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iswanto, dais

Jurnal Tifa Medika 2026 Fakultas Kedokteran Universitas Cenderawasih Jayapura

Household food security and nutrition are crucial determinants of public health, especially in regions with limited access to high-quality animal protein. This study aims to analyze the impact of organic chicken farming and maggot utilization on household food security and family nutrition in Jayapura, Papua. An exploratory case study with a mixed-method approach was used, involving observation, in-depth interviews, and documentation. The findings revealed that maggot-based feed significantly improved chicken growth, health, and egg production while reducing feed costs. Families experienced improved protein intake, reduced food expenditure, and additional income from the sale of eggs, maggots, and compost. Furthermore, the integration of maggot farming into organic poultry systems supported waste management and environmental sustainability through a circular economy model. This research implies that maggot-based organic farming can be replicated as a sustainable community food security strategy in similar regions across Papua and Indonesia.

Dewi Agustina Harahap; Fifi Afifah Hasibuan; Rindi Artika; Zahwa Syaqila; Salsabila Siregar +8 more

JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL 2026 CV. ALIM'SPUBLISHING

Health program planning is an essential process in improving public health status through a systematic and data-driven approach. This study aimed to analyze health program planning based on situational analysis and the problem solving cycle (PSC), as well as to identify the root causes of problems using the fishbone approach. The research employed a descriptive qualitative method supported by simple quantitative data. Data were collected through in-depth interviews, observations, and documentation involving purposively selected informants. The results of the situational analysis identified several major health problems, including stunting, low posyandu attendance, and limited maternal knowledge regarding nutrition. Priority setting using the USG method determined stunting as the main health issue. Furthermore, root cause analysis using a fishbone diagram revealed that stunting was influenced by various factors related to man, machine, method, material, environment, money, and management. The application of the problem solving cycle facilitated systematic intervention planning, including nutrition education, community empowerment, and child growth monitoring. Program implementation demonstrated improvements in maternal knowledge and posyandu attendance. In conclusion, health program planning based on situational analysis, fishbone analysis, and the problem solving cycle proved effective in producing targeted and sustainable interventions.

Dewi Agustina Harahap; Fifi Afifah Hasibuan; Rindi Artika; Zahwa Syaqila; Salsabila Siregar +8 more

JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL 2026 CV. ALIM'SPUBLISHING

Health program planning is an essential process in improving public health status through a systematic and data-driven approach. This study aimed to analyze health program planning based on situational analysis and the problem solving cycle (PSC), as well as to identify the root causes of problems using the fishbone approach. The research employed a descriptive qualitative method supported by simple quantitative data. Data were collected through in-depth interviews, observations, and documentation involving purposively selected informants. The results of the situational analysis identified several major health problems, including stunting, low posyandu attendance, and limited maternal knowledge regarding nutrition. Priority setting using the USG method determined stunting as the main health issue. Furthermore, root cause analysis using a fishbone diagram revealed that stunting was influenced by various factors related to man, machine, method, material, environment, money, and management. The application of the problem solving cycle facilitated systematic intervention planning, including nutrition education, community empowerment, and child growth monitoring. Program implementation demonstrated improvements in maternal knowledge and posyandu attendance. In conclusion, health program planning based on situational analysis, fishbone analysis, and the problem solving cycle proved effective in producing targeted and sustainable interventions.

Komala Dewi Muslimin; Yuliana Yuliana; Tressan Eka Putri S. Katili; Nurlismi Subbe; Ismi Choirunnisa

Jurnal Riset Rumpun Ilmu Kesehatan 2026 Pusat riset dan Inovasi Nasional

The provision of herbal-based complementary feeding (MP-ASI) has several positive impacts, including improving mothers’ understanding and skills in preparing complementary foods from local food ingredients in accordance with local customs and socio-cultural practices, thereby enabling mothers to independently continue providing local complementary feeding. This study aimed to determine the effect of training on the preparation of herbal-based complementary feeding for mothers of children under three years old on their knowledge and skills in preparing complementary feeding. This study employed a quasi-experimental research design and was conducted at Kanda Public Health Center. The population consisted of all mothers with children under three years old in the working area of Kanda Public Health Center, totaling 245 mothers. The sample size in this study was 35 respondents. The results of the analysis showed that there was a significant difference in mothers’ knowledge before and after the training on complementary feeding preparation, with a significance value of 0.000.

Nadia Shafira Ristyaning Putri; Sri Sumarmi

Jurnal Riset Rumpun Ilmu Kesehatan 2026 Pusat riset dan Inovasi Nasional

Inappropriate complementary feeding (MPASI) practices remain a public health concern, particularly during the first 1,000 days of life, as they contribute to the risk of growth disorders such as stunting. This study aimed to analyze the relationship between socioeconomic factors and maternal decision-making processes with complementary feeding practices based on consumer behavior theory. This study employed an observational analytic design with a cross-sectional approach involving 240 mothers with children aged 6–23 months in the working area of Puskesmas Putat Jaya, Surabaya. Data were collected through structured interviews and analyzed using the Chi-Square test. The results showed significant relationships between socioeconomic status and decision-making processes, as well as between decision-making processes and complementary feeding practices (p<0.05). Mothers with higher socioeconomic status tended to have better decision-making processes and more appropriate feeding practices. However, overall practices were not fully aligned with recommended standards. These findings indicate that improving complementary feeding practices requires not only knowledge enhancement but also strengthening maternal decision-making capacity within their socioeconomic context.

Alfan Afandi; Kartika Dian Pertiwi; Berliana Indah Septia

JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL 2026 CV. ALIM'SPUBLISHING

Dengue Hemorrhagic Fever (DHF) remains a significant public health problem in tropical countries, including Indonesia. The presence of Aedes aegypti larvae is an important indicator of dengue transmission risk and is influenced by environmental factors, particularly temperature and humidity. This study aimed to analyze the relationship between temperature and humidity and the presence of mosquito larvae in Meteseh Village, Tembalang District, Semarang City. This analytical observational study employed a cross-sectional design involving 100 households selected through quota sampling. Data were collected through direct observation and measurement of temperature and humidity using a thermo-hygrometer, then analyzed using the Chi-square test. The results showed a significant association between temperature and the presence of mosquito larvae (p=0.000), while humidity was not significantly associated with larvae presence (p>0.05). Temperature was identified as a more influential environmental factor in supporting mosquito larvae existence than humidity in the study area. These findings highlight the importance of environmental-based vector control strategies, particularly through management of microhabitat temperature conditions, to support dengue prevention.

Aditya Hanif Permana; Yuniarti Dewi R; Rifatul Masrikhiyah; Diah Ratnasari

Jurnal Ilmu Kesehatan dan Gizi 2026 Pusat Riset dan Inovasi Nasional

Iron deficiency anemia remains a major public health problem among pregnant women in Indonesia, with a national prevalence of 37.1% and higher rates in regions such as Brebes Regency. Adequate nutritional knowledge and sufficient iron intake are expected to prevent decreases in hemoglobin (Hb) levels during the third trimester. This study aimed to analyze the relationship between nutritional knowledge, iron intake adequacy, and Hb levels among third-trimester pregnant women at Puskesmas Brebes. An analytic observational study with a cross-sectional design was conducted on 62 respondents using total sampling. Data were collected through a nutritional knowledge questionnaire, a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) to assess iron intake based on the Recommended Dietary Allowance of 27 mg/day, and Hb measurement using a digital device. The prevalence of anemia was 32.3%, with a mean Hb level of 11.25 ± 1.74 g/dL. Most respondents had high nutritional knowledge (72.6%), but 79.0% had inadequate iron intake. Chi-Square analysis showed no significant relationship between nutritional knowledge and Hb levels (p=0.109) or between iron intake adequacy and Hb levels (p=0.426). Other factors, including iron absorption inhibitors, compliance with iron supplementation, nutritional status, and limited sample size, may have influenced the results.

Alfan Afandi; Kartika Dian Pertiwi; Berliana Indah Septia

JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL 2026 CV. ALIM'SPUBLISHING

Dengue Hemorrhagic Fever (DHF) remains a significant public health problem in tropical countries, including Indonesia. The presence of Aedes aegypti larvae is an important indicator of dengue transmission risk and is influenced by environmental factors, particularly temperature and humidity. This study aimed to analyze the relationship between temperature and humidity and the presence of mosquito larvae in Meteseh Village, Tembalang District, Semarang City. This analytical observational study employed a cross-sectional design involving 100 households selected through quota sampling. Data were collected through direct observation and measurement of temperature and humidity using a thermo-hygrometer, then analyzed using the Chi-square test. The results showed a significant association between temperature and the presence of mosquito larvae (p=0.000), while humidity was not significantly associated with larvae presence (p>0.05). Temperature was identified as a more influential environmental factor in supporting mosquito larvae existence than humidity in the study area. These findings highlight the importance of environmental-based vector control strategies, particularly through management of microhabitat temperature conditions, to support dengue prevention.

Skolastika Dinda Ayu Maharani; Monica Innanda Chiaralazzo; Intan Sakti Pius X

Berkat : Jurnal Pendidikan Agama dan Katolik 2026 Asosiasi Riset Ilmu Pendidikan Agama dan Filsafat Indonesia

This article examines the phenomenon of interfaith solidarity rapidly flourishing in Indonesia’s digital sphere during Ramadan, specifically through the viral "war takjil" trend involving active participation from non-Muslim communities. With national social media users reaching 180 million, digital platforms have transformed into crucial interaction spaces facilitating fluid and participatory interfaith communication. This research employs a qualitative approach using literature review, phenomenological analysis, and theological reflection within the Catholic tradition to understand the meaning behind this social behavior. Main findings indicate that this phenomenon is a concrete manifestation of bottom-up pluralism, emerging organically from daily social interactions. Based on the Contact Hypothesis, these digital interactions successfully reduce prejudice by achieving common goals and maintaining equal status in public spaces. Theologically, the phenomenon reflects the spirit of universal brotherhood and solidarity emphasized in the documents Fratelli Tutti and Nostra Aetate. The article concludes that healthy pluralism is the capacity to maintain one's own faith identity while actively building bridges of love with those of different beliefs. The implications emphasize the importance of media literacy for faith educators and catechists to guide the community in responding to digital social dynamics constructively without compromising theological truths. This study serves as a reference for developing inclusive, love-based interfaith communication strategies within Indonesia’s diverse digital society.

Gina Sonia Kafiar; Ni Komang Irma Adi Sukmaningsih

Jurnal Ilmu Sosial, Bahasa dan Pendidikan 2026 Pusat Riset dan Inovasi Nasional

Copyright is a key pillar of the Intellectual Property Rights system, providing legal protection for creative works in the arts sector, particularly musical works. Within the copyright framework, the most crucial aspect is economic rights, namely the exclusive right of creators to derive financial benefit from any use of their works. However, the reality on the ground demonstrates the rampant use of songs for commercial purposes without proper authorization, which directly harms creators. This article analyzes economic rights violations in the context of commercial use, using the case study of the song "Akad" by Payung Teduh as a case study. This research uses normative legal methods through a statutory and legal conceptual approach. The research findings indicate that the exploitation of songs for material gain without the explicit consent of the rights holder constitutes a clear violation of Law Number 28 of 2014 concerning Copyright. Such violations carry serious legal consequences, including civil liability in the form of compensation payments and criminal sanctions. Therefore, synergy between firm law enforcement and increased collective public awareness is necessary. These efforts are vital to guaranteeing the protection of creators' economic rights while creating a healthy, fair, and sustainable creative industry ecosystem in Indonesia for all arts stakeholders.

Elita, Carlene Amalia; Salsabilla, Islama A’la Syifa; Ramadhani, Novalina Rizka Brillian; Ismawati, Rusida; Ramadhani, Zulfa Rozin

DINAMIKA HUKUM 2026 Universitas Stikubank

The case of medical malpractice involving a toddler in Bima has attracted public attention and raised the urgency of evaluating legal accountability mechanisms in healthcare. This study aims to analyze the law enforcement process and the forms of legal responsibility that can be imposed on medical personnel and healthcare institutions suspected of involvement. Using a normative juridical approach, this study examines relevant laws, doctrines, and legal literature, including provisions in the Medical Practice Law, the Health Law, the Hospital Law, and the Criminal Code. The results indicate that law enforcement in malpractice cases can be pursued through administrative, civil, and criminal channels, depending on the level of negligence and the resulting consequences. Medical personnel can be held personally liable for violations of professional standards, while healthcare institutions can be held accountable based on the principle of vicarious liability. This study concludes that the case in Bima underscores the importance of strengthening regulations, improving medical service standards, and ensuring transparency in law enforcement to protect patient rights, particularly children.

Wijaya, Hanna; S, Michelle Angelika; Gosal, Darren; Afladhanti, Putri Mahirah; Kartika, Ronald Winardi +2 more

Jurnal Riset Rumpun Ilmu Sosial, Politik dan Humaniora 2026 Pusat Riset dan Inovasi Nasional

The right to privacy and the right to health are fundamental human rights that are closely interconnected. The protection of privacy for patients with Human Immunodeficiency Virus (HIV) constitutes a critical issue, given that HIV status is classified as highly sensitive health data and is particularly vulnerable to stigma and discrimination. In Indonesia, the legal framework governing the protection of HIV patients’ health data has been normatively strengthened through the Personal Data Protection Law and the Health Law; however, its implementation continues to face various challenges. This article aims to analyze the right to privacy of HIV patients and the obligations of the state in protecting sensitive health data, as well as to examine the limitations and exceptions to the disclosure of HIV-related data within the framework of law and human rights. This study employs a normative legal research method using statutory, conceptual, and human rights-based approaches. Legal materials are analyzed qualitatively through juridical interpretation and prescriptive analysis. The findings indicate that HIV status is legally categorized as sensitive personal data that is entitled to a high level of legal protection. The state bears tripartite obligations to respect, protect, and fulfill the privacy rights of HIV patients. Nevertheless, a gap persists between legal norms and their implementation, particularly in the management of electronic medical records. The protection of HIV patients’ privacy rights requires strengthened legal implementation, regulatory harmonization, and the adoption of a human rights-based approach to ensure that data protection does not conflict with public health interests.

Michelle Angelika S; Wijaya, Hanna; Gosal, Darren; Afladhanti, Putri Mahirah; Kartika, Ronald Winardi +2 more

Jurnal Riset Rumpun Ilmu Sosial, Politik dan Humaniora 2026 Pusat Riset dan Inovasi Nasional

Emergency medical care constitutes a fundamental patient right and an institutional obligation of hospitals that must be provided without temporal discrimination. However, in practice and public discourse, the meaning of “physician presence” is often narrowly reduced to physical presence alone, giving rise to allegations of medical negligence, particularly during weekends or outside regular working hours. This distorted understanding risks generating legal injustice, undermining the dignity of the medical profession, and encouraging defensive medical practice. This article aims to analyze the meaning of physician presence from a health law perspective through theoretical, normative, and systemic approaches, by distinguishing models of physician presence as on-site, on-call, and home-call/teleconsultation in emergency care services. This study employs a normative legal research method using statutory, conceptual, and limited comparative approaches. The analysis examines Law Number 17 of 2023 on Health, Government Regulation Number 28 of 2024, as well as health law literature and emergency care practices. The analysis demonstrates that, in legal terms, physician presence is not synonymous with physical presence, but rather should be understood as process-based professional responsibility, provided that care is delivered in accordance with professional standards, service standards, and an adequate triage system. Physician presence must be reconstructed as the presence of professional responsibility within an integrated emergency care system. Legal assessment in health law should be grounded in process and system integrity, rather than solely on clinical outcomes or public perception.

Rizqi Ramadhan; Nuril Khasyi’in

Jurnal Riset Rumpun Ilmu Sosial, Politik dan Humaniora 2026 Pusat Riset dan Inovasi Nasional

The determination of a minimum marriage age is a central issue in Indonesian family law and Islamic legal discourse, particularly regarding the prevention of health, social, and psychological risks associated with child marriage. This study analyzes the alignment between the legal requirement of a minimum age of 19, as stipulated in Law No. 16 of 2019 and Constitutional Court Decision No. 22/PUU-XV/2017, and the framework of maqāṣid sharī‘ah, especially the hierarchical structure of dharuriyyāt, ḥājiyyāt, and taḥsīniyyāt. Employing a normative juridical method supported by extensive literature review, this research examines statutory regulations, classical and contemporary Islamic legal sources, works on maqāṣid, and empirical data from national and international institutions. The findings demonstrate that the minimum age of 19 substantively accords with maqāṣid sharī‘ah: at the dharuriyyāt level, it safeguards life, intellect, and lineage from medical, psychological, and social harm; at the ḥājiyyāt level, it prevents economic hardship, emotional instability, and the inability of young couples to assume household roles; and at the taḥsīniyyāt level, it preserves human dignity, ethical conduct, and the sanctity of marriage. Consequently, the regulation is not a departure from classical Islamic jurisprudence but rather an implementation of public interest (maṣlaḥah) adapted to contemporary societal realities. This study affirms that integrating maqasid-based reasoning into public policy strengthens the protection of families and future generations in Indonesia.

Putri Eliza; Urip Pratama; Nurul Sakdah

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2026 Asosiasi Riset Ilmu Kesehatan Indonesia

Type 2 diabetes mellitus has now become a widespread health issue with serious implications for public health. In an effort to support non-pharmacological management, the use of aloe vera (Aloe vera) decoction is one option being considered, given that this plant contains bioactive components such as aloin, emodin, and polysaccharides that have the potential to help lower blood glucose levels. This study aims to examine the effect of consuming aloe vera (Aloe vera) decoction on lowering blood sugar levels in patients with type 2 diabetes mellitus in Lampaseh Lhok Village, Montasik Subdistrict, Aceh Besar. The research was conducted from June 19 to 28, 2025, in that area. The study design employed a quantitative research approach using a quasi-experimental design with a one-group pretest-posttest model. The study population consisted of 38 patients with type 2 diabetes mellitus, while the sample comprised 15 respondents. Sampling was conducted using purposive sampling. The measurement tools included a glucometer and an observation sheet. Based on the data analysis results, a decrease in blood glucose levels was observed after the respondents consumed the aloe vera decoction. The Wilcoxon signed-rank test yielded a p-value of 0.001 (< 0.05), leading to the conclusion that the administration of the aloe vera (Aloe vera) decoction has a significant effect on reducing blood glucose levels in the respondents. Therefore, respondents are advised to drink aloe vera tea at least once a day as an alternative measure to help control blood glucose levels.

Nurrahmani Nurrahmani; Nurhidayati Nurhidayati; Hanafi Nasution

Jurnal Riset Rumpun Ilmu Kesehatan 2026 Pusat riset dan Inovasi Nasional

Healthcare is an integral part of health development in Indonesia, which aims to optimally improve public health. Hospitals, as healthcare facilities, are required to provide quality, safe, and patient-centered services. Service quality is a key indicator of service success, as good service impacts patient satisfaction. One of the most important services in hospitals is obstetrics, which directly relates to maternal and infant health, making patient satisfaction a crucial aspect. Midwives, as professional healthcare workers, play a strategic role in providing comprehensive, sustainable, and patient-centered midwifery care. This study aims to analyze the influence of healthcare facilities and midwife performance on patient satisfaction through service quality. The method used is a quantitative study with an analytical approach and a cross-sectional design. The results of the multiple linear regression test indicate that midwife performance has a more dominant influence on service quality than healthcare facilities. Meanwhile, regarding patient satisfaction, service quality is the most dominant factor, followed by midwife performance and healthcare facilities. The conclusion of this study is that service quality reflects the overall patient experience and is a key factor in improving patient satisfaction.

Zilfa Zilfa; Yulizar Yusuf; Mitha Anggreini Putri; Fheiza Heysha

Inovasi Kesehatan Global 2026 Lembaga Pengembangan Kinerja Dosen

Vegetables are food commodities widely consumed by the public due to their high nutritional content. Chili (Capsicum annuum L.), green beans (Phaseolus vulgaris L.), and Chinese cabbage (Brassica pekinensia L.) are among the vegetables that can be processed into various delicious dishes or consumed fresh as raw vegetables. To obtain healthy and high-quality vegetable crops, pesticides are commonly used to control pests that may damage the plants. One of the widely used pesticides is chlorpyrifos, which can leave residues that may pose both acute and chronic health risks. Therefore, it is necessary to analyze the levels of chlorpyrifos pesticide residues in vegetables. The residue levels were determined using a UV-Vis spectrophotometer at a wavelength of 230 nm with dichloromethane as the solvent, while qualitative analysis was performed using HPLC by comparing the retention times of standard solutions and vegetable samples. In this study, washing treatments were applied to the vegetables using dichloromethane, distilled water, well water, and tap water (PDAM) to evaluate the effect of washing on pesticide residue levels. The concentrations of pesticide residues in unwashed vegetables were chili (2.6680 ± 0.0214 mg/kg), green beans (2.4658 ± 0.0193 mg/kg), and Chinese cabbage (2.7950 ± 0.0379 mg/kg). The washing process was carried out three times for each solvent. After three washings using dichloromethane and distilled water, pesticide residues were no longer detected, whereas washing with tap water (PDAM) and well water still left residues, although at levels much lower than the Maximum Residue Limit (MRL). The health risk assessment showed that the aHQ and cHQ values were < 1, indicating that consumption within the recommended limits of these samples does not pose health risks, either in the short term or long term. This study provides important information that repeated washing is necessary to effectively reduce pesticide residue levels in vegetables before consumption.  

Febbi Pratiwi; Maulani Maulani; Dasuki Dasuki

Jurnal Ilmu Kesehatan dan Gizi 2026 Pusat Riset dan Inovasi Nasional

Hypertension is a non-communicable disease often referred to as a silent killer because it generally does not present noticeable symptoms. Several risk factors contribute to the development of hypertension, including high body mass index (BMI) and low levels of physical activity. However, data regarding the association between BMI, physical activity, and hypertension at Pakuan Baru Public Health Center, Jambi City, remain limited. Therefore, this study aimed to determine the relationship between body mass index and physical activity with hypertension among adults at Pakuan Baru Public Health Center, Jambi City. This study employed a quantitative approach with a cross-sectional design. The research was conducted at Pakuan Baru Public Health Center, Jambi City, from November 19 to December 6, 2025. The study population consisted of all adult patients with hypertension at Pakuan Baru Public Health Center, totaling 2,797 individuals. A sample of 93 respondents was selected using an accidental sampling technique. Data were collected using observation sheets through measurements of height and weight to calculate BMI, as well as the Global Physical Activity Questionnaire (GPAQ). Data analysis was performed using univariate and bivariate analyses with the chi-square statistical test. The univariate analysis showed that 27 respondents (29.0%) were classified as severely obese, 42 respondents (45.2%) had a low level of physical activity, and 28 respondents (30.1%) were categorized as having stage 2 hypertension at Pakuan Baru Public Health Center, Jambi City. The bivariate analysis revealed a significant relationship between body mass index and physical activity with blood pressure among patients with hypertension (p = 0.000). It is expected that healthcare providers at Pakuan Baru Public Health Center will continue to provide education regarding the importance of controlling body mass index and engaging in regular physical activity, as these factors contribute to increased blood pressure among patients with hypertension.

Mary Liziawati; Zakiah Zakiah; Ihyani Nurdiena Marliamara; Faika Rachmawati; Raden Putri Annisya Affriany Prasetyo +2 more

Jurnal Ilmu Kesehatan dan Gizi 2026 Pusat Riset dan Inovasi Nasional

Tobacco use remains a significant public health issue in Indonesia. Adolescents are considered capable of making their own decisions, including the choice to smoke. According to the Global Adult Tobacco Survey (GATS) 2021, the smoking prevalence in Indonesia is 33.5%, equivalent to 68.8 million people. This study aims to analyze the factors influencing smoking behavior among adolescents. The results of this study emphasize the importance of greater attention and action to smoking prevention efforts among adolescents, especially among males and those in the older age group. The interventions focused on health education and raising awareness of the dangers of smoking which need to be enhanced, as well as involving family and schools to create a supportive environment therefore the adolescents can make healthier decisions. Furthermore, these results can serve as a basis for the development of more effective policies to address the issue of smoking among adolescents in Indonesia. The research employed a descriptive quantitative method with a cross-sectional design. A total of 5,181 respondents were selected using simple random sampling, and data were collected using a questionnaire. The findings reveal that daily smoking behavior among adolescents is still relatively high, with 11.7% of respondents smoking every day. The majority of respondents were male (70.78%), with the largest age groups being 15 years (21.3%) and 14 years (20.6%). Bivariate analysis using the Chi-Square test indicated a significant relationship between smoking behavior and both age and gender, with a p-value of 0.000 (p < 0.05). These results suggest that male adolescents and older age groups are more likely to engage in smoking behavior than their counterparts.

Silvia Harilona; Almasdi, Almasdi

JURNAL EKONOMI BISNIS DAN MANAJEMEN (JISE) 2026 CV. ALIM'SPUBLISHING

This study was motivated by the gap between employee performance evaluations and the quality of health services at Dr. Adnaan WD Payakumbuh Regional General Hospital. Although the majority of employees received a “Good” performance rating through the e-Kinerja system and SKP, the public still complained about slow service, long lines, a lack of empathy among staff, and poor coordination between units. This study aims to analyze the implementation of performance management in relation to improvements in employee performance and the quality of healthcare services. The research method employs a descriptive qualitative approach, utilizing data collection techniques such as in-depth interviews, observations, and documentation involving hospital management, medical and non-medical staff, as well as patients. Data analysis utilizes the Miles and Huberman model through data reduction, data presentation, and drawing conclusions. The results indicate that the implementation of performance management is not yet optimal because it remains administratively oriented and has not been integrated with service quality. Issues were identified in the areas of human resources, facilities, coordination, supervision, as well as low levels of empathy and service responsiveness. The study concludes that the performance management system does not yet fully support improvements in the quality of healthcare services; therefore, an evaluation based on service outcomes and patient satisfaction is required.