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All Journal Indonesian Journal of Health Science Karya Kesehatan Siwalima
Syahadah, Rahmah Fadlilatu
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Analisis Implementasi Program Penerima Bantuan Iuran (PBI) Jaminan Kesehatan Di Puskesmas Kutalimbaru Syahadah, Rahmah Fadlilatu; Hariyani, Elva; Fadila, Naswa; Gurning, Fitriani Pramita
Indonesian Journal of Health Science Vol 4 No 4 (2024)
Publisher : PT WIM Solusi Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54957/ijhs.v4i4.910

Abstract

Kesehatan adalah hak fundamental setiap warga Oleh karenanya setiap individu, keluarga dan masyarakat berhak memperoleh perlindungan terhadap kesehatannya. Tingginya jumlah peserta BPJS dari kategori PBI   menggambarkan   bahwa   tingginya kebutuhan layanan kesehatan bagi masyarakat miskin. Namun, pada   kenyataannya   akses layanan kesehatan yang baik masih menjadi permasalahan    bagi    masyarakat    miskin    di Indonesia. Penelitian ini menggunakan pendekatan kualitatif dengan metode pengumpulan data dilakukan melalui wawancara mendalam. Informan dari penelitian ini adalah kepala puskesmas, penerima layanan kesehatan dan kepala tata usaha di Puskesmas Kuta Limbaru. Hasil penelitian ini menunjukkan Puskesmas Kutalimbaru berperan penting dalam memberikan layanan kesehatan tanpa diskriminasi. Koordinasi yang baik dan sikap proaktif petugas kesehatan menjadi faktor krusial. Kendala seperti ketidakakuratan data dan keterbatasan anggaran ditemukan. Program PBI JKN memberikan manfaat signifikan dalam meningkatkan akses layanan kesehatan bagi masyarakat miskin. Kesimpulan penelitian ini bahwa Puskesmas. Kutalimbaru memainkan peran penting dalam menyediakan layanan kesehatan yang setara bagi peserta PBI dan non-PBI. Koordinasi yang baik, komunikasi efektif, pemanfaatan sumber daya yang optimal, dan sikap positif dari petugas kesehatan mendukung keberhasilan program.
Determinants of Adolescent Posyandu Utilization in Stabat Primary Health Care, Indonesia Syahadah, Rahmah Fadlilatu; Gurning, Fitriani Pramita
Karya Kesehatan Siwalima Vol. 5 No. 1 (2026): Maret (In Progress)
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v5i1.1799

Abstract

The Adolescent Posyandu Program is a government initiative aimed at improving adolescent health status. However, the utilization of adolescent posyandu services in the working area of the Stabat Public Health Center, Langkat Regency, remains low and has not yet reached the national target of 80%. This study aimed to analyze the factors influencing the utilization of adolescent posyandu services in this area. This study employed a quantitative approach with a cross-sectional design. A total of 94 adolescent respondents were selected using a stratified random sampling technique. Data were analyzed using the Chi-square test for bivariate analysis and logistic regression for multivariate analysis. The results showed that only 39 respondents (41.5%) utilized adolescent posyandu services. Bivariate analysis indicated significant associations between knowledge, attitudes, the role of health cadres, family support, and peer support with the utilization of adolescent posyandu services (p < 0.05). Multivariate analysis revealed that knowledge (p = 0.003), attitudes (p = 0.006), and peer support (p = 0.018) had a significant influence on utilization (p < 0.05). Among these variables, attitude was identified as the most dominant factor (Exp(B) = 25.047), indicating that adolescents with positive attitudes were significantly more likely to utilize posyandu services. In conclusion, attitudes, knowledge, and peer support play significant roles in influencing adolescent participation in posyandu programs, with attitude emerging as the strongest predictor. Strengthening health promotion strategies that focus on improving adolescents’ attitudes is essential to increase service utilization.
Co-Authors Fadila, Naswa Fitriani Pramita Gurning Hariyani, Elva