scholarly journals HUBUNGAN HIGIENITAS BOTOL SUSU DENGAN KEJADIAN DIARE DI WILAYAH PUSKESMAS KELAYAN TIMUR BANJARMASIN

2017 ◽  
Vol 13 (1) ◽  
pp. 47
Author(s):  
Muhammad Fathir Naman Harris ◽  
Farida Heriyani ◽  
Lisda Hayatie

Abstract: Diarrhea is a contagious disease which still become public health main issue in the world includes Indonesia. South Borneo is in the twentieth province with most frequent diarrhea incident. Kelayan Timur is the second most frequent diarrhea incident public health center in Banjarmasin. One of the risk factors for diarrhea is milk bottle hygiene. This research aimed to understand the correlation between milk bottle hygiene and diarrhea incident in Kelayan Timur Public Health Center. This was analytic observational research with case control study. The data analyzed using a chi square test and prevalence odds ratio. There were 66 samples with 33 samples of case group which showed 21 samples (63,63%) of poor milk bottle hygiene and 12 samples (36,36%) of good milk bottle hygiene meanwhile in control group, there were 11 samples (33,33%) of poor milk bottle hygiene and 22 sample (66,66%) of good milk bottle hygiene. Analysis result shows p value=0,014 and OR=3,5 which means there is significant relation of milk bottle hygiene and diarrhea incident in Kelayan Timur Public Health Center. Infants with poor hygiene milk bottle have 3,5 times higher risk to suffer from diarrhea than infants with good hygiene. Keywords: milk bottle hygiene, diarrhea, Kelayan Timur Public Health Center Abstrak: Diare adalah penyakit infeksi menular yang masih menjadi masalah utama kesehatan masyarakat di seluruh dunia termasuk Indonesia. Kalimantan Selatan menduduki urutan kedua puluh dari semua provinsi yang tercatat sebagai daerah penyumbang diare terbanyak. Kelayan Timur adalah puskesmas dengan kejadian diare terbanyak kedua di Banjarmasin. Salah satu dari faktor risiko diare adalah higienitas botol susu. Penelitian ini bertujuan untuk mengetahui hubungan higienitas botol susu dengan kejadian diare di wilayah Puskesmas Kelayan Timur. Penelitian bersifat observasional analitik dengan pendekatan case control. Analisis data menggunakan uji Chi-square dan prevalence odds ratio.Sampel yang diambil sebanyak 66 sampel, dimana 33 sampel yang diambil sebagai kelompok kasus menunjukkan 21 sampel (63,63%) dengan higienitas botol susu yang buruk dan 12 sampel (36,36%) dengan higienitas botol susu yang baik, sedangkan pada kelompok kontrol terdapat 11 sampel (33,33%)  dengan higienitas botol susu yang buruk dan 22 sampel (66,66%)  dengan higienitas botol susu yang baik. Hasil analisis mendapatkan nilai p=0,014 dan OR=3,5 sehingga dapat disimpulkan bahwa terdapat hubungan bermakna antara higienitas botol susu dengan kejadian diare di wilayah Puskesmas Kelayan Timur. Balita dengan higienitas botol susu yang buruk berisiko 3,5 kali lebih besar untuk menderita diare dibanding dengan higienitas botol susu yang baik. Kata-kata kunci:higienitas botol susu, diare, Puskesmas Kelayan Timur

2019 ◽  
Vol 7 (3) ◽  
Author(s):  
Erwina Sumartini ◽  
Dida Akhmad Gurnida ◽  
Eddy Fadlyana ◽  
Hadi Susiarno ◽  
Kusnandi Rusmil ◽  
...  

Stunting is a physical growth failure condition signed by height based on age under −2SD. The research goal is knowing the dominant factor associated with stunting on toddler age of 12–24 months in the working area of Singaparna Public Health Center Tasikmalaya regency. The research applies to the cross-sectional design of gender, weight, exclusive breastfeeding history, completeness immunization, and clinically healthy variables, while case-control is for nutrition intake variable. The sample was a total sampling of 376 toddlers, then 30 for case and control group with the simple random method from December 2017 to February 2018. The instrument is a questionnaire, food frequency questionnaire (FFQ), and infantometer. Data analyzed in several ways; univariable, bivariable with chi-square, and multivariable with logistic regression. Research result shows stunting prevalence was 22.5%, next pertain factor of stunting are gender (POR=0.564, 95% CI=0.339–0.937, p value=0.011), exclusive breastfeeding giving history (POR=1.46, 95% CI=1.00–2.14, p value=0.046), and clinically health (POR=1.47, 95% CI=1.00–2.16, p value=0.044). Moreover, dominant factor were gender (OR=0.56, 95% CI=0.339–0.937, p value=0.027) and clinically health (OR=1.68, 95% CI=1.022–2.771, p value=0.041). Thus, gender and clinical health are stunting determinant factors. Children’s health should increase to create maximum growth. DETERMINAN STUNTING PADA ANAK USIA 12–24 BULAN DI PUSKESMAS SINGAPARNA KABUPATEN TASIKMALAYAStunting merupakan kondisi kegagalan pertumbuhan fisik yang ditandai dengan tinggi badan menurut usia berada di bawah −2SD. Penelitian ini bertujuan mengetahui faktor determinan stunting pada anak usia 12–24 bulan di wilayah kerja Puskesmas Singaparna Kabupaten Tasikmalaya. Penelitian menggunakan desain cross-sectional untuk variabel jenis kelamin, berat badan lahir, riwayat ASI eksklusif, kelengkapan imunisasi, dan  sehat secara klinis, sedangkan desain case-control untuk variabel asupan nutrisi. Pengambilan sampel secara total sampling sejumlah 376 anak, selanjutnya diambil 30 anak untuk kelompok kasus dan kontrol dengan metode random sederhana periode Desember 2017 hingga Februari 2018. Instrumen menggunakan kuesioner, food frequency questionaire (FFQ), dan infantometer. Analisis data dilakukan secara univariabel, bivariabel dengan chi-square, dan multivariabel dengan regresi logistik. Hasil penelitian menunjukkan prevalensi stunting sebesar 22,6%, faktor yang berhubungan dengan stunting di antaranya jenis kelamin (POR=0,564; IK95%=0,339–0,937; p=0,011), riwayat pemberian ASI eksklusif (POR=1,46; IK95%=1,00–2,14, p=0,046), dan sehat secara klinis (POR=1,47; IK95%=1,00–2,16; p=0,044). Faktor dominan yang berhubungan dengan stunting adalah jenis kelamin (OR=0,56; IK95%=0,339–0,937; p=0,027) dan sehat secara klinis (OR=1,68; IK95%=1,022–2,771; p=0,041). Jenis kelamin dan sehat secara klinis merupakan faktor determinan stunting. Kesehatan anak perlu ditingkatkan untuk menciptakan pertumbuhan anak yang maksimal.


Author(s):  
Evi Rosita ◽  
Siti Nurnaningrum

There are about 2.8 million incident of perineal rupture in maternal physiological labor. In 2050,it is estimated that the incidence of perineal rupture can be 6.3 million if it is not accompanied by a good midwifery care. In 2016, in Trawas, there was (89%) perineal rupture in primiparas and (57%) perineal rupture in multiparas. Perineal rupture incidences due to parity were still very high. This study aims to analyze the relationship between parity and the incidence of perineal rupture . It is quantitative studyusing a cross sectional approach, by using analysis of physiological maternity women  medical record data from January to April 2017 of 130 peoplein Trawas Public Health Center, Mojokerto Regency.The dataanalysis used was Chi - Square , indicated by p value = 0,000 with ɑ = 0,05. It means that the value of p <ɑ, so H1 is accepted. It can be concluded that there is a relationship between parity and the incidence of perineal rupture on physiological maternity women in Trawas Public Health Center,Mojokerto Regency. Midwives can apply collaboration with patients and their families to have physical and psychologicalpreparation with an alternative of hypnobirthing methods.


Author(s):  
Brain Guntoro ◽  
Kasih Purwati

Hypertension is one of the number one causes of death and disability in the world. Hypertension contributes nearly 9.4 million deaths from cardiovascular disease each year. Hypertension can cause undesirable effects, it needs good handling, one of them is by doing a hypertension diet. To carry out a hypertension diet requires knowledge, lack of knowledge can increase risk factors for hypertension. This study aims to determine the relationship of the level of knowledge about hypertension diet to the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City. This research method is an analytic observational with a cross-sectional approach conducted at the Baloi Permai Public Health Center Batam City 2018. Sampling technique is a total sampling with a sample of 64 people in 2018 determined by inclusion and exclusion criteria. The results of the study were analyzed with frequency distribution and then tested with the Chi-square test. Based on the results of this study indicate that of the 64 respondents found elderly who have a good level of knowledge are 41 people (64.1%), 48 people (75.0%) have an age range between 60-70 years. 27 people (42.2%) elderly have the last high school education and 40 people (62.5%) have jobs as entrepreneurs. Elderly people who have normal blood pressure are 40 people (62.5%), and those affected by hypertension are 24 people (37.5%). The elderly who have a family history of hypertension is 21 people (32.8%) and those who do not have a history of hypertension are 43 people (67.2%). Chi-Square Test analysis results show the significance value p = 0.009. This number is significant because the p-value is smaller than the significance level (α) ≤ 5% (0.05), so H0 is rejected and Ha is accepted. Therefore it can be concluded that there is a significant relationship about the level of knowledge about the hypertension diet to the incidence of hypertension in the elderly. From the results of this study it was concluded that there was a relationship between the level of knowledge about the hypertension diet and the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City in 2016.


2017 ◽  
Vol 3 (3) ◽  
pp. 131-137
Author(s):  
Syukra Alhamda

Background: Dengue fever in Tigo baleh Bukittinggi community is one of the infectious diseases resulting in serious health problems. Understanding the factors associated with the disease is necessity.Objective: To determine the relationships of the implementation of 3M plus program and the existence of Aedes aegypti larvae towards the number of dengue fever cases in the public health center of Tigo Baleh Bukittinggi, West Sumatera, Indonesia.Methods: This was a case control study conducted between January and December 2016 in the Public Health Center of Tigo Baleh Bukittinggi. There were 78 samples recruited by total sampling, with 39 were assigned in the case and control group. House index (HI) and Container index (CI) were used to measure the presence of Aedes aegypti larvae. The implementation of 3M plus program was measured using questionnaire developed by the researcher. Chi Square was performed for data analysis. Result: Findings showed that house index value was 43.6% and container index was 17.9%. The presence of larvae at home contributes to 24 (61.5%) cases of DHF in the case group and 10 (25.6%) cases in the control group. Poor implementation of the program contributes to 27 (69.2%) cases in the case group and 17 (43.6%) in the control group. Chi square test showed p 0.040 (0.05) for the 3M plus implementation and p 0.03 (0.05) for the presence of Aedes aegypti. Conclusion: There were significant associations between the implementation of 3m plus program and the existence of Aedes aegypti larvae towards the number of dengue fever cases in the public health center of Tigo Baleh Bukittinggi, West Sumatera, Indonesia. It is suggested that the community should do more efforts to prevent the occurrence of DHF through mosquito nest eradication, such as the implementation of 3M Plus and sanitation efforts, and pay attention to any places that potentially become a breeding ground for Aedes aegypti mosquitoes.


2020 ◽  
Vol 10 (2) ◽  
pp. 111-116
Author(s):  
Marni Br Karo ◽  
Nurfauziah Cahyanti ◽  
Farida Simanjuntak ◽  
R. Haryo Bimo Setiarto

Abstrak Latar belakang: Kandidiasis vulvovaginalis adalah infeksi mukosa pada vagina maupun vulva yang disebabkan oleh jamur Candida. Infeksi terjadi secara akut, subakut, dan kronis, baik endogen maupun eksogen yang menimbulkan keluhan pada vagina. Umumnya infeksi pertama di vagina disebut vulvitis. Tujuan: Penelitian ini bertujuan menganalisis hubungan kebersihan vulva dengan kejadian kandidiasis vulvovaginalis pada usia subur di Puskesmas Kecamatan Cipayung. Metode: Penelitian dilakukan dengan menggunakan pendekatan cross sectional. Penelitian dilakukan pada bulan Februari sampai Juli 2018 di Unit Infeksi Menular Seksual Puskesmas Kecamatan Cipayung. Populasinya adalah sejumlah orang yang datang ke Puskesmas Kecamatan Cipayung. Sampel adalah sebanyak 33 orang, metode pengambilan sampel adalah secara accidental sampling kemudian data dikumpulkan dengan menyebarkan kuesioner dan pemeriksaan laboratorium. Analisis statistik yang digunakan adalah Chi-Square.  Hasil: Hasil penelitian menunjukkan bahwa kebersihan vulva tidak baik (75,8%) dan berpengaruh positif terhadap kandidiasis vulvovaginalis di Puskesmas Cipayung (87,9%). Hasil uji statistik diperoleh nilai p = 0,036 (p<0,05), atau ada hubungan kebersihan vulva dengan kejadian kandidiasis vulvovaginalis pada wanita usia subur di Puskesmas Cipayung. Kesimpulan: Kebersihan vulva ada hubungannya dengan kejadian kandidiasis vulvovaginalis di Puskesmas Kecamatan Cipayung. Hal ini disebabkan oleh kurangnya kebersihan vagina pada wanita usia subur yang menyebabkan meningkatnya kejadian kandidiasis.   Kata kunci: Kebersihan vulva, kandidiasis vulvovaginalis, wanita usia subur, puskesmas cipayung   Abstract Background: Vulvovaginalis candidiasis is infection in the mucosal of vagina or vulva caused by Candida fungus. Infection can occur acutely, subacute, and chronic, both endogenously and exogenously which often cause symptoms in the vagina. Generally, first infection in the vagina called vulvitis. Objective: This study aims to determine the association of the vulva higiene with vulvovaginal candidiasis on fertile age in Cipayung sub-district Public Health Center (PHC). Method: The study used cross sectional design approach. The study was conducted from February to July 2018 in sexually transmitted infection unit. Total sample was 33 patients at Cipayung sub-district PHC. The sampling method is purposive sampling and data were collected by questionnaire and laboratory results. Statistical analysis used is Chi-Square. Results: The results showed that the vulva hygiene was poor (75.8%) and there was positive association with vulvovaginal candidiasis in Cipayung PHC (87.9%). The result of statistical tests obtained p-value = 0.036 (p <0.05), or there is a relationship of vulva hygiene with vulvovaginal candidiasis in women of childbearing age at Cipayung PHC. Conclusion: There is a relationship between vulva hygiene and vulvovaginal candidiasis at Cipayung sub-district PHC due to lack of vaginal hygiene on woman of childbearing age, which increased the incidence of candidiasis. Keywords: Vulva hygiene, vulvovaginal candidiasis, woman age reproductive, public health center cipayung


2018 ◽  
Vol 4 (2) ◽  
pp. 27
Author(s):  
Endang Susilowati

AbstrakPemberian Imunisasi Dasar Lengkap (IDL) pada bayi, merupakan suatu keharusan. Hasil survei Riskesdas tahun 2013 didapatkan data cakupan imunisasi HB-0 (79,1%), BCG (87,6%), DPT-HB-3 (75,6%), Polio-4 (77,0%), dan imunisasi campak (82,1%). Cakupan imunisasi lengkap di Jawa Tengah pada tahun 2013 mengalami penurunan. Jumlah sasaran bayi pada tahun 2013 adalah 575.011 menurun dibanding tahun 2012 sebanyak 592.712. Dampak dari cakupan imunisasi yang rendah yaitu cukup tingginya proporsi kematian bayi yang disebabkan karena tetanus neonatorum (TN) di Indonesia,  meningkatnya angka morbiditas dan mortalitas. Tujuan dari penelitian ini adalah mengetahui faktor-faktor  apa yang mempengaruhi minat ibu dalam pelaksanaan program lima imunisasi dasar lengkap di Wilayah Puskesmas Bangetayu Kota Semarang, Jenis penelitian yang digunakan adalah explanatory research, adapun pendekatannya menggunakan rancangan cross sectional. Hasil analisis dengan chi square diperoleh hasil signifikansi p value = 0,000 pada karakteristik umur, pendidikan dan pengetahuan, karena p value < 0,05 maka secara statistik ada hubungan yang signifikan antara umur, pendidikan dan pengetahuan  ibu dengan minat ibu dalam pelaksanaan lima imunisasi dasar lengkap.Kata Kunci : Minat ; Lima Imunisasi Dasar Lengkap THE AFFECTING FACTORS OF INTEREST OF MOTHERS TO IMPLEMENT FIVE BASIC IMMUNIZATIONS PROGRAM IN  BANGETAYU PUBLIC HEALTH CENTER,  SEMARANG DISTRICT Abstract In the immunization program, the provision of Complete Basic Immunization in infants is a must. The result of Riskesdas survey in 2013 revealed immunization coverage of HB-0 was 79,1%, BCG was 87,6%, DPT-HB-3 was 75,6%, Polio-4 was 77,0%, and measles immunization was 82.1%. The coverage of complete immunization in Central Java in 2013 has decreased. The number of targeted infants in 2013 was 575,011, decreased from 592,712 in 2012. The impact of low immunization coverage was the high proportion of infant deaths due to Tetanus Neonatorum (TN) in Indonesia, morbidity and mortality rates among infants also increase. The purpose of this research was to know factors that influence interest of mothers to implement five basic immunization program in Bangetayu Public Health Center, Semarang District. The research type is explanatory research with cross sectional design. The result of analysis with chi square showed p value = 0,000 on the characteristics of age, education and knowledge. As p value <0,05, therefore there is a significant correlation between age, education and mother knowledge with interest of mother to implement five complete basic immunization. Keywords: Interest; Five Basic Immunizations Program


2021 ◽  
Vol 2 (6) ◽  
pp. 723-732
Author(s):  
Amran Sebayang

In patients with mental disorders, almost all patients experience recurrence repeatedly. Data from medical records at the Sepatan Health Center, the presentation of recurrence of mental illness patients at the Sepatan Health Center in 2019 was 26.8%. The same was true for the Kedaung Barat Puskesmas at 22%. To determine the relationship between the level of control adherence and the recurrence rate of mental disorders clients at the Sepatan Public Health Center and the Kedaung Barat Tangerang Public Health Center in 2020. Including an analytical survey with a cross sectional approach. The population in this study were all schizophenia patients at the Sepatan Health Center and the Kedaung Barat Health Center, Tangerang Regency in 2020, as many as 109 people. Samples were taken based on the slovin as many as 109 respondents. This study used univariate and bivariate analysis with the Chi Square test. Based on univariate analysis of 109 people, the majority with mental disorders clients who did not relapse were 58 people (53.2%), and the adherence level of adherent controls was 61 people (56%). The results of the bivariate analysis with the chi square test found that there was a relationship between control compliance (p-value 0.000), with mental disorders client recurrence. There is a relationship between the level of control adherence with the recurrence rate of mental disorders clients, with a possible rate of 29,871. It is hoped that it can provide information and be able to provide education on nursing services, especially for the client's family of mental disorders to motivate clients with mental disorders to comply with control.


2017 ◽  
Vol 2 (1) ◽  
pp. 1-8
Author(s):  
Aszrul AB ◽  
Andi Suswani

Family support is very important for stroke patients or those who experience a stroke. Family support is given to health care. Broadly speaking, health efforts are divided into three prevention, curative prevention and rehabilitation efforts (Maulana, 2014: 38). Successfully preventing stroke in patients with hypertension, the family must provide support for patients with hypertension so that lifestyle changes.The purpose of this study was to study the relationship between family support for efforts to prevent stroke in hypertensive patients in the Bontonyeleng Public Health Center Gantarang District, Bulukumba Regency.This study uses quantitative research design using descriptive design. The sample of this study amounted to 50 people taken by the total sampling method that is all participants who were used as the study sample. Data analysis in this study used the Chi Square test statistic test.Based on the results of the research obtained by the respondents, there were mostly in the good category as many as 29 respondents (58%), while the family efforts in minimizing stroke in hypertensive patients were mostly found in the non-done category as many as 33 respondents (66%). The results of the analysis using the Chi Square statistical test obtained a p value of 0,000, thus p <α (0,000 <0,05).The conclusion of this study is about the relationship between families with efforts to minimize stroke in hypertensive patients in the work area of ​​Bontonyeleng Public Health Center, Gantarang District, Bulukumba Regency.Suggestions from this study are to be able to add information and input for health workers to be able to increase assistance for hypertensive patients regarding family needs with family prevention in minimizing stroke in patients with hypertension.


2020 ◽  
Vol 12 (02) ◽  
pp. 129
Author(s):  
Wahyunti Kristiningtyas ◽  
Kristiana Puji Purwandari

ABSTRAK Imunisasi merupakan bentuk intervensi kesehatan yang sangat efektif dalam menurunkan  angka kematian bayi dan balita. Dengan imunisasi berbagai penyakit seperti TBC, difteri, pertusis, tetanus, hepatitits B, poliomielitis, dan campak dapat dicegah. Oleh karena itulah, imunisasi pada bayi dan balita harus lengkap serta diberikan sesuai jadwal. Tujuan penelitian ini untuk menganalisis faktor-faktor yang berhubungan dengan ketepatan waktu pemberian imunisasi dasar. Jenis penelitian adalah survei analitik dengan pendekatan cross sectional. Populasi  penelitian adalah ibu yang mengimunisasikan bayinya ke Puskesmas Wonogiri I pada  bulan Mei – Juni sebanyak 200. Sampel penelitian sebanyak 80 ibu. Teknik sampling menggunakan  quota sampling. Instrumen penelitian menggunakan kuesioner. Analisis data univariat, bivariat dengan chi square dan multivariat dengan regresi logistik ganda model prediksi. Hasil penelitian menunjukkan 60% ibu berpendidikan lanjut, 58,8% ibu  berpengetahuan baik,  52,5% ibu tidak bekerja, 63,8% ibu dengan ekonomi tinggi.  Bayi  dengan imunisasi dasar tepat waktu 71,3%. Variabel  pendidikan ibu (p value = 0,0001) dan pekerjaan ibu (p value = 0,001)  memiliki hubungan signifikan dengan ketepatan waktu pemberian imunisasi dasar. Variabel pengetahuan ibu (p value = 0,131) dan Ekonomi keluarga (p value = 0,266) tidak memiliki hubungan signifikan dengan ketepatan waktu pemberian imunisasi dasar. Variabel yang memiliki hubungan paling dominan terhadap ketepatan waktu pemberian imunisasi dasar di Puskesmas Wonogiri I adalah pekerjaan ibu dengan nilai OR = 12,739. Kata kunci : faktor – faktor, ketepatan waktu, imunisasi dasarFACTORS RELATED TO THE TIMELINESS OF BASIC IMMUNIZATION AT WONOGIRI 1 PUBLIC HEALTH CENTERABSTRACTImmunization is a form of  health intervention that is very effective in reducing infant and under-five mortality.  With immunization of various diseases such as tuberculosis, diphtheria, pertussis, tetanus, hepatitits b, poliomyelitis, and measles can be prevented. Therefore , immunization in infants and toddlers must be complete and given according to schedule.  The study aims to analyze factors related to the timeliness of basic immunization.  The type of this research analytic survey with cross sectional approach. The population  are mothers to immunize their babies the Wonogiri 1 Public Health Center during May - June as many as 200. Samples of this research 80 mothers. Technique sampling is quota sampling.  The research instrument  a questionnaire.  Data analysis with univariate , bivariate  with chi square and multivariate with multiple logistic regression prediction models.  The results showed 60%  of mothers had advanced education levels,  58.8% of mothers with good knowledge, 52.5% of mothers were unemployed, 63.8% of mothers with high economics.  Babies who received timely basic immunizations   71.3%.   Mother’s education variable (p value = 0.0001) and mother's occupation (p value = 0.001)  have a significant relationship with the timeliness of basic immunization.  Mother's knowledge variable (p value = 0.131) and family economy (p value = 0.266) do not have a significant relationship with the timeliness of basic immunization.  The variable that has the most dominant relationship to the timeliness of basic immunization in wonogiri 1 public health center is mother’s occupation with a value of OR = 12,739.Keywords: factors, timeliness, basic immunization


2021 ◽  
Vol 1 (1) ◽  
pp. 1021-1030
Author(s):  
Diah Setyawati

Since the Covid-19 pandemic occurred in March 2020 in Indonesia, many aspects of life have been affected, including health care facilities. This condition has changed people's lifestyles, community visits to health care facilities have decreased. Public interest in visiting public health service facilities has also decreased. One of the public health facilities that feel the impact is the Public Health Center. The purpose of this study was to determine the factors - factors associated with patient loyalty at the Public Health Center. This type of research is quantitative analytic with a cross-sectional approach, the types of statistical tests used are the Chi-square test and Logistic Regression test. The location of the research was at the Ciasmara Health Center, the time of the study was from January to July 2021. The number of samples was 120 respondents, the sampling technique was total sampling. The results of the univariate analysis showed that most of the respondents were not loyal to Public Health Center services, namely 51.7%. The results of the chi-square test showed that of the 7 independent variables studied, only 3 variables were significant on patient loyalty (p-value < 0.05), namely: attitude (0.021), service quality (0.034), and employee performance (0.024). While the variables of knowledge, economic level, distance from the house, and infrastructure are not significant because the p-value > 0.05. The results of the logistic regression test showed that the most dominant factor related to patient loyalty was employee performance. The quality of service and employee performance at the Public Health Center needs to be improved as long as it is through improving services and providing rewards and punishments for employees who perform well and poorly. Next, the patient's attitude needs to be improved through education and counseling carried out by the Public Health Center.


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