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Analisis Implementasi Program Gerakan Sekolah Sehat di SDN 198 Kota Jambi Fathiyah Nabila; Arnild Augina Mekarisce; Andree Aulia Rahmat; Adila Solida
Jurnal Penelitian Kesmasy Vol. 8 No. 2 (2026): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i2.2780

Abstract

Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan menjelaskan bahwa salah satu cara dalam penyelenggaraan upaya kesehatan adalah melalui upaya kesehatan sekolah. Pada tahun 2024, Kemendikbudristek berkolaborasi dengan Kemenkes dan lembaga lainnya meluncurkan program Gerakan Sekolah Sehat. Ketidakikutsertaan SDN 198 Kota Jambi dalam Lomba Sekolah Sehat tingkat Kota Jambi tahun 2024 menyebabkan tidak terdapat bukti konkrit atas upaya peningkatan kesehatan siswa di sekolah. Tujuan penelitian untuk menganalisis implementasi program Gerakan Sekolah Sehat di SDN 198 Kota Jambi. Jenis penelitian adalah kualitatif dengan desain studi kasus, mengacu pada teori implementasi kebijakan yang terdiri dari aspek komunikasi, sumber daya, struktur birokrasi, dan disposisi. Subjek penelitian dipilih menggunakan teknik purposive sampling dengan total delapan informan. Hasil penelitian menunjukkan struktural dan manajerial berjalan dengan baik, namun dihadapkan pada tantangan perilaku kesehatan peserta didik. Pada aspek komunikasi dan birokrasi, sistem berjalan terstruktur, intensif, dan tanpa tumpang tindih, didukung oleh alur pelaporan berjenjang dan dukungan penuh dari Kepala Sekolah hingga guru pelaksana, dengan Dana BOS sebagai sumber pendanaan utama. Sumber daya manusia (SDM) dinilai kompeten dan dibekali secara rutin. Terdapat kekosongan pada kegiatan kesehatan jiwa, dan belum tersedianya fasilitas ruang Bimbingan Konseling (BK). Tantangan terbesar adalah disposisi peserta didik. Kesadaran kebersihan belum optimal dan perilaku tidak sehat cenderung berulang, memerlukan pengawasan yang ketat dan berkelanjutan.
ANALISIS PENERAPAN REKAM MEDIS ELEKTRONIK DI PUSKESMAS PUTRI AYU KOTA JAMBI DENGAN TECHNOLOGY ACCEPTANCE MODEL (TAM) Intan Permata; Muldiasman Muldiasman; Adila Solida; Arnild Augina Mekarisce
Jurnal Penelitian Kesmasy Vol. 8 No. 2 (2026): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i2.2932

Abstract

The development of information technology in the health sector encourages primary healthcare facilities, such as community health centers, to transition from manual recording systems to Electronic Medical Records (EMR). However, the success of EMR implementation is not only determined by the availability of technology but also by the level of user acceptance of the system. The PMK Regulation 24 of 2022 states that every healthcare facility is required to implement electronic medical records. The purpose of this research is to analyze the implementation of Electronic Medical Records at Puskesmas Putri Ayu in Jambi City using the Technology Acceptance Model (TAM) approach. The research method used is descriptive qualitative, with data collection techniques thru in-depth interviews and direct observation. The subjects of this research are the Head of the Community Health Center, medical record officers, doctors, dentists, nurses, midwives, laboratory officers, pharmacists, and the Head of Administration. The object of this research is the Electronic Medical Record (EMR) using the Technology Acceptance Model (TAM) method. This research is reviewed from three aspects, namely perceived ease of use, perceived usefulness, and behavioral intention to use. According to the research findings, the implementation of Electronic Medical Records (EMR) at Puskesmas Putri Ayu shows positive results, as it is considered easy to use, beneficial in improving efficiency and service quality, and receives strong support from healthcare workers for sustainable use despite some technical challenges. Overall, it can be concluded that the implementation of EHR is very important to ensure it runs smoothly and as planned, including minimizing existing obstacles or issues and also improving the system to be better.
EDUKASI KECAPI (KENALI, CATAT, PERIKSA) MELALUI KEGIATAN INVESTIGASI KONTAK TUBERKULOSIS DI DESA KASANG LOPAK ALAI, PROVINSI JAMBI Sari, Rumita Ena; Rahayu Ningsih, Vinna; Mekarisce, Arnild Augina; Rahmat, Andree Aulia; Hidayati, Fajrina; Butar Butar, Marta; Sari, Puspita; Nasution, Helmi Suryani
Jurnal Salam Sehat Masyarakat (JSSM) Vol. 7 No. 2 (2026): Vol. 7 No. 2 (2026): Jurnal Salam Sehat Masyarakat
Publisher : Prodi Ilmu Kesehatan Masyarakat, FKIK Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jssm.v7i2.55491

Abstract

Tuberculosis (TB) remains a significant global public health concern. Early case detection through Contact Investigation (CI) plays a crucial role in interrupting disease transmission; however, limited community knowledge and TB-related stigma remain major barriers in Kasang Lopak Alai Village. This community service program aimed to optimize TB case detection through the KECAPI (Recognize, Record, Examine) educational intervention among close contacts of TB patients. The program was implemented using a community-based, door-to-door intervention involving 40 close contacts (household and non-household) from five index TB cases. The effectiveness of the intervention was evaluated using pre-test and post-test questionnaires assessing knowledge of TB symptoms, contact identification, and motivation to undergo health screening. The results demonstrated a substantial improvement in participants' knowledge, with the proportion of respondents categorized as having good knowledge increasing from 15% to 70%. Contact investigation identified a ratio of 1:8 (five index cases to 40 close contacts), facilitated sputum specimen collection from symptomatic contacts, and provided education on Tuberculosis Preventive Treatment (TPT). The KECAPI educational intervention proved effective in improving awareness and participation among close contacts in early TB case detection while reducing psychological barriers associated with TB-related stigma, thereby supporting efforts to accelerate TB elimination in the service area of Kasang Pudak Primary Health Center.
IMPLEMENTASI PERATURAN DAERAH NOMOR 3 TAHUN 2017 TENTANG KAWASAN TANPA ROKOK (KTR) DI SEKOLAH MENENGAH KEJURUAN (SMK) PADA WILAYAH KERJA PUSKESMAS KEBUN KOPI KOTA JAMBI Faza Jirati Zajra; Arnild Augina Mekarisce; Usi Lanita; Rumita Ena Sari
PARADIGM : Journal Of Multidisciplinary Research and Innovation Vol 4 No 1 (2026): PARADIGM : Journal Of Multidisciplinary Research and Innovation
Publisher : Pusat Studi Ekonomi Publikasi Ilmiah dan Pengembangan SDM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62668/paradigm.v4i1.2420

Abstract

Smoking prevalence in Indonesia remains high, particularly among adolescents aged 15–19 years, making schools a strategic setting for tobacco control. This descriptive qualitative study explored KTR policy implementation using George C. Edward III’s framework of communication, resources, disposition, and bureaucratic structure. Data were collected through in-depth interviews with 17 informants, including school principals, teachers, UKS supervisors, students, security officers, and canteen vendors. Implementation of the KTR policy was not yet optimal. Communication focused mainly on students and lacked explanation of the policy’s legal basis. Resource limitations included the absence of a dedicated KTR team, training, specific budget allocation, and evenly distributed information media. Disposition-related issues were reflected in continued smoking by some school personnel. Bureaucratic structure weaknesses included the absence of a specific SOP and formal KTR organizational structure. Strengthening institutional support, resources, supervision, and intersectoral coordination is essential to improve KTR implementation in schools.
Evaluation of minimum service standard achievement in maternal health services using a logic model Rangi Media Febriza; Rumita Ena Sari; Arnild Augina Mekarisce; Adila Solida; Vinna Rahayu Ningsih
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 3 (2026): June Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i3.3484

Abstract

Background: Maternal health services are one of the Minimum Service Standards (MSS) indicators in the health sector that must achieve a 100% target. However, the achievement of maternal health services in Muaro Jambi Regency in 2025 reached only 61.96%, while the achievement was 90.93% (496 of 546 targeted pregnant women). In addition, antenatal care coverage remained below the expected target, with K1 coverage at 67.40%, K4 at 61.36%, and K6 at 50.37%. These findings indicate that maternal health service implementation has not been optimal. Therefore, an evaluation using the Logic Model framework, consisting of input, activities, and output, was conducted. Purpose: To evaluate the achievement of minimum service standard health performance indicators in maternal health services. Method: This study employed a qualitative research design using the Logic Model evaluation framework. Informants consisted of the Head of the Community health center, the Maternal and Child Health (MCH) Program Coordinator, midwives, village midwives, and pregnant women selected through purposive sampling. Data were collected through in-depth interviews, observations, and document reviews. Data were analyzed using the Miles and Huberman interactive analysis model, including data reduction, data display, and conclusion drawing. Results: The input component generally supported the implementation of maternal health services. However, several challenges were identified, including suboptimal workload distribution among healthcare personnel , limited MCH clinic facilities, and delays in the distribution of Maternal and Child Health (MCH Handbooks). The activities component showed that all maternal health service activities had been implemented according to established standards. Nevertheless, delays in antenatal visits, low continuity of K1–K6  antenatal care visits, inadequate monitoring of iron tablet compliance, and delayed MCH Handbooks distribution affected service documentation and health education. The output component indicated that the achievement of maternal health service MSS indicators had not yet reached the national target of 100%. Conclusion: The achievement of maternal health service MSS indicators has not yet met the expected target. This was influenced by suboptimal workload distribution among healthcare personnel , delays in MCH Handbooks distribution, and inadequate continuity of  antenatal care visits through K6. Suggestion: Strengthening the community health center had not, optimizing resource management, and improving follow-up and monitoring of pregnant women are necessary to improve the achievement of maternal health service MSS indicators.
Evaluation of minimum service standards for maternal health services at a primary health center Rts Nurul Hafizhoh Agusriani; Arnild Augina Mekarisce; Muhammad Syukri; Adila Solida
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 4 (2026): July Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i4.3543

Abstract

Background: Minimum Service Standards are mandatory benchmarks for local governments and primary healthcare facilities to ensure the provision of essential maternal health services. Their achievement is important for improving antenatal care and reducing maternal morbidity and mortality. Purpose: To evaluate the achievement of Minimum Service Standards for maternal health services. Method: This qualitative evaluative study used a descriptive approach and the logic model framework, covering input, process, and output components. The study was conducted from November 2025 to August 2026. Fourteen informants were selected purposively, including the head of the primary health center, the maternal and child health coordinating midwife, a physician responsible for the maternal and child health cluster, six implementing midwives, and five pregnant women. Data were collected through in-depth interviews, observation, and document review and were analyzed thematically. Data credibility was supported through source and method triangulation. Results: Human resources were generally adequate in number and educational qualifications, although access to technical training was uneven. Maternal health facilities and basic equipment were available, but ultrasound services were underutilized because of the reassignment of trained physicians and limited service-room capacity. Antenatal care procedures and dual recording through manual registers and the e-Cohort system were generally implemented according to standard operating procedures. However, funding constraints affected outreach activities. Coverage of the first antenatal visit was 81.8%, while coverage of the sixth antenatal visit was 71.9%, both below the national target of 100%. Delayed first visits, refusal of triple elimination screening, sociocultural beliefs, and incomplete continuity of care contributed to the low achievement. Conclusion: Maternal health Minimum Service Standards at Penyengat Olak Primary Health Center have not yet reached the national target despite generally adequate human resources and service procedures. Improving technical capacity, continuity of antenatal care, community education, outreach financing, and cross-sectoral collaboration is necessary to improve maternal health service coverage.
Multiple Logistic Regression Model, Relationship between Maternal Nutritional Status, Maternal Condition History, and Maternal Knowledge about 1000 HPK on the Incidence of Stunting in Toddlers in Pandan Lagan Village Andy Amir; M. Ridwan; Arnild Augina Mekarisce; Aini Zulaikah
International Journal of Medicine and Health Vol. 1 No. 4 (2022): December: International Journal of Medicine and Health (IJMH)
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v1i4.1302

Abstract

One of the stunting locations in East Tanjung Jabung Regency is located in Geragai Sub-district, Pandan Lagan Village. According to data from the Puskesmas in 2019, the incidence of stunting in Pandan Lagan Village was 35 toddlers, in 2020 it was 17 stunting children out of a total of 70 children in Pandan Lagan Village. The purpose of this study was to determine the relationship between maternal nutritional status, history of maternal conditions, and maternal knowledge about 1000 HPK with the incidence of stunting in Pandan Lagan Village. This type of research is quantitative research, using a cross-sectional approach. The number of samples to be studied with the Lemeshow Formula is 45 respondents. The dependent variable is stunting and the independent variables are maternal nutritional status (pre-pregnant maternal BMI and weight gain during pregnancy), history of maternal conditions (maternal age during pregnancy, birth spacing), and maternal knowledge about 1000 HPK. The research instrument used a questionnaire sheet, then the data was processed through data editing, data coding, data entry, data cleaning, and data processing, then analyzed univariate, bivariate with a chi-square test, and multivariate with multiple logistic regression test. Based on the results of the study, there is a relationship between pre-pregnancy maternal BMI with a risk of 4,464 times, weight gain with a risk of 3,75 times, maternal age during pregnancy with a risk of 3,0 times, and spacing of babies with a risk of 2,444 times with the incidence of stunting. There is no relationship between maternal knowledge about 1000 HPK and the incidence of stunting with a p-value = 0,114, and it is known that the pre-pregnancy mother's BMI variable is the variable that has the greatest influence on infants with stunting nutritional status (odds ratio = 15,943). For this reason, it is expected to be more intensive in educating couples of childbearing age, pre-pregnant mothers, or early on to adolescent girls to pay attention to factors that affect stunted children, especially to have an ideal BMI so that it will reduce the risk of having children with stunted nutritional status.
Determinan Pemanfaatan Jaminan Kesehatan Nasional pada Kelompok Remaja: Studi di SMA Negeri 5 dan 8 Kota Jambi Achmad Shiddiq Minapo; Dwi Noerjoedianto; Arnild Augina Mekarisce
PubHealth Jurnal Kesehatan Masyarakat Vol. 4 No. 3 (2026): Edisi Januari
Publisher : Ilmu Bersama Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56211/pubhealth.v4i3.1411

Abstract

Latar Belakang: Jaminan Kesehatan Nasional (JKN) merupakan program penting pemerintah untuk meningkatkan akses pelayanan kesehatan. Namun, pemanfaatan Jaminan Kesehatan Nasional (JKN) pada remaja, khususnya siswa SMA, masih bervariasi. Sikap dan persepsi merupakan faktor psikologis yang berperan besar dalam perilaku kesehatan. Pemanfaatan JKN didefinisikan sebagai perilaku siswa SMA dalam menggunakan kepesertaan JKN untuk memperoleh pelayanan kesehatan di fasilitas kesehatan yang bekerja sama dengan BPJS Kesehatan, baik pelayanan promotif, preventif, kuratif, maupun rehabilitatif, sesuai dengan prosedur yang berlaku. Tujuan: Mengetahui hubungan sikap dan persepsi siswa SMAN 5 dan SMAN 8 Kota Jambi dengan pemanfaatan Jaminan Kesehatan Nasional (JKN). Metode: Penelitian kuantitatif dengan desain cross-sectional. Jumlah sampel 200 siswa yang dipilih secara proportionate stratified random sampling. Instrumen berupa kuesioner. Analisis menggunakan Chi-Square. Hasil: Tidak terdapat hubungan antara sikap dengan pemanfaatan Jaminan Kesehatan Nasional (JKN) (P Value = 0,623). Sikap positif siswa tidak serta merta mendorong pemanfaatan karena keputusan berobat dominan ada pada orang tua. Terdapat hubungan signifikan antara persepsi dengan pemanfaatan pemanfaatan Jaminan Kesehatan Nasional (JKN) (P Value = 0,005). Kesimpulan: Sikap siswa tidak berhubungan dengan pemanfaatan Jaminan Kesehatan Nasional (JKN), sedangkan persepsi berperan signifikan. Sekolah perlu meningkatkan edukasi dan sosialisasi mengenai manfaat JKN melalui kegiatan penyuluhan, Sekolah dapat bekerja sama dengan Puskesmas atau BPJS Kesehatan untuk memberikan informasi yang lebih akurat dan mudah dipahami oleh siswa.
Financial Management of Health Services in Improving Efficiency and Service Quality: A Systematic Literature Review Nadia Dwi Wulandari; Nanda Sincilia; Dwi Noerjoedianto; Arnild Augina Makarisce
International Journal of Health Engineering and Technology Vol. 4 No. 6 (2026): IJHET MARCH 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i6.530

Abstract

Financial management in health services plays a crucial role in improving efficiency and service quality,particularly in the context of limited resources and the implementation of national health financing systems.This study aims to analyze the role of health service financial management in enhancing efficiency and qualityof care through a systematic literature review approach. Articles were identified using Google Scholar with apublication period from 2020 to 2025. Of the 200 articles initially identified, a screening and eligibility processbased on inclusion and exclusion criteria resulted in 10 relevant articles for analysis. The findings indicate thateffective financial management through budget planning, cost control, health economic evaluation, andoptimization of health financing systems such as the National Health Insurance contributes to improvedoperational efficiency and service quality. In addition, strong financial performance and managerialinnovations, including digitalization, support improvements in service processes and outcomes. This reviewconcludes that integrated and performance-based financial management is a strategic factor in achievingefficient, high-quality, and sustainable health services.
Readiness for Electronic Medical Record Implementation at Simpang Kawat Public Health Center, Jambi City in 2024 Fazira Cahayatul Rahmi; Arnild Augina Mekarisce; Rumita Ena Sari; Andy Amir; Dwi Noerjoedianto
International Journal of Health Engineering and Technology Vol. 4 No. 5 (2026): IJHESS JANUARY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i5.544

Abstract

Human resources are the main asset that determines the success of Electronic Medical Record (EMR) implementation. This study aims to analyze the readiness for EMR implementation at Simpang Kawat Public Health Center, Jambi City in 2024 through the aspects of input, process, and output. This research used a descriptive qualitative method with in-depth interviews with informants selected purposively. Data collection techniques included interviews, observation, and documentation, with validity testing using source and method triangulation. In the input aspect, the quantity of human resources is sufficient, but routine training has not been scheduled. BOK funds are sufficient for monthly operations. Technical obstacles were found in the damaged generator. The service process is digital in accordance with PMK No. 24 of 2022. The output shows increased time efficiency and minimized data errors through the integration of NIK and BPJS. Overall, EMR implementation has been going well, but improvements are needed in supporting infrastructure, especially electricity backup, and periodic training to maintain the quality of digital services.  
Co-Authors . Asparian, . Achmad Shiddiq Minapo Adelina Fitri Adila Solida Adila Solida Adila Solida Afifah Nahla Risti Afifah, Zuhriyyatin Aini Zulaikah aini, muthma Alvin Febrian Amanda, Tri Julia Aminuyati Andi Subandi Andree Aulia Rahmat Andree Aulia Rahmat Andree Aulia Rahmat Andy Amir Andy Amir Anisa Raudatul Ulfa Annisa Anggraini, Annisa Annisa Dianty Annisa Putri S Annisya Nurul Zahra Rifta Elmid Ashar Nuzulul Putra Astuti, Jesika Auffa Nabila Aulia Rahmat, Andree Budi Aswin Butar Butar, Marta Carey Louise Arroyo Cindy Permatasari Dwi Noerjoedianto Elda Oktavia Evy Wisudariani Fajrina Hidayati Fajrina Hidayati Farah Salsabila, Farah Fathiyah Nabila Faza Jirati Zajra Fazira Cahayatul Rahmi Femilia Ramadani, Anisa Fernando Mersa Putra Fransiska Sitepu Grace Yohana Gresela Yulya Br.Tanggang Guspianto Guspianto Herwansyah . Herwansyah, Herwansyah Hubaybah Hubaybah Hubaybah, Hubaybah Iffat Yuliandra Putri Ilmi Kartika Ulfa Intan Permata Ismi Nurwaqiah Ibnu Kasyani Kasyani Khairani, Nabila Lesmana S, Oka Luri Mekeama M. Ridwan Maijon Jumpatua Purba Muhammad Rifqi Azhary Muhammad Syukri Muldiasman, Muldiasman Muthia Chairunnisa Nadia Dwi Wulandari Nanda Sincilia Nasution, Helmi Suryani Nazwa Sabina Nour Abdeljawad Nur Octaviani Nurhaliza Nurhaliza Nurmala Sari Nurul Qalbi Nurul Qalbi, Nurul Ogy Meyza Pratama Ogy Meyza Pratama Oka Lesmana S. Puspita Sari Puspita Sari Putri, Fitria Eka Rahayu Ningsih, Vinna Rahim, Beny Rahma Dina Sari Rangi Media Febriza Regina Cahyani Rifta Elmid Safitri Rinaldi Daswito Rini, Willia Novita Eka Risty Ivanti Rodhiyah, Zuli Rosiana Putri Rts Nurul Hafizhoh Agusriani Rumita Ena Sari Rumita Ena Sari Safitri, Kania Salsabila, Khaira Ummah Salshabila, Azahra Samsidar Samsidar Samsidar Samsidar Samsidar Saragih, Yaya Intan Aminita Selvia Shafira Ainun Hafilda Shafira Ainun Hafilda Shafira Ainun Hafilda Shirin Ebadi Rinaldi Silvia Mawarti Perdana Siti Aisah Siti Aisyah Siti Salma Arsyad Sundari Sundari Suspamira, Wichsy Tarawifa, Susan Usi Lanita Vinna Rahayu Ningsih Vinna Rahayu Ningsih, Vinna Rahayu Winda Tiarani Yani, Helma Vira Yesiana Situmorang Yoga Tri Nugraha Zakia Darurahma