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Challenges in Implementing POSBINDU PTM with Limited Resources: an Evaluative Study Armini, Ni Kadek; Sudirman, Sudirman; Parmi, Parmi; Eka Susianawati, Desak
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 11 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i11.414

Abstract

Introduction: The increase in the prevalence of non-communicable diseases (NCDs) in Indonesia, including in Sigi District, Central Sulawesi Province, has prompted the need to strengthen early detection services through the POSBINDU NCD Program. Objective: To identify obstacles to the implementation of POSBINDU in the working area of the Kaleke Community Health Center. Method: Using a qualitative descriptive approach based on the framework of input, process, and output aspects. Data collection was conducted through in-depth interviews with four key informants involved in POSBINDU PTM. Result and Discussion: The results of the study indicate that the constraints include limited funding that is entirely dependent on Health Operational Assistance (BOK), low quality of human resources due to a lack of ongoing training, and facilities without adequate maintenance support. In addition, the implementation of POSBINDU activities has not been consistent with standard operating procedures and the simultaneous use of manual and digital recording systems. Furthermore, low participation among the productive age group is attributed to rigid schedules and non-strategic activity locations, compounded by equipment limitations that affect the completeness of services. Conclusions: This study concludes that POSBINDU PTM has limitations in terms of structural readiness, human resource quality, and adequate logistical support.
Multifactorial Risk Factors of Hypertension in Patients Aged 45-55 Years in Kota Kotamobagu: A Cross-Sectional Study Ake Royke Calvin Langingi; Grace Irene Viodyta Watung; Sudirman, Sudirman; Mareyke Yolanda Lusia Sepang; Sibua, Siska; Ignatia Yohana Rembet
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i1.20561

Abstract

Hypertension in adults aged 45-55 years has a significant impact on heart health and morbidity. Hypertension is estimated to affect 1.56 billion people by 2025 and become a leading cause of death. In Indonesia, the prevalence is 18.7% in the 45-54 age group, with North Sulawesi ranking third highest. In Kotamobagu, hypertension ranks second among non-communicable diseases with 24,956 cases. This high number emphasizes the importance of prevention and control. A deep understanding of modifiable risk factors is needed to develop effective prevention strategies. This study aims to identify the primary risk factors that influence the prevalence of hypertension in the adult population of Kotamobagu City. This descriptive-quantitative study used an analytical observational study design with a cross-sectional technique. The study was conducted in Kotamobagu City, North Sulawesi Province, Indonesia, from July to August 2024. This study used an analytical observational design with a cross-sectional method, data collection using a digital sphygmomanometer to measure blood pressure, an Easy Touch GCU Meter to analyze dyslipidemia and blood sugar levels, and a questionnaire to assess physical activity, diet, salt consumption, alcohol consumption, and smoking habits. The sample consisted of 388 hypertensive patients selected using the Slovin Formula, and the statistical analysis used was chi-square. The results showed that diet, dyslipidemia, obesity, high salt consumption, alcohol, and smoking were significantly correlated with hypertension. Based on the odds ratio, the factors that had the strongest relationship with the incidence of hypertension were poor diet (OR = 1.53), dyslipidemia (OR = 1.49), and excessive salt consumption (OR = 1.46).
Implementasi Program Pengendalian TB Paru: Studi Kualitatif di Puskesmas Parigi Sudirman, Sudirman; Kolupe, Veni Mornalita; Assa, Anggri Alfira Yunita; Purwiningsih, Sri; Susianawati, Desak Eka
Jurnal Promotif Preventif Vol 7 No 4 (2024): Agustus 2024: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v7i4.1427

Abstract

Tuberkulosis (TB) adalah penyakit menular yang menyerang paru-paru, disebabkan oleh Mycobacterium tuberculosis. Kabupaten Parigi Moutong, mengalamai peningkatan kasus TB Paru, hal ini terlihat pada penemuan kasus TB Paru di wilayah kerja Puskesmas Parigi yang terus meningkat dari 21 kasus pada tahun 2021, menjadi 56 pada tahun 2022, 46 kasus pada tahun 2023. Penelitian ini bertujuan mengeksplorasi implementasi program TB Paru di Puskesmas Parigi. Penelitian ini menggunakan pendekatan kualitatif dengan desain studi fenomenologi, melibatkan wawancara mendalam pada tenaga kesehatan di Puskesmas Parigi. Data dianalisis menggunakan analisis isi. Hasil menunjukkan kebijakan program TB Paru di Puskesmas Parigi mengacu pada standar nasional, namun keterbatasan SDM berdampak pada pengawasan pengobatan. Distribusi obat dilakukan pasien sendiri. Program ini menghadapi tantangan dalam mencapai target penurunan kasus TB Paru sebesar 85%, dengan pencapaian 29% pada 2022. Kesadaran dan edukasi pasien perlu ditingkatkan. Kesimpulannya, program pengendalian TB Paru di Puskesmas Parigi memiliki sarana dan prasarana memadai serta mengikuti kebijakan nasional. Namun, keterbatasan SDM, kurangnya edukasi pasien, dan sistem antrean yang belum optimal menjadi tantangan utama. Langkah strategis diperlukan untuk memperkuat edukasi pasien, meningkatkan keahlian tenaga kesehatan, dan mengoptimalkan sistem antrean. Upaya pencegahan lebih intensif diperlukan untuk menekan angka kejadian TB.
Upaya Peningkatan Pengetahuan Hidup Bersih Dan Sehat Pada Anak Sekolah Menengah Pertama Niluh Desy Purnamasari; Sudirman, Sudirman; Parmi, Parmi; Lexy Kareba; Desak Eka Susianawati; Hendrik, Hendrik
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 4 No. 4 (2023): Jurnal Pengabdian kepada Masyarakat Nusantara (JPkMN)
Publisher : Lembaga Dongan Dosen

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

Abstract

Introduction: Clean and Healthy Behavior (CHB) in school settings plays a pivotal role in preventing diseases, enhancing student health, and fostering a clean and healthy environment. However, CHB implementation in Indonesian schools remains limited, leading to adverse public health effects, including an upsurge in diarrheal cases. Thus, enhancing CHB knowledge and practices in schools is imperative, especially in Central Sulawesi Province, which grapples with a high prevalence of diarrheal cases. Method: This community service initiative took place at SMP Negeri 13 Sigi, Sigi Regency, involving 336 students across different grade levels. Spanning three days in June 2022, the program employed pretest and posttest assessments via questionnaires. Education delivery encompassed material presentations, discussions, and the utilization of electronic and visual aids. Results: Research findings indicate a significant enhancement in students' comprehension of Clean and Healthy Behavior (CHB) following the educational intervention. Previously limited in their understanding, students exhibited noticeable improvements in their knowledge of CHB after participating in the educational activities. These outcomes underscore the vital role of education and outreach in augmenting students' understanding and awareness of CHB. Conclusion: This initiative concludes that educational interventions and outreach efforts pertaining to PHBS in schools can positively impact students' awareness and knowledge of the significance of PHBS. It is anticipated that this heightened awareness will empower students to maintain school cleanliness and improve their health and hygiene practices.
Model of Strategy to Increase Patient Interest in Visiting Hospitals after the Covid-19 Pandemic Purnamasari, Niluh Desy; Subardin AB, Subardin AB; Sudirman, Sudirman
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4640

Abstract

The COVID-19 pandemic has caused a significant decrease in hospital visits due to fear of virus transmission. RSUD Anuntaloko Parigi, experienced a decrease in patient visits after the pandemic, requiring strategies to increase patient interest. This study explores the TOWS matrix, which evaluates internal factors (strengths and weaknesses) and external factors (opportunities and threats). Objective: This study aims to find strategies increase patient visit interest in the Regional General Hospital (RSUD) after the Covid-19 pandemic period. Method: A quantitative descriptive study with a cross-sectional design was conducted involving 12 respondents through structured interviews. Data were analyzed usinga TOWS analysis framework was applied in excel program and Descriptive analytics. Results: Results indicated that external opportunities outweighed threats, scoring 5.51, while internal strengths surpassed weaknesses, scoring 11.64. The hospital is positioned in the progressive quadrant, suggesting it can leverage its strengths to seize opportunities. Key strategies identified include improving comfort, and cleanliness, collaboration with BPJS, and program knowledge, patient education and utilizing social media for digital engagement. Conclusions: Anuntaloko Parigi Hospital has great opportunities, in a progressive position. Relevant strategies are improving comfort, cleanliness, and cooperation with BPJS, as well as program introduction, patient education, and utilization of social media in promotion.
Pemberdayaan Masyarakat Melalui Sosilaisasi Stunting Dan Kebersihan Lingkungan Kareba, lexy; Jumain, Jumain; Wahyu, Wahyu; Agustinus Talindong; Saiful Ambodale; Sudirman, Sudirman
AJAD : Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 3 (2025): DECEMBER 2025
Publisher : Divisi Riset, Lembaga Mitra Solusi Teknologi Informasi (L-MSTI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59431/ajad.v5i3.670

Abstract

Stunting remains a significant public health challenge in Indonesia, especially in rural areas with limited access to nutrition and sanitation. This community service activity aims to provide residents of Tosale Village, Donggala Regency, with knowledge about stunting prevention and the importance of environmental hygiene through a participatory educational approach. The implementation methods included field observations, stunting discussions, installation of educational visual media, as well as mutual cooperation activities and the cultivation of medicinal plants and vegetables. The results of the activity showed an increase in community understanding of balanced nutrition, clean and healthy lifestyles, the cultivation of medicinal plants and vegetables, and the revival of a culture of mutual cooperation. The stunting discussion forum served as a platform to encourage cross-community participation in the village, while visual media strengthened health literacy through easily understandable messages. Overall, this activity demonstrated that a participatory approach can increase collective awareness and preventive behavior against stunting while strengthening the independence of village communities in creating a sustainable healthy environment.
Hubungan Ventilasi Rumah dan Jenis Bahan Bakar Memasak dengan Kejadian ISPA pada Balita di Wilayah Kerja Puskesmas Juntinyuat Sudirman, Sudirman; Muzayyana, Muzayyana; Nurul Hikma Saleh, Sitti; Akbar, Hairil
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 3 No. 3 (2020): September 2020
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (673.277 KB) | DOI: 10.56338/mppki.v3i3.1137

Abstract

Infeksi Saluran Pernafasan Akut (ISPA) adalah infeksi akut yang berlangsung kurang dari 14 hari disebabkan oleh mikroorganisme di saluran pernafasan mulai dari hidung, telinga, laring, trachea, bronchus, bronkhiolus, sampai dengan paru-paru. Tujuan penelitian ini untuk mengetahui hubungan ventilasi rumah dan jenis bahan bakar memasak dengan kejadian ISPA pada balita di wilayah kerja Puskesmas Juntinyuat Kabupaten Indramayu tahun 2018. Penelitian ini menggunakan jenis penelitian survey analitik dengan pendekatan Cross Sectional Study. Teknik pengambilan sampel yang digunakan adalah accidental sampling dengan jumlah sampel sebanyak 87 balita. Uji statistik yang digunakan adalah uji chi-square. Berdasarkan hasil uji statistik diperoleh nilai analisis bivariat yaitu ventilasi rumah (p value = 0,004) dan jenis bahan bakar memasak (p value = 0,000), maka dapat disimpulkan bahwa ada hubungan ventilasi rumah dan jenis bahan bakar memasak dengan kejadian ISPA pada balita di wilayah kerja Puskesmas Juntinyuat Kabupaten Indramayu. Diharapkan masyarakat hendaknya meningkatkan pengetahuan tentang kesehatan, sehingga dapat menekanankan kejadian ISPA dan dapat meningkatkan derajat kesehatan.
Pemberdayaan Masyarakat Dalam Pencegahan Stunting Melalui Edukasi dan Intervensi Gizi Di Desa Lonca Jumain; Purwaningsih, Diah Fitri; Talindong, Agustinus; Wahyu; AB, Subardin; Sudirman; Pelima, Robert V.
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 7 No. 1 (2026): Edisi Januari - April
Publisher : Lembaga Dongan Dosen

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

Abstract

Stunting merupakan salah satu permasalahan global yang sangat mengkhawatirkan, terutama di negara-negara berkembang. Istilah "stunting" merujuk pada kondisi dimana anak-anak mengalami gangguan serius dalam pertumbuhan fisik dan perkembangan akibat kurangnya asupan gizi yang berlangsung secara kronis, khususnya pada tahap awal perkembangan mereka. Pengetahuan masyarakat tentang pemberdayaan kesehatan adalah elemen utama yang berkontribusi terhadap masalah ini. Tujuan kegiatan ini meningkatkan kesadaran masyarakat tentang pentingnya stunting melalui pemberdayaan masyarakat melalui edukasi intervensi gizi. Metode pada pengabdian ini menggunakan metode ceramah dan demonstrasi melalui materi intervensi gizi  Lokasi pemberdayaan masyarakat dilaksanakan di desa Lonca Kecamatan Kulawi. Sasarannya ibu yang memiliki balita.  Jumlah peserta yang mengikuti sebanyak 20 orang.  Hasil menunjukkan adanya peningkatan nilai rata-rata pengetahuan dari 56,5 sebelum intervensi menjadi 81,25 setelah intervensi, yang mengindikasikan bahwa kegiatan edukasi yang dilakukan efektif dalam meningkatkan pemahaman ibu balita mengenai stunting dan intervensi gizi
Implementation of Learning Organization in Public Health Center: A Systematic Literature Review on Enablers, Barriers, and Organizational Outcomes Sudirman, Sudirman; AB, Subardin; Purwiningsih, Sri; Kantohe, Imelda; Susanawati, Desak Eka; Kareba, Lexy
Pancasakti Journal Of Public Health Science And Research Vol 6 No 2 (2026): PJPHSR
Publisher : Fakultas Kesehatan Masyarakat, Universitas Pancasakti, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/pjphsr.v6i2.2356

Abstract

Public health services face various complex challenges such as limited human and financial resources, fragmentation of health information systems, and policy dynamics and accreditation requirements. These conditions require adaptive organizational capacity and a focus on continuous learning to maintain consistent service quality. This study aims to analyze (1) implementation characteristics, (2) enablers and barriers to implementation, and (3) the impact on organizational performance and service quality. This study is a descriptive literature review using data from Google Scholar with the keyword “learning organization.” The study includes open-access, full-text, English-language articles indexed in Scopus that were filtered using the Rapid Journal Quality Check tool and published between 2021 and 2025 in the field of health. A total of 26 articles meeting these criteria were analyzed using a thematic analysis approach with the SciSpace tool. LO implementation is characterized by continuous learning processes at the individual and team levels, data-based reflection, and knowledge-sharing systems between organizational units. LO implementation is influenced by supporting factors such as transformative leadership, interprofessional collaboration, mentoring systems, and policy support, while obstacles include hierarchical organizational culture, limited resources, and inadequate digital infrastructure. The implementation of LO has proven to strengthen adaptive capacity, improve organizational effectiveness, and support the sustainability of primary health care quality improvement
Evaluating the Quality of Health Services for BPJS Nasional Indonesia Beneficiaries Using the Servqual Model Sudirman; Safitri, Yulia; Desak Eka Susianawati; Langingi, Ake Royke Calvin; Jumain
Journal of Public Health Sciences Vol. 5 No. 02 (2026): In Press - Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001798

Abstract

Evaluating the quality of health services for BPJS participants is essential to ensure the effectiveness and sustainability of the National Health Insurance program. Although patient visits at the Tinggede Community Health Center have continued to rise, this increase has not been matched by improvements in service quality, highlighting the need for a structured assessment of patient needs. This study aims to evaluate patient perceptions of service quality using the ServQual model, which consists of five key dimensions: Reliability, Responsiveness, Assurance, Empathy, and Tangible. A quantitative cross-sectional design was employed involving 96 BPJS beneficiary respondents. Data were collected through a Likert scale–based questionnaire and analyzed using the Friedman test to compare perceptions across dimensions. Results show that Assurance and Responsiveness received the highest ratings, while Tangible scored the lowest and differed significantly from the top two dimensions. These findings indicate that non-physical elements, particularly competence, trustworthiness, and timely responses from healthcare workers, play a greater role in shaping patient satisfaction than physical facilities. The study contributes empirical evidence on priority areas for improving service quality in primary health care settings. Practical implications include enhancing staff competencies, streamlining service flow to reduce waiting times, and strengthening empathetic communication. The study concludes that efforts to improve service quality should prioritize non-physical dimensions that have the strongest influence on patient experience. Recommendations include ongoing quality evaluations, broader adoption of digital services, and expanding future studies to different regions and populations to deepen understanding of service quality determinants.