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Evaluation of The Clinical Supervision to Clinical Rotation Students In a Faculty of Medicine Irwan Ashari; Titi Savitri Prihatiningsih; Angela Nurini Agni
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 6, No 2 (2017): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: The clinical education at the Faculty of Medicine, University of Muhammadiyah Makassar, must be completed in four semesters. During that period, the students are educated and supervised by specialists or doctors on duty at the hospital. Since the first implementation of the clerkship clinical system at this university, evaluation on the implementation of clinical supervision provided by lecturers to the students for their clinical clinic had never been conducted. Therefore, it was necessary to evaluate the clinical supervision provided by the clinical instructor to the students for their clinical clerkship at FK-Unismuh. This study aims to evaluate the clinical supervision provided by lecturers to the clinical clerkship students at FK-Unismuh Makassar.Method: This study was a descriptive survey. The subjects were 123 clinical clerkship students of FK-Unismuh Makassar who had completed clinical rotation at the department of Internal Medicine, Pediatric, Surgery, and Obstetrics and Gynecology. The research subjects were grouped based on their clinical rotation that had been undertaken. The instruments used were the Clinical Teaching Effectiveness Instrument (CTEI) and the students’ log book for their clinical activities. The collected data were analyzed descriptively.Results: The effectiveness of clinical supervision showed that the overall average total score of CTEI was more than 3 with a range from 3.52 (internal medicine) to 3.84 (surgery). The lowest clinical supervision was at setting up a good time for both services and teaching (3.50). The average frequency of supervision received in Internal Medicine was 91.2 times. The average number of timely, late, and delayed supervision was 40 times (44%), 23 times (26%), and 28 times (30%), respectively. The average supervision duration of under 30 minutes, 30-60 minutes, and more than 60 minutes was 63 times (69%), 16 times (18%), and 12 times (13%), respectively.Conclusion: The effectiveness of the overall clinical supervision at 4 departments was rated ‘good’ by clerkship students. However, there were some items of the clinical supervision which were still undervalued by the students. At the Department of Internal Medicine, the number of students accepted uneven supervision, much clinical supervision was carried out not on time, and duration of supervision was inadequate.

Keberadaan jentik nyamuk aedes aegypti dengan kejadian demam berdarah dengue (DBD) Irwan Ashari; Taufik Kurrohman; Matheus Aba; Endang Surjati; Efendi Efendi
Holistik Jurnal Kesehatan Vol 17, No 1 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v17i1.9257

Background: The incidence of dengue fever in the City of Bandung is still a problem that must be resolved immediately. Efforts to eradicate mosquito nests are one of the most effective ways to reduce disease transmission. Eradication can be carried out from mosquitoes still in the form of larvae.Purpose: To determine the relationship between the presence of aedes aegypti mosquito larvae with the incidence of dengue haemorrhagic fever.Method: A cross-sectional study was conducted in the working area of Puter Health Centre. The research sample was taken using the stratified random sampling technique, which was 63 respondents. The instrument in this study was to use a checklist sheet using the observation method. Data analysis using chi-square test.Results: Most of the houses observed did not have mosquito larvae, of 63.5 per cent, and most did not suffer from dengue haemorrhagic fever, which was 82.5 per cent. There is a relationship between the presence of mosquito larvae and the incidence of dengue haemorrhagic fever.Conclusion: People who live in homes with mosquito larvae are 6.5 times more likely to suffer from dengue haemorrhagic fever compared to people who live in homes where there are no mosquito larvae.Suggestion: To the Public Health Centre to optimize larva monitor cadres to carry out monitoring every week at people's homes.Keywords: Dengue hemorrhagic fever; Larvae; Aedes aegyptiPendahuluan: Kejadian demam berdarah di Kota Bandung masih menjadi permasalahan yang harus segera diselesaikan. Upaya pemberantasan sarang nyamuk adalah salah satu cara yang cukup efektif dalam menekan penularan penyakit. Pemberantasan dapat dilakukan dari nyamuk masih dalam bentuk larva atau jentik.Tujuan: Untuk mengetahui keberadaan jentik nyamuk aedes aegypti dengan kejadian demam berdarah dengue.Metode: Penelitian cross sectional dilakukan di wilayah kerja Puskesmas Puter. Sampel penelitian diambil dengan teknik stratified random sampling yaitu sebanyak 63 responden. Instrumen dalam penelitian ini yaitu menggunakan lembar checklist dengan menggunakan metode observasi. Analisis data menggunakan uji chi square.Hasil: Sebagian besar rumah yang di observasi tidak terdapat jentik nyamuk yaitu 63,5 persen, dan sebagian besar tidak menderita demam berdarah dengue yaitu 82,5 persen. Ada hubungan antara keberadaan jentik nyamuk dengan kejadian demam berdarah dengue.Simpulan: Orang yang tinggal di rumah yang terdapat jentik nyamuk berpeluang 6,5 kali menderita demam berdarah dengue dibandingkan dengan orang yang tinggal di rumah yang tidak terdapat jentik nyamuk.Saran: Kepada pihak Puskesmas agar mengoptimalkan kader jumantik untuk melakukan monitoring setiap minggu ke rumah-rumah masyarakat.

Pemberian ASI eksklusif dan kelengkapan vaksinasi dasar terhadap kejadian stunting Irwan Ashari; Eddy Silamat; Arifah Septiane Mukti; Lea Ingne Reffita; Diki Prayugo Wibowo
Holistik Jurnal Kesehatan Vol 17, No 3 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v17i3.10242

Background: One of the health problems is the high prevalence of stunting in toddlers. The main cause of stunting is nutrition. Early prevention efforts are needed to overcome stunting.Purpose: To determine the effect of exclusive breastfeeding and complete basic vaccination on the incidence of stunting.Method: A cross-sectional design was used in this study. Samples were taken from 80 respondents with purposive sampling techniques. Questionnaires are used as research instruments. The analysis used is the chi-square test.Results: Showed that there was a significant effect between exclusive breastfeeding on the incidence of stunting in toddlers (p = 0.001 and OR = 7.050 CI 95% = 2.150-23.117). There was a significant effect between complete basic vaccination on the incidence of stunting in toddlers (p = 0.039 and OR = 3.667 CI 95% = 1.191-11.285).Conclusion: Toddlers who are stunted are caused by the non-provision of exclusive breastfeeding at the age of 0-6 months and incomplete basic vaccination.Suggestion: To health workers to further educate cadres and the public about the importance of exclusive breastfeeding and complete basic vaccination, as an effort to prevent stunting.Keywords: Stunting; Exclusive Breastfeeding; Basic vaccination; Toddlers.Pendahuluan: Permasalahan kesehatan salah satunya adalah tingginya prevalensi kejadian stunting pada balita. Penyebab utama stunting adalah gizi. Upaya pencegahan sejak dini sangat diperlukan untuk penanggulangan stunting.Tujuan: Untuk mengetahui pengaruh pemberian ASI eksklusif dan kelengkapan vaksinasi dasar terhadap kejadian stunting.Metode: Desain cross-sectional digunakan pada penelitian ini dengan sampel diambil sebanyak 80 responden dengan teknik purposive sampling. Kuesioner yang digunakan sebagai instrument penelitian. Analisis yang digunakan adalah uji chi-square.Hasil: Didapatkan ada pengaruh signifikan antara ASI eksklusif terhadap kejadian stunting pada balita (p=0,001 dan POR=7,050 CI 95%=2,150-23,117). Ada pengaruh signifikan antara kelengkapan vaksinasi dasar terhadap kejadian stunting pada balita (p=0,039 dan POR=3,667 CI 95%=1,191-11,285).Simpulan: Balita yang mengalami stunting disebabkan oleh tidak diberikannya ASI eksklusif saat berumur 0-6 bulan dan tidak lengkapnya vaksinasi dasar.Saran: Disarankan kepada tenaga kesehatan untuk lebih meningkatkan edukasi kepada kader dan masyarakat tentang pentingnya memberikan ASI eksklusif dan memberikan vaksinasi dasar secara lengkap, sebagai upaya pencegahan stunting.

Gambaran dan Rasionalitas Penggunaan Antibiotik pada Pasien Community Acquired Pneumonia di RSIA Ananda: Studi Retrospektif 2024 Ashari, Irwan
Medical : Jurnal Kesehatan dan Kedokteran Vol 2 No 1 (2025): Juni 2025
Publisher : Yayasan Penelitian dan Pengabdian Masyarakat Sisi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69836/medical-jkk.v2i1.333

Community Acquired Pneumonia (CAP) remains a major cause of morbidity and mortality, both in children and adults. Empirical antibiotic therapy is the main intervention, but the rationality of its use is often not fully evaluated in primary and secondary care facilities such as RSIA. To determine the pattern and assess the rationality of antibiotic use in pediatric and adult CAP patients at RSIA Ananda. A retrospective descriptive study of medical records of pediatric and adult CAP patients diagnosed with CAP who were treated at RSIA Ananda during January-December 2024. The evaluation of rationality refers to national guidelines from IDAI (Indonesian Pediatrician Association), PAPDI (Indonesian Lung Doctors Association), and drug use indicators from WHO. Of the 134 patients (72 children, 62 adults), all received empirical antibiotic therapy. The antibiotics most commonly given to children were amoxicillin (40.3%) and cefixime (25%), while in adults ceftriaxone (66.1%) and azithromycin (38.7%). A combination of antibiotics was used in 31.8% of cases. The rationality of antibiotic use was assessed as appropriate in 69.4% of children and 74.2% of adults. The most frequent discrepancies found were in the selection of the type and duration of therapy. Although most antibiotic therapy in CAP patients was in accordance with guidelines, there is still room for improvement, especially in the combination, duration, and selection of antibiotics. Fulfillment of the implementation of cross-unit antibiotic management programs is very important.

ANALYSIS OF THE INACBG-S INPATIENT CLAIM ADMINISTRATION PROCESS BETWEEN GENERAL HOSPITALS AND SPECIAL HOSPITALS IN 2024 AS'AD, AS'ARI; LALU, SAPARUDDIN; AMIR, ARFENTY; ASHARI, IRWAN; RAZAK, KAISAR; ARNANDHA, ATRIA GITA
Al-Iqra Medical Journal : Jurnal Berkala Ilmiah Kedokteran Vol. 9 No. 1 (2026): Al-Iqra Medical Journal: Jurnal Berkala Ilmiah Kedokteran
Publisher : Journal Medical Universitas muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26618/963ae928

Background: The administrative claim process within the National Health Insurance (JKN) system managed by BPJS Kesehatan continues to experience policy dynamics that directly impact hospital claim submission mechanisms. This study aims to analyze the pending inpatient INA-CBGs claim administration process between General Hospitals (RSU) and Specialized Hospitals (RSK) during the period from July to December 2024. Methods: This study employed a quantitative approach with a cross-sectional design. Data were analyzed using the Chi-Square statistical test to determine differences in the causes of pending claims based on hospital type. Results: The findings revealed that in RSU, the dominant cause of claim pendings was related to coding rules (78%), followed by service standards (45.4%) and administrative completeness (22.8%). In RSK, although the distribution pattern differed, these three factors remained the primary contributors to claim pendings. The Chi-Square test showed no significant difference between RSU and RSK regarding service standards (p = 0.5); however, significant differences were found in coding rules and administrative completeness (p = 0.001). Conclusion: These findings indicate that hospital type influences specific aspects of the pending claim administration process. Therefore, there is a need to enhance the quality of coders in RSU through training on INA-CBGs coding guidelines, and to improve the quality of administrative personnel in RSK by recruiting staff who meet the standard educational qualifications for hospital administration.

Pola Penyakit Obstetri, Neonatal, dan Infeksi pada Penerima Jaminan Kesehatan Nasional di Rumah Sakit Ibu dan Anak Ananda: Studi Potong Lintang Fadli Ananda; Irwan Ashari; Darariani Iskandar
Jurnal Promotif Preventif Vol 9 No 1 (2026): Februari 2026: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v9i1.2562

Sistem Jaminan Kesehatan Nasional (JKN) meningkatkan akses pelayanan maternal dan neonatal di Indonesia. Namun, pola penyakit pada pasien JKN rawat inap kebidanan belum dipetakan secara komprehensif. Studi deskriptif potong lintang ini menggunakan data sekunder ICD-10 dari seluruh episode rawat inap pasien JKN di RSIA Ananda tahun 2025 (n=18.584). Analisis deskriptif menilai jenis, frekuensi, dan distribusi penyakit obstetri, neonatal, dan infeksi. Penyakit obstetri mendominasi (78,0%), terutama persalinan dan komplikasi intrapartum, dengan proporsi seksio sesarea tinggi (20,7%). Penyakit neonatal 7,7%, didominasi ikterus, berat badan lahir rendah, dan gangguan pernapasan. Penyakit infeksi 14,3%, terutama infeksi saluran pernapasan dan gastrointestinal. Sebagian besar kasus obstetri adalah readmisi, sedangkan kasus neonatal dan infeksi menunjukkan distribusi seimbang antara baru dan lama. Temuan ini menegaskan beban penyakit kompleks, menekankan penguatan pelayanan obstetri–neonatal, pencegahan infeksi, dan peningkatan kualitas data untuk mendukung kebijakan berbasis bukti.

HUBUNGAN ASI EKSKLUSIF DAN IMUNISASI DASAR DENGAN KEJADIAN STUNTING PADA BALITA UMUR 24-36 BULAN IRWAN ASHARI
Journal Of Midwifery Vol 13 No 1 (2025)
Publisher : UNIVED PRESS, Universitas Dehasen Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37676/jm.v13i1.8745

Pendahuluan: Stunting merupakan masalah kesehatan global yang berdampak jangka panjang pada pertumbuhan fisik, perkembangan kognitif, dan kesejahteraan ekonomi anak di masa depan. Di Indonesia, meskipun prevalensi stunting menurun, angka kejadian masih relatif tinggi, termasuk di Kota Bandung. Penelitian ini bertujuan untuk menganalisis hubungan riwayat pemberian ASI eksklusif dan status imunisasi dasar dengan kejadian stunting pada balita usia 24-36 bulan. Metode: Penelitian ini menggunakan desain cross-sectional dengan melibatkan 59 balita berusia 24-36 bulan yang dipilih secara simple random sampling. Data dikumpulkan melalui kuesioner dan pengukuran antropometri untuk menentukan status stunting berdasarkan Z-score tinggi badan terhadap usia. Analisis data dilakukan menggunakan uji chi-square dengan tingkat signifikansi 5% untuk menguji hubungan antara variabel. Hasil dan Pembahasan: Sebanyak 54,2% balita menerima ASI eksklusif dan 52,5% memperoleh imunisasi dasar lengkap. Prevalensi stunting sebesar 30,5%. Hasil analisis menunjukkan hubungan signifikan antara riwayat pemberian ASI eksklusif dengan kejadian stunting (p = 0,016; OR = 5,014; 95% CI: 1,485–16,929), serta antara status imunisasi dasar dengan kejadian stunting (p = 0,025; OR = 4,507; 95% CI: 1,342–15,135). Kesimpulan: Riwayat pemberian ASI eksklusif dan status imunisasi dasar memiliki hubungan signifikan dengan kejadian stunting pada balita usia 24-36 bulan di Kota Bandung. Upaya peningkatan edukasi dan cakupan kedua faktor ini sangat penting sebagai strategi pencegahan stunting di daerah perkotaan.

Pengetahuan ketahanan pangan dan gizi berbasiskomunitas di masyarakat perkotaan Indonesia: Penerimaan program promosi kesehatan berbasis masjid Fadli Ananda; Darariani Iskandar; Irwan Ashari; Faisal Rizal Zaenal; Irma Irma
JOURNAL OF Community Health Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i3.4384

Background: Food security and nutrition knowledge are important components of public health promotion, particularly when health education is delivered through community settings rooted in local culture. Religious institutions such as mosques can provide accessible settings for integrating health education with community engagement. However, evidence regarding participants’ knowledge and acceptance of mosque-based health promotion activities remains limited. Purpose: This study aimed to describe participants’ knowledge of food security and nutrition and their acceptance of a mosque-based community health promotion program. Method: A quantitative descriptive study using a cross-sectional evaluation approach was conducted among 23 community participants who attended a mosque-based health promotion activity. Data were collected using a 17-item knowledge questionnaire consisting of 10 food security items and seven nutrition items, along with eight five-point Likert-scale items assessing program acceptance. Descriptive statistics were used to summarize participant characteristics, item-level knowledge, knowledge scores, and acceptance ratings. Results: The participants had a mean age of 54.48 ± 11.75 years, ranging from 29 to 76 years, and most were involved in household management (69.6%). The mean food security knowledge score was 8.04 ± 1.77 out of 10, while the mean nutrition knowledge score was 5.22 ± 1.48 out of 7. The overall mean knowledge score was 13.26 ± 2.60 out of 17. Knowledge gaps were primarily observed in identifying the components of food security, sustainable agriculture, the recommended proportion of vegetables and fruits according to Isi Piringku (My Plate), and the recommended duration of physical activity. Program acceptance was high, with an overall mean rating of 4.67 ± 0.65 on a five-point scale. The mosque as a setting for health promotion received a mean rating of 4.61 ± 0.72, with 95.7% of participants giving a rating of 4 or 5. Conclusion: Participants demonstrated relatively high levels of food security and nutrition knowledge and good acceptance of the mosque-based community health promotion program. These findings support the potential acceptability of mosque-based settings for integrating food security and nutrition education into community health promotion. Further studies involving larger samples, validated instruments, and pre–post or controlled designs are needed to assess changes in knowledge and determine program effectiveness.

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