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Pengaruh Penyuluhan Asi Eksklusif Terhadap Pengetahuan, Sikap dan Tindakan Ibu Balita di Kecamatan Balantak Selatan Kabupaten Banggai: The Effect Of Exclusive breastfeeding Counseling On Knowledge, Attitude And Action Of Mother’s Toddler In Balantak Selatan District Fitrianty Sutadi Lanyumba; Elvarina Dianomo; Zulfikar Y Ebu; Rafael Yalisi; Marselina Sattu
Jurnal Kesmas Untika Luwuk : Public Health Journal Vol. 10 No. 2 (2019): Jurnal Kesmas Untika Luwuk: Public Health Journal
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

Air Susu Ibu (ASI) Eksklusif adalah pemberian ASI tanpa makanan dan minuman lain sampai 6 bulan pertama kehidupan. Beberapa faktor yang mempengaruhi kegagalan pemberian asi eksklusif pada bayi diantaranya karena tingkat pengetahuan, sikap dan tindakan ibu. Tujuan penelitian ini untuk mengetahui pengaruh penyuluhan Asi Eksklusif terhadap pengetahuan, sikap dan tindakan ibu balita di Kecamatan Balantak Selatan. Jenis penelitian yaitu secara quasi eksperimental dengan rancangan one group pre test dan post test. Analisis data menggunakan paired sample t-test. Hasil kajian menunjukkan terdapat perbedaan yang signifikan antara pengetahuan sebelum dan sesudah diberikan penyuluhan dimana rata-rata skor pengetahuan sebelum diberikan penyuluhan sebesar 81,61 meningkat sebesar 13,03 menjadi 94,64 setelah diberikan penyuluhan. Pada sikap terdapat perbedaan sebelum dan sesudah diberikan penyuluhan dimana rata-rata skor sikap sebelum diberikan penyuluhan sebesar 85,09 meningkat sebesar 7,89 menjadi 92,98 setelah diberikan penyuluhan. Pada tindakan terdapat perbedaan sebelum dan sesudah diberikan penyuluhan dimana rata-rata skor tindakan sebelum diberikan penyuluhan sebesar 80,18 meningkat sebesar 12,28 menjadi 92,45 setelah diberikan penyuluhan. Kesimpulannya terdapat pengaruh yang signifikan terhadap pengetahuan, sikap dan tindakan ibu balita sebelum dan sesudah diberikan penyuluhan ASI Eksklusif, dimana uji statistik menunjukkan bahwa (p < 0,05). Exclusive breastfeeding is breastfeeding without food and other drinks until the first 6 months of life. Several factors influence the failure of exclusive breastfeeding to infants including the level of knowledge, attitudes and actions of the mother. The purpose of this study was to determine the effect of exclusive Asi counseling on the knowledge, attitudes and actions of toddlers in South Balantak District. This type of research is quasi-experimental design with one group pre-test and post-test. Data analysis using paired sample t-test. The results of the study showed that there was a significant difference between knowledge before and after counseling, where the average knowledge score before counseling was 81.61, increasing by 13.03 to 94.64 after counseling. In attitudes there are differences before and after counseling where the average attitude score before giving counseling by 85.09 increased by 7.89 to 92.98 after being given counseling. In the action there is a difference before and after counseling where the average score of the action before counseling was 80.18, increasing by 12.28 to 92.45 after being given counseling. In conclusion, there is a significant influence on the knowledge, attitudes and actions of toddlers before and after exclusive breastfeeding counseling, where statistical tests show that (p <0.05).

Hubungan Kondisi Rumah Terhadap Kejadian Penyakit Tuberculosis di Wilayah Kerja Puskemas Kampung Baru: Relationship between House Conditions and Tuberculosis in Puskesmas Kampung Baru Area Sandy Novryanto Sakati; Sriyanti Nurdin; Ramli Ramli; Fitrianty Sutadi Lanyumba
Jurnal Kesmas Untika Luwuk : Public Health Journal Vol. 10 No. 1 (2019): Jurnal Kesmas Untika Luwuk: Public Health Journal
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

Tuberkulosis adalah penyakit menular yang disebabkan oleh kuman TB (Mycobacterium tuberculosis). Rumah yang tidak memenuhi syarat kesehatan merupakan salah satu faktor resiko penyakit tuberkulosis paru. Penelitian ini bertujuan untuk mengetahui hubungan kondisi rumah terhadap kejadian penyakit Tuberkulosis di wilayah kerja Puskesmas Kampung Baru. Penelitian ini menggunakan metode observasional dengan rancangan Case Control. Populasi dalam penelitian ini adalah penderita TB paru BTA (+) tahun 2018 di Puskesmas Kampung Baru sebanyak 51 responden. Jumlah sampel pada kelompok kasus dan control dengan perbandingan 1:1. Analisis data menggunakan uji regresi logistik. Hasil penelitian menunjukkan bahwa kepadatan hunian, pencahayaan, kelembaban, dan jenis lantai merupakan faktor yang berhubungan dengan kejadian penyakit tuberkulosis dengan hasil nilai (p<0,05). Hasil uji regresi logistik variabel pencahayaan merupakan faktor yang berhubungan dengan kejadian tuberkulosis dengan nilai p=0,000 dan exp (B) sebesar 0,093. Untuk itu disarankan bagi Pemerintah lebih meningkatkan upaya penanggulangan tuberculosis untuk menemukan secara dini penderita Tuberkulosis dan membentuk kader peduli TBC dan bagi masyarakat agar lebih memperhatikan sanitasi rumah dan membiasakan berprilaku hidup bersih dan sehat. Tuberculosis is an infectious disease caused by TB bacteria (Mycobacterium tuberculosis). Houses that do not meet health requirements are a risk factor for pulmonary tuberculosis. This study aims to determine the relationship of housing conditions to the incidence of Tuberculosis in the area of Kampung Baru Health Center. This study uses an observational method with a Case Control design. The population in this study was smear pulmonary TB sufferers (+) in 2018 in the Kampung Baru Health Center with a total of 51 respondents. The number of samples in the case and control group is 1: 1. Data analysis using logistic regression test. The results showed that occupancy density, lighting, humidity, and floor type were factors related to the incidence of tuberculosis with the result value (p <0.05). The logistic regression test results of lighting variables are factors associated with the incidence of tuberculosis with a value of p = 0,000 and exp (B) of 0.093. For this reason, it is suggested for the Government to increase tuberculosis prevention efforts to find tuberculosis sufferers early and form TB cadres concerned and for the community to pay more attention to sanitation in their homes and to adopt clean and healthy living behaviors.

Pelaksanaan Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) di Wilayah Kerja Puskesmas Bualemo Kabupaten Banggai: Delivery Planning And Prevention Of Complications Program in The Puskesmas Bualemo Working Area Of Banggai Regncy Bani Sauli; Fitrianty Sutadi Lanyumba; Marselina Sattu; Dwi Wahyu Balebu; Muhammad Syahrir; Mirawati Tongko
Jurnal Kesmas Untika Luwuk : Public Health Journal Vol. 9 No. 2 (2018): Jurnal Kesmas Untika Luwuk: Public Health Journal
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

Tujuan penelitian ini yaitu mengetahui gambaran pelaksanaan P4K di wilayah kerja Puskesmas Bualemo Kabupaten Banggai Tahun 2014. Jenis penelitian ini adalah penelitian deskriptif, pada 13 bidan, 47 ibu hamil, dan 25 responden tokoh masyarakat yang dipilih secara Purposive Sampling. Waktu penelitian pada bulan Juni Tahun 2014. Pengambilan data dilakukan dengan wawancara secara langsung terhadap responden berdasarkan daftar pertanyaan yang telah disediakan. Hasil penelitian menunjukkan bahwa pelaksanaan P4K pada bidan dengan kriteria baik 4 responden (30,8%), dan kriteria kurang baik 9 responden (69,2%). Pelaksanaan P4K pada ibu hamil dengan kriteria baik sebanyak 6 responden (12,8%), dan kriteria kurang baik 41 responden (87,2%). Pelaksanaan P4K pada tokoh masyarakat dengan kriteria baik 5 responden (20%), dan kriteria kurang baik 20 responden (80%). Secara keseluruan dari 3 variabel yang di teliti pelaksanaan program perencanaan persalinan dan pencegahan komplikasi di wilayah kerja Puskesmas Bualemo tidak terlaksana dengan baik. Saran dari penelitian ini diharapkan kerja sama semua sektor terkait dalam mendukung terlaksananya program perencanaan persalinan dan pencegahan komplikasi (P4K) di Kabupaten Banggai secara umum dan di wilayah kerja Puskesmas Bualemo Khususnya. The purpose of this study was to find out the description of the implementation of P4K in the Bualemo Community Health Center in Banggai District in 2014. This type of research is a descriptive study, on 13 midwives, 47 pregnant women, and 25 respondents community leaders who were selected by Purposive Sampling. The time of the study was in June 2014. Data was collected by direct interview with respondents based on a list of questions provided. The results showed that the implementation of P4K on midwives with good criteria 4 respondents (30.8%), and 9 respondents (69.2%) unfavorable criteria. The implementation of P4K in pregnant women with good criteria was 6 respondents (12.8%), and unfavorable criteria were 41 respondents (87.2%). The implementation of P4K on community leaders with good criteria is 5 respondents (20%), and criteria are less good for 20 respondents (80%). Overall, the 3 variables examined in the implementation of the birth planning and complications prevention program in the work area of the Bualemo Community Health Center were not implemented properly. Suggestions from this research are expected to cooperate with all related sectors in supporting the implementation of the birth planning and complications prevention (P4K) program in Banggai Regency in general and in the work area of the Bualemo Community Health Center in particular.

Persepsi Remaja Putri tentang Anemia di Sekolah Menengah Kejuruan (SMK) Negeri 5 Luwuk Timur: Students Perception of Anemia in Vocational School 5 East Luwuk Nadya Yulita; Fitrianty Sutadi Lanyumba; Dwi Wahyu Balebu; Ramli Ramli
Jurnal Kesmas Untika Luwuk : Public Health Journal Vol. 11 No. 2 (2020): Jurnal Kesmas Untika Luwuk : Public Health Journal
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

Anemia adalah suatu kondisi dimana jumlah sel darah merah atau hemoglobin berada di bawah normal. Tujuan dalam penelitian ini yaitu untuk memperoleh gambaran Persepsi Remaja Putri tentang Anemia di SMK Negeri 5 Luwuk Timur. Jenis penelitian ini yaitu kualitatif dengan menggunakan teknik purposive sampling dengan kriteria bahwa, pernah mendapatkan tablet tambah darah (Fe) dan penyuluhan dari petugas kesehatan tentang anemia. Informan dalam penelitian ini adalah remaja putri SMK 5 Luwuk Timur dengan kriteria bahwa, pernah mendapatkan tablet tambah darah (Fe) dan penyuluhan dari petugas kesehatan tentang anemia dan informan kunci yaitu petugas kesehatan di Puskesmas Hunduhon. Penelitian ini menggunakan teknik analisis data menurut Milles dan Huberman (1984) yaitu Reduction, Display, Conclusion. Hasil penelitian menunjukkan bahwa sebagian besar remaja putri mempersepsikan anemia sebagai keadaan kurang darah dan mengatakan bahwa gejala anemia adalah pusing, sakit kepala, lemah, letih, lesu, lemas, dan loyo. Sebagian besar remaja putri belum memahami penyebab anemia. Remaja putri mengatakan bahwa begadang dan kurang tidur sebagai penyebab dari anemia. Remaja putri yang belum memahami akibat atau dampak menganggap bahwa sakit badan dan kepala adalah akibat atau dampak dari anemia. Perlu adanya perhatian untuk memberikan penyuluhan dalam kegiatan posyandu remaja dan disarankan kepada remaja putri lebih meningkatkan pengetahuan dan pemahaman tentang anemia. Anemia is a condition in which the number of red blood cells or hemoglobin is below normal. The purpose of this study was to obtain a description of the perception of young women about anemia at SMK Negeri 5 Luwuk Timur. This type of research is qualitative by using purposive sampling technique with the criteria that, have ever received a blood supplement (Fe) tablet and counseling from health workers about anemia. The informants in this study were young women of SMK 5 Luwuk Timur with the criteria that they had received blood added tablets (Fe) and counseling from health workers about anemia and key informants were health workers at the Hunduhon Health Center. This study uses data analysis techniques according to Milles and Huberman (1987), namely Reduction, Display, Conclusion. The results showed that most of the young women perceived anemia as a lack of blood and said that the symptoms of anemia were dizziness, headache, weakness, fatigue, lethargy, weakness, and weakness. Most of the young women do not understand the causes of anemia. Young women say that staying up late and lack of sleep are the causes of anemia. Young women who do not understand the consequences or effects think that body and headaches are the result or impact of anemia. Attention is needed to provide counseling in youth posyandu activities and it is recommended that young women increase their knowledge and understanding of anemia.

Pengetahuan, Sikap dan Tindakan Tentang HIV dan AIDS Siswa SMA Negeri I Kintom : Knowledge, Attitudes and Actions about HIV and AIDS Students of SMA Negeri 1 Kintom asmita djumadil; Herawati Herawati; Dwi Wahyu Balebu; Ramli Ramli; Erni Yusnita Lalusu; Mirawati Tongko; Fitrianty S Lanyumba
Jurnal Kesmas Untika Luwuk : Public Health Journal Vol. 12 No. 1 (2021): Jurnal Kesmas Untika Luwuk : Public Health Journal
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

HIV dan AIDS pada remaja sudah menjadi fenomena yang perlu perhatian dengan penanganan yang lebih intensif. Tujuan penelitian ini adalah untuk memperoleh gambaran Pengetahuan, Sikap dan Tindakan Siswa SMA Negeri I KintomTentang HIV dan AIDS.Jenis penelitian ini adalah penelitian deskriptif.Populasi penelitian ini adalah seluruh siswa yang berjumlah 211 Orang.Sampel penelitian ini berjumlah 138 Orang yang di pilih menggunakan teknik proportional random sampling. Pengambilan data secara primer menggunakan instrumen kuisioner. Hasil penelitian menunjukkan bahwa sebagian besar siswa memiliki pengetahuan yang baik tentang HIV dan AIDS yaitu sebesar 87,7 % dan siswa yang mempunyai pengetahuan kurang hanya sebesar 12,3 %. Sikap terhadap HIV dan AIDS paling besar yang positif yaitu 84,1% dan sikap yang negatif hanya sebesar 15,9 %. Tindakan tentang HIV dan AIDS pada umumnya baik yaitu sebesar 96,4 % dan kurang baik hanya sebesar 3,6 %. Sebagian besar siswa memiliki pengetahuan yang baik, sikap yang positif dan tindakan yang baik tentang HIV dan AIDS. Siswa SMA Negeri I Kintom diharapkan mampu menambah pengetahuan tentang HIV dan AIDS dengan cara mencari informasi baik dari buku, koran, televisi, internet, maupun bertanya kepada tenaga kesehatan. HIV and AIDS in adolescents has become a phenomenon that needs more intensive attention and treatment. The purpose of this study was to obtain a description of Knowledge, Attitudes and Actions about HIV and AIDS Students of SMA Negeri I Kintom. This type of research is a descriptive study with a cross sectional study approach. The population of this study were all students totaling 211 people. The sample of this study amounted to 138 people who were selected using a proportional random sampling technique. Primary data collection using a questionnaire instrument. The results showed that most of the students had good knowledge about HIV and AIDS, namely 87.7% and students who had less knowledge only 12.3%. Attitudes towards HIV and AIDS were mostly positive, namely 84.1% and negative attitudes only 15.9%. Actions on HIV and AIDS were generally good at 96.4% and less good at only 3.6%. Most of the students have good knowledge, positive attitude and good actions about HIV and AIDS. Students of SMA Negeri I Kintom are expected to be able to increase their knowledge about HIV and AIDS by searching for information from books, newspapers, television, internet, or asking health workers.

Gambaran Pencapaian Lima Pilar Sanitasi Total Berbasis Masyarakat di Desa Lokotoy Kabupaten Banggai Laut: Overview of The Five Pillar Achievements Community-Based Total Sanitation In Lokotoy Village Banggai Laut Regency Sarlina Manton; Maria Kanan; Herawati Herawati; Fitryanti S. Lanyumba; Sandy N. Sakati
Jurnal Kesmas Untika Luwuk : Public Health Journal Vol. 12 No. 2 (2021): Jurnal Kesmas Untika Luwuk : Public Health Journal
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

Tantangan yang dihadapi Indonesia terkait pembangunan kesehatan khususnya bidang higiene dan sanitasi masih sangat besar, untuk itu perlu dilakukan intervensi terpadu melalui pendekatan sanitasi total. Tujuan penelitian ini adalah memperoleh gambaran pencapaian lima pilar Sanitasi Total Berbasis Masyarakat (STBM) di Desa Lokotoy Kecamatan Banggai Utara Kabupaten Banggai Laut.Jenis penelitian ini adalah observasional deskriptif, dengan jenis data kuantitatif, teknik pengambilan sampel yang digunakan yaitu sampling jenuh atau teknik penentuan sampel bila semua populasi dijadikan sampel yaitu sebanyak 443 KK.Hasil penelitian menunjukan bahwa sanitasi total berbasis masyarakat di Desa Lokotoy Kecamatan Banggai Utara Kabupten Banggai Laut, berdasarkan Peraturan Menteri Kesehatan Republik Indonesia Nomor 3 Tahun 2014 tentang Pencapaian Sanitasi Total Berbasis Masyarakat yaitu stop buang air besar sembarangan yang baik sebesar 94,6%, cuci tangan pakai sabun yang baik sebesar 26,0%, pengelolaan air minum dan makanan rumah tangga yaitu baik sebesar 26,0%, pengamanan sampah rumah tangga yang baik sebesar 0%, pengamanan air limbah rumah tangga yang baik sebesar 0%, Sehingga kesimpulannya adalah STBM di Desa Lokotoy Kecamatan Banggai Utara Kabupaten Banggai Laut sebesar 0%. Saran bagi penentu kebijakan, Puskesmas, maupun pemerintah desa setempat dapat melakukan pemicuan stop buang air besar sembarangan, cuci tangan pakai sabun, pengelolaan air minum dan makanan rumah tangga, pengamanan sampah rumah tangga, dan pengamanan air limbah rumah tangga untuk meningkatkan pencapaian lima pilar sanitasi total berbasis masyarakat. The challenges faced by Indonesia related to health development, especially in the field of hygiene and sanitation are still very large, for that it is necessary to carry out integrated interventions through a total sanitation approach. The purpose of this study was to obtain an overview of the achievement of the five pillars of Community-Based Total Sanitation (STBM) in Lokotoy Village, North Banggai District, Banggai Laut Regency.This type of research is descriptive observational, with quantitative data type, the sampling technique used is saturated sampling or sampling technique when all populations are sampled, namely as many as 443 families.The results showed that community-based total sanitation in Lokotoy Village, North Banggai District, Banggai Laut Regency, based on the Regulation of the Minister of Health of the Republic of Indonesia Number 3 of 2014 concerning the Achievement of Community-Based Total Sanitation, namely stopping open defecation is good at 94.6%, washing hands good use of soap is 26.0%, household drinking water and food management is good at 26.0%, good household waste security is 0%, good household waste water security is 0%, so the conclusion is STBM in Lokotoy Village, North Banggai District, Banggai Laut Regency by 0%. Suggestions for policy makers, Puskesmas, and local village governments can trigger open defecation, wash hands with soap, manage drinking water and household food, safeguard household waste, and secure household wastewater to improve the achievement of the five pillars of sanitation. totally community based.

Penyuluhan tentang Etika Merokok dan Bahaya Rokok bagi Kesehatan di Desa Simpang 1 Kecamatan Simpang Raya, Sulawesi Tengah: Counseling About Smoking Ethics and the Dangers of Smoking for Health in Simpang 1 village Bambang Dwicahya; Cice Morintoh; Ramli Ramli; Maria Kanan; Fitrianty Sutadi Lanyumba; Marselina Sattu; Dwi Wahyu Balebu; Sandy Novriyanto Sakati
Jurnal Pengabdian MALEO Vol. 1 No. 2 (2023): Jurnal Pengabdian Maleo
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

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

WHO mengurutkan Indonesia dengan 65 juta perokok. Tahun 2013 berdasarkan riset Kesehatan dasar, jumlah perokok di Indonesia mencapai 36,3%. 1,4% perokok di Indonesia berusia 10-14 tahun, 9,9% ditemukan pada pengangguran dan 32,3% pada kelompok ekonomi rendah. Peningkatan derajat kesehatan masyarakat perlu diketahui mengenai faktor-faktor apa saja yang mempengaruhi pengetahuan, sikap, dan tindakan masyarakat setempat mengenai Etika merokok. Penyuluhan ini di lakukan pada 50 responden di Desa Simpang 1 pada tanggal 22 juli 2023. Berdasarkan hasil pengukuran pengetahuan, sikap dan tindakan masyarakat Simpang 1 mengenai Etika merokok ternyata masih kurang nya pengetahuan, minimnya sikap, dan kurangnya partisipasi tindakan masyarakat.Terkait masalah masih banyak masyarakat desa Simpang 1 yang merokok yaitu sebesar 69,9% dan masih ada masyarakat desa Simpang 1 yang merokok dalam rumah yaitu sebesar 41,8% Kegiatan penyuluhan tentang Etika merokok dan bahaya rokok bagi kesehatan, tujuan Untuk menyadarkan masyarakat terkait bahaya rokok bagi Kesehatan, dan dapat menerapkan etika merokok,sasaran masyarakat umum, target 50 orang, sumber dana mahasiswa, waktu & tempat pelaksanaan 22 juli 2023 20.30-selesai,tempat : gereja efrata Simpang 1, rencana penilaian : pre-test, pencapaian 100%. WHO ranks Indonesia with 65 million smokers. In 2013, based on basic health research, the number of smokers in Indonesia reached 36.3%. 1.4% of smokers in Indonesia are aged 10-14 years, 9.9% are found in the unemployed and 32.3% in the low economic group. To increase the level of public health, it is necessary to know what factors influence the knowledge, attitudes and actions of local communities regarding smoking ethics. This counseling was carried out on 50 respondents in Simpang 1 Village on July 22 2023. Based on the results of measuring the knowledge, attitudes and actions of the Simpang 1 community regarding smoking ethics, it turns out that there is still a lack of knowledge, a lack of attitudes and a lack of participation in community action. There are still many problems related to this. The people in Simpang 1 village who smoke are 69.9% and there are still people in Simpang 1 village who smoke at home, which is 41.8%. Outreach activities about smoking ethics and the dangers of cigarettes for health, the aim is to make people aware of the dangers of smoking for health, and can apply smoking ethics, target general public, target 50 people, source of student funds, time & place of implementation 22 July 2023 20.30-finish, place: Efrata Church Simpang 1, assessment plan: pre-test, 100% achievement.

Assessing Patient Satisfaction in an Internal Medicine Polyclinic Using Cartesian Analysis: A Case Study at Luwuk Regional Hospital Lanyumba, Fitrianty Sutadi; Pongsampe, Gebby; Herawati, Herawati; Kanan, Maria; Sattu, Marselina; Bidullah, Ramli; Dwi Gunawan, Nur Hendra
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.529

Good service quality is one of the important factors in trying to create consumer satisfaction. Indicators on the SERVQUAL instrument can be used to measure the level of satisfaction with the quality of health services. This study aims to analyse the satisfaction of internal medicine patients at the polyclinic at the Luwuk Regional General Hospital using a Cartesian diagram. This type of research is an observational analysis where the sample size is 125 internal medicine polyclinic patients, with sampling techniques, namely accidental sampling. The data obtained was processed using SPSS and analysed using a Cartesian diagram. The results of the study showed that the total performance value (xi) was 77.664, the total expectation value (yi) was 85.668, and the total value of the level of suitability (TKI) was 90.65, where the criteria of the assessment were the criteria of being very satisfied. The Cartesian analysis categorized the service attributes in the hospital's internal medicine polyclinic into four quadrants, identifying high-priority areas for improvement, namely problems with registration procedures, service schedules, and attention to patient complaints, while the attributes whose performance needed to be maintained were related to staff responsiveness. Hospital management needs to maintain good attribute values so that it can provide services that are fast, precise, open, simple, easy to implement, and non-discriminatory

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