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Abstract Background Malaria remains an enduring public health concern in Indonesia, exacerbated by its equatorial climate that fosters the proliferation of Anopheles mosquitoes. This study seeks to assess the performance of the malaria elimination programme comprehensively. Methods Between May and August 2022, a qualitative study was conducted in Muara Enim Regency, South Sumatra Province, involving 22 healthcare professionals from diverse backgrounds. These informants were strategically chosen for their pivotal roles in providing profound insights into various facets of the malaria elimination programme. This encompasses inputs such as human resources, budgetary allocation, and infrastructural support; processes like case identification and management, capacity enhancement, epidemiological surveillance, prevention measures, outbreak control, and enhanced communication and educational initiatives; and, notably, the programme’s outcomes. Data were collected through 3-h Focus Group Discussions (FGDs) divided into two groups, each with 12 participants: healthcare professionals and programme managers. Additionally, in-depth interviews (IDIs) were conducted with ten informants. Employing the Input-Process-Output (IPO) model, this study meticulously analysed the healthcare system dynamics and the interventions’ efficacy. Results The study unveiled many challenges during the input phase, including the absence of entomologists and a shortage of diagnostic tools. Despite these obstacles, it documented remarkable accomplishments in the output domain, marked by significant advancements in the distribution of mosquito nets and the successful implementation of the Early Warning System (EWS). Despite the adversities, the programme has made substantial strides towards malaria elimination. Conclusions Urgent action is imperative to bolster the effectiveness of the malaria elimination programme. Key measures encompass augmenting the entomologist workforce, optimizing resource allocation, and ensuring stringent adherence to regional regulations. Addressing these concerns will enhance programme efficacy, yielding enduring public health benefits. This research substantially contributes to Indonesia’s ongoing malaria elimination endeavours, furnishing actionable insights for programme enhancement. Consequently, this research holds significant importance for the malaria elimination drive.

Aim: Perinatal mortality can be used as a reference to assess health status in a country. In Indonesia, none of previous studies specifically discuss the incidence of prenatal mortality by region. The objective of this study was to analyze perinatal mortality difference by region of Indonesia. Study design: This study used a cross-sectional approach. Method: The sample in this study was 13,310 women of childbearing age obtained from the Indonesian Demographic Health Survey (IDHS) 2017. The perinatal mortality rate was calculated using data on stillbirths with a gestational duration of seven months or more and early neonatal deaths. Perinatal mortality was analyzed by region using a binary logistic regression statistical test to examine the relationship between perinatal mortality and its factors (socio-demographic factors, individual disease control factors, and maternal factors). Results: This study shows that the proportion of perinatal mortality in Indonesia is 1.5 % of total births. The highest proportion of perinatal mortality (2.5 %) was in the Papua region, while the lowest proportion (1.3 %) was in the Java region. The results of this study indicated that women in the Maluku Islands had a 1.82 times higher chance of perinatal mortality compared to the Java-Bali region. The causative variable associated with perinatal mortality in the Java-Bali and Papua regions was employment status. The causative variables associated with perinatal mortality in Kalimantan were the quality of antenatal care and delivery assistance. The causative variable associated with perinatal mortality in Nusa Tenggara and Papua was the location of delivery. The causative variable associated with perinatal mortality in Kalimantan, Maluku, and Papua was the mother's age. The causative variable associated with perinatal mortality in the Java-Bali region was parity. The causative variable associated with perinatal mortality in Sumatra was the type of delivery. Conclusion: This study show that there were disparities in the incidence of perinatal mortality between regions in Indonesia. The government needs to re-adjust the existing strategies to improve health status and focus on community empowerment for women to prevent perinatal mortality.

Kurang Energi Kronis (KEK) merupakan masalah gizi pada ibu hamil yang hingga saat ini masih menjadi permasalah gizi di dunia. Upaya yang dilakukan dalam perbaikan gizi ibu hamil KEK adalah dengan pemberian makanan tambahan. Tujuan: untuk mengetahui hubungan program pemberian makanan tambahan dengan ibu hamil kekurangan energi kronik (KEK). Metode: penelitian ini menggunakan literature review dengan cara mengumpulkan artikel yang sesuai topik dan tujuan penulisan yang didapat dari berbagai databased jurnal. Telaah dilakukan dengan menganalisis artikel ilmiah yang didapat dari database elektronik google scholar dan scopus dengan kriteria inklusi, tahun 2013-2023, bahasa indonesia dan bahasa Inggris. Teknik analisis artikel penelitian yaitu dengan format tabel yang berisi penulis, judul, tahun, metode (desain, sampel dan analisis), dan hasil. Hasil: hasil penelitian didapatkan 10 artikel dengan menggunakan perumusan PICO. Berdasarkan 10 artikel penelitian yang diperoleh, menunjukkan bahwa pemberian program pemberian makanan tambahan (PMT) pada ibu hami kekurangan energi kronik (KEK) berpengaruh pada kenaikan asupan energi total, status gizi, berat badan, penambahan lingkar lengan atas (LILA), penurunan kadar malondialdehyde, kekurangan vitamin A dan bayi dengan ibu KEK yang mengonsumsi PMT lahir dengan normal, tidak mengalami BBLR (Bayi Berat Lahir Rendah). Studi literature review ini diharapkan bisa menjadi referensi khususnya dalam bidang kesehatan masyarakat.

North Musi Rawas Regency, based on the results of the 2021 SSGI, is in 5th place for the Regency with the highest stunted toddler prevalence in South Sumatra, which is 28.3%. The results of the situation analysis based on PK21 data show that 12.8% of people there are at high risk of experiencing stunting. One of the efforts that can be made to accelerate the reduction of stunting rates is through university assistance. By the mandate of Presidential Regulation Number 72 of 2021, Musi Rawas University assists in the form of family assistance. This program has carried out by students for one month using counseling and mediation methods. The education provided is in the form of sensitive interventions, including environmental hygiene, using healthy latrines, the importance of clean and healthy water sources, and the importance of parenting patterns in the family. This mentoring activity increased 15% number of visits by toddlers to posyandu, which means that the community is starting to understand the importance of routinely monitoring children's health to prevent stunting

Masih tingginya angka kejadian stunting di Indonesia menurut data SSGI tahun 2021 yaitu 24,4% (Target WHO 20%). Salah satu upaya penanggulangan dan pencegahan yang telah dilakukan pemerintah adalah Scaling Up Nutrition (SUN) movement yaitu gerakan 1000 HPK didasarkan pada Peraturan Presiden nomor 72 tahun 2021 dengan melakukan intervensi spesifik. Artikel ini bertujuan untuk menganalisis pelaksanaan program SUN-Movement dalam penanggulangan kasus stunting. Penelitian ini menggunakan metode literature review yang mengulas 9 artikel. Artikel yang diulas berdasarkan dari hasil skrining dengan membaca semua artikel dan hanya berfokus pada SUN-Movement, Program Penanggulangan Stunting, Stunting Program, dan kata Stunting. Hasil review terhadap 9 artikel di 7 kabupaten/kota di Indonesia bagian barat, bahwa dari 9 intervensi spesifik pada kebijakan SUN-Movement teridentifikasi 6 intervensi telah dilakukan seperti di Aceh Besar dan Subang dilaksanakan pemberian ASI eksklusif. Mengkonsumsi tablet tambah darah pada remaja putri dan ibu hamil, asupan gizi tambahan ibu hamil supaya tidak kekurangan energi kronis sudah dilaksanakan di Palembang, Subang dan Bebes. PMT di Demak sudah dilaksanakan. Bayi di atas 6 bulan diberi MP-ASI sudah dilakukan di Semarang dan Pasaman. Namun intervensi pada balita seperti pelayanan penanganan gizi, tumbuh kembang dipantau, dan imunisasi dasar lengkap belum dilakukan. Terungkap sekitar 3 program intervensi spesifik di 7 kab/kota di Indonesia belum terlaksana.

BackgroundHealth workers who should be role models for the community not to smoke and live a healthy life are still consuming cigarettes. Java and Bali (especially Java) are the biggest contributors to health worker deaths due to COVID-19 in Indonesia. This study aims to determine the association of smoking behavior and hypertension among health workers in Java and Bali. The researchers conducted this study in 2021 and designed it with a cross-sectional design. Data was collected online using the Lime Survey as a data collection tool. The data analysis used was logistic regression to determine the association of smoking and hypertension.ResultA number of 7.6% of health workers were still smoking and 10.4% were suffering from hypertension during the COVID-19 pandemic. This study shows that the proportion of health workers with hypertension is two times that of smokers (18.0%) compared to non-smokers (9.8%). Logistic regression showed that smoking has a 20% higher risk of developing hypertension (OR = 1.97; 95%CI = 1.01–1.41; p = 0.034).ConclusionAmong health workers on the islands of Java and Bali, there are still many who smoke, and this puts them at a higher risk of experiencing hypertension.

Men who engage in sexual relationships with other men (MSM) are consider a high-risk group for HIV transmission, with MSM in Indonesia accounting for 17.9% cases of HIV in 2020. This qualitative study aimed to understand better the factors determining MSMs' motivation to disclose their sexual orientation. This research employed a phenomenological approach to explore the disclosure experiences of MSM in Palembang City. In-depth interviews and observations were conducted with 11 purposively recruited MSM informants and five MSM outreach workers to ensure data triangulation. Documentation and observations of the participants were conducted during various activities at the Intan Maharani Foundation (IMF). MSM participants observed extreme caution when disclosing their sexual orientation and only chose to reveal their sexual orientation to a very limited network, such as close friends, who are MSM, and at risk of HIV transmission. The hesitation to disclosing sexual orientation may be linked to the fact that only a few MSM had ever undergone an HIV test. MSMs, if they choose to, could share their status with Field Outreach (FO) during routine health check-ups. Findings of this study call for further research on barriers that hinder MSM from openly discussing their sexual orientation. Such research can inform policy and program developers on how to improve services, promote health literacy, foster confidence and trust among MSMs, hence facilitating their access to HIV services, enabling them to disclose their HIV status confidentially, safely, and in a respectful environment.

The purpose of this study was to analyze the service quality of government hospitals in Palembang based on the user's perspective and the determining factors as well as the influence of service quality on service user satisfaction of government hospitals in Palembang. The population of this study is all patients in three public hospitals in Palembang. The sample was calculated using the Lemeshow formula with total respondents of 100 patients. The data is obtained through questionnaires using SERVQUAL method. The results show that, service quality that measured by dimensions of tangibility, empathy, reliability, responsiveness and assurances is found to be lower than the patients' expectations. The results also show that service quality has a positive and significant effect on user satisfaction on the government hospitals in Palembang.

The Achievement of the CIBFSC indicator target in Public Health Center of Palembang City can be said to be not optimal because most of Public Health Center have not received 100% capitation payments because they cannot meet the three service commitment indicators. As many as 63% of Public Health Center that do not meet CN indicators; 44% of Public Health Center did not meet the RPPRV indicators and 5% of Public Health Center did not meet the NSRR indicator (KCU Health BPJS Palembang, 2018). The purpose of this research was to analyze the Achievement Factors for Capitation Indicators Based on Fulfillment of Service Commitments (CIBFSC) in Public Health Center of Palembang City. The type of research used was quantitative research with cross sectional study. This research was a population sampling or total sampling, which was 41 CIBFSC Public Health Center program holders in Palembang City. The instruments used in this research included questionnaires, interviews, and observations with bivariate analysis. The results of this research showed that transmission (p = 0,000); clarity (p = 0.007); consistency (p = 0,000); commitment (p = 0,000); incentives (p = 0.056), SOP (p = 0.001); fragmentation (p = 0,000). Keyword : Achievement, CIBFSC, Public Health Center

Introduction: Bengkulu is located on an active collision zone between two tectonic plates, namely the Eurasian Plate and the Indo-Australian Plate. As the result, earthquakes, floods, landslides, and tidal waves are common in Bengkulu. Sepang Bay is part of Bengkulu Province adjacent to the ocean, making it vulnerable to earthquakes and tsunamis. This study aims to examine the relationship between the residential environment and natural disaster preparedness in Sepang Bay, Bengkulu Regency. Methods: The type of research used is analytical observation with cross-sectional design. Data are collected from interviews, questionnaires, observations, and documentation from a total of 100 respondents selected by proportional random selection from each neighborhood in Sepang Bay Village, based on the proportion of heads of family in each neighborhood. Results and Discussion: When an earthquake occurs, there is a relationship between the residential environment and the community’s preparedness. As the existing supporting infrastructure is not properly utilized, people who live in substandard settlements do not have adequate equipment to deal with seismic disasters. When an earthquake occurs, there is a relationship between the settlement environment and the community’s preparedness. Because the existing supporting infrastructure is not being used properly, people who live in poor settlements have poor preparedness as well. Conclusion: The Sepang Bay Village Community, Bengkulu, which is located along the Panjang Beach, found a relationship between the settlement environment and earthquake preparedness (p = 0.021, PR 2.127).

District North Bengkulu is still designated as a focus district for integrated stunting reduction interventions. How to implement nutrition intervention in stunting management. The research uses qualitative methods with an exploratory evaluation study design. The research was carried out from March to June 2021. The main informant was the head of the public health center, nutritionist, midwife.. Secondary informant Head of the Nutrition Section of the Health Office. Handling stunting reduction with specific nutrition interventions, which began in 2017, has partially reached the target. Implementation has implemented effective communication, position, resources, bureaucracy starting from Health Office, Head of Puskesmas, Nutrition Officer, Coordinator Midwife and to pregnant women, breastfeeding mothers. Implementation of stunting reduction policies through specific nutrition interventions. Communication on the implementation of stunting reduction policies has been carried out in accordance with bureaucratic mechanisms. The available resources are sufficient, so that the application of the concept of specific nutrition interventions can be implemented. The disposition and structure of the bureaucracy within the Health Office has been running in accordance with the existing bureaucratic mechanisms, the implementation of policies can be carried out according to the objectives.Keywords: Policy, Stunting, Communication, Resources, Bureaucracy

Background: Maintaining physical distance, washing hands, and wearing masks during the COVID-19 pandemic are very important in preventing the spread of the virus. However, although the use of facemasks is relatively easy to do, its compliance is considered low. Objective: This study aimed to analyze compliance in wearing masks during the COVID-19 pandemic. Methods: This cross-sectional study was conducted on 400 residents in Palembang, Indonesia, selected using simple random sampling from August to September 2021. Data were collected using online questionnaires and analyzed using descriptive statistics, Chi-square, and multivariate using logistic regression. Results: The findings revealed that sex, education, and employment status were significant relationships to compliance to wearing masks (p0.05). Multivariate analysis showed only perceived severity and cues to action had a significant relationship with compliance to wearing masks after it was controlled by the sex variable (p

As dental health professionals, dentists have an obligation, ethical responsibility, and moral duty to ensure that they must obey standard precaution procedures to prevent the transmission of infectious diseases. This study aims to analyze associated factors affecting compliance to implementing standard precautions on a dental clinical student in Dental Hospital of South Sumatera Province. This was a cross-sectional study which was conducted in the Dental Hospital of South Sumatera Province. All clinical students becoming samples who are taken by total sampling (n=113). The data were obtained from the respondent who had filled out the questionnaires. Data were analyzed by chi-square test and binary logistic. The result obtained that 79,6% of dental clinical students adhered to standard precautions. Knowledge, attitude, work climate, leadership management support, facilities, training, and obstacles were found to be statistically significant in the chi-square test (p-value0,05). A binary logistic test showed leadership management support as dominant variable that affecting compliance in standard precautions (p-value=0,0008), OR=5,336 (95%CI:1,561-18,242). As the key of management support, the leader is not only as a policymaker but also as a mentor about technical and evaluation instructions regarding standard precautions.

Kualitas hidup dimasa tua merupakan persepsi subjektif yang mempengaruhi status kesehatan baik fungsi fisik, psikologis dan kesejahteraan sosial serta kemampuan fisik yang baik, merasa cukup secara pribadi dan masih merasa berguna, partisipasi dalam kehidupan sosial, dan baik dalam sosial ekonominya. Penyakit kronis tidak mudah dihadapi bukan hanya karena sifat penyakitnya atau perawatannya, melainkan karena penyakit itu harus diderita untuk waktu yang lama. Penyakit Kronis yang dialami oleh masyarakat dewasa ini akan memberikan dampak dan beban bagi keluarga, bila penanganan dilakukan secara tidak intensif dan berkelanjutan. Penelitian ini bertujuan untuk menganalisis kualitas hidup lansia peserta prolanis penderita hipertensi. Metode penelitian dengan desain cross-sectional, sampel sebanyak 87 lansia yang memenuhi kriteria inklusi dan ekslusi di wilayah kerja Puskesmas Kenten Laut. Teknik pengambilan sampel dengan total sampling. Analisis data uji regresi binary logistik. Hasil penelitian diperoleh angka kualitas hidup lansia peseta prolanis yang menderita hipertensi dengan kualitas hidup yang buruk adalah 44,8%. Terdapat hubungan anatara jenis kelamin dengan kualitas hidup lansia peserta prolanis penderita hipertensi (p-value 0,013, terdapat hubungan antara lama hipertensi dengan kualitas hidup lansia peserta prolanis penderita hipertensi (p-value 0,011), terdapat hubungan antara riwayat penyakit lain dengan kualitas hidup lansia peserta prolanis penderita hipertensi (p-value 0,003), terdapat hubungan antara keteraturan konsumsi obat dengan kualitas hidup lansia peserta prolanis penderita hipertensi (p-value 0,018). Variabel yang paling dominan berpengaruh terhadap kualitas hidup responden prolanis yang menderita hipertensi adalah lama hipertensi p-value < 0,05 yaitu 0,001, maka dapat dilakukan peningkatan kualitas hidup lansia dengan meningkatkan mutu pelayanan prolanis penderita hipertensi Kata Kunci : Kualitas Hidup, Lansia, Hipertensi

The low utilization of IPV immunization services in Palembang in 2017 was 66,7% while the national target was 95%. The purpose of this study was to determine the factors associated with the utilization of IPV immunization services in Palembang. The study was conducted in September-October 2018, the population was 3570 mothers who had babies who were targeted by IPV immunization, 400 samples of mothers who have babies are targeted by IPV immunization in 5 health centers in Palembang by random sampling. Research using quantitative methods with cross-sectional design. Data collection instruments were questionnaires based on the concept of health trust models, interviews, and observations, the data were analyzed using multiple logistic regression. The results showed that 84.5% of mothers used IPV immunization services in Palembang. The results of multiple logistic regression showed that the family support variable (PR=2,015), knowledge of the mother variable (PR=2,164), the availability of health care facility variables (PR=2,376), and variable support for health workers (PR=3,601) affect the utilization of IPV immunization services in Palembang City. Conclusion: variable support for health workers is the variable that has the greatest influence on the utilization of IPV immunization services in Palembang.

Background: Nutritional problems do not always occur in poor families, in fact many of under five years in poor families in good nutritional status which have normal height (not stunting) based on the parenting in the family. The positive parenting in poor families are feeding habit, parenting habit, hygiene habit and health services habit. Objectives: This research aim to observe the parenting of feeding habits, parenting habits, hygiene habits and health services habits on the incidence of toddler’s stunting on poor families in the city of Palembang. Methods: This research was an observational study which using a quantitative approach with a Cross Sectional Study design. It took 100 mothers who have children aged 24-59 months from poor families in the city of Palembang were chosen by proportional random sampling.Data taken regarding feeding habits, parenting habits, hygiene habits, and health services habits obtained through questionnaires, and the incidence of child stunting obtained from measurements of children's height using a toddler's height measurement tool. Data analysis to observe the relationship between variables using the Chi-Square test. Results: The results showed the proportion of toddler stunting in poor families in the city of Palembang was 29%. There was a significant correlation between feeding habits (p-value = 0.000); parenting habits (p-value = 0.001; hygiene habits (p-value = 0.021) and health services habits (p-value = 0.000) on the incidence of toddler’s stunting. Conclusion: Normal height (not stunting) toddlers have positive deviance of feeding habits, parenting habits, hygiene habits and health services habits better than stunting under five years with same economic backgrounds family

ABSTRAKS Latar Belakang : Pandemi COVID-19 merubah tatanan kehidupan di masyarakat, dimana kebiasaan hidup bersih dan sehat harus diterapkan dalam kehidupan sehari-hari guna mencegah penyebaran penyakit ini. Salah satu upaya dalam membiasakan perilaku hidup bersih dan sehat adalah melalui pendidikan di sekolah. Usaha Kesehatan Sekolah (UKS) diharapkan mampu menjadi salah satu wadah dalam meningkatkan kemampuan dan keterampilan siswa untuk membentuk perilaku hidup sehat. Perilaku hidup bersih dan sehat merupakan kunci utama memutus rantai penyebaran COVID-19. Tujuan: Penelitian ini bertujuan ntuk menganalisis dampak pandemi COVID-19 terhadap pelaksanaan UKS pada Sekolah Dasar di Kecamatan Tuah Negeri. Metoda: Penelitian ini merupakan penelitian kualitatif eksploratif yang dilakukan di 5 SD di Kecamatan Tuah Negeri. Informan penelitian adalah Kepala Puskesmas, Pemegang Program UKS Puskesmas, Kepala Sekolah, Guru Pembina UKS dan siswa pada Sekolah Dasar di Kecamatan Tuah Negeri. Analisis data menggunakan teori Miles, Huberman melalui tahap reduksi, penyajian, serta verifikasi dan pengujian keabsahan data dilakukan dengan metoda triangulasi. Hasil: Pelaksanaan Trias UKS pada SDN di Kecamatan Tuah Negeri pada pandemi covid-19 tetap berjalan. Pendidikan kesehatan lebih ditekankan pada penyuluhan Perilaku Hidup Bersih dan Sehat (PHBS) dan protocol kesehatan. Pelayanan kesehatan terbatas pada pemantauan status gizi dengan pengukuran tonggi dan berat badan, kegiatan imunisasi anak sekolah tetap dilakukan oleh puskesmas tapi tidak mencapai sasaran yang diharapkan. Dalam hal Pembinaan lingkungan sekolah, pada umumnya sekolah sudah menyediakan sarana dan prasarana cuci tangan di setiap kelasnya. Kesimpulan: Pelaksanaan UKS selama pandemi COVID-19 pada SDN kecamatan Tuah Negeri tetap dilaksanakan, tetapi tidak optimal dalam pelaksanaanya, karena adanya regulasi pencegahan COVID-19 yang jumlah siswa yang boleh hadir setiap hari dan waktu belajar di sekolah. Kata Kunci: Trias UKS, COVID-19, Pelayanan Kesehatan, Pendidikan Kesehatan, Pembinaan Lingkungan Sekolah

Inisiasi menyusu dini (IMD) merupakan salah satu kebijakan pemerintah untuk dapat menurunkan Angka kematian neonatus (AKN) dan meningkatkan cakupan ASI eksklusif. Cakupan IMD dan ASI Eksklusif sendiri masih rendah berdasarkan data yang ada di Dinas Kesehatan Kota Palembang. Tujuan penelitian ini untuk Menganalisis hubungan Inisiasi Menyusu Dini (IMD) terhadap pemberian ASI Eksklusif di wilayah kerja Puskesmas Makrayu Kota Palembang. Penelitian ini dilakukan pada bulan September 2018. Populasi penelitian ibu-ibu yang mempunyai balita. Sampel penelitian sebanyak 110 orang dengan menggunakan Purposive Sampling. Penelitian ini menggunakan metode kuantitatif, dengan desain cross sectional. Instrumen pengumpulan data berupa kuesioner, wawancara, dan observasi serta data dianalisis dengen regresi logistik ganda. Hasil penelitian menunjukan bahwa ada hubungan Inisiasi Menyusu Dini (IMD) (p = 0,001); pendidikan (p= 0,023); pengetahuan (p = 0,000); sikap (p = 0,011); ketertarikan promosi susu formula (p = 0,000); dukungan keluarga (p = 0,003); dukungan petugas kesehatan (p=0,000) terhadap pemberian ASI eksklusif. Berdasarkan hasil multivariat dengan uji regresi logistik variabel Inisiasi Menyusu Dini (IMD) (p = 0,045) dan variabel dukungan petugas kesehatan (p = 0,005) merupakan variabel yang dominan terhadap pemberian ASI eksklusif. Sehingga dapat disimpulkan variabel IMD dan dukungan petugas kesehatan berpengaruh terhadap pemberian ASI Eksklusif.

Latar Belakang: Tata kelola klinis bertujuan untuk memastikan bahwa layanan kesehatan berjalan sesuai dengan standar keamanan yang tinggi dan kualitas berkelanjutan. Komite Medis bertanggung jawab untuk pelaksanaan tata kelola klinis yang baik di rumah sakit. Penelitian ini bertujuan untuk mengetahui peran Komite Medik dalam tata kelola klinis rumah sakit di era Jaminan Kesehatan Nasional (JKN) pada RS Umum Daerah (RSUD) di Provinsi Jambi. Metode: Desain penelitian bersifat kualitatif. Pengumpulan data dari Agustus hingga Desember 2016 di tiga RSUD kelas C di Provinsi Jambi dan mencakup 23 informan yang diambil melalui wawancara mendalam dan Focus Group Discussion. Hasil: Hasil penelitian menunjukkan bahwa Komite Medik belum berperan optimal dalam proses kredensialing, pemeliharaan mutu profesi dan penjagaan disiplin/etika profesi. Tugas dan fungsi kredensialing di beberapa rumah sakit belum berjalan sebagaimana mestinya (karena digunakan untuk persyaratan penerimaan dokter baru, tetapi tidak untuk menyaring kompetensi dokter), terkesan formalitas, serta sulit dilakukan karena belum memiliki Mitra Bestari. Kebijakan Jaminan Kesehatan Nasional memberi pengaruh baik terhadap peran komite medik dalam tata kelola klinis RS, karena terdapat beberapa regulasi atau peraturan pelaksana tentang JKN yang terintegrasi dengan peran komite medik, khususnya pada aspek kendali mutu kendali biaya. Kesimpulan: Dapat disimpulkan Komite Medik secara umum belum berperan optimal dalam tata kelola klinis pada RSUD Kelas C di Provinsi Jambi. Oleh karena itu, rumah sakit perlu meningkatkan kompetensi, etika dan disiplin profesi medik, serta penyempurnaan regulasi terpadu terkait tata kelola klinis di rumah sakit. (Health Science Journal of Indonesia 2018;9(2):100-6) Kata kunci: komite medik, tata kelola klinis, RS, Jaminan Kesehatan Nasional. Abstract Background: Clinical governance aims to ensure that health services run according to high safety standards and ongoing quality. The medical committee is responsible for the implementation of good clinical governance of the hospital. This study aims to analyze the role of the medical committee in the clinical governance of hospitals in the era of National Health Insurance (JKN). Methods: The research design is qualitative. Data collection spans from August to December 2016 in three hospitals in Jambi Province and includes 23 informants who were observed throughout in-depth interviews and focus group discussions. Results: The results show that the medical committee has not played an optimal role in the process of credentialing, maintaining professional quality, and guarding the discipline/professional ethics of the hospital. The duties and functions of credentials in some hospitals are not working properly (because used to apply to new doctor admission requirements, but not as to screen the competence of doctors), seem excessively formal and difficult to implement because they do not have Mitra Bestari yet. JKN policy has a good influence on the role of the medical committee in the clinical governance of the hospital, as there are several regulations that are integrated with the role of the medical committee, especially in the areas of quality control and cost control. Conclusion: It can be concluded that the medical committee in general has not played an optimal role in the clinical governance of hospitals in Jambi Province. Therefore, it is necessary to improve the competence, ethics, and discipline of the medical profession in addition to integrating regulations related to clinical governance in hospitals. (Health Science Journal of Indonesia 2018;9(2):100-6) Keywords: Medical committee, clinical governance

Local-food-based complementary feeding (LFBCF) practice may be an important approach in the growth and development of children aged 6 to 24 months. This study aimed to describe potential barriers in implementing local food-based complementary feeding practices among mothers in Banyuasin regency, Indonesia. A qualitative study was conducted by using 24 semi-structured interviews and a focus group discussion. Participants were 24 mothers with children aged 6 to 24 months in Banyuasin Regency, Indonesia that recruited purposively. Data were analyzed using thematic analysis. The majority of the mothers were 20-30 years old. All participants have implemented LFBCF practice because local food ingredients are easy to find locally at an affordable price. Community cadres assisted village midwives in integrated health post service such as disseminating information concerning local food recipes and facilitating information exchange among mothers regarding complementary feeding practice. Three main emerged themes identified from this study were: mother's knowledge about local food recipes, mother's knowledge about healthy complementary food preparation, child-eating behavior. Improving the nutritional status of children starts with the family by motivating mothers to provide complementary foods, which also requires the support of local cadres.

Background: Feeding or eatinggood upbringing which affects the development growth and intelligence of children. For that, it is necessary for feeding patterns or parenting eat right and balanced in order to stay healthy and avoid infection or other diseases related to nutrition. A balanced diet is eating according to the composition of food that our body needs in portions adapted to the needs of children at each age. Methods: Respondents in this study are the parents of kindergarten children Rabbani North Indaralaya with a range of aged 4-6 years. Implementation of FGD was attended by 12 people, consisting; three researchers, two minutes, and seven respondents. Respondents selected through purposive sampling,based on predetermined criteria and is considered capable of answering research problems. The purpose of the study is to explore more deeply about parenting feeding mothers in Ogan Ilir associated with understanding (the concept of balanced nutrition, quantity of feeding practices in terms, frequency, form, variety, and type of food). This study used a qualitative approach. The data collection technique is Focus Group Discussion. Data processing was done manually using the content analysis method (analysis). Results: The results showed majority of mothers do not understand that concept of balanced nutrition, for this aspect the number of feeding infants in Ogan Ilir still do not meet the nutritional needs to children as seen from the children often do not prepare food to consume by their mother if the child does not as the dishes served. From the aspect of the frequency, almost mothers only give meal 2-3 times and one times an additional food during the day. From this aspect of a mother, a form has given the same food with family to meal, but this menu gives only food in like a child. In terms of variety of food provided to children are still less, and most children do not consume vegetables and fruit.Conclusions:Mother feeding patterns in children are not good, lack of parental support in providing food resulted in children accustomed to eating that is not good. Appropriate educational media is the required age of children to increase the child's knowledge about nutritious food and motivate children to want to eat nutritious food.

In developing countries generally, the incidence of anemia in pregnancy is still a major public health problem. This study aims to analyze the compliance of consuming Iron tablets with the incidence of anemia on pregnant mothers in the third trimester at Bengkulu city. This study used cross-sectional design, samples were third trimester pregnant mothers taken by purposive sampling as many as 106 pregnant mothers. Data analysis was carried out by using chi-square and binary logistic regression test. The results of Chi-square test on factors related to compliance, it was obtained that consumption of iron tablets, ANC services, ANC visits, and availability of iron tablets were significantly relationship with the incidence of anemia (p-value

Introduction: Establishment of patient safety culture is the first step in the improvement of patient safety. As such, assessment of patient safety culture in hospitals is of paramount importance. Patient safety culture is an inherent component of organizational culture, so that the study of organizational culture is required in developing patient safety. This study aimed to evaluate patient safety culture among the clinical staff of a hospital in Jakarta, Indonesia and identify organizational culture profile. Materials and Methods: This cross-sectional, descriptive, qualitative study was conducted in a hospital in Jakarta, Indonesia in 2014. Sample population consisted of nurses, midwives, physicians, pediatricians, obstetrics and gynecology specialists, laboratory personnel, and pharmacy staff (n=152). Data were collected using the Hospital Survey on Patient Safety Culture developed by the Agency for Healthcare Research and Quality (AHRQ) and Organizational Culture Assessment Instrument (OCAI). Results: Teamwork within units” was the strongest dimension of patient safety culture (91.7%), while “staffing” and “non-punitive response to error” were the weakest dimensions (22.7%). Moreover, clan culture was the most dominant type of organizational culture in the studied hospital. This culture serves as a guide for the changes in the healthcare organization, especially in the development of patient safety culture. Conclusion: According to the results of this study, healthcare providers were positively inclined toward the patient safety culture within the organization. As such, the action plan was designed through consensus decision-making and deemed effective in articulating patient safety in the vision and mission of the organization.

Remunerasi dapat memengaruhi motivasi pegawai sekaligus meningkatkan kinerjanya. Demikian halnya di rumah sakit sebagai institusi pelayanan kesehatan yang padat modal, sumber daya manusia serta padat ilmu dan teknologi. Penelitian ini bertujuan untuk menganalisis persepsi pegawai terhadap implementasi sistem remunerasi dan kinerja unit pelayanan bedah jantung dewasa (UPBJD) di rumah sakit. Penelitian ini menggunakan pendekatan mixed methods (kuantitatif dan kualitatif). Desain penelitian kuantitatif adalah potong lintang menggunakan instrumen kuesioner self-assessment. Sedangkan desain penelitian kualitatif adalah deskriptif, dilakukan melalui focus group discussion dan telaah dokumen pada data berupa buku jadwal, buku registrasi, catatan keperawatan, dan rekam medis. Pengambilan data dilakukan pada tahun 2013 di salah satu rumah sakit di Jakarta. Responden/informan adalah staf medis fungsional, perawat, dan petugas administrasi berjumlah 29 orang. Data dianalisis secara univariat (metode kuantitatif), dan content analysis (metode kualitatif). Hasil penelitian menunjukkan bahwa sebagian besar staf medis fungsional dan perawat tidak puas (71,2%) dengan beberapa hal dalam penerapan sistem remunerasi, seperti pada sistem penggajian dan penentuan grading. Terlihat kinerja unit pelayanan bedah jantung dewasa mengalami kenaikan setiap tahun sebelum dan setelah penerapan sistem remunerasi. Diharapkan agar rumah sakit ini dapat memperbaiki sistem remunerasi yang sesuai ketentuan kebijakan dan menyusun formulasi insentif dan bonus yang lebih sesuai dengan kondisi saat ini serta perlu dilakukan sosialisasi yang tepat dan evaluasi secara berkala. Implementation of Remuneration System and Service Performance Remuneration can influence worker`s motivation, and improve their performance. Likewise in hospital as capital-intensive, human resources-intensive as well as knowledge and technology-intensive health care institution. This study aimed to analyze employee’s perception of remuneration system implementation and adult cardiac surgery services unit’s performance at hospital. This study used a mixed method approach (quantitative and qualitative). Quantitative study design was cross-sectional using questionnaire for self-assesment. Meanwhile, qualitative study design was descriptive conducted through focus group discussion and document review on data in forms of schedule book, registration book, nursing notes and medical records. Data collection was conducted in 2013 at one hospital in Jakarta. Respondents/informants were functional medical staff, nurses, and administration staff amounted to 29 people. Data was analyzed using univariate and content analysis techniques. Results showed most functional medical staff dan nurse were unsatisfied (71.2%) with several things in remuneration system implementation, such as in payroll system and grading determination. However, adult cardiac surgery services unit’s performance is increasing every year before and after the implementation of remuneration system. This hospital is expected to improve the remuneration system in accordance with policy and arrange incentive formulation that is more appropriate with current condition as well as followed with proper socialization and periodical evaluation.

In order to achieve the vision and mission, every hospital must implement Good Corporate Governance (GCG). Its implementation aims to optimally improve performance of employees that will finally improve organizational performance. This study aimed to analyze the relation between principles of GCG and performance of civil servants of the Natuna Field Hospital in Anambas Islands District. This analytical descriptive study using cross sectional design involved 56 civil servants as samples. Data was collected in 2012 using a structured questionnaire. This study used chi square and logistic regression tests. Multivariate model was simplified by eliminating the confounding variables using backward stepwise method. This study found two variables significantly related to performance of civil servants, namely implementation of fairness and transperancy principles. Both were the most related variables to the performance of civil servants. Abstrak Dalam rangka mencapai visi dan misi, setiap rumah sakit harus menjalankan tata kelola perusahaan yang baik (Good Corporate Governance/GCG). Penerapan GCG sendiri bertujuan untuk meningkatkan kinerja pegawai secara optimal, yang akhirnya akan meningkatkan kinerja organisasi. Penelitian ini bertujuan untuk menganalisis hubungan penerapan prinsip-prinsip GCG terhadap kinerja pegawai negeri sipil (PNS) Rumah Sakit Umum Lapangan Natuna Kabupaten Kepulauan Anambas. Jenis penelitian ini adalah deskriptif analitik dengan desain potong lintang pada 56 PNS. Pengumpulan data dilakukan pada tahun 2012 dengan kuesioner terstruktur. Digunakan analisis dengan uji kai kuadrat dan regresi logistik, dan untuk penyederhanaan model dilakukan eliminasi terhadap faktor perancu dengan menggunakan metode backward stepwise. Penelitian ini menemukan dua variabel yang signifikan berhubungan dengan kinerja PNS, yaitu penerapan prinsip fairness dan penerapan prinsip transparancy. Keduanya merupakan variabel yang paling berhubungan dengan kinerja pegawai negeri sipil.

Kunjungan pasien Jaminan Sosial Kesehatan (Jamsoskes) di puskesmas pembina selama tahun 2009 adalah 24.014 orang. Kunjungan per catur wulan memperlihatkan trend yang menurun. Jumlah pengunjung puskesmas pembina pada periode bulan Januari – April 2009 adalah 9.295 orang, pada Mei – Agustus 2009 adalah 8.162 orang, dan September – Desember 2009 adalah 6.557 orang. Hal ini dapat disebabkan oleh minat masyarakat yang rendah untuk menggunakan Jamsoskes. Oleh sebab itu, perlu dilakukan kajian kualitas pelayanan Jamsoskes menurut perspektif pasien. Penelitian dengan desain cross sectional ini menggunakan data primer yang dilakukan dengan metode wawancara terstruktur atau survei. Sampel terdiri dari 100 pasien Jamsoskes yang mendapat pelayanan di puskesmas pembina dengan metode analisis kesesuaian kinerja (importance-performance analysis/IPA). Berdasarkan hasil penelitian diketahui bahwa rata-rata tingkat kesesuaian antara kinerja dan harapan pasien pada pelayanan Jamsoskes di puskesmas pembina adalah 83,44%. Terdapat dua atribut pada dimensi kualitas pelayanan yang masih perlu ditingkatkan meliputi pemberian perhatian oleh dokter terhadap keluhan-keluhan pasien tentang penyakit serta kenyamanan dan kerapian ruang pengobatan di poli umum. Peran dokter sebagai fasilitator kesembuhan pasien perlu ditingkatkan melalui sikap empati atas berbagai keluhan penyakit pasien serta mempertimbangkan penataan ulang ruangan pelayanan untuk kenyamanan pasien. Kata kunci: Analisis kesesuaian kinerja, jamsoskes, kualitas, puskesmas Abstract The sum of social health assurance (Jamsoskes) patients in puskesmas pembina during 2009 was 24.014 people. There was a decrease in per quarter visits. The sum of patients visit in January to April 2009 was 9.295 people, May to August 2009 was 8.162 people, and September to December 2009 was 6.557 people. This can be caused by the low interest of community to utilize Jamsoskes service. Thus, it should be reviewed 105 about the quality of Jamsoskes service according to the patients’ perspective. This research was quantitative survey. The sample was 100 patients of Jamsoskes at puskesmas pembina. Data were collected through interviews using a questionnaire and analyzed by the importance-performance analysis. The average of balance level between service performance and expectation of patients was 83,44%. There were two attributes in the dimensions of service quality that need to be increased: the phycisian attention to the patients complaints about their diseases and convenience and neatness of the treatment room at the general polyclinic. The role of physician as a facilitator of healing to the patient needs to be improved through the attitude of empathy on patient complaints. Keywords: : Importance performance analysis, social health assurance, quality, primary health center

Diabetes mellitus (DM) is a chronic disease with an increasing prevalence on a global scale, including in Indonesia. Based on the International Diabetes Federation (IDF) data, Indonesia ranks fifth in the world in terms of the number of people living with diabetes. In 2021, there were an estimated 19.5 million individuals with diabetes in Indonesia, a figure that is predicted to reach 28.6 million by 2045. Additionally, Indonesia is ranked third in the world for the highest number of undiagnosed cases and sixth for the highest number of deaths related to diabetes globally in 2021. However, it is important to note that Indonesia has a robust primary healthcare system, including the JKN program and the promotion of preventive measures regularly implemented at the primary care level. One of the initiatives designed to enhance the quality of life of individuals with diabetes is the Chronic Disease Management Program (Prolanis). Method: A cross-sectional study explored the relationship between the Diabetes Mellitus Chronic Disease Management Program (Prolanis) and outpatient visits for patients with diabetes mellitus at Class C Palembang Hospitals in 2023. The research utilised secondary data derived from various sources, including 5168 health service data of BPJS Kesehatan, previous research, scientific studies, and the interrelationship between eight independent variables. It was then evaluated using the correlation analysis method and multiple logistic regression. Result and Discussion: The results of the study demonstrate a notable correlation between participation in the JKN program pvalue=0.000 < 0.05, utilization of primary healthcare services pvalue=0.000 < 0.05, HbA1C 0.000<0.005 and engagement in physical activity pvalue=0.009 < 0.05 with the Prolanis DM program and outpatient visits for individuals with diabetes at the Class C Palembang Hospitals in 2023. Conclusion: A reduction in the number of outpatient visits was observed among DM sufferers who participated in the Prolanis program actively participate that influenced JKN membership, health facility, HbA1C result and education physical activity. [ABSTRACT FROM AUTHOR]