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All Journal Jurnal Penelitian Kesehatan Suara Forikes Hearty : Jurnal Kesehatan Masyarakat Jurnal Ners Sehat Rakyat: Jurnal Kesehatan Masyarakat Paramacitra : Jurnal Pengabdian Masyarakat Illea
Azharatul Jannah
Program Studi Administrasi Kesehatan, Universitas Negeri Makassar, Makassar
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary Other

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Kepuasan Sebagai Prediktor Utama Lost Patient pada Peserta Prolanis di Pusat Kesehatan Masyarakat Walangadi, Zulkifli; Harfah, Nurfalia; Jannah, Azharatul; Azizah, Andi Nurul
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 4 (2025): Oktober-Desember 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16411

Abstract

Non-communicable diseases are the leading cause of death worldwide, with hypertension being a major risk factor. The Chronic Disease Management Program (Prolanis) is a government effort to prevent complications and improve the quality of life for patients with hypertension and type 2 diabetes mellitus. However, the phenomenon of lost patients or loss of control remains a challenge to the program's success. The purpose of this study was to analyze factors associated with lost patients among Prolanis participants at community health centers. This study used a cross-sectional design, involving 95 Prolanis participants selected using simple random sampling. Independent variables included knowledge, attitudes, behaviors, treatment side effects, service satisfaction, service access, family support, and the role of health workers. Data analysis was performed using multiple binary logistic regression. The results showed that knowledge, attitudes, health behaviors, satisfaction with services, and family support significantly influenced lost patients (p<0.05), with service satisfaction being the most dominant factor (Exp(B) = 14.659). In conclusion, satisfaction is the primary predictor of lost patients among Prolanis participants at community health centers.Keywords: Prolanis (chronic disease management program), lost patient; community health center ABSTRAK Penyakit tidak menular merupakan penyebab utama kematian di dunia, dengan hipertensi sebagai salah satu faktor risiko terbesar. Program Pengelolaan Penyakit Kronis (Prolanis) merupakan upaya pemerintah untuk mencegah komplikasi dan meningkatkan kualitas hidup pasien hipertensi dan diabetes mellitus tipe 2. Namun, fenomena lost patient atau putus kontrol masih menjadi tantangan dalam keberhasilan program. Tujuan penelitian ini adalah menganalisis faktor-faktor yang berhubungan dengan kejadian lost patient pada peserta Prolanis di pusat kesehatan masyarakat. Penelitian ini menggunakan desain cross-sectional, yang melibatkan 95 peserta Prolanis yang dipilih dengan teknik simple random sampling. Variabel independen mencakup pengetahuan, sikap, perilaku, efek samping pengobatan, kepuasan pelayanan, akses pelayanan, dukungan keluarga, dan peran tenaga kesehatan. Analisis data dilakukan dengan uji regresi logistik biner berganda. Hasil penelitian menunjukkan bahwa faktor pengetahuan, sikap, perilaku kesehatan, kepuasan terhadap pelayanan, dan dukungan keluarga berpengaruh secara signifikan terhadap kejadian lost patient (p<0,05), dengan kepuasan pelayanan menjadi faktor paling dominan (Exp(B) = 14,659). Sebagai kesimpulan, kepuasan merupakan predictor utama lost patient pada peserta Prolanis di pusat kesehatan masyarakat.Kata kunci: Prolanis (program pengelolaan penyakit kronis), lost patient; pusat kesehatan masyarakat
Hubungan Beban Kerja dan Stres Kerja dengan Kinerja Perawat di IGD RSUD Aloei Saboe Zulkifli Walangadi; Azharatul Jannah; Nurfalia Harfah; Andi Nurul Azizah
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.5749

Abstract

Nurse performance is a key indicator of healthcare quality and patient safety, particularly in Emergency Departments (ED) where workload demands are high. This study aimed to analyze the relationship between workload and job stress with nurse performance in the ED of Prof. Dr. H. Aloei Saboe Hospital. An analytical observational study with a cross-sectional design was conducted involving all 45 ED nurses selected through total sampling. Data were collected using structured questionnaires measuring workload, job stress, and nurse performance, and were analyzed using Spearman’s rank correlation test. Results showed that the majority of nurses experienced high workload (64.44%) and high job stress (53.33%). Statistical analysis revealed a significant negative correlation between workload and nurse performance (p = 0.002; r = -0.448) as well as between job stress and nurse performance (p = 0.001; r = -0.485), both with moderate correlation strength. These findings indicate that higher workload and stress levels are associated with lower nurse performance. The study highlights the need for comprehensive interventions, including optimizing nurse-patient ratios, improving workflow, providing psychosocial support, and implementing stress management programs to maintain nurse performance and service quality in high-pressure ED environments.
Integrasi Health Policy Triangle dan Prinsip Good Governance dalam Program PKRS untuk Mendorong Perubahan Perilaku Kesehatan Pasien : Suatu Tinjauan Sistematik Yasinta Indah Widyaningsih; Nurfalia Harfah; Azharatul Jannah
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.5935

Abstract

Health policy and hospital governance integration is essential in strengthening hospital-based health promotion, particularly through the Health Promotion Hospital Program (PKRS). This systematic review aims to analyze literature on practices, challenges, and strategies for aligning health policy and administrative governance in improving the effectiveness of behavioral-based health promotion in hospitals. The review was conducted using the Health Policy Triangle framework and Good Governance principles to identify how policy, actors, and context interact in shaping sustainable behavioral change interventions. Articles were retrieved from Scopus, ScienceDirect, and Google Scholar databases using the keywords “health policy synergy,” “hospital governance,” “behavioral-based health promotion,” and “administrative integration.” Inclusion criteria included studies from 2020–2025 focusing on hospital-based health promotion, governance mechanisms, and digital transformation in behavioral change management. The synthesis revealed that behavioral health promotion effectiveness depends on adaptive policy integration, transparent governance, digital transformation, and human resource capacity building. Strengthening PKRS implementation requires evidence-based policies, innovative governance, and digital systems that support real-time data, cross-sector collaboration, and participatory decision-making. In conclusion, the integration of the Health Policy Triangle and Good Governance principles enhances hospital accountability, communication, and efficiency, thereby fostering sustained behavioral change and advancing national health goals.
Dampak Akreditasi Rumah Sakit terhadap Budaya Komunikasi Interprofesional dan Keselamatan pasien : Tinjauan Literatur Sistematis. Azharatul jannah; Salwah Suardi; Irfan Kurniawan; Sri Sudarmi Amir Rumae; Enne Enne
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56164

Abstract

Latar Belakang : Keselamatan pasien dan mutu pelayanan kesehatan merupakan prioritas utama rumah sakit. Dalamlingkungan klinis yang kompleks, komunikasi interprofessional yang efektif menjadi faktor kunci dalam menjamin keselamatan pasien. Kegagalan komunikasi antar tenaga kesehatan sering diidentifikasi sebagai penyebab utama terjadinya insiden keselamatan pasien. Akrditasi rumah sakit diterapkan sebagai instrument regulatif untuk menstandarkan mutu dan keselamatan pelayanan, namun dampaknya terhadap budaya komunikasi dan keselamatan pasien masih perlu dikaji secara komprehensif. Tujuan : Systematic Literature Review ini bertujuan untuk mengkaji dampak akreditasi rumah akreditasi rumah sakit terhadap budaya komunikasi interprofessional dan keselamatan pasien. Metode : Penelitian ini menggunakan pendekatan systematic literature review dengan menelurusi artikel ilmiah bereputasi dari basis data internasional. Seleksi artikel dilakukan berdasarkan kriteria inklusi dan ekslusi serta temuan dianalisis secara tematik. Hasil : Hasil kajian menunjukkan bahwa akreditasi rumah sakit meningkatkan komunikasi interprofessional, standarisasi prosedur, pelaporan insiden, dan keterlibatan pasien sehingga memperkuat budayakeselamatan. Efektivitasnya bergantung pada penerapan praktik komunikasi terstruktur, kolaboratif, dan berkelanjutan dalam budaya organisasi.Kesimpulan :Akreditasi rumah sakit berpotensi memperkuat budaya komunikasi interprofessional dan meningkatkan keselamatan pasien apabila diimplementasikan secara konsisten dan didukung oleh komitmen organisasi sebagai strategi transformasi budaya, bukan sekedar pemenuhan administratif.
RECONCEPTUALIZING LEARNING MEDIA AS COGNITIVE–PEDAGOGICAL SYSTEMS: MULTIMODAL ENGAGEMENT OF GENERATION Z STUDENTS IN HEALTHCARE MARKETING EDUCATION Jeki Purnomo; Irfan Kurniawan; Azharatul Jannah
Illea : Journal of Health Sciences, Public Health and Medicine Volume 2, No.2: Juni (2026)
Publisher : Education and Talent Development Center Indonesia (ETDC Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51574/illea.v2i2.5198

Abstract

Background: The increasing digitalization of higher education has positioned learning media as a central component of instructional design, particularly among Generation Z learners who exhibit strong multimodal and self-regulated learning behaviors. Despite widespread use of printed modules and presentation slides, limited research has examined how these media function as integrated cognitive systems within health administration education. Purpose: This study explores how Generation Z students interpret, use, and combine learning media formats (modules, slides, and blended use) within a Healthcare Marketing course, focusing on their role in shaping cognitive engagement, understanding, and learning strategies. Methods: A qualitative descriptive–interpretive design was implemented using in-depth interviews, optional focus groups, and document review. Data were analyzed through reflexive thematic analysis to identify patterns of media use, pedagogical meaning, and contextual interaction. Results: Students consistently positioned modules as the primary source of conceptual depth and academic reliability, while slides functioned as cognitive scaffolding tools that supported attention and comprehension during lectures. A dominant finding was the emergence of a sequential blended strategy, where students used slides during class and modules for post-class elaboration. Learning effectiveness was further mediated by environmental conditions and instructional delivery, indicating that media cannot be separated from context. Conclusion: Learning media in Generation Z cohorts operate as an integrated cognitive system rather than discrete tools, requiring alignment between media design, instructional delivery, and learning environment. This study contributes to instructional design literature by demonstrating that effective health education must move beyond single-media approaches toward structured multimodal integration grounded in cognitive and contextual realities.Abstrak diketik dengan dua Bahasa secara berurutan, yaitu Indonesia dan Inggris.
Pengelolaan Sampah Rumah Tangga Berbasis Pemberdayaan Masyarakat Melalui Program PILAH Yasinta Indah Widyaningsih; Zulkifli Walangadi; Rezki Ramdani; Azharatul Jannah; Salwah Suardi
Paramacitra Jurnal Pengabdian Masyarakat Vol. 3 No. 02 (2026): Volume 03 Nomor 02 (Mei 2026)
Publisher : PT Ininnawa Paramacitra Edu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62330/pjpm.v3i02.512

Abstract

Waste management remains a major environmental challenge in Bonto Perak Village, Pangkajene and Islands Regency. Low community awareness and unequal collection services contribute to environmental pollution. This community engagement program aimed to enhance residents’ knowledge and skills in waste segregation and composting through the PILAH (Integrative Waste Management Guide) program. The method included problem identification, root cause analysis, goal setting, activity design, field implementation, and monitoring and evaluation. Data were collected through field observations and interviews with 262 residents for baseline identification, as well as pre-test and post-test assessments of 17 key participants to measure behavioral changes. Results showed significant improvements in the intervention group, with average scores increasing for knowledge (5.35 to 6.41), attitude (22.29 to 22.47), and action planning (10.64 to 11.17). Participants demonstrated higher motivation for composting and reducing waste burning. The PILAH program proved effective in improving sustainable waste management behaviors and has high replication potential with local adaptations.
Analisis Manajemen Skrining Posyandu dan Mismatch Persepsi Ibu tentang Stunting dan Wasting Balita di Indonesia Yasinta Indah Widyaningsih; Azharatul Jannah; Nurfalia Harfah
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 3 (2026): Agustus 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i3.6910

Abstract

The 2024 Indonesian Nutritional Status Survey (SSGI) reported high coverage of Posyandu services, ownership of Maternal and Child Health (MCH) handbooks, and participation in child growth monitoring activities. However, these achievements do not necessarily reflect adequate caregiver understanding regarding child nutritional problems. This study aimed to analyze Posyandu screening management and the potential mismatch of nutritional information related to stunting and wasting among caregivers in Indonesia. This study employed a cross-sectional design using secondary aggregate data obtained from the SSGI 2024 report. Data were analyzed descriptively by comparing indicators of Posyandu services, utilization of the MCH handbook, community knowledge regarding stunting, and anthropometric nutritional status indicators. The results showed that 78.5% of caregivers were able to present the MCH handbook, 85.1% received explanations regarding the handbook from health workers or community health volunteers, and 87.4% participated in routine child weighing. However, only 53.3% discussed the handbook contents with family members. Furthermore, 54.7% of respondents still perceived that stunted children were not problematic as long as they appeared healthy. The national prevalence of stunting and wasting reached 19.8% and 7.4%, respectively. This study concludes that high administrative coverage of Posyandu services has not been fully accompanied by adequate family health literacy. Strengthening health communication, optimizing the educational function of the MCH handbook, and improving family health literacy are recommended to enhance Posyandu screening management.
MATERNAL HEALTH LITERACY AS A DETERMINANT OF PCV AND ROTAVIRUS IMMUNIZATION UTILIZATION IN INDONESIA Yasinta Indah Widyaningsih; Azharatul Jannah; Salwah Suardi
HEARTY Vol 14 No 5 (2026): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i5.24324

Abstract

The acceleration of stunting reduction represents a critical public health priority in decentralised Indonesia. While clinical protection relies on newly introduced routine antigen series, including the Pneumococcal Conjugate Vaccine (PCV) and Rotavirus (RV) vaccine, suboptimal uptake within facilities continues to persist due to wide sub-national disparities. This study employs a national descriptive-comparative secondary data analysis approach to examine how provincial variations in maternal health literacy regarding stunting impacts correspond with actual clinical immunization coverages across Indonesia's 38 provinces, utilizing the macro-dataset from the Indonesian Nutritional Status Survey (SSGI) 2024 report. The results reveal severe structural alignment between low upstream health promotion metrics and suboptimal downstream healthcare facility utilization. Provinces within the lowest maternal literacy cluster, such as Maluku Utara (9.5%), systematically correspond with regional clusters exhibiting severe immunization coverage bottlenecks, as exemplified by historic routine utilization lows in areas like Aceh (10.1% for PCV and 2.9% for RV). Conversely, advanced health promotion networks in regions like Jawa Tengah, DI Yogyakarta, and Bali yield superior utilization coverages. Consequently, downstream clinical acceleration cannot achieve national targets without an integrated upstream health promotion engine to mitigate regional inequities.
Co-Authors Andi Nurul Azizah Azizah, Andi Nurul Enne Enne Harfah, Nurfalia Irfan Kurniawan Jeki Purnomo Nurfalia Harfah Rezki Ramdani Salwah Suardi Sri Sudarmi Amir Rumae Walangadi, Zulkifli Yasinta Indah Widyaningsih Zulkifli Walangadi Zulkifli Walangadi