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All Journal Timorese Journal of Public Health Lontar : Journal of Community Health Media Kesehatan Masyarakat Jurnal Ilmiah Kesehatan Masyarakat Sehat Rakyat: Jurnal Kesehatan Masyarakat
Yoseph Kenjam
Universitas Nusa Cendana
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Mutu Pelayanan Kesehatan Pasien Rawat Inap oleh Tenaga Kesehatan di Pusksesmas Sonimanu Kabupaten Rote Ndao Helmi M. Bolla; Yoseph Kenjam; Tadeus A. L. Regaletha
Lontar : Journal of Community Health Vol 1 No 3 (2019): September 2019
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/ljch.v1i3.2172

Abstract

Service Quality can be obtained if what is expected by the patient to the service provider is in accordance with the patient's requirements. This study aims to determine the quality of patient health services by health workers at the Sonimanu health center in 2019. The sample in this study was all In patients with a total sample of 73 people the sampling technique in this study was totally sampling. Data collection was carried out with 20 items of hope and reality questionnaire, which is a quantitative description of this type of study. The analysis conducted is univariate using Importance Performance Analysis. The results of this study indicate that the value of conformity between expectations and quality of inpatient services of health workers to the tangible dimension is 97.28% (Very Satisfied), reliably 95.27% (Very Satisfied), responsiveness 86.38% (Satisfied), assurance 98.14% (Very Satisfied), empathy 97.21% (Very Satisfied). There is one attribute of inadequate quality of service that is a good nutrition officer providing and helping patients with dietary needs (58.42%), it is expected that the health staff at the Sonimanu health center need to prioritize and be more responsive in paying attention to the rights or needs of Inpatients. It is recommended that the quality of inpatient health services by health workers need to be further improved, especially in the dimension of responsiveness.
The Correlation between Marketing Mix and Customer Satisfaction in the General Poly Unit at Bhayangkara Hospital, Kupang Arifin Udju; Petrus Romeo; Yoseph Kenjam
Lontar : Journal of Community Health Vol 3 No 3 (2021): September 2021
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/ljch.v3i3.4159

Abstract

Patient satisfaction is one of the important things in reviewing the quality of service of a health agency. The marketing mix is ​​a set of tools that play an important role as a company strategy and policy to achieve customer satisfaction. Bhayangkara Hospital is a type C hospital that provides individual health services with inpatient and outpatient treatment, and emergency services. The purpose of this study was to determine the relationship between marketing mix and customer satisfaction in the general poly unit of Bhayangkara Hospital. The research design was an analytic survey with a cross sectional design. The research sample consisted of 90 respondents who were selected using accidental sampling technique. The results of the study found that there was a relationship between product mix (p = 0.003), place (p = 0.037), promotion (p = 0.037), people (p = 0.046), process (p = 0.050) and physical evidence (p = 0.037) with customer satisfaction. And there is no relationship between price mix (p = 0.228) with customer satisfaction. The hospital should pay more attention to the supporting facilities and infrastructure to increase patient comfort in the general poly unit of Bhayangkara Hospital.
Factors Related to Utilization of Maternal Health Service Facilities in the Working Area of Mangili Public Health Center Desi Hunggu Urang; Erny Erawati Pua Upa; Yoseph Kenjam
Lontar : Journal of Community Health Vol 3 No 4 (2021): December 2021
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/ljch.v3i4.4160

Abstract

Maternal mortality ratio (MMR) is one of the problems that has made the focus of the Indonesian government to make policies in the health sector. The main factor causing high MMR is unsafe delivery, either not assisted by health workers or was not in health facilities. This study aimed to analyze the correlation between knowledge, attitudes, husband/family support, and the use of health service facilities in the working area of the Mangili Community Health Center. This cross-sectional study consisted of 104 respondents selected using a cluster sampling technique. The data were analyzed univariably and bivariably using the Chi-square test. The results showed that knowledge (p = 0.040), attitude (p = 0.043), and husband/family support (p = 0.027) are related to the use of health service facilities. Health workers, especially midwives, are expected to monitor and do home visits and provide intensive education to pregnant women and their families to ensure childbirth in health care facilities. On the other hand, the role of the husband/family needs to be optimized to support the mother through motivation, attention, and assistance during pregnancy examinations until delivery.
Hubungan Tingkat Pengetahuan Akseptor Keluarga Berencana dan Peran Tenaga Kesehatan dengan Minat Penggunaan Kontrasepsi Jangka Panjang (MKJP) Maria T. E. Koba; Frans G. Mado; Yoseph Kenjam
Media Kesehatan Masyarakat Vol 1 No 1 (2019): Media Kesehatan Masyarakat (Agustus)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v1i1.1515

Abstract

Family planning aims at reducing maternal mortality rates and reducing population growth rate with the main target of couples of childbearing age. One of the family planning options offered is long-term reversible contraceptive method (MKJP). The purpose of this study was to determine the factors associated with interest in using MKJP in the work area of Camplong health center, Fatuleu sub-district, Kupang regency in 2018. The research was quantitive study with cross-sectional approach. The sample of 77 people was selected using simple random sampling. The instrument uses was a questionnaire. Data analysis techniques consisted of descriptive and bivariate analysis (chi-square test) with α= 0,05. The study indicated that knowledge (p-value= 0,09) and the role of health workers (p-value =0,001) were associated with the use of the MKJP while attitude (p-value = 0,765) and husband support (p-value = 0,131) had no relationship with MKJP. Health center needs to regularly provide information to the community about the advantages of MKJP especially for couples of childbearing age who have already had more than three children.
Determinan Pemanfaatan Kartu Jaminan Kesehatan Nasional (JKN) di Wilayah Kerja Puskesmas Manutapen Kecamatan Alak Kota Kupang Helena Doko; Yoseph Kenjam; Enjelita M. Ndoen
Media Kesehatan Masyarakat Vol 1 No 2 (2019): Media Kesehatan Masyarakat (Desember)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v1i2.1951

Abstract

To achieve Universal Health Coverage (UHC) for the entire population, the Indonesian government took the initiative to establish a public health insurance system through JKN for individual health. The JKN program managed by BPJS, intended to provide health protection for participants to obtain health care benefits and protection to meet the basic health needs. However, the use of JKN cards in community health centers (Puskesmas) remains low. This study was to investigate the determinants of JKN card utilization in Puskesmas Manutapen in 2019. The research is was quantitative study using a cross-sectional design. The sample consisted of 85 people obtained by a purposive sampling technique. Data analysis employed using univariate and bivariate methods with the chi-square test. The results showed that factors related to JKN card utilization were knowledge (ρ =0.023), income (ρ = 0.037), the availability of facilities and infrastructure (ρ = 0.043), and disease complaints (ρ = 0.041), while unrelated factor was family support (ρ= 0.662). The community should maximize the use of JKN card to obtain comprehensive health services, not only for treatment, but also for prevention to improve their health status. To achieve Universal Health Coverage (UHC) for the entire population, the Indonesian government took the initiative to establish a public health insurance system through JKN for individual health. The JKN program managed by BPJS, intended to provide health protection for participants to obtain health care benefits and protection to meet the basic health needs. However, the use of JKN cards in community health centers (Puskesmas) remains low. This study was to investigate the determinants of JKN card utilization in Puskesmas Manutapen in 2019. The research is was quantitative study using a cross-sectional design. The sample consisted of 85 people obtained by a purposive sampling technique. Data analysis employed using univariate and bivariate methods with the chi-square test. The results showed that factors related to JKN card utilization were knowledge (ρ =0.023), income (ρ = 0.037), the availability of facilities and infrastructure (ρ = 0.043), and disease complaints (ρ = 0.041), while unrelated factor was family support (ρ= 0.662). The community should maximize the use of JKN card to obtain comprehensive health services, not only for treatment, but also for prevention to improve their health status.
Faktor Penyebab Keterlambatan Pengajuan Klaim Pasien BPJS Rawat Inap di Rumah Sakit Umum Daerah Soe Honcy Ernesta Nomeni; Rina Waty Sirait; Yoseph Kenjam
Media Kesehatan Masyarakat Vol 2 No 2 (2020): Media Kesehatan Masyarakat (Agustus)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v2i2.2795

Abstract

Problems commonly found in submitting insurance claims are incomplete documents, follow-up claims, the mismatch of the rates submitted by the hospital with the INA-CBGs rates or those paid by BPJS Kesehatan, irregularities in the coding of disease diagnoses, and the delay in claiming payments by BPJS Kesehatan. Based on the preliminary study at Soe Public Hospital in October 2019, there were still several administrative problems in submitting claims for JKN program. It was proven by the fact that there were still patients with JKN who did not bring a copy of their BPJS Kesehatan cards and the referral letter determined by BPJS Kesehatan when registering for a treatment. The aim of this study is to determine the factors causing the delay in submitting claims for inpatients with BPJS at Soe Public Hospital in 2020.This was a qualitative descriptive study. The population in this study was staff who are directly involved in the insurance claiming process. The sample was selected using purposive sampling technique that consisted of one assembling staff, one coding staff, two internal verifiers and one BPJS Kesehatan verifier. The results of the study indicated that the process of submitting claims for patients with BPJS Kesehatan by Soe Public Hospital did not carry out in a comprehensive and integrated manner because of incomplete medical record status, lack of coordination and teamwork between staff who record medical status that involves assembling staff, coding staff, and hospital verifier. This made a delay in submitting claims for inpatients with BPJS Kesehatan. There were also other obstacles found in the process of submitting claims for inpatients with BPJS Kesehatan at Soe Public Hospital. It is suggested that hospital managers need to evaluate staff who are responsible for submitting claims for inpatients with BPJS Kesehatan regularly and to assess the strengths and weaknesses of each staff.
Faktor yang Berhubungan dengan Kinerja Perawat di Rumah Sakit Umum Daerah Kefamenanu Kabupaten Timor Tengah Utara Marcelinus Tulasi; Masrida Sinaga; Yoseph Kenjam
Media Kesehatan Masyarakat Vol 3 No 1 (2021): Media Kesehatan Masyarakat (April)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v3i1.2990

Abstract

The quality of health services is inseparable from the role of medical and non-medical personnel, including nurses. In providing health services, one of the most potential human resources in the hospital are nurses. Good nurse performance is a determining factor for the hospital image in the community. The performance also supports the achievement of organizational goals. Factors affecting nurse performance can be categorized into individual (abilities and skills), psychological (motivation, perceptions, attitudes, personality and learning) and organizational factors (resources, leadership, compensation, workload, rewards, job structure and design). This study aimed to analyze the relationship between motivation, compensation, reward and workload with nurse performance at Kefamenanu Hospital, North Central Timor Regency. This research is an analytical survey with a cross-sectional design. The population in this study consisted of 153 nurses at Kefamenanu Hospital. A total sample of 61 people was selected using a simple random sampling technique. The data were analyzed with the Chi-Square test. The results showed that there was a relationship between motivation (p-value = 0,000), compensation (p-value = 0.002) reward (p-value = 0,000) and workload (p-value = 0.004) with the performance of nurses. The hospital needs to make policies to increase nurse performance such as preparing a proper reward system and balancing the workload.
Mutu Pelayanan Kesehatan Puskesmas Pasir Panjang Pasca Akreditasi Lusia D. I. Fernandez; Yoseph Kenjam; Dominirsep O. Dodo
Media Kesehatan Masyarakat Vol 3 No 3 (2021): Media Kesehatan Masyarakat (Desember)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v3i3.3856

Abstract

In order to maintain the quality of health services at the health center running maximally, it is necessary to improve performance and sustainable improvement. The Pasir Panjang Health Center has obtained the "Utama" accreditation status in 2018. After the Health Center is accredited, it is hoped that the quality of health services will improve. The purpose of this study was to determine the quality of health services at the Pasir Panjang Health Center after accreditation is implemented. This study used a quantitative method with a cross sectional survey design. The research sample consisted of 34 respondents who were selected by purposive sampling technique. The results of the study found that after accreditation, the quality of health services at Pasir Panjang Health Center obtained the following results: the dimensions of technical competence 83,29%, effectiveness, 82,64%, continuity 82,54%, security 82,64%, information 82,50%, accuracy time 78,23%, and human relations 82,11%. Seeing the results of this study, the Pasir Panjang Health Center must implement a sustainable quality management system to maintain the good quality of its services, including regulating the disciplinary behavior of health care workers, given that the dimension of timeliness received the lowest assessment from the respondents.
Satisfaction Level of Outpatients at Lengko Ajang Public Center, East Manggarai Regency Yosefina Jelina; Yoseph Kenjam; Rina Waty Sirait
Lontar : Journal of Community Health Vol 4 No 2 (2022): Juni 2022
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/ljch.v4i2.4479

Abstract

Service quality is an element that can affect patient satisfaction while undergoing health services at the public health center. Patient satisfaction in health services is measured by five indicators: tangible, responsiveness, reliability, empathy, and assurance. These five aspects are closely related to humans as service providers and assessed very subjectively from the perspective of the community (patients) and aspect of the assessment. This study aimed to determine outpatients' satisfaction at the Lengko Ajang Puskesmas, East Manggarai Regency. The method used in this research is descriptive-analytic. The sample in this study amounted to 79 outpatients at Lengko Ajang Puskesmas. The sampling technique used purposive sampling. The result showed that outpatients' satisfaction at the Lengko Ajang Puskesmas was in the very satisfied category for tangible, reliability, empathy, and assurance dimensions. Only was the responsiveness dimension in the satisfied category. Overall, the satisfaction level of outpatients at the Lengko Ajang Puskesmas is in the very satisfied category and therefore needs to be maintained by the provider
Implementation of Brigade Kupang Sehat Policy in Reducing Maternal and Child Mortality Ratio in Kupang City Try Sutyo Sanjaya Pali; Yoseph Kenjam; Rina Waty Sirait
Media Kesehatan Masyarakat Vol 4 No 1 (2022): Media Kesehatan Masyarakat (Special Issue)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v4i3.4162

Abstract

Brigade Kupang Sehat (BKS) is a program of the Kupang City Health Office specifically providing emergency services to all residents of Kupang City for free for 24 hours. The purpose of this study was to determine the implementation of BKS policy in reducing maternal and child mortality in Kupang City. The method used in this research was qualitative. Data were collected by interview. Four informants were selected by applying purposive sampling technique. The results showed that BKS has an emergency program to help reduce maternal and child mortality. BKS provided medical equipment, transportation/ambulance equipped with a midwife kit, response time, pregnancy check-ups, and postpartum services including family planning services after giving birth, collaboration with public health center and hospitals for referral process, and socialization about the function and role of BKS. Obstacles experienced by BKS included economic factors and a lack of knowledge in pregnant women in choosing a place of delivery. BKS also noted that pregnant women had a complete opening at home, had no pink books or MCH, refusal from pregnant women or families to be referred to better health facilities. The socialization of BKS is needed to increase the awareness of residents of its services, especially for those with low income.
Co-Authors Akulina Mayangtika Arifin Udju Bertila Silvia Lidi Desi Hunggu Urang Dominika Priska Tsu Dominirsep O. Dodo Enjelita M. Ndoen Erny Erawati Pua Upa Frans G. Mado Helena Doko Helga J.N Ndun Helmi M. Bolla Honcy Ernesta Nomeni Imel Lodo Indri Pellondou Lusia D. I. Fernandez Marcelinus Tulasi Maria D.S Manlea Maria T. E. Koba Masrida Sinaga Mega Inang Marsalina Sarata Nur, Marselinus Laga Petrus Romeo Ribka Limbu Rina Waty Sirait Sunia Tungga Tadeus A. L. Ragaletha Tadeus A. L. Regaletha Tadeus A.L Regeletha Tadeus A.L. Regaletha Try Sutyo Sanjaya Pali Veronika Bili Bili Yerli Nixelery Ramly Yosefina Jelina Yudishinta Missa Yuliana Radja Riwu