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All Journal Jurnal Kesehatan Komunitas Hearty : Jurnal Kesehatan Masyarakat
Kiswanto Kiswanto
Universitas Hang Tuah Pekanbaru
Public Health Other

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ANALYSIS OF THE LOW UTILIZATION OF MOBILE JKN ADOPTION FOR PATIENT REGISTRATION AT DUMAI GENERAL HOSPITAL IN 2025 Suci Badriyana; Emy Leonita; Kiswanto Kiswanto; Reno Renaldi; Doni Jepisah
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21777

Abstract

Digital transformation in healthcare has become a major focus of the Indonesian government through the development of the Mobile JKN application by BPJS Kesehatan. However, at Dumai General Hospital (RSUD Dumai), the utilization rate of this application remains low. This study aims to analyze the factors contributing to the low adoption of Mobile JKN in patient registration using the Innovation Resistance Theory (IRT) by Ram and Sheth (1989), which includes five dimensions: Usage Barrier, Value Barrier, Risk Barrier, Tradition Barrier, and Image Barrier. The research applied a qualitative case study approach involving key informants consisting of both users and non-users of Mobile JKN, as well as hospital registration staff. Data were collected through in-depth interviews and field observations, then analyzed thematically. The findings show that low adoption is influenced by limited digital literacy among elderly patients (Usage Barrier), perceptions that manual registration is faster (Value Barrier), concerns about data security and technical issues (Risk Barrier), strong preference for face-to-face interactions (Tradition Barrier), and the negative image of the application due to system errors and insufficient socialization (Image Barrier).
OPTIMIZATION OF CADRE PERFORMANCE AND SKILLS TOWARD ACHIEVING HYPERTENSION SCREENING TARGETS AT TELUK BELITUNG COMMUNITY HEALTH CENTER Despitasary Despitasary; Kiswanto Kiswanto; Apriadi Saputra; Kamali Zaman
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.22367

Abstract

The low coverage of hypertension screening in the working area of the Teluk Belitung Community Health Center poses a serious challenge in controlling Non Communicable Diseases, with data showing that routine community participation is only 36.5%. This study aims to analyze the low coverage of hypertension screening and to formulate strategies for optimizing the performance of health cadres as the frontline of early detection in the community. Using a qualitative approach with a descriptive design, data were collected through in depth interviews, observations, and document review. Data were analyzed using the Urgency, Seriousness, Growth method to determine problem priorities and SWOT analysis for strategy formulation. The results of the Urgency, Seriousness, Growth analysis identified that suboptimal cadre skills were the main root problem with the highest priority score of 15. Based on the SWOT matrix, this study recommends intervention strategies in the form of transforming guidance methods through a peer-coaching system (Core Cadres) supported by Health Operational Assistance, intensification of outreach services (Mobile Integrated Health Posts), integration of services into community socio cultural activities, and strengthening cross sectoral advocacy to obtain village level regulatory support and village funding. This strategy is expected to change the paradigm of cadre development from a centralized approach to community empowerment supported by local policies as a fundamental step to ensure program sustainability and the achievement of Minimum Service Standard targets in hypertension control.
Analisis Implementasi Program Bulan Imunisasi Anak Sekolah Di Puskesmas Sidomulyo Kota Pekanbaru Anggi Wahyuni; Kiswanto Kiswanto; Jasrida Yunita; Budi Hartono; Dedi Widodo; Asfeni Asfeni
Jurnal Kesehatan Komunitas Vol 11 No 3 (2025): Jurnal Kesehatan Komunitas
Publisher : Universitas Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol11.Iss3.2406

Abstract

The School Children Immunization Month program aims to protect children against Immunization-Preventable Diseases until school age. In percentage terms, BIAS achievement is far from the target, with the highest immunization coverage of only around 18% Measless Rubella, and the lowest 6.3% Diphterie Tetanus 2. Sidomulyo Community Health Center and it was the lowest coverage in the city. The success of the BIAS program policy implementation is influenced by various interrelated factors. This study aims to analyze the implementation of the School Children Immunization Month Program at the Sidomulyo Community Health Center in Pekanbaru City in 2025. This qualitative study was conducted in July 2025 with 14 informants. Research variables include communication, resources, implementer attitudes, bureaucratic structure, environment, and policy standards and targets. The results show that communication is not optimal even though the program is running, good technical implementation is supported by adequate facilities and professional staff, and the attitudes of officers influence parental trust. The program involves the Community Health Center, Health Office, Education Office, schools, and community leaders, but participation is still low due to religious, social, cultural, and hoax factors. Despite clear SOPs, vaccination targets have not been achieved for the past three years. It is recommended to improve interactive communication strategies, strengthen education and cross-sector coordination, and map areas for evaluation and improvement of program implementation.
Co-Authors Agus Alamsyah Anggi Wahyuni Apriadi Saputra Asfeni Asfeni Budi Hartono Dekrial Dekrial Despitasary Despitasary Hajrawati Hajrawati Irwan Muryanto Irwandi Irwandi Isrin Isrin Jepisah, Doni Kamali Zaman Leonita, Emy Muhamad Dedi Widodo Nopriadi Nopriadi Renaldi, Reno Suci Badriyana Yunita, Jasrida Zainal Abidin