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All Journal BULETIN PENELITIAN SISTEM KESEHATAN Jurnal Kebijakan Kesehatan Indonesia e-Journal Pustaka Kesehatan Jurnal Ilmu Kesehatan Masyarakat Jurnal Kesehatan Jurnal Administrasi Kesehatan Indonesia Jurnal Manajemen Kesehatan Indonesia Jurnal Penelitian Kesehatan Suara Forikes JI-KES (Jurnal Ilmu Kesehatan) Jurnal Kesehatan ARTERI : Jurnal Ilmu Kesehatan Indonesian Journal of Health Sciences Research and Development (IJHSRD) Public Health and Preventive Medicine Archive PROMOTIF: Jurnal Pengabdian Kepada Masyarakat Unnes Journal of Public Health JI-KES (Jurnal Ilmu Kesehatan)

Christyana Sandra

Bagian Administrasi Dan Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Jember

Author-ID : 370095

Computer Science & IT Decision Sciences, Operations Research & Management Education Electrical & Electronics Engineering Environmental Science Health Professions Library & Information Science Mechanical Engineering Medicine & Pharmacology Nursing Public Health Other

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PENGARUH PENURUNAN KUALITAS UDARA TERHADAP FUNGSI PARU DAN KELUHAN PERNAFASAN PADA POLISI LALU LINTAS POLWILTABES SURABAYA Christyana Sandra
Jurnal Ilmu Kesehatan Masyarakat Vol 9 No 1 (2013)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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

Some of the air pollutants that may result in respiratory complaints are NO2, SO2, and dust particles. These pollutants may irritate respiratory tract, leading to lung function impairment and respiratory complaints. The objective of this study was to analyze the concentration of NO2, SO2, and dust in Surabaya. This was an observational analytic study conducted cross-sectionally among traffic policemen and staff policemen in Polwiltabes Surabaya. This study was conducted within the working area of Polwiltabes Surabaya from December 2007 to July 2008. Population of study group was the members of traffic policemen and control group was staff policemen who had met the given criteria. Sample size was 42 persons, 21 persons each from study group and control group. Data analysis used independent two sample t test and multiple logistic regression test. Mean of NO2 and dust levels had exceeded the established standard, while mean of SO2 level was still below its established standard. Mean of indoor NO2, SO2 and dust levels were still below the established standard. Lung function test revealed that 13 (61.9%) of study group had normal lung function and 8 (38.1%) had mild restrictive impairment. In control group, 19 (76.2%) had normal lung function and 2 (23.8%) had mild restrictive impairment. Study group had restrictive impairment 4 time higher risk and 1,4 time higher risk having obstruction impairment than control group. Study group had respiratory complaints 2 time higher risk than control group. Method of data analysis using multiple logistic regression test revealed that age and SO2 concentration had significantly affected lung function and respiratory complaints in study group. It must be consider that poor air quality have causative factor into lung function. It is recommended that local government increased public transportation service, provide additional air quality monitoring, transportation arrangement system, and motor exhaust gas should periodically be checked.

GAMBARAN PERSEPSI PASIEN INSTALASI RAWAT INAP MENGENAI BRAND EQUITY RUMAH SAKIT TINGKAT III BALADHIKA HUSADA JEMBER TAHUN 2018 Dwi Novita Sari; Christyana Sandra; Sri Utami
Jurnal Ilmu Kesehatan Masyarakat Vol 14 No 2 (2018)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v14i2.8366

Brand equity is a set of brand assets and liabilities linked to a brand name and symbol, which add to or subtract from the value provided by a product or service. For 3 years, Bed Occupancy Rate haven’t met the optimal standard and shows that the society is still less utilize inpatient services of Baladhika Husada Jember Third-Level Hospital. The objective of this study was describe inpatient's perception about brand equity of Baladhika Husada Jember Third-Level Hospital in 2018. This study used a descriptive study. Results showed that most of the respondents are female, in the age group >45 years old, living in Jember, last education are elementary school/equivalent, housewifes, family income ranged between Rp 1.1 million - Rp 2 million and methods of payment using BPJS Health insurance. Variable brand awareness is good enough because the majority of respondents choose Baladhika Husada Jember Third-Level Hospital as top of mind. Brand association through product attributes, intangible, customer benefits, relative price, and use/application are in good category. Perceived quality through performance, serviceability, reliability, features, conformance to specifications and results are in good category. Brand loyalty dominated by satisfied buyer.

DAMPAK KULIAH KEWIRAUSAHAAN BIDANG KESEHATAN TERHADAP MOTIVASI MAHASISWA FAKULTAS KESEHATAN MASYARAKAT UNIVERSITAS JEMBER DALAM BERWIRAUSAHA Christyana Sandra
Jurnal Ilmu Kesehatan Masyarakat Vol 10 No 2 (2014)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Penelitian ini bertujuan untuk menganalisis dampak kuliah kewirausahaan bidangkesehatan terhadap motivasi mahasiswa Fakultas Kesehatan Masyarakat UniversitasJember untuk berwirausaha di bidang kesehatan ditinjau dari persepsi mahasiswamengenai materi, cara penyampaian, pengetahuan dan pengalaman narasumber, dancontoh-contoh usaha di bidang kesehatan yang disampaikan oleh narasumber. Metodepenelitian menggunakan pendekatan kualitatif. Subyek penelitian ini adalah mahasiswaFakultas Kesehatan Masyarakat yang menempuh mata kuliah kewirausahaan di semestergasal tahun ajaran 2014/2015.Hasil penelitian menunjukkan bahwa persepsi mahasiswa tentang pelaksanaan kuliahumum kewirausahaan terbukti berdampak positif terhadap pembentukkan motivasikewirausahaan mahasiswa. Ini dibuktikan dengan sebagian besar subyek penelitianmemahami materi dengan baik, pengetahuan dan pengalaman narasumber terbuktimembantu dalam pemahaman materi dan aplikasi serta pembentukan motivasikewirausahaan mahasiswa. Pembentukan motivasi mahasiswa dapat diketahui dari adanya sebagian kecil mahasiswa yang telah mengikuti mata kuliah kewirausahaan bidangkesehatan antusias untuk mengikuti program-program kewirausahaan baik yangdiadakan oleh pemerintah atau oleh swasta. Saran yang dapat diberikan dari hasilpenelitian ini adalah perlu adanya sharing pengetahuan dan pengalaman dari praktisi(pengusaha), perlu di lakukan upaya-upaya khususnya dosen Mata Kuliah Kewirausahaandalam menyusun Kurikulum Mata Kuliah Kewirausahaan dimana diharapkan bagaimanakurikulum tersebut bisa meningkatkan karakter-karakter jiwa kewirausahaan padamahasiswa Fakultas Kesehatan Masyarakat Universitas Jember.

HUBUNGAN ANTARA BAURAN PEMASARAN DENGAN LOYALITAS PASIEN RAWAT JALAN DI RUMAH SAKIT DAERAH KALISAT KABUPATEN JEMBER TAHUN 2017 Yuliasfa Sirrul Hayati; Christyana Sandra; Yennike Tri Herawati
Jurnal Ilmu Kesehatan Masyarakat Vol 14 No 1 (2018)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v14i1.10406

Marketing mix in hospital is a group of controllable variables that can be used by hospitals to influence the reaction of service buyers. The marketing mix consisting of 7P (Product, Price, Place, Promotion, Process, Person, and Physical Evidence) can affect patient loyalty. This study aims to analyze the relationship between marketing mix and patient loyalty. The study method used is analytic with cross sectional design. The sample of study is 90 respondents using systematic random sampling technique. The result showed that most respondents rated the product mix (82%), the price mix (81%), the place mix (72%), the process mix (79%), the mix (84%), and the physical evidence mix (82% ) is good. However, most respondents rated promotion mix (92%) classified as less good. Based on the results, it is concluded that there is no significant relation between place mix and physical proof mix with patient loyalty, and there is significant relation between product mix, price mix, promotion mix, and process mix with patient loyalty. To increase loyalty patients can improve or maintain product mix, price mix, promotion mix, process mix, and people mix.

Evaluasi Cold Chain Management Vaksin di Puskesmas Kabupaten Jember Abdul Syakur; Christyana Sandra; Candra Bumi
Jurnal Manajemen Kesehatan Indonesia Vol 9, No 1 (2021): April 2021
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.9.1.2021.21-27

Immunization is the most cost-effective health prevention method to suppress the incidence of vaccine-preventable disease. Immunization Program in Jember district is still not optimal with many vaccine-preventable disease cases found. Another problem found in Jember is the management of logistics vaccine that is still not optimal. Based on the activity plan report of ORI Difteri 2018, it is known that the logistics needs of some vaccines do not comply with the allocation received by Jember regency of the province. This condition This was a descriptive study using questionaire and observations data as well as the documentation study of the annual Report of Health Pharmacy Installation (IFK) year 2019. Respondent to this study were immunization officers at primary health care of Jember District. The result of cold chain management evaluation is known that the most are good enaugh. In some primary health care are still hampered insufficient means so that the maintenance of vaccine is still not optimalBased on the result that cold chain management evaluation, the knowledge officer on cold chain management is still lacking good. In the some primary health care, it is known that the equipment canstraints are unavailable. While in the conformity of temperature only one primary helath care is not recommended. And stirage activities are mostly in accordance with SOP.

Analisis Ekologi Persalinan di Fasilitas Pelayanan Kesehatan di Indonesia Agung Dwi Laksono; Christyana Sandra
Buletin Penelitian Sistem Kesehatan Vol 23 No 1 (2020)
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

Policies to encourage childbirth in health care facilities were emphasized to reduce maternal mortality rates that are still high in Indonesia. The study was aimed at analyzing population, socio-economic, and resource input variables related to childbirth in health care facilities. This study used an ecological study approach (an aggregate study) sourced from the 2018 Indonesia Health Proﬁ le. Bivariate analysis was performed using scatter plots and Pearson correlation tests. The results showed a wide disparity in terms of childbirth in health care facilities coverage. Maluku was the province with the lowest coverage (45.18%), while the highest coverage was achieved by DKI Jakarta (100%). The results of scatter plots and bivariate tests showed that the more population in a province, the higher the coverage of delivery in health care facilities, the deeper and worse the poverty in a province, the lower the coverage of delivery in health care facilities. The more obstetrician and hospitals in a province, there was a tendency for coverage of births in health care facilities to be higher. In conclusion, population, the ratio of obstetricians, and the ratio of hospitals have a positive relationship with deliveries in healthcare facilities. In contrast, the Poverty Depth and Severity Index has a tendency to had a negative relationship with the coverage of deliveries in health care facilities. It was recommended that the government formulate speciﬁ c policies to target regions with a small population, poor and have a small number of obstetricians and hospitals. Abstrak Kebijakan mendorong persalinan di fasilitas pelayanan kesehatan ditekankan untuk menurunkan angka kematian ibu yang masih tinggi di Indonesia. Studi ditujukan untuk menganalisis variabel kependudukan, sosial-ekonomi dan input sumber daya yang berhubungan dengan persalinan di fasilitas pelayanan kesehatan. Desain studi menggunakan pendekatan studi ekologi (studi agregat) bersumber data Proﬁ l Kesehatan Indonesia Tahun 2018. Analisis bivariat dilakukan dengan menggunakan scatter plot dan uji korelasi Pearson. Hasil penelitian menunjukkan disparitas persentase cakupan persalinan ke fasilitas pelayanan kesehatan yang sangat lebar, Provinsi Maluku memiliki cakupan paling rendah (45,18%), sementara cakupan tertinggi dicapai Provinsi DKI Jakarta (100%). Hasil scatter plot dan uji bivariat menunjukkan bahwa semakin banyak jumlah penduduk pada suatu provinsi maka ada kecenderungan cakupan persalinan di fasilitas pelayanan kesehatan menjadi semakin tinggi. Semakin dalam dan parah kemiskinan pada suatu provinsi maka ada kecenderungan cakupan persalinan di fasilitas pelayanan kesehatan menjadi semakin rendah. Semakin banyak dokter spesialis obgyn dan rumah sakit pada suatu provinsi maka ada kecenderungan cakupan persalinan di fasilitas pelayanan kesehatan menjadi semakin tinggi. Disimpulkan bahwa jumlah penduduk, rasio dokter spesialis obgyn dan rasio rumah sakit (RS) memiliki hubungan positif, sementara Indeks Kedalaman dan Keparahan Kemiskinan memiliki kecenderungan hubungan negatif dengan cakupan persalinan di fasilitas pelayanan kesehatan. Disarankan pemerintah menyusun kebijakan khusus pada sasaran wilayah dengan jumlah penduduk sedikit, miskin dan memiliki dokter spesialis obgyn dan RS yang sedikit.

Penyebab Kejadian Kekurangan Energi Kronis pada Ibu Hamil Risiko Tinggi dan Pemanfaatan Antenatal Care di Wilayah Kerja Puskesmas Jelbuk Jember Christyana Sandra
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 6 No. 2 (2018)
Publisher : Universitas Airlangga

Background: The main cause of maternal death from 2010 to 2013 were bleeding, hypertension, infection, old labor, and abortion. From 2013 to 2015, public health center of Jelbuk had 50% high-risk pregnant women more than total pregnancy.Aim: The objective of this study was to identify factors of chronic energy loss incidence in high-risk pregnant women and service utilization of antenatal in Jelbuk public health center, Jember district.Method: This research was an analytic research with cross-sectional approach. The population of this study was all high-risk mothers who experienced Chronic Energy Deficiency or Kekurangan Energi Kronis (KEK) in the work area of Jelbuk public health center with a total sample of 42 respondents selected by using simple random sampling.Results: Results showed that most respondents had a complete use of ANC. There was a correlation between predisposing factors including age, knowledge, attitude and trust toward ANC utilization. There was no correlation between supporting factors including the variable of access to health service and officers’ services with ANC utilization. There was a correlation between need factors (mother’s health condition) with ANC utilization.Conclusion: Overall, the respondents had completed Antenatal Care (ANC). The predisposing factors (age, knowledge, behavior, and trust) was correlated to the use of ANC, but the supporting factors was not correlated to ANC utilization. It is recommended to promote ANC to pregnant mothers with Chronic Energy Loss and strengthen cadres’ performance for socialization.Keywords: high-risk pregnant women, KEK, prenatal care

BACK-REFERRAL PROGRAM IN THE ERA OF NATIONAL HEALTH INSURANCE AT BALUNG DISTRICT GENERAL HOSPITAL OF JEMBER IN 2017 Christyana Sandra; Agita Brastila Esti; Eri Witcahyo
Indonesian Journal of Health Administration Vol. 7 No. 1 (2019)
Publisher : Universitas Airlangga

Background: In 2014, National Health Insurance Program (BPJS Kesehatan) implemented Back-Referral Program (BRP) to facilitate access to health care for patients with chronic diseases in stable conditions. However, the program did not run well at District General Hospital of Balung which had the lowest back-referral program (6 participants) in 2015-2016.Aim: The study aims to examine the BRP at Balung District General Hospital of Jember in 2017.Methods: This study is designed as qualitative case study. The informants consisted of head of treasury verification, secretary of JKN service controlling, officers of local government’s free care scheme, coordinator of internal and neurological disease, specialists in internal and neurological diseases, officers of Social Security Agency for Health, officers of patient eligibility verification, and participants of Back-Referral Program. The study was conducted from October to December 2017.Results: Results show that the attendance of BPJS Kesehatan officers has no contribution to the services of BPJS Kesehatan in the hospital. Participants also find it difficult to follow the steps of BRP due to unavailability of drugs at primary healthcare centers. Moreover, neurologists have not written any referral recommendation since 2016, so there was no patient admittance.Conclusions: The BRP at Balung District General Hospital did not achieve its target (<5 cases/week). In the contrary, the average number of patients referred to the hospital was 86 patients per week. Balung District General Hospital should implement Standard Operating Procedure for letters signed by responsible physician for patients and evaluate the BRP. Keywords: National Health Insurance, Back-referral program, Hospital, Social security.

RESOURCES REQUIRED IN CLINICAL PATHWAY FOR TYPHOID FEVER TREATMENT AT KALIWATES GENERAL HOSPITAL IN 2017 Pratiti Swesti Komala Dewi; Christyana Sandra; Eri Witcahyo
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 7 No. 2 (2019)
Publisher : Universitas Airlangga

Background: A clinical pathway is a concept of an integrated service which describes the stages of healthcare services from the admission until the return of patients based on the medical service standards and evidence-based nursing care with measurable results. Kaliwates General Hospital is an accredited hospital with a clinical pathway. Typhoid case was the highest disease in 2017 at Kaliwates General Hospital.Aims: This study aims to describe the resources at Kaliwates General Hospital in the implementation of clinical pathways, especially typhoid fever treatment.Method: This study was a descriptive and qualitative study. Nine respondents were selected using purposive sampling, including one internist and the quality team at Kaliwates General Hospital. The variables studied include human resource factors, budget factors, method factors, and time factors.Results: The results suggested that the human resources at Kaliwates General Hospital had high commitment, motivation, and moderate knowledge in the implementation of clinical pathways. All equipment and documents were considered adequate. The communication among the implementers was good, but compliance and training for staffs were considered less prominent. The task division of each staff was fairly distributed even though the pharmacy unit perceived that the division was quite unfair.Conclusion: The implementation of the clinical pathway for typhoid fever treatment at Kaliwates General Hospital runs quite well. The hospital must identify and plan staff training regularly, prepare the job description appropriately, and perform performance appraisal based on the job description that has been developed.Keywords: clinical pathway, typhoid fever, resource.

Pengaruh Kemampuan, Motivasi dan Kepemimpinan terhadap Kinerja Kader Posbindu PTM Kabupaten Banyuwangi Kurnia Novita Putri; Christyana Sandra; Eri Witcahyo
Jurnal Kesehatan Vol 8 No 2 (2020): Agustus
Publisher : Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/j-kes.v8i2.122

The highest prevalence of malnutrition cases is in Gorontalo District which is 3.2% in 2018 and the highest public health center in the Tibawa area is 4.2% in cases of malnutrition and underfives carrying a red line are 4.7% and 2 toddlers do not gaining weight for 3 times in a row The results of growth and development monitoring were carried out at the posyandu until September 2018. This study aims to analyze the effect of nutrition assistance with media booklets to improve the knowledge and practices of hamlet heads in determining the nutritional status of children under five. The research method was quasi-experimental with pre -post, sample selection with a total sample of 77 respondents,37 interventions and 40 controls.The results showed that there were no significant differences in knowledge of the treatment and control groups before the pre intervention (p=0.857). There were significant differences in knowledge before and after the intervention group pos1 (p=0,000) and post2 (p=0,000) whereas in the post1 control group (p=0,000), there were significant differences at post2 (p=0.395) there were no significant differences. There was a difference after the intervention between the treatment and control groups post1 (p=0,000) and Post2 (p=0,000). The practical variables did not differ significantly between the treatment and control groups before the intervention (p=0.921).In the treatment group between pre and post1 there was a significant difference (p=0.046).Between pre and post2 (p=0.157),there was no significant difference. In the control group there was no significant difference between pre and post1 (p= 0.157) and post2 (p=0.564).After the intervention there were no significant differences in the treatment and control groups at post1 (p=0.557) as well as post2 (p=0.583). The conclusion was booklet mentoring significantly increased the knowledge and practice in of mothers in determining the nutritional status of toddlers.There is no effect of practice after post2.

Co-Authors Abdul Syakur Abu Khoiri Adinda Dwi Lestari Agita Brastila Esti Agung Dwi Laksono Agung Dwi Laksono Agustin Dwi Rahayu Akbar, Kurnia Adriansyah Akbar, Kurnia Ardiansyah Andrei Ramani Anis Satu Rohmah Anis Tri Sugiyarti Anita Krisdiyanti Aulia Windi Shaharany Aulia Windi Shaharany Baroya, Ni’mal Candra Bumi Citra Al Karina Daniel Happy Putra Dewi Rokhmah Dwi Novita Sari Eka Lutfiatul Hasanah Eka Lutfiatul Hasanah Eri Witcahyo Eri Witcahyo Fadli Thoriq Alfaris Fadli Thoriq Alfaris Farida Wahyu Ningtyias Farida Wahyu Ningtyias, Farida Wahyu Fathur Rachman Hakim Hidayah, Barika Isti’anatil Indah Ernawati Irsya Gresyana Fitria Irsya Gresyana Fitria Iswari Hariastuti Kurnia Novita Putri Leily Dita Sari Leily Dita Sari Naddratul Huda Ningsi Ningsi Ni’mal Baroya Novita Anggraeni Nur Fitri Widya Astuti Nur Fitri Widya Astuti Nuryadi Nuryadi Perwita, Febri Diah Pratiti Swesti Komala Dewi Prehatin Trirahayu Ningrum Purwoko, Agus Putra, Dewa Ngakan Gde Wahyu Mahatma Ragil Ismi Hartanti Rifdatun Nurul Huwaidah Hasan Fahmi Rochmawati, Ajeng Humami Saiful, Brima Sahwa Sukma Sandra, Ratna Dwi Wulandari Solikha Tri Cahyati Sri Utami Sudhasni, Yuliavira SULISTIYANI SULISTIYANI Tri Herawati, Yennike Tumaji Tumaji Vindiarta Ansori, Fara Widya Noormalasari Yennike Tri Herawati Yuliasfa Sirrul Hayati Yuliavira Sudhasni

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