Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom <p>Since <strong>Volume 6 No. 3, 2020</strong>, Jurnal Kesehatan Komunitas (Journal of Community Health) has been accredited SINTA 3</p> LPPM Hang Tuah Pekanbaru en-US Jurnal Kesehatan Komunitas 2088-7612 <p>Copyright @2017. This is an open-access article distributed under the terms of the Creative Commons&nbsp;Attribution-NonCommercial-ShareAlike 4.0 International License (<a href="http://creativecommons.org/licenses/by-nc-sa/4.0/" target="_blank">http://creativecommons.org/licenses/by-nc-sa/4.0/</a>) which permits unrestricted non-commercial used, distribution and reproduction in any medium&nbsp;</p> The Effectiveness of Counseling on Mother's Knowledge About Choking And Cardiac Arrest at Ubung Kaja Denpasar Bali https://jurnal.htp.ac.id/index.php/keskom/article/view/1140 <p>An emergency condition is a situation that requires quick, precise, and appropriate action to save lives. Delays in providing emergency assistance often occur in children, where the result of this delay is permanent disability and even death. Emergency for children is an important concern because children are not used to expressing uncomfortable conditions in an emergency. Emergency conditions that often occur in children are choking and cardiac arrest. The purpose of this study was to determine the difference in maternal knowledge before and after being given counseling about choking, and cardiopulmonary resuscitation. This study uses a Pre-Experiment with One Group Pre-test Post-test design with a cross-sectional approach. The research was conducted in Ubung Kaja Village. The population in this study were 70 parents who had children aged 0-2 years. Univariate analysis was used to determine the demographic data of the respondents. Bivariate analysis was used to determine differences in maternal knowledge before and after being given counseling about choking and CPR. The results showed that (Choking P 0.000 &lt;a = 0.05), and (Cardiac arrest P 0.000 &lt;a = 0.05). There is an effect of providing counseling on mother's knowledge in emergency handling of fever, choking and cardiac arrest. Further training on emergencies needs to be carried out on an ongoing basis because emergencies can happen anywhere.</p> Yustina Ni Putu Yusniawati Ida Rahmawati Emanuel Ileatan Lewar Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-18 2022-12-18 8 3 522 526 10.25311/keskom.Vol8.Iss3.1140 Determinants of Achievement Indicators Capitation Based Performance in First Level Healthcare: A Systematic Review https://jurnal.htp.ac.id/index.php/keskom/article/view/1272 <p><em>The implementation of Capitation Based Performance payments has been carried out since 2016 but until now there are still many First Level Healthcare that have not been able to reach all the performance indicators. This study aims to analyze the determinants of the achievement of the Contact Number indicator, the Non-Specialized Case Referral Ratio, and the Controlled Prolanis Participant Ratio so that it is expected to know the effectiveness of the KBK implementation policy. This study uses a systematic review method using the PRISMA (Preferred Reporting Items for Systematic Review and Meta Analysis) guidelines. Literature searches were carried out using search engines: Research Gate, DOAJ, Google Scholar, and ScienceDirect so as to obtain 15 articles that were eligible for review. Overall, the main factors that influence the achievement of KBK are the availability of human resources, infrastructure, also knowledge of JKN participants. However, other factors such as the availability of funds, the existence of supporting policies and information systems and a commitment to fulfill the KBK indicators also affect the achievement of the KBK. In this case, the FKTP must carry out a workload analysis to count the number of human resources, fulfill infrastructure and routinely provide education to Prolanis participants.</em></p> Rizki Fadila Katmini Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-15 2022-12-15 8 3 408 417 10.25311/keskom.Vol8.Iss3.1272 Determinants Factors Related to Communities Participation Aged 12 Years Old in Carrying Out the COVID-19 Vaccine https://jurnal.htp.ac.id/index.php/keskom/article/view/1317 <p><em>One of the government's efforts in dealing with COVID-19 is with a self-limited disease-healing method. The way to do that is by implementing health protocols and carrying out special protection efforts, that as vaccination. This study aims to determine the determinant factors related to community participation aged 12 years old in carrying out the COVID-19 vaccine at Trimulyo Primary Health Center Work Area, Pesawaran Regency in 2022. This research is quantitative with a cross-sectional approach. The population in this study was people aged 12 years old in the Trimulyo Public Health Center, Pesawaran Regency, with 23,390 people. The sample was chosen with cluster random sampling, consisting of 394 people The data analysis used was univariate, bivariate (chi-square, and multivariate (multiple logistic regression). The results show that there was a relationship between knowledge (p = 0.033), history of non-communicable diseases (p = 0.004), history of COVID-19 (p = 0.005), and public perception (p = 0.000) with community participation in the COVID-19 vaccine. 19. The dominant factor related to community participation is the community perception variable. Suggested primary health care can intensify education to the community about the importance of carrying out the COVID-19 vaccine by using media which attracts more public attention.</em></p> Syafrizal AR Christin Angelina Febriani Dessy Hermawan Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-15 2022-12-15 8 3 463 471 10.25311/keskom.Vol8.Iss3.1317 Systematic Review: Snake and Ladder Game about Covid-19 Protocol and Student Health Education https://jurnal.htp.ac.id/index.php/keskom/article/view/1099 <p>Coronavirus Disease 2019 (Covid-19) is a pandemic caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARSCoV-2). Students are able to carry out Evidence-Based Practice, formulate and analyze journals about snakes and ladders and Covid-19 as well as health education. This research method is a systematic review. By searching for journals according to the keyword The Effect of Modified Snakes and Ladders Game on Knowledge Levels of the Covid-19 Health Protocol and Health Education for School Children. Articles are searched through Pro-quest and scholar. The number of articles obtained was 449 articles, after being sorted using a prism, 10 articles were obtained. The modification of the snake and ladder game can provide attachment to players with instructions through educational content about health protocols, player involvement has been tested significantly with the play content variable being the dominant aspect that affects the involvement of children's participants. Snakes and ladders can also be used for other health promotion programs in the health sector, nutrition education using snakes and ladders media materials can produce significant changes in children's knowledge. The promotional media are very interesting and enthusiastic so that the children enjoy their educational process properly. This study is intended to be a reference material for nurses or health workers in developing learning media about snakes and ladders regarding the COVID-19 health protocol.</p> Enisah Maksum Murtiningsih Murtiningsih Iin Inayah Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-15 2022-12-15 8 3 453 462 10.25311/keskom.Vol8.Iss3.1099 Relationship of Social Economic Factors with Mental Health in Children Victims of Sexual in Aceh Province https://jurnal.htp.ac.id/index.php/keskom/article/view/1216 <p><em>Sexual violence against children will have an impact on the development of children's mental health and the case is like an iceberg phenomenon. </em><em>t</em><em>his study examines the relationship between </em><em>the </em><em>socio-economic and mental health of child victims of sexual in Aceh Province</em><em>, t</em><em>his type of analytic observational research </em><em>uses</em><em> a </em><em>cross-sectional</em><em> design,</em> <em>the </em><em>population of children experiencing sexual violence is based on data from UPTD-PPA Aceh, Aceh Province in 12 districts, totaling 123 children</em><em>, t</em><em>otal population sample</em><em>, t</em><em>he results showed that the factors associated with the development of mental health of children were the father's secondary education (OR = 3.6; p = 0.002), the father's basic education (OR = 2.8; p = 0.025), the father's occupation was self-employed (OR = 3</em><em>.</em><em>6; p=0.03), environmental influence (OR=2.7; p=0.009), family support was not supportive (OR=9; p=0.0001) and the counselor's behavior was not supportive (OR=2.3 ; p = 0.026)</em><em>, t</em><em>he results of the multivariate analysis concluded that children who experienced sexual abuse tend to experience abnormal mental health development 15 times greater than the other variables. </em></p> <p><em> </em></p> Nofita Yulandari Radhiah Zakaria M. Marthoenis Hafnidar A. Rani Asnawi Abdullah Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-18 2022-12-18 8 3 506 513 10.25311/keskom.Vol8.Iss3.1216 Application of the Healthy Application to Increase Adolescent Reproductive Health Knowledge in NU High School Students in Palembang City https://jurnal.htp.ac.id/index.php/keskom/article/view/1252 <p>To increase the knowledge and the adolescent’s manner about their reproductive health can do by giving them an education by using an application via android/IOS. On this application, we can share with them an education about their reproductive health. The purpose of this research is to know how is the impact of this application on the knowledge improvement of reproductive health in Negeri Umum senior high school students in Palembang. This study used a pre-experimental design method with the type of one group pretest-posttest (single group initial test and final test). The method to create a sample of this research is using Simple Random Sampling that has 70 samples and it comes from 10-grade students, 11-grade students, and 12-grade students. The results by applying Wilcoxon Signed Rank Test show a significant number of the sixth variable (α &lt;0,005) which all the variables about Show a resulting <em>p-value </em><em>of </em>0,000. Based on the statistical analysis above, it can be concluded that there is a significant difference in using the Sehati application on increasing senior high school Negeri Umum Palembang’s student knowledge about reproductive health.</p> <p> </p> Herawati Jaya Intan Kumalasari Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-15 2022-12-15 8 3 443 452 10.25311/keskom.Vol8.Iss3.1252 Correlation Nutritional Status to Anemia in Pregnancy https://jurnal.htp.ac.id/index.php/keskom/article/view/1295 <p><em>The incidence of anemia in pregnancy is a nutritional problem that affects human resources and has an impact on maternal and child health. Anemia in pregnant women is strongly associated with maternal and infant mortality and morbidity, including the risk of miscarriage, stillbirth, prematurity and low birth weight. To identify the relationship between nutritional status and the incidence of anemia in pregnant women at the Slawi Public Health Center, Tegal Regency. The study sample used purposive sampling of </em><em>3</em><em>0 pregnant women. Test the relationship of variables using chi-square with a p value of 0.01, which means that there is a correlation between nutritional status and the incidence of anemia in pregnant women.</em></p> Natiqotul Fatkhiyah Umi Salamah Arriani Indrastuti Loviana Nurfiati Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-20 2022-12-20 8 3 569 575 10.25311/keskom.Vol8.Iss3.1295 A Review of Water and Sanitation Factors with child Stunting Incidence https://jurnal.htp.ac.id/index.php/keskom/article/view/1338 <p><em>Globally, malnutrition manifests most frequently as a failure to achieve linear growth. Stunting occurs when a person's growth is restricted. Stunting is a major public health concern because it affects an estimated 165 million children younger than 5 years old, and the primary goal is to reduce stunting prevalence by 40% between 2010 and 2025. Stunting is linked to both water and environmental issues as well as nutritional ones. sanitation. The purpose of this literature review is to investigate the connection between the availability of clean water and the rate of stunting in children younger than five. Google Scholar, PlosOne, SpringerLink, the Wiley Online Library, and PubMed are just some of the electronic databases used in this literature review/narrative review/method of research. "water + sanitation + child + stunting" are the search terms used to uncover this article's foundation. Articles that explain the connections between poor water and sanitation and stunting in children younger than five and were published between 2015 and 2021 were considered for inclusion. A review of 20 articles found that access to clean water and sanitation services (such as the availability of toilets, the frequency with which people defecate in the open, and the method by which they dispose of their toddlers' waste) were all linked to reduced height and weight in children under five. Researchers found that access to clean water and toilets were both risk factors for stunting in children younger than five. Stunting can be avoided with more health awareness campaigns and cross-sector collaboration on nutrition interventions.</em></p> Mardiyatun Nasyidah Nur Alam Fajar Najmah Najmah Copyright (c) 2023 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2023-01-03 2023-01-03 8 3 597 606 10.25311/keskom.Vol8.Iss3.1338 Study of Diabetes Knowledge Level Among Diabetics and Non-Diabetics at Puskesmas Brondong, Lamongan https://jurnal.htp.ac.id/index.php/keskom/article/view/842 <p><em>Diabetes mellitus is a disease with hyperglycemia in the body. Various complications arising from diabetes mellitus can interfere with the quality of life of sufferers. Knowledge about diabetes is very necessary for diabetics. It is hoped that this will raise awareness for diabetics to adopt a healthy lifestyle so diabetics can carry out therapy properly to prevent and reduce the impact of complications caused by diabetes mellitus. This study aims to see the level of knowledge about diabetes among diabetics at Puskesmas Brondong, Lamongan. The research method used a case-control study which was divided into the diabetic group and the non-diabetic group. The sample size in each group was 50 people and was carried out by purposive sampling. The results showed that there was a significant difference in the knowledge level of diabetes between the second group (p = 0.000) and had a strong association (r = 0.578). This study concluded that the diabetic group has a knowledge level of diabetes better than the non-diabetic group at Puskesmas Brondong, Lamongan.</em></p> <p><strong><em> </em></strong></p> Almas Ula Salsabila Rivan Virlando Suryadinata Theresia Desy Askitosari Panjumi Khorida Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-18 2022-12-18 8 3 514 521 10.25311/keskom.Vol8.Iss3.842 Relationship of Anxiety with Health Seeking Behavior During the COVID-19 Pandemic https://jurnal.htp.ac.id/index.php/keskom/article/view/1142 <p><em>The pandemic situation due to the 2019 Coronavirus Disease (COVID-19) has an impact on anxiety for all people in Indonesia, thus affecting Health-Seeking Behavior (HSB). This study aims to determine the relationship between anxiety and health-seeking behavior during the COVID-19 pandemic. The type of research used is quantitative, with a Cross-Sectional approach. The test used is Chi-Square to see the relationship between anxiety and health-seeking behavior during the COVID- 19 pandemic. The sample was 171 people using a proportional random sampling technique. The results showed that the average age was 38.08 years, </em><em>and </em><em>the majority were female, married, </em><em>in </em><em>high school, self-employed, BPJS health insurance. The level of mild anxiety was 51 (29.8%) while there was no anxiety, moderate anxiety, </em><em>and </em><em>severe anxiety was 40 (23.4%). Health Seeking Behaviors for Health Workers/Midwives/Mantri/Physicians/Access to Health care Public health center/Hospital 115 (67.3%), buying drugs at stalls/pharmacies/drug stores 33 (19.3%), making </em><em>herbs</em><em>/buying herbs/herbs 19 (11.1 %) and did nothing/ did not take any action 4 (2.3%). The test results obtained P-value =</em> <em>0.058 (&gt; 0.05), meaning that there is no relationship between anxiety and health-seeking behavior during the COVID-19 pandemic. It is hoped that the community will not be anxious to go to health services for the creation of better public health behavior.</em></p> lita lita Hari Guspian Susi Erianti Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-15 2022-12-15 8 3 418 427 10.25311/keskom.Vol8.Iss3.1142 Analysis The Implementation Total Quality Management in IGD Services of Dumai City Hospital https://jurnal.htp.ac.id/index.php/keskom/article/view/1223 <p><em>Total Quality Management is one approach that helps hospitals to improve service quality. There are many factors that influence TQM, namely customer focus, teamwork, continuous improvement, education and training, employee involvement and empowerment. This study aims to determine the implementation of TQM in the emergency department of the Dumai City Hospital as well as the factors influencing it. This type of quantitative analytic research uses a Cross Sectional design. The research population is doctors and paramedics who work in the ER at the Dumai City Hospital using purposive sampling with a sample of 57 respondents. Data was obtained by filling out questionnaires. Data analysis using univariate, bivariate, and multivariate presented in the form of frequency distribution. The results of the analysis show that there is a relationship between focus on customers, continuous improvement, involvement and empowerment of employees with the implementation of TQM in Dumai City Hospital. While the other two factors, namely teamwork and aspects of education and training there is no relationship. To realize a better TQM implementation, three related variables need to be improved.</em></p> Indra Kurniawan Budi Hartono Lita Lita arnawilis arnawilis Jasrida Yunita Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-18 2022-12-18 8 3 481 488 10.25311/keskom.Vol8.Iss3.1223 The Effect of Education Through WhatsApp and Zoom on Knowledge and Practice of Hypertension Control in Hypertensive Patients at the Rejosari Health Center in 2021 https://jurnal.htp.ac.id/index.php/keskom/article/view/1275 <p><em>Based on the results of interviews with hypertensive patients at the Rejosari Health Center, Pekanbaru City, it was found that the patient's knowledge about hypertension and patient behavior in hypertension control practices was still low. So it is necessary to do education via whatsapp and zoom during this covid 19 period. This study was to determine the effect of providing education through WhatsApp and Zoom on knowledge and practice of controlling hypertension in patients. This type of research is analytic with quantitative methods with a Quasy Experiment design in the form of a Pretest-Postest With Control Group design. The research sample amounted to 32 people in the control group and 32 people in the experimental group. The population in this study was 418. The sampling technique used consecutive sampling, to obtain data in the study, it was done by filling out a google form. The data analysis used was Univariate, Bivariate</em><em>,</em><em> and Multivariate. Research results</em><em> in</em><em> There is an effect of providing education to the whatsapp group and zoom group on the knowledge and practice of controlling hypertension patients. However, WhatsApp education is more dominant in influencing knowledge and practice of controlling hypertension in hypertensive patients at the Rejosari Health Center Pekanbaru City in 2021 after being controlled by the variables of gender, occupation, education, and age.</em></p> Igha Viorela Br Karo Sekali Reno Renaldi Yuyun Priwahyuni Mitra Mitra Emy Leonita Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-12 2022-12-12 8 3 397 407 10.25311/keskom.Vol8.Iss3.1275 The Impact of Good Coorporate Governance Implementation and The Standard of Medical Care on Patients' Satisfaction in The Inpatient Unit at Medan Haji General Hospital https://jurnal.htp.ac.id/index.php/keskom/article/view/1330 <p><em>The community needs good health services to fulfill the rights of Indonesian citizens. As health </em><em>services organizations</em><em>, hospitals must be able to provide good services. The implementation of health services with integrity, transparency, accountability, and responsiveness requires a system that can integrate all of these components. Hospitals must provide quality health services at affordable prices to increase customer satisfaction and strive to evaluate and capture all opportunities and increase their</em><em>s</em><em>. Competitiveness</em> <em>in</em><em> an inpatient unit at the Medan Haji General Hospital (RSUHM) North Sumatra Province. The type of research used in this research is quantitative analytic</em><em>s</em><em> with </em><em>a </em><em>cross</em><em>-</em><em>sectional design. The sample used in this study was an inpatient unit at the Medan Haji General Hospital (RSUHM) North Sumatra Province, amounting to 100 people. Data analysis using Spearman correlation test and multiple linear regression multivariate analysis. The results showed that there was a significant relationship between all dimensions of the principles of Good Corporate Governance and the quality of health services with patient satisfaction. Through multiple linear regression analysis, it is known that the Responsiveness variable is the most dominant variable in influencing patient satisfaction.</em> <em>Based on these conclusions, the researchers suggest that doctors, nurses, and other officers should improve their services to patients. In addition, researchers also suggest that the results of this study can be used as input for stakeholders in policy-making, especially in the health sector.</em></p> Yosia Nathaniel E. Halawa Chrismis Novalinda Ginting Muhammad Aditya Kurnia Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-18 2022-12-18 8 3 496 505 10.25311/keskom.Vol8.Iss3.1330 Prevention of Exposure to Chemotherapy Drugs by Families of Cancer Patients https://jurnal.htp.ac.id/index.php/keskom/article/view/1116 <p><em>Cytotoxic drugs not only affected cancer patients receiving chemotherapy but also family members who come into close contact with the patient either during treatment or after the patient is at home. The aim of this study was to identify prevention taken by the patient's family to avoid exposure to chemotherapy drugs after the patient arrived home. This study was descriptive with </em><em>a </em><em>sample of 84 families of cancer patients undergoing chemotherapy, who were taken by consecutive sampling technique. Data collection using a questionnaire and processing was carried out univariately using a frequency distribution. The results showed that 58.3% of patients did not live in one house with children, pregnant women</em><em>,</em><em> and the elderly; 39.3% of families used different toilets from patients; 85.7% of families flushed the toilet using toilet cleaning fluid after being used by the patient; 78.6% of families replaced mattress pads at least once in 3 days, 70.2% of families used disposable gloves to handle contaminated clothing by patient excretions and 84.5% of families provide a special vomitus place. It is hoped that the nurses will educate patients and their families on how to prevent exposure to chemotherapy drugs at home.</em></p> Rani Lisa Indra Hayyu Mufathuzzahra Meisa Daniati Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-15 2022-12-15 8 3 428 435 10.25311/keskom.Vol8.Iss3.1116 The Dating Violence Among Senior High School Students https://jurnal.htp.ac.id/index.php/keskom/article/view/1219 Larasati Fina Arisandi Dela Aristi Narila Mutia Nasir Laily Hanifah Copyright (c) 2023 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2023-01-02 2023-01-02 8 3 489 495 10.25311/keskom.Vol8.Iss3.1219 The Relationship Between the Anxiety of COVID-19 and the Quality of Life of Elderly in Center Ende District, Ende Regency, East Nusa Tenggara Province https://jurnal.htp.ac.id/index.php/keskom/article/view/1255 <p><em>The increase in COVID-19 cases in the elderly presents many challenges in the field of health services during the current pandemic The high number of cases has a bad impact on mental health in the elderly. Anxiety is a first-order mental health problem in the elderly. Efforts to deal with anxiety experienced during this pandemic have a very positive effect on improving health and providing a better quality of life. This study aims to determine the relationship between the anxiety of covid-19 events and the quality of life of the elderly. The research method used a descriptive cross-sectional study design with a total sample of 100 respondents with sampling carried out a consecutive sampling from February 2022 to May 2022. Bivariate data analysis using spearman test. The results showed that the relationship between respondents' anxiety about the incidence of COVID-19 and quality of life obtained a p-value = 0.019 meaning that there was a significant relationship between respondents' anxiety and quality of life. The result of a correlation value of -0.234 has a weak relationship strength with a negative correlation which means that the fewer anxiety respondents have about the incidence of COVID-19, the better their quality of life and vice versa. It can be concluded that the importance of the role in providing physical, emotional, and psychological support to the elderly as well as recommendations for physical activity so that in the end it can have a positive effect on changes in their quality of life.</em></p> Syaputra Artama Khrispina Owa Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-20 2022-12-20 8 3 546 554 10.25311/keskom.Vol8.Iss3.1255 Hospital Performance Assessment Balanced Scorecard Method – Its Implementation in the Third Decade: Scoping Review https://jurnal.htp.ac.id/index.php/keskom/article/view/1305 <p><strong><em>Background :</em></strong><em> B</em><em>alanced score card (BSC) has been for decades used as a performance measurement tool in many healthcare setting including hospital. Hospital performance measurement is essential to gauge, spesifically during the covid-19 pandemic where many hospitals are experiencing difficulties to sustain. Balanced Scorecard (BSC) is one of the widely used method to improve hospital performance for it’s comprehensiveness. The method applied four perspectives, those are financial perspective, growth and learning, custumor, and internal process. The aim of this study is to review the development of BSC implementation in hospitals across the globe in the 3rd decade, and the benefit to implement in local hospitals. </em></p> <p><strong><em>Method</em></strong><em> : Research method is scoping review. The search manually started by studying related articles. Key words used to search articles are Hospital Performance and Balanced Scorecard, hospital performance measurement through data base EMBASE, MEDLINE and PuBMed.</em></p> <p><strong><em>Result : </em></strong><em>400 records were identified and 23 underwent a full text review. 10 articles were included.</em> <em> BSC in hospital setting has developed, not only as a performance evaluation tool but also to drive performance by integrating BSC as mapping strategy. This study shows that most hospitals still adapt the 2<sup>nd</sup> generation of BSC, mapping strategy. Only one hospital performed the destination statement. A few of which applies it as a tool to measure performance</em></p> <p><strong><em>Conclusion :</em></strong> <em>BSC has been implemented as performance management tool in hospitals worldwide. There have been improvements in the 3<sup>rd</sup> decade, its not only for monitoring performance as mapping strategy to approach hospital’s goals.</em><em>. </em></p> Lasma Frisca Yoselina Panjaitan Amal Chalik Sjaaf Roza Falinda Copyright (c) 2023 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2023-01-02 2023-01-02 8 3 586 596 10.25311/keskom.Vol8.Iss3.1305 Effectiveness of Acceptance and Commitment Therapy on Resilience for Victims of Natural Disaster Experiencing Physical Disability https://jurnal.htp.ac.id/index.php/keskom/article/view/1344 <p><em>Being physically disabled due to a natural disaster is a traumatic experience in a person's life that can make a person feel slumped and helpless in his life. It takes a psychotherapeutic intervention such as Acceptance and Commitment Therapy (ACT) to foster resilience of victims of natural disasters who have physical disabilities in order to be able to bounce back, be productive, and be able to play their role again in society. The purpose of this study was to analyze the effect of ACT therapy on increasing the resilience of victims of natural disasters in Sigi who experienced physical disabilities. The research method used is quasy experiment with a one group pre-post test approach. The number of samples in this study was 22 respondents collected using purposive sampling techniques. This research was conducted in August-September 2022 in Sigi Regency, Central Sulawesi Province. The statistical test used is the Wilcoxon test. The results of this study showed that there was an effect of ACT therapy on increasing respondents' resilience (p=0000). In addition, this study showed that after being given ACT therapy, most respondents' resilience was in the high category (59%). This study indicates that a person who experiences a traumatic event such as a physical disability due to a natural disaster will face a difficult time in life, psychological vulnerability and the ability to cultivate low resilience. Therefore, it is important for health providers to pay attention to psychological aspects, as well as provide psychotherapeutic interventions such as ACT to victims of natural disasters, especially those who experience physical disabilities in the rehabilitative phase so that they can accept themselves, be committed, productive, and return to play their role in society</em></p> Wirmando Wirmando Alfrida Alfrida Jenita Laurensia Saranga' Anita Sampe Asrijal Bakri Yulta Kadang Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-20 2022-12-20 8 3 562 568 10.25311/keskom.Vol8.Iss3.1344 The Level of Worker Fatigue During the Covid-19 Pandemic in the Serpong-Cinere Toll Road Development Project https://jurnal.htp.ac.id/index.php/keskom/article/view/858 <p><em>The construction service sector is one of the sectors that has a high risk of both work accidents and occupational diseases, especially during the current Covid-19 pandemic. The implementation of development activities are still carried out by implementing the Covid-19 prevention protocol. The purpose of this study was to determine the relationship between internal factors (age, nutritional status, and work period) and external factors (length of work and workload) with work fatigue to workers in the Serpong-Cinere Toll Road Development Project. This study used a quantitative analytical method with cross sectional design. The population of this study were 100 workers and sampling in this study using total sampling technique. Chi square test results obtained age was variable with p value 0.031 (p &lt;0.05), workload with p value 0.001 (p &lt;0.05), length of work with p value 0.001 (p &lt;0.05), nutritional status with p value 0.964 (p&gt; 0.05) and working period with p value 0.471 (p&gt; 0.05). The conclusion is that age, workload and length of work are related to work fatigue. Nutritional status and period of work were not related to work fatigue. Suggestion for companies is to evaluate working hours and provide appropriate rest areas in the project area.</em></p> Adinda Kania Prameswari Dyah Utari Fathinah Ranggauni Hardy Azizah Musliha Fitri Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-20 2022-12-20 8 3 562 570 10.25311/keskom.Vol8.Iss3.858 Factors Associated with the Incidence of Diarrhea on Toddlers in Central Indonesia Region (IFLS 2014) https://jurnal.htp.ac.id/index.php/keskom/article/view/1185 <p><em>Diarrhea is the second leading cause of death in children under five in the world. Every year at least 1.7 million cases of diarrhea in children occur. This study was conducted to determine the factors associated with the incidence of diarrhea in toddlers in the Central Indonesia region. This study uses data from IFLS 5 in 2014. The sample of this study was toddlers aged 6-59 months in the provinces of Bali, West Nusa Tenggara, South Kalimantan, and South Sulawesi. The research design used was cross-sectional with a sample size of 1079 toddlers. It is known that 16.8% of children under five in Central Indonesia experience diarrhea, with the largest percentage being 17.75% in West Nusa Tenggara. Based on the results of the multivariate test, it was found that age (p-value: &lt;0.001), gender (p-value: &lt;0.003), and household waste management (p-value: &lt;0.017) were associated with diarrhea. Age is the dominant factor in the incidence of diarrhea in toddlers in Central Indonesia (OR: 2.421, 95% CI = 1.739-3.370), meaning that children aged 6-23 months have a 2.4 times risk of suffering from diarrhea. This is due to the reduced immunity of the child obtained from the mother, increased growth and development of the child, and the start of weaning at that age. Strengthening understanding and commitment to implementing PIS-PK is needed to provide health information related to the prevention and treatment of diarrhea conveyed by an approach to families of children under five, thereby raising health awareness starting from the family</em><em>. </em></p> Fety Fathimah Al Mubarokah Ratu Ayu Dewi Sartika Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-15 2022-12-15 8 3 472 480 10.25311/keskom.Vol8.Iss3.1185 Co-Designing Health Intervention by Using WhatsApp for Preventing the Stunting in Toddlers During the COVID-19 Pandemic https://jurnal.htp.ac.id/index.php/keskom/article/view/1240 <p><em>Stunting case in Indonesia is still high, so the provision of complete health information for toddler health is extremely needed </em><em>during</em><em> the COVID-19 pandemic. Therefore, this study aims to design a health information service online by using WhatsApp to prevent toddler stunting in the rural community. This study was action research in which </em><em>a </em><em>co-design methodology was used to design the health information service. This study involved </em><em>the </em><em>health front, </em><em>midwifery</em><em>, nutritionist, and village apparatus in which they were interviewed and followed focus group discussion (FGD). In addition, </em><em>the </em><em>USE questionnaire was used to measure the effectiveness of </em><em>the </em><em>health information service that had been designed. The results of </em><em>the </em><em>interview and FGD showed that rural people knew more </em><em>about </em><em>the use of WhatsApp than other online communication platforms. In addition, during the COVID-19 pandemic, there </em><em>were</em> <em>a </em><em>number of health programs that would be stopped. As a consequence, online interactive health information service was extremely needed to promote the sustainability of health programs in the rural community. Furthermore, the results of </em><em>the </em><em>USE questionnaire showed the average percentage of usefulness, ease of use, ease of learning, and satisfaction of the online health information service was 85,43%. This indicates that </em><em>the </em><em>hotline stunting program (INSTING), an online health information service, is extremely eligible to be applied in the rural community in conducting communication regarding health information during the COVID-19 pandemic. </em></p> Rizky Puspitarini Nuzulul Kusuma Putri Lies Permana Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-20 2022-12-20 8 3 536 545 10.25311/keskom.Vol8.Iss3.1240 The Relationship Between Spiritual Level and Quarter Life Crisis In End Year Collage Student https://jurnal.htp.ac.id/index.php/keskom/article/view/1289 <p><strong>Introduction: </strong><em>Quarter-life</em><em> crisis</em> is a phenomenon that occurs in their 20s. Spirituality is referred to as one of the factors associated with the <em>quarter-life</em><em> crisis</em>. The purpose of the study was to determine the relationship between individual spiritual levels and the incidence of <em>quarter-life</em> <em>crises</em> in final-year students. <strong>Methods: </strong>The research design used was a descriptive correlation with a <em>cross-sectional</em>. This research was conducted at a university in Riau on 224 final-year students from ten faculties using a proportional <em>random sampling technique</em>. The measuring instrument used is the <em>Spiritual Well-Being Questionnaire</em> (SWBQ) and <em>Quarter life crisis</em> with validity values ​​(of 0.466-0.757) and (0.496-0.858). Simple descriptive tests and <em>chi-square</em> were used in data analysis.<strong> Research Results: </strong>The spiritual level of students is at a low level of 31 students (13.8%), a medium level of 148 students (66.1%), and a high level of 45 students (20.1%). The spiritual dimension of the personal part is the lowest part among other dimensions students <em>86.2</em> %). Statistical test results obtained a <em>p-value</em> (0.000) &lt; (0.05), which means that there is a significant relationship between spiritual level and the incidence of <em>quarter-life</em><em> crisis</em> in final-year students.<strong> Conclusion: </strong>Spirituality is important for students in an effort to prevent a <em>quarter-life</em><em> crisis</em>. An effort is needed to improve the spirituality of final-year students, especially on the personal side to prevent the occurrence of a <em>quarter-life</em><em> crisis</em>.</p> Naimi Syifa Urrahma Sri Wahyuni Wasisto Utomo Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-12 2022-12-12 8 3 390 396 10.25311/keskom.Vol8.Iss3.1289 Health Technology Assessment of Medical Device: Scoping Review https://jurnal.htp.ac.id/index.php/keskom/article/view/1332 <p><em>Prior to the implementation of health technology, the proposed system or device needs to be assessed in various aspects. This assessment is known as the Health Technology Assessment (HTA). HTA is a systematic evaluation on effect, and/or impact of health technology which aims to provide information to policy makers regarding health technology. This information is needed to minimize costs and prevent the adoption of questionable technologies. The health technology in question can be in the form of drugs, therapy, medical procedures, and medical devices. The HTA process and methodology for medicines has been widely used, while for medical devices it is still scarce. From several literature reviews, the use of HTA criteria is different even though the nature of the object under reviews was in the same category of medical device. Hence, we conducted a study to determine what criteria that are often used in HTA for medical devices. The method in this research was a scoping review on previous HTA publications (n=392) available on PubMed and ScienceDirect databases. Based on the results of a literature search using PRISMA, there were only 7 articles according to the inclusion criteria related to HTA for medical devices with different subjects, namely: medical devices and hospital based HTA. Conclusion from these findings, it can be learned that the criteria often used in HTA for medical devices were namely economy, safety, effectiveness, and organization. </em></p> Fatmawati Izzati Muhimmah Rahadian Kurniawan Copyright (c) 2023 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2023-01-02 2023-01-02 8 3 576 585 10.25311/keskom.Vol8.Iss3.1332 The Correlation Between Human Factors and The Home Environment On Tuberculosis Cases in the Work Area of the Rejosari Public Health Center Pekanbaru City https://jurnal.htp.ac.id/index.php/keskom/article/view/618 <p><strong><em>Background</em></strong><em>: Tuberculosis (TB) is an infectious disease caused by tuberculosis mycobacterium. Rejosari health center found the highest TB frequency among all health centers in Pekanbaru municipality. The research objective was to find the relationship between Human Factors and the Home Environment on the Occurrence of Tuberculosis in the Working Area of ​​Rejosari Health Center, Pekanbaru municipality. <strong>Method</strong>: The design type is a case-control study. The case and control population were taken from January 2018 to June 2020. The case sample (223) was taken from its population (255) and the control sample (223) was taken from its population (566) by systematic random sampling. Data collection through structured interviews using a questionnaire containing the closed-ended question, and </em><em>using</em><em> univariate, bivariate, and multiple logistic regression analysis. <strong>Results</strong>: there are 8 independent variables related starting from the most dominant, namely age OR=2.8 (95% CI: 1.58-5.00), BCG immunization OR=2.2 (95% CI:1.35-3.63), space humidity OR = 2.2 (95% CI: 1,42-3,31), ventilation area OR = 1.7 (95% CI: 1,12-2,64), gender OR = 1.7 (95% CI: 1,12-2,64), asset ownership OR = 2.9 (95% CI: 1.45-6.03), history of household contacts OR = 2.7 (95% CI: 1.73-4.22) and occupancy density OR = 2 (95% CI: 1.31-3.10). The OR value on the interaction variable (sex with age) indicates </em><em>that </em><em>productive</em><em>-</em><em>age men are 4.32 times riskier </em><em>in </em><em>suffering TB than </em><em>productive-age</em><em> women. <strong>Recommendation</strong>: TB prevention should be conducted through intervention by increasing BCG vaccination coverage, fulfilling space humidity, ventilation area, and occupancy density, </em><em>and </em><em>isolating household contact, especially for productive age, men, and low logistic ownership </em><em>families</em><em>.</em> <em>Suggestions are formulated based on recommendations</em><em>.</em></p> Suci Fanesa Febrilia Buchari Lapau Kamali Zaman Mitra Mitra Musfardi Rustam Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-15 2022-12-15 8 3 436 442 10.25311/keskom.Vol8.Iss3.618 Android Based e-Posyandu Health (ePoK) Application as an Alternative to Posyandu in The New Normal https://jurnal.htp.ac.id/index.php/keskom/article/view/1220 <p><em>COVID-19 has been declared a world pandemic, causing child health services in several places to not run optimally, including monitoring activities at posyandu. For this reason, researchers are interested in designing an application that can be used as an alternative to monitoring the growth and development of toddlers for mothers who cannot attend the posyandu, either due to the COVID-19 pandemic or other reasons. This study aims to determine the satisfaction of using the Android-based e-Posyandu Health Application (ePoK) as an alternative to posyandu in the new normal era. This study used a quasi-experimental study on 152 mothers of children under five who were taken by proportional stratified random sampling. Mother was given the application and used it for 1 month. The data obtained were analyzed by univariate and bivariate using chi square test. Based on the results of the study, most of the respondents were aged 20-40 years (98%), the majority had high education (59.9%), most were housewives (65.8%), the number of children in general was more than one (77.6 %), and the average age is less than 2 years (84.2%). The category of respondents' satisfaction with the ePoK application is mostly in the very satisfied category, which is 88.2%. There is a relationship between the characteristics of the mother's work, parity and the age of the youngest child on the satisfaction of using the ePoK application with pvalue&lt;0.05. Respondents were very satisfied with this ePoK application. Based on these results, it is hoped that mothers of toddlers can take advantage of the ePoK application to monitor the growth and development of their toddlers</em></p> melly damayanti Nurul Aini Suria Saputri Nur Cahya Rachmawati Copyright (c) 2022 Jurnal Kesehatan Komunitas http://creativecommons.org/licenses/by-nc-sa/4.0 2022-12-20 2022-12-20 8 3 527 535 10.25311/keskom.Vol8.Iss3.1220