@article {2020, title = {Analysis Factors Affecting the Utilization of Antiretroviral Treatment Services in HIV Patients in Ambon City Puskesmas}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {April 2023}, pages = {424-428}, type = {Research Article}, chapter = {424}, abstract = {

Acquired Immune Deficiency Syndrome (AIDS) is a collection of symptoms that arise due to decreased immunity caused by HIV infection. Human Immunodeficiency Virus (HIV) is a type of virus that infects white blood cells which causes a decrease in human immunity. Efforts are being made at this time for people with HIV namely Antiretroviral treatment (ARV). This study aims to analyze the factors that influence the utilization of ARV treatment services in HIV patients at the Ambon City Health Center. This type of research is a quantitative analytic study with a cross sectional design. Respondents in this study were obtained using the Isaac and Michael method of 156 HIV patients from the Waihaong Health Center and Karpan Health Center in Ambon City using a questionnaire. Data processing was carried out using SPSS and for data analysis using statistical tests using descriptive statistical tests, comparative analysis tests and multivariate analysis tests. The results showed that there was no effect of knowledge on the use of ARV treatment in HIV patients at the Ambon City Health Center. Furthermore, there is an influence on the patient{\textquoteright}s actions, access distance, and peer and community support on the use of ARV treatment in HIV patients at the Ambon City Health Center. The action variable and access distance are the variables that have the strongest influence compared to the other variables.

}, keywords = {AIDS, ARV, HIV, Puskesmas, Utilization}, doi = {10.5530/pj.2023.15.66}, author = {Faradila Kilkoda and Balqis and Indar and Darmawansyah and Atjo Wahyu and Anwar Daud and Anwar Mallongi} } @article {2076, title = {Analysis of Determinants of Midwife Performance in Antenatal Care Services in Allang Care Health Centers Central Maluku District}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {August 2023}, pages = {547-552}, type = {Original Article }, chapter = {547}, abstract = {

Antenatal care (ANC) is an important part of health care for pregnant women. Several studies conducted in high-income countries have shown that antenatal care can improve the care experience and health outcomes for pregnant women and newborns. This study aims to analyze the performance determinants of midwives in antenatal care services at the Allang Nursing Health Center, Central Maluku Regency. This type of research is a quantitative study with a cross sectional study approach. Respondents in this study were obtained by taking the entire population of 23 people using a questionnaire. Data processing was carried out using SPSS and for data analysis using statistical tests using univariate analysis tests, bivariate analysis tests and multivariate analysis tests. The results of this study indicate that there is a relationship between age, employee status and years of service to the performance of midwives in ANC services at the Allang Health Center, Central Maluku Regency and there is no relationship between knowledge and attitudes towards the performance of midwives in ANC services at Allang Health Center, Central Maluku Regency. Suggestions from this study are for the Office of Health and Midwives in Central Maluku District Provide policies in managing human resources for midwives with non-permanent employee status, with incentive arrangements that can improve performance in ANC services and carry out Antenatal care services with full sense of responsibility and seriously bearing in mind that the services provided are related to the scope of the Maternal and Child Health program to be achieved.

}, keywords = {Antenatal Care, Child health., Health Center, Pregnant women}, doi = {10.5530/pj.2023.15.117}, author = {Josina Hattu and Darmawansyah and Amran Razak and Sukri Palutturi and Anwar Mallongi and Syamsiar S Russeng} } @article {2129, title = {Analysis of Factors Affecting Exclusive Breast Milk in The Work Area of Waru Puskesmas East Seram Regency}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {October 2023}, pages = {846-850}, type = {Research Article}, chapter = {846}, abstract = {

At present exclusive breastfeeding is decreasing, the causes of the decline in exclusive breastfeeding are factors of lack of knowledge, social culture, awareness of the importance of breastfeeding, health services, health workers who have not fully supported, and the incessant promotion of exclusive breastfeeding. The low percentage of breastfeeding is probably due to the many factors that cause breastfeeding failure, both internal factors (mother{\textquoteright}s knowledge, mother{\textquoteright}s education, mother{\textquoteright}s occupation, and mother{\textquoteright}s disease) and external factors (promotional infant formula, birth attendants) which cause failure in breastfeeding for 6 months. This study aims to determine the factors that influence exclusive breastfeeding to infants in the work area of the Waru Health Center, East Seram District. This type of research is quantitative research with an analytic observational design with a cross-sectional study to see the effect of the independent variables on the dependent variable and observations at the same time. The sampling technique in this study was simple random sampling with a total sample of 81 mothers. The results of this study indicate that there is an influence between employment status and the support of health workers with exclusive breastfeeding, while for the variables of maternal pregnancy distance and knowledge, there is no effect with exclusive breastfeeding. Suggestions for health workers are to improve communication, information, and education. The advice for breastfeeding mothers is to further increase knowledge related to lactation and family support is needed.

}, keywords = {Exclusive breastfeeding, Infants, Puskesmas.}, doi = {10.5530/pj.2023.15.162}, author = {Sukmawati Rumakur and Muhammad Alwy Arifin and Darmawansyah and Balqis and Furqaan Naiem and Suriah and Anwar Mallongi and Muh. Yusri Abadi} } @article {2032, title = {Analysis of Performance Determinants of Health Laboratory Officers in Health Laboratory Centers and Medical Device Calibration in Maluku Province}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {June 2023}, pages = {285-289}, type = {Original Article }, chapter = {285}, abstract = {

The Center for Health Laboratories and Medical Devices Calibration has the task of planning, coordinating implementation and evaluation of clinical laboratory examinations/public health laboratories, referrals, education, technical training, research and development. Performance is the result achieved by someone according to the standards that apply to a particular job. There are several factors that influence the performance of officers, both individually and in organizations, namely the dimensions of performance, namely ability, motivation and opportunities. This study aims to analyze the factors that influence the performance of the staff at the Maluku Provincial Health Laboratory and Medical Device Calibration Center based on factors related to work, related to opportunities, related to infrastructure and related to officers. This type of research is a quantitative research with a survey method to obtain data from the field based on the existing population with a total sample of 56 people. Data processing is done using SPSS. The results showed that the opportunity factor and staff factor had a significant influence on the performance of the staff at the Maluku Province Health Laboratory and Medical Equipment Calibration Center, while the factors that did not give an effect were infrastructure and work factors. Suggestions for related agencies, namely the Health Service must provide motivation, work autonomy, workload according to ability, carry out work effectively and efficiently, communicate regarding access and availability of medical devices and must be able to strengthen the activeness of officers in carrying out tasks with supervision that does not interfere with autonomy health worker job.

}, keywords = {Equipment, Laboratory Hall, Laboratory Officer, Medical devices., Performance}, doi = {10.5530/pj.2023.15.76}, author = {Herlyn De Fretes and Darmawansyah and Muhammad Alwy Arifin and Amran Razak and Lalu Muhammad Saleh and Ummu Salmah and Anwar Mallongi} } @article {2048, title = {Analysis of Policy Implementation of The First 1000 Days of Life Program in Overcoming Stunting in Maros District}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {June 2023}, pages = {405-410}, type = {Research Article}, chapter = {405}, abstract = {

Stunting is closely related to the first 1000 Days of Life. This 1000 HPK period starts from pregnancy until the age of 2 years. The aim of the study was to analyze the implementation of the First 1000 Days of Life program policy in Stunting Management in Maros Regency. This study uses a qualitative panel research method with a descriptive approach. Data were analyzed using content analysis. Interviews were conducted with 9 informants in several agencies, including 3 key informants and 6 regular informants. Research result: Communication between Organizations and Executing Activities (The process of conveying information about the 1000 HPK program in tackling stunting is carried out in the form of good socialization). Resources (Almost fulfilled in carrying out the 1000 HPK program but the capacity of human resources is still inadequate in this case the understanding and availability of budgets sourced from APBD funds and APBN funds). Characteristics of the Executing Agency (There is an SOP for the implementation of 1000 HPK. In the distribution of tasks and responsibilities to all policy implementers of the 1000 HPK program contained in the SK so that each cross-sector coordinate with each other. Disposition of Executors (Executors have played an active role and have a commitment for the success of the 1000 HPK program). Conclusion: Socialization activities have not gone well; several agencies are still experiencing a shortage of human resources both in quantity and quality and experiencing budget shortages resulting in inadequate facilities. In implementing the 1000 HPK program policies, several agencies used the SOP as a procedure for implementing the program as well as the division of tasks and responsibilities based on the Decree of the Maros Regent. Special suggestions for the health office to pay more attention to and have a high commitment to the nutritional status of children by ensuring specific nutrition interventions and sensitive nutrition interventions are right at the location of the village and at the right target group.

}, keywords = {First 1000 Days of Life, Policy, Stunting.}, doi = {10.5530/pj.2023.15.92}, author = {Andi Sri Fifi Wahyuni Azis and Darmawansyah and Amran Razak and Alwy Arifin and Muh Syafar and Anwar Mallongi} } @article {2046, title = {Analysis of The Influence of The Marketing Mix on The Satisfaction of Patients with Type 2 Diabetes Miletus Installation at Hajj General Hospital, Makassar}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {June 2023}, pages = {395-399}, type = {Research Article}, chapter = {395}, abstract = {

Marketing mix is a set of marketing tools used by companies to achieve marketing objectives. The marketing mix consists of nine components, namely product, price, place, promotion, people, process, physical evidence, performance, and strength. This study aims to determine the effect of the marketing mix on patient satisfaction with type 2 diabetes mellitus inpatient installations in public hospital in the Hajj area of Makassar, the type of research used was an analytical survey with a quantitative approach using cross sectional. The sample in this study was type 2 diabetes mellitus patients in the inpatient installation at the Hajj area general hospital as many as 81 people who were obtained by the probability sampling method, collecting data using a questionnaire instrument. Processing data using the Chi-Square test and multivariate logistic regression analysis. Based on the results of the study, there is an influence between the process (Process). Promotion, Place, and Power on patient satisfaction with type 2 diabetes mellitus in inpatient installations. The results of the multivariate analysis showed that the most dominant variable was placed (exp β = 19,093). The conclusion of several influential variables that are most related to patient satisfaction with the marketing mix, namely the place variable, which is the most important factor in patient satisfaction. It is hoped that the Haji Makassar Hospital will pay more attention to the services needed by the community in general, especially the location in terms of the number of rooms, parking and waiting rooms that are more adequate.

}, keywords = {Place, Power, Price, Process, Product, Promotion, Satisfaction.}, doi = {10.5530/pj.2023.15.90}, author = {Suci Safwa Salsabila and Indar and Darmawansyah and Amran Razak and Syamsuar Manyullei and Lalu Muhammad Saleh and Anwar Mallongi} } @article {2086, title = {Cadre Interventions on Health Outcomes of Diabetes Mellitus Patients: Systematic Review of Randomized Control Trial}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {August 2023}, pages = {697-702}, type = {Review Article}, chapter = {697}, abstract = {

Background: Diabetes mellitus is a disease that can cause complications in various organs of the body. There needs to be a strategic effort to improve the health outcomes of diabetes mellitus patients. Research studies show that cadres are able to become liaisons between patients and health care providers and make a positive contribution to the surrounding community. This systematic study aimed to review studies on cadre interventions on health outcomes of diabetes mellitus patients. Methods: The literature search was carried out on the online databases of PubMed, Proquest, and Google Scholar journals published in the range of 2015 {\textendash} 2021. The keywords used included community health worker, intervention, health outcomes, and diabetes mellitus. Meanwhile, the literature criteria used included journal articles, peer-reviewed, written in English, and research studies with the Randomized Control Trial (RCT) design. Result: Based on the results of a review of 15 selected articles, it was found that the overall interventions carried out were providing education, counseling, and group classes. Other activities include home visits, goal setting and action plans, diabetes mellitus diaries, and follow-up phone calls. There were interventions carried out by cadres, in partnership with health care providers and academic partners, involving peers of diabetes mellitus patients and culturally relevant community resources. Conclusion: The results of the review showed that almost all articles found changes in metabolic control, behavior, and psychosocial of diabetes mellitus patients as a result of the interventions. Therefore, there needs to conduct subsequent studies on the effect of cadre interventions on the prevention of disease complications both macrovascular and microvascular.

}, keywords = {Cadres, Diabetes mellitus, Health outcomes., Intervention, Roles}, doi = {10.5530/pj.2023.15.139}, author = {Tini and Darmawansyah and Ridwan Amiruddin and Masni and Anwar Mallongi} } @article {2035, title = {Community Compliance Regarding No-Smoking Area Policy: Belief Control Analysis and Tobacco Use Habits in Society the Bugis Tribe (Pare-Pare City \& Sidrap Regency) and the Makassar Tribe (Gowa-Takalar Regency) in South Sulawesi}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {June 2023}, pages = {301-306}, type = {Original Article }, chapter = {301}, abstract = {

Introduction: Smoking among the people of Bugis-Makassar has become an inseparable part of a smoker and has become a habit. Community compliance with the No-Smoking Area (KTR) policy is still a problem in various regions, this is because the habits and control of people{\textquoteright}s beliefs are not in line with implementation of KTR implementation. Methods: This study used an explanatory research design, namely to examine the correlation between control beliefs and the habit of using Bugis cigarettes on compliance with the policy of implementing a smoking-free area which is part of tobacco control. The research was conducted in four districts in South Sulawesi, namely Takalar, Gowa, Pare-pare, and Sidenreng Rappang (Sidrap) Regencies. The sample used was 400 respondents using the non-probability sampling method, namely the Accidental Sampling technique. Results: This study shows that control beliefs and respondent compliance obtained a p-value of 0.717 \> 0.05 which means there is no significant correlation between control beliefs of tobacco use and community compliance with KTR policies. The results of the correlation test of smoking habits on public compliance with KTR policies obtained a p-value of 0.015 \<0.05 which means there is a significant correlation between tobacco use habits and public compliance with KTR policies. The results of the study also show that the control variable beliefs and habits have a p-value of 0.001 \<0.05 which means that there is a correlation between control beliefs and smoking habits. Conclusion: Policy makers should focus more on the implementation of KTR policies in all public places and law enforcement related to KTR policies in various contexts, including social and cultural approaches. KTR got easier with time.

}, keywords = {Believe control, Community compliance, Non-smoking area, Smoking cessation, Tobacco use.}, doi = {10.5530/pj.2023.15.79}, author = {Achmad R. Muttaqien Al-Madin and H. Amran Razak and Darmawansyah and Suriah and HM Alimin Maidin and Pupin Astuti and Mutia Nur Rahmah and Nur Indah Sari} } @article {2052, title = {The Effect of Family-Based Empowerment in Preventing Overweight and Obesity in Elementary School Children in Kupang}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {June 2023}, pages = {428-434}, type = {Research Article}, chapter = {428}, abstract = {

Background: The prevalence of overweight and obesity continues to increase in both developing and developed countries and occurs in all age groups. As well as being the biggest threat to public health, especially non-communicable diseases. Childhood is the most special period in life. It is almost certain that many health problems/illnesses experienced during this period will be carried on into adulthood. The causes of obesity in children are very complex; genetic, biological, psychosocial, behavioral and sociocultural factors. The impact of overweight and obesity on children is related to physical and psychological effects. Lifestyle modification which includes increasing knowledge, diet, physical activity, sedentary behavior, socio-cultural aspects is believed to be a strategy in preventing and controlling overweight and obesity. This study aims to examine the effect of family empowerment on the prevention of overweight and obesity in elementary school children. This research is a quasy experiment that is pre-test and posttest with control group design. Parallel design with one treatment group and one control group. The sample is determined by purposive random sampling. The research sample was overweight/obese children in elementary school grades 4, 5 and 6, totaling 112 people. Data were obtained through a structured questionnaire covering family abilities, knowledge, physical activity and nutritional intake. Nutritional status was measured after measuring body weight and height using digital scales. Eating patterns were measured using a food frequency questionnaire and a 24-hour recall formula. Results: The results showed that there were differences in family ability (p\<0.016), knowledge (p\<0.001), physical activity (p\<0.015) and nutritional intake (p\<0.000) in the treatment group and the control group after implementing the family empowerment intervention. Conclusion: Family-centered empowerment interventions through health education about overweight and obesity management have a positive impact on increasing family capacity, family knowledge, physical activity and changes in family eating patterns. It is necessary to implement lifestyle modifications in preventing and controlling overweight and obesity. Family-centered empowerment interventions through health education about overweight and obesity management have a positive impact on increasing family capacity, family knowledge, physical activity and changes in family eating patterns. It is necessary to implement lifestyle modifications in preventing and controlling overweight and obesity. Family-centered empowerment interventions through health education about overweight and obesity management have a positive impact on increasing family capacity, family knowledge, physical activity and changes in family eating patterns. It is necessary to implement lifestyle modifications in preventing and controlling overweight and obesity.

}, keywords = {Elementary School Children., Empowerment, Family, Obesity, Overweigh}, doi = {10.5530/pj.2023.15.96}, author = {Fransiskus Geroda Mado and Nurhaedar Jafar and Masyta Muis and Ida Leida Maria and Muhammad Syafar and Darmawansyah and Muhammad Alwi Arifin and Anwar Mallongi and Toto Sudargo and Agustina} } @article {2178, title = {Evaluation of the Economic Impact of Implementing National Health Insurance (JKN) on Hospitals at RSUD Tenriawaru Kab. bone}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {December 2023}, pages = {1156-1162}, type = {Research Article}, chapter = {1156}, abstract = {

The National Health Insurance Program (JKN) through the Social Security Administering Body has been running since January 1 2014, the Tenriawaru Regional General Hospital in Bone Regency is one of the hospitals under the auspices of the local government that works closely with BPJS Kesehatan. The Bone Regency Government has registered 237,381 people into the National Health Insurance (JKN) program. In general, this study aims to analyze the economic impact of the implementation of the National Health Insurance (JKN) on hospital income, hospital financing and financial compensation for hospital employees at Tenriawaru Hospital, Kab, Bone. This study uses a qualitative descriptive research method that aims to obtain an in-depth evaluation study on evaluating the economic impact of the implementation of the National Health Insurance (JKN) program on hospitals. The informants in this study totaled 5 people consisting of the Head of Finance Subdivision, the JKN case mix officer, the Head of Service Subdivision, the Head of HR Subdivision and the Head of Public Relations Subsection. The results of the study show that the implementation of the National Health Insurance (JKN) program has an impact on hospital income. The implementation of JKN provides great benefits for the hospital. the implementation of the National Health Insurance (JKN) program also has an impact on hospital financing, JKN covers hospital operational costs, JKN claims have their respective portions for hospital human resources, drug resources and BHP in hospitals. The implementation of the National Health Insurance (JKN) program has no impact on the financial compensation of employees in hospitals, salaries, bonuses and semi-annual incentives that employees get have no effect on the implementation of JKN in service hospitals that get a portion each for the operational needs of the hospital not for employee financial compensation.

}, keywords = {Compensation, Financial, Financing, Income, JKN}, doi = {10.5530/pj.2023.15.210}, author = {Karmilasari and Sukri Palutturi and Darmawansyah and Muh. Syafar and Indar and Citrakesumasari 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} }