Analysis of Outpatient Satisfaction and the Quality of Health Services

Quality is an important factor in health services. Bakunase Health Center is one of the primary accredited health centers in Kupang City. Based on data from the Health Department, there has been a decrease in the number of visits over the last three years. This happens due to external factors and internal factors. The external factor is the increasing degree of public health, while the internal factor is the decrease in the patients’ commitment to treatment. The purpose of this study is to describe the level of outpatient satisfaction with the quality of health services at Bakunase Health Center of Kupang City in 2020. This was a descriptive survey with a quantitative approach. The population in this study was all patients who visited and used outpatient services at Bakunase Health Center in Kupang City from January to October 2019. Accidental sampling was used in selecting the samples from each outpatient sub-group in 7 polyclinics at Bakunase Health Center using inclusion and exclusion criteria. The results indicated that the level of conformity between expectations and reality of the services are as follows: 98.78% tangible, 98.66% reliable, 98.33% responsive, 98.79% assurance 98.74% empathy. Based on the Cartesian Importance Performance Analysis (IPA) diagram, quadrant A was filled by one attribute from the responsiveness dimension, quadrant B was filled by most attributes from the reliability dimension, quadrant C was filled by most attributes from the empathy dimension and quadrant D was filled by one attribute from the responsiveness dimension.

The Correlation between 3M+ Behavior and The Incidence of Dengue Hemorrhagic Fever in Kupang City

Indonesia is a dengue-endemic area. DHF in Kupang City in 2014 was 487 cases, in 2015 was 665 cases, in 2016 was 1.213 cases, it was 2019 387 cases. The 3M+ behavior includes the habit of draining water storage, closing the water storage, burying old stuff, sowing larvicide powder, using mosquito insecticide, using mosquito bed-net, and avoiding the habit of hanging clothes. This study aims to analyze the relationship between 3M+ behavior and the incidence of DHF. This study was conducted in September 2019. This is a descriptive-analytic study with a case-control design. The results show variables related to the incidence of DHF are the behavior of draining water storage (P-value = 0.006), the behavior of closing the water storage (P-value = 0.002), and the behavior of using anti-mosquito insecticide (P-value = 0,000). Whereas the variables not related to the incidence of DHF are the behavior of burying old stuff (P-value = 0.616), the behavior of sowing larvicide powder (P-value = 0.493), the behavior of using mosquito nets (P-value = 0.067), and the behavior of hanging clothes (p-value = 0.512). It is recommended that 3M+ behavior should be done to prevent dengue hemorrhagic fever.

Increase in Knowledge of Dental Health Using Animated Video

Dental health problems are a very important concern in child development because of the vulnerability of school-age children to dental health problems. It happens because of problems with knowledge about dental health in children. This study aims to determine the increase in dental health knowledge using animated video media for health education in elementary school students in North Mollo. This is a pre-experimental design, with a one group pre-test and post-test design research design. This design does not have a comparison group, but at least a first observation (pre-test) has been made which allows testing of changes that occur after the experiment. The sampling technique used in this study was the purposive sampling technique, and the sample size is 51 students. The results of the analysis using the Wilcoxon statistical test showed that the animated video was effective to increase knowledge about dental health with a significance value (ρ) 0.00 <(α) 0.05. Animated video media can be used as an outreach technique about maintaining dental health in elementary school-aged children.

Exclusive Breastfeeding Determinants of Non-working Mothers

The nutritional status in the first 1000 days of life is very important. WHO and UNICEF recommend that newborn babies should only be breastfed for at least six months, so that babies can grow and develop optimally. The recommendation has been applied, but the failure of exclusive breastfeeding still occurs. This study aimed to analyze the determinants of exclusive breastfeeding of not working mothers in the work area of Oesapa Public Health Center, Kelapa Lima subdistrict in 2019. This is a quantitative study with cross-sectional study design. This research was conducted in the work area of Oesapa Public Health Center with a sample of 61 babies. Data analysis used the Chi-Square test and multiple logistic regression tests. The results showed that the variables of mother’s knowledge (ρ= 0,001), mother’s trust (ρ= 0,024), family’s support (ρ= 0,000), and health care provider’s support (ρ= 0,028) are related to exclusive breastfeeding, but mothers’ age (ρ= 0.257) and information exposure (ρ= 1,000) are not related to exclusive breastfeeding. The factor of family’s support (ρ= 0,001) and mother’s knowledge (ρ= 0,005) had the highest correlation with exclusive breastfeeding. The mothers' level of knowledge also had a major contribution to the success of exclusive breastfeeding. To achieve exclusive breastfeeding success, mothers need support from the family (especially husband) and complete information from health workers so the mothers’ knowledge can be improved. The health centers need to utilize various health promotion media to increase the coverage of exclusive breastfeeding.

The Relationship among Predisposing, Enabling, Reinforcing Factors and the Use of Personal Protective Equipment (PPE) in Rice Mill Workers

Workers in the rice milling division have risks to work health, including experiencing lung and respiratory diseases. Every time they work, workers do not use personal protective equipment such as masks, glasses and gloves, as a result the workers feel shortness of breath, cough and taste. itching of the nose and eyes. Many factors cause workers to not use personal protective equipment, one of which is the behavior of each worker. This study aims to determine the relationship between predisposing, enabling, and reinforcing factors with the use of personal protective equipment (PPE) on rice mill workers in Central Kupang District in 2019. This study used an analytical survey method with a cross sectional study approach. The sample in this study were 40 workers spread across 10 rice mills, Central Kupang District. The data analysis used was univariate analysis and bivariate analysis with the chi square statistical test. The results of this study indicate that the factors associated with the use of personal protective equipment are the level of knowledge (p-value = 0.046) while the unrelated factors are attitude (p-value = 1,000), comfort (p-value = 1,000) and the role of co-workers. (p-value = 0.196). Suggestions for all rice mills should provide complete personal protective equipment in the workplace as well as for workers to increase knowledge by seeking information regarding the behavior of using personal protective equipment using various media so that work accidents can be prevented.

Analisis Faktor yang Berpengaruh terhadap Kelelahan Kerja pada Pekerja Rambut Palsu di CV. Dona Mandiri Cabang Lasiana Kota Kupang

Work fatigue is one of the health problems that is often felt by workers, characterized by a decrease in efficiency and endurance at work. Many factors can affect the occurrence of work fatigue, that is worker factors, work factors and work environment factors. The specific purpose of this research is to analyze the influence of work period, sleep quality, breakfast habits, long hours of work and work room temperature on work fatigue of wig workers in CV. Dona Mandiri Kupang City Lasiana Branch. This type of research is analytic survey research and uses cross sectional research design. This research was conducted at CV. Dona Mandiri, Lasiana Branch, Kupang City, in July-August 2019. The populations in this study were all wig workers working at CV. Dona Mandiri Lasiana Branch in Kupang City, with a total sample of research using a total population of 61 respondents. Statistical tests using is simple linear regression analysis. Based on the results of the study, the significance and effect of working period shows (0.896 and 0.000); sleep quality (0.080 and 0.051); breakfast habits (0.001); work time (0.014) and temperature shows (0.003). It show that the variable working time does not have an effect on work fatigue, sleep quality variables does not have an effect on work fatigue, breakfast habits have an effect on work fatigue, the length of work variable has an effect on work fatigue and the temperature variable has an effect on work fatigue.

Faktor-Faktor yang Berhubungan dengan Kejadian Diare pada Balita di Desa Buru Kaghu Kecamatan Wewewa Selatan Kabupaten Sumba Barat Daya

Diarrhea is the loss of body fluids within 24 hours with the frequency of bowel movements more than three times a day. Number of patients with diarrhea in health centers Teke Tena last three years has risen in 2016 as many as 150 people, in 2017 250 in 2018 328 people. Buru village Kaghu in 2016-2018 had the highest diarrhea patients from four other villages, namely the village Werilolo 17 cases, 40 cases Weebaghe village, village Milla Ate 35 cases, 35 cases Bedu Pasono village, almost every year from 2016 to 2018 outbreak of diarrhea in infants that result in death if not treated quickly. The purpose of this research is to know the factors related to the occurrence of diarrhea in infants in Buru village Kaghu 2019, this type of research is analytic research with, sample of 90 people with a statistical analysis using Chi-Square test. The results of this study indicate that there is a relationship between the mother's knowledge with the incidence of diarrhea in infants (p value = 0.012), there is a correlation between drinking water treatment (p value 0.000), there is a correlation between the availability of latrines (p value = 0.015), there was no relationship between the wash hands with soap and clean water with the incidence of diarrhea in infants (p value = 0.158), there was no relationship between the provision of breastfeeding with the incidence of diarrhea in infants (p value = 0.823), there was no correlation between the cleanliness of the equipment with the incidence of diarrhea in infants (p value 0.652).

Indeks Kepuasan Masyarakat (IKM) terhadap Kualitas Pelayanan Publik di Puskesmas Oepoi Kota Kupang

The Public Satisfaction Index (IKM) is one of the methods used to determine the quality of public services through public perception. Public services provided by the Kupang City Oepoi Community Health Center (Puskesmas Oepoi) have not met yet community expectations. The preliminary observations found several problems regarding health services rendered by Puskesmas Oepoi, such as inadequate facilities and infrastructure, limited service time, insufficient human resources, and unsatisfying handling complaints and suggestions. These, consequently, could reduce public satisfaction, which will ultimately lead to a decline in the quality of Puskesmas Oepoi public services. This study aimed to determine the IKM toward the quality of public services in Puskesmas Oepoi Kupang City. The study used a quantitative descriptive survey approach. The number of samples was 96 respondents obtained by accidental sampling technique. The data analysis technique used the guidelines of Community Satisfaction Survey consisting of nine IKM indicators. The results showed that the satisfaction level and quality of services provided by Puskesmas Oepoi Kupang City in 2019 were at the "Good" category with a total conversion value of the nine elements of IKM was 76.62. Puskesmas Oepoi should improve the IKM elements that are at the “poor” category as well as maintain the IKM elements that are at the “good” category so that the public remains satisfied with the service performance provided by Puskesmas Oepoi.

Faktor-faktor yang Berhubungan dengan Risiko Kecelakaan Lalu lintas pada Siswa SMA di Kota Kupang Tahun 2019

The development of increasingly modern times with increasingly dense mobilization rates causes traffic accidents to increase, especially among high school students. Traffic accidents occur due to several factors, that are human factors, environmental factors, and vehicle factors. This study aimed to analyze factors related to the risk of traffic accidents in, Kupang city in 2019. This research used quantitative methods, with analytic methods, using a cross-sectional approach. The selection of samples used simple random sampling method and sample in this study is 84 students spread over three high schools, in Kupang. The results showed that there was a relationship between driving behavior with traffic accidents on high school students in Kupang with the value of p value = 0.003, there was no relationship between the factors of vehicles with traffic accidents on high school students in Kupang with the value of p value = 0.285 and there was a relationship between environmental factors and traffic accidents on high school students in Kupang with a value of p value = 0.002). The researcher proposes suggestions for high school students in Kupang City to pay more attention to driving behavior, as well as the conditions of the road being traversed. for officers who are authorized to be able to improve guidance and outreach, and strict rules and sanctions to create a conducive traffic situation, to reduce traffic accidents.

Determinan Status Gizi Balita pada Keluarga Petani di Wilayah Kerja Puskesmas Halilulik Kabupaten Belu Tahun 2019

Toddlers are vulnerable groups that must be considered especially the fulfillment of nutritional intake. Balanced nutrition in infancy plays an important role in increasing human resources in the future, but malnutrition in infancy affects the growth and development of children's brains that are irreversible or unable to recover. The problem of malnutrition is still a major problem in Indonesia despite the many efforts and prevention programs that have been made. This study aims to analyze the determinant of toddler nutrition status in farmer's families in Halilulik Health Center Belu District in 2019. This research used an analytic survey with a cross-sectional design. The sample in this research were 94 toddlers who were in the Halilulik Health Center Community. Data analysis used was univariate analysis, bivariate analysis and multivariate analysis with chi-square and multiple logistic regression tests. The results of this research showed that the variables of mother's knowledge (ρ=0.032), level adequacy of energy (ρ = 0,000), level adequacy of protein (ρ=0,000) and history of infectious disease (ρ=0,002) have correlation with Toddler Nutrition Status, while families food processing habits (ρ=0,739) and families eating restrictions (ρ=0,617) did not have any correlation with Toddler Nutrition Status. The dominant factor that most influences the nutritional status of toddlers is the level adequacy of energy followed by the level adequacy of protein. Nutrition toddlers have less levels of energy and protein intake compared to toddlers with good nutritional status. Consumption of foods that are diverse and varied needs to be considered, especially foods that are sourced with energy, protein, and fat to reduce the problem of malnutrition in infants.