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The Influence Of Service Quality On Patient Satisfaction At The Pupuk Kaltim Prima Sangatta Hospital Harmawati, Harmawati; M. Ramdan, Iwan; Sedionoto, Blego
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background: This research highlights the importance of the quality of health services in hospitals to increase patient satisfaction. The research gap lies in the lack of understanding of the influence of each quality dimension on patient satisfaction, as well as the need to identify areas that need improvement to meet patient expectations. Objective: The objective is to analyze the impact of service quality dimensions and aims to identify which specific dimensions most significantly influence patient satisfaction and to provide insights that can help improve the quality of healthcare services offered by the hospital. Research Methods/ Implementation Methods : This study is a quantitative approach using a descriptive-analytical design with a cross-sectional survey. The study identifies independent variables (empathy, tangibility, assurance, reliability, and responsiveness) and a dependent variable (patient satisfaction). With a sample size of 85 respondents selected through proportional stratified random sampling, and using questionnaire, and statistical analyses, including univariate, bivariate, and multivariate tests. Results : The study's statistical tests demonstrated that all five quality dimensions significantly impact patient satisfaction simultaneously. The significance value of the F test = 0.000, which is below the threshold of 0.05. The calculated F value is 30.685, which is greater than the F table value of 2.33. Statistical tests showed the dimensions of Tangible/physical evidence (p = 0.000<0.05), assurance (p = 0.000<0.05), and responsiveness (p = 0.007<0.05) impacted substantially. Conclusion/Lesson Learned : The findings suggest that enhancing these service quality dimensions can lead to improved patient satisfaction, highlighting the importance of quality healthcare services in fostering patient trust and contentment.
The Effect of Implementing EMR on User Acceptance EMR Based on UTAUT 2 theory In Hospital Bachtiar, Silvani; Baktiar, Rahmat; Sedionoto, Blego
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : The Ministry of Health requires every health facility in Indonesia to maintain electronic medical records based on Minister of Health Regulation (Permenkes No.24/2022). However, the use of Electronic Medical Records (EMR) in Indonesia still finds many obstacles in user acceptance based on the Unified Theory of Acceptance and Use of Technology (UTAUT) 2 method Objective : This research aims to assess the implementation of EMR on user acceptance in hospitals. Research Methods/ Implementation Methods : This research uses a literature review method by reviewing 30 journal articles published between 2020 and 2024, which were retrieved via Google Scholar Results : The research results show that performance expectations, effort expectations, social influence, facilitating conditions, hedonic motivations, price values and habits influence the behavior intentions and Use Behavior of Electronic Medical Record users. In several studies, there are moderating variables such as age, gender and work experience that influence the relationship between constructs that build user intentions and behavior.
Factors Affecting Nurse Performance In Outpatient And Emergency Installations Of Inche Abdoel Moeis Hospital, Samarinda Kadang, Silvia; Ramdan, Iwan Muhammad; Sedionoto, Blego
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : In providing good quality and service, it is influenced by the human resources that influence it. Performance is the result of good work in quality and quantity that has been achieved by an employee in carrying out his duties in accordance with the responsibilities given to him. Objective : The purpose of this study was to determine the factors that influence the performance of nurses in the outpatient and emergency installations of the Inche Abdoel Moeis Regional General Hospital, Samarinda City Research Methods/ Implementation Methods : The study design iscross-sectional with a population of nurses in the Outpatient Installation and the Emergency Room at the Inche Abdoel Moeis Hospital. The sample of this research is 57 nurses (total sampling). The instrument used in this research is a questionnaire. Statistical test using chi-square test. Results : The results of the bivariate analysis in this study showed that a relation between motivation and nurse performance (p = 0.043). The work facilities variable also found a relations with the nurse's performance (p = 0.020). The training variable also found a relations with the nurse's performance (p=0.045). The commitment variable also found a relations with the nurse's performance (p=0.001). Conclusion/Lesson Learned : The conclusion of this study is a relations between motivation, work facilities, training and commitment to the performance of nurses in the outpatient and emergency department of the Inche Abdoel Moeis Hospital, Samarinda. Suggestions for the Inche Abdoel Moeis Hospital is continue to improve employee performance, especially in the aspects of motivation, training, work facilities and continue to maintain the commitment of nurses to improve better performance, for further researchers it is possible to do further research with different variables or in different research locations.
Building Public Awareness of the Dangers of Plastic Waste and Management Strategies through Ecoless Socialization Putri Yunita, Senia; Natalia Oroh, Angelica; Izzani Muhammad, Maghfir; Siti Nurilmi, Alifani; Andini, Meylita; Putri Sandrika, Aulia; Wahyu Febrianshinta, Amara; Tri Agustini, Rina; Sedionoto, Blego
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : The construction of the National Capital City (IKN) in East Kalimantan has had a significant impact on waste management, especially plastic. With the increase in population due to this project, plastic waste in Sukaraja Village has increased, but access to landfills is very limited. As a result, the community prefers to burn waste, that are detrimental to the health of the environment. Good waste management is urgently needed to raise community awareness and create economic opportunities through recycling Objective : This activity aims to increase the knowledge of the community, especially mothers, about the negative impact of plastic waste on health and the environment Research Methods/ Implementation Methods : The Ecoless Socialization activity was conducted at the Sukaraja Village Office, involving 14 women representatives from the local hamlet. It included problem identification through observations and interviews, preparation of socialization materials, and implementation in three sessions: gymnastics together, material presentation, and video presentation of recycled products. Evaluation was conducted with pre-test and post-test Results : The results of the Ecoless activity in Sukaraja Village showed a significant increase in the knowledge of the participating mothers. The average pre-test score rose from 66.4% to 85% post socialization, reflecting a better understanding of the impact of plastic waste and how to reduce its use Conclusion/Lesson Learned : The Ecoless program was successful in increasing the community's understanding of the negative impacts of plastic waste and processing methods, with an average knowledge increase of almost 20%. Follow-up actions are suggested such as with entrepreneurship education, thus increasing awareness and benefits for the community
Environmental Risk Factors and Hookworm Infection  among Schoolchildren in Rural Areas of Indonesia Sedionoto, Blego; Azmiardi, Akhmad; Anamnart, Witthaya
Journal of Epidemiology and Public Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.04.02

Abstract

Background: The prevalence of hookworm infection is a serious public health concern globally. Java Island and Kalimantan Island have differential environmental risk factors of hookworm infection, espe­cial­ly in rural areas of Indonesia, which have high-risk environmental factors for the prevalence of hook­worm infection. This study aimed to investigate the infection rates and correlation between environmental risk factors and the prevalence of hookworm infection. Subjects and Method: This was a cross-sectional study conducted among 226 school children from rural East Java province, Central Java Province, and East Kalimantan Province, Indonesia. A simple random sampling method was applied to select participants from each school area. This study used two diagnostic methods: Kato Katz and Koga agar plate culture/KAP culture for diagnosing hookworm infections. Environmental variables examined included soil texture, organic carbon content, clay content, soil pH, rainfall volume, number of rainy days, humidity, temperature, elevation, vegetation type, and pet infection status. Pearson's chi-square analysis was used to study the correlation between environmental factors and hookworm infection. Results: Hookworm, Strongyloides sp, and Ascaris sp infections were found in this study; 137 (60.63%), 25 (11.1%), and 124 (9.84%), respectively. Environmental risk factors such as rainy season, quality of soil, and infection with hookworm in pets have a significant correlation (p<0.050) with hookworm infection among schoolchildren in a rural area in Indonesia. Conclusion: The prevalence of hookworm infection correlates with environmental factors, and the findings in this research could contribute to decreasing the prevalence of hookworm infection, espe­cially among schoolchildren in rural areas.
Analysis of Patient Complaint Handling Management Regarding Health Services in Maintaining Hospital Quality Ekawati, Muftiana Finansi; Bakhtiar, Rahmat; Sedionoto, Blego
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6326

Abstract

Complaints received by hospitals from patients and their families have the potential to provide (early) warnings that, if followed up, can prevent patient safety incidents. Complaints about services can be used to improve the standard of health facility services. Therefore, organizing complaint forms for hospitals minimizes complaints in the hope of reducing the risk of patient safety hazards and improving the quality of hospital services. This study aims to analyze and explore the management of complaint handling at Balikpapan Baru Hospital. Using a qualitative research method with a phenomenological approach with researchers as instruments. In-depth interviews with 5 informants through purpose sampling techniques. Data sources in the form of patient complaints for the period July-November 2023. Most patient complaints were related to the behavior (communication method) of health workers, patients who submitted complaints were directly directed to fill in and there were obstacles in the form of differences in perception of complaint categories by health workers. Complaint handling management at Balikpapan Baru Hospital is managed by team and involves various units. There were obstacles in the form of different perceptions in filling out the form and different responses regarding complaint handling related to communication between health workers.
Description of Airborne Microbial Counts in Operating Rooms at Hospitals in East Kalimantan, 2024 Veronika, Rika; Sedionoto, Blego; Ningsih, Riyan
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Air quality in operating rooms is a crucial factor in preventing postoperative infections (operating Site Infections). One of the main indicators for assessing air quality is the airborne bacterial count, which indicates the number of microorganisms in the air (CFU/m³). Objective : This study aims to describe the airborne bacterial count in operating rooms across several hospitals in East Kalimantan in 2024. Research Methods/ Implementation Methods : descriptive design Results : Based on the measurements, 100% of empty operating rooms, 80% of operating rooms in use, and 75% of ultraclean operating rooms did not meet the required standards. Hospital F (IKN) recorded the highest airborne bacterial count at 477 CFU/m³, while the lowest was found at Hospital D (Kutai Kertanegara) with 5 CFU/m³. Conclusion/Lesson Learned : The results showed that most operating rooms did not meet the air quality standards as stipulated in the Indonesian Ministry of Health Regulation No. 2 of 2023.
Sanitation Quality of Decks and Passenger Cabins on Passenger Ships at Samarinda Port Adadikam, Rico Fernando Agaki; Sedionoto, Blego; Ningsih, Riyan
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Passenger ships play an essential role in transportation across eastern Indonesia. However, poor sanitation and hygiene conditions onboard can increase the risk of environmental disease transmission, especially in confined spaces with limited air circulation and clean water supply. Objective : This study aimed to describe the sanitation quality of decks and passenger cabins on passenger ships arriving and departing from Samarinda Port, East Kalimantan. Research Methods/ Implementation Methods : This research used a quantitative descriptive method with an observational approach. The study was conducted on three passenger ships KM. Aditya, KM. Prince Soya, and KM. Queen Soya. The observed variables included deck sanitation and passenger cabin sanitation using a ship sanitation observation checklist. Data were collected twice, during ship arrival and before departure, and analyzed univariately to determine the frequency distribution of sanitation conditions. Results : The results showed that upon arrival, only one ship (33.3%) met the deck sanitation requirements, while two ships (66.7%) did not. All ships (100%) failed to meet sanitation standards for passenger cabins. However, before departure, all ships (100%) complied with sanitation requirements for both decks and passenger cabins. This indicates a significant improvement after routine cleaning was conducted prior to departure. Conclusion/Lesson Learned : The sanitation conditions of passenger ships at Samarinda Port remain inadequate upon arrival but improve after pre-departure cleaning. Continuous supervision, daily maintenance, and routine inspections are necessary to maintain ship hygiene and prevent disease transmission in the ship environment.
Potential Physical and Chemical Properties of Soil from Coal Mine Waste Exploration in Reducing Pathogenic Microbial Content Dhefiana, Tika; Sedionoto, Blego; Ningsih, Riyan
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Adsorbents are porous solids that can bind and absorb substances from liquids or gases, serving to remove contaminants. Adsorbents are classified into porous and non-porous types (Dewi & Sa’diyah, 2024). Clay minerals such as kaolinite, montmorillonite, and bentonite are highly potential as natural adsorbent media for reducing pathogenic microorganisms in domestic wastewater. Clay also acts as a mechanical filtration medium that traps bacteria, viruses, or protozoa as wastewater passes through, and the use of physical or chemical activation can reduce the content of pathogenic microbes by more than 90% (Sedionoto et al., 2022). Assessing cation exchange capacity and clay content is very important for research on the use of clay in liquid domestic waste treatment. The purpose of this study was to determine the cation exchange capacity parameters of coal mine exploration waste soil in adsorbing E. coli pathogenic microbes. This study is a laboratory experiment aimed at analyzing the physical and chemical quality of coal mine exploration waste soil in its ability to reduce E. coli pathogenic microbes. The study was conducted during September-October 2025. The research samples were coal mine exploration waste soils in the Samarinda City area of East Kalimantan, originating from depths of 1 meter and 2 meters below the soil surface. The results showed that coal mine exploration waste soil at a depth of 1 meter had a cation exchange capacity of 24.33 meq/100 g, while coal mine exploration waste soil at a depth of 2 meters had a cation exchange capacity of 31.79 meq/100 g. The clay parameter value obtained at a depth of 1 meter was 21%, while at a depth of 2 meters, the clay value was 13%. Based on the analysis results, the soil texture at a depth of 1 meter was classified as loam, while the soil texture at a depth of 2 meters was classified as silt. In general, coal mine exploration waste soil from a depth of 2 meters shows a higher CEC than that from a depth of 1 meter, even though the clay content is lower. Based on the analyzed physical parameters of the soil, the depth of 1 meter (loam) has a higher proportion of clay, while the depth of 2 meters (silt) has a lower proportion of clay. This data can be used as a basis for further experiments to examine the reduction capacity of E. coli pathogenic microbes, with the potential for differences in adsorption capacity between the two depths related to differences in CEC and soil texture.
Disparities in Household Waste Management Achievement under Community-Based Total Sanitation Pillar 4 in Samarinda City, 2024 - 2025 Masiroh, Riana Embun; Sedionoto, Blego; Ningsih, Riyan
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Implementation of Community-Based Total Sanitation (STBM) Pillar 4 in Samarinda shows varied household waste management achievements influenced by demographic and infrastructural conditions. Objective : This study aims to analyze disparities in waste management implementation and provide strategic recommendations to support the National Medium-Term Development Plan (RPJMN) targets. Research Methods/ Implementation Methods : A descriptive quantitative approach using secondary STBM recapitulation data from Samarinda City (2025) and East Kalimantan Province (2024–2025). Disparities were identified through comparative percentage analysis across sub-districts. Results : City-wide performance reached 72%, with substantial differences between sub-districts due to variations in infrastructure capacity, population density, and environmental practices. Conclusion/Lesson Learned : Addressing disparities requires targeted location based interventions, strengthened cross-sector collaboration, and the development of community waste management infrastructure, particularly 3R processing units an