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SPATIAL ANALYSIS OF DENGUE HEMORRHAGIC FEVER CASES IN RELATION TO POPULATION DENSITY IN BANDAR LAMPUNG CITY Kurnia Ramayudha; Agung Aji Perdana; Nurhalina Sari; Dina Dwi Nuryani
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21446

Abstract

Dengue Hemorrhagic Fever (DHF) remains a significant public health burden in Indonesia, particularly in densely populated urban areas. Bandar Lampung City is classified as an endemic region, with fluctuating case numbers each year. This study aims to analyze the relationship between population density and the distribution of DHF cases using a spatial analysis approach. A cross-sectional ecological design was employed. Secondary data were obtained from the Lampung Provincial Health Office regarding DHF cases and from the Central Bureau of Statistics regarding population density. The analysis involved Pearson’s correlation test to examine the association between population density and case numbers, as well as spatial mapping using QGIS 3.4.11 to illustrate distribution patterns. The findings revealed that DHF cases occurred not only in highly populated areas but also in subdistricts with moderate population density, particularly where the larva-free index (LFI) was low. Correlation tests demonstrated a significant negative relationship in 2022 (r = –0.341; p = 0.049) and 2023 (r = –0.327; p = 0.043), while the result for 2021 was not statistically significant (r = –0.276; p = 0.061). This study concludes that population density is not the primary determinant of DHF incidence. Environmental conditions, sanitation, and community behavior appear to play a more substantial role in disease transmission within Bandar Lampung City.
Analisa Faktor Kepuasan Pasien Poli Rawat Jalan Rsia Prima Qonita Kabupaten Ogan Komering Ulu Provinsi Sumatera Selatan Govindha Putri; Dina Dwi Nuryani; Nova Muhani; Samino Samino; Fitri Ekasari
Malahayati Nursing Journal Vol 6, No 9 (2024): Volume 6 Nomor 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i9.13566

Abstract

ABSTRACT Nowadays healthcare industry has moved towards continuous quality improvement. Thus, health care managers must include patient-centered care activities as a major component. For this reason, patient satisfaction is a quality improvement tool for the overall performance of health facility organizations. Hospitals as health facilities must be able to realize good quality, but there is still patient dissatisfaction with hospital services, including the Prima Qonita Mother and Child Hospital (RSIA), Ogan Komering Ulu Regency, South Sumatra Province. Therefore, researchers want to focus on analyzing the hospital's outpatient satisfaction factors. Analyzing patient satisfaction factors at the RSIA Prima Qonita outpatient clinic, Ogan Komering Ulu Regency, South Sumatra Province. The method used is quantitative with a cross sectional design. The samples taken were 388 with accidental sampling techniques. The independent variables assessed were physical evidence (tangible), reliability (reliability), responsiveness (responsiveness), and assurance (assurance) and  empathy (empathy). Bivariate test using spearman correlation test and multivariate using linear regression test. Based on the results of the Spearman Correlation test, the physical evidence factor (r= 0.340), the empathy factor (r= 0.398), the reliability factor (r= 0.409), the responsiveness factor (r= 0.447), and the assurance factor (r= 0.434) were obtained. The results of the multiple linear regression test obtained a p value of 0.000 and a coefficient B value of 1.19 for the empathy variable. Each factor of physical evidence, empathy, reliability, responsiveness and assurance statistically influences patient satisfaction with health services in outpatient clinics. The most dominant factor is the empathy factor. Keywords: Hospital, Quality of Service, Patient Satisfaction, Tangible, Reliability, Responsiveness, Assurance, and Empathy  ABSTRAK Industri pelayanan kesehatan saat ini telah bergerak menuju peningkatan kualitas yang berkelanjutan. Manajer pelayanan kesehatan harus memasukan kegiatan perawatan yang berpusat pada pasien sebagai komponen utamanya. Kepuasaan pasien menjadi alat peningkatan kualitas untuk kinerja organisasi sarana kesehatan secara keseluruhan. Rumah sakit sebagai sarana kesehatan harus mampu mewujudkan kualitas yang baik, namun masih ditemukan ketidakpuasan pasien terhadap pelayanan rumah sakit termasuk Rumah Sakit Ibu dan Anak Prima Qonita Kabupaten Ogan Komering Ulu Provinsi Sumatera Selatan. Menganalisis faktor kepuasan pasien poli rawat jalan RSIA Prima Qonita Kabupaten Ogan Komering Ulu Provinsi Sumatera Selatan. Metode yang digunakan berupa kuantitatif dengan rancangan cross sectional. Sample yang diambil sebanyak 388 dengan teknik accidental sampling. Variabel yang dinilai yaitu bukti fisik (tangible), kehandalan (reliability), daya tanggap (responsiveness), dan jaminan (assurance) dan empati (empathy). Uji bivariat menggunakan uji korelasi spearman dan multivariat menggunakan uji regresi linear. Berdasarkan hasil uji Korelasi Spearman didapatkan faktor bukti fisik (r= 0,340), faktor empati (r= 0,398), faktor kehandalan (r= 0,409), faktor daya tanggap (r= 0,447), dan faktor jaminan (r= 0,434). Hasil uji regresi linier berganda diperoleh hasil nilai p value sebesar 0,000 dan diperoleh nilai koefisien B sebesar 1,19 pada variabel empati. Masing-masing faktor bukti fisik, empati, kehandalan, daya tanggap dan jaminan secara statistik berpengaruh terhadap kepuasan pasien pelayanan kesehatan di poli rawat jalan. Faktor yang paling dominan adalah faktor empati. Kata Kunci: Kualitas Pelayanan, Kepuasan Pasien, Tangible, Reliability, Responsiveness, Assurance, Dan Empathy
Analisis Determinan Growth Failure (Stunting) pada Anak Usia 0 - 59 Bulan di Puskesmas Panjang Kota Bandar Lampung Vivi Yolandha; Dina Dwi Nuryani; Vera Yulyani
Malahayati Nursing Journal Vol 6, No 6 (2024): Volume 6 Nomor 6 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i6.12331

Abstract

ABSTRACT Stunting in toddlers is a nutrition problem in the world today, especially in developing countries, including Indonesia. Based on the 2022 stunting population in Lampung Province of 15.2%. Puskesmas Panjang is one of the Puskesmas in Bandar Lampung with the highest stunting rate of 566 people (22.9%). The purpose of this study was to determine the determinants of growth failure (stunting) in children aged 0 - 59 months at Puskesmas Panjang, Bandar Lampung. Type of quantitative research with a case control approach. The scope of researchers at Puskesmas Panjang Health Center in Bandar Lampung. The research was conducted in May 2023. The population in the study were all mothers who had children aged 0 - 59 months, with a sample of 162 children. The variables in the study were early breastfeeding initiation, exclusive breastfeeding, complementary feeding, and environmental sanitation with the incidence of stunting. Data collection using questionnaires, data analysis by univariate (frequency distribution), bivariate (chi square) and multivariate (logistic regression). The results showed that there is a significant relationship with the incidence of stunting is Early Breastfeeding Initiation (p-value = 0.008; OR = 2.60), exclusive breastfeeding history (p-value = 0.000; OR = 4.98), history of complementary feeding (p-value = 0.001; OR = 3.20), Environmental Sanitation (p-value = 0.001; OR = 3.31). Exclusive breastfeeding is the dominant variable on the incidence of stunting in children (p-value = 0.001; OR = 4.027).  Research suggestions are expected to educate and understand, counseling or installing posters to the community, especially pregnant women and mothers who have toddlers in the form of the importance of the role of exclusive breastfeeding for toddlers where exclusive breastfeeding affects the incidence of stunting in toddlers. Keywords: Stunting, Malnutrition, Growth and Development  ABSTRAK Stunting pada balita merupakan permasalahan gizi di dunia saat ini terutama di negara-negara berkembang, termasuk indonesia. Berdasarkan populasi stunting tahun 2022 di Provinsi Lampung sebesar 15,2%. Puskesmas Panjang merupakan salah satu Puskesmas di Bandar Lampung dengan angka stunting tertinggi sebanyak 566 orang (22,9%). Tujuan penelitian ini adalah diketahui determinan growth failure (stunting) pada anak usia 0 – 59 bulan di Puskesmas Panjang Bandar Lampung. Jenis penelitian kuantitatif dengan pendekatan Case Control. Ruang lingkup peneliti di Puskesmas Panjang Bandar Lampung. Penelitian dilakukan bulan Mei 2023. Populasi dalam penelitian adalah seluruh ibu yang memiliki anak usia 0 - 59 bulan, dengan sampel 162 anak. Variabel dalam penelitian yaitu Inisiasi menyusui dini, ASI Eksklusif, MP-ASI, dan Sanitasi Lingkungan dengan kejadian stunting. Pengumpulan data menggunakan kuesioner, analisis data secara univariat (distribusi frekuensi), bivariat (chi square) dan multivariat (regresi logistik). Hasil penelitian didapatkan ada hubungan yang signifikan dengan kejadian stunting adalah Inisiasi Menyusui Dini (p–value = 0,008; OR = 2.60), riwayat pemberian ASI eksklusif (p–value = 0,000 ; OR = 4.98), riwayat pemberian MP-ASI (p–value = 0,001 ; OR = 3.20), Sanitasi Lingkungan (p–value = 0,001 ; OR = 3.31). Asi Eksklusif merupakan variabel dominan terhadap Kejadian Stunting pada anak ( p–value = 0,001 ; OR = 4.027).  Saran penelitian diharapkan melakukan edukasi dan pemahaman, penyuluhan atau pemasangan poster kepada masyarakat terutama ibu hamil dan ibu yang memiliki balita berupa pentingnya peran ASI Eksklusif untuk balita diaman ASI Eksklusif berpengaruh terhadap kejadian stunting pada balita.                   Kata Kunci: Stunting, Gizi Buruk, Tumbuh Kembang
Faktor-faktor yang berhubungan dengan kejadian diare pada balita Bella Tania Putri; Suwito Suwito; Dina Dwi Nuryani
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 7 (2025): October Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i7.1317

Abstract

Background: Globally, there are around 1.7 billion cases of diarrhea in children each year, and diarrhea is the main cause of malnutrition in children under five. In developing countries, diarrhea causes 1.8 million deaths of children under five, which has increased from 1.5 million in the last 20 years. The causes of diarrhea are related to host, agent, and environmental factors. In Indonesia, diarrhea remains a serious public health problem, especially among toddlers. Purpose: to analyze the factors related to diarrhea among toddlers in the working area of the Labuhan Ratu Health Center in 2024. Method: This research used a quantitative analytic method with a cross-sectional design. The population was all toddlers in the working area of the Labuhan Ratu Health Center, totaling 4,589 children. A sample of 188 toddlers was selected using a simple random sampling technique. Primary data were collected using questionnaires. The data were analyzed using univariate, bivariate (Chi-square test), and multivariate (logistic regression). Results: The study showed that nutritional status (p = 0.011; OR = 2.369), maternal education (p = 0.018; OR = 2.395), exclusive breastfeeding (p = 0.006; OR = 2.394), handwashing habits (p = 0.000; OR = 5.425), and source of drinking water (p = 0.004; OR = 2.630) had significant relationships with diarrhea in toddlers. Economic level (p = 0.075) and immunization history (p = 0.200) were not significantly related. The most dominant factor was handwashing habits (p = 0.000; OR = 4.772). Conclusion: There is a significant relationship between several factors and diarrhea incidence in toddlers, especially handwashing behavior. It is recommended that the health center increase education for pregnant women and mothers of toddlers on the importance of handwashing, exclusive breastfeeding, balanced nutrition, and clean water to prevent diarrhea.