@article {2270, title = {The Influence of Patient Satisfaction on the Loyalty of Inpatient Patients at Dr. Tadjuddin Chalid Hospital Makassar City Year 2023}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {April 2024}, pages = {436-441}, type = {Research Article}, chapter = {436}, abstract = {

Patient satisfaction reflects the patient{\textquoteright}s attitude towards care consisting of emotions and perceptions of the health services provided to them, because patient satisfaction will influence patient loyalty. This research design was carried out with an analytical survey using a quantitative approach using cross sectional research, namely research carried out at the same time which aims to analyze and find out how service quality influences the level of patient satisfaction on patient loyalty. The sample in this study is the population of inpatients in 2022, namely 9,526 patients, the sampling was 276 patients, by calculating the sample size using the Lemeshow formula. The sampling technique used in this research uses the accidental sampling technique, namely a sampling technique based on chance, that is, anyone who meets the researcher by chance can be used as a sample.Based on the research results, there is a relationship between reliability and patient loyalty with statistical test results (p=0.000). Assurance has a significant relationship with patient loyalty and statistical test results (p=0.000), and empathy has a significant relationship with patient loyalty with statistical test results (p=0.000) . There is no significant relationship between physical evidence (tangible) on patient loyalty and statistical test results (p=1.000), responsiveness has no relationship on patient loyalty and statistical test results (p=0.698). Researchers{\textquoteright} recommendations relate to patient satisfaction and patient loyalty at RSUP Dr. Tadjuddin Chalid Makassar City, to further improve the services needed by the community in general.

}, keywords = {Image Hospital, Patient Loyalty, Patient Satisfaction, Services Quality}, doi = {10.5530/pj.2024.16.69}, author = {Rachmi Hasjim and Darmawansyah and Alwi Arifin and Balqis and Suriah and Wahiduddin} } @article {2125, title = {Analysis of Factors Affecting the Behavior of Exclusive Breastfeeding in the Work Area of Werwaru Puskesmas Moa Lakor District}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {October 2023}, pages = {829-832}, type = {Research Article}, chapter = {829}, abstract = {

Exclusive breastfeeding is not only the best food for babies, but is important for the health of breastfeeding mothers and provides optimal growth for babies. Exclusive breastfeeding for babies aged 0 to 6 months and continued until the child is 2 years old can encourage healthy growth and development. This study aims to analyze the factors that influence exclusive breastfeeding behavior in the working area of the Werwaru Health Center, Moa Lakor District. This type of research is a quantitative analytic study with a cross sectional design. Respondents in this study were obtained using the proportional sampling method as many as 73 toddlers aged 6-24 months from the Werwaru Health Center, Moa Lakor District, which consisted of 6 villages (Werwaru, Klis, Pakty, Upyour, Syota, and Comfort) using a questionnaire and measuring instruments. anthropometry. Data processing was carried out using SPSS and for data analysis using statistical tests using univariate, bivariate and multivariate analysis tests. The results showed that internal factors that had an effect partially were knowledge while simultaneously namely perceptions of exclusive breastfeeding behavior in the Working Area of the Werwaru Health Center, Moa Lakor District. Meanwhile, external factors that have a partial effect are work and those that have a simultaneous effect are the support of the closest people to the behavior of exclusive breastfeeding in the Working Area of the Werwaru Health Center, Moa Lakor District. Suggestions for the government of Southwest Maluku Regency through the Werwaru Health Center, Moa Lakor District, to be able to improve the exclusive breastfeeding program by disseminating information on the benefits of exclusive breastfeeding in the morning for pregnant and lactating women so that mothers{\textquoteright} knowledge increases.

}, keywords = {Exclusive breastfeeding, Health centers., Toddlers}, doi = {10.5530/pj.2023.15.158}, author = {Magdalena Akse and Indar and Amran Razak and Balqis and Wahiduddin and Syamsuar Manyullei and Anwar Mallongi} } @article {2126, title = {Analysis of Knowledge and Skills of Cadres in Early Detection of Stunting Toddler Development in Soppeng Regency, Indonesia}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {October 2023}, pages = {833-838}, type = {Research Article}, chapter = {833}, abstract = {

Background: About 16\% of Indonesian toddlers experience neuro developmental and brain disorders ranging from mild to severe, every two days 1,000 babies experience motor development disorders. The prevalence of stunting in South Sulawesi is in the 20th lowest ranking, namely 27.4\% based on the provincial level in 2021. Objective: Recognizing the increased knowledge and skill of cadre and mothers and toddlers in early development detection of stunted infants using a Developmental Pre-Screening Questionnaire (DPQ) in the working area of the Panincong Health Center, Soppeng Regency. Method: This study used a quasi-experimental design with a pretest-posttest control group involving 30 cadres and 30 mothers with 15 children in each group selected by systematic random sampling. Data were analyzed using paired t-tests and Independent t-tests. Results: The results showed that there were differences in knowledge (p=0.000) in the intervention group and differences in knowledge levels in the control group (p=0.044). The level of knowledge after treatment was greater in the intervention group (11.8\%), while the knowledge after treatment in the control group was only (2.9\%). There was a difference in the skills of the cadres (p=0.000) after being given the Android-based DPQ intervention. There was a difference in the knowledge (p=0.000) and skills of toddler mothers (p=0.000) after being given the Android-based DPQ intervention applied by the cadres. Conclusion: Android-based DPQ is effective as an educational medium and as an alternative to cadres and parents in monitoring or early detection of child development using Android-based DPQ.

}, keywords = {Cadre, Development Disorders, Questionnaire., Stunting, Survey}, doi = {10.5530/pj.2023.15.159}, author = {Hasriani and Andi Ummu Salmah and Masni and Apik Indarty Moedjiono and Healthy Hidayanty and Wahiduddin and Anwar Mallongi} } @article {2132, title = {Analysis of Policy Implementation of Minimum Service Standards for Hypertension in Marusu Health Center Maros District}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {October 2023}, pages = {861-867}, type = {Research Article}, chapter = {861}, abstract = {

The Minimum Service Standards (SPM) in the health sector are a reference for Regency/City. Regional Governments in the provision of Health Services that every citizen is entitled to receive at a minimum. The MSS for Hypertension health services is one of the types and quality of basic services in the MSS in the health sector. This study aims to analyze the implementation of the MSS for hypertension services at the Marusu Health Center, Maros Regency. This type of research uses descriptive qualitative which aims to get an in-depth description of the analysis of the implementation of the minimum service standard for hypertension at the Marusu Health Center. The results of the study show that communication has not run optimally, the SPM Hypertension policy contained in PMK No. 4 of 2019 has not been transmitted to the public as a policy target. Human resources are still inadequate and have a double workload so that the achievements are not optimal. Disposition has been going pretty well. commitment and implementation support are quite good, has carried out coordination and commitment involving cross-programs and related cross-sectors. The bureaucratic structure is already running quite well. The implementation mechanism has been running according to the SOP with the guidelines of the Minister of Health Regulation No. 4 of 2019. The implementation of the SPM for hypertension services at the Marusu Health Center has been going quite well. It is hoped that the Maros District Health Office and the Marusu Health Center will improve the aspects of communication, resources, disposition and bureaucratic structure in their implementation.

}, keywords = {Commitment., Hypertension, Minimum services, Policy implementation}, doi = {10.5530/pj.2023.15.165}, author = {Wafika Aziza Nasir and Sukri Palutturi and Alwy Arifin and Balqis and Wahiduddin and Anwar Daud and Anwar Mallongi} } @article {2157, title = {Analysis of the Influence of Internal and External Factors on Empowered Pregnant Women Through the Behavior of Pregnant Women in Early Detection of Pregnancy Complications}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {December 2023}, pages = {1029-1035}, type = {Original Article}, chapter = {1029}, abstract = {

Objective: Maternal health is still one of the health problems globally, including in Indonesia. Empowering women that allows someone in making decisions about themselves to detect pregnancy complications. This study aims to analyze the influence of internal and external factors on empowered pregnant women through the behavior of pregnant women in conducting early detection of pregnancy complications [KOMPAK] in Bogor Regency. Method: Village in study is an analytical survey with a cross sectional study approach, which takes data related to internal factors (age, education, and parity) and external factors (husband support, family support, community support, and health worker support), behavior (knowledge, attitudes and motivation), and empowered pregnant women. It was analyzed using the spearman correlation test and path analysis with a confidence level of 95\%. The data was analyzed using the SPSS program version 26.0. Results: internal factors that influence empowered pregnant women in Conducting Early Detection of Pregnancy Complications [KOMPAK] in Bogor Regency are education (r: 0.194; p\<0.001) and parity (r: -0.108; p: 0.044) which means that the higher the education and the less parity, the better empowered pregnant women will be with weak correlation strength. External factors affect Empowered Pregnant Women in Early Detection of Pregnancy Complications [KOMPAK] in Bogor Regency where external factors (husband support, family support, culture and community support, and health worker and government support) will cause empowered pregnant women to be better with moderate correlation strength (r: 0.537-0.645; p\< 0.001). Conclusion: Internal factors (education and parity) and external factors (husband support, family support, culture and community support, and health worker and government support) affect (empowered pregnant women in early detection of pregnancy complications. External factors also influence pregnant women through maternal behavior (knowledge, attitudes, and motivations).

}, keywords = {Behavior, Empowered pregnant women, External factors, Internal factors}, doi = {10.5530/pj.2023.15.189}, author = {Bintang Petralina and Ridwan Amiruddin and Wahiduddin and Irwandy and Anwar Mallongi and Ummu Salmah and Suriah and Evi Martha} } @article {2133, title = {The Effectiveness of SI-DINI Mobile App (an Education and Early Detection of Leprosy App) on Changes in Community Behavior}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {October 2023}, pages = {868-872}, type = {Research Article}, chapter = {868}, abstract = {

Most leprosy case detection in Indonesia is based on passive surveillance. This condition impacts the high number of new cases of leprosy and the disability rate of leprosy. Data from the Ministry of Health of the Republic of Indonesia stated that for 2021, there were 7,201 new cases of leprosy with a disability proportion of 84.6\%. The community{\textquoteright}s reluctance to make early contact is due to low knowledge and fear of stigma. SI-DINI is an android-based application that contains information about leprosy, videos on identifying the characteristics and symptoms of leprosy, and reporting suspected leprosy so that it is hoped that it can change people{\textquoteright}s behavior in a positive direction. This study aims to see the effectiveness of the SI-DINI App in changing people{\textquoteright}s behavior. This study used a quasi-experimental design with a pre and post-test design with intervention and control groups. The use of the SI-DINI App has been proven effective in changing people{\textquoteright}s behavior in terms of knowledge, attitudes and actions. There is a significant increase in the knowledge aspect with p-value = 0.000 (p\<0,05), the attitude aspect p-value = 0.000 (p\<0,05), and the action aspect p-value = 0.000 (p\<0,05). It is hoped that the application of education and surveillance for early detection of leprosy (SI-DINI) can be applied on a broader scope and can be used sustainably and in the future.

}, keywords = {Attitude, Behavior., knowledge, Leprosy, SI-DINI App}, doi = {10.5530/pj.2023.15.166}, author = {Maspa Lapui and Wahiduddin and Ida Leida Maria and A Arsunan Arsin and Ridwan M Thaha and Syamsuar Manyullei and Anwar Mallongi} } @article {2022, title = {Health Literacy Brisk Walking Exercise on Clinical Outcomes of Blood Sugar in Patients with Type 2 Diabetes Mellitus in Indonesia}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {April 2023}, pages = {433-438}, type = {Research Article}, chapter = {433}, abstract = {

Background: Regular Physical activity (PA) is recommended for patients with type 2 diabetes because it has a beneficial effect on metabolic risk factors for the development of diabetic complications. This study was designed to determine the effect of health literacy (HL) brisk walking on clinical outcomes (HbA1c) and PA in patients with DMT2. Method: In using the Quasi Experimental method using the Two group pre-posttest design approach. Research subjects were allocated for the provision of Health literacy Brisk walking (n-30, 30 completed) and the usual care group (n = 30,30 completed). Health literacy brisk walking participants received weekly scheduled information via WhatsApp group with monitoring to walk 3-5 times for 150 minutes/week, while the control group only received regular care from the Chronic Disease Management (Prolanis) program. Results: Sixty T2DM patients (thirty in the intervention group and thirty in the control group) were examined. The results showed that Health literacy Brisk walking with Whatsapp Group Monitoring in the intervention group was significantly higher than usual care from the Chronic Disease Management program (Prolanis) in the control group towards changes in HbA1c and PA after 3 months (p\<0.05). Conclusion: Health literacy brisk walking related to diabetes can be a modifiable factor related to HbA1c for DMT2 patients. The findings indicate the need for health care providers to be able to consider brisk walking PA as a solution in controlling blood sugar (HbA1c).

}, keywords = {Blood Sugar (HbA1c)., DMT2, Health Literacy Brisk walking, Physical Activity}, doi = {10.5530/pj.2023.15.68}, author = {Zainuddin and Andi Zulkifli Abdullah and Nurhaedar Jafar and Suriah and Nursalam and Darmawansyah and Syahrul Syahrul and Wahiduddin and Widiantoro and Anwar Mallongi} } @article {2095, title = {Policy Implementation of Hypertension Prevention and Control Program in Banjarmasin}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {August 2023}, pages = {641-649}, type = {Research Article}, chapter = {641}, abstract = {

The Ministry of Health launched the Policy Implementation for the Prevention and Control of Hypertension Program with the goal of addressing the needs of national and regional public health development through minimal service standards. The goal of this study was to look at how hypertension prevention and control programs were implemented in the city of Banjarmasin. This study uses a qualitative descriptive-explorative analysis method with multiple case study approaches. Data collection was carried out by in-depth interviews, observation, documentation and literature study to all research informants. Informant selection technique used purposeful sampling. Research variables included communication, resources, bureaucratic structure and dispositions/attitudes. The research findings indicated that communication between policymakers, implementers, and program targets was effective. Despite the fact that human resources have reached the criterion for personnel, certain officers continue to have an excessive burden, and the number of health cadres was insufficient. Although facilities and infrastructure were available, several Public Health Centers were still having difficulty channeling demands and budgets. The bureaucratic structure had been implemented through SOPs and the delegation of authority, however numerous agencies still lacked complete documentation and archives. Even though the overall objectives were not attained, all parties exhibited a strong commitment and determination to continue the program. It can be concluded that the implementation of hypertension prevention and control policies in Banjarmasin had been quite successful, though there were still some challenges, such as differences in program target participation methods, the need for systematic equalization of authority tasks, and more equitable budget management in terms of resources. Furthermore, in terms of bureaucratic structure, it is vital to develop organized documentation standards in each agency.

}, keywords = {Control, Hypertension., Implementation, Policy, Prevention, Program}, doi = {10.5530/pj.2023.15.132}, author = {Sally Pobas and Balqis Nazaruddin and Sukri Palutturi and Wahiduddin and Syamsiar S. Russeng and Anwar Mallongi} } @article {2130, title = {Risk Factors of Stunting in Children Aged 0-23 Months in Katumbangan Health Center, Indonesia}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {October 2023}, pages = {851-855}, type = {Research Article}, chapter = {851}, abstract = {

The results of Indonesian nutritional status study at the regency level in 2021 showed that Polewali Mandar Regency had the highest prevalence of stunting in West Sulawesi Province at 36\% with the highest percentage of stunted toddlers being reported by Katumbangan Health Center (42.6\%). This study aims to determine the most dominant risk factors for stunting in children aged 0-23 months. This study was conducted in the working area of Katumbangan Health Center with a case-control study. The number of samples was 236 infants (0-23 months) with a ratio of cases and controls of 1:1. This study used secondary data sourced form e-PPGBM application, then analyzed by odd ratio test and logistic regression on Stata. The results showed that CED in pregnancy (OR=3.142 with 95\% CI, 1.122-10.072), LBW history (OR=5.963 with 95\% CI, 1.251-56.216) and exclusive breastfeeding (OR=2.099 with 95\% CI, 0.984-4.613). The dominant risk factor for stunting in children aged 0-23 months, namely LBW history (OR=5.092 with 95\% CI, 1.08-23.94). It is recommended for mothers to put more attention to the fulfillment of nutrition during in order to reduce the risk of LBW and also to assure that children nutritionl intake are adequate to their needs during the golden period of growth, especially infants with LBW.

}, keywords = {Infant, Risk Factors., Stunting}, doi = {10.5530/pj.2023.15.163}, author = {Nurul Iffa Safitri and Nur Nasry Noor and Wahiduddin and Ridwan Amiruddin and Nurhaedar Jafar and Balqis and Anwar Mallongi} } @article {2197, title = {Why Preconception Treatment is Important? A Literature Reviews}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {December 2023}, pages = {1262-1267}, type = {Review Article}, chapter = {1262}, abstract = {

Objective: Conceptional care is a concept that has been proposed to address maternal health problems and environmental risk factors during pregnancy to improve the health of both mother and fetus during pregnancy. This article provides an overview of several studies relating to preconception care that are useful for preparing for a healthy pregnancy and fetus. Methods: This narrative review uses several sources from the Elsevier database. Key search terms such as preconception, iron status, pregnancy and fetus were used in this review. Of the 50 studies identified, 20 were eligible for inclusion in this review. Results: Preconception care is getting an increased focus as an effective way to prevent complications during pregnancy, childbirth, and postpartum as well as preventing fetal abnormalities by estimating nutritional status in the preconception period. Preconception care is aimed at supporting the health of women before pregnancy, which is useful for improving the health of a pregnancy and preventing stunted fetal growth due to poor nutritional status in the mother. Low preconception iron status will have an impact on preconception gynecological morbidity, which will cause complications in pregnancy and cause low birth weight. Conclusion: Preconception care when given regularly will affect the health of a pregnancy and the baby when born. Preconception care teaches women of reproductive age to minimize potential health risks from an early age so that if they have a baby, the baby is born in better health. Considering that a healthy baby is very late if it is prepared during pregnancy but must be prepared from the preconception period, that is why preconception is so important.

}, keywords = {Fetus, Iron status, Preconception, Pregnancy}, doi = {10.5530/pj.2023.15.229}, author = {Darmin Dina and Nurhaedar Jafar and Veny Hadju and Hasnawati Amqam and Wahiduddin and Ridwan Amiruddin and Anwar Mallongi and Yulianah Sulaiman} }