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Implementasi Penemuan Kasus TB di Puskesmas Sikumana Kota Kupang Priska Agustina W. Thegu; Serlie K.A. Littik; Rina Waty Sirait
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 5 No. 3 (2026): Juli 2026
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v5i3.7762

Abstract

Tuberculosis (TB) remains a global health problem and is a leading cause of death from infectious diseases. At the local level, TB cases at the Sikumana Community Health Center in Kupang City have fluctuated, with 134 cases in 2022, increasing to 150 cases in 2023, then declining to 147 cases in 2024 and 133 cases in 2025. This situation highlights the need to strengthen TB case finding efforts in primary healthcare facilities to support TB control. This study aims to analyze the implementation of TB case finding at the Sikumana Community Health Center in Kupang City based on aspects of communication, resources, disposition, and bureaucratic structure. This study used a qualitative method with a descriptive approach. Six informants were selected purposively. Data were collected through in-depth interviews and documentation, then analyzed thematically. The results indicate that the implementation of TB case finding at the Sikumana Community Health Center has been quite successful. Policy communication was implemented through outreach and education, supporting the understanding of program implementers. While resources in the form of facilities and infrastructure are adequate, the number of health workers remains limited, resulting in suboptimal active case detection. The disposition of health workers demonstrates commitment and adherence to standard operating procedures (SOPs). The bureaucratic structure is supported by clear SOPs and service flows, but community participation in active screening remains low, resulting in suboptimal case detection. It was concluded that the implementation of TB case detection at the Sikumana Community Health Center has been quite successful, but human resources and community involvement are needed through increased active case detection, expanded door-to-door screening, and strengthened coordination with sub-districts, health workers, and the community.
Evaluasi Pelaksanaan Program Pengendalian Penyakit Demam Berdarah Dengue di Puskesmas Sikumana Kota Kupang Stefania Delianti Cibolin; Serlie K.A. Littik; Dominirsep O. Dodo
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 5 No. 3 (2026): Juli 2026
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v5i3.8107

Abstract

Dengue Hemorrhagic Fever (DHF) remains a public health concern in Kupang City, particularly in the working area of Sikumana Community Health Center (Puskesmas), which recorded 23 cases and 1 death in 2023, 46 cases in 2024, and 18 cases in 2025. This study aimed to evaluate the implementation of the Dengue Hemorrhagic Fever Prevention and Control Program (P2DBD) at Sikumana Puskesmas. A qualitative descriptive method with a case study approach was employed, utilizing in-depth interviews and documentation involving four informants. Data analysis was conducted through the stages of data collection, reduction, presentation, and conclusion drawing. The results revealed that the input components were reasonably adequate, including sufficient and well-trained human resources, as well as methods aligned with the Ministry of Health guidelines. However, infrastructure remained incomplete, notably the absence of fogging machines and limited abate stock. Funding was sourced from the Health Operational Assistance (BOK) allocated for abate procurement, fogging, and transportation. Regarding the process aspect, program implementation was not yet optimal, as indicated by suboptimal fogging activities, low community participation in larval nest eradication (PSN), insufficient understanding of abate usage, and address-related obstacles hindering epidemiological investigations. Program outputs also fell short of targets, with the Larva-Free Rate (ABJ) below 95% and household PSN coverage below 90%. Overall, the implementation of the P2DBD program was considered reasonably good; however, its effectiveness has not been fully achieved. Improvements are needed in community education, PSN monitoring, abate availability, as well as data management and cross-sector coordination.
Analisis Faktor yang Mempengaruhi Kesejahteraan Perawat di Ruang Rawat Inap RSUD Prof. Dr. W. Z. Johannes Kupang Sandri Triesa Dastri Frans; Serlie K.A. Littik; Yendris Krisno Syamruth; Fransiskus Geroda Mado; Imelda F.E Manurung
MAHESA : Malahayati Health Student Journal Vol 6, No 7 (2026): Volume 6 Nomor 7 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i7.23654

Abstract

ABSTRAK Perawat jumlahnya terbesar dirumah sakit yakni sekitar 40% - 60%, dan mempunyai peran fundamental yang luas selama 24 jam sehari di rumah sakit. perawat harus di perhatikan kesejahteraannya secara subjektif, psikologis dansosial agar dapat melakukan pekerjaannya dengan optimal. Penelitian ini bertujuan untuk menganalisis pengaruh faktor-faktor yang mempengaruhi kesejahteraan perawat yakni beban kerja, imbalan, lingkungan kerja dan hubungan interpersonal. Metode penelitian menggunakan desain cross sectional, dilakukan pada bulan Mei 2025. Sampel penelitian sebanyak 66 perawat dengan pengumpulan data menggunakan kuisioner dan dianalisa menggunakan uji regresi ordinal. Hasil penelitian menunjukan sebagian besar perawat memiliki tingkat kesejahteraan yang sejahtera 74,2%, beban kerja sedang 45,5%, imbalan sedang 45,5%, lingkungan kerja baik 93,9% dan hubungan interpersonal yang baik 100%. Faktor yang mempengaruhi kesejahteraan perawat yakni faktor beban kerja (0,000 0,05) dan faktor imbalan (0,006 0,05). Faktor yang paling dominan mempengaruhi kesejahteraan perawat adalah faktor imbalan dengan nilai OR 1,712, yang berarti perawat dengan imbalan lebih tinggi memiliki kemungkinan memperoleh kesejahteraan 1,712 kali lebih tinggi. Rekomendasi yang diajukan adalah manajamen rumah sakit dapat secara rutin mengevaluasi dan menyesuaikan sistem imbalan gaji, tunjangan dan jasa dengan pembagian secara adil sesuai dengan beban kerja untuk meningkatkan kesejahteraan subjektif, psikologis dan sosial perawat. Kata Kunci: Beban Kerja, Hubungan Interpersonal, Imbalan, Kesejahteraan, Lingkungan Kerja, Perawat.  ABSTRACT Nurses make up the largest number of staff in hospitals, approximately 40% - 60%, and they play a broad fundamental role 24 hours a day in hospitals. Nurses' well-being must be taken care of so that they can perform their duties optimally. This study aims to analyze the influence of factors affecting nurses' well-being, namely workload, rewards, work environment, and interpersonal relationships. The research method used a cross-sectional design, conducted in May 2025. The study sample consisted of 66 nurses, with data collection using questionnaires and analysis using ordinal regression tests. The research results show that the majority of nurses have a prosperous level of well-being at 74.2%, a moderate workload at 45.5%, moderate rewards at 45.5%, a good work environment at 93.9%, and good interpersonal relationships at 100%. Factors that affect nurses' well-being are workload factors (0.000 0.05) and reward factors (0.006 0.05). The factor that most dominantly affects nurses' well-being is the reward factor with an OR value of 1.712, meaning that nurses with higher rewards are 1.712 times more likely to achieve well-being. The recommended action is that hospital management can routinely evaluate and adjust the salary, allowance, and service reward systems fairly according to workload distribution to improve nurses' subjective, psychological, and social well-being. Keywords: Interpersonal Relationships, Nurse, Reward, Well-Being, Workload, Work Environment.
Gambaran Perencanaan Program Pengendalian Penyakit Tuberkulosis (TB) Paru di Puskesmas Sikumana Kota Kupang Tahun 2023 Maria Vivianty Djawa; Serlie K.A. Littik; Rina Waty Sirait
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 4 No. 4 (2025): Oktober 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v4i4.5408

Abstract

Pulmonary tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis, often leading to illness, disability, and death. Sikumana Health Center, Kupang City, recorded the highest TB cases with 140 cases in 2023, indicating that the control program has not been fully effective. This study aimed to describe the planning of the TB control program at the health center in 2023. A qualitative approach was used through in-depth interviews and documentation, involving four informants. Data were analyzed through collection, reduction, presentation, and conclusion. The findings show that human resources in the TB clinic are still limited, causing service gaps when the person in charge is absent. Facilities and infrastructure are adequate, and the planning stages—preparation, situation analysis, problem formulation, and drafting of RUK and RPK—have been carried out properly. However, challenges such as wide service coverage and community stigma that TB is hereditary may hinder treatment. The output consists of RUK and RPK documents, and the health center needs to strengthen education and counseling to improve public knowledge about TB.
Faktor - Faktor yang Berhubungan dengan Pemanfaatan Posyandu Lansia di Wilayah Kerja UPT Puskesmas Noemoke Tahun 2024 Vienelda Selan; Rina Waty Sirait; Masrida Sinaga; Serlie K. A. Littik
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 4 No. 3 (2025): Juli 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v4i3.5580

Abstract

Elderly Posyandu is a community-based health service that emphasizes promotive and preventive care for older adults. However, its utilization remains low in some areas. According to data from Noemuke Health Center, the attendance rate at Elderly Posyandu was 60% in 2021, increased to 70% in 2022, but sharply declined to 40% in 2023, falling far below the minimum service standard of 80%. This study aims to identify the factors associated with the utilization of Elderly Posyandu in the working area of Noemuke Health Center in 2024. This is a quantitative study using an analytical survey with a cross-sectional design. A total of 96 respondents were selected through simple random sampling from a population of 5,023 elderly individuals. Data were collected using structured questionnaires and analyzed with univariate and bivariate analysis using the chi-square test at a significance level of 0.05. The univariate analysis showed that most respondents had low knowledge (57.3%), negative attitudes (59.4%), lacked family support (58.3%), and lived far from the Posyandu (69.8%). The bivariate analysis found significant relationships between knowledge, attitude, family support, and distance to services with the utilization of Elderly Posyandu (p < 0.05). It is recommended that health centers improve regular education and outreach to both the elderly and their families, especially in remote areas. Family involvement and community engagement are also crucial to enhance participation. Further research should explore other potential factors such as socioeconomic status and the role of community leaders in influencing the utilization of Elderly Posyandu.
Tinjauan Pelaksanaan Program Pengelolaan Penyakit Kronis (Prolanis) pada Kejadian Hipertensi di Wilayah Kerja Puskesmas Oesapa Tahun 2024 Jayanti Wake Lulu; Serlie K. A. Littik; Rina Waty Sirait
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 4 No. 3 (2025): Juli 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v4i3.5634

Abstract

Chronic disease is a major health problem that causes death worldwide, one of which is hypertension. Based on data from the Oesapa Health Center, the number of hypertension cases in 2024 was recorded at 58.96%, so it has not yet reached the set target. This study aims to determine the review of the implementation of the chronic disease management program (Prolanis) in the working area of Puskesmas Oesapa. The type of research used is qualitative with a descriptive approach. Data collection was done through in-depth interviews with 4 informants. The results of this study indicate that 1) input, the quantity of health workers is sufficient. In quality, health workers have competencies equipped with STRs, funds budgeted for prolanis activities are purely from BPJS, medical devices are still lacking, have SOPs on prolanis program services. 2) Process, before carrying out activities, a meeting is held first for planning the prolanis program, the implementation of activities runs according to the SOP, monitoring of recording and reporting is not optimal so that program coverage has not reached the set target. 3) Output, the Prolanis Program is right on target but the program coverage has not yet reached the predetermined indicators. The results of this study suggest that health workers must make home visits and monitor prolanis participants to routinely consume the drugs given and provide an understanding of the importance of maintaining a good and healthy lifestyle.
Evaluasi Program Penanggulangan ISPA di Puskemas Sikumana Serlie K.A. Littik; Elnike Putri Dju Nina; Rina Waty Sirait
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 4 No. 4 (2025): Oktober 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v4i4.5739

Abstract

Acute respiratory infections are the leading cause of morbidity and mortality from infectious diseases in the world. ARI is the most common disease in outpatients at Puskesmas Sikumana, Kupang City with a percentage of 43%, in 2023. The purpose of this study was to determine the evaluation of the ARI Management Program at Puskesmas Sikumana. This research is a qualitative research that produces descriptive data in the form of descriptions and written or spoken words from information and observedbehavior. The selection of informants in this study was carried out using purposive sampling method. The results showed that the Input variable showed that there were 5 health workers involved in the ARI program, facilities and infrastructure supporting ARI in the Puskesmas Sikumana working area were less equipped with ventilator facilities but there was routine maintenance and care. In the process variable, the preparation of the program plan is carried out by the planning team at the Puskesmas every year. There is also a way to determine the status of people with ARI. In addition, there is monitoring of the ARI prevention program which is carried out every 3 months and there is mandatory recording and reporting every month and every year. The Output variable shows that there are strategies so that the program is right on target. In the implementation of the program, there are factors that influence. To improve the human resources of health workers at the Puskesmas, special training is always held to improve the human resources of health workers. The conclusion of this research is that inadequate input affects the process so that the output of ARI disease management at Puskesmas Sikumana has not achieved success. Facilities and infrastructure should be provided, especially ventilators to support the implementation of the ARI program.
Faktor-Faktor yang Berhubungan dengan Pencapaian Cakupan Imunisasi Dasar Lengkap pada Bayi di Puskesmas Ba’a Kabupaten Rote Ndao Santi Batu Sariana Kadja; Serlie K. A. Littik; Yuliana Radja Riwu
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 4 No. 4 (2025): Oktober 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v4i4.6205

Abstract

Immunization is an effort to increase a person's immune system to avoid disease. Complete basic immunization coverage in 2018-2022 at the Ba'a Community Health Center experienced a significant decline and tended to be low so that it did not reach the 90% strategic plan target. The purpose of this study was to identify events related to the achievement of complete basic immunization coverage for infants at the Ba'a Community Health Center. The type of research used was quantitative with a cross-sectional study design. The age of the infants in this study ranged from 10-12 months, and the respondents were mothers of infants residing in the Ba'a Community Health Center work area. The sampling technique used purposive sampling, a sample of 72 respondents. The data obtained were analyzed using the chi-square test. The test results show that there is a relationship with a sufficient level of correlation between the variables of knowledge (0.018; r = 0.343), attitude (0.004; r = 0.384), distance (0.010; r = 0.340) and family support (0.026; r = 0.322), with the completeness of basic immunization in infants, while the support of health workers has a very weak level of correlation (0.554; r = 0.118) so that there is insufficient evidence to accept that there is a relationship between the support of health workers and the completeness of basic immunization in infants. It is recommended that the husband/family be willing to accompany the mother to the immunization site and provide motivation for the mother.
Tinjauan Pelaksanaan Standar Pelayanan Minimal pada Penderita Diabetes Melitus di Puskesmas Oesapa Kota Kupang Tahun 2024 Cesilia Eleonora Molo; Serlie K.A. Littik; Rina Waty Sirait
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 4 No. 4 (2025): Oktober 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v4i4.6572

Abstract

Diabetes Mellitus is a non-communicable disease that causes high morbidity and mortality, thus requiring proper and serious handling and treatment efforts. Data from the Kupang City Health Office shows that the Oesapa Community Health Center is the community health center with the highest cases of DM in Kupang City with a low achievement of 65.4% of the Oesapa Community Health Center's target of 100%. This study aims to determine the implementation of Minimum Service Standards (SPM) for diabetes mellitus patients at the Oesapa Community Health Center in Kupang City in 2024. This type of research is a qualitative descriptive study with 6 informants using a purposive technique. The results of the study indicate that input elements in the aspect of human resource availability have met the standards, sufficient funds, BMHP and medicines are available and examination tools such as glucometer tests are available. The service method provided is in accordance with the SOP. The market or target is in accordance with service standards, monitoring and evaluation are running well. The implementation of SPM at Oesapa Health Center has not reached 100% due to uneven training, unavailability of insulin, inconsistency of patients in conducting routine check-ups at Oesapa Health Center and late reporting from health posts due to low awareness of officers and busy daily services so that they do not input data on time. Therefore, the researcher suggests that the health center improve training for health workers, increase patient awareness through education, and establish a routine reporting schedule.
Edukasi Dan Praktik Kebersihan Diri (Personal Hygiene) Saat Menstruasi Pada Remaja Putri Di Wilayah Lahan Kering Serlie K.A. Littik; Noorce C. Berek; Christina R. Nayoan; Pius Weraman
AMMA : Jurnal Pengabdian Masyarakat Vol. 5 No. 6 : Juli (2026): AMMA : Jurnal Pengabdian Masyarakat
Publisher : CV. Multi Kreasi Media

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

Abstract

Personal hygiene is an essential aspect of health that should be maintained by everyone, including adolescent girls. Proper personal hygiene is particularly important during menstruation to prevent reproductive tract infections and other reproductive health problems. In addition, the regular monthly menstrual cycle in adolescent girls is closely associated with efforts to maintain stable hemoglobin levels and prevent anemia. However, many adolescent girls have insufficient knowledge regarding menstrual hygiene management and anemia prevention. Similar challenges related to inadequate knowledge and practices of personal hygiene, as well as poor adherence to iron and folic acid supplementation (IFAS), were identified among female students at SMP Negeri 1 Kupang Tengah, Kupang Regency, East Nusa Tenggara Province, Indonesia. This community service program aimed to improve knowledge and practices related to menstrual personal hygiene and to enhance motivation for regular IFAS consumption among adolescent girls at SMP Negeri 1 Kupang Tengah. The activities included health education sessions, group discussions, and demonstrations on menstrual personal hygiene; measurements of height and weight; hemoglobin screening; simultaneous distribution and supervised consumption of IFAS tablets; and the provision of hygiene kits containing sanitary pads and reusable water bottles. The results of the program demonstrated improved knowledge and strengthened commitment among the students to practice proper menstrual hygiene and to consume IFAS tablets regularly. Furthermore, teachers expressed their willingness to mentor the adolescent health peer group established following the program. The active participation of both students and teachers in this peer health group is expected to play a crucial role in ensuring the sustainability of the program outcomes.
Co-Authors Adu, Apris Allda Manoeain Amelya Betsalonia Sir Anderias Umbu Roga Andhrea Mesakh andiawa, maria asti Andreastra, Agustinus Putu Angie Oneng Muni Anin, Elvitta Eunike Belutowe, Oktaviana Ben Vasco Tarigan Berek, Norce Ch. Buky, Hendrosius Endo Cesilia Eleonora Molo Chrisanta Oktaviane Daria Dadus Christin Rony Nayoan Christina Rony Nayoan Dara, Wilhems Datu K. Tandirura David B.W. Pandie Delprison Ndula Ratu Dian Lestari Anakaka Diana Aipipidely Dodo, Dominirsep Ovidius Dominirsep O. Dodo Domnirsep O. Dodo Elnike Putri Dju Nina Engge, Elisabeth Tresia Enjelita Mariance Ndoen Fransiskus G. Mado Fransiskus Geroda Mado Hana, Elvira Olfriane Tanggu Helga Jilvera Nathalia Ndun Hinga, Indrianti A. Tedju Idawati Trisno Jacob Matheos Ratu Jayanti Wake Lulu Jesica Angelina Dua Meak Juliatri P. D. Ledo Junias, Marylin S. Junias, Marylin Susanti Keron, Maria Sahra Kikhau, Adriana M. O. Lahur, Florensia Anggeli Leba, Yohanis Muliarta Lewi Jutomo Liliweri, Aurelia Maria Limbu, Ribka M. Dinah Ch. Lerik Mado, Fransiskus G. Mado, Fransiskus Geroda Mage, Mernon Yerlinda Carlista Manafe, Ovlian Afri Manoe, Lafelia Mertanzha Manurung, Imelda Februati Ester Maria Agustina Lebho Maria Indrawati Dairo Lede Maria Vivianty Djawa Marni Marni, Marni Masrida Sinaga Mikael M. Reca Monika Bonlay More, Yohana F Muda, Wina Jensisca Muntasir, Muntasir Napitupulu, Melissa Putri M. Noorce Christiani Berek Paulinus Beda Huar Priska Agustina W. Thegu Purba, Sondang Rahmawati, Eka Muftiana Ramses Elim Ramses Victor Elim Regaletha, Tadeus A. L. Rina Waty Sirait Rinawaty Sirait Riwu, Yuliana Radja S. P. Manongga S.P. Manongga Salesaman, Frans Sandri Triesa Dastri Frans Sani, Aurelia Melan Santi Batu Sariana Kadja Sinaga, Masrida Sirait, Rina Waty Sirik, Maria Prisila Soni Doke Stefania Delianti Cibolin Stefanus P Manongga Sugi D. P. Soegianto Talahatu, Anna Teuf, Ary Kurniati Thien, Alesandro Delvicchio Tupa, Yerikho Vienelda Selan Weraman, Pius Werawan, Pius Wijaya, R. Pasifikus Christa Ximenes, Gracieth Tomas Correia Dias YENDRIS K SYAMRUTH Yeni Damayanti Yofandri Thobias Tallo Yopinsias Endi Langga Yoseph Kenjam Yudhisinta Missa