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All Journal JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Abdimas Talenta : Jurnal Pengabdian Kepada Masyarakat Journal of Health Policy and Management Jurnal Kesehatan Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Journal of Community Empowerment for Health AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences MAHESA : Malahayati Health Student Journal KESANS : International Journal of Health and Science Jurnal Ekonomi Kesehatan Indonesia
Destanul Aulia, Destanul
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The Associations of Ward Head Direction and Incentive with Nurse Performance at Arun LNG Hospital, Lhokseumawe, Aceh Irwadi, Irwadi; Zulfendri, Zulfendri; Aulia, Destanul
Journal of Health Policy and Management Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (154.568 KB)

Abstract

Background: The current transformation in the hospital care industry demands greater coordination of care across providers and across settings so as to improve quality care, improve outcomes, and reduce spending. Nurses contribute to the transformative changes by being a fully contributing member of the inter-professional team. It requires an enhanced set of knowledge, skills, attitudes, and performance among nurses around wellness and population care with a renewed focus on patient-centered care, care coordination, data analytics, and quality improvement. This study aimed to analyze the associations of ward head direction and incentive with nurse performance at Arun LNG Hospital, Lhokseumawe, Aceh.Subjects and Method: This was a cross-sectional study carried out at Arun LNG Hospital, Lhokseumawe, Aceh. A sample of 74 nurses was selected for this study by exhaustive sampling. The dependent variable was nurse performance. The independent variables were ward head direction and incentive. The data were collected by questionnaire and analyzed by a multiple logistic regression.Results: Nurse performance improved with high motivation (OR= 11.12; 95% CI= 2.66 to 46.49; p= 0.001), explicit ward head direction (OR= 4.37; 95% CI= 1.05 to 18.17; p= 0.043), and existence of incentive (OR= 5.84; 95% CI= 1.30 to 26.17; p= 0.021).Conclusion: Improved nurse performance is associated with explicit ward head direction and existence of incentive.Keywords: nurse performance, ward head direction, incentiveCorrespondence: Irwadi. Masters program in Public Health, Universitas Sumatera Utara, Medan, North Sumatera. Email: wadieadi655@gmail.com. Mobile: 08126922595.Journal of Health Policy and Management (2018), 3(2): 114-117https://doi.org/10.26911/thejhpm.2018.03.02.08
Perspektif Pasien dan Manajemen tentang Mutu Pelayanan IGD Fachriza, Dicky; Aulia, Destanul; Rochadi, Kintoko
Jurnal Kesehatan Vol 10, No 1 (2019): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjungkarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (411.574 KB) | DOI: 10.26630/jk.v10i1.1195

Abstract

The basic principle of a hospital is fulfilling the needs and demand of patients who hope that their health problems can be settled in a hospital. They expect ready, quick, responsive, and comfortable services. Patient satisfaction can be influenced by the health care quality of health care providers who sympathize, respect, and respond to their needs. The research used a qualitative method. The data were gathered by conducting participant observation, and in-depth interviews. The research subjects were 4 informants, IGD (emergency room) personnel and  IGD patients in Prima Inti Medika hospital. The result of the research, in the pre-service, showed that nurses’ response was quick, complaints were responded well, the process of inpatient and outpatient was good, nurses’ cooperation was good, and the personnel was accredited; but, the facility was inadequate and incentives were lower than the government’s standard. From the patients’ perspectives, it was found that pre-service was in accordance with SOP, the process of doctors’and pharmacy’s service was good, but nurses’ service and IGD facility were unsatisfactory, nurses’ cooperation was good, but their competence and quality were inadequate.
Association between Socialization and the Use of Maternity Waiting Home in East Aceh, Indonesia Dari, Atika Triwulan; Zulfendri, Zulfendri; Aulia, Destanul
Journal of Health Policy and Management Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Maternity waiting homes are residential facilities where women who live remotely can wait before giving birth at a hospital or health center. The aim of imple­menting maternity waiting for home strategy is to reduce maternal and perinatal mortality by improving access to skilled birth attendance and emergency obstetric care, particularly for women in rural and remote areas. This study aimed to examine the association between socialization and the use of maternity waiting home in East Aceh.Subjects and Method: This was a cross-sectional study carried out at four community health centers (puskesmas), in East Aceh, Indonesia. A sample of 130 pregnant mothers was selected for this study by stratified random sampling. The dependent variable was the use of a maternity waiting home. The independent variable was socialization and family support. The data were collected by questionnaire and analyzed by multiple logistic regression.Results: Socialization was associated with increased use of maternal waiting home (OR= 14.17; p= 0.002), after controlling from the effect of family support.Conclusion: Socialization is associated with increased use of maternal waiting home, after controlling for the effect of family support.Keywords: maternity waiting home, socialization, family support.Correspondence: Atika Triwulan Dari. Masters Program in Public Health, Universitas Sumatera Utara, Jalan Universitas No. 21, Universitas Sumatera Utara, Medan 20155, North Sumatera, Indo­nesia. Email: atika.triwulandari@ymail.com.Journal of Health Policy and Management (2019), 4(2): 86-90https://doi.org/10.26911/thejhpm.2019.04.02.02
PENGARUH KARAKTERISTIK DAN PERSEPSI INDIVIDU TENTANG PERINGATAN BAHAYA MEROKOK PADA BUNGKUS ROKOK TERHADAP PERUBAHAN SIKAP PEROKOK AKTIF DI LINGKUNGAN XXVII KELURAHAN PEKAN LABUHAN KECAMATAN MEDAN LABUHAN Hutabarat, Eva Nirwana Natalia; Rochadi, R. Kintoko; Aulia, Destanul
Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan Vol 3, No 1 (2019): Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan
Publisher : Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/jmstkik.v3i1.1539

Abstract

Prevalensi merokok pada orang Indonesia sangat tinggi, terutama pada pria; mereka terdiri dari anak-anak, remaja, dan orang dewasa. Peraturan Pemerintah tentang Peringatan Kesehatan Bergambar (PHW) pada bungkus rokok berakhir untuk melindungi orang dan mengubah sikap mereka terhadap kebiasaan merokok dengan berhenti. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh karakteristik individu dan persepsi tentang peringatan bahaya merokok pada bungkus rokok pada perubahan sikap perokok aktif. Penelitian ini menggunakan metode survei analitik dengan desain cross sectional dilakukan di Lingkungan XXVII, Kelurahan Pekan Labuhan, Kecamatan Labuhan Medan. Populasi adalah 324 orang, dan 248 dari mereka digunakan sebagai sampel. Data dianalisis dengan menggunakan analisis univariat, analisis bivariat dengan uji chi square, dan analisis multivariat dengan analisis regresi logistik ganda. Hasil penelitian menunjukkan bahwa pendidikan, pengetahuan, dan persepsi tentang peringatan bahaya merokok di iklan memiliki pengaruh. tentang perubahan sikap perokok aktif (p <0,05) di Lingkungan XXVII, Kelurahan Pekan Labuhan, sedangkan usia, pekerjaan, dan kebiasaan merokok tidak (p> 0,05). variabel yang memiliki pengaruh paling dominan adalah variabel pendidikan. Perokok aktif yang memiliki pendidikan tinggi, pengetahuan yang baik, dan memiliki persepsi yang baik tentang peringatan akan bahaya merokok pada bungkus rokok dalam iklan memiliki peluang 57% untuk mengubah sikap mereka yang mengindikasikan bahwa sangat sulit untuk mengubah sikap perokok terhadap merokok karena sudah menjadi kebiasaan. Disarankan agar pemerintah, melalui Dinas Kesehatan, mengevaluasi iklan tentang peringatan bahaya merokok pada bungkus rokok karena banyak perokok tidak mengubah sikap mereka walaupun peringatan itu jelas terlihat dan dapat dimengerti. The prevalence of smoking in Indonesian people is very high, especially in males; they consist of children, adolescents, and adults. Government Regulation on Pictorial Health Warning (PHW) on cigarette packs is it ended to protect people and change their attitude toward smoking habit by quitting it. The purpose of this study was to analyze the influence of individual characteristics and perceptions about the warning of smoking hazard on cigarette packs on changing the attitude of active smokers. The research used analytic survey method with cross sectional design. It was conducted at Lingkungan XXVII, Kelurahan Pekan Labuhan, Medan Labuhan Subdistrict. The population was 324 people, and 248 of them were used as the samples. The data were analyzed by using univariate analysis, bivariate analysis with chi square test, and multivariate analysis with multiple logistic regression analysis.The result of the research showed that education, knowledge, and perception on warning for the danger of smoking in advertisements had the influence on the change in active smokers’ attitude (p<0.05) at Lingkungan XXVII, Kelurahan Pekan Labuhan, while age, occupation, and smoking habit did not (p>0.05). the variable which had the most dominant influence was the variable of education. Active smokers who had high education, good knowledge, and had good perception on the warning for the danger of smoking on cigarette packs in the advertisements had the oppurtunity of 57% to change their attitude which indicated it was very difficult  to change smokers’ attitude toward smoking since it has become a habit.It is recommended that the government, through the Health Agency, evaluate advertisements about warning for the danger of smoking on cigarette packs since many smokers do not change their attitude although the warning is clearly visible and understandable.
KUALITAS PELAYANAN ANC DAN PERILAKU IBU HAMIL DALAM MENCEGAH TERJADINYA BBLR DI RUMAH SAKIT UMUM CUT MEUTIA KABUPATEN ACEH UTARA TAHUN 2019 Andayani, Nelly; Asfriyati, Asfriyati; Aulia, Destanul
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Vol. 5: No. 2 (November, 2019)
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (189.814 KB) | DOI: 10.29103/averrous.v5i2.2084

Abstract

Kejadian bayi lahir denganberat badan lahir rendah (BBLR) disebabkan oleh banyak faktordan masih sering terjadi serta menjadi masalah kesehatan reproduksi. Hal tersebut sebenarnya dapat dicegah melalui perilaku ibu selama masa kehamilan. Kualitas pelayanan ANC diduga menjadi faktor yang berhubungan dengan perilaku ibu hamil dalam pencegahan BBLR. Tujuan penelitian ini untuk menganalisis kualitas pelayanan ANC dan perilaku ibu hamil dalam pencegahan BBLR. Jenis penelitian ini survei analitik dengan desain cross sectional. Penelitian ini dilakukan di Rumah Sakit Umum Cut Meutia. Populasi dalam penelitian ini sebanyak 58 orang dan seluruhnya dijadikan sampel. Data yang digunakan adalah data primer dan data sekunder. Analisis data dilakukan dengan cara analisis univariat dan analisis bivariat dengan uji chi-squaredengan tingkat kepercayaan 95% (?=0,05). Hasil penelitian menunjukkan bahwa responden yang menyatakan kualitas pelayanan ANC baik (55,2%), menyatakan kurang baik (44,8%). Perilaku pencegahan BBLR pada bayi menunjukkan bahwa sebagian besar perilaku responden baik (60,3%), kurang baik (39,7%). Kualitas pelayanan ANC dengan perilaku ibu hamil dalam pencegahan BBLR pada bayi di Rumah Sakit Cut Meutia Kabupaten Aceh Utara, p = 0,000< 0,05. Disarankan kepada pihak Rumah Sakit Cut Meutia Kabupaten Aceh Utara membuat leaflet yang disebarkan kepada setiap ibu yang melakukan pemeriksaan kehamilan, atau membuat poster yang ditempel di dinding sehingga mudah dibaca oleh pengunjung (ibu hamil) tentang pencegahan BBLR.
Motivation, Supervision, and Adherence to Medical Waste Policy in South Labuhanbatu, North Sumatera An, Syahrul; Marsaulina, Irnawati; Aulia, Destanul
Journal of Health Policy and Management Vol 5, No 2 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (536.916 KB)

Abstract

Background: Medical waste is unwanted bio­lo­gical products that are highly infectious in na­ture. It is broadly classified as infectious waste and bio­hazardous waste, and can easily spread any disease virally and can even pose a danger to life. Me­dical waste is found in hospitals, labo­ratories, re­search centres, tattoo parlours, and others. It has to be disposed properly otherwise it poses a health and environmental danger. This study aimed to examine the effects of motivation and supervision on adherence to medical waste policy in South Labuhanbatu, North Sumatera.Subjects and Method: This was a cross-sec­ti­onal study carried out in South Labuhanbatu, Nor­th Sumatera. A sample of 34 health care wor­kers were selected for this study, consisting of health center doctors, private doctors, and health clinic owner. The dependent variable was adhe­ren­ce to medical waste policy. The independent vari­ables were motivation and supervision. The data were collected by questionnaire and analyz­ed by multiple logistic regression.Results: Adherence to medical waste policy was affect­ed by strong motivation (OR= 6.31; 95%CI= 2.74 to 9.33; p= 0.048) and regular supervision (OR= 5.56; 95%CI= 3.42 to 8.09; p= 0.039).Conclusion: Adherence to medical waste policy is affected by motivation and supervision.Keywords: waste policy, adherence, motivation, supervision.Correspondence: Syahrul An. Masters Program in Public Health, Universitas Sumatera Utara, Medan, North Sumatera. Email: 44nregar@gmail.com. Mobile: 082366502449.Journal of Health Policy and Management (2020), 05(02): 146-151ttps://doi.org/10.26911/thejhpm.2020.05.02.07
The Analysis of Implementation of Specific and Sensitive Nutritional Intervention Programs in Reducing Stunting Toddler in Langkat District 2018 Purba, Risma Oktoria; Siagian, Albiner; Aulia, Destanul
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 3, No 3 (2020): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v3i3.1220

Abstract

There are five districts with the highest stunting rate in North Sumatra and in Langkat district by 38.7 percent in 2017. This research looks at the analysis of the implementation of specific and sensitive nutrition intervention programs to reduce stunting rates in langkat. This research is a qualitative study with a phenomological design using purposive sampling method with 8 informants with the criteria of program implementers and field implementers and the community using CFIR tools to see the implementation of specific and sensitive nutrition intervention programs to reduce stunting in toddlers in Langkat. From the analysis of 31 CFIR constructs, there are 6 strong constructs of influence, where 4 constructs have a positive effect, namely the characteristics of the agency structure, pressure to change, self-confidence, program adoption and 2 constructs have a negative effect, namely external networks and external needs and incentives. There are 4 constructs that have a weak but very impactful effect where 3 constructs have a negative effect, namely the impact and desired change, the involvement of the leader and available resources and 1 construction has a positive effect, namely the level of individual change on the reduction of stunting rates in children under five in Langkat. However, improvements are needed in terms of cooperation between agencies, budgeting, additional special programs outside the specific and sensitive nutrition intervention program, the appointment of a special program leader and support for facilities, infrastructure and human resources for the implementation of the specific and sensitive nutrition intervention program in Langkat district.
HKBP HIV-AIDS Committee Balige Coordination with the Regional Government HIV-AIDS Handling Program in Toba Samosir Regency 2018 Tambunan, Martinus S; Aulia, Destanul; Rochadi, Kintoko
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 3, No 2 (2020): Budapest International Research and Critics Institute May
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v3i2.1003

Abstract

The increase in the number of HIV-AIDS cases in the last ten years from 2008 to 2017 in Toba Samosir Regency with an average HIV growth of ≥ 7% and AIDS growth of ≥ 31%, has to be handled by implementing a special program. The lack of coordination between HKBP AIDS Committee Balige and Regional Government has to be made since there is no similar opinion about HIV-AIDS, the government agencies which are joined in the Committee of Regional AIDS Handling are not focused on prioritizing HIV- AIDS problems, and coordination in planning has not been optimal so that the budget is limited. The objective of the research was to find out the coordination between HKBP AIDS Committee, Balige and the Regional Government in HIV-AIDS Handling program in Toba Samosir Regency. The research used qualitative method (phenomenology design) which was aimed to get information about the coordination in preventing and handling HIV-AIDS in Toba Samosir Regency, with 20 informants. The data were gathered by conducting in-depth interviews and documentary study and analyzed by using content analysis. The result of the research showed that coordination, involvement, and active participation of all agencies in the KPAD (Regional AIDS Handling Committee), the implementation of budget planning, and activity planning were inadequate. It is recommended that formal meetings be increased in order to develop communication and to create good coordination, either from budget planning or from the implementation of handling HIV-AIDS in Toba Samosir Regency. 
Analysis of Time and Frequency of Implementation of Non-Communicable Disease Integrated Guidance Posts in the New Normal Era in Binjai City Hartatik, Hartatik; Aulia, Destanul; Lubis, Rahayu
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 4, No 4 (2021): Budapest International Research and Critics Institute November
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v4i4.3520

Abstract

The purpose of this study was to determine and analyze of time and frequency of implementation of non-communicable disease integrated guidance posts in the new normal era in Binjai City. This type of research is an analytic survey with a cross sectional design. The total population in this study was 179,650 with a total sample of 174 respondents obtained by purposive sampling. This research instrument uses a questionnaire that is used in the form of a google form. The data obtained in this study were analyzed by conjoint analysis. Based on the results of research on the people of Binjai City, the attribute activities of the non-communicable disease integrated guidance posts in the new normal era in Binjai City, the most important thing is the time of the implementation of the non-communicable disease integrated guidance posts, then the attribute activities of the non-communicable disease integrated guidance posts which are not too important are the frequency implementation of the non-communicable disease integrated guidance posts.
Analisis Perbandingan Biaya Langsung (Direct Cost) dan Biaya Tidak Langsung (Indirect Cost) pada Pasien Stroke Di Rumah Sakit Aulia, Destanul; Ayu, Sri Fajar; Ritonga, Nefonafratilova
Jurnal Ekonomi Kesehatan Indonesia Vol. 2, No. 2
Publisher : UI Scholars Hub

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Abstract

Stroke is divided into two categories, ischemic and hemorrhagic. Each year there are 15 million people around the world who suffer a stroke. Stroke treatment requires a high cost. The burden of heart disease and stroke from 2012 to 2030 reaches Rp. 1,7 trillion. This study aimed to analyze the comparison of direct and indirect costs of stroke patient in X hospital in 2017. The results showed that the number of ischemic stroke patients more than hemorrhagic stroke patients. The average cost of hemorrhagic stroke patients is greater at Rp 3,763,750 than the average cost of ischemic stroke patients. The total direct cost of stroke patients is Rp. 527,895,000 (54.7%) and the total indirect cost of Rp. 437,295,000 (45.3%). It is recommended that the public more actively to monitor health, blood pressure movements, and symptoms of stroke.
Co-Authors Acob, Joel Rey U An, Syahrul Andayani, Nelly Asfriyati ,MKes Ayu, Sri Fajar, Universitas Sumatera Utara Azahra, Siti Bambang Trisakti Dari, Atika Triwulan Deannova, Alfito Dessy Irfi Jayanti Eva Nirwana Natalia Hutabarat Fachriza, Dicky Fachry Abda El Rahman Fazidah Aguslina Siregar, Fazidah Aguslina Harahap, Juliandi Heru Santosa Hutasuhut, Raihan Putri Dahlina Irnawati Marsaulina Irvan Irwadi, Irwadi Juanita Juanita Kurniawan Z, Teguh Lita Sri Andayani Lubis, Nenni Dwi Aprianti Luthfiyyah, Suci Haya Manik, Hubban Fathani Meutia Nauly Nurzainah Ginting Prof. Dr. Ir Albiner Siagian M.Si Purba, Risma Oktoria R.Kintoko Rochadi Rahayu Lubis Rina Amelia Ritonga, Nefonafratilova Sembiring, Dea Celine Sidabutar, Rivaldi Sillehu, Sahrir Sinta, Sinta Sri Fajar Ayu Tambunan, Martinus S Taufik Ashar Tulus Utami, Tri Niswati Zulfendri Zulfendri