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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEINGINAN PERPINDAHAN FASILITAS KESEHATAN TINGKAT PERTAMA PADA PESERTA JKN MANDIRI DI KOTA DENPASAR TAHUN 2017 Iwan Abdi Suandana; Pande Putu Januraga; Putu Ayu Indrayathi
ARCHIVE OF COMMUNITY HEALTH Vol 6 No 1 (2019): Juni 2019
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (581.998 KB) | DOI: 10.24843/ACH.2019.v06.i01.p01

Abstract

ABSTRAK Keinginan pindah fasilitas kesehatan tingkat pertama merupakan salah satu bentuk ketidakpuasan pasien serta akan berdampak pada loyalitas pasien dalam memanfaatkan pelayanan kesehatan. Pada tahun 2016, terjadi peningkatan yang signifikan pada peserta JKN Mandiri di Kota Denpasar yang melakukan perpindahan FKTP yaitu di bulan Juni sebanyak 453 orang dan menjadi 504 orang pada bulan November 2016. Berdasarkan hasil wawancara dengan pihak BPJS Kesehatan Cabang Denpasar didapatkan data mengenai keluhan peserta JKN di FKTP di Kota Denpasar meliputi pelayanan yang kurang ramah, kurang informatif, antrian panjang, penolakan pasien luar wilayah dan pasien tidak terlayani karena berobat di luar jam kerja FKTP. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan keinginan pindah FKTP pada peserta JKN Mandiri di Kota Denpasar. Desain penelitian ini menggunakan analitik crossectional dengan jumlah sampel 108 orang. Teknik pengambilan sampel dilakukan dengan cara consecutive sampling di beberapa FKTP yang bekerjasama dengan BPJS Kesehatan di Kota Denpasar. Pengumpulan data dilakukan dengan kuesioner dan dianalisis dengan analisis univariat, bivariat (chi-square) dan multivariat (regresi logistik) Berdasarkan hasil mutivariat didapatkan hasil terdapat hubungan antara ketersediaan fasilitas (p=0,005, 95% CI=2,05-56,57), waktu tunggu (p=0,000, 95% CI=5,98-233,68), jarak (p=0,000, 95% CI=3,66-51,92), pindah domisili (p=0,022, 95% CI=1,34-43,01) dan pelayanan dokter (p=0,005, 95% CI=2,02-55,32) dengan keinginan pindah FKTP, sedangkan waktu pelayanan tidak mempunyai hubungan dengan keinginan pindah FKTP (p=0,138, 95% CI=0,50-147,25). Adapun faktor yang paling dominan terhadap keinginan pindah FKTP yaitu waktu tunggu (p=0,000 dan Adjust OR= 37,38) Bagi pihak FKTP sebaiknya dapat meningkatkan kualitas mutu pelayanan yang diberikan pada peserta JKN serta bagi BPJS Kesehatan dapat meningkatkan penilaian terhadap FKTP yang bekerjasama dengannya dalam hal kredensialing dan rekredensialing FKTP. Kata Kunci: Perpindahan, FKTP, JKN ABSTRACT The desire to move first-level health facilities is one form of patient dissatisfaction and will have an impact on patient loyalty in utilizing health services. In 2016, there was a significant increase in JKN Mandiri participants in Denpasar City who moved FKTP in June as many as 453 people and became 504 people in November 2016. Based on interviews with BPJS Health Denpasar Branch data obtained about JKN participants' complaints in FKTP in Denpasar City includes services that are not friendly, less informative, long queues, rejection of patients outside the region and patients not served because of treatment outside FKTP working hours. This study aims to determine the factors associated with the desire to move FKTP on JKN Mandiri participants in Denpasar City. The design of this study used cross-sectional analytics with a sample of 108 people. The sampling technique was done by consecutive sampling in several FKTP in collaboration with BPJS Health in Denpasar City. Data collection was carried out by questionnaire and analyzed by univariate, bivariate (chi-square) and multivariate (logistic regression) analysis. Based on the results of the mutivariat, there was a correlation between the availability of facilities (p = 0.005, 95% CI = 2.05-56.57) , waiting time (p = 0,000, 95% CI = 5.98-233.68), distance (p = 0,000, 95% CI = 3.66-51.92), moving domicile (p = 0.022, 95% CI = 1.34-43.01) and doctor's service (p = 0.005, 95% CI = 2.02-55.32) with the desire to move FKTP, while the service time has no relationship with the desire to move FKTP (p = 0.138, 95 % CI = 0.50-147.25). The most dominant factor for the desire to move FKTP is the waiting time (p = 0,000 and Adjust OR = 37.38) For the FKTP it should be able to improve the quality of service provided to JKN participants and for BPJS Health can improve the assessment of FKTP in collaboration with in terms of FKTP credentialing and recruitment. Keywords: Displacement, FKTP, JKN
Status gizi, densitas zat gizi, dan keragaman pangan anak balita selama pandemi COVID-19 di Kabupatan Bangli, Bali Kadek Tresna Adhi; Ni Putu Widarini; Ni Luh Putu Suariyani; Iwan Abdi Suandana; Pande Putu Januraga
Jurnal Gizi Klinik Indonesia Vol 18, No 3 (2022): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.71861

Abstract

Nutritional status, nutrient density, and dietary diversity of children under five during the COVID-19 pandemic in Bangli Regency, BaliBackground: Stunting in children caused the lack of nutritionally balanced food intake in the first two years of life. During the COVID-19 pandemic, the fulfillment of balanced nutrition for children must still be considered to maintain body resistance to avoid COVID-19 infection.Objective: This study was conducted to find out the nutritional status of children and also the knowledge and attitudes of mothers regarding the practice of balanced nutrition based on local food in the COVID-19 pandemic situation. Methods: Cross-sectional study with 202 children aged 23-59 months located in Susut District, Bangli Regency, Bali Province. Data collection includes anthropometric measurements and food recall. Characteristics, knowledge, and attitudes of mothers were conducted by interview using a questionnaire. Results: The nutritional status of subjects showed that the average weight for height z-score (WHZ) was 0.29 ± 1.37, height for age z-score (HAZ) was 0.56 ± 2.38, and weight for age z-score (WAZ) which is -1.18 ± 2.03. The average density of energy intake in the adequate (1.66±0.456), as well as protein density (4.12±0.884 g/100 calories), vitamin B12 (0.225±0.457 mg/100 kcal), and vitamin A (71.7 ±104.6 mg/100 kcal). The majority (61.9%) of subjects consumed less than five food groups in the last 24 hours. The average knowledge of respondents is 69.5±15.3, which is 35.1% in well nutrition knowledge, while most respondent’s attitude has in the good category. Conclusions: Overall children are in normal nutritional status, but it is necessary to attention to the density of vitamins and minerals which are still low, and the lack of food diversity. Suggestion to increase education on balanced nutrition practices based on local food to mothers and families so that they can help grow and also maintain children's health during the COVID-19 pandemic.
Literature Review: Analisis Faktor-faktor yang Berhubungan dengan Kejadian Anemia Pada Remaja Putri Iwan Abdi Suandana; Malinda Capri Nurul Satya; Lisus Setyowati; Dian Kartika Sari; Stephani Nesya Renamastika
ARTERI : Jurnal Ilmu Kesehatan Vol 4 No 1 (2022): November
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v4i1.256

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Anemia is a medical condition in which the hemoglobin level less than normal. Normal Hb levels in adolescent girls are >12 g/dl. Anemia in adolescent girls is still relatively high. Impact of anemia can be caused the body to become thin and drastically lose weight, shortness, constant illness, and anemia. This literature review identified factors that are consistently associated with the incidence of anemia in adolescent girls. This research method is a literature review by collecting various databases from Pubmed, Science Direct, Proquest, and Google Scholar. The selection of articles were limited from 2014-2019 and 20 articles were found. Factors that are consistently associated with the incidence of anemia in adolescents girls include the level of knowledge of girl adolescents regarding anemia, iron intake, nutritional status and the duration of menstruation, BMI, category of residence (rural/urban), dietary habits, and infections such as malaria. It is necessary to provide continuous blood supplement tablets to young women from the government and schools so that they can meet their nutritional needs and further research is expected to be able to use different research designs such as case control and cohorts in order to prove a stronger causal relationship, this is because there have been quite a number of studies related to risk factors for the incidence of anemia in adolescent girls.
PENGUATAN UPAYA PROMOTIF DAN PREVENTIF TENTANG PENTINGNYA KESEHATAN REPRODUKSI DAN BAHAYA IMS Satya, Malinda Capri Nurul; Suandana, Iwan Abdi; Setyowati, Lisus; Renamastika, Stephani Nesya; Sari, Dian Kartika
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 3 No. 2 (2023): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/gemakes.v3i2.1284

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Prevalensi Infeksi Menular Seksual (IMS) di Indonesia masih mengalami tren kenaikan kasus dan dapat ditularkan dari individu ke individu lain yang sering bergonta-ganti pasangan seksual. Anggota TNI muda (terutama usia 20-30 tahun) merupakan aparatur negara yang sering jauh bertugas dari keluarga, menjadi salah satu penyumbang dalam meningkatkan prevalensi IMS. Hal tersebut dikarenakan aktifitas dan hasrat seksualnya mengalami naik turun pada usia tersebut. Tujuan pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan dan sikap anggota TNI Muda dalam memahami terkait pentingnya kesehatan reproduksi dan bahaya IMS di Brigif Raider 9 Kostrad Jember. Metode pelaksanaan kegiatan ini adalah melakukan prestest, melakukan penyuluhan, melakukan posttest dan melakukan ice breaking. Hasil dari kegiatan ini adalah hasil terdapat perbedaan yang bermakna antara rata-rata pengetahuan dan sikap sebelum dan sesudah edukasi (p=0,000). Dimana rata-rata nilai pengetahuan prettest yaitu 7,33 dan meningkat menjadi 8,40 pada posttest. Sedangkan rata-rata nilai sikap pretest yaitu 31,07 dan meningkat menjadi 36,20 pada postest. Oleh karena itu, instansi TNI dapat melakukan tindak lanjut berupa skrining yang berkelanjutan untuk mendeteksi IMS secara dini khususnya kepada anggota TNI.
Starting Life with Hidden Wound: Bullying and Self-Reported Depression Symptoms among Early Adolescent in 3 Cities of Indonesia Iwan Abdi Suandana; Anggriyani Wahyu Pinandari; Siswanto Agus Wilopo
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI1 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI1.2024.86-96

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Background: Previous research revealed that bullying cause depression symptoms such as lack enthusiasm, anxious, being sensitive, and easily offended. Aims: This study aims to determine the relationship between bullying and self-reported depression in early adolescents using cross-sectional approach for Indonesia Global Early Adolescent Study data. Method: Depression symptom was collected using self-registered questionnaire about sadness, sleep disturbance, anxiety, and self-injury ideation from 4,684 students (2,207 boys and 2,477 girls). Logistic regressions were used to examine how bullying, and multilevel factors predict depression. Most adolescent aged 12-13 years old, living with complete parents, middle-up economic background, having hand-phone and using social media. Results: Adolescent reported experience at least 3 depression symptoms (60%), bullying (45%) and Adverse Childhood Experiences (ACEs; 70%). Result shows that boys (OR[CI];1.73[1.45,2.06]), having ≥5 ACEs (OR[CI];1.35[1.20,1.51]), living with relative (OR[CI];4.52[3.67,5.56]), spent more time with peers (OR[CI];1.52[1.33,1.73]), feeling unsafe (OR[CI];1.79[1.59,2.02]), having negative social-cohesion (OR[CI];1.50[1.34,1.67]) and high social-control (OR[CI];1.40[1.24,1.58]) are more likely to report depression. Conclusion: Multivariable analysis reveals significant association only on ACEs, time spent with peers, unsafe feeling, negative social-cohesion and high social-control. Bullying strongly predicts depression when adjusted by family and community variables only. Bullying prevention program should address other socialization agents such as peers, parents, teacher and community leader.
Pemanfaatan Game Edukasi Pada Penyuluhan PHBS di SD Glagahwero 2 Jember Hikmah, Faiqatul; Susindra, Yoswenita; Suandana, Iwan Abdi; Perwiraningrum, Dhyani Ayu; Kartika, Ria Chandra
Journal of Community Development Vol. 4 No. 2 (2023): December
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/comdev.v4i2.154

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Improving your health status can be done by getting used to living a clean and healthy lifestyle. The Clean and Healthy Living Behaviour (CHLB) must be promoted in school health programs related to personal hygiene and environmental sanitation to prevent disease in the school environment. Getting students used to practicing PHBS at school can be used as a foundation for health behaviour. This community service activity was carried out at SD Glagahwero 2 Jember which was attended by all students from class 1 to class 6. Education was carried out through counselling by providing explanations about how PHBS should be applied in daily life both at home, school and other public places. As well as explaining the benefits of implementing CHLB which are applied in everyday life. After counselling on the snakes and ladders educational game, students are trained to be able to answer or make decisions according to the problems/questions given in the game. The increase in knowledge that students receive about CHLB can be seen from the students' ability to answer questions correctly, this will support students' clean and healthy living habits so that they can improve the level of health in society.
EDUKASI TENTANG ANEMIA SEBAGAI UPAYA PENCEGAHAN STUNTING Sabran, Sabran; Sari, Dian Kartika; Suandana, Iwan Abdi; Satya, Malinda Capri Nurul
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 4 No. 6 (2023): Volume 4 Nomor 6 Tahun 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v4i6.21821

Abstract

Permasalahan stunting masih menjadi fokus utama di Indonesia. Salah satu faktor penyebab terjadinya stunting adalah anemia. Anemia merupakan suatu kondisi dimana jumlah sel darah merah lebih rendah dari jumlah normal. Berdasarkan data Riskesdas tahun 2018 prevalensi anemia pada anak perempuan yang berusia remaja sebesar 32% yang artinya jika ada 10 remaja akan ada 3-4 yang beresiko menderita anemia. Timbulnya masalah gizi pada anak usia di bawah dua tahun erat kaitannya dengan persiapan kesehatan dan gizi seorang perempuan untuk menjadi calon ibu, termasuk remaja putri. Remaja putri dengan anemia beresiko menjadi wanita usia subur dengan anemia. Wanita Usia Subur (WUS) yang anemia beresiko mengalami gangguan komplikasi saat kehamilan berupa gangguan pertumbuhan janin, fetal distress serta dapat meningkatkan resiko terjadinya stunting pada anak yang dilahirkan kelak. Oleh karena itu, pemberian edukasi mengenai anemia dan dampaknya terhadap kesehatan diperlukan untuk mencegah terjadinya anemia serta membantu mengurangi angka kejadian stunting lebih dini. Metode yang digunakan dalam pengabdian masyarakat yaitu perencanaan dan pelaksanaan kegiatan yang terdiri dari perkenalan, penyuluhan dengan memberikan edukasi, pemberian Tablet Tambah Darah (TTD) dan penilaian dengan memberikan kuesioner pretest dan posttest. Hasil yang didapatkan dari kegiatan ini adalah adanya peningkatan pengetahuan dan sikap pada remaja dan WUS.
The ADDIE Model As An Instrument for Designing HEMA-MAGZ (Healthy Motion Magazine) Media Susindra, Yoswenita; Setyowati, Lisus; Satya, Malinda Capri Nurul; Sari, Dian Kartika; Suandana, Iwan Abdi
International Journal of Health and Information System Vol. 2 No. 3 (2025): January
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/ijhis.v2i3.53

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Clean and healthy living behavior (PHBS) in the work environment is an important aspect which contributes to employees welfare and organizational productivity. However, the implementation of PHBS often faces challenges such as a lack of understanding and awareness of the importance of PHBS in the workplace. This research aims to develop and implement HEMA-MAGZ (Healthy Motion Magazine) as an effective communication, information, and educational media in supporting the implementation of PHBS in the work environment of Tefa House in Health Promotion Major, Jember State Polytechnic. This research method uses the R&D (Research and Development) model to design IEC PHBS media in the Hema-Magz work environment using the ADDIE (Analyze, Design, Development, Implementation, and Evaluation). HEMA-MAGZ is designed as an interactive magazine which contains educational content regarding 10 PHBS indicators, namely (Using Personal Protective Equipment (PPE), regular exercise, not smoking, washing hands with soap in daily activity, tips for defecating and urinating in the bathroom, exterminate mosquito larvae, throwing away rubbish on the right trash bin, avoiding drugs, consuming clean and healthy food and drinks, and not spitting anywhere. The research results show that HEMA-MAGZ has succeeded increasing employees awareness and understanding of PHBS, which is reflected increasing healthy living behavior in the work environment. Furthermore, this magazine also received positive responses from employees who felt the contents are attractive and easy to understand. This research concludes if HEMA-MAGZ is an effective media in conveying information and education.
Health Service Innovation Strategy of TEFA House of Health Promotion with SWOT Analysis Sabran, Sabran; Suandana, Iwan Abdi; Sari, Dian Kartika
International Journal of Health and Information System Vol. 1 No. 3 (2024): January
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/ijhis.v1i3.33

Abstract

Teaching Factory (TEFA) House of Health Promotion establishment is to enhance healthcare services and public welfare quality. An in-depth analysis is needed to determine the internal and external factors that could influence the creation of TEFA. This research aimed to analyze the Health Service Innovation Strategy of TEFA House of Health Promotion using SWOT analysis. This research method was qualitative, instrument using questionnaires given to TEFA staff and data analysis conducted using SWOT analysis. The research results were based on the SWOT analysis diagram, indicating that TEFA House of Health Promotion was in quadrant I (aggressive quadrant). The recommended strategy is to develop TEFA as a service provider in the health promotion sector. The management of TEFA must create an effective management organizational structure, design a comprehensive TEFA business plan and strategy, and construct a clear workflow and performance Standard Operating Procedure (SOP). It also required a well-defined management and service governance SOP and a well-structured work program. Extend promotions locally and reach a broader audience by utilizing promotional media. Overall, the proposed service innovation strategies are expected to assist TEFA House of Health Promotion in achieving its goal of enhancing the quality of health services and overall public health.
Upaya Peningkatan Pengetahuan Remaja Tentang Anemia Gizi Besi di SMPN 1 Yosowilangun Sabran, Sabran; Sari, Dian Kartika; Suandana, Iwan Abdi; Satya, Malinda Capri Nurul
SEJAGAT : Jurnal Pengabdian Masyarakat Vol. 2 No. 1 (2025): June
Publisher : P3M Politeknik Negeri Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25047/sejagat.v2i1.5721

Abstract

Iron Nutrition Anemia is a condition of blood hemoglobin deficiency that can reduce productivity and affect the cognitive development of adolescents. Adolescent girls are susceptible to anemia due to several causal factors. There is an increased need for iron during puberty. Another factor that causes anemia is low consumption of Fe and other nutrients such as vitamin A, vitamin C, folic acid, riboflavin, and B12.  This community service activity aims to increase adolescents' knowledge about AGB through educational programs at SMPN 1 Yosowilangun, Lumajang Regency. The activity was carried out in August 2024 and involved 30 teenagers in the 3rd grade of junior high school. The methods used included discourse and discussions supported by presentation media, leaflets, and the Freemia website. Through this activity, we hope to enhance teenagers' understanding of anemia risks, the significance of iron intake, and the importance of adopting a healthy diet to prevent anemia. Health education in schools is expected to be a strategic step in reducing the incidence of anemia in adolescents in Indonesia.