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Evaluasi Strategi Kebijakan tentang Bullying dan Dampaknya terhadap Kesehatan Mental Remaja di SMA Negeri 1 Plus Matauli Pandan Rahmiati Rizkiyah Siregar; Asriwati Asriwati; Yuniati Yuniati
Jurnal Kesehatan Amanah Vol. 9 No. 2 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i2.951

Abstract

Bullying is a global problem that affects adolescents' mental health as well as the quality of education. This study aims to evaluate the anti-bullying policy at SMA Negeri 1 Plus Matauli Pandan and identify its impact on the psychological well-being of students. The research method uses a qualitative approach with a phenomenological design. A total of nine informants were selected through purposive sampling, consisting of key, main, supportive, and triangulated informants. Data was obtained through in-depth interviews and document review, then analyzed using the CIPP (Context, Input, Process, Product) evaluation model. The findings of the study show that anti-bullying policies are rooted in the vision, mission, and Student Honor Code of Conduct that rejects all forms of bullying. In terms of input, the involvement of BK teachers, homeroom teachers, students, and parents plays an important role, although the limited number of counselors is still an obstacle. The implementation process is carried out through socialization, routine supervision, and counseling with an emphasis on prevention and rehabilitation aspects. Product evaluations showed a significant decrease in cases of physical bullying, although verbal behavior was still found. This policy has a positive impact by increasing students' sense of security, confidence, and learning comfort, while encouraging changes in the attitude of perpetrators. Based on these results, the study recommends strengthening anti-bullying literacy, consistency in the implementation of sanctions, and developing broader psychosocial services. These efforts are needed to ensure the sustainability of the policy while supporting adolescent mental health.
Evaluasi Implementasi Aplikasi P-Care dengan Metode Task Technology Fit di Puskesmas Kota Blangkejeren Rita Yuniarti; Asriwati Asriwati; Miskah Afriani
Jurnal Kesehatan Amanah Vol. 9 No. 2 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i2.952

Abstract

Advances in information technology in the health sector encourage the use of digital applications to improve service efficiency. One of them is the Primary Care (P-Care) application developed by BPJS Kesehatan to support the implementation of National Health Insurance (JKN) in first-level health facilities. This study aims to evaluate the implementation of P-Care at the Blangkejeren City Treatment Center using the Task Technology Fit (TTF) approach. This study uses a descriptive qualitative method with a narrative approach. Data was collected through in-depth interviews with the heads of health centers, medical personnel, and patients, and analyzed interactively through the stages of reduction, presentation, and drawing conclusions. The results of the study show that the perception of health workers on the ease of use and benefits of P-Care is quite positive, although it is still constrained by system disruptions and infrastructure limitations. Attitudes and interest in use remain high, but actual usage is not fully optimal because there is still a combination of digital and manual processes. The conclusion of this study states that although P-Care has supported service improvement, optimization of application features and infrastructure improvements are urgently needed. Training support and strengthening internal management at health centers are important factors to ensure the sustainability of the implementation of the application as a whole.
Analisis Pelaksanaan Manajemen Pelayanan Rumah Sakit terhadap Kepuasan Pasien Rawat Jalan Peserta BPJS di RSUD Cut Nyak Dhien Meulaboh Desra Erwin Aiyuzi; Asriwati Asriwati; Ramadhani Syafitri Nasution
Jurnal Kesehatan Amanah Vol. 9 No. 2 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i2.953

Abstract

Patient satisfaction is an important indicator in assessing the quality of hospital services, especially for National Health Insurance (JKN) participants. This study aims to analyze the influence of planning, organizing, implementing, and controlling management functions on the satisfaction of outpatients of BPJS participants at Cut Nyak Dhien Meulaboh Hospital. The approach used was quantitative with a cross sectional design, involving 100 respondents selected through accidental sampling techniques. Data collection was carried out using a closed questionnaire that has been tested for validity and reliability. Data analysis was carried out using a double logistics regression test. The results showed that the four management functions had a significant influence on patient satisfaction (p < 0.05). Among these variables, service implementation was the most dominant factor with an odds ratio (OR) value of 445,949. This shows that the implementation of services that are procedural, fast, and communicative greatly determines the level of patient satisfaction. These findings underscore the importance of service management that is structured, patient-oriented, and supported by continuous evaluation and supervision. Therefore, strengthening the implementation and organizing function needs to be a priority in efforts to improve the quality of services in hospitals.
Evaluasi Higiene Industri Rumah Makan Khas Batak Kelurahan Besar Kecamatan Medan Labuhan Meranda Manalu; Asriwati Asriwati; Nur Aini
Jurnal Kesehatan Amanah Vol. 9 No. 2 (2025): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v9i2.996

Abstract

Food hygiene is a critical factor that must be considered when consuming food sold to the public. Improper food handling and processing may lead to contamination by harmful microorganisms. This study aimed to evaluate the hygiene practices of traditional Batak restaurants located in Kelurahan Besar, Medan Labuhan Subdistrict. This research was a descriptive survey study. Data collection was carried out through direct observation, field notes, and interviews with food handlers regarding industrial hygiene in Batak restaurants. The study used a qualitative research design with a phenomenological approach to explore hygiene practices in depth. The findings revealed that Restaurant A had mostly complied with hygiene standards in various aspects such as: location and building conditions, food ingredient selection, raw food storage, food preparation/cooking, cooked food storage, transportation of cooked food, and food serving. These practices were aligned with the guidelines outlined in the Regulation of the Minister of Health of the Republic of Indonesia No. 2 of 2023 on Environmental Health, particularly concerning hygiene and sanitation requirements for restaurants and food establishments. In contrast, Restaurant B had not met most of the hygiene standards in those same areas. The restaurant’s location and building conditions, ingredient selection, food storage, cooking process, food transportation, and serving methods were found to be below the acceptable standard as per the same Ministry of Health regulation. Conclusion: The study concluded that adherence to food hygiene standards plays a crucial role in ensuring food safety. Restaurant owners are advised to consistently maintain hygiene in terms of location and infrastructure, food selection, storage, cooking, transportation, and serving practices.
Determinan Penerapan Perilaku Hidup Bersih dan Sehat (PHBS) di Masyarakat Pedesaan Kabupaten Batu Bara Nadiva Olyza Rangkuti; Asriwati Asriwati; Ramadhani Syafitri Nasution
Jurnal Kesehatan Amanah Vol. 10 No. 1 (2026): Mei: Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v10i1.1016

Abstract

The implementation of Clean and Healthy Living Behavior (PHBS) in Hamlet II, Kuala Tanjung Village, is still relatively low, where 62% of the community has not implemented PHBS properly, which has the potential to increase the risk of infectious diseases. This study aims to analyze the factors that affect the implementation of PHBS in the region. This type of research is quantitative with a cross sectional study design that will be carried out from October 2024 to August 2025. The research sample amounted to 84 respondents which were determined through random sampling techniques. Data analysis used logistic regression. Multivariate analysis showed that the variable of infrastructure facilities was the most dominant factor influencing the implementation of PHBS in Kuala Tanjung Dusun II Village. In conclusion, the implementation of PHBS is influenced by factors of knowledge, attitudes, infrastructure, and social support of the community. It is recommended that the village government and health workers improve the availability and quality of infrastructure facilities such as handwashing stations and healthy latrines, especially in areas that still lack basic facilities, in order to support clean and healthy living behaviors in a sustainable manner.
Faktor-Faktor Yang Memengaruhi Rendahnya Kepemilikan Jamban Sehat Di Wilayah Kerja Puskesmas Balai Karangan Kecamatan Sekayam Kabupaten Sanggau Kalimantan Barat Adha Sepria Rafelza; Asriwati Asriwati; Indah Anggraini; Nuraini Nuraini; Endang Maryanti
Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 2 No. 1 (2024): Februari : Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/antigen.v2i1.215

Abstract

Latrines are effective fecal disposal facilities to break the chain of disease transmission. The purpose of the study was to analyze the factors that influence the low ownership of healthy latrines in the Working Area of Puskesmas Balai Karangan, Sekayam. The research design used the Analytical Survey method with a sectional approach. The population in this study were all people in the Balai Karangan Health Center Working Area, namely 1,984 heads of families. The sample in this study was 95 heads of families with an accidental sampling technique with logistic regression. The results of logistic regression showed that there was an influence of knowledge p = 0.016, attitude p = 0.023, income p = 0.002, availability of clean water p = 0.005, support from health workers p = 0.006 and support from village officials p = 0.024. The dominant factor influencing the low ownership of healthy latrines is income p = 0.002 Exp(B) 337.529. This study concludes that there is an influence of knowledge, attitudes, income, availability of clean water, support from health workers, and support from village officials which does not affect culture. The dominant factor, namely income, influences the low ownership of healthy latrines in the Working Area of Puskesmas Balai Karangan. It is recommended that the Balai Karangan Community Health Center through the Village Head utilize PAMSIMAS by providing pipe assistance or construction of clean water facilities and healthy latrines.
HUBUNGAN KARAKTERISTIK KADER KESEHATAN TERHADAP KUNJUNGAN PASIEN DALAM PENCEGAHAN PENULARAN TUBERKULOSIS PARU Asriwati Amirah; Ketut Suarayasa; Herry Imran; Patrice Armando Sipayung
Media Penelitian dan Pengembangan Kesehatan Vol. 32 No. 3 (2022): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v32i3.1847

Abstract

One effort to increase visits to pulmonary tuberculosis patients is by finding cases and tracking officers by increasing the role of cadres. The study aimed the relationship of health cadre characteristics to patient visits in preventing pulmonary tuberculosis transmission. In order to examine the relationship between cadre activity factors and tuberkulosis paru patient visits in the prevention and transmission of tuberkulosis paru disease, this type of research employs cross-sectional methodology and quantitative research methods. The population in this study was 110 cadres at the Panombeian Panei Community Health Center. The sampling technique used in this study was a total sampling technique. The research sample consisted of 110 cadres. The bivariate test uses the Chi-Square Test. The results of the study showed that there was a relationship between knowledge (0.003), attitude (0.002), and visits by pulmonary tuberkulosis paru patients. knowledge, attitudes, and activities of cadres influence pulmonary tuberkulosis paru patient visits. It is recommended that cadres continue to be given training and an in-depth understanding of pulmonary tuberkulosis paru, including how to treat and prevent it. Apart from that, it is also important to encourage cadres to have a positive and empathetic attitude towards pulmonary tuberkulosis paru patients, so that they can provide optimal support during patient visits.
Faktor Yang Mempengaruhi Wanita PUS Terhadap Pemilihan Metode Kontrasepsi Jangka Panjang (MKJP) Di Puskesmas Mayor Umar Damanik Kecamatan Tanjungbalai Selatan Kota Tanjungbalai Rismawati Rismawati; Asriwati Asriwati,; Jitasari Tarigan Sibero; Anto J. Hadi
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 3 No. 2 (2020)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (605.567 KB) | DOI: 10.56338/mppki.v3i2.1078

Abstract

Kebijakan Keluarga Berencana bertujuan untuk mengendalikan pertumbuhan penduduk melalui usaha penurunan tingkat kelahiran. Banyak wanita yang mengalami kesulitan dalam menentukan pilihan jenis kontrasepsi. Hal ini tid-ak hanya karena terbatasnya metode yang tersedia, tetapi juga oleh ketidaktahuan tentang persyaratan dan keamanan metode kontrasepsi tersebut. Tujuan penelitian ini adalah untuk menganalisis faktor yang memengaruhi Wanita PUS terhadap pemilihan Metode Kontrasepsi Jangka Panjang (MKJP). Jenis penelitian survei analitik dengan pendekatan cross sectional study. Populasi adalah seluruh ibu wanita PUS sebanyak 1.984 orang dan sampel yang diambil secara accidental sampling sebanyak 95 orang. Metode pengumpulan data secara primer dan sekunder. Analisa data secara univariat, bivariat dan multivariat. Hasil penelitian menunjukkan bahwa pengetahuan (p=0,033) dan sikap (p 0,008) berpengaruh terhadap pemilihan MKJP serta sikap merupakan variabel yang paling berpengaruh. Kesimpulan adalah ada pengaruh pengetahuan dan sikap terhadap pemilihan MKJP. Diharapkan hasil penelitian ini dapat dijadikan se-bagai bahan informasi kepada petugas pelayanan KB agar dapat mengetahui tentang cara meningkatkan pengetahuan dan sikap wanita PUS dan menyediakan alat kontrasepsi secara lengkap.
Faktor Yang Berhubungan Dengan Mutu Pelayanan Rumah Sakit Bhayangkara Tebing Tinggi Sim Siyen; Anto J. Hadi; Asriwati Asriwati
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 3 No. 3 (2020)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (780.061 KB) | DOI: 10.56338/mppki.v3i3.1375

Abstract

Rumah sakit sebagai salah satu sarana kesehatan yang memberikan pelayanan kesehatan kepada masyarakat memiliki peran yang sangat strategis dalam mempercepat peningkatan derajat kesehatan masyarakat. Data pasien di Rumah Sakit Bhayangkara Tebing Tinggi mengalami kenaikan yang signifikan pada tahun 2017 dibandingkan kunjungan pada tahun 2016. Jumlah kunjungan pasien pada tahun 2018 kembali mengalami penurunan pada tahun 2018. Tujuan penelitian untuk menganalisis faktor yang berhubungan dengan mutu pelayanan Rumah Sakit Bhayangkara Tebing Tinggi. Penelitian menggunakan metode kuantitatif yang dilakukan secara survei analitik dengan pendekatan cross sectional study. Populasi dalam penelitian adalah seluruh pasien yang datang berobat ke Instalasi Rawat Jalan Rumah Sakit Bhayangkara Tebing Tinggi pada tahun 2019 berjumlah rata-rata 3.751 orang per bulan dari total kunjungan pasien rawat jalan sebesar 45.014 pasien pada tahun 2018. Sampel menggunakan sistem accidental sampling sebanyak 97 pasien. Analisis data menggunakan analisis univariat, bivariat dan multivariat. Hasil penelitian diketahui p-value masing-masing variable yaitu variabel reliability sebesar 0,000, assurance 0,212, tangible 0,010, emphaty 0,001, responsivenes 0,041 dan nilai Exp (B) terbesar = 0,251 pada variabel responsiveness. Kesimpulan dari penelitian ini adalah ada hubungan reliability, tangible, empaty dan responsivenes dengan pelayanan di Rumah Sakit Bhayangkara Tebing Tinggi dan variable yang tidak berhubungan adalah assurance. variabel yang paling signifikan berhubungan dengan mutu pelayanan di Rumah Sakit Bhayangkara Tebing Tinggi adalah variabel responsiveness. Diharapkan dapat meningkatkan kualitas pelayanan kepada pasien.
Factors Influencing The Implementation of Comprehensive Emergency Obstetric and Neonatal Services (PONEK) at Restu Ibu Hospital Balikpapan Hendra Susanto; Asriwati Amirah; Ramadhani Syafitri Nasution
PROMOTOR Vol. 9 No. 1 (2026): FEBRUARI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i1.1950

Abstract

The 24-hour PONEK hospital is part of the maternal and neonatal emergency care referral system, which plays a significant role in reducing maternal and neonatal mortality rates. The key to PONEK's success is the availability of competent healthcare workers, reliable infrastructure, facilities, and management. The purpose of this study was to analyze the factors influencing the implementation of Comprehensive Emergency Obstetrics and Neonatal (PONEK) services at Restu Ibu Hospital in Balikpapan. Methodology: The research design used in this study was an analytical survey with a cross-sectional design. The population in this study was all medical personnel involved in the PONEK Program at Restu Ibu Hospital, Balikpapan, totaling 57 people. The number of samples to be studied was 57 people. Data analysis was performed using univariate, bivariate, and multivariate analysis. Statistical tests used were the chi-square test and logistic regression. Results: The results of the chi-square test showed that the independent variables, namely communication, resources, disposition, and bureaucratic structure, had a p-value of 0.001 < 0.05, meaning that communication, resources, disposition, and bureaucratic structure influenced the implementation of PONEK at Restu Ibu Hospital in Balikpapan. The most dominant factor that influenced this was communication with an odds ratio (OR) of 5.969. Conclusion: The conclusion is that communication, resources, disposition and bureaucratic structure influence the implementation of PONEK at Restu Ibu Hospital Balikpapan. It is recommended that good support and commitment from the hospital director and owner's representatives by building good communication with the PONEK team by inviting and involving all PONEK activities, Building good communication among PONEK Teams by participating in effective communication training, Building a skilled team by budgeting training plans related to PONEK so that it is hoped that all PONEK Teams have participated in training according to standards, Equipping adequate room facilities and infrastructure according to PONEK Hospital criteria, conducting MoUs with professional organizations, Building and fostering referral networks.
Co-Authors , Razia Begum Suroyo A. Artifasari Abd. Rasyid Syamsuri Achmad Rifai Adha Sepria Rafelza Afriani, Miskah Agustini Lase Ahmed Mawardi Aida Fitria Anita Yasmin Anto Anto Anto Anto J. Hadi Deby Deanda Desra Erwin Aiyuzi Dewi Sartika Hutabarat Dian Mayasari Siregar Dianty Elfirita Damanik Diyan Afriyadi Eko Nugroho Endang Maryanti Erni Yetti Fajar Hayati Fitriani, Arifah Devi Hadi, Anto J. Hanna Yusrima Dalimunthe Hari Kristianto Harjati Hendra Susanto Hendrico H.P Simarmata Herman S Herry Imran Ibnu Fuqon Indah Anggraini Indah Anggraini Indra Ginting Irawati Ismail Efendy Ismail Effendy Jahroani Dalimunthe Jamaluddin Jamaluddin Jamaluddin Jamaluddin Jitasari Tarigan Sibero Jitasari Tarigan Sibero Jitasari Tarigan Sibero Juliandi Harahap Ketut Suarayasa Khairatunnisa Khairatunnisa Kusnatalia Kusnatalia Linda Hernike Napitupulu Lucia Lastiur Lucia Lastiur Lucia Lastiur Lusiana Berampu Mappeaty Nyorong Mappeaty Nyorong Masnely Lubis Mayang Sari Megawati Megawati Megawati Megawati Meilan Sri Yanti Harahap Melda Andriani Meranda Manalu Meta Nofita Mhd. Fadli Miskah Afriany Moriza, Tengku Mppeaty Nyorong Muhammad Badira Muhammad Badiran Muhammad Firdausi Batubara Muhammad Razie Mutiara Hikmah Nadhya Hidayatul Ulfa Nadiva Olyza Rangkuti Neni Ekowati Januariana Nia Astuti Nisa Ul Husna Nur Aini Nur Santi Purnama Salim Nuraini Nuraini Nurmaliah Panjaitan, Ivansri Marsaulina Patrice Armando Sipayung Poppy Indah Tristiyana Rahmiati Rizkiyah Siregar Rakhmad Kurnia Putra Parinduri Ramadhani Syafitri Nasution Rani Sri Rezeki Rismawati Rismawati Rita Yuniarti Rizal Mayridian Rosmawar - Sahari Bulan Harahap Sarma Lumbanraja Senang Hati Bazikho Sim Siyen Sri Maryani Tanjung Sri Natalia Ginting Sri Ratna Sry Arina Manihuruk Suci Nurjanah Sudiro - Teguh Suharto Teguh Suharto Teguh Suharto Thomson P Nadapdap Tiwanto Dakhi Tri Niswati Utami Tri Niswati Utami Upi Lestari Yenni Sandra Dewi Yulita, Yulita Yuniati Laia Yuniati Yuniati Yuniati Yuniati Yunizar Yunizar Zuraidah Nasution