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Inisiasi Posyandu Remaja Melalui Pembentukan Duta APD (Anti Penyakit Degeneratif): Initiation of Youth Posyandu Through the Formation of APD Ambassadors (Anti Degenerative Disease) Solida, Adila; Amir, Andy; Wisudariani, Evy; Hidayati, Fajrina; Wardiah, Rizalia
Jurnal Pengabdian Kepada Masyarakat: Kesehatan Vol. 5 No. 1 (2025): Maret
Publisher : Sekolah Tinggi Ilmu Kesehatan Notokusumo Yogyakarta

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Abstract

Abstrak: Kejadian penyakit degeneratif yang merupakan bagian dari Penyakit Tidak Menular (PTM), masih menjadi penyebab utama kematian di dunia dan banyak wilayah Indonesia. Sementara itu, upaya pencegahan penyakit degeneratif yang bersentuhan dengan kelompok umur remaja masih jarang dilakukan seperti pembentukan Posyandu Remaja, termasuk di Desa Sungai Duren. Belum terdapat pos kesehatan yang memberikan pelayanan peduli remaja di Desa Sungai Duren, sementara terdapat banyak remaja bermukim (mahasiswa usia di bawah 21 tahun) dengan beragam gaya hidup yang berisiko terhadap penyakit degeneratif. Kegiatan dilaksanakan pada bulan September tahun 2024 di Desa Sungai Duren melalui 3 pertemuan pada minggu pertama, minggu kedua dan minggu ketiga. Pengabdian pada masyarakat ini bertujuan menginisiasi pos pelayanan terpadu yang peduli kesehatan remaja (posyandu remaja) untuk meningkatkan pemahaman, keterampilan serta kemampuan remaja dalam mencegah terjadinya penyakit degeneratif serta menyebarluaskan kemampuan yang mereka miliki kepada masyarakat di lingkungan tempat tinggal sebagai upaya menekan pertambahan kasus penyakit degeneratif melalui pembentukan Duta Anti Penyakit Degeneratif (Duta APD) di Desa Sungai Duren. Kegiatan yang dilakukan meliputi pemberian edukasi, pengembangan keterampilan mempraktikkan gaya hidup CERDIK serta pendampingan menjadi Duta APD. Hasil kegiatan terdapat perbedaan pengetahuan yang signifikan pada peserta antara sebelum dan sesudah kegiatan PPM (p=0,000). Sebanyak 80% peserta PPM merasakan peningkatan pengetahuan dan pemahaman tentang penyakit degenerative dan menyatakan sikap siap menjadi Duta APD di lingkungan tempat tinggal. Abstract: The incidence of degenerative diseases, which are part of Non-Communicable Diseases (PTM), is still the main cause of death in the world and in many parts of Indonesia. Meanwhile, efforts to prevent degenerative diseases in contact with the adolescent age group are still rarely carried out, such as the establishment of Youth Posyandu, including in Sungai Duren Village. There is no health post that provides youth care services in Sungai Duren Village, while there are many residential teenagers (students under 21 years of age) with various lifestyles who are at risk of degenerative diseases. This community service activity aims to initiate an integrated service post that cares about adolescent health (adolescent posyandu) to increase the understanding, skills and abilities of adolescents in preventing the occurrence of degenerative diseases and to disseminate their abilities to the community in their living environment in an effort to suppress the increase in cases of degenerative diseases. through the formation of Anti-Degenerative Disease Ambassadors (APD Ambassadors) in Sungai Duren Village. Activities carried out include providing education, developing skills to practice the CERDIK lifestyle and mentoring to become APD Ambassadors. The results of the activity showed a significant difference in knowledge among participants between before and after the PPM activity (p=0.000). As many as 80% of PPM participants felt an increase in knowledge and understanding about degenerative diseases and expressed an attitude of being ready to become APD Ambassadors in their living environment.  
Midwives’ Role in Stimulating Breastfeeding Behavior Toward Exclusive Breastfeeding at Kebun Handil Puskesmas, Jambi Nur Fauziah Putri Auliah; Adila Solida; Rizalia Wardiah; Asparian Asparian; Herwansyah Herwansyah
International Journal of Health Engineering and Technology Vol. 4 No. 2 (2025): IJHET JULY 2025
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i2.322

Abstract

Data on exclusive breastfeeding from 20 Community Health Centers (Puskesmas) in Jambi City show that the achievement rate at Kebun Handil Health Center was 42.37% in 2021. In 2022, the rate decreased by 2.57% to 39.8%, and increased by 8.17% in 2023 to reach 47.97%. However, this figure remains far below the national target of 80%. This study aims to determine the role of midwives in stimulating behavioral changes among breastfeeding mothers in providing exclusive breastfeeding within the working area of Kebun Handil Health Center, Jambi City. This research employs a qualitative method with a descriptive design, involving 11 informants consisting of key informants (Head of the Health Center), main informants (midwives at auxiliary health posts and midwives responsible for maternal and child health), supporting informants (breastfeeding mothers), and triangulation/additional informants (midwives in charge of child health programs and breastfeeding mothers). The findings show that midwives at Kebun Handil Health Center have played an optimal role in delivering services and providing education about exclusive breastfeeding to the community. However, many mothers still do not exclusively breastfeed due to various factors, including economic conditions, socio-cultural influences, lack of knowledge, and inadequate facilities and infrastructure to support breastfeeding practices.
Tingkat Keberhasilan Implementasi Program Rujuk Balik pada Pasien Penyakit Kronis di Puskesmas Al'fadiyah, Lola; Solida, Adila; Wardiah, Rizalia
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 3 (2025): Juli-September 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16300e

Abstract

The referral program is a program to improve the quality of health services for participants of the Social Security Administering Body for Health and facilitate access to health services for participants suffering from chronic diseases. Community health centers often receive referrals, but not all health centers utilize the referral program optimally and result in a low number of participants in the referral program. The purpose of this study was to analyze the implementation of the referral program for chronic disease patients in community health centers. This study was a qualitative study, involving 6 informants, consisting of 1 person in charge of the referral program, 2 program implementing officers, 1 head of the community health center, and 2 patients of the referral program. Data collection techniques were carried out through in-depth interviews, observation and document studies, then analyzed narratively. The results of the analysis on the input aspect showed that man was not optimal due to the lack of program management staff; mandatory materials were not all adequate; machines still need to be increased, especially computers for services. In the process aspect, the registration process for participants was assisted by officers and given a referral letter to the community health center in a stable condition, while the eligibility letter can also be seen from proof of participation, but officers did not understand the form of the eligibility letter. In conclusion, the problematic input aspect is a lack of manpower, materials, and machinery, which disrupts the process aspect, such as the suboptimal performance of the referral program managers in providing services.Keywords: referral program; chronic disease; input; process ABSTRAK Program rujuk balik merupakan program untuk meningkatkan mutu pelayanan kesehatan bagi peserta Badan Penyelenggara Jaminan Sosial Kesehatan dan mempermudah akses pelayanan kesehatan bagi peserta yang menderita penyakit kronis. Puskesmas sering menerima rujukan balik, namun tidak semua puskesmas menggunakan program rujukan secara optimal dan menyebabkan rendahnya jumlah peserta program rujuk balik. Tujuan penelitian ini adalah menganalisis implementasi program rujuk balik pada pasien penyakit kronis di puskesmas. Penelitian ini merupakan studi kualitatif, yang melibatkan 6 informan, terdiri atas 1 orang penanggung jawab program rujuk balik, 2 orang petugas pelaksana program rujuk balik, 1 orang kepala puskesmas, dan 2 orang pasien program rujuk balik. Teknik pengumpulan data dilakukan dengan wawancara mendalam, observasi dan studi dokumen, lalu dianalisis secara naratif. Hasil analisis pada aspek input menunjukkan bahwa man belum optimal karena masih kurangnya tenaga pengelola program;  material yang wajib belum semuanya memadai; machines masih perlu diperbanyak terutama komputer untuk pelayanan. Pada aspek process, alur pendaftaran peserta dibantu petugas dan diberikan surat rujukan balik lalu ke puskesmas dengan kondisi stabil, sedangkan surat elijibilitas juga dapat dilihat dari bukti kepesertaan, namun petugas kurang memahami bentuk surat elijibilitas. Sebagai kesimpulan, aspek input bermasalah pada kurangnya man, material dan machines yang menyebabkan terganggunya aspek process seperti kurang optimalnya kinerja pengelola program rujukan balik dalam memberikan pelayanan. Kata kunci: program rujuk balik; penyakit kronis; input; process
EVALUASI PROGRAM PEMBINAAN PENYEHAT TRADISIONAL DI WILAYAH KERJA PUSKESMAS TALANG BAKUNG KOTA JAMBI Aqil Mahesra, Daffa; Hubaybah, Hubaybah; Guspianto, Guspianto; Sari, Rumita Ena; Solida, Adila
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.46658

Abstract

Penelitian ini bertujuan untuk mengevaluasi program pembinaan penyehat tradisional di Puskesmas Talang Bakung, Kota Jambi. Meskipun sektor kesehatan di Indonesia berkembang, masih terdapat kesenjangan akses layanan kesehatan, yang mendorong masyarakat berpenghasilan rendah beralih ke pengobatan tradisional. Metode yang digunakan adalah kualitatif deskriptif dengan pengumpulan data melalui wawancara mendalam, observasi, dan dokumentasi dari 10 informan. Hasil penelitian menunjukkan bahwa sumber daya manusia dalam program ini terbatas, dengan petugas menjalani double job, yang menghambat efektivitas program. Kurangnya dana khusus untuk pengembangan penyehat tradisional juga menjadi kendala utama. Rekomendasi penelitian adalah agar Puskesmas Talang Bakung menyediakan anggaran khusus dan meningkatkan edukasi tentang pentingnya Surat Tanda Penyehat Tradisional (STPT) untuk meningkatkan pendaftaran dan kualitas layanan kesehatan.
Analysis of the Management of the Integrated Non-Communicable Disease Control Program (Posbindu-PTM) in the Working Area of Rawasari Public Health Center in 2024 Gresela Yulya Br.Tanggang; Arnild Augina; Rizalia Wardiah; Adila Solida; Silvia Mawarti Perdana
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 1 (2025): Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i1.5666

Abstract

Non-Communicable Diseases (NCDs) have become a significant health issue requiring serious attention. Data from the Jambi City Health Office shows an increase in NCD cases from 16,154 in 2022 to 16,246 in 2023, with 4,129 cases being the highest. This study aims to analyze the management of the integrated NCD control post (Posbindu) at Rawasari Community Health Center. Using a qualitative research method with a descriptive-analytical approach, the study involved 11 informants, including healthcare workers and Posbindu cadres. Data were collected through interviews, observations, and document reviews. The findings indicate that program planning is not yet optimal due to a lack of cadres and inadequate facilities and infrastructure. Task organization is functioning as expected, but the limited number of cadres forces healthcare workers to provide additional assistance. The program is implemented through socialization efforts, but the five-stage system is not fully standardized, and community participation remains low. Monitoring, recording, and reporting are in accordance with the 2019 Ministry of Health guidelines. Overall, the Posbindu NCD program at Rawasari Community Health Center is running fairly well, but challenges persist in planning and implementation. Improvements are needed, particularly in increasing the number of trained cadres, collaborating with relevant stakeholders, and optimizing the five-stage Posbindu service system to enhance program effectiveness.
Efektivitas Penerapan Kebijakan Walikota Jambi Tentang Pedoman Penanganan Covid-19 Dalam Relaksasi Ekonomi dan Sosial Kemasyarakatan Solida, Adila; Ardiyansyah, Ardiyansyah; Fahrizal, Fahrizal
JIK-JURNAL ILMU KESEHATAN Vol 5, No 2 (2021): JIK-Oktober Volume 5 Nomor 2 Tahun 2021
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v5i2.434

Abstract

Wabah pandemi akibat Corona Virus Disease (Covid-19) melanda Indonesia sejak awal tahun 2020. Hampir 2/3 kasus covid-19 wilayah Provinsi Jambi berpusat di Kota Jambi. Hal tersebut mendorong Pemerintah Kota Jambi menetapkan Peraturan Walikota (Perwali) tentang pedoman penanganan covid-19. Studi ini bertujuan untuk mengetahui sejauh mana efektivitas penerapan kebijakan Perwali Jambi nomor 21 tahun 2020 tentang pedoman penanganan Corona Virus Disease (Covid-19) dengan tetap mempertimbangkan relaksasi ekonomi dan sosial kemasyarakatan di area publik atau lingkungan usaha dan masyarakat. Studi dilakukan dengan pendekatan mix method kuantitatif dan kualitatif, menggunakan rancangan explanatory. Studi dilakukan di Kota Jambi melibatkan 100 responden yang dipilih secara accidental sampling, data dianalisis melalui uji chi-square, dilanjukan content analysis hasil wawancara mendalam pada 10  informan. Hasil studi bahwa terdapat hubungan pengetahuan dan sikap masyarakat dengan efektifitas penerapan kebijakan. Aspek ketepatan kebijakan dan pelaksana dinilai telah sesuai, namun ada indikator aspek target, lingkungan, dan proses yang memerlukan evaluasi. Pemerintah perlu memberikan penguatan pelaksanaan teknis peraturan dan sosialisasi yang lebih luas pada masyarakat agar tidak terjadi tumpang tindih peraturan yang menyebabkan kebingungan pada masyarakat serta meningkatkan pengetahuan dan kesadaran sehingga masyarakat menunjukkan sikap yang mendukung serta siap menerapkan peraturan dalam rangka relaksasi ekonomi dan sosial.
Factors Related To Compliance With Paying Monthly Bpjs Kesehatan Mandiri Participants Contributions In The Informal Sector In Jambi City Yani, Helma Vira; Dwi Noerjoedianto; Andy Amir; Adila Solida; Arnild Augina Mekarisce
Jurnal EduHealth Vol. 14 No. 04 (2023): Jurnal eduHealt, 2023, December
Publisher : Sean Institute

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Abstract

Compliance with independent participants in paying National Health Insurance (JKN) contributions in Jambi City is not optimal. This is because Jambi City is the district/city that has the largest number of independent participants in arrears, namely 103,195 (16.95%) participants. Contributions greatly influence the smooth running of BPJS Health so that there is no deficit. The aim of this research is to determine the factors associated with compliance with paying monthly BPJS health contributions for independent participants in the informal sector in Jambi City. This research uses a cross sectional design, with purposive sampling data collection techniques. The samples taken were 139,091 independent BPJS participants in the informal sector. Analysis was carried out using univariate and bivariate tests with the chi-square test. The results of the study show that there is a relationship between education (p-value=0.039) and income (p-value=0.005) with compliance with paying BPJS Health contributions and there is no relationship between employment (p-value=0.190), contribution rates (p-value =0.129) and access to payments (p-value=0.887) with compliance in paying BPJS Health contributions for independent participants in the informal sector in Jambi City. BPJS Health must strictly enforce sanctions in accordance with applicable regulations if payments are late. People are expected to choose a treatment class that suits their ability to pay JKN contributions or if they feel they cannot afford it, people can apply to become PBI participants.
Study of The Willingness to Pay Contributions of Independent National Health Insurance (JKN) Participants in Jambi Noerdjoedianto, Dwi; Solida, Adila; Mekarisce, Arnild Augina
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 10, No 2 (2023): October 2023
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v10i2.7700

Abstract

Health is a long-term investment that is indispensable in supporting the success of Indonesian development. WHO has committed to developing a health system that can ensure everyone gets the health services they need without worrying about being constrained by costs, this health is known as Universal Health Coverage. One of the obligations of JKN participants was to pay monthly fees, Ability to pay and Willingness to pay greatly affected people's interest in paying monthly fees. As many as 83% of Indonesia's population had become participants of JKN, but the high number of JKN participants was not accompanied by the active participation of the participants in paying monthly fees. The number of visits to the Koni Primary Health Care had decreased over the past 3 years and based on the initial survey it was found that many JKN-KIS participants were in arrears to pay monthly fees. The purpose of this study was to determine the determinants of the willingness to pay dues (WTP) for independent JKN participants at the Koni Primary Health Care in Jambi City. This research was quantitative with a cross-sectional design. The samples were taken by purposive sampling technique with a total sample of 105 participants. The results showed that the variables associated with the willingness to pay contributions (WTP) were education level (p = 0.009), income level (p = 0.023) and ability to pay (ATP) (p = 0.038). Meanwhile, the unrelated variables were age (p = 0.110 and p = 1,000) and gender (p = 0.550). There was a relationship between education level and WTP. There was a relationship between the level of income and the willingness to pay, and there was a relationship between the ability to pay (ATP) and the willingness to pay for independent JKN participants. There was no relationship between age and willingness to pay, and there was no relationship between gender and willingness to pay independent JKN contributions.
Compliance With Contribution Payments For Independent National Health Insurance Contributors-Related Factors Noerjoedianto, Dwi; Putri, Mustika; Solida, Adila
Journal of Applied Nursing and Health Vol. 5 No. 1 (2023): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v5i1.69

Abstract

Background: National Health Insurance (JKN) is a government program designed to meet the health care needs of the Indonesian population. The amount of delinquent BPJS contributions is due to JKN Mandiri participants' failure to pay contributions. This study aims to determine factors associated with independent JKN participants' payment of dues at Abdul Manap Hospital in Jambi City. Methods: This study employs a quantitative approach and a cross-sectional design. The sample consisted of 106 random samples collected using the technique of accidental sampling. In this study, the independent variables are education, occupation, income, knowledge, perception, and payment location, while the dependent variable is JKN contribution payment compliance. Respondents filled out questionnaires to generate data. The data analysis consisted of univariate and bivariate (chi-square) tests. Results: The majority of respondents, or 63.2%, do not comply with paying JKN contributions, according to the findings of this study. This study's statistical analyses indicate that education (0.007), occupation (0.008), income (0.000), knowledge (0.016), perception (0.008), and place of payment are associated with JKN contribution compliance (0.001). Conclusion: There is a correlation between education, occupation, income, knowledge, perception, payment location, and JKN contribution payment compliance.
Root Cause Analysis Of Quality Control And Cost Control Of Implementing The Referback Program In First Level Health Facilities Solida, Adila; Amir, Andy; Sari, Rumita Ena; Widiastuti, Fitri
Journal of Applied Nursing and Health Vol. 5 No. 2 (2023): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v5i2.148

Abstract

Background: The incidence of chronic diseases in Jambi City is still high from year to year. The Referback Program (PRB) is one of the government's efforts through BPJS Health in collaboration with health facilities to ensure chronic disease sufferers have easier access to obtain the medicines they need at an efficient cost. This research aims to analyze the main problems of quality control and cost control of PRB implementation in terms of man, material-machine, method, market, money and time elements at FKTP in Jambi City. Methods: The research was conducted using qualitative methods using the perspective of Root Cause Analysis (RCA) theory to form research procedures. The informants consisted of the person in charge of PRB, the head of the community health center and PRB participants at FKTP in Jambi City. The research instrument is a structured interview sheet. Data analysis uses thematic analysis techniques according to the RCA flow Results: The research results found that the main cause of the problem was weak coordination between PRB officers and BPJS Health in implementing PRB at FKTP. Conclusion: It is recommended that BPJS Health be more active in providing outreach and special training to PRB officers as well as setting up a clear monitoring and evaluation system regarding the implementation of PRB in FKTP