cover
Contact Name
Ismil Khairi lubis
Contact Email
ismil.khairi@usu.ac.id
Phone
+6261-8213221
Journal Mail Official
trophico@usu.ac.id
Editorial Address
Tropical Public Health Journal (TROPHICO) Faculty of Public Health Universitas Sumatera Utara Jalan Universitas No. 21, Kampus USU Padang Bulan Medan 20155, Sumatera Utara - Indonesia
Location
Unknown,
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INDONESIA
TROPHICO: Tropical Public Health Journal
Published by TALENTA PUBLISHER
ISSN : 2774766     EISSN : 2797751X     DOI : -
Core Subject : Health,
TROPHICO: Tropical Public Health Journal is a journal published by TALENTA Publisher, Universitas Sumatera Utara and managed by Faculty of Public Health, Universitas Sumatera Utara. TROPHICO publishes research articles in the field of public health or other disciplines related to public health that have not been published by other publication media. The scientific scope of research results include Epidemiology, Health Policy and Administration, Occupational Health and Safety, Environmental Health, Health Education and Behavioral Science, Public Health Nutrition, Biostatistics and Demography, Family and Reproductive Health and other research in the field of Public Health Sciences. This journal was first published in March 2021 and will then be published twice a year in March and September both in printed and electronic versions designed using the Online Journal System (OJS).
Articles 72 Documents
Determinants of tuberculosis treatment success at Siti Fatimah Regional Hospital, Palembang Pulungan, Rafiah Maharani; Liberty, Iche Andriyani; Utami, Anissa Citra; Pratama, Benny Putra; Kirana, Junneka Sarah
TROPHICO Vol. 5 No. 2 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i2.23862

Abstract

Tuberculosis (TB) is a chronic infectious disease that remains a public health problem in Indonesia. The success rate of pulmonary TB treatment at Siti Fatimah Regional Hospital, Palembang, in 2024 was 71%, still below the national target of 90%. This study aimed to determine factors associated with the success of pulmonary TB treatment. The analysis showed that age was significantly associated with treatment success, with patients aged <30 years having almost three times the chance of success compared to patients aged ≥30 years (OR=2.87; p=0.000). Residential factors also showed a significant relationship, with patients domiciled in Palembang City having a greater chance of success than patients from outside the city (OR=8.88; p=0.020). Meanwhile, gender and occupation did not show a significant relationship. Further analysis showed that age was the most dominant factor influencing the success of pulmonary TB treatment. These findings emphasize the importance of more intensive therapy supervision in adults and the elderly and the need to strengthen access to healthcare for patients from outside the city.
SERVQUAL outpatient service quality and patient satisfaction: policy implications at Puskesmas Kabanjahe Sirajuddin, Inayyah Nur Fitry; Istiqamah, Nurul Fajriah; Islamiati, Sarifah Dwi; Rachman, Hervien Maulana
TROPHICO Vol. 6 No. 1 (2026): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v6i1.24650

Abstract

Patient satisfaction is a crucial indicator of healthcare service quality. Puskesmas Kabanjahe, serving 64,890 residents across 10 villages, requires comprehensive evaluation of outpatient service quality to inform policy improvements and achieve the mandated 95% satisfaction threshold. This study evaluated the relationship between SERVQUAL dimensions (reliability, responsiveness, assurance, empathy, and tangibles) and patient satisfaction at Puskesmas Kabanjahe to provide evidence-based policy recommendations. A cross-sectional study was conducted from April to August 2025 involving 237 outpatient visitors selected through accidental sampling. Data were collected using structured SERVQUAL questionnaires on a five-point Likert scale and analyzed using Spearman rank correlation. All five SERVQUAL dimensions demonstrated statistically significant relationships with patient satisfaction (p<0.05). Descriptively, all five dimensions were rated as good by the majority of respondents: tangibles (99.6%), assurance (99.2%), reliability (98.7%), responsiveness (98.3%), and empathy (98.3%). Spearman correlation analysis confirmed significant positive relationships between each dimension and patient satisfaction (rs= 0.134–0.212; p<0.05 for all dimensions), with reliability showing the strongest correlation (rs=0.212). Female respondents exhibited significantly higher satisfaction (91.7%) compared to males (80.6%) (p=0.04). Occupation showed borderline significance (p=0.05), with farmers demonstrating lowest satisfaction (87.5%). These findings confirm that outpatient services at Puskesmas Kabanjahe have achieved high service quality consistent with SPM requirements, while highlighting the need for targeted improvements in specific demographic groups to ensure equitable attainment of the mandated 95% satisfaction threshold across all patient populations.