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Background. Bogor regency is one of the regions in West Java with the highest reported TB burden in 2022, totaling 15,433 cases with a prevalence of 413 per 100,000 population. Indicating that TB prevalence reduction efforts in West Java remain suboptimal. Methods. This study employed Spearman correlation test and spatial overlay analysis on secondary data from 2022, covering 40 sub-districts in Bogor Regency. The analyzed variables included the proportion of healthcare workers, ratio of health facilities, BCG immunization coverage, proportion of poor population, low education levels, PHBS, malnourished children, population density, hygienic management of water and food, household waste management, and indoor air quality. Conclusion. The variable significantly associated with TB cases was the proportion of poor population (R = 0.492; P = 0.001) The spatial overlay analysis revealed that TB distribution tended to be higher in areas with a combination of high social and environmental vulnerability, such as Jonggol, Sukaraja, and Parung.
Tuberkulosis masih menjadi masalah kesehatan di dunia, Negara Indonesia menempati peringkat kedua kasus TB terbanyak di dunia. Provinsi Jawa Barat menempati peringkat satu kasus TB terbanyak di Indonesia dan Kota Depok menempati peringkat 10 besar kasus TB di Provinsi Jawa Barat. Pemerintah Kota Depok telah membentuk inovasi Kampung Peduli Tuberkulosis (KAPITU) sebagai wadah komunikasi antara masyarakat, lintas program dan lintas sektor dalam melakukan penanggulangan tuberkulosis melalui kegiatan penemuan, pendampingan pengobatan, dan sosialisasi tuberkulosis. Penelitian ini bertujuan menganalisis bagaimana implementasi kebijakan Kampung Peduli Tuberkulosis yang sudah dijalankan. Penelitian ini menggunakan metode kualitatif dan pengumpulan data dilakukan dengan wawancara mendalam dan telaah dokumen. Hasil penelitian menunjukkan bahwa aspek input (sumber daya manusia, anggaran, fasilitas, kebijakan), aspek proses (komunikasi, disposisi, struktur birokrasi), serta aspek output (hasil implementasi KAPITU) sudah berjalan baik di Kelurahan Mampang dan Suka Maju Baru. Implementasi KAPITU sempat tidak berjalan pada Kelurahan Sawangan Baru dan Sawangan Lama karena adanya pergantian petugas dan petugas yang pindah kerja. Pada Kelurahan Cilodong dan Pasir Putih masih kurangnya sumber daya manusia, tidak tersedianya anggaran, belum optimalnya komunikasi dan disposisi sehingga menyebabkan implementasi KAPITU belum berjalan optimal. Selanjutnya faktor lingkungan sosial, ekonomi, dan politik juga mempengaruhi implementasi KAPITU. Kesimpulan implementasi KAPITU yang berjalan dengan baik berbanding lurus dengan capaian indikator program TB yang juga baik. Kelurahan yang menunjukkan implementasi program KAPITU yang baik, seperti Mampang dan Suka Maju Baru, memiliki capaian yang lebih baik, Selanjutnya Kelurahan Sawangan Baru dan Sawangan Lama juga menunjukkan adanya peningkatan capaian program setelah satgas KAPITU mulai berjalan kembali. Kelurahan yang belum mengimplementasikan KAPITU dengan baik, seperti Cilodong dan Pasir Putih, juga menunjukkan capaian program TB yang belum baik.
Tuberculosis is still a health problem in the world, Indonesia ranks second in the world for the most TB cases. West Java Province ranks first in the number of TB cases in Indonesia and Depok City ranks in the top 10 for TB cases in West Java Province. The Depok City Government has formed the Kampung Peduli Tuberkulosis (KAPITU) innovation as a means of communication between the community, across programs and across sectors in preventing and controlling tuberculosis through discovery activities, treatment assistance, and tuberculosis socialization. This study aims to analyze how the implementation of the Kampung Peduli Tuberkulosis policy has been carried out. This study uses qualitative methods and data collection is carried out through in-depth interviews and document reviews. The results of the study indicate that the input aspects (human resources, budget, facilities, policies), process aspects (communication, disposition, bureaucratic structure), and output aspects (results of KAPITU implementation) have been running well in Mampang and Suka Maju Baru Sub-districts. The implementation of KAPITU was not running in Sawangan Baru and Sawangan Lama Sub-districts due to changes in officers and officers who moved jobs. In Cilodong and Pasir Putih Sub-districts, there was still a lack of human resources, unavailability of budget, suboptimal communication and disposition, which caused the implementation of KAPITU to not run optimally. Furthermore, social, economic, and political environmental factors also influenced the implementation of KAPITU. The conclusion is that the implementation of KAPITU that is running well is directly proportional to the achievement of TB program indicators which are also good. Sub-districts that show good implementation of the KAPITU program, such as Mampang and Suka Maju Baru, have better achievements. Furthermore, Sawangan Baru and Sawangan Lama Sub-districts also show an increase in program achievements after the KAPITU task force started operating again. Sub-districts that have not implemented KAPITU properly, such as Cilodong and Pasir Putih, also show poor achievement of TB program indicators.
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.
Keselamatan pasien merupakan indikator utama dalam menjamin mutu pelayanan kesehatan. Salah satu instrumen evaluasi keselamatan pasien adalah akreditasi rumah sakit yang dilaksanakan oleh lembaga independen di bawah koordinasi Kementerian Kesehatan. Penelitian ini bertujuan untuk menganalisis pencapaian indikator Sasaran Keselamatan Pasien (SKP) berdasarkan data hasil akreditasi rumah sakit tahun 2024 oleh LARS DHP. Penelitian ini menggunakan desain deskriptif analitik dengan pendekatan kuantitatif berbasis data sekunder dari 569 rumah sakit yang terakreditasi. Analisis dilakukan terhadap hubungan antara karakteristik rumah sakit dan faktor-faktor kelembagaan terhadap capaian SKP. Hasil penelitian menunjukkan bahwa sebagian besar rumah sakit telah memenuhi seluruh SKP secara administratif. Variabel kepemilikan rumah sakit dan kebijakan organisasi-manajemen menunjukkan hubungan yang signifikan secara statistik terhadap pencapaian SKP (p < 0,05). Temuan ini mengindikasikan bahwa keberhasilan pencapaian SKP tidak hanya ditentukan oleh kepatuhan terhadap standar teknis, tetapi juga oleh dukungan struktural dan tata kelola manajemen rumah sakit. Penelitian ini merekomendasikan perlunya pemantauan pasca akreditasi yang lebih menyeluruh untuk memastikan bahwa capaian administratif juga tercermin dalam praktik keselamatan pasien secara nyata.
Patient safety is a key indicator in ensuring the quality of healthcare services. One of the instruments used to evaluate patient safety is hospital accreditation, conducted by an independent body under the supervision of the Ministry of Health. This study aims to analyze the achievement of Patient Safety Goals (SKP) based on the 2024 hospital accreditation data from LARS DHP. A descriptive-analytic study with a quantitative approach was employed using secondary data from 569 accredited hospitals. The analysis examined the relationship between hospital characteristics and institutional factors with SKP achievement. The findings show that most hospitals have fulfilled all SKP indicators administratively. Hospital ownership and organizational-management policies were found to have a statistically significant relationship with SKP achievement (p < 0.05). These results suggest that the successful attainment of SKP is not solely determined by compliance with technical standards but is also influenced by structural support and hospital governance. The study recommends the need for more comprehensive post-accreditation monitoring to ensure that administrative compliance is effectively translated into real improvements in patient safety practices.
Penelitian ini mengkaji kecelakaan kerja di industri pertambangan yang tergolong dalam kategori cedera, menggunakan metode Human Factors Analysis and Classification System in Mining Industry (HFACS-MI). Industri pertambangan dikenal sebagai sektor dengan risiko tinggi, di mana insiden besar seperti cedera kerja serius dan kematian sering kali terjadi meskipun telah dilakukan investigasi dan tindakan pencegahan.
Studi ini bertujuan untuk mengidentifikasi faktor-faktor penyebab utama kecelakaan berdasarkan pendekatan sistem HFACS-MI yang mengklasifikasikan kesalahan manusia dan kelemahan sistemik dalam organisasi tambang. Berdasarkan data kecelakaan kasus cedera Tahun 2024, analisis dilakukan secara kualitatif dan kuantitatif terhadap berbagai faktor, dari tingkat operator hingga organisasi.
Hasil penelitian mengungkapkan bahwa kecelakaan paling banyak dipicu oleh unsafe acts, terutama skill-based errors, yang menunjukkan kelemahan pada kompetensi atau keterampilan dasar pekerja. Selain itu, faktor latent failures seperti lemahnya supervisi dan ketidakefisienan sistem organisasi juga berperan penting.
This research examines work-related accidents in the mining industry categorized as injury cases, using the Human Factors Analysis and Classification System in Mining Industry (HFACS-MI). The mining industry is known as a high-risk sector, where serious incidents such as major injuries and fatalities frequently occur despite investigations and preventive measures. The study aims to identify the main causal factors of workplace accidents based on the HFACS-MI framework, which classifies human errors and systemic weaknesses within mining organizations. Using data from injury-related accident cases in 2024, both qualitative and quantitative analyses were conducted to assess contributing factors from the operator level up to the organizational level. The findings reveal that the majority of accidents were triggered by unsafe acts, particularly skill-based errors, indicating deficiencies in workers' basic competencies. Additionally, latent failures, such as inadequate supervision and organizational inefficiencies, were also found to play a significant role.
