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FACTORS RELATED TO SOLID MEDICAL WASTE HANDLING MANAGEMENT AT TEUKU UMAR HOSPITAL, CALANG ACEH JAYA REGENCY Rinaldi, Alfian; Mawardi, Mawardi; Akbar, Fahrisal
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 9, No 1 (2023): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v9i1.2091

Background: Factors related to the implementation of medical waste management at General Hospital (RSU) are Hospital Policy, Human Resources (HR), Funds, Technical Guidelines, Facilities, and Infrastructure. Among these five factors, human resources and infrastructure are the most important factors to achieve hospital waste management objectives. Reliable human resources are needed and the infrastructure used must comply the requirements in the Decree of the Minister of Health the Republic of Indonesia No. 1204/Menkes/SK/X/ 2004. The research aims to determine the relationship between hospital policies and the handling of medical waste at Teuku Umar Hospital. Method: Type of analytical survey research with a Cross Sectional approach. The research sample was 30 employees of the sanitation section of Teuku Umar Hospital, Calang Aceh Jaya Regency. Data collection techniques used questionnaires and data analysis using the chi square test. Results: The research results showed a relationship between hospital policies (p-value=0.001), human resources (HR) (p-value=0.001), infrastructure (p-value=0.001), funds (p-value=0.001), technical guidelines (p-value=0.001), and the handling of medical waste (p-value=0.001) at the Teuku Umar Hospital, Calang Aceh Jaya Regency. Recommendation: It is hoped that hospitals will improve the quality of human resources in the medical waste handling department, therefore the medical waste can be handled properly.

FACTORS RELATING TO THE IMPLEMENTATION OF THE INTEGRATED MANAGEMENT PROGRAM FOR TODDLER SICKNESS (MTBS) AT KOPELMA DARUSSALAM HEALTH CENTER SYIAH KUALA DISTRICT, BANDA ACEH CITY Raiyan, Deka; Akbar, Fahrisal; Anwar, Syarifuddin; Ramadhana, Phossy Vionica
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 10, No 1 (2024): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v10i1.2087

Background: The low coverage of IMCI in Aceh is due to the fact that many Puskesmas do not implement the IMCI program. The purpose of this study was to determine the factors associated with the implementation of the IMCI program at the Kopelma Darussalam Health Center, Syiah Kuala District, Banda Aceh City in 2019. Methods: This research is descriptive analytic with cross sectional design. The population in this study were all respondents who brought children under five to the CFR clinic of Kopelma Darussalam Health Center. The sample size was 46 respondents, the sampling technique in this study was accidental sampling. Results: the results of this study indicate that from the bivariate analysis using the chi square test shows that there is a relationship between the role of health workers (p-value=0.001), affordability (p-value=0.019), maternal counseling (p-value=0.003) with the implementation of the IMCI program. Suggestion: It is expected that the Head of Kopelma Darussalam Health Center will try to improve the performance of MTBS program implementers, adding health workers trained in MTBS. Mothers are expected to follow all the procedures for integrated management of sick toddlers in children in caring for children.

HUBUNGAN NUTRISI DAN RIWAYAT IMUNISASI DASAR TERHADAP KEJADIAN STUNTING PADA BALITA DI KECAMATAN ULIM KABUPATEN PIDIE JAYA Ramadhana, Phossy Vionica; Agustina, Agustina; Mairani, Tiara; Akbar, Fahrisal
Jurnal Kesehatan Tambusai Vol. 6 No. 1 (2025): MARET 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i1.20771

Stunting merupakan permasalahan utama khusus di Indonesia. Provinsi Aceh merupakan peringkat empat tertinggi prevalensi stunting (31.2%), dan Kabupaten Pidie Jaya termasuk ke dalam tiga tertinggi prevalensi stunting (37.8%). Dimana yang menjadi perhatian cukup serius, terjadi peningkatan risiko stunting pada usia 6-11 bulan ke kelompok usia 12-23 bulan sebesar 1.6 kali. Tujuan penelitian ini untuk mengetahui hubungan nutrisi dan riwayat imunisasi dasar terhadap kejadian stunting. Penelitian menggunakan metode kuantitaitf engan design design Cross-sectional Study. Sampel dalam penelitian sebesar 77 balita. Dimana pengambilan sampel menggunakan teknik Simple Random Sampling. Analisis data menaggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa sebagian besar balita mengalami stunting (74.3%). Dimana terdapat hubungan sigfinikan pemberian ASI ekslusif (p-value 0.0001) dan riwayat imunisasi dasar (p-value 0.0001) terhadap stunting pada balita. Dan tidak terdapat hubungan antara MP-ASI (p-value 0.328) dengan kajadian stunting pada balita. Nutrisi untuk anak yaitu ASI eksklusif dan riwayat imunisasi memiliki hubungan terhadap kejadian stunting pada anak.

HUBUNGAN MUTU PELAYANAN KESEHATAN DENGAN MINAT KUNJUNGAN ULANG PASIEN RAWAT JALAN DI PUSKESMAS PEUREULAK AKBAR, FAHRISAL; Na’imah, Na’imah; Ramadhana, Phossy Vionica
Jurnal Kesehatan Tambusai Vol. 6 No. 1 (2025): MARET 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i1.42752

Kualitas layanan kesehatan yang diterima oleh para pasien di Puskesmas telah menjadi issue sensitive. Saat ini banyak ditemukan pengalaman berobat yang kurang menyenangkan sehingga menimbulkan citra negatif yang membuat pasien enggan untuk melakukan kunjungan ulang berobat. Hal ini dipicu oleh berbagai faktor diantaranya kurang ramahnya pelayanan, waktu tunggu yang terlalu lama serta kurangnya rasa empati dari para petugas kesehatan. Tujuan penelitian ini untuk mengetahui hubungan keramahan, waktu tunggu, empati dengan minat kunjungan ulang pasien. Penelitian bersifat kuantitatif dengan pendekatan cross sectional. Subjek penelitian pasien rawat jalan Poli Umum dengan kriteria usia >17 tahun dan minimal pernah berobat 1 kali kunjungan. Teknik pengambilan sampel menggunakan accidental sampling dengan jumlah 100 responden. Instrumen meliputi lembar kuesioner, lembar observasi, sound/video recorder, laptop, software SPSS. Tahap awal metode analisis data adalah editing, coding, entry data/ cleaning, analyzing dengan sistem komputerisasi. Metode analisis data kuantitatif univariate dan bivariate menggunakan uji statistik chi square dan disajikan ke dalam bentuk tabel tabulasi silang crosstab. Berdasarkan hasil penelitian diketahui bahwa sebagian besar responden kurang berminat melakukan kunjungan ulang 59%. Terdapat hubungan yang bermakna antara keramahan petugas kesehatan, waktu tunggu dan empati dengan minat kunjungan ulang pasien di Puskesmas Peureulak Aceh Timur dengan p-value masing-masing 0,000. Pengalaman berobat yang menyenangkan diikuti dengan pelayanan yang maksimal dari para tenaga kesehatan, seperti inisiatif untuk menegur terlebih dahulu, menyapa, berkomunikasi secara intens dengan nada yang lemah lembut. Langkah-langkah konkrit dengan mengedepankan psikologis dibutuhkan dalam membangun kedekatan emosional antara Nakes dengan pasien di Puskesmas Peureulak Aceh Timur.

The Relationship Between Service Quality and Patients' Revisit Interest at Beutong Public Health Centre, Beutong Subdistrict, Nagan Raya District Susanti, Lia; Hasnur, Hanifah; Akbar, Fahrisal
Buletin Farmatera Vol 10, No 1 (2025)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/bf.v10i1.22766

Abstract: The significant decline in the number of patient visits at Beutong Public Health Centre, Beutong Subdistrict, Nagan Raya District, which reached 73% between 2021 and 2022, serves as a critical backdrop for this study. This research aims to analyse the factors influencing healthcare service quality and patients' revisit interest by focusing on five key service dimensions: reliability, responsiveness, assurance, empathy, and tangibles. The study is descriptive-analytical and was conducted at the Beutong Public Health Centre from March to April 2024. The sample consisted of 100 respondents selected using purposive sampling based on inclusion criteria. Data were collected through questionnaires and secondary data from the health centre and analysed using SPSS version 24. The results showed that all five dimensions of healthcare service—reliability, responsiveness, assurance, empathy, and tangibles—influence patients' revisit interest. Specifically, the assurance variable had the most significant impact, with 77% of respondents indicating positive revisit interest. Reliability influenced 69% of respondents, empathy 68%, tangibles 63%, and responsiveness 53%. However, statistical analysis revealed that only assurance had a statistically significant effect (p 0.05), while reliability, responsiveness, empathy, and tangibles did not show significant influence (p 0.05). Based on these findings, it is recommended that Beutong Public Health Centre improve healthcare service quality by focusing on enhancing staff reliability through regular training, strengthening responsive communication channels to address patient complaints, improving staff credibility and professionalism through certification and continuous training, and upgrading the physical facilities of the health centre.

FACTORS RELATED TO SOLID MEDICAL WASTE HANDLING MANAGEMENT AT TEUKU UMAR HOSPITAL, CALANG ACEH JAYA REGENCY Rinaldi, Alfian; Mawardi, Mawardi; Akbar, Fahrisal
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 9, No 1 (2023): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v9i1.2091

Background: Factors related to the implementation of medical waste management at General Hospital (RSU) are Hospital Policy, Human Resources (HR), Funds, Technical Guidelines, Facilities, and Infrastructure. Among these five factors, human resources and infrastructure are the most important factors to achieve hospital waste management objectives. Reliable human resources are needed and the infrastructure used must comply the requirements in the Decree of the Minister of Health the Republic of Indonesia No. 1204/Menkes/SK/X/ 2004. The research aims to determine the relationship between hospital policies and the handling of medical waste at Teuku Umar Hospital. Method: Type of analytical survey research with a Cross Sectional approach. The research sample was 30 employees of the sanitation section of Teuku Umar Hospital, Calang Aceh Jaya Regency. Data collection techniques used questionnaires and data analysis using the chi square test. Results: The research results showed a relationship between hospital policies (p-value=0.001), human resources (HR) (p-value=0.001), infrastructure (p-value=0.001), funds (p-value=0.001), technical guidelines (p-value=0.001), and the handling of medical waste (p-value=0.001) at the Teuku Umar Hospital, Calang Aceh Jaya Regency. Recommendation: It is hoped that hospitals will improve the quality of human resources in the medical waste handling department, therefore the medical waste can be handled properly.

FACTORS RELATING TO THE IMPLEMENTATION OF THE INTEGRATED MANAGEMENT PROGRAM FOR TODDLER SICKNESS (MTBS) AT KOPELMA DARUSSALAM HEALTH CENTER SYIAH KUALA DISTRICT, BANDA ACEH CITY Raiyan, Deka; Akbar, Fahrisal; Anwar, Syarifuddin; Ramadhana, Phossy Vionica
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 10, No 1 (2024): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v10i1.2087

Background: The low coverage of IMCI in Aceh is due to the fact that many Puskesmas do not implement the IMCI program. The purpose of this study was to determine the factors associated with the implementation of the IMCI program at the Kopelma Darussalam Health Center, Syiah Kuala District, Banda Aceh City in 2019. Methods: This research is descriptive analytic with cross sectional design. The population in this study were all respondents who brought children under five to the CFR clinic of Kopelma Darussalam Health Center. The sample size was 46 respondents, the sampling technique in this study was accidental sampling. Results: the results of this study indicate that from the bivariate analysis using the chi square test shows that there is a relationship between the role of health workers (p-value=0.001), affordability (p-value=0.019), maternal counseling (p-value=0.003) with the implementation of the IMCI program. Suggestion: It is expected that the Head of Kopelma Darussalam Health Center will try to improve the performance of MTBS program implementers, adding health workers trained in MTBS. Mothers are expected to follow all the procedures for integrated management of sick toddlers in children in caring for children.

FACTORS RELATED TO THE INCIDENCE OF ANEMIA IN PREGNANT WOMEN IN THE TRIMESTER III IN THE WORKING AREA OF THE MEURAXA COMMUNITY HEALTH CENTER, BANDA ACEH CITY Humaira, Ayu; Naimah, Naimah; Akbar, Fahrisal
Jukema (Jurnal Kesehatan Masyarakat Aceh) Vol 10, No 2 (2024): Jurnal Kesehatan Masyarakat Aceh (JUKEMA)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37598/jukema.v10i2.2361

Background: Anemia in pregnant women remains a significant public health issue in Aceh. According to the 2017 Aceh Provincial Health Profile, the prevalence of anemia among pregnant women reached 87%. In Banda Aceh City, Meuraxa Health Center recorded the highest rate in 2016 at 26.25%, which increased to 28.60% in 2017, despite educational efforts regarding iron tablet intake and proper nutrition. Method: This study employed an analytical quantitative design with a cross-sectional approach. The sample consisted of all third-trimester pregnant women with anemia in the working area of Meuraxa Health Center, Banda Aceh City, from January to December 2018, totaling 47 participants, selected using total sampling. Result: Parity (p=0.001), where multiparous and grand multiparous women were at higher risk of severe anemia. Nutritional status (MUAC) (p=0.000), with undernourished women more likely to experience severe anemia. ANC visits (p=0.002), where fewer ANC visits increased the risk. Compliance with iron tablet consumption (p=0.001), where non-compliance was associated with a higher risk of severe anemia. Husband support (p=0.026), where lack of support was associated with increased risk. Recommendation: It is recommended that third-trimester pregnant women regularly check their Hb levels and involve their husbands as supporters in anemia prevention. Health professionals play a crucial role in providing information and counseling to reduce the incidence of anemia.

Sosioeconomic, Behavioral, and Biological Determinants of Tuberculosis Incidence: A Case Study in Aceh Besar, Indonesia Farrah Fahdhienie; Akbar, Fahrisal
Journal of Public Health and Pharmacy Vol. 5 No. 3: NOVEMBER 2025
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i3.6008

Introduction: Tuberculosis (TB) pandemic is a significant global health concern, especially in low- and middle-income countries. Every year the incidence and deaths due to TB continue to increase. Preventing and controlling TB effectively requires understanding the complex interplay of the multidimensional TB risk factors, which consist of social, behavioral, and biological determinants that contribute to its spread. This study aimed to identify and analyze the primary risk factors associated with TB incidence. Methods: This study employed a case-control design with 44 respondents consisting of 22 laboratory-confirmed TB patients and 22 non-TB patients with matching ages and sex. This study used a structured questionnaire was used to collect data through face-to-face interviews. The questionnaire assessed risk factors across three key domains: social determinants, behavioral determinants, and biological determinants. Bivariate analysis, which used a chi-square test (p-value <0.05), and multivariate analysis, which used a logistic regression test, were performed to determine risk factors most associated with TB incidence. Results: Low income (p-value=0.015;OR=6.923;95%CI=1.285-37.287), high TB-related stigma (p-value=0.033;OR=3.852;95%CI=1.086-13.661), insufficient TB knowledge (p-value =0.033;OR=3.852;95%CI=1.086-13.661), food insecurity (p-value=0.006;OR=5.950;95%CI=1.586-22.328), lack of preventative measures (p-value=0.015;OR=4.667;95%CI=1.299-16.761), history of contact with TB patients (p-value =0.039;OR=7.875;95%CI=0.860-72.122), and presence of comorbidities (p-value =0.031;OR=5.714;95%CI=1.051-31.072) were significantly associated with TB incidence. Comorbidities emerged as the strongest risk factor (p-value =0.020; OR=12.141;95%CI=1.486-99.231). Conclusion: This study highlights several major factors influencing TB incidence, including social, behavioral, and biological determinants. The findings suggest that effective TB control strategies should address socioeconomic conditions, promote healthy lifestyles, and involve community leaders and TB survivors in educational campaigns, stigma reduction, and early diagnosis efforts. Understanding these health determinants can inform more targeted public policies for curbing TB incidence.

The effectiveness of breakfast time on cognitive function among university students: A cluster experiment study protocol Baharuddin, Dharina; Septiani, Riza; Akbar, Fahrisal; Naimah, Naimah
AcTion: Aceh Nutrition Journal Vol 10, No 3 (2025): September
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i3.2348

Breakfast is important for supporting cognitive function. However, national surveys show that around 56% of university students in Indonesia often skip breakfast. Research on the optimal timing of breakfast to enhance cognitive function is limited. This study aims to evaluate the effectiveness of different breakfast times on students’ cognitive abilities and health indicators. Methods: A Cluster Randomized Controlled Trial (CRCT) was conducted at the University of Muhammadiyah Aceh in 2024. A total of 60 students from three faculties were recruited and randomly assigned into three groups: intervention 1 (breakfast at 06:30–07:30), intervention 2 (07:31–08:31), and a control group (usual breakfast habits). The intervention lasted 8 weeks (4 weeks intervention, 4 weeks maintenance). Cognitive function was assessed using the Army Alpha Test, and mood was measured with the Profile of Mood Scales. Data were analyzed based on the Intention-to-Treat (ITT) principle and the Generalized Estimating Equation (GEE) method in SPSS version 25.0. Results: This protocol is designed to explore the most suitable breakfast timing for students. Expected outcomes include identifying breakfast times that significantly enhance cognitive function. Conclusion: The study is expected to provide evidence for designing breakfast interventions that support students’ cognitive function and overall health.

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