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Riswana, Riswana; Ester Simanullang; Febriana, Febriana

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2024 International Forum of Researchers and Lecturers

Midwives are one of the health workers in reducing maternal and infant mortality rates by providing continuous midwifery services, promotion through partnerships and empowering communities with other health workers. The sample in this study was 24 pregnant women in the second and third trimesters consisting of 12 respondents for the control group and 12 respondents for the intervention group. The time of the study was May to June at the Negri Lama Health Center in 2022. The time of the study was May to June at the Negri Lama Health Center in 2022. The results of the bivariate analysis test using Mann Whitney showed a P-Value of 0.022 (P <0.05) so Ho was rejected, which means that there is a significant effect of giving dates on increasing hemoglobin in pregnant women in the second trimester. Pregnant women, especially pregnant women who experience anemia, are expected to routinely consume iron tablets and dates because if consumed properly, dates have many benefits, especially for pregnant women and dates do not have side effects on the fetus or mother so that they can meet the nutritional needs required by the body and can maximize iron absorption.

Md. Amran Hossain; Mendis Sanoj; Perera Nilantha

Proceeding of the International Conference on Management, Entrepreneurship, and Business 2024 Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Product placement is a promotional strategy which can be identified as a purposeful incorporation of product into an influential manner with a use of any other media. However, most of the countries have prohibited advertising soft liquor products via traditional media because of health issues caused by soft liquor products. Thus, the soft liquor manufacturers tended to invest in product placement. This paper reports the findings of how product placement influence on consumer purchases intention of soft liquor products. The study has focused on investigating the possible reasons for consumers to influence on product placement strategies and the product elements that they exposed to and used to, even in the presence of a wider range. Suggestions for further research are presented in the form of propositions.

Nadhila Khairunisa; Zidni Imanurrohmah Lubis; Rizal Septian

Jurnal Pengabdian Masyarakat 2024 Lembaga Pengembangan Kinerja Dosen

Physiotherapy is a form of health service aimed at individuals and communities. The scope of physiotherapy services is to develop, maintain, and restore movement and body function throughout the life span. This service can be done through a promotive, preventive, curative, and rehabilitation approach. One of the many cases of physiotherapy is musculoskeletal complaints. Musculoskeletal complaints can occur due to habits carried out during work. If the body position is not correct and maintained for a long duration, it can trigger the emergence of musculoskeletal complaints. Work that lasts for a long time will decrease a person's body ability and can cause complaints and disorders in the body, especially musculo problems, one of which is neck pain. Neck pain is a multifactorial disease and is a major problem in society today. Some risk factors for neck pain, such as old age, female gender, low social support, and non-ergonomic work postures. The method of community physiotherapy activities used is to provide health promotion counseling and education regarding physiotherapy management in the form of stretching that can be done independently. The media used are leaflets and posters. The purpose of this counseling is to provide education and physiotherapy treatment related to neck pain in Keripik Tempe Sanan workers so that they can improve the complaints that have been felt and minimize the occurrence of injuries.

Nadhila Khairunisa; Zidni Imanurrohmah Lubis; Rizal Septian

Jurnal Pengabdian Masyarakat 2024 Lembaga Pengembangan Kinerja Dosen

Physiotherapy is a form of health service aimed at individuals and communities. The scope of physiotherapy services is to develop, maintain, and restore movement and body function throughout the life span. This service can be done through a promotive, preventive, curative, and rehabilitation approach. One of the many cases of physiotherapy is musculoskeletal complaints. Musculoskeletal complaints can occur due to habits carried out during work. If the body position is not correct and maintained for a long duration, it can trigger the emergence of musculoskeletal complaints. Work that lasts for a long time will decrease a person's body ability and can cause complaints and disorders in the body, especially musculo problems, one of which is neck pain. Neck pain is a multifactorial disease and is a major problem in society today. Some risk factors for neck pain, such as old age, female gender, low social support, and non-ergonomic work postures. The method of community physiotherapy activities used is to provide health promotion counseling and education regarding physiotherapy management in the form of stretching that can be done independently. The media used are leaflets and posters. The purpose of this counseling is to provide education and physiotherapy treatment related to neck pain in Keripik Tempe Sanan workers so that they can improve the complaints that have been felt and minimize the occurrence of injuries.

Melisa Putri; Shafiah Shafiah; Hanna Sajiddah; Asyraf Hibatullah; Wismanto Wismanto

Hikmah : Jurnal Studi Pendidikan Agama Islam 2024 Asosiasi Riset Ilmu Pendidikan Agama dan Filsafat Indonesia

Mosques play an important role in the social life of Muslims, more than just a place of worship. In recent decades, mosques have begun to be seen as potential venues for carrying out a variety of activities that can support community well-being, one of which is in the area of health. The purpose of this article is to provide a more in-depth understanding of how places of worship, such as mosques, can play a significant role in improving the overall well-being and health of communities. involving qualitative methods. using several data collection methods that are qualitative in nature, including in-depth interviews, participatory observation, and documentation. In-depth interviews were conducted with mosque administrators, medical personnel, and worshipers to explore their understanding of various aspects of the health program implemented at the mosque. The interviews were semi-structured, where the researcher used flexible interview guidelines to allow informants to explain their experiences more freely. research results This article examines how mosques can function as health centers that not only provide medical services, but also play a role in health education and counseling to worshipers. The research includes an analysis of mosques that have run health programs, such as free health check-ups, counseling on healthy lifestyles, and raising awareness of the importance of health.

Cut Roza Asminanda; Solihin Solihin; Murni Noviani; Balqis Nurmauli Damanik

International Journal of Health and Social Behavior 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

The use of social media in various aspects including health has increased in recent years. The effectiveness and efficiency of the use of social media in health promotion efforts by hospitals are advantages compared to using conventional media. This study aims to obtain information about the use of social media by hospitals in efforts to organize hospital health promotion from the perspective of: 1) types of social media used, 2) program effectiveness, 3) level of involvement, and 4) efforts to increase the level of involvement. From a search of 62 articles (time span 2017-2022) using the Google Scholar and Garuda databases and the keywords media, social, hospital, promotion, and health, researchers found 3 articles that were appropriate based on the title, abstract, content and purpose of the study. This literature study revealed that social media has high effectiveness and efficiency in organizing health promotion programs by hospitals. Another finding is that Instagram is the most widely used social media platform with the highest level of involvement compared to other social media platforms. Interesting and unique efforts and strategies can further increase the level of public involvement in hospital social media accounts so that there is an increase in awareness of healthy living in Indonesian society.    

Raray Inas Prianggalistiari; Sri Sunaringsih Ika Wardojo; Bonita Suharto

Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Elderly is the final stage of adulthood where a person will enter the age of 60 and above. In the elderly, osteoarthritis occurs more often in the knee joints (knee osteoarthritis) than in other areas, such as the joints of the hands and hips. The most common clinical symptoms are pain that arises gradually and worsens over time, stiffness, crepitus, and joint motion restrictions. The purpose of this study was to educate the elderly about the meaning of knee osteoarthritis, risk factors, signs and symptoms, prevention efforts, and exercises that can be done at home. The method used was to provide counseling in the form of health promotion about knee osteoarthritis to the elderly with leaflets as a medium for counseling. Pre-test and post-test were given to measure the effectiveness of counseling. The conclusion of this study was that the activity went smoothly, was well realized, and received enthusiasm from the participants. The results obtained based on the evaluation were an increase in the knowledge and understanding of the elderly community in Tulusrejo Village regarding knee osteoarthritis.

Alfina Chintya Damayanti; Nurul Aini Rahmawati; Lina Sriyatun

Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Low back pain (LBP) is a musculoskeletal disorder that is most often found in work activities (Anggraika et al., n.d.). The Directorate General of Health Services, Ministry of Health of the Republic of Indonesia (Kemenkes RI) reports that the prevalence of Low Back Pain (LBP) in Indonesia is 18%. This figure is based on patient visits from several hospitals, and around 3-17% of all LBP complaints occur in Indonesia (Hasby et al., n.d.). This outreach aims to increase the knowledge of Dinoyo ceramic workers about low back pain. This outreach activity includes explanation of the definition, causes, signs and symptoms, prevention, and exercises for LBP. The method of physiotherapy activities used is providing health promotion outreach and physiotherapy exercises carried out independently regarding low back pain. From the results of observations and interviews, several workers complained of lower back pain. It is hoped that this outreach activity can increase workers' knowledge regarding low back pain. The hope is that all ceramic industry workers in Malang City will gain knowledge and prevention about low back pain.

I Made Gandhi Laksana; Nurul Aini Rahmawati; Lisna Lisna

Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

The process of aging in the course of human life is a natural thing. A common problem experienced by elderly people related to physical health is that they are susceptible to various diseases, due to reduced body resistance in dealing with external influences. Low back pain or lower back pain is a feeling of discomfort that can cause various kinds of disorders that can cause health problems in human life. So it is important for people to understand about low back pain. Therefore, there is a need to increase knowledge and understanding at community health centers about low back pain, including signs of symptoms, prevention and treatment for the elderly at Posyandu, Kedungkandang Village. The method used is to provide physiotherapy education in the form of health promotion about low back pain to elderly posyandu participants using posters as an educational medium. Questions and answers to participants to measure effectiveness and provide independent training education. The activity ran smoothly and was easily understood by the elderly at the Posyandu, Kedungkandang Village and could increase participants' knowledge about cases of low back pain.

Puput Mulyono; Singgih Purnomo

Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Mental health problems in teenagers are often not detected from the start. This is because many parents and teenagers are reluctant to seek professional mental health services. The method used is to provide health education and distribute material in the form of leaflets via WhatsApp which contains information about how to manage emotions well. Mental health management is all planning and control efforts. necessary to express all emotions. Promotion of mental health can be carried out on an ongoing basis for adolescents as an effort to maintain mental health and prevent the risk of psychosocial problems emerging in adolescents.

M. Indrawan Nur Huda; Agus Trijono; Anton Susanto

Journal of Educational Innovation and Public Health 2024 Pusat Riset dan Inovasi Nasional

The large number of hospitals in Sukoharjo City makes the people of Sukoharjo City have many choices to determine where they will use health services. The community is very selective about services in hospitals, so that aspects in the Marketing Mix become a benchmark for determining whether or not patients will use health services at the hospital. Marketing Mix is ​​a series of marketing tools used by companies or hospitals continuously to achieve their marketing goals in the target market. This study aims to explore and find obstacles in the implementation of the marketing mix at PKU Muhammadiyah Hospital, Sukoharjo. The study used a qualitative descriptive method with a cross-sectional approach and data collection techniques using in-depth interviews with key informants and specialist informants at the hospital. The results of the study showed that marketing mix components such as products, people, and promotions have been implemented well, although there are still some challenges. Excellent services such as ERACS and stitch-free eye surgery have succeeded in attracting patient interest, but promotion through social media has not been optimal, based on a comparison between the number of patients each month and interactions on social media, it was concluded that social media promotion is still not optimal because the number of interactions is still ≥50% of the number of patients. In addition, hospitals face obstacles in implementing telemedicine and homecare services. Recommendations provided include improving digital promotion strategies and developing innovative services to improve hospital competitiveness and hospitals must also consider the suitability between educational background and the work assigned.

Jumrahwaty Parhusip; Ridesman Ridesman; Riska Susanti Pasaribu

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Mobilization is a basic human need required by individuals to carry out daily activities in the form of joint movement, posture and gait in order to meet activity needs and maintain health. The World Health Organization (WHO) says that births by caesarean section are around 10-16% of all births in developing countries, in the last 30 years the incidence of caesarean sections has increased very rapidly, for many reasons but some also don't have the right reasons, just because the patient wants the operation or the doctor wants an easy way, in Australia around 16% to 20% of the reason for the high number of caesareans in the United States is because most obstetricians. The aim of the research was to analyze the relationship between early mobilization post cesarean section and the surgical wound healing process in the postpartum room at Kartika Pulomas Hospital. The type of research used is qualitative analytic with a cross sectional approach design. The sampling technique uses accidental sampling. The number of samples used was 61 people. There is a relationship between early mobilization post cesarean section and the surgical wound healing process in the postpartum room at Kartika Pulomas Hospital. The paired sample t-test showed a value of p = 0.002, meaning p<0.05. Recommendations for hospitals need to have a policy for early mobilization of patients after caesarean section. Early mobilization accelerates wound healing and shortens the period of hospital treatment, so that it is a promotion for the hospital, namely: establishing independent hospitals as the main choice with quality services.  

Fitriyati Ulfah; Dwi Agustian Faruk Ibrahim; Ayu Puspita

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Family support is a way to provide assistance to other family members, either morally or materially. Motivation is the feeling or thought that drives someone to behave or engage in activities to achieve goals. Hypertensive patients often neglect regular follow-up visits because they feel fine and have no complaints. This study aims to determine the relationship between Family Support and Motivation for Regular Check-Ups in Hypertensive Patients in the Working Area of Samuda Health Center. Methods: This research used a quantitative method with a descriptive correlational approach. The correlation design utilized a cross-sectional method to determine the correlational relationship between two variables, emphasizing the measurement of both independent and dependent variables at one point in time. The instruments were questionnaires, and the statistical test used was Spearman Rank, which involved 53 hypertensive patients in the Working Area of Samuda Health Center as respondents. Results: The study on Family Support revealed that the highest Crosstabulation result was found in respondents with moderate motivation for regular check-ups, with 21 respondents (75.0%), followed by good motivation with 13 respondents (68.4%), and low motivation with 6 respondents (21.4%). The Spearman Rank statistical test yielded a p-value ≤ 0.000, meaning the p-value was less than 0.05. Thus, H0 was rejected, and Ha was accepted, indicating a significant relationship between Family Support and Motivation for Regular Check-Ups in Hypertensive Patients. Conclusion: There is a significant relationship between Family Support and Motivation for Regular Check-Ups in Hypertensive Patients. It is suggested that healthcare workers enhance family support to improve the motivation for regular check-ups among hypertensive patients in the Working Area of Samuda Health Center through health promotion initiatives.

Ade Siti Khaeriah

Pemberdayaan Masyarakat: Jurnal Aksi Sosial 2024 Lembaga Pengembangan Kinerja Dosen

Pekan Imunisasi Nasional or The Polio Immunization Week (PIN) program is an important government initiative to eliminate polio in Indonesia. Posyandu cadres play a key role in the implementation of this program, especially in terms of health promotion and increasing immunization coverage. In Lengkong Kulon Village, Pagedangan Sub-district, Tangerang Regency-Banten, health promotion efforts are also carried out by Posyandu Melati 6 cadres to invite the community to participate in the Polio PIN held on 27 May and 16 August 2024, so as to achieve optimal immunization coverage targets. This study used a qualitative descriptive approach. Data were collected through observation and in-depth interviews with Posyandu Melati 6 cadres, community members and local health officials. Observation and analysis of related documents were also conducted to complement the information obtained. The findings show that Posyandu Melati 6 cadres in Lengkong Kulon village have been active in disseminating information about the importance of polio immunization and organizing health education activities. However, there were some challenges, including limited resources, lack of training, and communication barriers with the community. Nonetheless, the proactive involvement of Posyandu cadres and support from village officials, community leaders, village midwives, and the surrounding community, contributed to the increase in immunization coverage.

Ade Siti Khaeriah

Pemberdayaan Masyarakat: Jurnal Aksi Sosial 2024 Lembaga Pengembangan Kinerja Dosen

Pekan Imunisasi Nasional or The Polio Immunization Week (PIN) program is an important government initiative to eliminate polio in Indonesia. Posyandu cadres play a key role in the implementation of this program, especially in terms of health promotion and increasing immunization coverage. In Lengkong Kulon Village, Pagedangan Sub-district, Tangerang Regency-Banten, health promotion efforts are also carried out by Posyandu Melati 6 cadres to invite the community to participate in the Polio PIN held on 27 May and 16 August 2024, so as to achieve optimal immunization coverage targets. This study used a qualitative descriptive approach. Data were collected through observation and in-depth interviews with Posyandu Melati 6 cadres, community members and local health officials. Observation and analysis of related documents were also conducted to complement the information obtained. The findings show that Posyandu Melati 6 cadres in Lengkong Kulon village have been active in disseminating information about the importance of polio immunization and organizing health education activities. However, there were some challenges, including limited resources, lack of training, and communication barriers with the community. Nonetheless, the proactive involvement of Posyandu cadres and support from village officials, community leaders, village midwives, and the surrounding community, contributed to the increase in immunization coverage.

Cahyani Kurniastuti; Priyo Susilo; Ismayudin Yuliyzar; Putra Pratama; Suparman Suparman

Jurnal Pengabdian Sosial dan Kemanusiaan 2024 Lembaga Pengembangan Kinerja Dosen

The aim of implementing community service in Benda sub-district is to support business actors in promoting SME products in Benda sub-district, Tangerang-Banten City. This activity began with a preparation and field survey stage, which involved direct discussions with the village administrators and village officials of Benda Subdistrict to identify the needs, opportunities and challenges faced by SME business actors. Next, the service team carries out the socialization and training stage, which includes five important aspects: (1) how to create attractive products, (2) choosing a strategic location, (3) practice of creating easy promotional content on social media, (4) distribution strategy products to reach customers, and (5) online marketing. This activity aims to produce SMEs in Benda sub-district, especially home-based businesses, who have an entrepreneurial spirit so they are able to create good marketing strategies. This research aims to optimize the application of digitalization to MSMEs in Benda Subdistrict, Tangerang City, in order to strengthen their position in increasingly dynamic business competition. Through Community Service with seminars and workshops held to provide motivation and marketing strategies as well as introduce digital technology in MSME business operations. The results show a significant increase in MSMEs' abilities and understanding of marketing strategies and the use of digital technology to face healthy competition.  

Bustamil Arifin; Ismail Efendy; Ramadhani Syafitri

Jurnal Ilmu Kesehatan 2024 Lembaga Pengembangan Kinerja Dosen

Toddler age is a period of rapid growth and development, a state that is vulnerable to nutrition and susceptible to disease. Diarrhea in toddlers if not treated seriously can cause pain, to severe dehydration or fluid loss that ends in death. The current diarrhea control program is more prioritized on diarrhea control programs for toddlers. This research method is cross-sectional with a population of mothers and toddlers with a sample size of 175 respondents. The results of this study showed the influence of the mother's education level (p-value 0.011), exclusive breastfeeding (0.003), socio-economic (0.008), hand washing habits (0.007) on the incidence of diarrhea in toddlers in the Tanjung Sekayam Health Center Area, Sanggau Regency. The conclusion of this study is that there is an influence of the mother's education level, exclusive breastfeeding, socio-economic, hand washing habits on the incidence of diarrhea. It is expected that health workers will carry out health promotion activities about the incidence of diarrhea in toddlers to prevent infectious diseases that will result in stunting.

Kristina Eufrasia Seko

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Excessive fat accumulation is called obesity. Obesity occurs at all ages, but is most common in the first year of life, at school age and in adolescence. The main behavioral and risk factors for obesity include an unhealthy or unbalanced diet, lack of beneficial activities, such as smoking, and lack of fiber, such as vegetables and fruit. Therefore, preventing and controlling obesity is very important. Nutrition education is an educational approach that functions to increase teenagers' knowledge, attitudes and behavior towards nutritional problems. Education can be done using media, one of which is posters. Posters are a type of media that contain health information with a combination of clear visuals to attract readers' attention. Posters as a health promotion media have the advantage of increasing awareness, trust and attitudes towards health. The aim of this research is to develop poster media for obesity prevention for students at Senior High School 5 Surakarta. This research method uses Research and Development (R&D), with the ADDIE model being developed in 5 stages, namely (Analysis, Design, Development, Implementation, Evaluation). The results of this research showed that the assessment of poster media from stage 1 material experts was 59% inadequate, stage 2 material experts were 62% with decent results, and stage 3 material experts were 76% with decent results. Stage 1 media experts were 88% very decent results, and stage 2 and 3 media experts were 100% very decent. The media aspect got a percentage result of 91%, the media usefulness aspect was 89% which was very feasible. Overall, the average final assessment score was 89.9%, a very decent category. And a field trial was carried out which was attended by 30 students, producing results of 85% from the media aspect and 84% from the media usefulness aspect, including the very feasible category, so it can be concluded that the media developed is "very suitable" for use in preventing obesity in teenagers in Senior High School 5 Surakarta.

Risnanditiar Hirsya Priambodo; Budi Prasetyo; Dzul Fahmi Afriyanto

Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Smoking becomes a common phenomenon among teenagers because due to internal and external factors affecting smoking behavior. Efficacy of self, confidence of one of his abilities, affects the smoking habits and efforts to stop. FGD (Focus Group Discussion) is an effective method of collecting information and troubleshooting through group discussions. FGD can increase the knowledge and efficacy of the participants' sourcing, including students at school. This study aims to determine how health promotion interventions can cultivate self effecty so that teens still do not smoke using the health promotion intervention method of FGD (Focus Group Discussion) and to know the success of self efficacy based on 3 aspects: (Level, Strenght, and Generality). This research uses a Quasi Experimental method with a type of quantitative research that uses a pre-test group post-test approach. The sample in this study were 10 students in class X and XI from SMK Igntaius Slamet Riyadi Surakarta. The sampling technique uses a purposive sampling method. Data collection techniques use interviews. The data analysis technique uses the non-parametric Wilcoxon Signed Ranks Test. The results of this study show that there is no influence of self-efficacy on the behavior of maintaining not smoking among students at SMK Igntaius Slamet Riyadi Surakarta. Indicates because there is no influence between the FGD variable and the self efficacy of maintaining behavior to remain non-smoking.

Hercien Hercien; Mutia Mutia; Idrus Idrus

Jurnal Inovasi Riset Ilmu Kesehatan 2024 Pusat Riset dan Inovasi Nasional

This study explores the pharmaceutical supply chain management of the National Formulary at RSUP Dr. Sitanala in Tangerang City, aiming to identify obstacles to drug availability and formulate effective and efficient solutions. Acknowledging quality healthcare as a fundamental human right and a critical investment for a nation's future, this research emphasizes the importance of high-quality healthcare services. These services encompass not only treatment but also health promotion and disease prevention through the adoption of clean and healthy living habits. Drug availability is a major pillar in the provision of quality healthcare services. Effective and efficient management of the pharmaceutical supply chain, particularly regarding National Formulary drugs, is crucial in ensuring the availability of medications at healthcare facilities. This research employs a comprehensive analysis of the supply chain processes at RSUP Dr. Sitanala, examining stages such as drug selection, demand planning, procurement, receipt, storage, distribution, drug control, therapy monitoring, prescription preparation, drug dispensation, and medication administration. The study's methodology involves a case study approach, integrating theoretical management principles and interdisciplinary pharmacy management with compliance to regulations, as outlined in Permenkes No. 76 of 2016. Findings from RSUP Dr. Sitanala indicate that the hospital's pharmaceutical management practices align with contemporary health and pharmacy management theories, emphasizing structured systems, stringent verification, and effective interprofessional communication to ensure medication safety and efficacy. The study identifies challenges in information technology and interdisciplinary coordination as areas needing improvement. Nonetheless, a commitment to continuous improvement and adherence to regulatory standards reflects RSUP Dr. Sitanala's dedication to enhancing the quality of pharmaceutical management and healthcare services. The implications of this research extend beyond RSUP Dr. Sitanala, offering valuable recommendations for improving drug supply chain management in other healthcare institutions in Indonesia. By enhancing access to and the quality of healthcare services, this study contributes to the broader goal of achieving the highest possible level of health for individuals, reflecting the perspective of human rights and investment in the nation's future health.