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Healthcare financing plays role in improving the quality of health services, with an aim to examine the effect of family socioeconomic status on the patterns and methods of ability to purchase health services. A quantitative study with a survey approach used in this research that connects exogenous (family socioeconomic status) and endogenous variables (financing patterns and methods, ability to purchase health services), with total sample of 770 households. The technique used an accidental sampling in western and eastern regions of Jambi, with questionnaire instrument and analysis PLS-SEM’s second order. Based from this research, family socioeconomic status has a direct influence on the ability to purchase health services showing as the first hypothesis. The second hypothesis also proved direct influence on the ability to purchase health services. The third hypothesis was also proved like the first and second hypotheses. Methods of health financing mediated the correlation between family socioeconomic status and ability to purchase health services was accepted of fourth and fifth hypotheses. Therefore, the family’s socioeconomic status, patterns and methods of health financing have a direct influence on the ability to purchase health services. Meanwhile, there was an indirect effect of family socioeconomic status on the ability to purchase health services through health financing patterns and methods.

Background: A person's perception of their level of justice (equity) at work is reflected in their level of job satisfaction. The nature of the work, salary, supervision, and relationships among coworkers are all factors that affect how satisfied one is with one's job. The number of patients treated by the Puskesmas in the National Health Insurance (JKN) is rising, with 586,893 persons (94.55%) in Jambi City enrolled as JKN participants at the Puskesmas. This study aimed to ascertain the relationship between services and working circumstances and the job satisfaction of healthcare professionals at the Jambi City Health Center in 2021 during the National Health Insurance (JKN) era. Methods: A cross-sectional design method was used in this investigation. The study's population comprised six hundred fifty-three healthcare professionals, and 92 respondents were nurses. Services and working circumstances are the study's independent variables, while job conditions are its dependent variable. Questionnaires are measurement devices. Univariate and bivariate data analyses were performed (using the chi-square test = 0.05). Results: Determine the association between the independent and dependent variables using bivariate Chi-Square analysis. The findings indicated that the relationship between job satisfaction and services had a p-value of 0.037, where 0.05. The correlation between favourable working conditions and job satisfaction is 0.023, with 0.05 as the reference value. Conclusion: In conclusion, there is a correlation between the services provided and the job happiness of healthcare professionals at the Jambi City Health Center and between working circumstances and job satisfaction.

Background: Contribution Assistance coverage for National Health Insurance Participants Participation among recipients is greater than that of non-participants, but the use of health services by National Health Insurance PBI participants in Indonesia remains relatively low. This study aims to determine in 2021 which factors influence the utilization of health services by National Health Insurance PBI group participants in Jambi City. Methods: This study is a quantitative cross-sectional investigation. The sample consisted of 106 random samples collected using the technique of accidental sampling. In this study, the independent variables were education, occupation, knowledge, attitudes, perceptions of health conditions, affordability, and information, while the dependent variable was health service utilization. Respondents filled out questionnaires to generate data. The data analysis consisted of univariate and bivariate (chi-square) tests. Result: This study's findings indicate that the majority of respondents, 61.3%, do not utilize health services. Knowledge (0.000), attitudes (0.003), perception of health conditions (0.012), and information are associated with the utilization of health services, according to this study's statistical analyses (0.000). In addition, there is no correlation between education (0.147), occupation (0.295), affordability (0.787), and the utilization of health services among National Health Insurance (JKN) PBI group participants. Conclusion: There is a correlation between knowledge, attitudes, perceptions of health conditions, and information and the utilization of health services by National Health Insurance for the PBI Group participants in Jambi City.

Losses experienced by BPJS Health due to payment of contributions that have been stopped for participants who have used maternity services of more than 200 billion in a span 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 quit (43%) or did not comply with the payment after delivery. The largest percentage comes from independent participants or non-wage recipients (PBPU). In Jambi Province, non-compliance in paying BPJS Health contributions is the highest in Jambi City. There were 77,489 participants in arrears in 2021 which resulted in a loss of 60.1 billion. Non-compliance in paying dues comes from multiple factors. The purpose of this study is to analyze the factors causing the non-compliance of independent participants in paying BPJS Health contributions after utilizing childbirth services in Jambi City. A quantitative study approach with a cross-sectional design conducted in Jambi City in 2022. There were 96 respondents who were selected based on the accidental sampling technique. The study instrument was a questionnaire. Quantitative data processing through the stages of editing, coding, entry and cleaning with SPSS. Data analysis consisted of univariate analysis and bivariate analysis using chi-square test. The results of the study found that as many as 33.3% of independent participants did not comply in paying BPJS Health contributions after using childbirth services. There is a significant relationship between the 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 the non-compliance of independent participants in paying BPJS Health contributions. after the use of maternity services. It is recommended for BPJS Health to consider the application of the waiting period method for participants who will take advantage of 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 financing.

Background : The coverage of BPJS Health membership has reached more than 80% of the total population, but the utilization rate of health services for PBI group participants is the lowest, one of which is in Jambi City. The purpose of this study was to determine the dominant factors that influence the utilization of health services for PBI participants in Jambi City. Method : An observational analytic study using a cross sectional design with a population of PBI BPJS Health participants in Jambi City. Calculation of the sample using the Lemeshow formula, as many as 106 samples with accidental random sampling technique. The research instrument used a questionnaire sheet, then the data was processed through data editing, data coding, data entry, data cleaning, and data processing, then analyzed by univariate, bivariate with chi-square test, and multivariate with multiple logistic regression test. Results : The results showed that the most dominant factor influencing the utilization of health services in Jambi City PBI participants was knowledge (OR=0.173). Conclusion : Health Service Providers are expected to increase socialization and education efforts to the public on the importance of utilizing health services (promotive, preventive, curative, rehabilitative) both directly and by maximizing the role of social media accounts of health facilities.

Introduction: Universal Health Coverage (UHC) is a health financing system that ensures every individual has equitable access, quality and financially affordable health services. BPJS as the organizing body has made efforts to encourage the achievement of UHC but in it’s implementation there are many obstacles.Method: This research is an analytical qualitative research. Result: Public knowledge about health insurance is still low, the availability of health facilities and coverage of health services are in accordance with standards.Discussion: There are still many people who do not know the importance of being a participant in health insurance.

Performance is a function of encouragement and expertise for a person in carrying out an obligation and work in order to have a certain degree of ability and ability. Based on the Profile of Departement of Municipality Jambi in 2022, it is known that of the 12 types of health services in of Departement of Municipality Jambi, there are 8 health services whose performance has decreased. The research was quantitative research with a cross sectional study design. The sample in this study were 82 employees, selected purposive sampling who worket at of Departement of Municipality Jambi. Data collected was on January 25 2022 until March 16 2022. The dependent variables are age, gender, education, years of service, position, vision and mision, goals, measure of success, satisfaction with rewards, satisfaction with superios, satisfaction with coworkers. Data analized 2 stages such, Univariat, Bivariat used pearson correlation. The was correlation between age (p = 0.001), vision and mission (r = 0.334, p = 0.002), goals (r = 0.277, p = 0.012) measure of success (r = 0.507, p = 0.000), satisfaction with rewards (r= 0.332, p=0.003), satisfaction with superiors (r=0.365, p=0.001), and satisfaction with co-workers (r=0.311, p0.004) with employee performance. There was correlaton, vision and mission, goals, measures of success, satisfaction with rewards, satisfaction with superiors, and satisfaction with co-workers with employee performance. It is hoped that the Health Departement of Municipality Jambi has supported factors in achieved indicators of success, superiors must be firm in gived warnings to employees, paid attention to employees salarie. Keywords: Performance, Strategic Planning, Job Satisfaction, Employees ABSTRAK Kinerja adalah suatu fungsi dari dorongan dan keahlian bagi seseorang dalam melaksanakan suatu kewajiban dan pekerjaan agar memiliki derajat kesanggupan dan kemampuan tertentu. Berdasarkan Profil Dinas Kesehatan Kota Jambi Tahun 2020 diketahui bahwa dari 12 jenis pelayanan kesehatan yang ada di Dinkes Kota Jambi, terdapat 8 pelayanan kesehatan yang capaian kinerjanya mengalami penurunan. Jenis penelitian ini adalah penelitian kuantitatif dengan desain studi cross sectional. Jumlah sampel adalah 82 pegawai yang bekerja di Dinas Kesehatan Kota Jambi, dengan teknik pengambilan sampel adalah purposive sampling Pengumpulan data pada 25 Januari 2022- 16 maret 2022. Variabel dependennya umur, jenis kelamin, pendidikan, masa kerja jabatan, vii misi, tujuan sasaran, ukuran keberhasilan, kepuasan terhadap imbalan,, kepuasan terhadap atasan, dan , kepuasan terhadap rekan kerja . Analisis data dilakukan dengan 2 tahap, analisis Univariat, Analisis Bivariat yang terdiri dariUji Korelasi Pearson. Terdapat hubungan antara Visi misi (r=0,334, p=0,002), tujuan sasaran (r= 0,277, p=0,012) ukuran keberhasilan (r=0,507, p= 0,000), kepuasan terhadap imbalan (r= 0,332, p=0,003), kepuasan terhadap atasan (r=0,365, p=0,001), dan kepuasan terhadap rekan kerja (r=0,311, p-0,004) dengan kinerja pegawai. Ada hubungan visi misi, tujuan sasaran, ukuran keberhasilan, kepuasan terhadap imbalan, kepuasan terhadap atasan, dan kepuasan terhadap rekan kerja dengan kinerja pegawai. Diharapkan Dinas Kesehatan Kota Jambi memiliki faktor pendukung dalam mencapai ukuran keberhasilan, atasan tegas dalam memberikan peringan kepada pegawai, serta memperhatikan gaji pegawai. Kata Kunci: Kinerja, Perencanaan Strategis, Kepuasan Kerja, Pegawai

Stunting is a chronic malnutrition problem caused by insufficient intake for a long time. There has been an increase in stunting in Indonesia, especially the prevalence of stunting under five in Jambi Province is higher than the national figure of 37.9%. The implementation of nutrition interventions has not been integrated, from the planning process to evaluation at the central, regional and village levels. As a result, the coverage and quality of various basic services is less than optimal. Therefore, this study aims to analyze application development as an effort to monitor the evaluation of health workers. The method used is a descriptive method with a survey approach, the population in this study is health workers, cadres, midwives from two pilot health centers in West Tanjab, namely Pijoan Baru Health Center and Sungai Saren Health Center with a total sampling of 18 people. The results of the study concluded that there are still a lot of data on infants and mothers that are difficult to monitor, through the STOP STUNTING application on the toddler monitoring feature added warnings (danger signs on toddler growth) (83.3%), symptoms of hyperthyroidism at birth (72.2%), data completeness of the baby at birth (77.78%), early initiation of breastfeeding and exclusive breastfeeding (88.89%), and cognitive development of toddlers (66.67%). In the features of pregnant women, the identity of the primary health center is needed (88.89%), participation in the class of pregnant women (66.67%), consumption of blood-added tablets (77.78%), and a history of infectious diseases of pregnant women (55.56%) , and reporting the results of the application in the form of a cohort table (88.9%).

Health insurance is a health financing guarantee that needs to be chosen to face health risks and increasingly expensive medical costs. Socio-economic status is related to the level of ability that a person has in buying health services. Currently, 68.25% of the population who have compulsory health insurance (BPJS Kesehatan, Jamkesda and Company Insurance) have voluntary insurance and 1% have voluntary insurance. The purpose of this study was to determine the relationship between family socioeconomic status and the choice of health insurance in Jambi City. The research design was a cross sectional survey method with a population of 183,448 households focusing on a sample of 164 households, the sampling technique was probability sampling. Analysis with Chi-Square test, shows that there is a relationship between education (pv= 0.021) on the choice of health insurance and there is no relationship between income (pv=0.324), occupation (pv=0.644), number of family members (pv=0.377), and asset ownership (pv=0.063) on the selection of health insurance.

This study aims to analyze the effect of management practices on improving service quality through the integrated core practice of EFQM and Six Sigma Public Health Centers in Jambi Province. This research is a quantitative research using a cross sectional design approach through two stages of research. The research data was obtained using a questionnaire from a sample of 560 civil servant employees in 24 health centers that were randomly selected and analyzed by second order using Smart-PLS 3.0. The results of the study found that the implementation of management practices and core practices had a fairly good average by employees and each had a direct effect on the service quality of the Public Health Center. The core practice is able to partially mediate between management practices and the quality of Public Health Center services. However, in practice, not all Public Health Center have implemented quality management practices.

The coverage of JKN PBI participation is higher than that of non-PBI participants, but the utilization of health services by JKN PBI participants in Indonesia is still relatively low. This study aims to determine what factors are related to the utilization of health services for PBI group National Health Insurance (JKN) participants in Jambi City. This study is a quantitative study using a cross sectional approach. The sample amounted to 106 samples with a sampling technique using accidental sampling. The independent variables in this study were education, occupation, knowledge, attitudes, perceptions of health conditions, affordability and information, while the dependent variable was the utilization of health services. Data were obtained by filling out questionnaires by respondents. Data analysis was performed using univariate and bivariate (chi-square) tests. The results of this study indicate that most of the 61.3% of respondents do not use health services. Based on statistical tests in this study indicate that factors related to the utilization of health services are knowledge (0.000), attitudes (0.003), perception of health conditions (0.012), and information (0.000). And there is no relationship between education (0.147), occupation (0.295) and affordability (0.787) with the utilization of health services for participants of the National Health Insurance (JKN) PBI group. There is a relationship between the variables of knowledge, attitudes, perceptions of health conditions and information with the utilization of health services for the participants of the National Health Insurance for the PBI Group in Jambi City.

Toddlerhood is a golden era in children's growth and development because it is a period of real growth that influences and determines children's subsequent development. Through the Toddler Family Development (Bina Keluarga Balita/BKB) movement. Every family would be able to enhance their talents, particularly in caring for their toddlers and pre-school-aged children, to promote optimum child growth and development. Health cadres play a significant role in efforts to strengthen the community's capacity to reach optimal health status independently. This study seeks to identify the elements that influence the involvement of cadres in providing family care services for toddlers in the city of Jambi. This study used a quantitative, cross-sectional methodology. This study's population consisted of 450 cadres from the Toddler Family Development (Bina Keluarga Balita/BKB) program. This study's sample consisted of 81 the Toddler Family Development (Bina Keluarga Balita/BKB) cadres selected using Probability Sampling with Proportional Stratified Random Sampling. The chi-square test demonstrates that there is a correlation between the variables attitude (p-value = 0.001) and motivation (p-value = 0.002). Moreover, there is no correlation between knowledge and BKB cadres' roles (p-value = 0.180). Attitude and motivation variables are substantially associated with the role of the Toddler Family Development (Bina Keluarga Balita/BKB) Cadres in Jambi City. The Office of Population Control and Family Planning will hold online discussions. Hence, cadres are always aware of the most recent developments in activities of the Toddler Family Development (Bina Keluarga Balita/BKB). The Office of Population Control and Family Planning will monitor activities even when not on the ground. The Office of Population Control and Family Planning will reproduce books on the Toddler Family Development (Bina Keluarga Balita/BKB) so cadres can gain more knowledge and not rely solely on training experience.

The provision of health services is one way to meet the needs and demands of the community for health, in the process including health financing. There are six financing patterns applied, one of which is out of pocket financing and Social Health Insurance Administration Body. The ability to buy health services depends on the readiness of the family to finance the household, so socioeconomic status influences the use of health financing patterns. This study uses quantitative methods with a cross-sectional research design. The population is the head of the family who seeks treatment at Abdul Manap Hospital, with as many as 89 respondents. Data collection using a questionnaire and data analysis using chi-square. Based on the analysis, the variables that have a relationship with the pattern of Social Health Insurance Administration Body financing are income (p-value 0.000), occupation (p-value 0.003), number of family members (0.028), and asset ownership (0.000). Meanwhile, the one that does not have a relationship is education (0.276). The conclusion of this study is that income, occupation, the number of family members, and asset ownership have a relationship with the use of financing patterns, while education has no effect.

This study aims to see the role of leadership in improving performance and the role of services at the Puskesmas. The method used is qualitative and quantitative with a community-based participatory approach involving 20 Heads of Health Centers in Jambi City and 197 Puskesmas staff. The results showed that 58% of respondents strongly agreed that leadership at the Puskesmas has a vital role in improving performance and service quality and 42% consider it quite important. The role of the Puskesmas leadership is not optimal in enhancing organizational performance, including staff training, staff involvement in decision-making, and giving rewards and punishments. Meanwhile, the leadership role is good enough to improve Puskesmas services, including reliability, responsiveness, assurance, empathy, and direct evidence to the community. In conclusion, there are obstacles in enhancing the organizational performance of the Puskesmas, including the lack of training and work guidance to improve competence, the lack of involvement of health workers in decision making, and the application of rewards and punishments that are still not consistently implemented. Keywords: Leadership, Performance, Quality of Service, Puskesmas

To analyze ownership of savings assets and duration of illness on the ability to purchase first-level health care facilities in Jambi City. This study used a cross sectional design. The research instrument used a questionnaire to 100 independent Non- Assistance Recipients (PBI) BPJS participants with accidental sampling technique. This research data is analyzed quantitatively. Statistical test shows that there is a relationship between ownership of savings assets and purchasing ability (p value=0.003) and there is no relationship between duration of illness and ability to buy (pvalue=1,000). There is a relationship between ownership of savings assets and there is no relationship between length of illness and ability to buy. It is expected that first-level health care fasilities with BPJS Health will assist in collecting data on independent JKN participants who cannot afford to pay to convert their membership into PBI participants and disseminate information about JKN to the community in the working area of the Public Health Centre (Puskesmas)

The Public Health Development Index (IPKM) is composite indicator that describe the progress of health development in a district. Enviromental health is one of the indicator contained in the IPKM. There are 2 sub-indicator for environmental health, access to clean water and access to sanitasion. This research was conducted in Tanjung Jabung Timur regency with the aim of knowing the description of IPKM achivements on environmental health indicator in 2016-2018. Methodology this was quantitative research. This study was conducted 5 months starting from May to October 2021. Data analyzed used public health development index formula that has been determined by calculating weights for each indicator and then used minimum and maximum standars values. This study found that the sub-index value of the group from 2016-2018 continued to increase. In 2016 amounted to 0.111411387, in 2017 amounted to 0.363059484, and in 2018 amounted to 0,696495001. The results of this study indicate that for 3 consecutive years the environmental health conditions have continued to improve towards a better direction, both in terms of access to clean water and access to sanitation. However, it still to improvements access to clean water and access to healthy sanitation so that it evenly distributed for all communities in Tanjung Jabung Timur Regency.

The National Health Insurance Program organized by the Social Security Administering Body (BPJS) in accordance with the provisions of Law Number 24 of 2011 which is a government program is useful to support deterministic and comprehensive health insurance for all Indonesian people so that Indonesian people can live healthy, productive, and prosperous. It was also recorded for the number of BPJS membership per segment on September 30 in Jambi Province, as many as 2,637,537 people who became BPJS participants with a percentage of 74.66%, with a total of 641,323 PBPU Mandiri members. Based on data from BPJS Jambi City, the data in arrears in 2019 in Muaro Jambi Regency as a whole is 60.3%. The purpose of this study was to obtain an overview of the determinants of rubber farmer compliance in paying BPJS health contributions independently in Muaro Jambi in 2021. This study used a cross-sectional method, with a population of 75,437 and a sample of 106. In this study, bivariate analysis used the chi test. -square. The results of this study indicate that there is no relationship between the knowledge variable and the number of family members with the compliance of rubber farmers in paying independent health BPJS contributions, while there is a relationship between income variables, distance of payment places and perceptions with rubber farmers' compliance in paying BPJS independent health contributions.

Angka kematian ibu dan angka kematian bayi menjadi prioritas utama dalam pembangunan kesehatan nasional. Pelayanan Antenatal Care (ANC) Terpadu merupakan bagian dari empat pilar gerakan sayang ibu untuk meminimalisir kematian ibu. Keberhasilan dari tercapainya cakupan K1 dan K4 pada pelayanan ANC Terpadu tidak terlepas dari peran seorang bidan. Tujuan penelitian untuk mengetahui kinerja bidan pada pelayanan ANC Terpadu di Puskesmas Kota Jambi, dengan jenis penelitian observasional analitik dengan rancangan cross sectional. Populasi yaitu 286 bidan yang bertugas di Dinas Kesehatan Kota Jambi, dengan jumlah sampel 56 orang bidan, variable penelitian terdiri pengetahuan, motivasi, kepemimpinan, imbalan/insentif, dan pelatihan, teknik pengambilan sample non probability sampling dengan jenis cluster sampling. Hasil : Analisis bivariat menggunakan uji Chi-Square didapatkan hubungan antar variabel yaitu pengetahuan (p=0,037 PR=1,93) motivasi (p=0,000 PR=4), kepemimpinan (p=0,240 PR=1,4), imbalan/insentif (p=0,013 PR=2), dan pelatihan (p=0,010 PR=2,25). Kesimpulan: variabel yang memiliki hubungan signifikan yaitu pengetahuan, motivasi dan imbalan/insentif, sedangkan variabel yang tidak memiliki hubungan yang signifikan yaitu kepemimpinan.

This study aims to see the service system during a health disaster in the city of Jambi, namely Tahtul Yaman Puskesmas, Tanjung Pinang Health Center, and Aurduri Health Center. The short-term target is to find organizational standards and the role of the puskesmas team in disasters. The research method used survey analytics to assess the roles and functions that were involved in the health disaster management system and to analyze the readiness of 3 health centers in the city of Jambi. From the results of this study, according to the application of the Minister of Health Regulation number 75 of 2019 at the Tahtul Yaman Puskesmas, the Tanjung Pinang Health Center, and the first Aurduri Health Center, it is obtained from (1) There is no clear program regarding disaster management in each cluster at the Puskesmas, ( 2) Rapid Health Assessment (RHA) has not been implemented in the event of a disaster, (3) The coordination flow for the Puskesmas already exists, namely through referrals to the Abdul Manap Regional General Hospital, Jambi City and the Jambi City Health Office.

The community's role during a disaster within the first 24 - 72 hours before having government's aid is crucial in making the condition under control in a timely manner, disaster management institution, especially at local level, has not had any models for preparedness training through participative approach based on the local wisdom of Jambi community to reduce disaster risks. The research process is carried out in three stages, (1) the first part is a literature study conducted to obtain information about how to deal with natural disasters, (2) Field studies conducted in several areas related to floods in Jambi Province, (3) ) Analysis Community needs are carried out by reviewing the design of the pre-disaster disaster planning system and the needs of the Flood Preparedness Community in three districts of Jambi province. A sample of 1000 people was divided into 3 groups. Each group will be completed in accordance with the pre-response system and community needs, then analyzed qualitatively. Meanwhile, to find out the management system design. Obtained preparedness data in the three villages with a total subject of 1000 people that 52.33% did not get information about the disaster or disaster preparedness, 64.6% never made an emergency plan for the family when there was a disaster, 68.67% never prepared emergency equipment (food, water, or emergency supplies), 68.27% had not attended disaster preparedness training in the past year, but only 6.2% had never discussed with neighbors about what to do in the event of a disaster. Based on the results of the research, several stages can be planned in the making of the pre-disaster assessment design as an alternative to minimize losses from disasters, which can then be developed as a disaster plan process and making mitigation in accordance with the needs of each district..

Nitrogen Dioksida (NO2) masuk kedalam pencemar yang dihasilkan dari berbagai sumber di suatu lingkungan paling utama zona transportasi. Sebagai gambaran umum, zona transportasi ialah penyumbang polutan NO2 sebesar 69% di perkotaan, berikutnya perindustrian serta rumah tangga. Kelompok yang berpotensi besar terserang akibat polusi udara ialah warga yang kerap berlalu-lalang di jalan raya, warga yang bertempat tinggal di tepi jalan raya, maupun warga yang bekerja di dekat jalan raya, satu antara lain adalah pekerja Penyapu Jalan. Desain studi penelitian ini menggunakan metode analisis risiko kesehatan lingkungan (ARKL). Metode ARKL digunakan untuk mengetahui besarnya risiko kesehatan akibat paparan Nitrogen Dioksida (NO2) terhadap Penyapu Jalan di Kota Jambi tahun 2021. Hasil penelitian didapatkan bahwa tingkat risiko realtime Penyapu Jalan pada saat penelitian dilakukan pada titik 1 – titik 4 maksimal sebesar 0,0706487. Hasil tersebut seluruhnya menunjukkan nilai RQ yang kurang dari satu (RQ < 1). Untuk lifespan atau pajanan 30 tahun kedepan pada titik 1 – titik 4 maksimal sebesar 0,1513901. Kesimpulan dari penelitian ini artinya saat ini Penyapu jalan di Kota Jambi masih aman berada di lokasi penelitian dalam 7 jam/hari, 365 hari/tahun dan Penyapu jalan di Kota Jambi tetap aman selama maksimal 30 tahun mendatang.Kata Kunci: Analisis Risiko Kesehatan Lingkungan, Nitrogen Dioksida (NO2), Penyapu Jalan

The highest coverage of JKN participation in Jambi Province is the Jambi city. However, the size of JKN participation in Jambi city is not proportional to its use. This study aims to determine the interest of the owners National Health Insurance in informal sector in the use of first-level health facilities in the Jambi city. This research was conducted with quantitative methods using aapproach cross sectional. The population in this study are all informal workers whose population is unknown. The sample in this study are 105 respondents, the sampling technique was used purposive sampling. Bivariate results using the chi-square test, the relationship between the independent variable and the dependent variable, age (p=0,130), gender (p=0,401), education (p=0,134), income (p=0,183), knowledge (p=0,057), health facilities (p=0,174) , needs (p=0,000) with interest in using health insurance. The owners of the informal sector JKN in Jambi city was interested using first-level health facilities and there is a relationship between needs and interests of JKN owners in informal sector in the use of the first-level health facilities Jambi city

Background : Payment of BPJS Health contributions to PBPU-independent workers is a major challenge for BPJS Health, because there is no agency responsible for consistent payment of contributions to these participants. High levels of non-compliance with payment of contributions can reduce the collectability of contributions and pose a significant financial risk to BPJS Kesehatan. Nationally, the highest arrears of participant contributions were PBPU participants-independent workers (Rp. 5,654,930,976,944,-), which was 86.88% of the total arrears of contributions for BPJS Health participants. Meanwhile, the arrears of participant contributions in the BPJS Kesehatan Jambi Branch Office as of December 4, 2020 were around 215,369 people with a total of Rp. 161,513,573,648,-. The purpose of this study was to identify the relationship between sociodemographic factors and compliance with paying BPJS Health contributions to PBPU participants-Independent Workers in the Jambi Branch Office working area. Method : This study is a descriptive study using a cross-sectional design. The research population is PBPU participants- BPJS Health independent workers in the Jambi Branch Office working area. The sample calculation uses the Lemeshow formula, which is as many as 192 samples. The research instrument used a questionnaire, while data processing was done by editing data, data coding, data entry, data cleaning, and data processing, then analyzed univariate and bivariate with chi-square test. Results : The results showed that there was a significant relationship between income and compliance with paying BPJS Health contributions (p-value = 0.045) and there was no significant relationship between age (p-value = 0.120), gender (p-value = 0.705) , education (p-value=0.089), and number of family members (p-value=0.051) with compliance in paying BPJS Health contributions to PBPU participants-independent workers in the Jambi Branch Office working area. Conclusion : There is a relationship between income and compliance with paying contributions, and there is no relationship between age, gender, education, and number of family members with compliance with paying BPJS Health contributions to PBPU participants-independent workers in the Jambi Branch Office working area. BPJS Kesehatan is expected to be able to profile and switch contributions for BPJS Health participants and prospective participants, especially for PBPU-independent workers. Keywords : contributions, PBPU-Independent Workers, Compliance.

Elderly is a period when organisms have reached their prime in size, function, and some have shown their decline over time. Based on the indicators of physical fitness in the elderly in Indonesia, it is still lacking, this is proven by the high morbidity rate in the elderly. To be able to face the elderly who can enjoy their life and maintain their strength and fitness, the elderly must do regular sports activities, carry out a healthy lifestyle, take a break from smoking and have health checks. This community service aims to improve the physical and psychological health of the elderly through exercise assistance activities for the elderly. This activity is in partnership with RT 01 and RT 02 Kelurahan Lingkar Selatan, Paal Merah District. This activity involves all elderly who are registered in the posyandu as a target of improving physical and psychological health through elderly exercise. Activities are carried out from compiling an activity plan to monitoring and evaluating activities according to the set targets and outputs. The results of the pre-test and post-test activities, which consisted of four indicators of evaluation, had increased, but this was not too significant because this activity only took place during service activities, to find maximum results, it was necessary to sustain the activity. Increased knowledge of the RT elderly group. 01 and RT. 02 Kelurahan Lingkar Selatan on the importance of Lansi Gymnastics in maintaining physical and psychiatric health and Increasing awareness and skills of the elderly group RT. 01 and RT. 02 Lingkar Selatan Village in doing elderly gymnasticsArtikel

Background: Teenage marriage have historically been associated with a variety of negative outcomes such as lower education levels, higher unemployment rates, worse health, lower wages and higher crime rates. Studies have revealed significant differences in most of the dimensions of marital quality, before and after marital counselling. The purpose of this study was to investigate evaluation of information and adolescent counseling center management to delay early marriage in adolescents. Subjects and Method: This was a qualitative study with a case study approach. The study was conducted at Public Senior High School 4 Jambi, Indonesia, from January to May 2019. 10 key informants were selected for this study. The data were collected by indepth interview and observation. The data were analyzed using source, data, and method triangulations. Results: The implementation of adolescent’s guidance and counseling center services still has room for improvement. There were several factors that lack of optimal results, for example the process of members or educators recruitment and training (input aspects), planning, report and evaluation system (process aspect) and students’ knowledge about health reproduction and adolescent marriage (output aspect). Conclusion: There is a need to improve information and counseling service. Keywords: evaluation, counseling and information center service, adolescents, delayed early marriage Correspondence: Muhammad Rifqi Azhary. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: rifqiazhary.ra@gmail.com. Mobile: +6285363817339. DOI: https://doi.org/10.26911/the7thicph.04.51

KB Purwosari village is one of the KB villages in the Kenali Asam Bawah Kelurahan, Kota Baru Jambi District. During 2017 since it was set, only the stages of socialization to the community about the importance of the existence of the KB village, and the formation of poktan (activity groups). Divided into 5 groups, namely the Youth Family Development Group (BKR), Prosperous Family Income Improvement Efforts (UPPKS), Toddler Family Development (BKB), Elderly Family Development (BKL) and Managers of the Youth Information and Counseling Center (PIK-R). Community service is carried out by stages in formulating schedules and activity plans, providing material to members of the PIK-R poktan and BKR poktan, KIE media simulation to PIK-R poktan and BKR poktan members, home visits (visite), mass media exposure, home data display and monitoring and evaluating success. Has shown success as evidenced by the increase in pre-test results and post-test results, in the 7 categories of variables measured, while those that need to be followed up on 3 variables that have not significantly changed, (the achievement value remains no change), namely in the Triad category KRR on healthy family planning, use of contraceptives, and routine check-ups during pregnancy. Activities initiated by groups of activities both PIK R RT 03 and BKR RT 18 really gave a positive warrants and aura to the KB Village. The continuity of activities with the support of the puskesmas and kelurahan is very good.

Dalam rangka penyelenggaraan pembangunan kesehatan, perlu adanya pembiayaan kesehatan, yang bertujuan untuk penyediaan pembiayaan kesehatan yang berkesinambungan dengan jumlah yang mencukupi, teralokasi secara adil dan termanfaatkan secara berhasil guna dan berdaya guna. Penelitian ini menggunakan pendekatan deskriptif, kualitatif. Tujuan penelitian ini adalah mengetahui perencanaan dan realisasi anggaran program KIA, menganalisis pembiayaan program KIA terhadap indikator capaian sesuai SPM di Dinas Kesehatan Kota Jambi tahun 2016. Penelitian ini dilaksanakan di Dinas Kesehatan Kota Jambi dengan waktu penelitian dari bulan Mei – September 2017. Hasil penelitian ini menunjukkan seluruh aktifitas Standar Pelayanan Minimal (SPM) tahun 2016 mengalami presentasi peningkatan yang signifikan antara target dan realisasi masing-masing cakupan pelayanan kecuali hanya dua cakupan pelayanan yang belum memenuhi target. Hal ini menandakan bahwa target yang ingin dicapai oleh dinas kesehatan Kota Jambi dianggap melibihi target yang di rencanakan. Namun demikian data diatas juga menunjukkan terdapat beberapa cakupan pelayanan yang belum memenuhi target yang ingin dicapai, seperti pada cakupan Neonatus dengan komplikasi yang ditangani, dimana target yang ingin dicapai 80% sedangkan realisasinya hanya 55%. Kemudian cakupan peserta KB aktif dimana target yang ingin dicapai 70% sedangkan realisasinya hanya 62%.

Tujuan pembangunan kesehatan adalah meningkatkan kesadaran, kemajuan dan kemampuan hidup sehat bagi setiap orang agar terwujud derajat kesehatan masyarakat yang setinggi-tingginya. Salah satu jenis ketenagaan yang sangat dibutuhkan untuk penyelenggaraan pelayanan kesehatan adalah SKM yang mempunyai peran nyata, sehingga layak untuk dikaji melalui studi kasus. Merupakan penelitian kualitatif dengan design studi kasus, berlokasi di Kabupaten Tanjab Barat, dengan populasi seluruh SKM baik itu yang berstatus CPNS, PNS dan tenaga kontrak. Metode pengambilan sampel purposive sampling, variabel penelitian terdiri tenaga SKM, Kompetensi lulusan, peran tenaga SKM, uraian jabatan/tupoksi, upaya promotif dan upaya preventif, Instrumen penelitian pedoman wawancara terbuka, dan FGD. Analisis Data menggunakan pendekatan content analysis. Uraian dan pemahaman terhadap tugas pokok dan fungsi tenaga SKM yang didasarkan keahlian dan pelatihan sudah ada, dalam bentuk peraturan daerah namun pemahaman masih belum optimal. Namun demikian penjabaran dalam melaksanakan tupoksi yang akan berakibat terhadap capaian indikator kinerja. Sehingga perlu peningkatan pengetahuan baik kediklatan maupun peningkatan pendidikan di semua level unit layanan kesehatan. Upaya tersebut bisa berjalan dengan baik jika ada dukungan kebijakan pemerintah Kab. Tanjab Barat dalam mendukung peran tenaga SKM yang tertuang dalam Rencana Strategi dan Rencana Operasional. Sehingga fokus peningkatan kemampuan profesi SKM adalah kemampuan melakukan advokasi kesehatan, dan pemberdayaan masyarakat.

Berdasarkan data yang didapat di Dinas Kesehatan Kota Jambi pada tahun 2012 di 20 Puskesmas dengan AMI yaitu 13,57% dengan kasus berjumlah 7300 kasus. Penelitian dilakukan di wilayah kerja Puskesmas Koni Kota Jambi bertujuan untuk mengetahui hubungan antara variabel independen (Pengetahuan dan Sikap) dengan variabel dependen (Perilaku Upaya Pencegahan Penyakit Malaria), dengan jumlah sampel sebesar 105 responden. Penelitian merupakan penelitian kuantitatif dengan desain cross secsional. Dari 36 responden yang memiliki pengetahuan rendah, 52,5% responden mempunyai perilaku pencegahan penyakit malaria yang kurang baik dan 10,9% responden mempunyai perilaku pencegahan penyakit malaria yang baik. Sedangkan dari 69 responden yang memiliki pengetahuan tinggi, 47,5% responden mempunyai perilaku pencegahan penyakit malaria kurang baik dan 89,1% responden mempunyai perilaku pencegahan penyakit malaria yang baik dengan p-value 0,000. Sedangkan dari 71 responden yang memiliki pengetahuan rendah, 83,1% responden mempunyai perilaku pencegahan penyakit malaria yang kurang baik dan 47,8% responden mempunyai perilaku pencegahan penyakit malaria yang baik. Sedangkan dari 34 responden yang memiliki pengetahuan tinggi, 16,9% responden mempunyai perilaku pencegahan penyakit malaria kurang baik dan 52,2% responden mempunyai perilaku pencegahan penyakit malaria yang baik dengan p-value 0,000. Terdapat hubungan yang bermakna antara pengetahuan dan sikap terhadap perilaku upaya pencegahan penyakit malaria. Bagi Masyarakat dan jajaran petugas kesehatan, diharapkan partisipasi aktif dalam upaya peningkatan pengetahuan dan sikap terhadap upaya pencegahan penyakit malaria, melalui kolaborasi kegiatan yang berkesinambungan.

PUSKESMAS sebagai salah satu fasilitas kesehatan tingkat pertama menyediakan berbagai pelayanan kesehatan dasar bagi masyarakat. Keberadaan PUSKESMAS di setiap wilayah kerja dalam rangka mendukung pencapaian derajat kesehatan masyarakat yang setingi-tingginya melalui upaya kesehatan masyarakat. Pelayanan kesehatan yang disediakan oleh PUSKESMAS kepada masyarakat meliputi perencanaan, pelaksanaan, evaluasi, pencatatan dan pelaporan. Seluruh komponen pelayanan kesehatan dasar di PUSKESMAS ini selanjutnya diatur dalam suatu sistem. Penelitian ini bertujuan untuk melihat sejauh mana Peran Kepala PUSKESMAS dalam Upaya Peningkatan Mutu Pelayanan Kesehatan. Jenis penelitian ini adalah penelitian kualitatif dengan melibatkan 16 orang pimpinan PUSKESMAS yang ada di Kabupaten Tanjung Jabung Barat. Hasil penelitian menunjukkan bahwa mayoritas informan memiliki masa kerja diantara 6 – 15 tahun, tingkat pendidikan Sarjana/Profesi, dan telah mengikuti pelatihan manajemen PUSKESMAS. Dapat dideskripsikan bahwa informan mampu menceritakan tentang tahapan perencanaan program kegiatan di PUSKESMAS dengan melibatkan beberapa staf yang terkait. Informan juga mampu menjelaskan begaimana mekanisme pengambilan keputusan, khususnya yang berhubungan dengan pelaksanaan pelayanan di PUSKESMAS. Para kepala PUSKESMAS berupaya untuk meningkatkan kemampuan kepemimpinan, karena setiap orang memiliki gaya kepemimpinan yang berbeda. Kata Kunci: Peran, Kepala PUSKESMAS, Mutu Pelayanan

Hipertensi yang juga dikenal sebagai tekanan darah tinggi, merupakan kondisi pembuluh darah yang terus-menerus menaikkan tekanan di atas normal. Secara global, penyakit kardiovaskular menyumbang sekitar 17 juta kematian per tahunnya, hampir sepertiga dari total. Dari jumlah tersebut, komplikasi hipertensi menyumbang 9,4 juta kematian di seluruh dunia setiap tahunnya. Hipertensi adalah salah satu penyebab kematian dini di seluruh dunia dan masalah ini semakin berkembang. Pada tahun 2025, diperkirakan 1,56 miliar orang dewasa akan hidup dengan hipertensi. Terdapat beberapa faktor risiko yang memiliki peran dalam terjadinya hipertensi, termasuk obesitas dan rendahnya aktivitas fisik. Penelitian ini dilakukan di Puskesmas Rawasari Jambi pada bulan April – Mei 2018. Penelitian ini merupakan penelitian analitik observasional dengan menggunakan pendekatan cross sectional. Pengambilan sampel menggunakan teknik nonprobability sampling dengan jumlah sampel 97 responden. Data diperoleh dengan menggunakan wawancara, pengukuran tekanan darah, dan pengukuran tinggi dan berat badan. Data dianalisis menggunakan uji chi-square. Hasil peneltian menunjukkan bahwa dari 97 responden, 41.24% berusia 60 – 69 tahun, 51,55% responden adalah laki-laki, 44,33% responden tamat SMA/MA, 38,14% responden adalah ibu rumah tangga, 53,61% responden mengalami obesitas, 43,40% responden memiliki aktivitas fisik ringan, dan 62,89% memiliki tekanan darah tinggi atau hipertensi. Terdapat hubungan antara obestas dengan hipertensi (p = 0,004), dan terdapat hubungan antara aktivitas fisik dengan hipertensi (p = 0,000). Tekanan darah tinggi dapat dicegah dengan mengadopsi modifikasi gaya hidup sesuai dengan rekomendasi JNC VII.

Pemerintah memiliki peranan penting dalam keberhasilan program pemberdayaan KAT SAD di bidang kesehatan dan sosial. Program pemberdayaan yang dilakukan memiliki keterikatan erat dengan pembangunan berkelanjutan (sustainable development). Tujuan penelitian ini adalah untuk mengetahui peran pemerintah terhadap program pemberdayaan KAT SAD di bidang kesehatan dan sosial serta pengaruhnya dalam pembangunan berkelanjutan (sustainable development). Penelitian ini menggunakan pendekatan kualitatif studi kasus. Data dikumpulkan menggunakan metode triangulasi dan dianalisis dengan menggunakan metode Miles and Hubermen. Hasil penelitian ini menunjukkan bahwa peran serta kebijakan pemerintah dalam pemberdayaan KAT SAD di bidang kesehatan dapat dilihat dengan diterapkannya program pelayanan kesehatan langsung yang diterima KAT SAD seperti Puskesmas keliling, pengobatan gratis dan akses layanan kesehatan ke RSUD Raden Mattaher. Sedangkan dalam bidang sosial, Pemerintah telah berupaya menyiapkan pemukiman dan berbagai bentuk bantuan sosial yang dapat dikembangkan. Namun hal ini belum terealisasikan dengan baik karena KAT SAD belum mampu memberdayakan dirinya maupun keluarganya secara mandiri. Keberlanjutan program pemberdayaan KAT SAD yang telah dilaksanakan belum menunjukkan hasil yang optimal. Hal ini dibuktikan dengan kegiatan yang dilaksanakan tidak berkelanjutan dan belum menunjukkan hasil sesuai dengan harapan dari Pemerintah Provinsi dan Kabupaten Batang Hari, yakni kesetaraan kondisi sosial dan status kesehatan yang mumpuni.

Prevalensi di Puskemas Olak Kemang Kota Jambi memiliki peringkat pertama dari 20 Puskesmas yang ada di Kota Jambi. Penelitian ini bertujuan untuk mengetahui faktor risiko obesitas dan aktivitas fisik yang berhubungan dengan kejadian DM tipe II di Wilayah Kerja Puskesmas Olak Kemang Kota Jambi 2018. Penelitian menggunakan rancangan case control dengan teknik probability sampling dengan jumlah sampel 100 responden. Data dianalisis dengan uji Chi Square dengan CI: 95% dan α=0,05. Hasil penelitian menunjukan bahwa gambaran obesitas dan aktivitas fisik di wilayah kerja Puskesmas Olak Kemang yaitu responden yang obesitas (52,0%), responden yang tidak obesitas (48,0%) dan responden yang memiliki aktivitas fisik cukup (97,0%), responden yang memiliki aktivitas fisik rendah (3,0%). Faktor yang berhubungan dengan kejadian DM tipe II adalah obesitas nilai p value = 0,001; OR = 4,529 yaitu seseorang yang memiliki obesitas beresiko 4 kali lipat mengalami DM tipe II dari yang tidak memiliki obesitas . Sedangkan faktor yang tidak berhubungan dengan kejadian DM tipe II adalah aktivitas fisik p value = 1,000; OR = 0,490 yaitu aktivitas fisik merupakan faktor protektif terhadap kejadian DM tipe II. Kesimpulan dari penelitian ini yaitu terdapat hubungan yang signifikan antara obesitas dengan kejadian DM tipe II di Puskesmas Olak Kemang Kota Jambi 2018.