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All Journal Lontar : Journal of Community Health Media Kesehatan Masyarakat Jurnal Ilmiah Kesehatan Masyarakat Sehat Rakyat: Jurnal Kesehatan Masyarakat Jurnal Riset Ilmu Kesehatan Umum dan Farmasi Borneo Nursing Journal
Rina Waty Sirait
Universitas Nusa Cendana
Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary

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Satisfaction Level of Clients in DMPA Injectible Contraceptive Service at Baumata Health Care, Kupang District Friska Rosiana Atolo; Tadeus A. L. Regaletha; Rina Waty Sirait
Media Kesehatan Masyarakat Vol 4 No 2 (2022): Media Kesehatan Masyarakat (Agustus)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v4i2.4149

Abstract

Satisfaction is a form of one's feelings after experiencing service quality that has met expectations. Health services, especially family planning, is expected to meet the needs of acceptors. However, there are complaints from acceptors related to the service of injectable contraceptive received. These complaints are related to the comfortability of the waiting room, the condition of the family planning room that is still not neatly arranged, and the lack of family planning equipment. The measurement of acceptor satisfaction needs to be carried out regularly, accurately and continuously through a satisfaction survey. This study aims to determine the level of acceptor satisfaction with Depo-Medroxyprogesterone Acetate (DMPA) injection family planning at Baumata Health Center, Kupang Regency. The study was a survey with a quantitative approach. This study had a population of 74 people. A sample of 43 people were selected using proportional random sampling technique. The data were analyzed using the Importance Performance Analysis (IPA) method. The results showed that acceptors were satisfied for the tangible dimension (88.4%), and very satisfied for the dimension of reliability (95.5%), responsiveness (95.3%), assurance (94.5%) and empathy (96.5%). The health center needs to improve the service quality of injectable contraceptives by ensuring the availability of related devices, timeliness in the service provision, and complete preparation of the injectable birth control equipment.
Determinants of Perinatal Death in The Work Area of Sikumana Health Center in Kupang City Posidius Eriksius Soli Wele; Anna Henny Talahatu; Rina Waty Sirait
Media Kesehatan Masyarakat Vol 4 No 2 (2022): Media Kesehatan Masyarakat (Agustus)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v5i1.4461

Abstract

Perinatal death is defined as fetal mortality at 28 weeks or more of pregnancy, as well as infant death within the first seven days of life. Pregnant women's nutritional status is one indicator that can be used to assess the risk of perinatal mortality. The goal of this research was to look at the factors determining perinatal death in the Sikumana Health Center Work Area in Kupang City. An analytic survey with a case-control design was used in this study. This study was conducted in the Sikumana Health Center's working region in Kupang City in November - December 2020. The study population was divided into two groups, the case population was mothers with cases of perinatal death totaling 38 people and the control population was mothers who had live births totaling 1,118 people. The sample consisted of 114 people grouped with 1:2 ratio of 38 cases and 76 controls. The sample was selected using simple random sampling. The results showed that there was an effect of hemoglobin level (p-value=0.000) and upper arm circumference (p-value=0.000) with perinatal mortality. Pregnant women need to increase their knowledge about balanced nutrition by accessing information from health media and consulting health workers at the nearest health facility.
Factors Related to The Performance of Health Workers at The Inerie Public Health Center, Ngada Regency Theofilus Suri; Erny Erawati Pua Upa; Rina Waty Sirait
Media Kesehatan Masyarakat Vol 4 No 2 (2022): Media Kesehatan Masyarakat (Agustus)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v4i2.4852

Abstract

Performance is a person's success during a certain period in doing work according to work standards and targets or targets that have been mutually agreed upon. Performance is influenced by various factors including work motivation, work environment, rewards, work discipline, and organizational culture. This study aims to identify factors related to the performance of health workers at the Inerie Public Health Center, Ngada Regency in 2020. The method used in this study is a quantitative study using a cross-sectional approach. The sample size is 35 people. The data were analyzed by univariate and bivariate and tested by chi-square statistical test. The results showed that there was a relationship between the work performance of health workers (0.001), awards (0.002), work environment (0.003), work discipline (0.027), organizational culture (0.031) with the performance of health workers at the Inerie Public Health Center, Ngada Regency. The performance of health workers at the Inerie Health Center has been good in providing services to the community.
The Factors Related to The Utilization of Antenatal Care Services in Oesapa Community Health Center Joece Paulin Rambu Loda; Masrida Sinaga; Rina Waty Sirait
Lontar : Journal of Community Health Vol 4 No 4 (2022): Desember 2022
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/ljch.v4i4.5948

Abstract

Efforts to prevent maternal death are carried out by utilizing ANC services to keep the condition of the mother and fetus healthy and to detect earlier the high risks and abnormalities during pregnancy. In 2020 the number of pregnant women increased but there was a decrease in ANC visits by 9.7% K1 and by 8.5% K4 at Puskesmas Oesapa. The decreasing coverage of antenatal care shows the low utilization of ANC services by pregnant women. The purpose of this study was to determine the facts related to using ANC services at Puskesmas Oesapa. This type of research is quantitative with a cross-sectional study design. This research was conducted at the Puskesmas Oesapa, with a sample of 80 mothers who gave birth in 2021, and used a purposive sampling technique. Data was collected using an interview with a questionnaire. The data analysis used was univariate and bivariate with a chi-square statistical test. The results showed that the variables that had a relationship with the use of ANC services were occupation (95% CI 0,004 = to 0,007;ρ-value = 0.006), family support (95% CI = 0,002 to 0,004; ρ-value = 0.003), a distance of residence (95% CI = 0,008 to 0,011; ρ-value = 0.011). Meanwhile, the mother's condition variable (95% CI = 0,435 to 0,455; ρ-value= 0.471) has no relationship to the use of ANC services at Puskesmas Oesapa. It is expected that mothers check their pregnancies regularly to detect early complications in pregnancy and that health workers can improve health promotion related to the utilization of ANC.
Faktor-Faktor Yang Berhubungan dengan Penggunaan Alat KB di Wilayah Kerja Puskesmas Naibonat Tahun 2021 Sunia Tungga; Yoseph Kenjam; Rina Waty Sirait
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 1 (2023): Januari 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i1.1069

Abstract

Family planning is an effort that regulates the number of pregnancies, can use hormonal contraception. Hormonal contraceptives injections in Indonesia are increasingly used because of their effective work, practical use, relatively cheap and safe prices. However, the injection contraception has side effects, namely menstrual disorders and slow fertility in the use of tri -month injection birth control for a long time. Several factors related to the contraception, This includes education, work, knowledge, and support of the husband. The purpose of this study was to determine the factors related to the use of injecting  contraceptives the Naibonat  Health Center in 2021. This study was analytic with cross-sectional design using primary data, namely questionnaires and secondary data from the KB register record for the January-December 2020. Simple random sampling as many as 58 people Data analysis using the Chi-Square statistical test with  an error rate of 10%. The results showed a significant relationship with the use of injectable birth control is education (p-value = 0.001 <0.05), knowledge (p-value = 0.024 <0.05) and husband's support (p-value = 0,000< 05). While work has no relationship with the use of injection family planning(pvalue=0.692>0.05). The Naibonat Health Center can increase health promotion and health motivation through IEC (communication, information, and education) regarding family planning and contraceptives. To increase public knowledge about family planning and contraceptives self so that they can open community outlook and eliminate negative issues that develop in the community and suggest using long-term contraceptive methods (MKJP) such as implants, IUD, and more effective sterilization.
Hubungan Status Akreditasi Puskesmas dengan Tingkat Kepuasan Pasien Rawat Jalan di Puskesmas Borong Kabupaten Manggarai Timur Bernadina Alfionita; Rina Waty Sirait; Tasalina Y P Gustam
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 5 No. 1 (2026): Januari 2026
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v5i1.7248

Abstract

Accreditation of community health centers (Puskesmas) is a systematic effort to improve the quality of health services through the fulfillment of established standards. Borong Community Health Center, which has achieved Main (Utama) Accreditation, is expected to provide high-quality services that positively influence patient satisfaction. This study aims to determine the relationship between accreditation status and patient satisfaction, assessed through five dimensions of service quality (SERVQUAL), namely tangibles, reliability, responsiveness, assurance, and empathy. This research used a quantitative method with a cross-sectional design. The sample consisted of 90 respondent, selected using accidental sampling. Data were collected through a structured questionnaire and analyzed using the Chi-Square test with SPSS software. The results showed a significant relationship between accreditation status and patient satisfaction in the dimensions of reliability (p = 0.002), responsiveness (p = 0.004), and assurance (p = 0.001). Meanwhile, the dimensions of tangibles (p = 0.802) and empathy (p = 0.202) did not show a significant relationship with patient satisfaction. These findings indicate that Main Accreditation primarily enhances service quality related to service consistency, responsiveness, and assurance, whereas physical facilities and empathetic interactions have not become dominant determinants of satisfactio. In conclusion, Main Accreditation contributes to improved patient satisfaction mainly through strengthening service processes, rather than through improvements in physical aspects or interpersonal interactions. It is recommended that the health center continue to enhance the tangibles and empathy dimensions to further improve overall service quality.
Pengobatan Tradisional Dalam Politik Kesehatan Di Kabupaten Alor Siti Khadijah Adang Djaha; Rina Waty Sirait; Tasalina Y.P. Gustam; Dominirsep O. Dodo
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.914

Abstract

Penelitian ini bertujuan untuk menganalisis politik kesehatan dalam pengobatan tradisional di Kabupaten Alor, khususnya terkait kebijakan, implementasi, serta faktor-faktor yang memengaruhi pelaksanaannya. Pengobatan tradisional masih menjadi bagian penting dalam sistem pelayanan kesehatan masyarakat, terutama di wilayah dengan keterbatasan akses terhadap layanan kesehatan modern, namun implementasi kebijakan nasional di tingkat daerah belum berjalan optimal. Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus. Informan penelitian meliputi praktisi pengobatan tradisional, masyarakat, serta pemangku kebijakan seperti Dinas Kesehatan dan DPRD yang dipilih melalui teknik purposive dan snowball sampling hingga mencapai kejenuhan data. Pengumpulan data dilakukan melalui wawancara mendalam, observasi, dan studi dokumentasi, kemudian dianalisis secara tematik menggunakan teori implementasi kebijakan Van Meter dan Van Horn serta model Edwards III. Hasil penelitian menunjukkan bahwa implementasi kebijakan pengobatan tradisional di Kabupaten Alor belum optimal, ditandai dengan belum adanya regulasi daerah khusus, keterbatasan anggaran, lemahnya komunikasi antarorganisasi, serta belum tersedianya sistem pendataan, perizinan, dan pengawasan yang terstruktur. Selain itu, tingginya pemanfaatan pengobatan tradisional oleh masyarakat belum diimbangi dengan dukungan kebijakan yang memadai. Disimpulkan bahwa implementasi kebijakan pengobatan tradisional di Kabupaten Alor masih menghadapi kendala pada aspek kebijakan, sumber daya, dan kelembagaan sehingga diperlukan komitmen pemerintah daerah dalam menyusun kebijakan lokal, meningkatkan anggaran, serta memperkuat koordinasi lintas sektor guna mendukung integrasi pengobatan tradisional dalam sistem kesehatan.
Faktor- Faktor yang Berhubungan dengan Keaktifan Kader Posyandudi Wilayah Kerja Puskesmas Sonraen Kecamatan Amarasi SelatanTahun 2025 Jurnia Nggai; Rina Waty Sirait; Dominirsep O. Dodo; Masrida Sinaga
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 4 No. 3 (2026): Juli: Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v4i3.1066

Abstract

Posyandu cadre activity is a crucial factor in supporting the success of maternal and child health services at the community level. However, the level of cadre activity varies and is influenced by various factors. This study aims to determine the factors associated with Posyandu cadre activity in the working area of the Sonraen Community Health Center. This study used a quantitative design with a cross-sectional approach, conducted from November to December 2025. The population in this study was all 135 Posyandu cadres spread across 27 Posyandus, with a sample of 53 respondents selected using simple random sampling. Data were collected using a questionnaire and analyzed univariately and bivariately using chi-square tests. The results showed that the majority of cadres were active (67.9%). Cadres with good knowledge (71.7%), good motivation (67.9%), good support from health workers (71.7%), and good community support (73.6%). The chi-square test results showed a significant relationship between knowledge (p=0.003), motivation (p=0.000), support from health workers (p=0.002), and community support (p=0.001) and Posyandu cadre activity. The conclusion of this study is that there is a significant relationship between knowledge, motivation, support from health workers, and community support and Posyandu cadre activity in the Sonraen Community Health Center (Puskesmas). It is recommended that the Puskesmas improve guidance and training, and strengthen cross-sectoral support to increase cadre activity.
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.
Overview of the Implementation of the Chronic Disease Management Program at Oebobo Community Health Center, Kupang City Maria Alfonsa Pera; Tasalina Yohana Parameswari Gustam; Rina Waty Sirait; Pius Weraman
Media Kesehatan Masyarakat Vol 8 No 1 (2026): Media Kesehatan Masyarakat (April)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v8i1.23843

Abstract

Hypertension and diabetes mellitus are non-communicable diseases that are the main cause of death in the world, including in the work area of the Oebobo Health Center, Kupang City. The high number of cases of these two diseases encourages the implementation of the Chronic Disease Management Program (prolanis) as a strategic effort to improve the quality of life of sufferers. This study aims to describe the implementation of prolanis in the Oebobo Health Center based on a system approach that includes input, process, and output elements. This study uses a qualitative approach with a case study design. The informants consisted of health workers managing prolanis and program participants with hypertension and diabetes mellitus. Data collection techniques include in-depth interviews, observations, and thematically analyzed documentation. The results of the study show that the implementation of prolanis is supported by sufficient and competent human resources, adequate educational facilities and methods, and assessed educational materials. Core activities include medical consultations, group education, prolanis gymnastics, and home visits. The output of this program includes controllable diseases thus reducing the risk of pain and improving health status. However, obstacles were found such as the limitation of health workers if there were enough participants, irregular attendance, and lack of facilities to support physical activities such as education rooms and gymnastics. In conclusion, the implementation of prolanis at the Oebobo Health Center went quite well and had a positive impact on the participants, although there are still challenges that need to be overcome immediately to achieve optimal results.
Co-Authors Anggreany Dean R. Manu Bernadina Alfionita Cesilia Eleonora Molo Clarita de Santalica Ximenes Desnel Natalia Lende Dodo, Dominirsep Ovidius Elnike Putri Dju Nina Erni E. Pua Upa Erny Erawati Pua Upa Frans Geroda Mado Friska Rosiana Atolo Gabriela Deviana Mamo Galuh W. K. D. Larasati Gracewati Rambu Ladu Day Honcy Ernesta Nomeni Indriati Andolita Tedju Hinga Jayanti Wake Lulu Joece Paulin Rambu Loda Jurnia Nggai Karolina Lawan Maria Alfonsa Pera Maria Vivianty Djawa Masrida Sinaga Muntasir, Muntasir Nurulsiam Siwa Salasim Patricia Adhica Ahoinnai Posidius Eriksius Soli Wele Priska Agustina W. Thegu Regaletha, Tadeus A. L. Romeo, Petrus Serlie K.A. Littik Siti Khadijah Adang Djaha Sunia Tungga Talahatu, Anna Henny Tasalina Y P Gustam Tasalina Y.P. Gustam Tasalina Yohana Parameswari Gustam Theofilus Suri Try Sutyo Sanjaya Pali Vienelda Selan Weraman, Pius Yosefina Jelina Yoseph Kenjam Yulia Herda Hadjon