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Evaluasi Pelaksanaan Program JKN dalam Upaya Menuju Universal Health Coverage (UHC) di Kab. Tanjung Jabung Timur Nasrul Diman; Rapael Ginting; Subang Aini Nasution
Jurnal Akademika Baiturrahim Jambi Vol. 15 No. 2 (2026): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v15i2.1085

Abstract

The National Health Insurance Program (JKN) is a government strategy for achieving Universal Health Coverage (UHC), which aims to ensure equitable, high-quality, and affordable access to health services for the entire population. This study evaluated the implementation of the JKN Program in supporting UHC achievement in East Tanjung Jabung Regency. A qualitative descriptive design was used. Nine informants represented the Social Affairs Office, Population and Civil Registration Office, Regional Financial and Asset Management Agency, Regional Development Planning Agency, Health Office, BPJS Kesehatan, a Public Health Center, a hospital, and a JKN beneficiary. Data were collected through in-depth interviews, document review, and source triangulation. The input component was supported by regulations, financing, population data, and cross-sectoral roles, although budget limitations, data synchronization problems, limited human resources, and inadequate facilities remained. The implementation process included data verification, registration, interagency coordination, claims, referrals, and health services, but referral mechanisms and data integration were not yet optimal. JKN reduced the financial burden of health care; however, membership coverage was only 87.85% and active membership was 63%. Therefore, the UHC target had not yet been achieved
Analisis Risiko K3 Menggunakan Metode HIRARC pada Konstruksi Jalan Hauling Lahan Basah Andi Alkausar; Hartono Hartono; Subang Aini Nasution
Jurnal Akademika Baiturrahim Jambi Vol. 15 No. 2 (2026): September
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v15i2.1086

Abstract

Mining haul road construction in wetlands carries high occupational safety and health (OSH) risks due to soft soil instability, heavy equipment operations, and biological hazards along STA 50+000 to 70+000 (20 km). This study aims to analyze OSH risks through hazard identification, risk level assessment, and risk control recommendations for the PT China Roads and Bridge Construction (CRBC) project in Bayung Lencir. This descriptive observational study applied the Hazard Identification, Risk Assessment, and Risk Control (HIRARC) method based on Kepmen ESDM No. 1827 K/30/MEM/2018 from January to March 2026. The study population comprised 45 workers in the STA 50–70 segment. Samples selected via purposive sampling included 30 survey respondents and 5 key Focus Group Discussion (FGD) informants. Measured indicators included likelihood, severity, risk level, and residual risk scores. Results identified 17 primary hazards across 4 work stages, with initial risk distribution showing 5 Extreme (29.41%), 7 High (41.18%), and 5 Medium (29.41%) categories. Dominant OSH risks involved heavy equipment overturning/sinking, dense dust, operator fatigue (microsleep), whole-body vibration, cobra bites, and vespa wasp attacks. Implementing hierarchy-based controls (woven geotextiles, safety berms, scheduled power naps, and spotters) significantly reduced all residual risks to acceptable levels (Low and Medium). In conclusion, OSH risk analysis using the HIRARC method combined with geotechnical and administrative controls effectively reduces occupational accidents in wetland areas. Future research should utilize precise quantitative instruments such as vibrometers to measure equipment vibration exposures and real-time worker heart rate monitoring
PENGARUH PIJAT BAYI TERHADAP KUALITAS TIDUR BAYI USIA 0-6 BULAN DI DESA PAUH MENANG JAMBI Venti Farani; Dati Nurjanah; Anisa Gusnita; Annisa Doelvia; Subang Aini Nasution; Lailatul Badriyah
Jurnal Ilmiah Ilmu Kesehatan Vol. 4 No. 4 (2026): Volume 4, Nomor 4, Tahun 2026
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jiik.v4i4.63397

Abstract

Fase tumbuh kembang bayi pada rentang usia 0-6 bulan sangat dipengaruhi oleh pemenuhan kebutuhan tidur yang memadai. Terapi sentuhan berupa pijat bayi dipercaya sebagai salah satu intervensi penting yang dapat mengoptimalkan kualitas istirahat tersebut. Berangkat dari hal itu, penelitian ini bertujuan untuk mengevaluasi pengaruh penerapan pijat secara rutin terhadap karakteristik tidur bayi berumur 0-6 bulan di Desa Pauh Menang, Jambi, pada periode 2026. Studi ini berlandaskan metode kuantitatif melalui desain pre-experimental berjenis One-Group Pretest-Posttest. Proses penarikan sampel dilakukan melalui teknik total sampling, di mana 20 bayi yang sesuai dengan kriteria inklusi dilibatkan sebagai responden. Selanjutnya, pengujian hipotesis dan analisis data dijalankan menggunakan uji statistik Paired Sample T-test. Terdapat perubahan positif pada pola tidur bayi setelah menerima intervensi pijat secara berkala. Data awal menunjukkan bahwa separuh dari total responden (50%) mengalami kualitas tidur yang kurang baik. Namun, pasca-intervensi, mayoritas bayi (95%) mengalami perbaikan kualitas tidur yang nyata. Hasil pengujian statistik juga mencatatkan p-value sebesar 0,001 (p < 0,05), yang membuktikan adanya pengaruh signifikan dari terapi pijat terhadap perbaikan kualitas tidur partisipan. Penelitian ini memberikan bukti bahwa intervensi pijat memiliki dampak positif yang signifikan terhadap peningkatan kualitas tidur bayi usia 0-6 bulan. Temuan empiris ini dapat dijadikan landasan ilmiah untuk menjadikan rutinitas pijat bayi sebagai bagian dari standar asuhan perawatan anak sehari-hari di lingkungan keluarga.
HUBUNGAN STATUS GIZI, IMUNISASI DAN PEMERIKSAAN RUTIN DENGAN TUMBUH KEMBANG BALITA DALAM MENINGKATKAN PROGRAM INTEGRASI PELAYANAN PRIMER (ILP) DI PUSKESMAS PAKUAN BARU Mely Syanda; Subang Aini Nasution; Dewi Riastawaty
Jurnal Ilmiah Ilmu Kesehatan Vol. 4 No. 4 (2026): Volume 4, Nomor 4, Tahun 2026
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jiik.v4i4.63423

Abstract

Laporan World Health Organization (WHO) pada tahun 2020 menunjukkan bahwa sebanyak 149,2 juta anak di bawah usia lima tahun di seluruh dunia menghadapi masalah gangguan pertumbuhan dan perkembangan. Merespons tantangan tersebut, penelitian ini bertujuan untuk mengkaji signifikansi hubungan antara status gizi, riwayat imunisasi, serta kepatuhan pemeriksaan rutin terhadap proses tumbuh kembang balita. Kajian ini juga difokuskan untuk mendukung optimalisasi Program Integrasi Pelayanan Primer (ILP). Penelitian ini menggunakan desain kuantitatif analitik dengan pendekatan cross-sectional. Populasi studi mencakup 1.100 anak balita yang tercatat mengunjungi Puskesmas Pakuan Baru, Kota Jambi, selama rentang Januari hingga September 2025. Dari populasi tersebut, sebanyak 92 responden ditarik sebagai sampel melalui teknik random sampling. Pengambilan data sendiri telah dilangsungkan pada bulan Januari 2025. Berdasarkan hasil analisis menggunakan uji chi-square, temuan penelitian membuktikan adanya korelasi yang signifikan antara seluruh variabel independen dengan tumbuh kembang balita. Secara berurutan, status gizi (p=0,000), kelengkapan imunisasi (p=0,001), dan rutinitas pemeriksaan kesehatan (p=0,004) terbukti memiliki hubungan yang bermakna (p<0,05). Dapat disimpulkan bahwa ketiga faktor tersebut berkontribusi nyata terhadap kualitas tumbuh kembang balita dan krusial dalam memperkuat implementasi Program ILP. Sebagai tindak lanjut, pelaksanakan program ILP disarankan untuk terus diintensifkan melalui pemantauan status gizi yang ketat, kepastian kelengkapan imunisasi, dan evaluasi rutin balita. Selain itu, tenaga kesehatan perlu proaktif dalam memberikan edukasi serta pendampingan berkelanjutan bagi para orang tua guna menjamin tercapainya perkembangan anak yang komprehensif dan optimal.
Faktor-Faktor yang Mempengaruhi Pemilihan Rumah Sakit Rujukan pada Pasien Puskesmas Muara Kumpeh Kabupaten Muaro Jambi Tahun 2026 Ira Agusnaini; Dwi Apriyansyah; Muhammad Muharom; Dewi Riastawaty; Subang Aini Nasution
Jurnal Ilmiah Dan Karya Mahasiswa Vol. 4 No. 5 (2026): Oktober: JURNAL ILMIAH DAN KARYA MAHASISWA (JIKMA)
Publisher : Institut Teknologi dan Bisnis (ITB) Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54066/jikma.v4i5.5027

Abstract

Medical referral systems function to transfer patient care from primary-level facilities to more competent advanced-level facilities based on clinical indications. Although the choice of referral facility is generally aligned with designated service areas and official networks, personal preferences often lead patients to select facilities outside these parameters. The geography of Muaro Jambi Regency, which encircles Jambi City, makes healthcare facilities in the city relatively accessible. This study analyzes the determinants of selecting out-of-region referral hospitals among patients at the Muara Kumpeh Community Health Center (Puskesmas) the primary referral hub in Muaro Jambi Regency, which handled 2,105 cases in 2025. Employing a cross-sectional design and a quantitative approach, a sample of 336 respondents was recruited via accidental sampling and analyzed using Chi-Square tests and logistic regression. The results indicate that the majority of respondents (210 individuals, or 62.5%) chose referral facilities outside Muaro Jambi Regency. Variables found to have a significant correlation included accessibility ($p=0.001$), service quality ($p=0.025$), facility completeness ($p=0.015$), and the availability of medical personnel ($p=0.006$). Conversely, administrative factors, age, education level, and occupation showed no significant correlation. Accessibility was identified as the strongest predictor, with an odds ratio (OR) of 2.100 (95% CI: 1.311–3.366). Overall, the selection of out-of-region referral hospitals is influenced by access, service quality, facilities, and the availability of physicians, with accessibility exerting the most dominant influence.
EFFECTIVENESS OF INFANT MASSAGE THERAPY IN REDUCING COLIC SYMPTOMS AMONG INFANTS AT LIA NURMALA MIDWIFERY PRACTICE JAMBI 2026 Syahrina Yanti; Subang Aini Nasution; Kristine Evitaloka
Zona Kebidanan: Program Studi Kebidanan Universitas Batam Vol 16 No 3 (2026): AGUSTUS
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/zkeb.v16i3.2417

Abstract

Infantile colic is a common source of discomfort during early infancy and may affect feeding, sleep, and family well-being. Infant massage is a gentle, non-pharmacological approach that may help relieve discomfort and promote relaxation. This study aimed to determine the effectiveness of infant massage therapy in reducing colic symptoms among infants aged 1–4 months at PMB Lia Nurmala, Jambi City, in 2026. A quantitative pre-experimental study was conducted using a one-group pretest–posttest design. Sixteen infants with colic symptoms were selected from a population of 64 infants through purposive sampling. Colic symptoms were assessed before and after a 20–25-minute infant massage session using an observation instrument with five indicators and a total score ranging from 0 to 15. Data were analyzed using descriptive statistics, the Shapiro–Wilk test, and a paired t-test at a significance level of 0.05. The mean colic symptom score decreased from 7.94 (SD = 1.389) before the intervention to 1.31 (SD = 1.448) after the intervention, with a mean reduction of 6.63 points. The paired t-test indicated a statistically significant difference between the pre-intervention and post-intervention scores (p < 0.001). Infant massage may therefore be considered a supportive non-pharmacological approach for reducing colic symptoms when performed gently and appropriately by trained personnel. Future research should involve larger samples, control groups, and multiple healthcare settings to provide stronger and more generalizable evidence.
Antibacterial Activity of 70% Ethanol Extract of Jackfruit Leaves (Artocarpus heterophyllus Lam.) against Bacillus subtilis and Pseudomonas aeruginosa Subang Aini Nasution; Amraini Amelia; Dita Palaridia Putri
Biology, Medicine, & Natural Product Chemistry Vol 15, No 2 (2026)
Publisher : Sunan Kalijaga State Islamic University & Society for Indonesian Biodiversity

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14421/biomedich.2026.152.2017-2023

Abstract

This study evaluated the antibacterial activity of 70% ethanol extract of jackfruit leaves (Artocarpus heterophyllus Lam.) against Bacillus subtilis and Pseudomonas aeruginosa. Jackfruit leaves collected from Jambi, Indonesia, were processed into simplicia and extracted by maceration using 70% ethanol, producing an extract yield of 7.2%. Phytochemical screening revealed the presence of alkaloids, flavonoids, tannins, saponins, steroids, and triterpenoids. Fourier-transform infrared spectroscopy (FTIR) analysis indicated the presence of hydroxyl, aliphatic C–H, carbonyl/aromatic C=C, C–O, and aromatic C–H functional groups, supporting the presence of bioactive secondary metabolites. Antibacterial activity was evaluated using the disc diffusion method at extract concentrations of 20%, 40%, 60%, 80%, and 100%, with chloramphenicol as the positive control and 10% dimethyl sulfoxide as the negative control. The extract produced inhibition zones against both test bacteria, with the highest inhibition observed at 100% concentration. The minimum bactericidal concentration (MBC) assay showed no bacterial growth at 100% extract concentration in all replications for both bacteria, indicating bactericidal activity at the highest concentration tested. However, the minimum inhibitory concentration (MIC) could not be conclusively determined from the current optical density data because the inhibition pattern was not consistently concentration-dependent. These findings suggest that jackfruit leaf extract has potential as a natural antibacterial agent, although further studies are required to confirm MIC values, isolate active compounds, standardize extract quality, evaluate safety, and develop suitable formulations.