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Sehat Rakyat: Jurnal Kesehatan Masyarakat
Published by Yayasan Pendidikan Penelitian Pengabdian Algero
ISSN : 28299299     EISSN : 08521239     DOI : https://doi.org/10.54259/sehatrakyat
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Sehat Rakyat adalah Jurnal Kesehatan Masyarakat yang diterbitkan 4 (empat) kali dalam setahun, yaitu pada bulan Februari, Mei, Agustus dan November oleh Yayasan Pendidikan Penelitian Pengabdian Algero. Jurnal ini merupakan jurnal yang dapat akses secara terbuka bagi para Peneliti, Mahasiswa dan Dosen yang ingin mempublikasikan hasil penelitiannya pada bidang kesehatan. Jurnal Sehat Rakyat mempublikasikan artikel-artikel kajian empiris dan teoritis dalam bidang kesehatan lingkungan, kesehatan reproduksi, nutrisi kesehatan masyarakat, epidemiologi terapan, kesehatan ibu dan anak, hukum dan etika kesehatan masyarakat, penilaian kebutuhan atau dampak, kesehatan dan keselamatan kerja dan bidang penelitian lain yang berkaitan dalam kesehatan masyarakat.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 397 Documents
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Analisis Faktor Internal dan Eksternal yang Mempengaruhi Pending Klaim BPJS Kesehatan di Rumah Sakit Patria IKKT Ira Rizka Safia; Laela Indawati; Dina Sonia; Daniel Happy Putra
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.v5i3.8466

Abstract

Pending claims are a chronic problem with a direct impact on the cash flow and operational efficiency of hospitals partnering with BPJS Kesehatan. Previous studies generally mapped internal and external factors separately and rarely linked them to BPJS Kesehatan's automated verification mechanisms, namely ALGORITMA and Over Utilization Review (OTOVER), leaving the proportional contribution of each mechanism unexplored. This study aims to analyze the internal and external factors influencing pending BPJS Kesehatan claims at Patria IKKT Hospital and to identify the most dominant type of pending claim. A descriptive qualitative method with a case study approach was used, involving in-depth interviews with three Casemix unit informants, observation of the claim process, and documentation study of 76 pending claim files from August to October 2025, analyzed using the Miles and Huberman interactive model. Results show that the most influential internal factor is incomplete supporting documents and medical resumes (Material) and the absence of a written SOP (Method), while external factors are dominated by coding interpretation differences between BPJS verifiers and hospital staff and rapid BPJS policy changes. The most dominant type of pending claim is ALGORITMA, accounting for 66 cases (86.8%) of 76 cases, far exceeding OTOVER (13.2%). These findings confirm that pending claims at Patria IKKT Hospital are technical-medical in nature and require strengthened clinical documentation governance and standardized SOPs
Eksplorasi Faktor Risiko Penyakit Kardiovaskular dan Hubungannya dengan Kejadian Hipertensi pada Guru Biologi di Gorontalo Antonius Yansen Suryadarma; Nathania Disa Ariesta Andriani; Minarni Wartiningsih; Cempaka Harsa Sekarputri; Edwin Hadinata
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.v5i3.8487

Abstract

Background: Cardiovascular disease (CVD) remains the foremost cause of mortality worldwide, with hypertension being the most important modifiable risk factor. Although teachers play an important role in health education, evidence on CVD risk factors among teachers, particularly biology teachers, remains limited. This study aimed to describe CVD risk factors and explore their association with hypertension among biology teachers in Gorontalo. Methods: A cross-sectional study was conducted among 39 members of the Musyawarah Guru Mata Pelajaran (MGMP) biology teacher in Gorontalo City. Data were collected through questionnaires and physical examinations. Association between categorical variables were analyzed using the Chi-square / Fisher's exact test, along with odds ratios (OR) and 95% confidence intervals (CI). Results: Most participants were female (87.2%) and aged ≥40 years (66.7%). The prevalence of hypertension, overweight/obesity, and central obesity was 59.0%, 61.5%, and 71.8%, respectively. Insufficient physical activity was identified in 43.6% of participants, while daily consumption of sweet foods, sugar-sweetened beverages, and monosodium glutamate (MSG) seasonings remained common. Bivariate analyses showed no significant association between investigated risk factors and hypertension. However, a higher risk of hypertension was observed among those aged ≥40 years (OR = 3.60; 95% CI: 0.73–18.41) and those with mental health problems, although the associations were not statistically significant. Conclusion: Biology teachers in Gorontalo had a high burden of CVD risk factors, particularly hypertension, overweight/obesity, central obesity, and unhealthy dietary habits. These findings support strengthening health promotion, routine screening, and implementing the GERMAS and CERDIK programs in schools to prevent CVD.
Pengaruh Media Menempel Gambar terhadap Pengetahuan dan Keterampilan Cuci Tangan Pakai Sabun pada Anak Usia Dini Karisa Ginatania Auliani; Emelia Tonapa; Desie Rahmawati
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.v5i3.8528

Abstract

Young children can be said to be a group at risk to disease-causing germs, such as those that cause diarrhea. Most cases of diarrhea may be avoided by doing hand washing with soap (HWWS). The results of a preliminary study at Keledang Kindergarten showed that seven children had experienced diarrhea in the past month and had not been practicing proper handwashing with soap. This study is intended to analyze the impact of health education using sticker media on the knowledge along with capabilities of handwashing with soap among young children at Keledang Kindergarten in Samarinda. This study implemented a pre-experimental design with a one-group pretest-posttest design. The study sample included children in Kindergarten Class B at Keledang Kindergarten in Samarinda, totaling 66 respondents selected using purposive sampling. The variables included knowledge and skills related to hand washing with soap. Data were collected using picture cards and checklists. Data analysis was completed using the Wilcoxon test. Before the intervention, 100% of the respondents had insufficient knowledge and were unskilled. After the intervention, knowledge improved to the good category (77,3%) and skills improved to highly skilled (87,9%). The Wilcoxon test yielded a p-value of 0,000 (p < 0,05). Health education using sticker media materials had a significant effect on knowledge and skills related to HWWS among early childhood students at Keledang Kindergarten in Samarinda; finally, this method is highly suggested as a solution for health education tool for young children.
Persepsi Ibu Menyusui terhadap Pemberian Asi Eksklusif di Wilayah Kerja Puskesmas Loa Duri Putri Juliani; Joko Sapto Pramono; Andry Rachmadani
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.v5i3.8565

Abstract

Exclusive breastfeeding is a proven strategy for reducing infant morbidity and preventing stunting, yet national and local coverage in Indonesia remains below the government target. In the working area of Puskesmas Loa Duri, Kutai Kartanegara, coverage declined sharply from 82% in 2022 to only 21% in 2024, despite the well-documented benefits of breast milk. This qualitative phenomenological study aimed to explore breastfeeding mothers' perceptions of exclusive breastfeeding using the Health Belief Model, focusing on perceived susceptibility and perceived severity. Data were collected through in-depth interviews, non-participatory observation, and documentation involving eight informants: one key informant (a paediatrician), six main informants (breastfeeding mothers), and one supporting informant (a family member), selected through purposive sampling. Data were analysed thematically until saturation was reached. The results showed that most mothers perceived infants who were not exclusively breastfed as more vulnerable to illness, particularly infections and digestive disorders, although awareness of long-term consequences such as stunting was still limited among several informants. Mothers generally held strong intentions to breastfeed exclusively, reinforced by support from husbands, family, and health workers, and most reported no significant barriers to sustaining exclusive breastfeeding. These findings indicate that perception, family support, and health-worker counselling are key determinants of exclusive breastfeeding practice, and highlight the need for continuous, community-based health promotion to improve coverage in the study area.
Serum C-Reactive Protein Levels in Hypertensive Patients in Aceh: An Ethnic-Based Study Desiana Desiana; Cut Murzalina; Munadi Munadi
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.v5i3.8570

Abstract

Inflammation is a key factor in the pathophysiology of hypertension. One of the inflammatory biomarkers that can be used to gauge the level of systemic inflammation in hypertensive patients is C-reactive protein (CRP). This study investigated the role of CRP among hypertensive patients in Aceh according to ethnic background. This study adopted an observational analytical design. A total of 120 participants were enrolled in the study, comprising 90 hypertensive patients from three ethnic groups (Gayo, Aneuk Jamee, and Acehnese), with 30 participants in each ethnic group, and 30 normotensive individuals who served as the control group. The Kruskal-Wallis test was used to assess intergroup variations in CRP concentrations, while the Spearman’s rho correlation was used to examine the association of CRP levels among hypertensive subjects across ethnic groups in Aceh, as well as comparisons with normotensive controls. Among participants, 54% had normal CRP levels, whereas 46% had elevated levels. Mean CRP concentrations were higher in female than in males; however, this difference did not reach statistical significance (p = 0.061). Stratification by ethnic group revealed a statistically significant variation in mean CRP levels (p = 0.001), with the highest values observed among the Aneuk Jamee group. Nevertheless, no significant correlation was identified between CRP levels and the occurrence of hypertension across ethnic groups in Aceh (p > 0.05). C-reactive protein (CRP) levels varied among Aceh's ethnic groups, but there was no discernible correlation with the prevalence of hypertension. These results imply that the regulation of inflammatory processes in people with hypertension may be influenced by non-ethnic factors.
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.
Dampak Pelatihan dan Pengembangan SDM terhadap Kinerja Tenaga Kesehatan di Puskesmas Sewon I Bantul Yogyakarta Hodiri Adi Putra; Norra Hendarni Wijaya; Debby Yulianthi Maria
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.v5i3.7533

Abstract

Human resource training and development play an important role in improving employee performance at Community Health Centers (Puskesmas) as a first-level health care facility. However, its implementation has not been optimal, especially after the pandemic. A preliminary study at the Sewon 1 Bantul Community Health Center showed that training programs tend to be unsustainable. This study is important to determine the extent to which human resource training and development affect employee performance. Objective: To determine the effect of human resource training and development on employee performance. Method: This study used a quantitative method with a cross-sectional design. The research sample was 41 Civil Servants of the Sewon I Bantul Community Health Center taken using a purposive sampling technique. The research instrument was a Likert scale questionnaire, and statistical tests were used in the form of multiple linear regression and F tests. Results: Based on the results of the data test with multiple linear regression tests, it shows that there is a significant influence between human resource training and employee performance with a significance value (sig. 2-tailed) of 0.018 <0.05. There is also a significant influence between human resource development on employee performance with a significance value (sig. 2-tailed) of 0.006 < 0.05, and the calculated F value obtained is 12.004 > 3.230 (calculated F > F table) with a significant value of 0.003 < 0.05, thus it can be interpreted that training and development of human resources have a significant influence on employee performance at the Sowon 1 Bantul Yogyakarta Health Center.
Determinan Fertilitas di 10 Kabupaten/Kota Provinsi Nusa Tenggara Timur Retno Utami; Fitri Amalia; Ratna Wulandari
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.v5i3.7565

Abstract

The high fertility rate in East Nusa Tenggara Province remains a development challenge because it contributes to poverty and welfare inequality. This study aims to analyze the effects of contraceptive use, infant mortality rate, female labor force participation, average wages, and female education level on fertility in 10 regencies/cities in East Nusa Tenggara Province during 2019-2023. This research uses a quantitative method with secondary data and panel data regression using the Fixed Effect Model (FEM). The results show that contraceptive use, infant mortality rate, and female education level have a negative and significant effect on fertility. Meanwhile, female labor force participation and average wages have a negative but insignificant effect.
Analisis Kesehatan Lingkungan Sektor Informal pada Industri Tahu Kedelai XYZ Kota Tasikmalaya Bella Kusuma Dewi; Andik Setiyono
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.v5i3.8593

Abstract

The informal food industry sector, particulary the soybean tofu industry, is one type of business that falls under the category of Micro, Small, and Medium Enterprises (MSMEs). The industry generally operates without a structured occupational health and safety (OHS) management system, making it vulnerable to various environmental risks. Objective: This study aims to identify environmental hazards, occupational environmental quality, and environmental problems at the XYZ soybean tofu industry in Tasikmalaya City. Methods: An observation descriptive study using an Environmental Health Analysis (EHA) design was conducted in February 2025. Data were collected throught direct observation of work process, hazard identification, subjective measurement of environmental quality parameters, and interviews with one surrounding resident using a questionnaire. Results: Physical hazards identified included fire exposure, slippery floors, and machine noise; chemicals hazards included hot steam, smoke, and wood dust; biologicals hazards included waste contamination and microorganisms in soybeans soaking water; and radiation hazards included electromagnetic fields from the boiler, thermal radiation, and solar UV exposure. Observations revealed that machine noise disrupted worker communication, wood dust levels were very high, the work environment was hot and stuffy, and vector presence (flies and cockroaches) was significant. The highest priority problems were high temperature exposure and thermal radiation, followed by air pollution, noise, wastewater, and solid waste management. Conclusion: XYZ soybean tofu industry faces multiple environmental hazards requiring immediate intervention, particulary temperature control, air pollution from wood combustion, and machine noise, to protect long term workers health.
Hubungan Pengetahuan dengan Keterampilan Perawat dalam Pelaksanaan Pencegahan Infeksi Saluran Kemih Terkait Kateter Menetap di RSU Imelda Pekerja Indonesia Medan Arta Marisi Dame Panggabean; Satriani Hartalina Gultom; Devy Arviani Putri
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.v5i3.8627

Abstract

Urinary tract infection is the most common infectious disease in health care facilities. Urinary tract infections that occur in hospitals, around 75% - 80% are caused by the installation of urinary catheters (Letica-Kriegel et al., 2019). Fifteen percent (15%) to 20% of patients treated in hospitals receive catheterization during hospitalization (CDC, 2015). This study aims to determine the relationship between knowledge and skills of nurses in the implementation of prevention of urinary tract infections related to indwelling catheters at the Imelda Pekerja Indonesia Hospital. The type of research used is a quantitative research type with a cross-sectional design. The population in this study were nurses working at the Imelda Pekerja Indonesia Hospital. The sampling technique in this study was a purposive sampling technique, with a sample size of 52 people. The instruments used in this study were questionnaire sheets and observation checklist sheets. Data processing using the Chi-square Test. Data analysis carried out using the chi square test obtainted results with a value (p value) = 0,048 (p < 0,05). It can be concluded that there is a significant relationship between knowledge and skills of nurses in implementing the prevention of urinary tract infection related to indwelling cathetersin hospitals Imelda Pekerja Indonesia Medan. This study can serve as supplementary literature and a source of information for future researchers regarding nurses' knowledge and skills in preventing catheter-associated urinary tract infections, facilitating the development of nursing interventions that align with advancements in nursing science.

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