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Central obesity is abdominal fat accumulation increasing risk of degenerative diseases. This study analyzed differences in central obesity prevalence based on risky food consumption behaviors and healthy lifestyle patterns among women aged 15–40 years in DKI Jakarta using 2023 Indonesian Health Survey data. A cross-sectional design with chi-square analysis was applied. Results showed 45.7% prevalence of central obesity. Consumption of sugary foods/drinks, fatty foods, processed meats, instant foods, low fruit-vegetable intake, and insufficient physical activity were significantly associated with central obesity (p<0.05). Findings underscore the need for behavioral interventions and health promotion policies.
This study aims to determine the factors associated with early detection behavior of cervical cancer using the IVA method in women of childbearing age in Kebon Melati Village in 2025. This research method uses quantitative research with a cross-sectional study design. Primary data in this study were obtained through distributing questionnaires to 100 women of childbearing age. The behavior of early detection of cervical cancer using the IVA method is the dependent variable. While, the independent variables include education, knowledge, attitude, exposure to information, and husband's support. The questionnaire was filled out directly by the researcher according to the respondents' answers and the results were analyzed using the Chi-square test with the SPSS 22 application. The results of the analysis showed that 16 respondents (16%) had carried out early detection of cervical cancer using the IVA method. Statistically, there is a significant relationship between knowledge, exposure to information, and husband's support with the behavior of early detection of cervical cancer using the IVA method in women of childbearing age in Kebon Melati sub-district in 2025. The results of this study suggest that the Community Health Centers increase health promotion activities through counseling or distribution of pamphlets regarding cervical cancer and early detection of IVA, as well as conducting early detection of cervical cancer in places that are easily accessible to women of childbearing age.
Latar Belakang: Proses pre-registrasi pasien rawat inap di RS Mayapada Tangerang terdiri dari tiga fase utama, yaitu penerimaan berkas admission, review asuransi, serta konfirmasi jadwal dan persiapan pasien. Studi ini bertujuan untuk mengevaluasi proses pre-registrasi dan mengidentifikasi area yang perlu diperbaiki guna meningkatkan efisiensi pelayanan dengan.
Metode: Penelitian ini menggunakan pendekatan Lean six sigma dengan metode DMAIC (Define, Measure, Analyze, Improve, dan Control). Data dikumpulkan melalui observasi langsung, pencatatan waktu proses, dan diskusi kelompok terfokus (FGD) bersama tim terkait. Analisis dilakukan menggunakan Value Stream Mapping (VSM) untuk mengidentifikasi aktivitas bernilai tambah, serta Pareto Analysis dan Problem Tree Analysis untuk menemukan akar penyebab pemborosan dan keterlambatan.
Hasil: Analisis terhadap alur dan capaian waktu proses menunjukkan adanya ketidakefisienan, dengan total waktu mencapai 26 jam 1 menit 48 detik. Proporsi aktivitas bernilai tambah (Value added) tercatat sebesar 71%, sementara 29% lainnya tergolong Non-Value added, dengan pemborosan terbesar terjadi pada fase review asuransi akibat waktu tunggu yang panjang dan aktivitas berulang. Hasil penelitian menunjukkan bahwa intervensi berbasis Lean six sigma efektif dalam meningkatkan efisiensi, ditandai dengan penurunan lead time pada fase post-intervensi. Pada fase I dan II terjadi perbaikan signifikan, seperti penyederhanaan proses konfirmasi DPJP, percepatan verifikasi dokumen, serta pengurangan waktu tunggu pada proses review asuransi.
Kesimpulan: Penerapan Lean six sigma mampu memberikan dampak positif terhadap optimalisasi proses pre-registrasi pasien rawat inap di RS Mayapada Tangerang.
Background : The inpatient pre-registration process at Mayapada Hospital Tangerang consists of three main phases: admission document submission, insurance review, and confirmation of schedule and patient preparation. This study aims to evaluate the pre-registration process and identify areas that need improvement to enhance service efficiency. Method : This research uses the Lean six sigma approach with the DMAIC method (Define, Measure, Analyze, Improve, and Control). Data were collected through direct observation, process time tracking, and focus group discussions (FGDs) with relevant teams. The analysis was conducted using Value Stream Mapping (VSM) to identify value-added activities, along with Pareto Analysis and Problem Tree Analysis to determine the root causes of waste and delays. Results : Analysis of the process flow and time achievements revealed inefficiencies, with a total duration of 26 hours, 1 minute, and 48 seconds. The proportion of Value-Added (VA) activities was recorded at 71%, while the remaining 29% were classified as Non-Value added (NVA), with the most significant waste occurring during the insurance review phase due to long waiting times and repetitive tasks. The results showed that Lean six sigma-based interventions were effective in improving efficiency, as indicated by a reduction in lead time during the post-intervention phase. Significant improvements were observed in Phases I and II, including the simplification of DPJP (attending physician) confirmation, acceleration of document verification, and reduction in waiting time during the insurance review process. Conclusion : The implementation of Lean six sigma has a positive impact on optimizing the inpatient pre-registration process at Mayapada Hospital Tangerang
WHO and UNICEF recommend exclusive breastfeeding for the first six months of life, as breast milk contains complete nutriens and adapts to the baby’s needs. However, the coverage of exclusive breastfeeding at Jombang Health Center declined in 2024 to 67,97%, below the national target. This study aimed to identify determinants of exclusive breastfeeding behavior in the working area of Jombang Health Center, Cilegon City, in 2025. This research used a quantitative method with a cross-sectional study design. A total of 88 mothers were selected as samples using purposive sampling based on inclusion and exclusion criteria. Data collection was conducted primarily through interviews using a questionnaire instrument. Statistical analysis was performed using SPSS version 25 with bivariate analysis through the Chi-Square test. The results showed that 70,5% of mothers exclusively breastfed. Based on statistical tests, education (p= 0,002), attitude (p< 0,001), early initation of breastfeeding (p= 0,014), and husband support (p= 0,034) were found to have a relationship with exclusive breastfeeding behavior. However, age (p= 0,337), occupation (p= 0,875), parity (p= 1,000), knowledge (p= 0,573), formula milk promotion (p= 0,709), and health worker support (p= 0,516) had no significant relationship with exclusive breastfeeding behavior. To improve exclusive breastfeeding coverage in the working area of Jombang Health Center, efforts such as strengthening education tailored to the needs of mothers using methods aligned with current trends, involving husbands in maternal health programs, increasing the capacity of health workers, and optimizing coordination and monitoring of exclusive breastfeeding programs are recommended.
