Miracle Journal of Public Health (MJPH)
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BPJS Health Patient Satisfaction in Health Services at Udayana Hospital Denpasar
Get PDFThe National Health Insurance with one of its main focuses is to increase participant satisfaction with a satisfaction target in 2020 of 85%. The quality of service received by patients includes aspects of reliability, assurance, responsiveness, tangibles, and empathy. The current problem is that there is no written report on the length of waiting time for services in hospitals The purpose of the study is to find out the relationship between service quality and patient satisfaction at Udayana Hospital Denpasar. This research is quantitative research with analytical surveys and cross-sectional research designs. The study population was 1743 people and a sample of 95 people who were patients participating in BPJS Kesehatan at Udayana Hospital Denpasar. This study used a statistical test of Pearson correlation. The results of the data analysis showed a relationship between service quality and patient satisfaction of BPJS Kesehatan at Udayana Hospital Denpasar, with a value of r = 0.419 and a significant value of p = 0.000, a significant level used by 5% (0.05). The most influential aspect is assurance which includes the availability of doctors who are experts in their fields, reliability, friendliness and courtesy of nurses. It can be concluded that the quality of service received by the patient affects the satisfaction of the patient himself. Advice for Udayana Denpasar Hospital to improve the quality of health services for all patients, especially in aspects that are still in the moderate category, namely responsiveness, reliability and tangible
Mapping the Malaria Receptivity Area in Biak Regency, Papua Province
Get PDFMalaria is an infectious disease caused by the protozoan parasite of the genus Plasmodium. This disease is transmitted through the bite of the Anopheles mosquito. Malaria is found in almost all parts of the world,According to data from the Ministry of Health, the incidence of malaria in Papua is 64,030 per 1,000 population. The purpose of this study was to determine the malaria receptive area in Biak Regency. The working area of the Bosnik Health Center and the Marauw Health Center. The material used in this study is the Larvae Entomology Survey Kit, the method used in this study is the Observational Survey of Anopheles Sp. The results of this study were from 8 breeding place points conducted by a larval survey, 2 positive points of Anopheles Sp larvae were found which were located in 2 villages, namely Orwer Village and Marauw Saba Village, Biak Regency, Papua Province. Anopheles Sp larvae were still found in Orwer and Saba villages and were included in the Malaria Receptive Area Category.It is necessary to prevent and control malaria vectors in the work area of the Biak Numfor District Health Office, both physically (pond stockpiling/sanitation engineering), chemical (insecticide and larvicide administration) and biologically (sowing fish as natural predators of Anopheles Sp larvae).
 
An Analysis of Risk Factor for ARI Incidence in Toddlers in the Working Area of the Liwuto Public Health Center Baubau City
Get PDFARI is a disease that ranks first out of the top 10 diseases at the Liwuto Health Center, Baubau City. In 2018 the incidence of ARI in toddlers was 97 (26.1%) cases, in 2019 there were 124 (28.9%) cases and in 2020 period January-November ARI cases in toddlers were 77 (22.9%) cases. This study aimed to determine the analysis of risk factors for ARI incidence in toddlers in the working area of the Liwuto Health Center, Baubau City. The type of study was analytical research using a quantitative approach with a Case-Control Study method. The population was all toddlers aged 1-5 years who suffered from ARI in the 2020 for the January-November period, namely 77 cases. The sampling used simple random sampling to get a case sample of 44 people and 44 people control, while the total sample was 88 people. The method of analysis uses Odds Ratio (OR). The results showed that the risk factors for ARI incidence in toddlers with calculated OR values obtained immunization status OR = 2.1 (LL =0.364; UL =12.106), the clean and healthy lifestyle behavior OR = 3.7 (LL =1.551; UL =9.068 , exposure to cigarette smoke OR = 5.2 (LL =2.096 ; UL =13.149). The conclusion of this study is that immunization status, the Clean and Healthy Lifestyle Behavior and exposure to cigarette smoke are risk factors for ARI incidence in toddlers. It is recommended to Public Health Center can take preventive steps that can reduce the occurrence of ARI
Relationship between Traders Behaviour in Applying Health Protocols to Covid-19 Incidents in the New Normal Era at Batam's Botania Market
Get PDFThe implementation of health protocols is an effort made to ensure that individuals and communities remain healthy and protected from Covid-19. In the working area of the Batam City Health Center, the highest number of Covid-19 cases is in the first place. This study aims to determine the relationship between the behaviour of market traders and the new normal era of Covid-19 cases at the Batam Botania Market. This research is a quantitative analytic observational study with a cross-sectional design. The population in this study amounted to 57 respondents using the total sampling technique. The instrument used in this study was a questionnaire. The results showed that there was a relationship between attitudes (p-value = 0.006 <a 0.05) and actions (p-value = 0.053 <a 0.05) and there was no relationship between knowledge (p-value = 1.000 >a 0, 05) on the Covid-19 case at the Batam Botania Market. Suggestions for the community to further improve behaviour in the main family environment, in order to increase efforts to prevent transmission of the Covid-19 virus during the current pandemic. The conclusion of the study is that there is no relationship between knowledge and action in the application of health protocols during the Covid-19 period. There is a relationship between the attitude toward applying health protocols to the incidence of Covid-19. Suggestions for the public to apply health protocols during the Covid-19 period to avoid widespread spread.
 
Determinants of Increased Risk Coronary Heart Disease in Posbindu PTM Participants in Jayapura
Get PDFCoronary Heart Disease (CHD) is the leading cause of death in the world. The prevalence of heart disease in Papua Province is 4.3%, while in Jayapura City is 1.6%. The purpose of this study was to determine the determinants of the increased risk of coronary heart disease in PTM posbindu participants in the working area of the Kotaraja Health Center. This design study used a cross-sectional study. The sample is 52 Posbindu PTM participants who are recorded in the SIPTM Offline Form during 2020. The sampling technique uses total sampling. Statistical test using Chi-Square test and Fisher Exact test. A total of 12 people (23.08%) posbindu participants were at high risk of suffering from CHD, as many as 16 people (30.77%) were at moderate risk of suffering from CHD, and as many as 24 people (46.15%) were at low risk of suffering from CHD in the next 10 years. As many as 81.82% of posbindu participants aged 40 years are at high risk and are suffering from CHD in the next 10 years, and 70% of posbindu participants with hypertension are at high risk and are suffering from CHD in the next 10 years. The results of the statistical analysis found that age (p=0.000), gender (0.011), and a history of heart disease (p=0.011) were associated with an increased risk of CHD in PTM Posbindu participants. Factors associated with an increased risk of CHD are age, gender, and history of heart disease. Strengthening the PTM Posbindu needs to be done to monitor a healthy lifestyle, control blood pressure, and nutritional counselling to control unhealthy diets
The Gait of BTKLPP Ambon in Efforts to Eliminate Filariasis in Eastern Indonesia
Get PDFFilariasis is one of tropical diseases that can lead to permanent disabilities and social stigma in society. Indonesia has chronic cases up to 9354 people by 2021, and Papua is the province with the most chronic cases, namely 3629. This paper aims to expand the work of BTKLPP Ambon to describe his efforts to eliminate filariasis in eastern Indonesia. The elimination effort took the form of a survey to assess the prevalence of microfilariasis conducted in Maluku Province, West Papua and Papua. The population was 1,413,367 individuals, while the sample studied was 4,999. This survey was conducted using 2 methods, namely Finger Blood Test and Rapid Test (FTS). The results are a step for the districts/cities to eliminate filariasis: Central Maluku District, West Seram District, Tual City and Southwest Maluku District passed the Pre TAS (mf rate 0%); South Sorong Regency passed the mid-term poll (Mf rate 1.6%); Jayapura City failed Pre TAS (mf rate 4.8%), Yapen Islands District passed Pre TAS (mf rate 0.98); Mamberamo District failed the pre-TAS (MF rate 6.1% in sentinel village and 6.7% in spot-check village). The conclusion is that BTKLPP Ambon participated in efforts to eliminate filariasis in Maluku Province, West Papua, and Papua
Epidemiology of Type 2 Diabetes Mellitus Cases in the Elderly at Gamping I Community Health Center of Yogyakarta
Get PDFThe increase in the elderly population is in line with the shift in the pattern of degenerative diseases. One of the degenerative diseases that has become an important problem is diabetes mellitus (DM). This study describes insulin and non-insulin Diabetes Mellitus based on epidemiological variables, namely people, place and time variables. Descriptive research design with a case series approach. The sources of patient data that we used in the form of a name, date of birth, gender, and total blood sugar levels were obtained through recording in the patient's medical record book during November 2021 at the Gamping 1 Health Center, Sleman Regency, Special Region of Yogyakarta, Indonesia. Twenty-five diabetes mellitus patients registered in the medical record during the month of November 2021 are the case in this study. All cases had type 2 DM. The distribution of patients with Diabetes Mellitus (DM) 2 was 52% male and almost the same gender as female 48%. The age of cases under 60 years was 52% and those over 60 years was 48%. The type of therapy that was obtained was a small proportion who received insulin injections, namely 24% and dominantly did not receive insulin injections or DM drugs through the brain, namely 76%. The level of GDP in cases varied widely, the highest was 415 mg/dL and the lowest was 118 mg/dL. It can be concluded that there are differences in glucose levels in each patient because each patient has a different level of pancreatic damage
A Study of Epidemiological Surveillance System for Pulmonary Tuberculosis at the Public Health Center Bombana Regency
Get PDFThe achievement rate of finding patients with Pulmonary Tuberculosis in Bombana Regency in 2020 only 21,8%, so it has not reached the national target. This is partly because there are problems with the TB surveillance system. This was because there were problems with the TB surveillance system. This study aimed to determine the description of TB surveillance personnel, health human resources input system, infrastructure/facilities, methods, and funding at the Public Health Center (PHC) in the Bombana Regency. The type of study was descriptive. The sample in this study consisted 22 of the TB surveillance personnel at the PHC and TB surveillance personnel. Data collection used interviews and documentation. The data analysis was done descriptively. The results showed that from 22 PHC there were 40.91% tuberculosis surveillance personnel with an epidemiological background, 90.91% PHC with human resource according to the guidelines. PHC have complete infrastructure of 81.82%, and 95.45% of PHC have implemented tuberculosis surveillance methods according to standards and 100% of PHC have good funding. The conclusion of this research is that the facilities are complete, as well as the implementation and funding are quite good, the surveillance staff is according to the guidelines but still less than the type of implementing staff. Suggestions to the puskesmas to recruit surveillance personnel with an epidemiological background
Relationship between Individual Characteristics and Knowledge with Covid-19 Prevention in the Konda Health Center Area
Get PDFThe development of Covid-19 in Indonesia based on reports from the Covid-19 Task Force as of January 10st 2021, amounted to 828.026 cases with the addition of daily cases of 9.640 cases. Meanwhile, there were 20 positive confirmed cases of Covid-19 at Konda Health Center, 18 suspected cases and 2 deaths. This study intends to examine the relationship between individual characteristics and knowledge with the prevention of Coronavirus Disease in the people of Konda District, South Konawe Regency. The research method is quantitative using a cross sectional study design. The research population was 21.196 people, with a sample of 96 people. The analysis method uses the Chi Square Test. The results showed that there was a relationship age with X2count = 26,808 > X2table = 3,841, there was a relationship sex with X2count = 25,011 > X2table = 3,841), there was a relationship education with X2count = 32,224 > X2table=3,841, there is a relationship knowledge with X2count = 26,709 > X2table= 3,841. The conclusion is that there is a relationship between age, gender, education, and knowledge with the prevention of Covid-19 in the community in the Konda Health Center area, South Konawe Regency. it is hoped that the Covid-19 team at the Konda Health Center, to be pro-active in carrying out counseling or outreach in providing Covid-19 education to the community, so that the community gets evenly distributed information which has an impact on increasing knowledge related to Covid-19 prevention
Identification of Environmental-Based Health Problems in Coastal Area of Mata Public Health Centre
Get PDFHealth problems caused by environmental conditions around humans in the form of sewerage, garbage disposal, water sources and family latrines. The purpose of this study was to identify environmental-based health problems in the working area of the Mata Health Center. This type of research is a quantitative descriptive research with a survey approach. The population in this study is the entire community, totaling 11,298 people. The sample in this study was 200 respondents with a sampling technique using simple random sampling. The results showed that the environmental-based diseases in the coastal areas of the Mata health center were diarrhea (58%), dengue (12%), malaria (4.5%), ARI (5.5%), contact dermatitis (20%), While the description of environmental factors in the coastal area is that the majority of clean water sources come from PDAM (60%), the condition of the water used is in the smelly category (1%), tasted water (7.5%), colored water (8.5% ); there are still those who do not have latrines (8%), latrines are not always closed (42.5%), do not clean latrines (7%); there are still those who do not have a garbage disposal at home (4%), and even if they have a garbage can, there are still non-watertight and closed garbage disposal containers (28%).The conclusion of this research is that there were still environmental factors that did not meet health requirements in the coastal area of the Mata Health Center and caused environmental-based diseases