Open Journal System Universitas Mohammad Husni Thamrin
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Implementation of the Dengue Fever Eradication Health Promotion Program at the Simalingkar Community Health Center, Medan Tuntungan District
No full textHealth development in Indonesia currently faces dual challenges due to changing epidemiological patterns. Dengue Hemorrhagic Fever (DHF) is an endemic disease that remains a public health challenge, including in Medan Tuntungan District, one of the areas with high DHF cases in Medan City. The Simalingkar Community Health Center faces various obstacles in its efforts to eradicate DHF. The health promotion program implemented includes 3M Plus counseling, Mosquito Nest Eradication (PSN) activities through mutual cooperation, and distribution of larvicide as the main strategy for DHF control. This study aims to analyze the implementation of the health promotion program and identify obstacles to its implementation. The approach used was a qualitative case study design. Data were obtained through interviews, observations, and documentation with 15 informants, consisting of the head of the health center, the P2DBD coordinator, health promotion officers, neighborhood heads, PKK mothers, and the community. The results show that program implementation has been ongoing but is not optimal. 3M Plus counseling is still incidental and not routine. PSN is carried out periodically but with minimal education. Distribution of larvicide is not equitable. Key challenges include unclear program standards, limited resources, and low community participation. The program also focuses more on emergency response than promotion and prevention. Communication between implementers is quite good, but direct engagement with the community still needs improvement. Program implementation needs to be strengthened in terms of planning, resources, citizen participation, and cross-sector support
Housewives' Perceptions of Long-Term Contraceptive Methods (LMPs) in Cikahuripan Village
No full textCurrently, the use of Long-Term Contraceptive Methods (MKJP) in Indonesia is still very low despite its high level of effectiveness in reducing birth rates and increasing the success of the Family Planning (KB) program. The low use of MKJP indicates differences in perception, knowledge, and social acceptance among women of childbearing age, especially housewives. This study aims to determine the perceptions of housewives towards the use of MKJP in Cikahuripan Village, Klapanunggal District, Bogor Regency. This study used a qualitative approach with an exploratory design through in-depth interviews with seven informants selected purposively on January 13–15, 2025. Data analysis was carried out using thematic analysis techniques according to Braun & Clarke (2006) using source triangulation to increase data validity. The results of the study indicate that housewives' perceptions of MKJP are influenced by internal and external factors. Internal factors include the level of knowledge, previous experience, and motivation from husbands and health workers to minimize side effects. External factors include the influence of the social environment, user testimonials, ease of access to consultations, and the role of social media in promotion. It was concluded that comprehensive education, a persuasive approach, and cross-sector support were able to increase the trust and participation of housewives in choosing MKJP. One of the factors influencing the low use of MKJP is the perception of housewives towards this method
Validity and Reliability Test of the WHOQOL-HIV BREF Instrument on PLHIV in Bandar Lampung City in 2025
No full textQuality of life (QoL) is an essential indicator for assessing the physical, psychological, social, and spiritual well-being of People Living with HIV (PLHIV). For people living with HIV (PLHIV), this concept is particularly important because HIV infection is chronic and requires long-term therapy, which carries various clinical and psychosocial consequences. The impact of HIV is not only related to physiological changes but also emotional and social problems caused by societal stigma and discrimination. Measuring the quality of life of people living with HIV requires valid, reliable instruments that accurately reflect the patient's condition. The WHOQOL-HIV BREF is an instrument developed by the World Health Organization to measure QoL among PLHIV across six main domains. This study aimed to evaluate the validity and reliability of the Indonesian version of WHOQOL-HIV BREF among PLHIV in Bandar Lampung City in 2025. A cross-sectional design was employed, using purposive sampling to recruit PLHIV who met the inclusion criteria. The Indonesian version of WHOQOL-HIV BREF was administered as the research instrument. Validity testing was conducted using item-total correlation analysis, while reliability testing employed Cronbach’s Alpha coefficient. The results showed that all 31 items of the WHOQOL-HIV BREF were valid (r‑calculated > r‑table 0.349), indicating that the instrument is suitable for assessing the quality of life of PLHIV. These findings provide a strong basis for the implementation of WHOQOL-HIV BREF in clinical practice, research, and health program planning for PLHIV at the local level.
The Influence of Workload on Work Motivation of Health Workers at the Sukatani Community Health Center in Purwakarta
No full textHealth workers who are less motivated to work will show less than optimal performance, characterized by higher levels of fatigue, decreased work discipline, and decreased concern for service quality. Often the lack of motivation is caused by things such as lack of opportunities for career development, inadequate compensation, excessive workload, and lack of appreciation for performance. To determine the effect of workload on the work motivation of health workers at the Sukatani Health Center in Purwakarta. This study uses a quantitative research method with a cross-sectional approach. The sampling technique uses a total sampling method of 60 health workers at the Sukatani Health Center in Purwakarta. Bivariate analysis uses the chi-square test and multivariate analysis uses multiple logistic regression. Based on the Chi-square test, the P value is 0.000 <0.05, which indicates that there is a significant influence between workload on the motivation of health workers at the Sukatani Health Center with an Odd Ratio (OR) value of 13. The results of the multiple logistic regression test obtained the largest result of 63.865 which indicates that the variable number of positions as the most dominant confounder factor influences workload on work motivation. Health center management should develop policy plans that can reduce workload and increase employee motivation by managing time wisely to help reduce stress, conducting open discussions in finding solutions together with task division and target adjustments, delegating tasks and integrating activities to increase efficiency, ensuring adequate rest to avoid physical and mental fatigue, optimizing the use of existing systems to reduce manual workload, providing regular training on occupational safety (K3)
Gambaran Kadar Hemoglobin Pada Pasien Malaria di RSPAD Gatot Soebroto Jakarta Indonesia
No full textMalaria is both an acute and chronic disease caused by protozoa of the genus Plasmodium with the clinical manifestation of fever, anemia and spleen enlarfication. People with malaria, which the plasmodium attacks, are red blood cells. Malaria infections destroy erythrocytes, which results in a change in hemoglobin levels far lower than normal value. This study aims to find out the hemoglobin level in malaria patients, knowing the distribution of the number of malaria patients and the hemoglobin levels based on gender, age, and type of Plasmodium sp. The study employed a secondary descriptive method of data analysis by calculating the distribution of hemoglobin levels presented in the form of tables and narratives, the data used by up to 116 samples of malaria patients. Data retrieval took place at rspad gatot soebroto lab with populations and samples from 2013- 2023. Obtained from a hemoglobin level check in malarial patients shows a value of min 7.0 gr/dl, Max 16.9 gr/dl, mean 12.6 gr/dl, low hemoglobin level 82 patients (70.7%), normal 31 patients (26.7%), 3 (2.6%), the highest distribution of the number of patients in 2022 (15.5 percent). With the largest abnormal measured measured in men by 75 patients (64.2%), the results of a lower level check at 19- 44 (adults), with 64 patients (55.2%), the most malaria patients suffer from plasmodium vivax with a lower percentage of 51 patients (44.0%). In conclusion, that the most malaria affected men, an age susceptible to 19-44 (adult) malaria, and most malaria patients have plasmodium vivax infected.
Keywords : Hemoglobin, gender, malaria, Plasmodium sp, ag
Kepadatan Tungau Debu Rumah Pada Debu Kasur dan Karpet di Salah Satu Pondok Pesantren Sleman Yogyakarta
No full textHouse Dust Mites (HDM) are microscopic parasites often found in dust in the house,especially mattresses and carpets. This study was conducted with the aim of determiningthe density level of DPM in mattress and carpet dust at the One Satu Islamic Boarding School in Sleman, Yogyakarta, and to determine the relationship between HDM density and hygiene behavior. This research method uses observational with a cross-sectional design. HDM examination uses the flotation method with saturated NaCl. The results of this study showed that carpet and mattress dust samples were positive for HDM and had an average density that was relatively low. The density of HDM on carpets was higher at44.07/gr than mattress dust at 27.2/gr. The growth and development factors of HDM are supported by environmental factors such as temperature, humidity, and dense population. In addition, this study found a significant relationship with a p-value (0.005) between hygiene behavior, such as the habit of drying mattresses/carpets and washing sheets, with the density evel of HDM
 
Determinants of Intrauterine Device (IUD) Contraceptive Use Decision Among Acceptors at Pauh Public Health Center, Padang City, 2023
No full textIntroduction: The population of Indonesia increases significantly every year, based on BPS data (2022), in 2022 the population of Indonesia increased to 275.8 million people from 2021 which had reached 272.7 million people. Indonesia's increasing population growth is a serious challenge in national development, especially related to controlling the birth rate. One of the main strategies implemented is the Family Planning (KB) program. New participants in the family planning (KB) program tend to choose the injection contraceptive method over other types, resulting in an increase in the use of the injection method. On the other hand, the use of long-term contraceptive methods (MKJP), including Intrauterine Contraceptive Devices (IUDs), shows a downward trend over time (Ministry of Health of the Republic of Indonesia, 2021). The purpose of this study was to identify factors that influence decisions in the use of IUD contraception in the Pauh Health Center work area. Methods: This study used a quantitative approach with a cross-sectional design, involving 99 respondents selected through purposive sampling. Data were collected using a standardized questionnaire and analyzed using the Chi-Square statistical test. Results: Determinants of mothers' decisions to use IUDs significantly influence maternal knowledge (P Value 0.014), maternal attitudes (P Value = 0.000). support from husbands (P Value = 0.08). Family planning service facilities (P Value = 0.000). The conclusion is that the determinants of decisions to use IUDs are significantly influenced by knowledge, attitudes, husband's support and health service facilities
Evaluation of Active and Passive Fire Protection Systems and Life-Saving Facilities in the Jakarta Provincial Health Office Building
No full textFire is a disaster with a high risk of causing casualties and material losses. World Fire is a disaster with a high risk of causing loss of life and material loss. World Fire Statistics (2022) data recorded more than 3.7 million global fires with losses of approximately USD 50 billion per year. Meanwhile, in Indonesia, there were 10,000 cases in 2021 and 1,624 cases in DKI Jakarta in 2022. This condition emphasizes the importance of fire protection systems in public facilities, including the DKI Jakarta Provincial Health Office Building. This study aims to evaluate active and passive fire protection systems, and life-saving facilities based on Ministerial Regulation No. 26 of 2008 and SNI. The method used was descriptive qualitative with observation, interviews, and document review. The results showed that the fire protection system was in place but not functioning optimally. Active protection was ineffective due to damage to the MCFA, which resulted in the inoperability of alarms, detectors, sprinklers, and hydrants. While fire extinguishers functioned but did not meet placement standards. Passive protection was generally appropriate, but there were deficiencies such as materials and partitions that were not certified fire-resistant, cracks in walls, and fire doors without smoke seals. Lifesaving facilities are relatively up to standard, although evacuation routes remain obstructed, emergency exits difficult to use, assembly points unsafe, and lighting and evacuation signs inadequate. Repairs, maintenance, and regular monitoring are recommended to ensure the safety of building occupants
Factors Influencing the Incidence of Neonatal Sepsis In the Neonatal Intensive Care Unit, Budhi Asih Regional Hospital
No full textNeonatal sepsis remains a major health problem in Indonesia, with a prevalence of 8–15% in referral hospitals and contributing to the second leading cause of infant mortality after asphyxia (Ministry of Health of the Republic of Indonesia, 2022). Risk factors influencing the incidence of neonatal sepsis include prematurity, low birth weight (LBW), gender, and invasive procedures. At Budhi Asih Regional Hospital, Jakarta, the incidence of neonatal sepsis in 2024 was recorded at 46.69% of 272 NICU patients. Therefore, this study was conducted to determine the factors influencing the incidence of neonatal sepsis in the NICU of Budhi Asih Regional Hospital, Jakarta. This study used a quantitative cross-sectional design. The study population was all infants treated in the NICU of Budhi Asih Regional Hospital from January to December 2024. A sample of 80 infants was selected using a purposive sampling technique. The independent variables were gestational age, gender, birth weight, and invasive procedures, while the dependent variable was the incidence of neonatal sepsis. The research instrument was medical record data analyzed using the Chi-square test at a 95% confidence level. Gestational Age: Infants with gestational age <37 weeks experienced more neonatal sepsis than full-term infants (p<0.05). Low Birth Weight (<2500 gr) was significantly associated with the incidence of neonatal sepsis (p<0.05). Gender: There was no significant association between gender and the incidence of neonatal sepsis (p>0.05). Invasive Procedures: Infants who underwent invasive procedures were at higher risk of neonatal sepsis (p<0.05). Factors associated with the incidence of neonatal sepsis in the NICU of Budhi Asih Hospital, Jakarta were gestational age, low birth weight, and invasive procedures. Gender was not associated with the incidence of neonatal sepsis. Prevention of neonatal sepsis needs to be focused on close monitoring of premature infants, LBW, and infection control related to invasive procedures in the NICU
The Relationship Between Literacy About the JKN System and Outpatient Satisfaction at the Bungursari Community Health Center, Purwakarta Regency
No full textLow levels of patient satisfaction can negatively affect the quality of health care facilities, particularly at the primary care level such as community health centers (puskesmas). One of the factors influencing patient satisfaction is the limited level of patient literacy regarding the National Health Insurance (Jaminan Kesehatan Nasional—JKN) system. Insufficient understanding of patients’ rights, procedures, and service pathways may lead to misunderstandings, dissatisfaction, and even negative perceptions of service quality. This condition poses a challenge for Puskesmas Bungursari, Purwakarta, which is a primary health care facility with a high patient visit rate. This study aimed to determine the relationship between literacy regarding the JKN system and patient satisfaction at Puskesmas Bungursari, Purwakarta Regency. A quantitative study with a cross-sectional design was conducted. The study population consisted of 1,431 individuals, with a sample size of 257 respondents. The sampling technique used was non-probability sampling with an accidental sampling approach. The research instruments were literacy and satisfaction questionnaires that had been tested for validity. Statistical analysis included the chi-square test and multivariate analysis using multiple logistic regression. The results showed a significant relationship between literacy and patient satisfaction at Puskesmas Bungursari, Purwakarta Regency (p-value < 0.001), with an odds ratio of 13.084. Furthermore, literacy remained significantly associated with patient satisfaction (p-value < 0.001) after controlling for the employment variable (p-value = 0.019). To improve patient satisfaction at puskesmas, efforts should focus on enhancing health literacy through the use of visual strategies and effective communication, as well as improving the quality of empathetic services that include attentive listening to patient complaints and fair treatment