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All Journal Public Health of Indonesia Promotif: Jurnal Kesehatan Masyarakat Jurnal Sinar Manajemen Jurnal Kolaboratif Sains Jurnal Kesmas dan Gizi (JKG) Poltekita : Jurnal Ilmu Kesehatan Jurnal Kesehatan Ilmiah Indonesia / Indonesian Health Scientific Journal Devotion: Journal of Research and Community Service International Journal of Health, Economics, and Social Sciences (IJHESS) Pancasakti Journal Of Public Health Science And Research Jurnal Kolaboratif Sains Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Journal Of World Science Jurnal Sosial dan Sains Jurnal Indonesia Sosial Sains SEHAT : JURNAL KESEHATAN TERPADU Health Research Journal of Indonesia Promotor: Jurnal Mahasiswa Kesehatan Masyarakat PESHUM Journal of Public Health Indonesian
Sudirman Sudirman
Universitas Muhammadiyah Palu
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Implementation of Accelerated Stunting Reduction at the Biromaru Public Health Center, Sigi Regency Sudirman, Sudirman; Rosnawati, Rosnawati; Afni, Nur; Yani, Ahmad; Syukran, Muhammad
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.3328

Abstract

This study aims to determine the implementation of stunting reduction policies at the Biromaru Public Health Center, Sigi Regency, a conceptual model using Edward III's theory from the aspects of Communication, Resources, Disposition, and Organizational Structure. The research method used is qualitative research, namely observation, in-depth interviews, and documentation. Based on the study results, it can be concluded that the stunting reduction policy implementation at the Biromaru Public Health Center in Sigi Regency has not run optimally. This is evident from the inadequate implementation of the aspects of Communication, Resources, Disposition, and Organizational Structure. Several obstacles hinder the implementation of stunting reduction policies. The resources at the Biromaru Health Center in Sigi Regency are lacking, especially in terms of facilities like scales and height measuring devices. Not all posyandu centers receive these resources due to budget limitations, which vary by village. This affects the optimal implementation of the policy. Regarding the Organizational Structure and Standard Operating Procedure (SOP), while they have not yet been established, all officers maintain a good working relationship, as confirmed through interviews showing their collaborative efforts in the program.
Factors Influencing Health Service Performance at the Bulili Health Center, Palu City Sudirman; Herlina Yusuf; Wijayanti
International Journal of Health, Economics, and Social Sciences (IJHESS) (Special Issue) - International Journal of Health, Economics, and Social Sciences (IJHESS) October 2
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i4.9610

Abstract

Employee performance refers to the extent to which employees achieve work outcomes in accordance with predetermined job standards. Performance encompasses not only work results but also behaviors, attitudes, and mental readiness, reflecting a commitment to continuous improvement in work quality. This study aimed to analyze the determinants of health workers’ performance at the Bulili Community Health Center, Palu City, in 2024. This study employed a quantitative approach with an analytical survey design. The study population consisted of all employees at the Bulili Community Health Center, with a total sample of 80 respondents. Data were collected using a structured questionnaire measuring variables including length of service, attitude, motivation, rewards, leadership, and work performance. Data analysis was conducted using the chi-square statistical test with a significance level of ? ? 0.05, followed by multivariate analysis to identify the most influential determinant. The results indicated significant relationships between length of service and work performance (p = 0.001), attitude and work performance (p = 0.000), motivation and work performance (p = 0.000), rewards and work performance (p = 0.000), and leadership and work performance (p = 0.000). Among the five variables, leadership emerged as the most influential determinant of work performance (B = 1.795; Sig = 0.024). In conclusion, length of service, attitude, motivation, rewards, and leadership are significantly associated with the performance of health workers. Therefore, targeted efforts—particularly in strengthening leadership practices—are essential to enhance employee performance and ensure the delivery of high-quality health services.
Tuberculosis Control Program Management in the Donggala Community Health Center Work Area Sudirman; Indra Afrianto; Titin Setiyawati
International Journal of Health, Economics, and Social Sciences (IJHESS) (Special Issue) - International Journal of Health, Economics, and Social Sciences (IJHESS) July 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i4.9611

Abstract

Low public awareness in TB treatment, at least 6 months and many cases of drug discontinuation which causes resistance to anti-tuberculosis drugs also affect transmission, do not understand how to treat. The purpose of this study was to determine the analysis of tuberculosis patient management in the Donggala District Health Center area. This research method uses a qualitative method to explain and describe (in words) the implementation of TB case finding at the Donggala Health Center so that the research results can be conveyed in depth, with 7 informants. Based on the research results, the community in the Donggala Health Center area has a diverse understanding, some people are aware of the dangers of TB and the importance of regular treatment. Health workers have an important role in finding new cases of TB. They carry out active screening by going directly to the community, conducting close contact investigations, and working with health cadres and the village government. The conclusion is that health services in the Donggala Health Center area are quite available, with the presence of laboratories and medical personnel who can carry out TB examinations and diagnoses quickly. Research suggestions can expand the reach of education to the community about the importance of TB prevention, compliance with taking medication, and the risk of spreading the disease.
Reassessing Patient Satisfaction: Social Determinants and Hospital Quality in Indonesia Sudirman, Sudirman; Yani, Ahmad; Andri, Mohamad
Public Health of Indonesia Vol. 11 No. 4 (2025): October - December
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i4.1651

Abstract

Background: Patient satisfaction is widely recognized as a crucial indicator of healthcare quality, shaped not only by clinical outcomes but also by social determinants of health such as education, economic stability, neighborhood environment, and social/community context. Objectives: This study aimed to identify the key social determinants influencing patient satisfaction at Undata General Hospital, Palu, Indonesia, assess the strength of associations between these determinants and satisfaction outcomes, and highlight practical implications for improving patient-centered care in resource-constrained hospital settings. By focusing on social determinants, the research addresses existing gaps in understanding how contextual and relational factors contribute to hospital service quality. Methods: A quantitative, cross-sectional design was employed between January and March 2025, with 97 patients recruited through proportionate stratified sampling across wards. Data were collected using structured questionnaires and analyzed with chi-square tests to examine associations between social determinants and patient satisfaction. Results: The findings revealed that education and economic stability, while descriptively linked to differences in satisfaction, were not statistically significant predictors. In contrast, neighborhood environment and social/community context showed strong and significant associations with patient satisfaction. Patients who perceived the hospital environment as clean, safe, and comfortable were markedly more satisfied, while those embedded in supportive social networks also reported higher satisfaction. These results align with global evidence that highlights environmental quality and social cohesion as decisive determinants of patient experience, particularly in resource-limited contexts. The discussion emphasized how expectation theory and cultural competence frameworks explain the observed patterns, reinforcing the importance of aligning care with both structural and social dimensions. Conclusion: In conclusion, this study contributes to the growing body of literature on patient satisfaction by demonstrating that environmental and community factors outweigh individual socioeconomic attributes in shaping perceptions of care. The findings highlight practical implications for hospital managers and policymakers, suggesting that investments in environmental improvements and community engagement strategies are crucial pathways to enhance patient-centered quality care in Indonesia and similar settings.
Epidemiology of Mental Health In Adolescents: A Literature Review Of Causes and effective interventions Tri Rizkiyanti alwi; Sunarsih Sunarsih; Andi Zuhra Ibrahim; Sudirman Sudirman; Ahmad Yani; Finta Amalinda
Journal of Public Health Indonesian Vol. 2 No. 1 (2025): MAY-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/mxa47v96

Abstract

This study aims to examine the prevalence, causes, impacts, and effectiveness of interventions related to mental health disorders among adolescents in Indonesia. Based on data from the WHO and the 2018 Basic Health Research (Riskesdas), mental disorders among adolescents such as depression, anxiety, and behavioral disorders show high prevalence rates. This research also identifies contributing factors at the individual, family, social, and digital levels, and analyzes the long-term impacts of untreated mental health issues. In addition, the effectiveness of various interventions whether school-based, family-based, or digital technology-based is evaluated. The study reveals existing gaps in mental health services, including a lack of professional personnel, social stigma, and limited access in certain areas. The conclusion of this study emphasizes the need to strengthen mental health service capacity and to develop more inclusive and culturally sensitive policies and interventions to address adolescent mental health issues.
Risk Factors Associated with Maternal Mortality in Donggala Regency, Indonesia: Evidence from a Case–Control Study (2020–2024) Tri Rizkiyanti alwi; Sudirman Sudirman; Zhanaz Tasya
Journal of Public Health Indonesian Vol. 2 No. 6 (2026): MARCH-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/ttxa4d85

Abstract

Maternal mortality remains a significant public health problem and reflects the quality of maternal health services. Donggala Regency is one of the regions with a relatively high and fluctuating maternal mortality rate during the period 2020–2024. This study aimed to analyze risk factors and determine the most influential factors associated with maternal mortality in Donggala Regency from 2020 to 2024. This study employed an observational analytic design with a case–control approach, involving a total sample of 108 subjects, consisting of 54 cases and 54 controls, selected using purposive sampling. Secondary data were obtained from Maternal Verbal Autopsy (MVA) records and the maternal cohort registry. Data analysis was conducted using IBM SPSS Statistics, applying Odds Ratio (OR) and p-values for bivariate analysis, and multiple logistic regression for multivariate analysis. The results of the study showed that the risk factors for maternal mortality in Donggala Regency during 2020–2024 were a history of hemorrhage (AOR = 9.01; 95% CI = 1.61–50.64; p = 0.013), history of disease (AOR = 8.21; 95% CI = 1.56–43.32; p = 0.013), and incomplete antenatal care (ANC) visits (AOR = 6.14; 95% CI = 1.52–24.85; p = 0.011). Delay in referral was identified as the main and independent risk factor associated with maternal mortality (AOR = 10.05; 95% CI = 2.04–49.61; p = 0.005). Parity, interpregnancy interval, history of hypertensive disorders of pregnancy, and maternal education did not show statistically significant associations; however, they acted as confounding variables in the final multivariate model.Maternal mortality in Donggala District during 2020–2024 was significantly influenced by a history of hemorrhage, comorbid diseases, inadequate ANC, and referral delay. Referral delay was the strongest determinant of maternal mortality. These findings highlight the importance of early detection of pregnancy complications, adherence to standard ANC services, and an effective and timely maternal referral system to reduce maternal mortality
Literature Review: The Relationship Between Mothers’ Knowledge of Diarrhea and Diarrhea Prevention Behaviors in Toddlers Ni Nyoman Sutiari; Cici Cici; Siti Hartina; Sudirman Sudirman; Ahmad Yani
Jurnal Indonesia Sosial Sains Vol. 7 No. 5 (2026): Jurnal Indonesia Sosial Sains
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jiss.v7i5.2319

Abstract

Diarrhea remains a major health problem in toddlers, contributing to high rates of child morbidity and mortality. Diarrhea prevention behavior in toddlers is strongly influenced by the mother's role as the primary caregiver, especially the mother's level of knowledge about diarrhea. This research aims to analyze the relationship between the mother's level of knowledge about diarrhea and diarrhea prevention behavior in toddlers based on the results of previous studies. This study uses the Systematic Literature Review (SLR) method with the PRISMA approach. Articles were searched in PubMed, ScienceDirect, and Google Scholar using keywords on maternal knowledge, diarrhea, and prevention behavior in toddlers with Boolean operators (AND/OR). Inclusion criteria included quantitative, qualitative, or mixed-methods studies published from 2020–2025, full-text, and addressing the relationship between maternal knowledge and diarrhea prevention or incidence. Fifteen eligible articles were analyzed descriptively. The results of the study showed that maternal knowledge levels were significantly associated with diarrhea prevention behaviors, diarrhea management practices, the implementation of clean and healthy living behaviors (PHBS), and the incidence of diarrhea in toddlers. Mothers with good knowledge levels tended to implement more optimal prevention behaviors and had toddlers with a lower risk of diarrhea. However, the effectiveness of knowledge implementation is influenced by maternal characteristics, socioeconomic conditions, and sanitation availability. Maternal knowledge plays a crucial role in preventing diarrhea in toddlers through preventive behaviors and reducing its incidence. Thus, sustainable health education supported by adequate sanitation and environmental conditions must be improved to reduce diarrhea incidence in toddlers.
FAKTOR RISIKO KEJADIAN STUNTING PADA ANAK BALITA DI WILAYAH KERJA PUSKESMAS TIKKE RAYA KABUPATEN PASANGKAYU Arjunah Arjunah; Sudirman Sudirman; Zhanaz Tasya
SEHAT : Jurnal Kesehatan Terpadu Vol. 5 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/s-jkt.v5i3.57686

Abstract

Stunting masih menjadi salah satu tantangan kesehatan yang serius di Indonesia, termasuk di wilayah Sulawesi Barat yang mencatat angka prevalensi cukup tinggi. Penelitian ini bertujuan mengidentifikasi faktor-faktor yang berkontribusi terhadap kejadian stunting pada anak usia 24-59 bulan di wilayah kerja Puskesmas Tikke Raya, Kabupaten Pasangkayu. Rancangan studi yang digunakan adalah case control dengan jumlah sampel sebanyak 122 responden (61 kasus dan 61 kontrol) yang dipilih melalui teknik proportional random sampling. Pengumpulan data dilakukan menggunakan kuesioner dan data pengukuran antropometri anak. Analisis data mencakup uji bivariat menggunakan odds ratio (OR) serta analisis multivariat dengan regresi logistik. Hasil analisis bivariat mengidentifikasi sejumlah variabel sebagai faktor risiko yang signifikan, yaitu pengetahuan ibu (OR=3,147; 95% CI: 1,502–6,594), pola makan (OR=4,986; 95% CI: 2,300–10,808), riwayat berat badan lahir rendah atau BBLR (OR=2,818; 95% CI: 1,161–6,842), riwayat penyakit infeksi (OR=2,605; 95% CI: 1,243–5,459), serta ketidaktersediaan ASI eksklusif (OR=2,553; 95% CI: 1,230–5,299). Di sisi lain, pendapatan keluarga yang memadai terbukti berperan sebagai faktor pelindung atau protektif (OR=0,391; 95% CI: 0,154–0,991). Pada analisis multivariat, tiga variabel yang tetap signifikan adalah pola makan (OR=4,420; p=0,017), riwayat pemberian ASI eksklusif (OR=3,621; p=0,006), dan pendapatan orang tua (OR=0,167; p=0,003). Pola makan menjadi faktor paling dominan dalam penelitian ini. Kesimpulan penelitian menunjukkan perlunya intervensi terpadu yang menyasar perbaikan pola makan balita, peningkatan cakupan ASI eksklusif, dan perbaikan kondisi ekonomi keluarga dalam upaya menurunkan prevalensi stunting di wilayah ini.
PENGARUH BEBAN KERJA DAN BURNOUT SYNDROME TERHADAP KINERJA PEGAWAI RSUD MADANI : KOMPENSASI MODERATING Annisa Putri Ana Phalis; Sudirman Sudirman; Finta Amalinda
SEHAT : Jurnal Kesehatan Terpadu Vol. 5 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/s-jkt.v5i3.58002

Abstract

Kinerja pegawai rumah sakit sangat menentukan kualitas layanan kesehatan, namun tekanan kerja dan keterbatasan SDM sering memicu beban kerja berlebih serta burnout syndrome. Penelitian ini bertujuan menganalisis pengaruh beban kerja dan burnout syndrome terhadap kinerja pegawai di UPT RSUD Madani Provinsi Sulawesi Tengah dengan kompensasi sebagai variabel moderasi. Penelitian kuantitatif ini menggunakan desain korelasional pada populasi 535 pegawai. Data dikumpulkan melalui kuesioner pada tahun 2025 dan dianalisis menggunakan Moderated Regression Analysis (MRA). Beban kerja berpengaruh signifikan terhadap kinerja (sig. 0,002), begitu pula dengan burnout syndrome (sig. 0,000). Hasil uji MRA menunjukkan kompensasi secara signifikan mampu memoderasi dan memperkuat pengaruh kedua variabel tersebut terhadap kinerja sebesar 99,7%. Kompensasi memiliki peran strategis sebagai faktor penguat kinerja di tengah tekanan kerja tinggi dan risiko kelelahan mental. Manajemen RSUD Madani disarankan untuk mengoptimalkan sistem pengupahan yang adil dan transparan guna menjaga stabilitas produktivitas serta kualitas pelayanan kesehatan secara berkelanjutan
SWEEPING IBU HAMIL MEMODERASI PEMANFAATAN PELAYANAN TERHADAP KETERATURAN KUNJUNGAN PEMERIKSAAN KEHAMILAN Agustina M. Yasin; Sudirman Sudirman; Abdul Kadri
SEHAT : Jurnal Kesehatan Terpadu Vol. 5 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/s-jkt.v5i3.58016

Abstract

Angka Kematian Ibu (AKI) yang fluktuatif memerlukan pencegahan melalui pelayanan Antenatal Care (ANC) yang teratur. Masalah utama dalam penelitian ini adalah adanya kesenjangan antara capaian pemeriksaan ANC dengan kemandirian ibu hamil dalam mengunjungi fasilitas kesehatan, di mana banyak kunjungan justru diperoleh melalui program jemput bola. Penelitian ini bertujuan untuk menganalisis hubungan perilaku pemanfaatan pelayanan kesehatan terhadap keteraturan kunjungan pemeriksaan kehamilan yang dimoderasi oleh program sweeping ibu hamil di wilayah kerja Puskesmas Kaleke, Kabupaten Sigi. Metode yang digunakan adalah eksplanatori dengan pendekatan kuantitatif melalui Structural Equation Modeling (SEM) berbasis Partial Least Square (PLS). Populasi penelitian adalah seluruh ibu hamil periode Juni-Agustus 2025 sebanyak 303 orang, dengan sampel 76 responden yang dipilih menggunakan teknik proportionate random sampling dan pengumpulan data melalui kuesioner. Variabel penelitian meliputi perilaku pemanfaatan pelayanan kesehatan sebagai variabel independen, keteraturan kunjungan ANC sebagai variabel dependen, dan program sweeping sebagai variabel moderasi. Hasil penelitian menunjukkan pengaruh langsung yang positif dan signifikan antara perilaku pemanfaatan terhadap keteraturan kunjungan ANC dengan nilai koefisien jalur 0,231 (p=0,017). Namun, program sweeping sebagai variabel moderasi memiliki pengaruh negatif yang signifikan terhadap keteraturan kunjungan dengan nilai koefisien –0,515 (p<0,001). Simpulan penelitian ini adalah perilaku ibu yang baik secara signifikan meningkatkan keteraturan kunjungan ANC, namun program sweeping yang terlalu dominan justru berpotensi menjadi faktor penghambat kemandirian ibu untuk berkunjung secara rutin ke fasilitas kesehatan. Penguatan perilaku dan kesadaran mandiri ibu tetap menjadi kunci utama dalam meningkatkan kepatuhan pemeriksaan kehamilan di masa depan.
Co-Authors A.A. Ketut Agung Cahyawan W Abdul Kadri Abdul Kadri Abdul Kadri Abdul Kadri Abdul Kadri Abdul Kadri, Abdul Abe, Yolan Adriana Saehana Agustina Agustina M. Yasin Agustina M. Yasin Ahmad Afandi Ahmad Yani ahmad yani Ahmad Yani Alkaff, Sy. Rugaiyah Amsal, Amsal Ananda Dwi Saputra Andi Reza Alief Chairin Noor, Andi Reza Alief Andi Zuhra Ibrahim Andriani Aprisye Annisa Putri Ana Phalis Annisa Putri Ana Phalis Antika Tahir Arjunah Arjunah Arlyani, Priescilla Asmanur Asri Rendelemba Asrini Muslima Sari Ayu Andira Ayu Lestari Bella Retno Jamalludin Budiman Abd. Rauf Budiman Budiman Cici Cici Cici Daniel Happy Putra Dewi Sugiarti Eka Prasetia Hati Baculu Eka Prasetia Hati Baculu, Eka Eliana Elindawati Tutuf Arif Erik Mua Ervinayanti Ervinayanti Fadlia, Warzika Fadlika Fadri Fadliya Fatmawati Fatmawati Fatmawati Fatni Kidjab Febrianti Finta Amalinda Finta Amalinda Finta Amalinda Fitriana Fitriana Franing Desi Badu Ginanjar Rahardian H. Usman Y Tantu Hamidah Hamidah Handayani Sam Haris Pontoh Hasnawati Hasnawati Helda Badarudin Herlina Yusuf Hijrianto Hijrianto Hindun DJ Usman Ince Rahmi Ince Rahmi Indra Afrianto Indra Afrianto Indrawan Isdayanti Itha Puspita Lahinta, Rachmat Laksono Trisnantoro Lisdiawati Lisdiawati Lita Ulfa Ngaito Marselia Sandalayuk Mashatim Yakub Masiti Masiti Megawati Meilin Anggreyni Milka Djono Moh Rivaldhy Pramudya Moh. Andri Moh. Fikri Mohamad Andri Mohamad Andri, Mohamad Mua, Erik Muammar Muhammad Agung Muhammad Agung Muhammad Anzar Muhammad Jufri Muhammad Syukran Mulyani Munawir H. Usman Munifah AM. Idrus Ni Nyoman Sutiari Nikita Aprilianingsih Nur Afni Nur Afni Nur Afni Imbran Nur Hikma Nurfianti Nurjanah Nurjanah Nurlaela Nurstifani, Elsa Paulus, ⁠Listina Prayitno Mulani Qursia Lasandang Rachmat Lahinta Rahma Febi Rahmatia Rahmawati Rajindra Reyhan Reza Alyani Djiko Rifki, Moh. Rismawaty Rizka Rizka Rizka Rizka Rochmat Jasin Rosnawati Rosnawati Rosnawati, Rosnawati Sirajudin Sirajudin Siti Hartina Siti Nurani Sriyani Oktavia Stevin Unusa Suardi Subardin Sucerni, Sucerni Suhestianigras S Sukmawati Sukmawati Sukmawati Sukmawati Sunarsih Sunarsih Suraiyah Suwandi Swandayani, Deysi Tantu, H. Usman Y Titin Setiyawati Tri Eko Tri Mayang Amita Tri Rizkiyanti alwi Tri Septyo Indratno Umi Kalsum Umi Kalsum Wahidah, Robiatul Wijayanti Windi Vatricia Wiwin Andriani Yenita Ayudina Yundari, Yundari Yusra Hasrun Zhanaz Tasya Zian Fazilah