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All Journal Proceeding Muhammadiyah International Public Health and Medicine Conference Symbiohealth Academia Open
Della Dwi Ayu
Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta
Humanities Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Quality of Health Service Outpatient Unit UPT Puskesmas Ciputat Timur Tahun 2019 Della Dwi Ayu; Fajar Ariyanti
Muhammadiyah International Public Health and Medicine Proceeding Vol. 1 No. 1 (2021): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - F
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (525.804 KB) | DOI: 10.53947/miphmp.v1i1.20

Abstract

One of the SDGs targets in achieving UHC is increasing access to quality essential health services. Puskesmas is the front line in providing essential health services in the community. However, several complaints were still found in the health services provided, which also decreased public access to the Puskesmas. This study aims to determine the quality of outpatient health services at the UPT Puskesmas Ciputat Timur in 2019. This research is an evaluation study using a descriptive-analytical survey method with a quantitative approach with a cross-sectional study design. The sample determination was based on the Probability Proportionate to Size sampling technique with a total sample of 341 samples according to the sample table from Krejcie and Morgan. Data were collected using a questionnaire with two methods of measuring service quality, namely Servqual and Community Satisfaction Index, and using univariate data analysis. The results of this study stated that outpatient satisfaction at the UPT Puskesmas Ciputat Timur was 2.16 (satisfactory) based on the servqual concept and 76.47 (good) based on the concept of community satisfaction index. This study concludes that the quality of outpatient health services at the UPT Puskesmas Ciputat Timur is good, although several items still need to be improved. Suggestions are needed to make information boards for patient registration requirements, increase discipline in-service time, make persuasive stickers or posters, add RM distribution officers, publish IKM results annually through the website and add waiting room seats for patients and their families.
The Managerial Roles of Ward and Unit Leaders and Their Correlation with Employee Burnout at Depok City Hospital During the COVID-19 Pandemic Dwi Ayu, Della; Sujendra, Jendrawan Pati
Symbiohealth Vol. 3 No. 2 (2025)
Publisher : Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/symbiohealth.1108

Abstract

The COVID-19 pandemic placed heavy psychological demands on healthcare workers, increasing their vulnerability to burnout, with managerial functions of ward and unit leaders playing a critical role in shaping staff well-being. This study aimed to examine the relationship between managerial functions and employee burnout at Depok City Hospital. A cross-sectional analytical design was conducted in March 2022 involving 252 respondents randomly selected from a population of 534 employees. Data were collected via an online questionnaire covering demographics, managerial functions (planning, organizing, staffing, directing, controlling), and burnout dimensions (physical exhaustion, depersonalization, reduced personal accomplishment) based on the Maslach Burnout Inventory. Logistic regression analysis revealed that burnout levels were balanced, with 50.4% of respondents experiencing low burnout and 49.6% high burnout. Managerial function scores ranged from 50% to 63%, with directing achieving the highest score (63.1%). Multivariate analysis identified directing as the most significant predictor of burnout (AOR 3.363; 95% CI 1.956–5.78). These findings indicate that the directing function is the dominant managerial factor influencing burnout, and strengthening direction through regular meetings, effective communication, and alignment of standard operating procedures with staff responsibilities may help reduce burnout risk and improve workforce resilience.
Dominant Factors of Recurrent Tuberculosis Treatment Visits in Jakarta: Faktor Dominan Kunjungan Berulang Pengobatan Tuberkulosis di DKI Jakarta Della Dwi Ayu; Syarif Rahman Hasibuan; Putu Erma Pradnyani
Academia Open Vol. 11 No. 1 (2026): June
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/acopen.11.2026.12985

Abstract

General Background: Tuberculosis remains a major public health challenge in Indonesia, with DKI Jakarta designated as a priority province for tuberculosis control. Specific Background: Despite high treatment coverage, the treatment success rate in Jakarta declined from 81% in 2023 to 63.7% in 2025, far below the national target of 90%, indicating persistent problems in treatment adherence and continuity of care. Knowledge Gap: Although recurrent tuberculosis treatment visits are recognized as indicators of treatment failure and potential progression to drug-resistant tuberculosis, evidence regarding the dominant sociodemographic determinants of these visits in Jakarta remains limited. Aims: This study aims to analyze the association between sociodemographic factors—age, sex, and marital status—and recurrent tuberculosis treatment visits in DKI Jakarta. Results: A quantitative cross-sectional study using secondary BPJS Health data involving 46,064 tuberculosis patients was analyzed using logistic regression. The results show that marital status is the dominant factor associated with recurrent visits (p=0.000; OR=5.320). Age is also significantly associated, where individuals under 60 years have lower risk compared with those above 60 years, while sex shows no significant relationship (p=0.510). Novelty: This study identifies marital status as the main sociodemographic determinant of recurrent tuberculosis treatment visits using large-scale national health insurance data. Implications: The findings indicate that tuberculosis control strategies in DKI Jakarta should integrate family-based approaches by involving spouses as treatment supporters and utilizing educational tools such as the LEKAT leaflet to strengthen adherence monitoring and reduce recurrent treatment visits. Highlights • Marital status emerges as the strongest predictor of repeated tuberculosis treatment attendance.• Individuals aged under sixty years demonstrate lower probability of repeated therapy visits compared with elderly patients.• BPJS Health data analysis reveals demographic determinants supporting family-oriented tuberculosis control strategies. Keywords Tuberculosis; Recurrent Tuberculosis; Marital Status; Treatment Adherence; Public Health Surveillance
Co-Authors Fajar Ariyanti Putu Erma Pradnyani Sujendra, Jendrawan Pati Syarif Rahman Hasibuan