Faktor-Faktor Penyebab Tertundanya Klaim Jaminan Kesehatan Nasionial (JKN) Pasien Rawat Inap di Rumah Sakit X Kab. Tangerang Tahun 2024: Factors Causing Delay in Claims for National Health Insurance (JKN) of Inpatients at Hospital X, Tangerang Regency In 2024

Background: JKN Health Claim is a process carried out by the Hospital to submit a bill for JKN participant treatment costs. JKN claims can be categorized into two categories, namely successful claims which are claims processes that have been successfully completed and pending claims which are claims processes that are delayed. Files that are declared incomplete by JKN Health are a factor causing delays in claims which have an impact on delays in claim payments. Objective: To find out how the inpatient claim process is, to find out the factors causing delays in national health insurance (JKN) claims for inpatients at Hospital X in Tangerang Regency. Method: This study is a descriptive study with a qualitative approach. In this study, in-depth interviews were conducted with 4 informants. Data collection used interview techniques, observation and document review. Results: Based on the results of the study, it shows that the factors causing delays in National Health Insurance (JKN) claims for inpatients are Man: lack of number of officers, lack of accuracy and skills of officers, length of service of officers less than 1 year. Material: incomplete filling in of patient medical record files. Method: there is no SOP yet, officers do not work according to SOP. Machine: Unstable internet network. Conclusion: Factors causing delays in claims for National Health Insurance (JKN) for inpatients with a fishbone diagram include Human Factors: limited number of human resources in Inpatient registration, lack of discipline of DPJP doctors in filling out medical resumes and signatures, assembling officers must be careful and skilled in recapitulating claim files, the coding doctor\u27s work period of less than 1 year results in data input errors and inaccurate coding. Material Factors: the results showed that pending claims were caused by incomplete or inaccurate inpatient claim files. Method Factors: Hospital X, Tangerang Regency already has a Standard Operating Procedure (SOP) but the current SOP has not been approved by the director. Machine Factors: originating from internet network disruptions and power outages

Penerapan PHBS Di SD Inpres Kukak, Desa Pariti, Kecamatan Sulamu, Kabupaten Kupang

Background: To educate SD Inpres Kukak’s students about Clean and Healthy Living Behavior (CHLB) through good and correct hand washing to avoid diarrhea and other diseases. Methods: This activity was carried out in the form of socialization and counseling using leaflets.  Results: Students of class IV, V and VI of SD Inpres Kukak as many as 47 stusdents have received counseling in the form of information and practice of how to wash hands properly and correctly in accordance with what is stated by WHO. Providing information in the form of education and practice is equipped with leaflets that will be a learning tool. Providing this information can also have a positive impact on increasing student knowledge. Conclusion: Counseling to students at SD Inpres Kukak improved students\u27 skills in proper hand washing. It is also expected that this activity can be carried out on an ongoing basis.Latar belakang: Untuk mendidik siswa–siswi SD Inpres Kukak mengenai Perilaku Hidup Bersih dan Sehat melalui cara cuci tangan yang baik dan benar agar terhindar dari penyakit diare serta penyakit lainnya. Metode: Kegiatan ini dilaksanakan dalam bentuk sosialisasi dan penyuluhan menggunakan leaflet.   Hasil: Siswa-siswi kelas IV, V dan VI SD Inpres Kukak sebanyak 47 orang telah mendapat penyuluhan berupa informasi dan praktek mengenai cara cuci tangan sesuai dengan yang diutarakan oleh World Health Organization (WHO). Pemberian informasi berupa edukasi dan praktek ini dilengkapi dengan leaflet dimana akan menjadi sarana tempat belajar. Pemberian informasi ini juga dapat memberikan dampak positif terhadap peningkatan pengetahuan siswa–siswi. Simpulan: Peyuluhan kepada siswa –siswi di SD Inpres Kukak meningkatkan keterampilan siswa–siswi dalam mencuci tangan secara benar. Diharapkan juga agar kegiatan ini dapat dilaksanakan secara berkelanjutan

GAMBARAN ASUPAN SERAT, NATRIUM DAN TEKANAN DARAH PADA PENDERITA STROKE HEMORAGIK DI RUANG RAWAT JALAN RSUD PROF. DR. W. Z. JOHANNES KUPANG

Stroke disease became the second highest cause of death in the world in 2015 and the highest cause of death in Indonesia in 2014. The prevalence of stroke in people over 15 years of age in Indonesia based on the results of the 2018 Village Health Research (Riskesdas) was 10.9/mil, which means that out of 1000 residents, 10.9 residents experienced stroke, the province with the most residents experiencing stroke was East Kalimantan province with a total of 14.7/mil, while South Kalimantan province was ranked 6th with the number of stroke sufferers reaching 13.3/mil. Research Objectives: To identify fiber, sodium and blood pressure intake in hemorrhagic stroke patients at Prof. Dr. W. Z. Johannes Kupang Regional Hospital. Research Methods : The type of research used was an observational study with a cross-sectional design. This descriptive study was based on the research objectives, namely to determine the description of fiber, sodium and blood pressure intake in hemorrhagic stroke patients in outpatient care at Prof. Dr. W. Z. Johannes Kupang Regional Hospital. Dr. W. Z Johannes Kupang. Results : The results of the univariate study showed that the gender of hemorrhagic stroke patients was mostly female, 17 people (56.7%). The highest education was high school, 16 people (53.3%). The level of fiber intake of hemorrhagic stroke patients was in the severe deficit category, 12 people (40.0%). The level of sodium intake of hemorrhagic stroke patients was in the severe deficit category, 30 people (100%).kelumpuhan saraf atau defisit neurologis. Penyakit Stroke menjadi penyakit penyebab kematian tertinggi kedua di dunia pada tahun 2015 dan penyebab kematian tertinggi di Indonesia pada tahun 2014. Prevalensi stroke usia lebih dari 15 tahun di Indonesia berdasarkan hasil Riset Kesehatan Desa (Riskesdas) tahun 2018 adalah 10,9/mil yang berarti dari 1000 penduduk ada 10,9 penduduk mengalami stroke, provinsi yang paling banyak penduduknya mengalami stroke adalah provinsi Kalimantan Timur dengan jumlah 14,7/mil, sedangkan provinsi Kalimantan Selatan berada diurutan ke 6 dengan jumlah penderita stroke mencapai 13,3/mil. Tujuan Penelitian : Untuk mengidentifikasi asupan serat, natrium dan tekanan darah pada penderita stroke hemoragik di RSUD Prof. Dr. W. Z. Johannes Kupang. Metode Penelitian : Jenis penelitian yang digunakan adalah penelitian observasional dengan desain crocsesional. Penelitian deskriptif ini didasarkan pada tujuan penelitian, yaitu untuk mengetahui gambaran asupan serat, natrium dan tekanan darah pada penderita stroke hemoragik di rawat jalan RSUD Prof. Dr. W. Z Johannes Kupang. Hasil : Hasil penelitian secara univariat menunjukan bahwa jenis kelamin penderita stroke hemoragik paling banyak adalah jenis kelamin perempuan sebanyak 17 orang (56,7%). Pendidikan tertinggi adalah SMA sebanyak 16 orang (53,3%). Tingkat asupan serat pasien stroke hemoragik yaitu dalam kategori defisit tingkat berat sebanyak 12 orang (40,0%). Tingkat asupan natrium pasien stroke hemoragik yaitu dalam kategori defisit tingkat berat sebanyak 30 orang (100%)

Uji Efektivitas Pemanfaatan Biji Kelor (Moringa Oleifera) Untuk Menurunkan Salinitas Pada Air Sumur Gali

Salinitas merupakan kadar garam terlarut dalam air yang dapat mempengaruhi kualitas air bersih, khususnya di wilayah pesisir. Salinitas yang tinggi dalam air sumur gali dapat disebabkan oleh intrusi air laut serta aktivitas manusia di sekitar sumber air.Tujuan penelitian ini adalah untuk mengetahui efektivitas biji kelor untuk menurunkan salinitas pada air sumur gali. Penelitian ini adalah pre eksperimen dengan menggunakan rancangan one group pretest-postest desigt dengan variabel yang digunakan dosis serbuk biji kelordan salinitas air sumur gali. Dosis serbuk biji kelor yang digunakan adalah 1 gr/ 500 ml , 2 gr/ 500 ml, dan 3 gr/ 500 ml. Data dalam penelitian ini dianalisis secara deskriptif. Hasil penelitian menunjukan bahwa efektivitas penurunan salinitas air sumur gali menggunakan serbuk biji kelor dengan dosis 1 gr/ 500 ml air yaitu 53,33%, dosis 2 gr/ 500 ml air yaitu 51,78%, dan dosis 3 gr/500 ml air yaitu 60%. Dapat disimpulkan bahwa Serbuk biji kelor terbukti efektif dalam menurunkan kadar salinitas air sumur gali. Penelitian ini menjadi langkah awal bagi masyarakat untuk mengenal dan pemanfaatkan bahan alami dalam mengatasi masalah air asin, terutama di daerah pesisir yang rentan terhadap intrusi  air lau

Hubungan Karateristik Orang Tua Dan Pengetahuan Gizi Dengan Konsumsi Sayur Dan Buah Siswa Di Sma Kristen Mercusuar Kupang

The period between childhood and adulthood, known as adolescence, is marked by a number of social, mental, and physical changes. Rapid increases in height and weight are indicators of adolescent physical development. Due to changes in body composition and nutrient excess or deficiency, nutritional needs increase during this phase. To determine the relationship between parental characteristics and nutritional knowledge with students\u27 consumption of vegetables and fruits at Mercusuar Kupang Christian High School, the research instruments were questionnaires and the study was quantitative research using the observational method with a cross-sectional design. To see the relationship between parental characteristics and nutritional knowledge with students\u27 vegetable and fruit consumption, the data was analyzed using the Chi-Square Test. The results of the univariate analysis showed that 53 students (43.8%) had good knowledge, 55 students (45.5%) had sufficient knowledge, and 13 students (10.7%) had poor knowledge. The most common educational background of the fathers was high school graduates, with 60 people (49.6%), while the most common educational background of the mothers was high school graduates, with 58 people (47.9%). Regarding the parents\u27 occupations, the most common occupation for fathers was self-employed, with 53 people (43.8%). For mothers, the most common occupation was homemaker, with 53 people (43.8%). Based on bivariate analysis, there was no significant correlation between the mother\u27s education level and vegetable consumption (p-value 0.937), no significant correlation between the father\u27s education level and vegetable consumption (p-value 0.127), and no significant correlation between nutrition knowledge and vegetable consumption (p-value 0.137) and fruit consumption (p-value 0.137). However, for fruit consumption (p-value 0.885), there was a relationship between the father\u27s occupation and vegetable consumption (p-value 0.005 ≤0.05), but there was no relationship with fruit consumption (p-value 0.682). There was no significant relationship between the mother\u27s occupation and vegetable consumption (p-value 0.997), while for fruit consumption (p-value 0.434). Suggestion: For Mercusuar Kupang Christian High School, continue to provide education and motivation to adolescents so they can apply existing nutrition knowledge more effectively. The results of this research are expected to be used as a consideration for making policies on school children\u27s nutrition services, such as establishing a canteen at school that offers affordable vegetables and fruits.Keywords: Student knowledge, Education, Parental occupationPeriode antara masa kanak-kanak dan dewasa, yang dikenal sebagai masa remaja, ditandai oleh sejumlah perubahan sosial, mental, dan fisik. Peningkatan tinggi dan berat badan yang pesat merupakan indikator perkembangan fisik remaja. Karena perubahan komposisi tubuh dan kelebihan atau kekurangan zat gizi, kebutuhan gizi meningkat selama fase ini. Mengetahui hubungan karateristik orang tua dan pengetahuan gizi dengan konsumsi sayur dan buah siswa di SMA Kristen Mercusuar Kupang, instrumen dalam penelitian adalah kuesioner dan penelitian merupakan penelitian kuantitatif metode observasi dengan rencana cross sectional . Untuk melihat hubungan antara karakteristi orang tua dan pengetahuan gizi dengan konsumsi sayur dan buah siswa dijelaskan dengan menggunakan Uji Chi Square. Hasil analisis univariat diperoleh pengetahuasiswa dengan kategori baik 53 orang (43.8%), cukup 55 orang (45.5%) kurang 13 orang (10.7%). Karakteristik pendidikan ayah paling banyak adalah tamat SMA 60 orang dengan persentase (49,6%), sedangkan pendidikan ibu paling banyak tamat SMA 58 orang (47,9 %), karakteristik pekerjaan orang tua, pekerjaan ayah terbanyak adalah wiraswasta 53 orang (43,8%). Sedangkan pekerjaan Ibu, lebih banyak Ibu Rumah Tangga 53 orang (43,8%).Berdasarkan analisis bivariat, tidak terdapat korelasi signifikan antara tingkat pendidikan ibu dengan konsumsi sayur (nilai-p 0,937), tidak terdapat korelasi signifikan antara tingkat pendidikan ayah dengan konsumsi sayur (nilai-p 0,127), dan tidak terdapat korelasi signifikan antara pengetahuan gizi dengan konsumsi sayur (nilai-p 0,137) dan konsumsi buah (nilai-p 0,137). sedangkan konsumsi buah (p-value 0,885), terdapat hubungan antara pekerjaan ayah dengan konsumsi sayur (p-value 0,005 ≤0,05), namun, tidak ada hubungan dengan konsumsi buah (p-value 0,682), tidak terdapat hubungan yang signifikan antara pekerjaan ibu dengan konsumsi sayur (p-value 0,997), sedangkan konsumsi buah (p-value 0,434). Saran: Bagi SMA Kristen Mercusuar Kupang agar terus memberikan edukasi dan motivasi kepada remaja agar menerapkan pengetahuan gizi yang ada dan lebih efektif. Hasil penelitian ini diharapkan dapat dijadikan sebagai bahan pertimbangan untuk membuat kebijakan pelayanan gizi anak sekolah misalnya membangun kantin yang ketersedian sayur dan buah-buahan dengan harga yang terjangkau di sekolah. Kata Kunci : Pengetahuan siwa, Pendidikan, Pekerjaan orang tu

Pengaruh Penambahan Tepung Kacang Merah Terhadap Daya Terima Basreng Ikan Cakalang

Protein-energy malnutrition (PEM) is a nutritional disorder that arises from low energy and protein consumption in the daily diet, and is influenced by certain health conditions. According to the 2023 Indonesian Health Survey (SKI) data, 29.7% of children in East Nusa Tenggara Province are malnourished. This study aims to evaluate the impact of adding red bean flour on the acceptability level and macro-nutrient content of cakalang fish basreng products. The study used a Completely Randomized Design (CRD) with red bean flour additions of 10%, 20%, and 30% in sequence, involving 30 panelists. The organoleptic test results showed that the average liking level (color, aroma, texture, and taste) fell into the “somewhat liked” to “liked” category. The normality test results for color, aroma, texture, and taste indicated that all the data presented were not normally distributed. Statistical test results using the Kruskal-Wallis test showed that there was no significant effect on color, aroma, texture, and taste in each treatment. Nutritional value calculations showed that the addition of red bean flour significantly contributed to an increase in the macro-nutrient content of skipjack tuna basreng. It is hoped that future researchers will use a drying oven in the red bean drying process to minimize cross-contamination from the surrounding environment. KEP (Kurang Energi Protein) merupakan permasalahan gizi yang ditandai dengan rendahnya kecukupan energi dan protein dalam makanan sehari-hari, yang dapat diperparah oleh kondisi kesehatan tertentu. Menurut Data Survei Kesehatan Indonesia (SKI) tahun 2023 anak gizi kurang di Provinsi Nusa Tenggara Timur sebanyak 29,7%. Fokus penelitian ini adalah mengeksplorasi bagaimana penambahan tepung kacang merah memengaruhi aspek penerimaan produk serta kandungan zat gizi makro dalam basreng ikan cakalang. Penelitian ini menggunakan Rancangan Acak Lengkap (RAL) dengan penambahan tepung kacang merah sebesar 10%, 20%, dan 30% secara berurutan dengan 30 orang panelis. Rata-rata penilaian organoleptik terhadap karakteristik warna, aroma, tekstur, dan rasa menunjukkan kategori agak suka sampai suka. Namun, pengujian normalitas mengungkapkan bahwa data pada setiap aspek tersebut tidak terdistribusi secara normal, Analisis dengan Uji Kruskal-Wallis memperlihatkan bahwa seluruh aspek uji organoleptik, yaitu warna, aroma, tekstur, dan rasa, tidak mengalami perbedaan signifikan antar perlakuan, perhitungan nilai gizi menunjukkan bahwa penambahan tepung kacang merah berkontribusi signifikan terhadap peningkatan kandungan gizi makro dalam basreng ikan cakalang. Diharapkan peneliti selanjutnya menggunakan oven pengering pada proses pengeringan kacang merah, sehingga meminimalisir kontaminasi silang dari lingkungan sekitar

Phoenix Dactylifera Accelerates Duration The Active Phase of The First Stage of Labor: A Quasi Experiment

Cases of prolonged labor in women in the world are still quite high. Inadequate uterine contractions are the main cause of complications in women\u27s deaths worldwide. The aim of this study was to determine the effect of Phoenix Dactylifera on the length of labor in the active phase of the first stage. This research was carried out through a Quasi-Experimental design Quasi-Experimental. The 60 participants were divided into 2 groups, the intervention group (30 participants) and control (30 participants) at the Kediri Regency Health Center. Sampling uses simple random sampling. The intervention group was given 70 grams of phoenix dactylifera fruit daily from 37 weeks of gestation until labor, while the control group was given standard care. The results of the Paired t-test, the average length of labor in the first stage of the active phase in the intervension group (m=90.57, SD=56.507) p-value 0.000, and the control group (m= 271.33, SD=151.361) p-value 0.100. The difference in the average of the two groups is tested using an independent t-test. The difference in mean length of labor in the first stage of the active phase posttest in the intervention vs. the control group (m=90.57, SD=56.507vs m=271.33, SD=151.361) p-value 0.000. The difference in length of labor in the first stage of the active phase in the two groups was 180.76 minutes/ (3 hours 36 minutes). The Phoenix Dactylifera can shorten duration of the active phase of labor in the first stage of labor. It is recommended for health workers to give phoenix Dactylifera at the right dose to pregnant women in the third trimester to increase stamina during pregnancy and good uterine contractions.            

The Hospital Characteristics (Public and Private) Utilization by Caesarean Section Delivery in Thailand

Cesarean delivery (C-section) rates continue to rise worldwide, with Thailand showing a significant spike in the past two decades, surpassing WHO recommended rates. Hospital characteristics, such as ownership, financial incentives, and medical staffing patterns, can influence cesarean delivery rates. Private hospitals may be more susceptible to non-medical motivations, while public hospitals often face high patient volumes and resource constraints. This study aimed to investigate the use of cesarean delivery in relation to hospital characteristics, with a comparative focus between public and private hospitals in Thailand. This study used a cross-sectional quantitative approach with secondary data from the Thailand Multi Indicator Survey (MICS) 2022. The study sample consisted of 1,046 women who delivered by cesarean section and 1,720 women who did not, with the dependent variable being hospital utilization by caesarean section delivery. Data analysis was performed using univariate, bivariate (Chi-square test), and multivariate (binary logistic regression) tests to analyze the effect of independent variables on the choice of hospital type. The study findings were that in women undergoing cesarean section, wealth and region of residence were significantly associated with private hospital utilization, with women from the fourth wealth quintile (OR = 14.61; 95% CI: 1.88–113.85) and the richest (OR = 23.67; 95% CI: 3.03–185.09) more likely to use private hospitals than the poorest, while those living outside Bangkok were less likely. In women without cesarean section, living in rural areas (OR = 0.36; 95% CI: 0.16–0.81) and outside Bangkok also significantly decreased the odds of private hospital utilization

Unmasking the Pandemic\u27s Shadow: A Systematic Review of The Multifaceted Impact of COVID-19 Stigma in Asia

The COVID-19 pandemic has exacerbated stigma toward health workers, patients, and survivors while intensifying social inequalities through rising unemployment, poverty, and social exclusion. This systematic review examined literature from ProQuest, Science Direct, Google Scholar, and PubMed, focusing on the stigma of COVID-19 in Asia. Original research employing quantitative or qualitative methods was included for articles that published in 2020-2021, while review articles were excluded. Screening followed PRISMA guidelines, with data collection and analysis conducted from November 2021 to April 2022, resulting in 24 articles. Data extracted included titles, authors, publication years, participants, methods, findings, strengths, and limitations. Quality was assessed using JBI’s critical appraisal tools, and thematic analysis was performed using Braun and Clarke’s framework. The review identified three key themes: general characteristics of COVID-19 stigma, affected populations, and the multifaceted impacts. Stigma in Asia has led to widespread fear and discrimination against infected individuals, survivors, health workers, and vulnerable groups with significant psychological, spiritual, economic, and health repercussions. We recommend that the government raise public awareness to minimize misinformation by providing education about COVID-19 and efforts to address the impacts caused by stigma, as well as integrating anti-stigma measures into policies and expanding mental health services for those affected

The Impact of Oxytocin Massage with Lemongrass Leaf Massage Oil and Aromatherapy of Biliting Oil on Breast Milk Production

One of the main problems experienced by breastfeeding mothers is insufficient breast milk production. Oxytocin massage with lemongrass aromatherapy is a solution to increase breast milk production. This study aims to measure the effectiveness of oxytocin massage using Lemongrass Leaf Massage Oil and Aromatherapy of Biliting oil using on breast milk production in breastfeeding mothers. This research method is a quasi-experiment with a one group design with pre-test and post-test design. The population in this study were breastfeeding mothers who had babies aged 0-2 years as many as 30 people. The sampling technique was accidental sampling. Data processing was carried out univariately and bivariately, using the Wilcoxon Signed-Rank Test and SPSS. This study uses a nonparameric test with Wilcoxon Signed-Rank Test analysis with non-normally distributed data. The sample data scale is a ratio scale. Data collection was conducted at PMB Yulin, Tomohon City using observation sheets and measuring cups from April to September 2024. Breast milk production was measured during the Pre-test before Oxytocin Massage was carried out using Lemongrass Leaf Massage Oil and Aromatherapy of Biliting oil for 3 days, 2 times a day, morning and evening, after that in the Post-test breast milk production was measured again with a measuring cup by means of after 1 hour the mother breastfeeds by manually expressing the right and left breasts for 5 minutes. The stages of the study were the preparation, implementation, monitoring and evaluation stages. The results of the study showed the Wilcoxon P Value Statistical Test of 0.000 <0.050. Breast milk production was measured using a breast measuring cup before and after oxytocin massage where breast milk production <10 ml = 28 people (93.3%) and> 10 ml = 2 people (6.7%) and after oxytocin massage production <10 cc = 0 and> 10 cc. After the massage, there was an increase in breast milk production of 26.03. The results of the study showed that oxytocin massage with Lemongrass Leaf Massage Oil and Aromatherapy of Biliting oil on breast milk production was effective in increasing breast milk production