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Socio-Economic Analysis and Ownership of Health Insurance in the Utilization of Health Facilities for Elderly with Hypertension Adila Solida; Dwi Noerjoedianto; Merliana Marbun
The International Science of Health Journal Vol. 1 No. 1 (2023): March : The International Science of Health Journal
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesdam IV, Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ishel.v1i1.278

Abstract

Hypertension is the most common occurrence for the elderly in Jambi City with an increasing trend in the last three years. However, the utilization of health facilities, especially for outpatient hypertension, has had its ups and downs. This study aims to analyze the effect of socioeconomic, and insurance ownership on the utilization of health facilities for outpatient hypertension in the work area of Simpang IV Sipin Health Center Jambi City in 2022. This study is a quantitative study using a cross-sectional design. The sample amounted to 110 respondents who were selected using accidental sampling technique. The instrument used is a questionnaire. Data processing using statistical software with univariate analysis stage, bivariate analysis with chi-square test, and multivariate analysis with multiple logistic regression test. The results of the study show that there is an effect of employment status, income, costs and ownership of health insurance on the utilization of health facilities for the elderly with hypertension in Jambi City in 2022. The conclusion of the study is that income and ownership of health insurance are the main triggers that affect the use of health facilities for outpatient treatment elderly with hypertension in Jambi City.
ANALYSIS OF THE ABILITY TO PAY CONTRIBUTIONS FOR PARTICIPANTS IN THE NATIONAL HEALTH INSURANCE (JKN) FOR NON-WAGE RECIPIENT WORKERS (PBPU) IN KOTA BARU AND JAMBI SELATAN SUBDISTRICTS IN 2021 Royyan, Nurmisbahur; Noerjoedianto, Dwi; Solida, Adila; Ena Sari, Rumita; Nurwaqiah Ibnu, Ismi
Lux Mensana: Journal of Scientific Health Vol. 1 Issue 3 (2022)
Publisher : jfpublisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (499.171 KB)

Abstract

Introduction. The ability to pay or ability to pay (ATP) is defined as a person's ability to pay for a service or service he receives based on income that is considered ideal. A total of 586,893 (94.55%) residents of Jambi City have become participants in the National Health Insurance (JKN), but the high number of JKN participants is not accompanied by the active participation of the participants in paying monthly fees. as many as 77,489 participants in class I-III. The purpose of this study was to determine the analysis of the ability to pay the contributions of PBPU national health insurance (JKN) participants. Methods. Quantitative study with cross sectional design sample were 83 participants of the national health insurance (JKN) PBPU. Sample taken with cluster sampling technique. Results & Analysis. The variable ownership of assets has a correlation with the ability to pay contributions with (p = 0.020) and PR (5.379) and the income variable has no correlation with the ability to pay contributions with (p = 0.191) and PR (2.356). There was correlation between asset ownership and the ability to pay contributions for PBPU national health insurance (JKN) participants in Kota Baru and Jambi Selatan sub-districts. Discussion. It is hoped that there will be coordination between BPJS and the Social Service departement regarding the participants who have been registered for contribution assistance recipients (PBI) and re-examine whether the participants really fall into the category of the poor and cannot afford, so that they are entitled to receive contribution assistance.
Implementasi Pengelolaan Dana Bok di Puskesmas Koto Baru Kabupaten Pesisir Selatan Dalam Program UKM Esensial Masa Pandemi Covid 19 Tahun 2022 Salsabila, Khaira Ummah; Solida, Adila; Mekarisce, Augina Arnild
Jurnal Ners Vol. 8 No. 2 (2024): OKTOBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v8i2.25231

Abstract

Pelayanan puskesmas perlu ditunjang dengan pendanaan kesehatan, hal ini didukung dalam Permenkes Nomor 87 Tahun 2019 diberikan dana dekonsentrasi yang bersumber dari APBD disebut dengan Bantuan Operasional Kesehatan (BOK), berdasarkan data yang diperoleh implementasi pengelolaan dana BOK Puskesmas Koto Baru selama dua tahun terakhir terdapat penurunan realisasi seperti tahun 2019 dengan anggaran BOK Rp. 742 realisasi Rp. 678 (91 %) lalu tahun 2021 sebesar Rp. 957 juta realisasi Rp. 623 juta (65%) lalu kebijakan pemerintah tentang persen pendanaan BOK mengalami perubahan sebanyak dua kali tahun 2022 menyesuaikan kondisi pandemi Covid 19. Tujuan dari penelitian ini untuk mengetaui gambaran refocusing implementasi pengelolaan dana BOK di Puskesmas Koto Baru. Jenis penelitian kualitatif dengan pendekatan studi kasus. Hasil dari penelitian ini didapatkan adanya kualifikasi pendidikan yang belum di miliki puskesmas terhadap tenaga tetap dan kontrak, terjadi keterlambatan pelaporan dan pencairan pendanaan serta perhitungan rumus intensif UKM yang rumit sehingga tidak terealisasi, pengawasan BOK hanya dilakukan sekali oleh pihak dinkes serta tidak ada pelatihan khusus pengelola BOK.
Analysis Of The Implementation Of The Child Pneumonia Management Program At Paal V Health Center, Jambi City In 2023 Viska Andini; Adila Solida; Kasyani, Kasyani; Dwi Noerjoedianto; Silvia Mawarti Perdana
Jurnal EduHealth Vol. 15 No. 03 (2024): Jurnal EduHealt (September), Year 2024
Publisher : Sean Institute

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Abstract

Background: Pneumonia is a type of Acute Respiratory Infection (ARI) that has been a cause of death for 740,180 children under 5 years old in 2019, constituting 14% of total deaths in children under five, but reaching 22% of all deaths in children aged 1 to 5 years. The objective of this study is to analyze the implementation of the pneumonia management program at Paal V Health Center in Jambi City. Method: This study uses a qualitative research approach with an analytical design, gathering data through a survey of health workers conducted by the author at Paal V Health Center in Jambi City. Research informantts consist of 8 key informantts, including 1 Program Coordinator for Pneumonia at Paal V Health Center, 1 Head of Paal V Health Center, 2 implementing officers, and 4 mothers of children with pneumonia. Results: The research findings indicate that Paal V Health Center has two health workers, which is inadequate for managing pneumonia cases. Infrastructure is not up to standard, primarily due to the absence of nebulization equipment. Planning and program implementation are generally good with counseling and record-keeping, but there are shortcomings in providing written information to mothers about follow-up appointment schedules. Regular monitoring and evaluation are conducted by health workers and the head of the health center. Conclusion: The management of pneumonia cases at Paal V Health Center is suboptimal due to limited healthcare personnel and equipment. With additional resources and improved communication, pneumonia management can become more effective and efficient.
Factors That Influence The Utilization Of Community Health Center Services By National Health Insurance (JKN) Participants In The Muara Tembesi Community Health Center Working Area, Batang Hari Regency Sundari, Sundari; Andy Amir; Dwi Noerjoedianto; Arnild Augina Mekarisce; Adila Solida
Jurnal EduHealth Vol. 15 No. 03 (2024): Jurnal EduHealt (September), Year 2024
Publisher : Sean Institute

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Abstract

Backgroud: Equitable distribution of health services in Indonesia is still a big challenge, especially because of the country's geographical condition which consists of many islands. To overcome this, the Indonesian government has implemented various programs, including National Health Insurance (JKN) which is managed by BPJS Health. Puskesmas, as a first level health service, plays an important role in supporting the JKN program and improving the level of public health. Method: This research uses a quantitative approach with a cross-sectional design. The research was conducted in the working area of the Muara Tembesi Health Center, Batang Hari Regency, in September 2023 – November 2023. The research population was all people in the working area of the Muara Tembesi Health Center. The sampling technique used probability sampling with a total sample of 114 respondents. Data was collected through interviews and analyzed using the chi-square test. Result: The results showed a significant relationship between age (p-value=0.000, PR 95% CI: 2.204 (1.475-3.294)), occupation (p-value=0.022, PR 95% CI: 1.404 (0.979-2.013) ), education (p-value=0.005, PR 95% CI: 1.447 (1.071-1.954)), accessibility (p-value=0.000, PR 95% CI: 1.591 (1.262-2.005)), and perception of illness (p- value=0.008, PR 95% CI: 1.339 (1.086-1.651)) with utilization of community health center services. However, the availability of health workers did not show a significant relationship with the utilization of community health center services (p-value=0.524, PR 95% CI: 0.900 (0.735-1.103)). Conclusion: There is a relationship between the variables age, employment, education, accessibility, and perceptions of illness using Muara Tembesi health center services. Batang Hari Regency. Meanwhile, there is no relationship between the variable availability of health workers and the utilization of Muara Tembesi health center services. Batang Hari Regency
Assistance in the Implementation of Integrative Holistic Early Childhood Education (Paud-Hi) and the Implementation of Balanced Nutrition in the Early Childhood Cluster in Talang Belido Village Perdana, Silvia Mawarti; Ibnu, Ismi Nurwaqiah; Reskiaddin, La Ode; Solida, Adila; Eka Rini, Willia Novita
Abdi Masyarakat Vol 6, No 2 (2024): Abdi Masyarakat
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/abdi.v6i2.7635

Abstract

Optimal early childhood growth and development will determine their health status in the future. Implementing Integrative Holistic Early Childhood Education (PAUD-HI) is an effort to optimize children's growth and development by paying attention to various children's characteristics. Apart from that, implementing balance diet in early childhood is expected to be able to establish optimal nutritional status in children. PAUD Group 2 Bungo Selango, located in Sungai Gelam District, Muaro Jambi Regency, has not implemented PAUD-HI optimally due to various risk factors. Kindergarten teachers have never received early childhood balance diet education. This community service activity aimed to optimize the implementation of PAUD-HI and implement balance diet in PAUD Group 2 Bungo Selango. In this community service activity, they are given health education and demonstrations related to the application of balance diet in holistic and integrative kindergarten learning. The results of community service activities showed that there is an increase in target’s knowledge before and after being given education which is not significantly different (Sig.>0.05). It is necessary to get used to implementing balance diet (consuming variety of foods, physical activity, clean and healthy lifestyle, and controlling ideal body weight) in holistic and integrative kindergarten learning.
Analysis of Adverse Selection Behavior in Independent JKN Postpartum Participants Solida, Adila; Ardiyansyah, Ardiyansyah
International Journal of Medicine and Health Vol. 4 No. 3 (2025): September : International Journal of Medicine and Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v3i4.5092

Abstract

BPJS Health experienced losses due to stopped payment of contributions for participants who had utilized delivery services of more than 200 billion in a period of 2 years. It was recorded that 64.7% of mothers who were about to give birth registered as participants a month before giving birth and then stopped (43%) or behaved in adverse selection in payments after delivery. The largest percentage comes from independent participants or Non-Wage Recipient Participants (PBPU). In Jambi Province, non-compliance in paying BPJS Health contributions is highest in Jambi City. It was recorded that 77,489 participants were in arrears in 2021, resulting in losses of 60.1 billion. Non-compliance with paying contributions is adverse selection behavior. The aim of this study is to analyze the factors causing adverse selection behavior among independent participants in paying post-natal JKN contributions in Jambi City. Quantitative study approach with a cross-sectional design carried out in Jambi City. Respondents totaling 96 people were selected based on accidental sampling technique. The study instrument is a questionnaire. Data analysis consists of univariate analysis stages and bivariate analysis using the chi-square test. The study results found that as many as 33.3% of independent participants behaved in adverse selection when paying JKN contributions after giving birth. There is a significant relationship between the factors number of family members (p=0.001), knowledge (0.000), perception of illness (p=0.001), clinical assessment (p=0.000), and willingness to pay (WTP) with adverse selection behavior in independent JKN participants postpartum. It is recommended that BPJS Health consider implementing a waiting period method for participants who will utilize maternity services. As well as increasing promotive activities for the Jambi City Government in educating and increasing public awareness about the importance of health insurance in protecting household finances.
Penguatan Fungsi Keluarga dan Self Care Behaviour Lansia Hipertensi dan Diabetes Melitus melalui Posdaya Adila Solida; Rumita Ena Sari; Evy Wisudariani; Rizalia Wardiah; Fajrina Hidayati
Kolaborasi : Jurnal Hasil Kegiatan Kolaborasi Pengabdian Masyarakat Vol. 2 No. 4 (2024): Desember : Kolaborasi : Jurnal Hasil Kegiatan Kolaborasi Pengabdian Masyarakat
Publisher : Asosiasi Riset Ilmu Matematika dan Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/kolaborasi.v2i4.371

Abstract

Hypertension and diabetes mellitus, which many elderly suffer from, are a significant problem in Indonesia because they pose a risk of serious complications and even death. At the Olak Kemang Community Health Center, the incidence of hypertension and diabetes mellitus in the elderly has increased. However, the scope of elderly people's active participation in various hypertension and diabetes mellitus management programs is still low. Based on the results of the team's research and initial observations, it is known that the main cause of this problem is a lack of family support and limited knowledge about the efforts that families must make in managing illnesses in the elderly. This situation indicates weak family functioning which has an impact on health. This community service activity aims to strengthen family functions and self-care behavior for elderly people with hypertension and diabetes mellitus in the work area of the Olak Kemang Community Health Center through the implementation of Posdaya (Family Empowerment Post). Posdaya activities include counseling about family functions, developing family skills to manage hypertension and diabetes mellitus in the elderly, as well as assisting families to be able to access various application-based health services for the elderly and families. The activity was attended by 20 elderly people and their families. The results of the activity showed that 80% of participants experienced increased knowledge. In addition, participants provided statements of attitude to improve family function and implement self-care behavior for elderly people with hypertension and diabetes mellitus.
Bullying dalam Perspektif Kesehatan, Hukum dan Psikologi (Studi Kasus Santri di Pesantren Kota Jambi) Evy Wisudariani; Dony Yusra Pebrianto; Agung Iranda; Fajrina Hidayati; Adila Solida; Andree Aulia Rahmat
Jurnal Kesehatan - STIKes Prima Nusantara Vol 15 No 3 (2024): Jurnal Kesehatan Volume 15 Nomor 3 Tahun 2024
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v15i3.1198

Abstract

Islamic boarding schools, as traditional educational institutions meant to be safe and supportive environments for character building and self-development, have also become places where bullying can occur. This situation highlights the need for serious attention and concrete action from various parties, including educational institutions, parents, communities, and the government, to prevent and address bullying issues both in boarding schools and the broader educational environment. Through a multidisciplinary approach, namely health, law, and psychology, this study aims to identify, analyze, and understand the phenomenon of bullying in boarding schools. This research a quantitative analytical approach with a cross-sectional design. The sample comprises 156 individuals from three boarding schools in Jambi City: As’ad Boarding School, Ainul Yaqin Boarding School, and Darul Hikmah Boarding School. Samples were obtained using a simple random sampling technique. There is a correlation between bullying and mental health among students at the boarding schools in Jambi City in 2024. However, there is no correlation between bullying and emotional intelligence among these students.It is hoped that comprehensive anti-bullying programs can be developed and implemented, along with providing access to counseling and psychological support for students. Additionally, efforts should be made to create a positive environment and a more harmonious atmosphere to reduce the likelihood of bullying.
Distribution Of Dengue Hemorrhagic Fever (DBD) Incidence In Jambi City Fajrina Hidayati; Andree Aulia Rahmat; Adila Solida; Evy Wisudariani; Fitria Eka Putri
International Journal of Health and Social Behavior Vol. 1 No. 2 (2024): May : International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v1i2.34

Abstract

Dengue Hemorrhagic Fever (DHF) is an infectious disease that is influenced by the environment and people's behavior. In Jambi City, Dengue Fever is still a public health problem. This research aims to distribute dengue hemorrhagic fever (DBD) incidence in Jambi City. This research uses Global Moran's analysis and Local Indicator of Spatial Association (LISA) to determine the Hot Spot and Cold Spot areas for dengue cases in Jambi City in 2018 -2022 with a sub-district analysis unit of 62 sub-districts. During 5 years of observation, the results showed that the distribution pattern of dengue fever cases was in the form of a clustered pattern (I>E[I]) in 2018-2022. The research results on the distribution of dengue fever cases from 2018-2022 showed that the lowest cases were in 2021, namely 132 cases, while the highest cases were in 2019, 698 cases. The results of this study are expected to provide an overview of the distribution of dengue fever incidence in Jambi City in 2018 - 2022 so that it becomes a recommendation material for the Jambi City Health Office or the Jambi City Government in an overview of environmental factors related to dengue fever incidence in Jambi City to prevent various diseases due to poor environmental sanitation in Jambi City. Knowing the distribution pattern of dengue fever can determine regional priorities in implementing dengue fever prevention and control intervention programs in Jambi City.