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MANAGEMENT OF PULMONARY TUBERCULOSIS PATIENT WITH THEIR CULTURE CONVERSION STATUS IN KENDARI CITY, PROVINCE OF SULAWESI TENGGARA, INDONESIA Saputra, Hermawan; Asyary, Al; Madjid, Ruslan; Salam, Asrun
Journal of Ultimate Public Health Vol 1, No 1 (2017): November 2017
Publisher : Journal of Ultimate Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/jump-health.v1.i1.p18-23

Background: Tuberculosis (TB) conversion is a vital milestone that remains rarely assessed in TB mitigation programs. Objectives: This study aimed to explain the effects of body mass index (BMI) and housing index status on TB conversion in a developing country. Methods: A cross-sectional study was conducted on 51 TB patients in the three health centres (Puskesmas) with the highest TB incidences in Kendari City, Southeast Sulawesi, Indonesia, using data reported in the the first quarterly report of 2008. We used bivariate association with Fisher’s exact test to review TB conversion determinants. Results: The results indicated that TB occurred predominantly in men (51%) and people over 40 years old (74,5%). Factors indicating that TB conversion is associated with both adequate nutrition and housing in TB patients approached significance (RP = 1.0 and p = 0.05). Conclusions: However, housing and nutrition status are rarely considered as determinants of TB conversion in the assessment of TB outcomes. We suggest increasing sample distribution and introducing other factors related to healthcare as supply variables for further study.

Studi Pola Sebaran Sedimen Dasar Akibat Arus Sepanjang Pantai di Sekitar Pemecah Gelombang Pantai Kuta Bali Saputra, Hermawan; Subardjo, Petrus; Saputro, Siddhi
Journal of Oceanography Vol 2, No 2 (2013)
Publisher : Program Studi Oseanografi, Jurusan Ilmu Kelautan, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (606.691 KB)

Abstrak Pantai Kuta mengalami erosi yang cukup besar setiap tahunnya. Berbagai upaya telah dilakukan oleh pemerintah dengan cara membangunan pemecah gelombang sejumlah tiga unit dan melakukan aktifitas pengisian pasir (beachfilling). Namun hal tersebut belum bisa mengatasi erosi yang terjadi, sehingga diperlukan adanya analisa tentang pola sebaran sedimen dasar sebagai langkah awal mengetahui penyebab erosi yang terjadi selama ini. Tujuan dilakukannya penelitian ini adalah untuk mengetahui pola sebaran sebaran sedimen dasar dan arus sepanjang pantai yang menjadi penyebab utama terjadinya erosi. Penelitian ini menggunakan metode penelitian diskriptif bersifat eksploratif sedangkan teknik pengambilan sampel sedimen menggunakan metode sampling purposive. Berdasarkan hasil penelitian kecepatan arus sepanjang pantai di sekitar pemecah gelombang Pantai Kuta Bali rata – rata sebesar 1.2676 m/det dengan kisaran kecepatan maksimal yaitu sebesar 1.6645 m/det dan minimal sebesar 0.9293 m/det dengan arah yaitu dari Barat Daya sedangkan hasil analisa butiran sedimen menunjukan bahwa sedimen dengan jenis kerikil terdapat pada sisi timur laut pemecah gelombang, jenis pasir berada pada sisi selatan pemecah gelombang, dan jenis pasir kerikilan berada pada sisi paling selatan dari pemecah gelombang.

Efektivitas dan Efisiensi Tindakan Eracs Sebagai Metode Terbaru di RS X Bogor Tahun 2022 Supriatna, Nisrina; Hermawan Saputra; Suginarti
Jurnal Kesehatan Madani Medika Vol 13 No 2 (2022): Jurnal Kesehatan Madani Medika
Publisher : Sekolah Tinggi Ilmu Kesehatan Madani Yogyakarta

Pandemi covid-19 tahun 2020 metode ERACS sedikit menjadi trend di Indonesia. Penelitian ini bertujuan untuk mengetahui efektivitas dan efisiensi tindakan ERACS sebagai metode terbaru di RS X Bogor 2022 yang bermanfaat untuk kesehatan masyarakat. Metode penelitian Mix Method Research (penelitian kualitatif dan kuantitatif) penelitian kualitatif dengan deskriptif studi fenomenologi dan penelitian kuantitatif sederhana dengan healthcare econimics cost analysis. Partisipan berjumlah 29 informan dipilih secara purposive sampling bersifat snowball, pengumpulan data dengan obsevasi, in-depth interview, dokumentasi, FGD. Hasil penelitian didapatkan alasan PPA (Profesional Pemberi Asuhan), ibu dan suami banyak memilih ERACS karena ibu lebih awal memegang bayinya, merubah perilaku ibu lebih mandiri, dan menjadi promotor. Namun, masih banyak tenaga kesehatan yang belum memahami penatalaksanaan ERACS. Cost analysis dihasilkan keduanya sangat efisiensi <60%. ERACS 86% sangat efektif, sedangkan SC konvensional 62% kurang efektif. SC konvensional hanya menggunakan obat anestesi 1 jenis tanpa tambahan dengan obat blok anestesi dengan dosis obat yang cukup tinggi, waktu pemulihan 8 jam. Tindakan ERACS memakai kombinasi obat anestesi lokal, analgetik opiat serta tindakan tambahan di daerah area operasi, waktu pemulihan 2 jam. Untuk teknik keduanya sama dengan spinal anestesi, yang membedakan obatnya pada pasien ERACS diberikan obat anestesi lokal 1/4 dosis, opiat kuat dan opiat lemah dengan dosis kecil. Sehingga dapat memanipulasi nyeri, mobilisasi lebih cepat, efektif dengan LoS berkurang secara signifikan, efisien dengan mengurangi pengeluaran obat-obatan anastesi dan biaya rawat inap. Diharapkan BPJS memasukkan ERACS menjadi tindakan yang diwajibkan atau sebagai tindakan alternatif di RS.

Factors Associated with Doctor Satisfaction at Pondok Kopi Jakarta Islamic Hospital in 2021 Yanti, Fitri; Rachmawati, Emma; Saputra, Hermawan
Journal of Health Policy and Management Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.01.03

Background: Until now, doctor satisfaction has never been thoroughly measured at RSIJ Pondok Kopi. Based on the report of the Pondok Kopi RSIJ Medical Committee, there has been an increase in the number of doctor resignations from 2019 to 2021. This study aims to analyze factors related to doctor satisfaction at Pondok Kopi RSIJ.Subjects and Methods: in this study, the Mix Method with a Cross Sectional design, where data collection was carried out using questionnaires and in-depth interviews as the instruments. The sample used in this study were 74 respondents who were doctors at RSIJ Pondok Kopi.Results: This study showed that out of 74 respondents there were 38 doctors (51.4%) who were satisfied, and 36 doctors (48.6%) who were dissatisfied. Bivariate results show that all variables have a relationship with doctor satisfaction. The results of the multivariate analysis also found that the dominant variable was the doctor's level of commitment with Odds Ratio = 18.730 (CI = 2.525-138.914), which means that doctors who have a bad commitment have a risk of 18.730 times the chance of assessing dissatisfaction.Conclusion: Researchers recommend further intervention and control of hospital management to fulfill doctors' rights and obligations, so as to increase doctor satisfaction. Keywords: Job Satisfaction, Health Service Compensation, Work Environment

Addressing Public Health Challenges of Hajj Pilgrims: A Comprehensive Narrative Review Saputra, Hermawan; Arief Tarmansyah Iman; Rustika, Rustika; Sheila Rizkia Anjari
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 3: MARCH 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i3.6912

Introduction: The Hajj pilgrimage is a pillar of Islam that must be carried out by every able-bodied Muslim. However, millions of pilgrims who gather each year face complex health challenges, including advanced age, comorbidities, and extreme environmental conditions. This study aims to identify the health risks of hajj pilgrims and the challenges in efforts to improve pilgrim health. Methods: The research method used is a narrative review, collecting related literature from various sources. The results of the study indicate that hajj pilgrim mortality is still high, mainly caused by cardiovascular disease, respiratory disorders, and heat stroke. Results: The mortality rate among Hajj pilgrims ranges from 1-3 per 1,000 per season, with 461 deaths recorded in 2024. Cardiovascular diseases (70%), respiratory infections, and heat stroke are the leading causes. Risk factors include advanced age, diabetes, hypertension, and extreme temperatures. Pilgrims' low compliance with vaccinations, especially meningitis and influenza, increases the risk of disease outbreaks. The crowded environment facilitates respiratory disease transmission, while limited access to healthcare and language barriers further complicate medical response. Health outreach, vaccination programs, international collaboration, and telemedicine are strategic measures that can help reduce mortality rates among Hajj pilgrims by improving health awareness, managing chronic conditions, and ensuring timely medical care. Conclusion: In conclusion, more comprehensive health interventions and are needed to reduce morbidity and mortality among hajj pilgrims.

Faktor-faktor yang berhubungan dengan kelengkapan imunisasi pada balita suspek campak di Puskesmas Kasriani, Kasriani; Listiyaningsi, Erlin; Saputra, Hermawan
Faletehan Health Journal Vol 12 No 01 (2025): Faletehan Health Journal, Maret 2025
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v12i01.731

Approximately 140,000 global child deaths each year are caused by measles, making measles a major focus in public health aspects. In 2021, there were 489 suspected measles cases in DKI Jakarta. In this case, in 2022, Cilincing District contributed 389 measles cases. Measles can be prevented by immunization. Cilincing District has an achievement of 98.3% for the measles immunization program. However, with this achievement, measles cases in Cilincing District are still quite high. This study aims to determine the factors associated with suspected measles cases in toddlers and the completeness of immunization obtained. Cross-sectional is the design in this study with a sample size of 220 taken by purposive sampling. Data analysis was carried out using the chi square test. The results of the analysis in this study found a relationship between the completeness of measles immunization with age (p-value 0.042), education (p-value 0.002), employment (p-value 0.009), attitude (p-value <0.001), availability of health facilities (p-value 0.010), and ease of access (p-value 0.049). However, it is known that the knowledge variable does not have a significant relationship with the completeness of measles immunization. The government and public health programs should target factors that have been proven to have an influence, such as increasing access to services, support for working mothers, and campaigns that form positive attitudes towards immunization.

Peningkatan Mutu Layanan Klinik Spesialis Anak di RSUD Kabupaten Bekasi Melalui Penerapan Metode Lean Tahun 2023 Saputra, Hermawan; Juwita, Wina Ratna; Rachmawati, Emma
Jurnal Pengabdian Harapan Ibu (JPHI) Vol. 7 No. 1 (2025): Jurnal Pengabdian Harapan Ibu (JPHI)
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/jphi.v7i1.975

Abstrak Penerapan lean diperlukan di rumah sakit khususnya di kota-kota besar seperti Bekasi dimana persaingan rumah sakit semakin ketat untuk mendapatkan pasien. Tujuan dari penelitian ini untuk mengidentifikasi waste dan mengimplementasikan lean sebagai usulan perbaikan di Instalasi rawat jalan Klinik Spesialis anak RSUD Kabupaten Bekasi. Penelitian ini menggunakan metode kualitatif dan Value Stream Mapping (VSM) untuk pemetaan aliran proses yang ada di instalasi rawat jalan klinik spesialis anak. Hasil Penelitian menunjukkan sekitar 69,95% masuk dalam kategori NVA (Non Value Added), 29,27% kategori VA (Value Added) dan untuk NNVA sebesar 0,77%. Berdasarkan current value stream mapping menunjukan bahwa untuk melayani satu orang pasien anak membutuhkan waktu 7.469,46 detik. Hasil menunjukan process cycle efficiency hanya sebesar 29,27%. Kesimpulan dari penelitian ini yaitu nilai non value added >30% menunjukkan pelayanan belum efektif, efisien serta terdapat waste. Hasil dari diagram fishbone hal-hal yang mempengaruhi waktu tunggu pasien dan berpotensi menjadi waste dari segi tata letak akar penyebabnya adalah jarak gedung sebagai penentuan layanan dengan pelayanan kasir terlalu jauh. Dari segi sistem informasi permasalahanya penyimpanan rekam medik dan pencatatannya masih manual. Dari peralatan akar penyebab permasalahan antrian yang terjadi adalah kuota pendaftar pasien anak ditiap harinya tidak dibatasi. Dari SDM kurangnya kedisiplinan dan komitmen dokter. Kata kunci : Lean, Waste, Value Stream Mapping, Diagram Fishbone, Waktu Tunggu Abstract The implementation of lean is essential in hospitals, especially in large cities like Bekasi, where competition among hospitals is becoming increasingly intense in attracting patients. The objective of this study is to identify waste and implement lean as a proposed improvement at the Outpatient Installation of the Pediatric Specialist Clinic at Bekasi District General Hospital. This research employs a qualitative method and Value Stream Mapping (VSM) for mapping the existing process flow in the outpatient installation of the pediatric specialist clinic. The results of the study indicate that approximately 69.95% falls into the Non-Value Added (NVA) category, 29.27% into the Value Added (VA) category, and 0.77% into the Non-Non-Value Added (NNVA) category. Based on the current value stream mapping, it shows that serving one pediatric patient takes 7,469.46 seconds. The result indicates a process cycle efficiency of only 29.27%. The conclusion of this study is that the non-value added value of more than 30% indicates that the service is not yet effective, efficient, and there is waste. The results from the fishbone diagram show the factors that influence patient waiting times and have the potential to become waste. From the layout perspective, the root cause is the distance between the service building and the cashier service, which is too far. From the information system perspective, the issue is the manual storage and recording of medical records. From the equipment perspective, the root cause of the queue problem is the lack of a daily limit for pediatric patient registrations. From the human resources perspective, the issue is the lack of discipline and commitment from the doctors. Keywords : Lean, Waste, Value Stream Mapping, Fishbone Diagram, Waiting Time

Ultra Micro Financing (UMi) and Trade Labor: Impacts on GRDP in the Large Trade and Retail Business Field of Bangka Belitung Islands Province (2017-2022) Febriyani, Lintri; Nugroho, Ari Agung; Leksono, Binar Kukuh; Maheswara, Perpetua Westri; Saputra, Hermawan
International Journal of Magistravitae Management Vol. 1 No. 1 (2023): International Journal of Magistravitae Management (IJOMM)
Publisher : Master of Management Department, Faculty of Economics and Business, Universitas Bangka Belitung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33019/ijomm.v1i1.5

Ultra Micro Financing (UMi) aims to provide fast and accessible financing for ultra-micro businesses, fostering government-financed entrepreneurs. UMi Financing’s dominance can influence labor absorption and Gross Regional Domestic Product (GRDP) in the Large Trade and Retail Business Field. This research analyzes the impact of UMi Financing and Trade Labor Absorption on Trade GRDP in Bangka Belitung Islands Province during 2017-2022. Path analysis measures the direct and indirect effects of UMi Financing on Trade GRDP. The findings reveal that UMi financing affects trade and GRDP in Bangka Belitung Islands Province. However, UMi Financing does not directly influence Trade GRDP when mediated by labor. Moreover, UMi Financing and Trade Labor do not significantly impact the GDP of Large Trade and Retail. Limited labor absorption in the trade sector may be attributed to the relatively small capital or financing provided by UMi. Additionally, the absorption of labor in the trade sector does not significantly affect Trade GRDP in the province, as the gross value added in the Large Trade and Retail sectors is influenced by people’s purchasing power, which is still highly dependent on commodity price fluctuations. To bolster GDP growth in the large trade and retail sectors, the government can encourage the distribution of UMi Financing. UMi Financing Distributors should intensify assistance to scale up debtor’s businesses. Diversifying UMi distribution to sectors beyond wholesale and retail trade can also be explored.

Kesesuaian Standar Mutu Pelayanan Kesehatan Penyelenggaraan Ambulans di DKI Jakarta: Compliance With Health Service Quality Standards For Ambulance Operation in Dki Jakarta Saputra, Hermawan
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 2: FEBRUARY 2024 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i2.4780

Latar belakang: Kesehatan adalah investasi dalam mendukung pembangunan ekonomi dan memiliki peran penting dalam upaya penanggulangan kemiskinan. Salah satu tantangan pelayanan kesehatan dasar di Indonesia dan khususnya di wilayah DKI Jakarta ialah layanan Ambulans. Pelayanan ini sangat banyak melibatkan stakeholder dan juga melibatkan peran serta masyarakat secara partisipatif dan peduli sosial (social care). Pada sisi lain, banyaknya ambulans yang beroperasi tersebut diperkirakan tidak semuanya memiliki standar mutu, pengelolaan hingga izin operasional dalam penyelenggaraannya. Pelayanan Ambulans merupakan kebutuhan masyarakat dalam kondisi kedaruratan menuju fasilitas pelayanan kesehatan. Tujuan: Melihat kesesuaian ambulans berdasarkan standarisasi ambulans, mekanisme perizinan, pengawasan hingga integrasi sistem penanganan kegawatdaruratan di DKI Jakarta. Metode: Penelitian ini menggunakan pendekatan kualitatif dengan desk study dan analisa kuantitatif di dapatkan dari analisis data sekunder hasil survey pada Laporan Biro Kesos Setda DKI Jakarta terkait Pemantauan dan Evaluasi Implementasi Peraturan Gubernur Nomor 120 Tahun 2016 Tentang Pelayanan Ambulans Dan Mobil Jenazah. Hasil: Hasil penelitian ini menunjukkan penyelenggaraan pelayanan ambulans di DKI Jakarta sudah hampir seluruhnya sesuai standar. Dari hasil survey Biro Kesos Setda DKI Jakarta pada 148 sampel di dapatkan hasil bahwa hampir seluruhnya memiliki persentase kesesuaian standarisasi berkisar antara 40% - 96%. Kesimpulan: Provinsi DKI Jakarta termasuk contoh sukses upaya penyelenggaraan pelayanan ambulans yang bermutu. Namun dari pelayanan ambulans yang tersedia, masih ada beberapa standar yang belum terpenuhi seperti perizinan, alat kesehatan dan obat-obatan serta GPS.

Faktor-faktor yang berhubungan dengan kelengkapan imunisasi pada balita suspek campak di Puskesmas Kasriani, Kasriani; Listiyaningsi, Erlin; Saputra, Hermawan
Faletehan Health Journal Vol 12 No 01 (2025): Faletehan Health Journal, Maret 2025
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v12i01.731

Approximately 140,000 global child deaths each year are caused by measles, making measles a major focus in public health aspects. In 2021, there were 489 suspected measles cases in DKI Jakarta. In this case, in 2022, Cilincing District contributed 389 measles cases. Measles can be prevented by immunization. Cilincing District has an achievement of 98.3% for the measles immunization program. However, with this achievement, measles cases in Cilincing District are still quite high. This study aims to determine the factors associated with suspected measles cases in toddlers and the completeness of immunization obtained. Cross-sectional is the design in this study with a sample size of 220 taken by purposive sampling. Data analysis was carried out using the chi square test. The results of the analysis in this study found a relationship between the completeness of measles immunization with age (p-value 0.042), education (p-value 0.002), employment (p-value 0.009), attitude (p-value <0.001), availability of health facilities (p-value 0.010), and ease of access (p-value 0.049). However, it is known that the knowledge variable does not have a significant relationship with the completeness of measles immunization. The government and public health programs should target factors that have been proven to have an influence, such as increasing access to services, support for working mothers, and campaigns that form positive attitudes towards immunization.

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