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Utilization of the Chronic Disease Management Program (Prolanis) at Suak Ribee Primary Health Center, Indonesia Osaria Darmayanti; Darmawan Darmawan; Eva Flourentina Kusumawardani; Safrizal Safrizal; Siti Maisyaroh Fitri Siregar
An Idea Health Journal Vol 5 No 03 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i03.504

Abstract

Background: The Prolanis Program at the Suak Ribee Health Center includes monthly health education, biannual supporting examinations, pharmaceutical services (DRR), group exercise sessions, and home visit activities. This study aimed to identify the determinants influencing the utilization of the BPJS Health Prolanis program at the Suak Ribee Health Center.Method: The research was conducted from January 7 to February 7, 2025, involving 66 randomly selected participants using a quantitative cross-sectional design. Data were analyzed through univariate and bivariate analyses using the chi-square test, and multivariate analysis using logistic regression..Result: The results revealed that age (p = 0.048), gender (p = 0.003, OR = 6.167), knowledge (p = 0.042, OR = 3.630), the role of health workers (p = 0.015, OR = 4.750), and family support (p = 0.045, OR = 3.600) were significantly associated with the utilization of Prolanis. Education level, however, showed no significant effect (p = 0.374, OR = 1.875). Gender emerged as the most dominant factor (p = 0.002, OR = 8.930).Conclusion: n conclusion, age, gender, knowledge, the role of health workers, and family support influence the utilization of the Prolanis program, whereas education does not. It is recommended that the Suak Ribee Health Center increase male participation in Prolanis, for example by organizing exercise sessions on weekends or in the afternoon, and by conducting home visits as a separate program to better target less active participants
The Role of the Environmental Agency in Waste Management: A Qualitative Study in West Aceh District Winda Habsi; Darmawan Darmawan; Ernawati Ernawati; Wintah Wintah; Yulizar Kasma
An Idea Health Journal Vol 6 No 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v5i02.539

Abstract

Introduction: The rapid growth of population and economic activity has exacerbated waste management challenges in Indonesia, including in West Aceh Regency. The imbalance between waste generation and the capacity of existing management systems has led to waste accumulation in various locations, particularly in densely populated areas. This study aims to examine the role of the Environmental Agency (DLH) in addressing waste congestionand to identify the supporting and constraining factors that influence the implementation of waste management policies in West Aceh Regency. A qualitative descriptive design with a phenomenological approach was employed to gain an in-depth understanding of the experiences and perceptions of waste management stakeholders. Data were collected through in-depth interviews,field observations, and document review using purposive sampling, involving DLH officials, sanitation workers, and community members. Data analysis was conducted through iterative processes of reduction, presentation, and verification. The findings indicate that the West Aceh DLH plays a strategic role in waste management through the implementation of a controlled landfill system, community education on waste segregation, and strengthened cross- sectoral collaboration such as waste bank initiatives and communal clean-up activities. However, policy effectiveness remains constrained by limitedfacilities and infrastructure, insufficient human resources, and low community participation in fee payment and waste sorting practices. In conclusion, successful waste management in West Aceh requires greater synergy among institutional capacity, regulatory support, and community-based social awareness to ensure sustainable waste governance.