Dengue Hemorrhagic Fever (DHF) is an infectious disease that is influenced by the environment and people's behavior. In Jambi City, Dengue Fever is still a public health problem. This research aims to distribute dengue hemorrhagic fever (DBD) incidence in Jambi City. This research uses Global Moran's analysis and Local Indicator of Spatial Association (LISA) to determine the Hot Spot and Cold Spot areas for dengue cases in Jambi City in 2018 -2022 with a sub-district analysis unit of 62 sub-districts. During 5 years of observation, the results showed that the distribution pattern of dengue fever cases was in the form of a clustered pattern (I>E[I]) in 2018-2022. The research results on the distribution of dengue fever cases from 2018-2022 showed that the lowest cases were in 2021, namely 132 cases, while the highest cases were in 2019, 698 cases. The results of this study are expected to provide an overview of the distribution of dengue fever incidence in Jambi City in 2018 - 2022 so that it becomes a recommendation material for the Jambi City Health Office or the Jambi City Government in an overview of environmental factors related to dengue fever incidence in Jambi City to prevent various diseases due to poor environmental sanitation in Jambi City. Knowing the distribution pattern of dengue fever can determine regional priorities in implementing dengue fever prevention and control intervention programs in Jambi City.

 
Background: Integrated Antenatal Care (ANC) is a comprehensive service effort for pregnant women in the early detection of complications of pregnancy whose scope of visits has the aim that pregnant women can have a positive experience in undergoing pregnancy and childbirth. The government presents the JKN program for pregnant women with the aim of reducing costs in obtaining services, so as to reduce MMR. In Jambi City, there are still several health centers that have not met the target of the coverage of Integrated ANC visits. The purpose of this study was to determine the determinants of integrated ANC visits to participants in the National Health Insurance program at the Jambi City Health Center in 2022. Methods: This study used a quantitative research type with a descriptive approach and a cross sectional design. The data were obtained from a sample of 103 pregnant women respondents at the Jambi City Health Center, the research variables consisted of knowledge, education, employment, income, husband's support and support from health workers. The sampling technique uses proportional random sampling. Results: Bivariate analysis using the Chi-Square test found that factors related to integrated ANC visits were knowledge (0.006), occupation (0.001), income (0.01), husband's support (0.001), health worker support (0.000). There is no educational relationship (0.47). Conclusion: Variables that have a relationship are knowledge, work, income, husband's support, and support from health workers, while education does not.

Losses experienced by BPJS Health due to payment of contributions that have been stopped for participants who have used maternity services of more than 200 billion in a span of 2 years. It was recorded that 64.7% of mothers who were about to give birth registered as participants a month before giving birth and then quit (43%) or did not comply with the payment after delivery. The largest percentage comes from independent participants or non-wage recipients (PBPU). In Jambi Province, non-compliance in paying BPJS Health contributions is the highest in Jambi City. There were 77,489 participants in arrears in 2021 which resulted in a loss of 60.1 billion. Non-compliance in paying dues comes from multiple factors. The purpose of this study is to analyze the factors causing the non-compliance of independent participants in paying BPJS Health contributions after utilizing childbirth services in Jambi City. A quantitative study approach with a cross-sectional design conducted in Jambi City in 2022. There were 96 respondents who were selected based on the accidental sampling technique. The study instrument was a questionnaire. Quantitative data processing through the stages of editing, coding, entry and cleaning with SPSS. Data analysis consisted of univariate analysis and bivariate analysis using chi-square test. The results of the study found that as many as 33.3% of independent participants did not comply in paying BPJS Health contributions after using childbirth services. There is a significant relationship between the number of family members (p = 0.001), knowledge (0.000), perception of illness (p = 0.001), clinical assessment (p = 0.000), and willingness to pay (WTP) with the non-compliance of independent participants in paying BPJS Health contributions. after the use of maternity services. It is recommended for BPJS Health to consider the application of the waiting period method for participants who will take advantage of maternity services. As well as increasing promotive activities for the Jambi City Government in educating and increasing public awareness about the importance of health insurance in protecting household financing.

Background:Puskesmas in the JKN/BPJS system have a major role in health services. If the puskesmas services provided are good, then JKN participants will use health services more at the puskesmas. Puskesmas Kumun is one of the puskesmas that has a wide working area and serves 9 villages. The number of BPJS participants in puskesmas has reached 61%, but the use of national health insurance shows a less percentage. The purpose of this study was to determine the factors associated with the use of national health insurance at the Kumun Health Center.
Method: This type of research is a quantitative study using a cross sectional approach, with a sample of 100 samples. This research was conducted in the district of Kumun Debai. Sampling with accidental sampling technique. Data obtained by filling out questionnaires by respondents. Data analysis was performed using univariate and bivariate (chi-square) tests.
Result:Based on the statistical test in this study, it showed that the factors related to the utilization of the national health insurance were knowledge (p=0.019), education (p=0.000), occupation (p=0.013), income (0.011), and health facilities. And there is no relationship between attitude (p = 0.069), and trust (p = 0.054) with the use of the national health insurance.
Conclusion: There is a relationship between the variables of knowledge, education, occupation, income, and health facilities with the use of national health insurance at the Kumun Community Health Center in Sungai Penuh City.

The coverage of JKN PBI participation is higher than that of non-PBI participants, but the utilization of health services by JKN PBI participants in Indonesia is still relatively low. This study aims to determine what factors are related to the utilization of health services for PBI group National Health Insurance (JKN) participants in Jambi City. This study is a quantitative study using a cross sectional approach. The sample amounted to 106 samples with a sampling technique using accidental sampling. The independent variables in this study were education, occupation, knowledge, attitudes, perceptions of health conditions, affordability and information, while the dependent variable was the utilization of health services. Data were obtained by filling out questionnaires by respondents. Data analysis was performed using univariate and bivariate (chi-square) tests. The results of this study indicate that most of the 61.3% of respondents do not use health services. Based on statistical tests in this study indicate that factors related to the utilization of health services are knowledge (0.000), attitudes (0.003), perception of health conditions (0.012), and information (0.000). And there is no relationship between education (0.147), occupation (0.295) and affordability (0.787) with the utilization of health services for participants of the National Health Insurance (JKN) PBI group. There is a relationship between the variables of knowledge, attitudes, perceptions of health conditions and information with the utilization of health services for the participants of the National Health Insurance for the PBI Group in Jambi City.

The provision of health services is one way to meet the needs and demands of the community for health, in the process including health financing. There are six financing patterns applied, one of which is out of pocket financing and Social Health Insurance Administration Body. The ability to buy health services depends on the readiness of the family to finance the household, so socioeconomic status influences the use of health financing patterns. This study uses quantitative methods with a cross-sectional research design. The population is the head of the family who seeks treatment at Abdul Manap Hospital, with as many as 89 respondents. Data collection using a questionnaire and data analysis using chi-square. Based on the analysis, the variables that have a relationship with the pattern of Social Health Insurance Administration Body financing are income (p-value 0.000), occupation (p-value 0.003), number of family members (0.028), and asset ownership (0.000). Meanwhile, the one that does not have a relationship is education (0.276). The conclusion of this study is that income, occupation, the number of family members, and asset ownership have a relationship with the use of financing patterns, while education has no effect.