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All Journal Jurnal Pengembangan Kota Public Health of Indonesia Preventif: Jurnal Kesehatan Masyarakat Media Ilmu Kesehatan Gema Wiralodra Miracle Journal Of Public Health (MJPH) Diversity: Disease Preventive of Research Integrity International Journal of Health, Economics, and Social Sciences (IJHESS) Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Journal of Health and Nutrition Research Journal of Baja Health Science Jurnal Keperawatan Genitri: Jurnal Pengabdian Masyarakat Bidang Kesehatan Sociality: Journal of Public Health Service Poltekita: Jurnal Ilmu Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Preventif : Jurnal Kesehatan Masyarakat
Muhammad Ryman Napirah
Department Of Health Policy And Administration, Tadulako University, Indonesia
Aerospace Engineering Civil Engineering, Building, Construction & Architecture Dentistry Economics, Econometrics & Finance Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Earthquake Disaster Management Preparedness Analysis at Anutapura Regional Hospital Palu City Napirah, Muhammad Ryman; Vidyanto, Vidyanto; Aulia, Rizkha Putri; Salmawati, Lusia; Munari, Munari
Poltekita: Jurnal Ilmu Kesehatan Vol. 18 No. 3 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v18i3.4029

Abstract

The problem found at Anutapura Regional Hospital is that earthquake disaster preparedness is not yet effective due to the hospital's occupational health and safety organizational structure not being updated since 2020 and lack of special training for the team to deal with earthquake disasters. This qualitative case study aims to analyze the organization, mobilization and activation of human resources in earthquake disaster preparedness at Anutapura Regional Hospital, Palu City. In-depth interviews and observations were conducted with key informants including the hospital director, emergency/disaster preparedness coordinator, and secretary of the occupational health and safety team. The results showed that the organizational structure has been updated in 2023 with defined roles and responsibilities, but monitoring and evaluation mechanisms need improvement to ensure teamwork efficiency and effectiveness. The hospital is constrained in training the team, with no special training available for earthquake disasters, although some internal training has been conducted. Personnel selection is based on competencies aligned with emergency response tasks, focusing on managerial expertise and emergency certification. However, the team is not yet independent with members from various units, resulting in suboptimal implementation. The placement process follows general procedures without special assignments for emergencies, and performance evaluations are not conducted regularly. Anutapura Regional Hospital should implement a special training program that includes earthquake disaster management strategies to enhance preparedness.
A STUDY OF MEDICINE MANAGEMENT IN PUBLIC HEALTH CENTER Sari, Nur Mila; Napirah, Muhammad Ryman; Windy, Widy Try
JOURNAL OF BAJA HEALTH SCIENCE Vol 5 No 1 (2025): Journal of Baja Health Science
Publisher : Universitas Banten Jaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47080/joubahs.v5i1.3889

Abstract

In Indonesia, drug expenditures that have been roughly fourty percent are seen as exorbitant. Drug availability is decreased, pharmaceuticals become scarce, a large number of drugs accumulate as a result of poor drug planning, and irrational drug use drives up drug costs. The aim to Find out about the Public Health Center's drug needs planning, distribution, storage, and recording and reporting is the goal. design of qualitative research using a case study methodology. In their working area, the Public Health Center and Integrated Service Center, this study was carried out in 2017. The Public Health Center's director served as the study's primary informant. The result is Public Health Center and the Health Office collaborate to plan for drug needs; nonetheless, some medications are required but not included in the e-catalog. The Public Health Center's drug storage is set up according to the FIFO and FEFO systems, but there are no dedicated cabinets for narcotics and psychiatric medications, and the air temperature does not yet meet regulations. Unavailable medications cause problems with patient medicine distribution, leading to ineffective and inefficient services. Due to a shortage of pharmaceutical health workers, drug recording and reporting are not completed on time. According to the study's findings, there are challenges with drug management at the Public Health Center, ranging from organizing drug requirements, storing, distributing, and recording and reposrting drugs.
The Relationship Between Situational Leadership Style and Motivation with Employee Performance at Kamonji Community Health Center in West Palu District, Palu City Napirah, Muhammad Ryman; Vidyanto, Vidyanto; Prayitno, Heru Kukuh; Hasanah, Hasanah; Sari, Nur Mila; Fadjriah, Rasyika Nurul
Journal of Health and Nutrition Research Vol. 3 No. 3 (2024)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v3i3.297

Abstract

In the context of self-development, leaders capable of guiding organizations towards their objectives are essential. Effective leadership requires the application of diverse leadership styles in different situations, rather than relying on a single approach for all scenarios. Employees within a company can be motivated by fulfilling their needs and desires. However, providing work motivation can be challenging as what is considered important to one individual may not be equally significant to another. The head of the Kamonji Community Health Center employs a situational leadership style. The leadership of the health center head demonstrates limited communication and control, with interactions primarily occurring when employees submit reports to the head. This study aims to investigate the relationship between situational leadership style and motivation with employee performance at the Kamonji Community Health Center in West Palu District, Palu City. The research design employed is a cross-sectional study. The population comprises employees with civil servant status, with a sample size of 54 individuals selected using total sampling technique. Data analysis was conducted descriptively, including univariate and bivariate analyses, at a 95% confidence level (p<0.05). Fisher's Exact test results indicate that situational leadership style is associated with employee performance (ρ=0.039), and motivation is related to employee performance (ρ=0.028). Higher levels of situational leadership style and motivation provided correspond to improved employee performance, and vice versa. It is recommended that the head of the Community Health Center pay attention to behavioral aspects, particularly in motivating employees.
Factors Related to the Retention of Contract Employee Health Workers at Ulunambo Public Health Centre, Morowali Regency Napirah, Muhammad Ryman; Rahman, Nurdin; Laida, Marsia; Sulaiman, Miftahul Haerati; Laba, Stefiani Bengan
Journal of Health and Nutrition Research Vol. 2 No. 2 (2023)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v2i2.139

Abstract

The retention of health workers at the public health center is influenced by various factors, including work design, employee relations, career opportunities, and leadership. The decline in the number of contract employee health workers at Ulunambo Public Health Centre is evident from the data on the number of health workers. In 2014, there were 2 people; in 2015, there were 2 people; in 2016, there was 1 person, and in 2017, it dropped to 2 people. The purpose of this research is to investigate the relationship between work design, employee relations, career opportunities, and perceptions of leadership with the retention of health workers at Ulunambo Public Health Centre, Morowali Regency. The research employed an analytical survey approach with a cross-sectional study design. The sample size consisted of 33 respondents. Data were analyzed using univariate and bivariate methods at a confidence level of 95% (p < 0.05). The results of the chi-square test indicate a significant relationship between work design, employee relations, career opportunities, perceptions of leadership, and the retention of health workers (p < 0.05). It is recommended that Ulunambo Public Health Centre regularly provides training, information, and opportunities for employees seeking career development. Additionally, improving communication between management and employees through regular interactions is crucial. Furthermore, conducting regular supervision of employees' work performance is also advised.
Community-Based Intervention: A Case Study of Pantoloan Boya Village Community Through the Rehabilitation Field Program of National Narcotics Agency, Palu City Arwan, Arwan; Syam, Sadli; Fadjriah, Rasyika Nurul; Sulfiyanti, Sulfiyanti; Napirah, Muhammad Ryman
Journal of Health and Nutrition Research Vol. 2 No. 2 (2023)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v2i2.140

Abstract

Drug abuse is becoming more of a threat and garnering global attention, particularly in parts of Southeast Asia. The drug issue in Indonesia is urgent and multifaceted. In 2019, Central Sulawesi ranked fourth in Indonesia for the highest rate of drug abuse, with 3.30% of the population, or the equivalent of 61,857 drug users. According to research, Palu City has the highest rate of drug abuse in Central Sulawesi province. The purpose of this research was to find out how the Community-Based Intervention (CBI) Program is being implemented in the Rehabilitation Sector of BNN Kota Palu in Pantoloan Boya Village. The method used in this study was qualitative. This study used a purposive sample strategy to select 7 informants. The results showed that the mapping was carried out by RW (Hamlet)/RT (Neighbourhood)-based Recovery Agents (RA) with minimal Human Resources (HR) and clients who participated in limited interventions. Outreach is the delivery of information and approaches to the community, families, and drug users. This study's recommendations include mapping to expand HR capacity, in this case, RAs and clients, so that the program works more efficiently. Increase client compliance in group and individual meetings as part of outreach. Recovery services are being provided by pushing for the continuation of CBI's activities in Pantoloan Boya Village
Analysis of Satisfaction Levels of Patients on Service Quality with The Importance Performance Analysis (IPA) Method Vidyanto, Vidyanto; Bertus, Brigita Natasya; Krisnasari, Sendhy; Napirah, Muhammad Ryman
Journal of Health and Nutrition Research Vol. 2 No. 3 (2023)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v2i3.207

Abstract

The Importance Performance Analysis (IPA) method is a survey method that can be used to measure the satisfaction performance that is considered important by customers (expectations) and the satisfaction performance received by customers (reality). This research aims to determine the level of compatibility between performance and expectations of satisfaction towards the quality of service at the Biromaru Public Health Center in Sigi Regency. This type of research was quantitative with descriptive analysis techniques; the sample size used the Slovin formula, while the sampling used accidental sampling techniques. The total sample was 99 respondents. Data were collected through questionnaires and then analyzed using the Importance Performance Analysis (IPA) method. Results show that The Biromaru Public Health Center has met patient expectations in terms of the friendliness and politeness of health workers, the cleanliness of examination rooms, and the timeliness of doctor examinations. However, there are several areas where the health center can improve, such as the cleanliness and maintenance of the building, the waiting time for medicines, and the availability of sophisticated and adequate health facilities. The attributes that patients consider less important, but are still implemented well, include the appearance of health workers, the clarity of drug dosage information, and the good communication of nurses. The Bureaumaru Health Center has met patient expectations in terms of the courtesy and politeness of health workers, the cleanliness of the examination room, and the timeliness of doctor's examinations.
Bullying Behavior in Generation Z Youth: Case Study at Palu City DP3A Children's Forum Arwan, Arwan; Arif, Syamsul; Syam, Sadli; Napirah, Muhammad Ryman; Krisnasari, Sendhy; Firmansyah , Firmansyah; Suwendro, Novi Inriyanny
Journal of Health and Nutrition Research Vol. 2 No. 3 (2023)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v2i3.216

Abstract

This research aims to determine bullying behavior among Generation Z youth at the DP3A Children's Forum in Palu City. This research used qualitative research methods with a case study design. There were 10 informants in the research using purposive sampling techniques. Data management using matrix techniques. The results of research on the behavioral belief variable were that the perpetrator understands the dangers of bullying quite well, but bullying behavior was still carried out. Regarding the evaluation variable or behavioral impact, most did not know and did not feel the impact of bullying. In the behavioral motivation variable, the perpetrators were motivated to bully because it was fun for them and had thought about stopping bullying because they had received warnings and advice from those closest to them. It is suggested that the Women's Empowerment and Child Protection Service (in Indonesia known as DP3A) of Palu City should find out about providing maximum education and guidance to the parents of the perpetrators so that bullying behavior by those who become administrators or new members in the Palu City Nosarara children's forum does not occur. Parents should pay attention and always ask about the activities they are carrying out and understand their children's feelings so that they trust them and do not hesitate to talk about their children's problems
Evaluation of Pregnant Class Implementation in Work Area of Community Health Center Napirah, Muhammad Ryman; Vidyanto, Vidyanto; Fadjriah, Rasyika Nurul; Rohimah, Nisa
Journal of Health and Nutrition Research Vol. 3 No. 1 (2024)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v3i1.218

Abstract

The purpose of this study is to evaluate the implementation of pregnant women’s classes in the working area of a community health center of Puskesmas Bulili, South Palu District, Palu City. This type of research used a qualitative method with a case study design. Informants were determined by purposive sampling technique. This research indicates that the midwife conducting the pregnant mother’s class has never attended training for the facilitator, the funds used were from the Health Operational Assistance (In Indonesia known as BOK), the media used by the Maternal and Child Health book (In Indonesia known as KIA book), the carpet, the way of disseminating information through invitations and notices in the mosque; material is done once. Reporting is done once a month. The implementation of the pregnant mothers’ class in the work area of the community health center of Puskesmas Bulili is not yet according to the class guidance for pregnant mother. We expect that the community health center of Puskesmas Bulili will meet every mother more than once, so it is not finished in one meeting and can separate per class of pregnant women according to the age of the pregnancy.
Navigating Stigma and Survival: A Phenomenological Study of HIV Risk Among MSM in Palu, Indonesia Nur Afni; Nurdin Rahman; Muhammad Ryman Napirah; Andi Mascunra Ami
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10: OCTOBER 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8105

Abstract

Introduction: In this study, we aimed to explore the multidimensional social determinants influencing HIV vulnerability among men who have sex with men (MSM) within the context of stigma and exclusion in Indonesia. With high HIV prevalence among MSM and persistent social discrimination, our objective was to examine how social, economic, and structural factors contribute to health risks and hinder access to HIV prevention and care services. Methods: This qualitative study involved a phenomenological approach conducted across the urban setting of Palu, Indonesia, over a three-month period. A total of 15 participants were enrolled, and data were collected through in-depth interviews with purposively selected key informants. Results: The primary outcome of the study was the identification of structural and psychosocial barriers that shape HIV vulnerability, including fear of discrimination, familial rejection, and economic precarity. Additionally, digital platform use and inconsistent condom usage emerged as significant behavioral factors. Statistical analyses were not applicable due to the qualitative nature of the study. However, thematic analysis revealed intersecting themes aligned with the social-ecological model and syndemic theory. Conclusion: In conclusion, our study contributes to the understanding of HIV vulnerability among MSM by highlighting the impact of intersecting stigma, poverty, and systemic exclusion. This research provides insights into the need for community-led and culturally responsive interventions. Future studies should address the integration of economic empowerment strategies and digital outreach mechanisms, ultimately advancing knowledge in the field of international public health.
Resilience as a Socially Embedded Process in Cervical Cancer Care: A Qualitative Study Herdhana Suwartono; Juraid Abdul Latief; Achmad Herman; Muhammad Ryman Napirah
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10: OCTOBER 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8667

Abstract

Introduction: Cervical cancer continues to pose significant health and psychosocial challenges in low- and middle-income countries. This study aimed to explore how women with cervical cancer and their caregivers construct resilience in the face of illness, focusing on the roles of emotional, informational, and spiritual supports. By examining these dimensions, the study contributes to a deeper understanding of resilience as a socially embedded process shaped by cultural frameworks and clinical interactions. Methodology: A qualitative research design was employed, drawing on in-depth interviews with women diagnosed with cervical cancer and one caregiver at a referral hospital in Indonesia. Informants were selected purposively to capture diverse illness trajectories, and thematic analysis was applied to verbatim transcripts. Analytical rigor was ensured through triangulation, iterative coding, and interpretive synthesis. Results: Findings indicate that resilience is not a fixed personal trait but a negotiated and dynamic process. Emotional reassurance from family and colleagues, clear and compassionate communication by clinicians, and the grounding of experiences in spirituality and religious practices all facilitated adaptation and treatment adherence. At the same time, resilience revealed ambivalence: moralized expectations of being a “good patient” encouraged compliance but risked silencing distress, while some informants engaged in resistance through treatment hesitation or refusal. Interpreting these findings through subjectivation, psychological, and ecological lenses illustrates that resilience is discursively produced, individually enacted, and structurally conditioned. Conclusion: This study concludes that resilience in cervical cancer care is best understood as a culturally embedded and multi-layered phenomenon. Its implications underscore the need for context-sensitive psychosocial oncology practices that integrate family support, culturally grounded spiritual care, and dialogic communication. By situating Indonesian experiences within broader international debates, the research contributes new insights to global psycho-oncology scholarship and highlights avenues for future inquiry, including longitudinal research and the development of culturally validated assessment tools.
Co-Authors Abd Rahman Abd Rahman Abd. Rasyid Syamsuri Achmad Herman Adhar Arifuddin Afni, Nur' Agustina Tony Ahmad Ratif, Ahmad Andi Mascunra Ami Andi Okki Sulistiani, Andi Okki Andi Rahmi Arwan Arwan Arwan Arwan Asfin H.S, Nur Asmawati Asmawati Asmawati Aulia, Ana Aulia, Rizkha Putri Aulia, Ulfa Bertin Ayu Wandira Bertus, Brigita Natasya Brigita Natasya Bertus Chelsea Christine Natalia Magido, Chelsea Christine Natalia Ernawaty Ernawaty Fadjriah, Rasyika Nurul Firmansyah , Firmansyah Firmansyah Firmansyah Hadi jah, Hadi Hasanah Hasanah Herawanto Herawanto, Herawanto Herdhana Suwartono Herlina Jusuf Herman Jeane Lestari, Jeane Juraid Abdul Latief Khairunisaa Krisnasari, Sendhy Kurniawan, Herman Laida, Marsia Laura Cindy Claudya Hutabarat, Laura Cindy Claudya Lintje Boekoesoe Lusia Salmawati Marsia Laida Miftahul Haerati Sulaiman Miftahul Haerati Sulaiman Muh Jusman Rau Munari Munari Musdalipa, Musdalipa Musdalipa, Musdalipa Natalia Magido, Chelsea Christine Ningrum, Arum Sekar Nisa Rohimah Novi Inriyanny Suwendro Nur Azizah Azzahra Nur Mila Sari Nurdin Rahman Nurul Fuadi Nur’Aini Nur’Aini Prayitno, Heru Kukuh Radhia, Sitti Raramiranda, Raramiranda Rasul, Muh. Rasyika Nurul Fadjriah Riru Dwi Anggraeni, Riru Dwi Rivai, Dian Rahmayanti Rohimah, Nisa Rukaya Rukaya, Rukaya Sadli Syam Sarinah Basri K Sherlina Sherlina, Sherlina Sitti Radhia Stefiani Bengan Laba Sulaiman, Miftahul Haerati Sulfiyanti Sulfiyanti Sulfiyanti, Sulfiyanti Syamsul Arif Syamsul Arif Toii, Indra Eka Wardana Ulfa Aulia Veruswati, Meita Vidya Avianti Hadju Vidyanto Vidyanto Vidyanto Vidyanto, Vidyanto Windy, Widy Try Yuditha Apriliana Windasari, Yuditha Apriliana