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Determinant Factors Influencing the Performance of Health Workers at Karang Rejo Primary Health Center, Tarakan City Sri Wahyu Ekowati; Byba Melda Suhita; Prima Dewi Kusumawati
Majalah Kesehatan Indonesia Vol. 7 No. 2 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026310

Abstract

Run optimally. The calculation of the need for health workers is usually based on several things, such as the type of disease that is widely encountered in the community, the number and burden of services that must be handled, the availability of health facilities, and certain ratios or standards that have been set. The purpose of this study is to analyze the influence of reinforcement, competence and workload on the performance of health workers at the Karang Rejo Health Center, Tarakan City. The design of this study is an observational quantitative research with a cross sectional approach. The total population was 146 respondents while the sample of 107 respondents was taken using the Simple Random Sampling technique. Based on the results of the Ordinal Regression analysis, it is known that the variables of reinforcement, competence, and workload partially have a significant influence on the performance of health workers at the Karang Rejo Health Center, Tarakan City, which is shown by the p-value of 0.016 for reinforcement, 0.007 for competence, and 0.016 for workload (p < 0.05), so that the null hypothesis (H0) is rejected and the alternative hypothesis (H1) is accepted. These findings show that the better the implementation of reinforcement provided by the leadership, the higher the level of competence that health workers have, and the more appropriate the workload management, the performance of health workers tends to increase. Thus, the performance of health workers is not only influenced by individual factors such as competence, but also by organizational factors in the form of reinforcement and workload, which together play an important role in supporting the improvement of the quality of health services at the Karang Rejo Health Center, Tarakan City.
The Association Between Family Support and Coping Mechanisms Among People Living with HIV at Pesantren Community Health Center I, Kediri City Byba Melda Suhita; Aprillia Nuril Hidayanti
Journal for Quality in Public Health Vol. 9 No. 2 (2026): May
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v9i2.582

Abstract

HIV/AIDS remains a serious problem in Indonesia, with cases increasing year after year. People living with HIV/AIDS (PLHIV) are potentially exposed to high levels of stress, so they must have family support and effective coping mechanisms. This study aims to determine the effect of family support on coping mechanisms among PLHIV at the Pesantren I Community Health Center in Kediri City. This study used an observational analytical design with a cross-sectional approach. A simple random sampling technique was used to obtain a sample of 200 respondents. The study consisted of two variables the independent variable of family support and the dependent variable of coping mechanisms of PLHIV. The research instrument used in this study was a questionnaire. The statistical test used was Spearman's Rho to determine the influence between variables. The study found that 94 respondents (47%) had high levels of family support and 129 respondents (65%) had good coping mechanisms. The analysis showed no significant effect between family support and coping mechanisms of PLHIV at the Pesantren I Community Health Center in Kediri City, with a p-value of 0.481 > 0.05. Coping mechanisms can be influenced by various factors, not just family support. Further research is needed to demonstrate this using the same subjects but different variables, so that new findings can be obtained.
Husband’s Role in Caring for Stunted Children: Patriarchal Culture Perspective in Kupang Joli Riyana Nubatonis; Prima Dewi Kusumawati; Byba Melda Suhita
Indonesian Journal of Global Health Research Vol. 7 No. 6 (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.v7i6.433

Abstract

Patriarchal culture shapes gender roles in childcare, often restricting fathers’ involvement and placing the main caregiving responsibility on mothers. Such conditions may contribute to child health problems, particularly stunting, which remains a significant public health challenge in Indonesia, especially in East Nusa Tenggara. This study aimed to explore husbands’ behaviour in caring for children with stunting from the perspective of patriarchal culture in Tarus Village, Kupang Regency. A qualitative exploratory research with an ethnographic approach was conducted through in-depth semi-structured interviews involving eight participants (four husbands and four wives) who met the inclusion criteria. Data were analysed using Interpretative Phenomenological Analysis (IPA). The analysis generated five major themes: (1) dominance of patriarchal culture, (2) limited involvement of husbands, (3) gender-based affection and stimulation, (4) emotional challenges in managing stunting, and (5) hope and resilience. These findings demonstrate how patriarchal norms restrict the father’s role and reinforce the mother’s primary responsibility in childcare. Patriarchal values significantly influence childcare practices, resulting in minimal paternal involvement in preventing stunting. To address this, gender-sensitive interventions are required, including father-focused training, public awareness campaigns, and family-supportive policies to strengthen paternal roles and reduce stunting prevalence.
Implementasi Program Aksi Bergizi dalam Pencegahan Anemia pada Santriwati di Pondok Pesantren Kabupaten Kediri Siti Komariyah; Byba Melda Suhita; Reni Yuli Astutik; Shanty Natalia; Agustin Widowati; Elfi Quyumi
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 4 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i4.863

Abstract

Introduction: Anemia among adolescent girls continues to be a significant public health concern with long-term consequences for reproductive health, productivity, and human resource quality. Poor dietary quality, skipping breakfast, low physical activity, and poor adherence to iron tablet supplementation are key contributing factors. Objective: The Aksi Bergizi Program was developed as a promotive and preventive strategy to improve adolescents’ nutritional behaviors through school- and boarding school-based interventions. Methods: This community service activity applied an educational and participatory approach in a boarding school setting, involving 150 adolescent girls at Boarding School Kediri Regency. The program was implemented from June to July 2025 through an integrated Aksi Bergizi package consisting of nutrition and anemia education, group physical activity, communal breakfast, and collective iron tablet (TTD) consumption. Program evaluation was conducted through observation and descriptive assessment of anemia prevention behaviors. Results: The findings showed that 56% of participants demonstrated positive anemia prevention behaviors. The implementation of group physical activity was categorized as good in 83.3% of participants, communal breakfast in 70%, collective iron tablet consumption in 87.3%, and nutrition and anemia education in 67.3%. Collective iron tablet consumption was the component with the highest level of participation. Conclusion: The Aksi Bergizi Program was effective in improving anemia prevention behaviors among adolescent girls in an Islamic boarding school setting. A collaborative and collective behavior-building approach supports program sustainability and highlights the potential of Aksi Bergizi as a community-based strategy to improve adolescent nutritional status and prevent anemia.
Analisis Faktor-Faktor yang Memengaruhi Kualitas Hidup Pasien TB Paru: Studi Cross-Sectional di Kecamatan Wanokaka Yohanis Lero; Ratna Wardani; Byba Melda Suhita
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.61681

Abstract

Tuberkulosis (TB) masih menjadi masalah kesehatan masyarakat di Indonesia yang berdampak tidak hanya pada kondisi fisik, tetapi juga pada aspek psikologis, sosial, dan kualitas hidup pasien. Kualitas hidup pasien TB paru dipengaruhi oleh berbagai faktor, antara lain dukungan keluarga, self-efficacy, aktivitas fisik, dan kepatuhan minum obat. Penelitian ini bertujuan untuk menganalisis pengaruh dukungan keluarga, self-efficacy, aktivitas fisik, dan kepatuhan minum obat terhadap kualitas hidup pasien TB paru di Kecamatan Wanokaka. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional. Sampel berjumlah 100 pasien TB paru yang dipilih sesuai kriteria penelitian. Data dikumpulkan menggunakan kuesioner dukungan keluarga, self-efficacy, aktivitas fisik, kepatuhan minum obat, dan WHOQOL-BREF. Analisis data dilakukan menggunakan regresi linear berganda dengan tingkat signifikansi 5%. Hasil penelitian menunjukkan bahwa dukungan keluarga (β = 0,363; p < 0,001), self-efficacy (β = 0,373; p < 0,001), aktivitas fisik (β = 0,191; p = 0,025), dan kepatuhan minum obat (β = 0,182; p = 0,033) berpengaruh signifikan terhadap kualitas hidup pasien TB paru, dengan self-efficacy sebagai faktor paling dominan. Implikasi penelitian ini menunjukkan bahwa intervensi keperawatan perlu difokuskan pada peningkatan self-efficacy, penguatan dukungan keluarga, promosi aktivitas fisik, serta peningkatan kepatuhan pengobatan untuk mengoptimalkan kualitas hidup pasien.
Pengaruh Teknik Audio-Tactile Synchronization (ATS) Terhadap Nyeri dan Komplikasi pada Pasien Pasca Operasi Laparotomi di RSU Setio Husodo Kisaran Latifah Latifah; Byba Melda Suhita; Yenny Puspitasari
Jurnal Ragam Pengabdian Vol. 3 No. 2 (2026): Mei-Agustus, Sustainable Development Goals (SDGs): Multidisciplinary Perspectiv
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/dvmmpj20

Abstract

Pain is a common problem experienced by patients following laparotomy surgery due to tissue trauma and inflammatory responses, which may lead to various physiological complications, including changes in blood pressure, heart rate, respiratory rate, decreased oxygen saturation, urinary retention, and abdominal distension. This study aimed to analyze the effect of the Audio-Tactile Synchronization (ATS) technique on pain intensity and postoperative complications among laparotomy patients at Setio Husodo General Hospital, Kisaran. This study employed a quasi-experimental design with a pretest–posttest control group design. The sample consisted of 114 respondents, including 57 respondents in the intervention group and 57 respondents in the control group. The participants underwent laparotomy procedures, comprising 20 post-operative Cesarean section (Sectio Caesarea) patients, 15 post-operative appendectomy patients, and 19 post-operative hernia surgery patients, selected using purposive sampling. Pain intensity was measured using the Numeric Rating Scale (NRS), while postoperative complications were assessed based on blood pressure, heart rate, respiratory rate, oxygen saturation, urinary retention, and abdominal distension. The study demonstrated a significant reduction in pain intensity and postoperative complication scores in both the intervention and control groups (p < 0.001). Furthermore, the Mann–Whitney U test showed that the mean rank of postoperative complications was 55.50 in the intervention group and 59.50 in the control group. The analysis yielded a Mann–Whitney U value of 1510.500, Z = −1.074, and a p-value of 0.283 (p > 0.05), indicating no statistically significant difference between the two groups. However, the intervention group demonstrated a more favorable clinical improvement than the control group. A total of 20 participants withdrew due to intolerable pain requiring analgesics. Conclusion: The effectiveness of ATS is presumed to result from the integration of auditory stimulation and rhythmic tactile touch, which diverts patients’ attention away from pain (cognitive distraction), activates A-beta nerve fibers in accordance with the Gate Control Theory, and enhances relaxation responses, thereby reducing sympathetic nervous system activation. Therefore, ATS is effective in reducing pain and accelerating the improvement of postoperative complications in patients undergoing laparotomy surgery.
Health Education on Breastfeeding Preparation in Pregnant Mothers and Families Dian Meilani Saputra; Ahmad Yasin Havid; Byba Melda Suhita
Journal of Community Engagement in Health Vol. 8 No. 2 (2025): September
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jceh.v8i2.640

Abstract

How to feed babies is to exclusively breastfeeding from birth until the baby is six months old and continue breastfeeding the child until the age of twenty-four months. The success of breastfeeding also needs to be prepared early starting from antenatal, such as mothers are prepared physically and psychologically, provide support, and various counseling about breastfeeding. The purpose of this activity is to be able to increase the knowledge of pregnant women about giving exclusive breastfeeding. The implementation method is to provide helath education on breastfeeding in pregnant womens and families of 15 pregnant womens at A'isyiyah General Hospital, Ponorogo. The implementation of the activity consists of several stages, including the stage before providing education by taking pre-test data and the next stage is providing education about preparing for breastfeeding to pregnant womens filling out a post-test questionnaire to find out whether there is an impact on the knowledge of pregnant women after being given education. The results of the activity explain that some of the knowledge possessed by pregnant women who are the objects of this activity when before being given education, namely most of them have good knowledge. After being given education, almost all pregnant women, namely by experiencing an increase in the value of their level of knowledge. This shows that providing education in this activity can increase the knowledge of pregnant womens about breastfeeding.