Claim Missing Document
Check
Articles

Analysis of Health Service Performance at Loa Bakung Health CenterAfter Implementation The e-Puskesmas System Atthoba, La Debi; Anggraeni, Ike; Adrianto, Ratno
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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

Abstract

Background : Digital transformation is a key strategy in modernizing the health sector globally and nationally. In Indonesia, the implementation of health information systems such as E-Puskesmas aims to improve work efficiency, clinical data accuracy, service effectiveness at First-Level Health Facilities. Objective : This study analyzes the performance indicators of health services at UPTD Puskesmas Loa Bakung after the implementation of the E-Puskesmas system, focusing on service time efficiency, curative workload, and the achievement of promotive–preventive programs. Research Methods/ Implementation Methods : A descriptive approach was used based on secondary data from E-Puskesmas operational reports from January to September 2025. Data were obtained from individual service unit (UKP) reports, monthly BPJS Health reports, and public health program records. The analysis focused on operational efficiency, disease burden profiles, and priority program achievements. Results : Findings reveal a gap between digitalization goals and operational reality. Only 50.1% of patients were served within less than 10 minutes, indicating workflow bottlenecks. Essential Hypertension (2,985 cases), Acute Respiratory Infections (1,300 cases) dominated curative services, while screening achievements for Hypertension (16.43%) and Diabetes (4.10%) remained below targets. This reflects a reactive service orientation with limited promotive and preventive efforts. Conclusion/Lesson Learned : : E-Puskesmas has improved data recording accuracy but has not fully enhanced systemic performance. Optimization is needed through better network infrastructure, improved digital competence among health workers, and data-driven decision-making. Strategic focus should emphasize strengthening promotive and preventive programs as the core of primary health digital transformation.
Health Impacts Quality of Life in Communities Affected by Coal Mining in Kutai Kartanegara Barkati, Rahmat; Anggraeni, Ike; Nurrachmawati, Annnisa
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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

Abstract

Background : The impacts of coal mining activities on the quality of life in surrounding communities, specifically focusing on employment opportunities, income perceptions, health security, and infrastructure. Objective : The primary goal is to understand how these factors influence the overall well-being of residents in mining-affected areas, providing valuable insights for sustainable community development and policy-making Research Methods/ Implementation Methods : A cross-sectional survey was conducted with 300 respondents from three villages near mining operations in Kutai Kartanegara, East Kalimantan, using structured questionnaires. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) to explore the relationships between various social determinants and health outcomes. The study also examined environmental factors, such as air and water quality, through laboratory testing Results : The findings highlight significant variations in the perceptions of the local community regarding the benefits and challenges posed by mining activities. Employment opportunities and income were generally viewed positively, while concerns about environmental pollution and housing affordability were prevalent. These results underscore the need for targeted interventions to improve health security and infrastructure in mining communities. Conclusion/Lesson Learned : While coal mining has contributed to economic opportunities for some, it has also introduced challenges related to environmental health and living conditions. The study highlights the need for improved environmental management, better health services, and policies that address housing affordability. These findings emphasize the importance of balancing economic development with community health and well-being in mining regions.
Centang “Bissa” dan Pa’Jaga Masiji : Pemberdayaan Masyarakat dalam Peningkatan Kepatuhan Protokol Kesehatan untuk Pencegahan dan Pengendalian Covid-19 Anggraeni, Ike; Muhidin, Muh. Azmi; Ramadhani, Alfina Suci
Jurnal ABDINUS : Jurnal Pengabdian Nusantara Vol 6 No 2 (2022): Volume 6 Nomor 2 Tahun 2022
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/ja.v6i2.16529

Abstract

The implementation of health protocols is important as an effort to prevent Covid-19 transmission. However, its implementation in various community activities has not been optimal. A similar phenomenon was also found in Bukit Harapan Village, North Kalimantan. Observations and data survey and information result revealed that most people still do not care about using masks and washing hands either in general activities or worship activities. Thus it needed to change people's behavior which plays an important role in Covid-19 spreading. For this reason, community service is needed through community empowerment which is a part of health promotion strategy to mobilize the community to improve health behavior. Community service wass carried out through: (1) Centang "Bissa" providing direct education and providing media stickers to remind people to wash their hands, (2) "Pa'Jaga Masiji" empowering the mosque youth league to become promotional health agent. Training was given to increase Covid -19 knowledge about prevention as well as assertive communication equipped with booklets. Their duty was to ensure the readiness of hand washing facilities, reminding and directing people to wash their hands before and after entering the mosque. These two activities were able to increase public compliance with the implementation of health protocols.
Comparison of Hemodialysis Service Cost Effectiveness Using Activity-Based Cost Approach with Hospital Cost and Cost Recovery Rate in Regional Public Hospital IA Moeis Samarinda Hasan, Hismawati; Ratno Adrianto; Ike Anggraeni
Window of Health : Jurnal Kesehatan Vol 8 No 4 (October 2025)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.1485

Abstract

The determination of service rates in hospitals is often not based on unit cost calculations, but rather on fixed rates used by other hospitals for practicality and ease of implementation. This leads to the problem of differences between INA-CBGs rates and hospital rates in the era of the National Health Insurance (JKN). The study aimed to determine the unit cost of Hemodialysis services using the Activity-Based Costing method, and compare with hospital rates and INA CBGs, and calculate the recovery rate cost. This is a descriptive research study employing a case study approach. This research was conducted to describe the current condition of the hospital costing system, revealing the cost structure and calculation of service unit costs using the Activity-Based Costing method. The Hospital's financial transaction reports of 2023 were used as a data source. Data is grouped based on fixed costs, semi-variable costs, and variable costs, and then translated into direct costs and overhead costs to calculate the unit costs of hemodialysis. The results of the Hemodialysis unit cost calculation were compared with hospital rates and INA CBGs. The cost recovery rate was then calculated. The study results showed that the unit cost of Hemodialysis, calculated using the Activity-Based Costing method, was Rp1,364,257. The comparison result was that the unit cost was higher than the hospital rate (86%) and also than the INA CBGs rate (61%). The results of the cost recovery rate (CRR) calculation are still below 100%. Influencing factors include direct costs, overhead costs, and the number of actions.
Determinan Kebutuhan Pelayanan Kesehatan pada Lansia: Sebuah Studi di Samarinda, Indonesia Masithah, Masithah; Gunawan, Ike Anggraeni; Susanti, Rahmi; Ariyanti, Rea; AB, Ismail
Jurnal Kesehatan Masyarakat Mulawarman (JKMM) Vol.7 No.2 (2025) : Jurnal Kesehatan Masyarakat Mulawarman (JKMM)
Publisher : Mulawarman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/jkmm.v7i2.22723

Abstract

Meningkatnya kebutuhan perawatan lansia di Indonesia menunjukkan tantangan dalam memenuhi tuntutan kesehatan fisik, mental, dan sosial individu lanjut usia. Penelitian ini bertujuan untuk mengidentifikasi determinan utama yang memengaruhi kebutuhan dan preferensi layanan kesehatan pada lansia. Menggunakan desain observasional potong lintang, data dikumpulkan dari 61 lansia berusia 54 hingga 82 tahun di 14 Posyandu Lansia di Samarinda. Kuesioner terstruktur yang diadaptasi dari alat yang telah divalidasi, termasuk SF-36 dan UCLA Loneliness Scale, digunakan untuk menilai karakteristik demografi, tingkat kelemahan, aktivitas harian, kesehatan kognitif, dan kesejahteraan mental. Hasil penelitian menunjukkan bahwa 32,8% responden membutuhkan bantuan untuk memenuhi kebutuhan kesehatannya, dengan kelemahan fisik (p=0,021), kemandirian aktivitas harian (p=0,039), dan penurunan kognitif (p=0,036) secara signifikan memengaruhi kebutuhan tersebut. Sebagian besar responden menilai kondisi kesehatan fisik (78,7%) dan mentalnya (75,4%) baik, meskipun 39,3% melaporkan gejala depresi. Dukungan sosial cukup umum, dengan 75,4% memiliki pendamping dari keluarga atau pengasuh, namun hal ini tidak secara signifikan memengaruhi kebutuhan kesehatan (p=0,186). Temuan ini menegaskan sifat multidimensi kebutuhan kesehatan lansia, dengan kelemahan fisik, penurunan kognitif, dan kemandirian aktivitas harian sebagai determinan utama. Intervensi yang berfokus pada area ini, disertai dengan peningkatan sistem dukungan, dapat meningkatkan akses dan hasil layanan kesehatan untuk populasi lansia. Studi ini menemukan pentingnya model layanan kesehatan terpadu yang mencakup dimensi fisik, kognitif, dan sosial untuk memberikan perawatan yang komprehensif bagi lansia.
Co-Authors Adila, Alfina Rahma Adiyatsa, Reza Jales Mahesa Adrianto, Ratno Akbarini, Oon Fatonah Akhmad Dzikri Andi Anwar, Andi Andi Baso, Ismail Annisa Nurrachmawati Annisa Nurrachmawati Ardhiputri, Titania Ariyanti, Rea Asari, Sendila Ernesy Atthoba, La Debi Auliya, Jumi Barkati, Rahmat Budi, Eko Prasetya Camara Indriani, Dilla Dewi Endah Ramadhani Endah Wahyutri Erwina, Brigita Win Fatimatuzzahra, Tien Fitriana, Risma Hafizatun Nisa, Elma Hani Adriani, Retno Hardito, Agus Hasan, Hismawati Hasmawati Hasmawati Hasmawati Hasmawati Heri Gunawan Hilda Marfu'ah Rozkiah Ifroh, Riza Hayati Ifroh, Riza Hayati Ika Wulan Sari Irfansyah Baharuddin Pakki Iriyani Kamaruddin, Iriyani Ismail AB, Ismail Isnani, Nahara Izma, Hayatun Jasmawati, Jasmawati Kiswanto Kiswanto Kristiandi, Kiki Lies Permana Made Darawati Mardiany Masithah Maya Marinda Mifthahul Jannah Muftadiin, Fatimatul Muhammad Arifin Muhidin, Muh. Azmi Nisa, Elma Hafizatun Nur Asma Nur Rohmah Nur Rohmah Nurrachmawati, Annnisa Nursafa, Andi Nurul Afiah Oktaviani, Raeza Noorinda Pasambuna, Muksin Pramono, Dwi Agung PUTRI, TIARA Rahma Adila, Alfina Rahmi Susanti Rahmi Susanti Rahmi Susanti Ramadhani, Alfina Suci Ramadhani, Dewi Endah Ratih Wirapuspita Wisnuwardani Ratna Wati Ratna Wati Reny Noviasty Reza Jales Mahesa Adiyatsa Reza Nur Fahmi Riza Hayati Ifroh Ronny Isnuwardana S Siswanto Sandi, Dita Ayulia Dwi Saputri, Deby Indah Sendila Ernesy Asari Setiawan, Muhammad Irwan Silaban, Vandy Siti Nurjannah Siti Raihanah Sitorus, Rame Swandari Paramita Tetty Herta Doloksaribu Triani Putri, Irda Utari, Ari W Wisnuwardani, Ratih Wahyu Ramadhani, Reza Widiya Rolantika Widyasasi, Dyah Winardi Winardi Yunianto, Andi Eka Yuniar, Dewi