman yang sangat baik (31%), namun tingkat kepatuhan terhadap diet rendah purin masih rendah, di mana 56,9% tidak patuh. Dari uji chi-square menghasilkan nilai signifikansi yang menunjukkan adanya relasi yang bermaknaantara seberapa banyak pengetahuan yang dimiliki seseorang dan seberapa baik mereka mengikuti diet rendah purin (p = 0,019). Terdapat korelasi yang signifikan antara tingkat pengetahuan penderita asam urat dan kepatuhan dalam menjalani diet rendah purin. Peningkatan edukasi dan penyuluhan mengenai diet rendah purin diperlukan untuk meningkatkan kepatuhan pasien dalam mengelola penyakit asam urat. Kata Kunci: Hiperurisemia, Pengetahuan, Diet Rendah Purin, Kepatuhan.
Evaluasi Kolaborasi Puskesmas dengan LSM dalam Penanggulangan HIV pada Kelompok Risiko LSL di Puskesmas PDP Kota Mataram Nila Imtihani; Menap Menap; Sabar Setiawan
MAHESA : Malahayati Health Student Journal Vol 6, No 9 (2026): Volume 6 Nomor 9 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i9.24477

Abstract

ABSTRACT HIV prevention among Men who have Sex with Men requires collaboration between primary health facilities and community-based organizations to overcome service access barriers and deeply rooted social stigma in society. Objective to evaluate the implementation, process, outcomes, and challenges of collaboration between Community Health Centers and Non-Governmental Organizations in HIV prevention among Men who have Sex with Men risk groups in Mataram City. Descriptive evaluative qualitative research using in-depth interviews, participatory observation, and documentation studies involving seventeen informants including Community Health Center heads, HIV program managers, Non-Governmental Organization staff, People Living with HIV/AIDS, and Health Office officials conducted during October to November 2025 at four Care Support and Treatment Community Health Centers. Collaboration functioned effectively and adaptively with complementary role division that improved service access, antiretroviral treatment adherence, and continuity of care for key populations. Coordination mechanisms combined informal and formal communication with a single-door reporting system through Community Health Centers. Main constraints included limited human resources, absence of standardized collaboration operational procedures, dependence on personal relationships, and persistent strong social stigma toward HIV. Collaboration proved effective in enhancing HIV program achievements but requires strengthening of institutional aspects, formal governance, and policy support to ensure long-term sustainability. Keywords: Community Health Center Collaboration, Non-Governmental Organizations, HIV Prevention.  ABSTRAK Penanggulangan HIV pada kelompok Laki-laki Seks dengan Laki-laki memerlukan kolaborasi antara fasilitas kesehatan primer dengan organisasi berbasis komunitas untuk mengatasi hambatan akses layanan dan stigma sosial yang masih mengakar di masyarakat. Tujuan mengevaluasi pelaksanaan, proses, hasil, dan tantangan kolaborasi Puskesmas dengan Lembaga Swadaya Masyarakat dalam penanggulangan HIV pada kelompok risiko Laki-laki Seks dengan Laki-laki di Kota Mataram. Penelitian kualitatif deskriptif evaluatif dengan teknik wawancara mendalam, observasi partisipatif, dan studi dokumentasi terhadap tujuh belas informan meliputi Kepala Puskesmas, penanggung jawab program HIV, petugas Lembaga Swadaya Masyarakat, Orang dengan HIV/AIDS, dan pejabat Dinas Kesehatan yang dilaksanakan pada periode Oktober hingga November 2025 di empat Puskesmas Perawatan Dukungan dan Pengobatan. Kolaborasi berjalan secara fungsional dan adaptif dengan pembagian peran komplementer yang meningkatkan akses layanan, kepatuhan pengobatan antiretroviral, dan keberlanjutan perawatan pada populasi kunci. Mekanisme koordinasi menggabungkan komunikasi informal dan formal dengan sistem pelaporan satu pintu melalui Puskesmas. Kendala utama meliputi keterbatasan sumber daya manusia, belum tersedianya Standar Operasional Prosedur kolaborasi yang baku, ketergantungan pada hubungan personal, dan masih kuatnya stigma sosial terhadap HIV. Kolaborasi terbukti efektif meningkatkan capaian program HIV namun memerlukan penguatan aspek kelembagaan, tata kelola formal, dan dukungan kebijakan untuk menjamin keberlanjutan jangka panjang. Kata Kunci: Kolaborasi Puskesmas, Lembaga Swadaya Masyarakat, Penanggulangan HIV.
Co-Authors Abda Abda 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 Baehaqi Baiq Hikma Rahmatien Baiq Maryam Bakir, Bakir Bayani, Faizul Budiman Bustanul Atfal D Mustamu Kamal Pa'ni Deby Ayu Alandari En Purmafitriah Eni Andriani Fitra Arsy Nur Cory'ah Fitra Arsy Nur Cory'ah Fitria Hidayati, Fitria Fitriana, Huniza Harmaen Harmaen Hartati, Budi Haryandi, Halid 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 Muhammad Luthfi Mursaka Musawirin, Musawirin Musparlin Halid Nila Imtihani Nova Budiharjo Nurhayati Nurhayati Ovie Lestya Nurdiana Parindra, I Ketut Pratiwi, Dita Retno Pratiwi, Intan Gumilang Prayogi, Saiful Rasyid, Muh. Emilia Sa’di Reza Indra Wiguna Rizal Pratama Adi Putra Sabar Setiawan 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