@article {2464, title = {Preconception Posyandu Performance Assessment Instrument with Europan Foundation Quality Management (EFQM) Method: Indicators, Validity and Reliability}, journal = {Pharmacognosy Journal}, volume = {17}, year = {2025}, month = {January 2025}, pages = {40-46}, type = {Original Article}, chapter = {40}, abstract = {

Preconception Posyandu is one of the preconception women{\textquoteright}s health services created to help reduce MMR, IMR and stunting prevalence in Banggai District. This study aims to create a performance assessment instrument for the Preconception Posyandu so that it can maintain the existence of the service. The development of performance assessment indicators through Focus Discussion Group (FGD) activities using the Europan Foundation Quality Management (EFQM) method consists of using 9 variables. We involved 30 village midwives and 30 preconception women at three health centers within Luwuk City to test the performance assessment instrument. Internal reliability was assessed with Cronbach{\textquoteright}s alpha and criterion validity. The performance appraisal instrument using the EFQM method obtained development results, namely from 52 indicator questions made into 92 questions, then after testing the validity of the instrument, 81 questions were declared valid and 11 questions were invalid. The results of Cronbach{\textquoteright}s alpha value, there are 5 variables with strong reliability (alpha\> 0.80), namely leadership variables, strategic policies, staff management and partnerships and resources, while there is 1 variable with perfect reliability (alpha\> 0.90), namely process variables, and 3 variables with sufficient reliability (alpha \> 0.70), namely performance outcome variables, customer satisfaction and impact on society. The questions generated from the development of indicators can be used to measure performance. The service of the Preconception Posyandu Program that has been running so far, this is evidenced by the average value of the reliability test which is 0.83, which means strong reliability.

}, keywords = {EFQM, Instrument, Performance Appraisal, Preconception Health Post}, doi = {10.5530/pj.2025.17.5}, author = {Fitrianty Sutadi Lanyumba and Muhammad Syafar and Darmawansyah D and Apik Indarty Moedjiono and Healthy Hidayanty and Wahiduddin W and Faizal Fahmi and Anang S Otoluwa and Anwar Mallongi} } @article {2352, title = {Analysis of the Implementation of the Bpjs Kesehatan Chronic Diseases Management Program (Prolanis) in Biru Health Center, Bone Regency}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {August 2024}, pages = {872-879}, type = {Research Article}, chapter = {872}, abstract = {

Objectives: Prolanis is a health service system that involves patients, primary health facilities and BPJS. Prolanis aims to maintain health and achieve an optimal quality of life in patients with chronic disease (hypertension and diabetes mellitus) through effective and efficient health services to prevent disease complications. This study aims to determine and analyze the implementation of Prolanis in the Biru Health Center of Bone Regency based on input, process, output, impact, and feedback. Method: The type of research used in this research is qualitative research, and data were collected through technical triangulation using in-depth interviews, observation, and documentation with key informants, main informants and supporting informants using purposive sampling techniques. Result: Research shows that in the input aspect, blood sugar strips used in health checks of prolanist participants are still limited, and there are no special facilities for prolanis. In terms of process, Biru Health Center has carried out all prolanist activities recommended by BPJS Kesehatan. However, some obstacles remain to these activities, such as prolanist participants who do not have Whats App, and laboratory HbA1c examinations every six months have not been carried out. In the output aspect, the achievement of the Biru Health Center RPPT has increased significantly from October 2023 to January 2024, although it decreased in November 2023. Regarding impact, BPJS Kesehatan, the Health Office, and Prolanis Participants are satisfied with implementing the prolanis at the Biru Health Center. Feedback from BPJS Kesehatan is available through the KBK monitoring and evaluation. Conclusion: Implementing prolanists at Biru Health Center has gone well and as expected. However, the input aspect still needs to be improved so that the implementation of prolanists can run even better.

}, keywords = {BPJS Kesehatan., Chronic Disease Management Program (Prolanis), Diabetes mellitus, Health Center, Hypertension}, doi = {10.5530/pj.2024.16.142}, author = {Suci Fajriani S and Amran Razak and Muhammad Alwy Arifin and Muhammad Yusran Amir and Anwar Mallongi and Muhammad Syafar} } @article {2365, title = {Cadre Assistance in Improving the Nutritional Status of Two Years Baby: A Literature Review}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {August 2024}, pages = {960-965}, type = {Review Article}, chapter = {960}, abstract = {

Background: The Health Law mandates that efforts to improve community nutrition aim to improve the nutritional quality of individuals and society. Indonesia is still a country with a fairly high category of nutritional problems. Very underweight badgers were 1.2\% and underweight badgers were 5.2\%. Overcoming nutritional problems must involve various parties in society, one of the community parties who plays an important role in overcoming nutritional problems for toddlers is health cadres in the village, especially nutritional problems for toddlers. Objective: to identify and explain scientific evidence regarding Mentoring Efforts by Cadres to improve Nutrition for Baduta and strengthen the theoretical basis that can support solving the problem being researched. Method: Using online journal databases that can be accessed in PDF form, namely, Pubmed, Elsevier/Scopus, Crossref and Google Scholar. Other sources such as textbooks, national health reports, and dissertations. The search included studies published in the last 10 years (2012{\textendash}2022). Using keywords (Kader, Nutrition Baduta, Posyandu Cadre, Cadre, Health Workers, Nutrition Health Workers). Appropriate articles were then entered into Mendeley. Results: Conclusion: Assistance to cadres can increase cadres{\textquoteright} knowledge and skills in improving nutrition for children, especially toddlers and toddlers. Mentoring and empowering cadres is carried out using various methods such as counseling, training, using various tools and media.

}, keywords = {Baduta Nutrition, Cadres, Mentoring, Two years baby., underweight}, doi = {10.5530/pj.2024.16.155}, author = {Ramli Ramli and Muhammad Syafar and Veni Hadju and Aminuddin Syam and Anwar Mallongi} } @article {2316, title = {Implementation of Preconception Health Services in Some Southeast Asian Countries: A Literature Review}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {June 2024}, pages = {677-681}, type = {Review Article}, chapter = {677}, abstract = {

Objective: This literature discusses various forms of implementation of preconception health services in Indonesia, Malaysia, Singapore, Thailand, Vietnam, and the Philippines. Methods: This literature uses a narrative review with a time limit of 10 years (2011{\textendash}2021) and sources from online database journals that provide free journal articles in PDF format. These include Q1{\textendash}Q4 open access journals, Google Scholar, PubMed, Elsevier, and other sources, such as data from the Ministry of Health of the Republic of Indonesia. Of the 52 studies identified in the search phase, 17 were eligible for inclusion in this review. The keywords used in the literature search are preconception, health services, and Southeast Asia. The analysis carried out in this study is to group and combine the same types of preconception services from each country. Results: There is literature showing the implementation of preconception health services in some countries in Southeast Asia. These services include increasing preconception knowledge (in couples of childbearing age and adolescents), providing preconception care in the form of micronutrients, iron administration, use of contraceptives, counseling, screening for infectious diseases, increasing the participation of health workers in the village, and developing web-based preconception electronic modules and platforms. Conclusions: Providing micronutrients to women of childbearing age is a preconception service that is carried out in almost every country in Southeast Asia; some countries have developed preconception health service information systems, and other countries have not. It is necessary to evaluate the performance of existing preconception health services.

}, keywords = {Health Services, Preconception, Southeast Asia}, doi = {10.5530/pj.2024.16.113}, author = {Fitrianty Sutadi Lanyumba and Muhammad Syafar and Darmawansyah and Apik Indarty Moedjiono and Anang S Otoluwa} } @article {2234, title = {Measuring Adolescent Mental Health and the Effect on Junevile Deliquency Behavior Tendencies. Case Study in Tana Toraja}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {February 2024}, pages = {231-234}, type = {Research Article}, chapter = {231}, abstract = {

Background: Adolescence is a transitional phase of development from childhood to adulthood, involving various changes in the biological, cognitive, and socio-emotional aspects of the adolescent. These changes often lead to confusion in establishing their identity, which can result in behaviors that are not in line with their developmental responsibilities. The tendency towards delinquent behavior in adolescents is one of the forms of behavior that emerges during adolescence due to the dysfunction of various aspects within the adolescent. The presence of dysfunction in these aspects of the adolescent indicates that the adolescent is experiencing mental disorders. The aim of this study is to analyze how the mental health of adolescents influences their tendency to engage in delinquent behaviors. Method: Using a quantitative method with descriptive statistics and testing assumptions using multiple linear regression analysis. Result: Based on the characteristics of adolescents aged 14 to 18 years, it was found that the mental health condition of adolescents has an impact on the tendency of delinquent behavior in adolescents, with a value based on the linear regression model of 0.000 \< 0.05, indicating a significant level. Conclusion: The non-impulsive behavioral aspect is the most significantly influential factor on the tendency of adolescent delinquent behavior with a value of p \< 0.05.

}, keywords = {Adolescent, Juneville delinquency tendency, Mental health, Self-Control}, doi = {10.5530/pj.2024.16.33}, author = {Librawaty Sara Tangibali and Muhammad Syafar and Ridwan M. Thaha and Sudirman Nasir and Hasanuddin Ishak and Sukri Palutturi and Anwar Mallongi} } @article {2263, title = {Peer Group Empowerment to Improve Teenagers{\textquoteright} Behavior in Consuming Blood Supplement Tablets Through the Youth Integrated Healthcare Center Program}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {April 2024}, pages = {400-404}, type = {Research Article}, chapter = {400}, abstract = {

Backgrounds: South Sulawesi Province ranks in the top 7 with a percentage of 58.9\% coverage of TTD provision to adolescent girls. Based on data from the Gowa District Health Service in 2021, it shows that the number of coverage for taking blood-added tablets among young women is 57\% of the accumulated achievements of 26 health centers, where the health center with the lowest number of coverage for taking blood-added tablets is one of the Kanjilo Community Health Centers with an achievement of 18\% of 1239 targets targets. Youth Integrated Healthcare Center with a peer-group approach allows for continuous interaction between peer educators and their peers so that the delivery of information is more intensive. This research aims to determine the effect of peer group empowerment to increase adolescent behavior in consuming blood supplement tablets at the Youth Integrated Healthcare Center, Barombong District, Gowa Regency. Methods: This research uses a quantitative method of quasi-experimental design with a pre-test and post-test group approach. The population in this study were all members of the youth Integrated Healthcare Center in the Kanjilo health center working area, Barombong sub-district, South Sulawesi province, who were divided into two groups, namely the intervention group and the control group, each with 40 people. Results: The results of the study showed that there was a significant effect of peer group empowerment intervention on intention, self-efficacy, knowledge, attitudes, parental support, and teacher support in the intervention group and control group in consuming blood supplement tablets in youth Integrated Healthcare Center with a p-value \< 0.05. Apart from that, the results showed that adolescent Integrated Healthcare Center participants were more disciplined in consuming blood supplement tablets because of peer invitations which made changes in adolescent behavior in a more positive direction. Conclusion: There is a significant influence between the intervention group and the control group before and after being given counseling and peer group empowerment training on adolescent behavior in consuming blood supplement tablets.

}, keywords = {blood supplement tablets, peer groups, Teenagers, youth Integrated Healthcare Center}, doi = {10.5530/pj.2024.16.62}, author = {Nurjanna and Muhammad Syafar and Syria and Ridwan M. Thaha and Abdul Salam and Ridwan Amiruddin and Anwar Mallongi} } @article {2305, title = {The Relationship of Marketing Mix with Patients{\textquoteright} Decisions to Choose Health Services in Outpatient and Inpatient Installations at Sandi Karsa Hospital, Makassar}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {June 2024}, pages = {630-637}, type = {Research Article}, chapter = {630}, abstract = {

The marketing mix is a core business that is very closely related to the targeted patients, so that hospital efforts are specifically closely related to patient behavior in utilizing services. The aim of this research is to determine the relationship between the marketing mix and the patient{\textquoteright}s decision to choose health services in outpatient and inpatient installations at Sandi Karsa Hospital, Makassar. The type of research used is quantitative research with a cross sectional study design. The population in this study was 97 outpatients and 76 inpatients. Sample determination was carried out using the accidental sampling method. Data analysis used univariate, bivariate with chi square test and multivariate with multiple logistic regression test. The results showed that in outpatient installations, there was a relationship between product (p=0.003), staff (p=0.009), physical evidence (p=0.001), process (p=0.000), and performance (p=0.000), there was no relationship between price (p=1,000), promotion (p=0.554), place (p=1,000), and strength (p=1,000) with the patient{\textquoteright}s decision to choose health services at Sandi Karsa Hospital. Meanwhile, in inpatient installations there is a relationship between product (p=0.005), place (p=0.017), staff (p=0.000), process (p=0.002) and physical evidence (p=0.006), there is no price relationship (p= 0.674), promotion (p=1.000), performance (p=1.000), and strength (p=0.358) with the patient{\textquoteright}s decision to choose health services at Sandi Karsa Hospital Makassar.

}, keywords = {Patient Decision, Performance, Physical Evidence, Price, Process, Product, Promotion, Staff, Strength}, doi = {10.5530/pj.2024.16.99}, author = {Ika Bella Rezqi Jaya and Muhammad Yusran Amir and Darmawansyah and Sukri Palutturi and Nurhaedar Jafar and Muhammad Syafar} } @article {2240, title = {Stunting and Family Socio-Cultural Determinant Factors: A Systematic Review}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {February 2024}, pages = {268-275}, type = {Review Article}, chapter = {268}, abstract = {

Background: Stunting is a major public health problem in many developing countries including Indonesia and several ethnic groups have a very high prevalence of stunting which is caused by socio-cultural factors in the family. Objective: This study aims to review family social and cultural factors in relation to stunting. Method: This research uses a systematic review using the PRISMA method. There are 5 steps in this method namely determining the literature topic, searching for sources, selecting relevant sources, grouping and analyzing, and summarizing published research articles on family social culture on stunting published between 2018-2022 in the online article databases PubMed, Proquest, Scopus, Google Scholar and Sciencedirect. Data collection techniques by entering keywords in the database, keywords used: family social culture, intervention AND family environment risk of stunting*social demographics OR health education OR family empowerment OR maternal nutritional behavior OR family empowerment AND stunting. Screening consists of title, abstract, year of research, and methods used. Next, sorting the articles according to the predetermined inclusion criteria. The inclusion criteria in this study are: (1) Quantitative type of research with primary data; (2) Contains research results on socio-cultural factors that influence stunting in children; (3) the year the research was published in the last five years (2018-2022), (4) the sample used was families (children), (5) the text of the article was in English. A total of 18 of 1,544 articles met the inclusion criteria for this review material. Results: This study shows that from the 18 selected articles it was found that stunting is caused by socio-cultural and family demographics, family nutritional behavior, and the family environment at risk of stunting. In addition, a model of health education and family empowerment based on family socio-culture was obtained. Conclusion: This study found that family social culture is a significant determinant of stunting.Therefore, further research needs to be carried out to complete our understanding of the complexity of the stunting problem.

}, keywords = {Family Behavior, Health Education, Social Culture, Stunting}, doi = {10.5530/pj.2024.16.39}, author = {Henniyati Harahap and Aminuddin Syam and Sukri Palutturi and Muhammad Syafar and Anto J. Hadi and Haslinah Ahmad and Hapiz Arlanda Sani and Anwar Mallongi} } @article {2072, title = {Analysis of Lung TB Treatment Strategy in Pangkep District Year 2022}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {August 2023}, pages = {524-527}, type = {Original Article }, chapter = {524}, abstract = {

Tuberculosis (TB) is still a world concern with morbidity rates that have not been fully recorded but mortality data continues to increase, so strengthening coordination strategies with various related networks is very important in the target of achieving TB eradication nationally and globally in 2035. This research is a qualitative research carried out to identify phenomena and problems related to pulmonary TB management strategies in Pangkep Regency in October 2022. Data were collected through Focus Group Discussions (FGD), which were then analyzed qualitatively through 3 stages, namely data reduction, data presentation, and data verification as well as drawing conclusions. The results of the study show several important points in the strategy for handling pulmonary TB in Pangkep Regency, namely the applicable policies still follow the policies from the center, access for island areas must have a special strategy, the TB control strategy used is TOSS and there is collaboration between cross-sectors, electronic recording is carried out through SITB and manuals, as well as monitoring and evaluation activities carried out by looking through the system, conducting routine monitoring and evaluation, as well as field visits.

}, keywords = {Policy, Pulmonary Tuberculosis., Treatment strategy}, doi = {10.5530/pj.2023.15.113}, author = {Muhammad Syafar and Ridwan Mochtar Thaha and St. Rosmanely and Rizky Chaeraty Syam and A. Tenri Nurafni Aprilyani} } @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 {2039, title = {Identification of Family Adaptive Behavior in The Dayak Tribe in An Effort to Prevent Stroke}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {June 2023}, pages = {334-338}, type = {Research Article}, chapter = {334}, abstract = {

The Dayak tribe inhabits a large part of West Kutai Regency, East Kalimantan Province. Hypertension is a major health problem in the West Kutai region. The family plays a role as a facilitator in reducing hypertension and preventing the risk of Stroke in family members. The purpose of this study was to identify the adaptive behavior of Dayak families in an effort to prevent Stroke. This research method is qualitative research with in-depth interviews and FGD (focus group discussion). FGDs were conducted on 7 participants with tingkat 1 and tingkat 2 hypertension patients and 3 people from traditional leaders/ culturalists. This study obtained four main themes, namely 1) Understanding health problems, 2) Utilization of medicinal plants, 3) Disease control, 4) Driving factors in reducing Stroke risk. Suggestions for health workers to be able to improve educational methods and digital health promotion not only using print media.

}, keywords = {Family Adaptive Behavior., FGD, Stroke, The Dayak Tribe}, doi = {10.5530/pj.2023.15.83}, author = {Parellangi and Muhammad Syafar and Sukri Palutturi and Agus Bintara Birawida and Anwar Mallongi and Oedojo Soedirham and Pawennari Hijjang} }