Nyoman Anita Damayanti

Health systems around the world face a variety of challenges, including rising costs, healthcare access issues, and ongoing professional development needs. Internal marketing is emerging as a potential strategy to address these challenges by improving service quality through employee satisfaction and enga gement. This literature review evaluates the effectiveness of internal marketing strategies in hospitals and identifies key dimensions that contribute to improved quality of care. This literature review evaluates the effectiveness of internal marketing strategies in hospitals and identifies key dimensions that contribute to improved quality of care. This literature review followed PRISMA guidelines and included studies from PubMed, Scopus, and ProQuest. Eligible studies focused on internal marketing in hospitals and its impact on service quality, employee satisfaction, and organizational commitment. Inclusion criteria were defined using the PICO framework, and a narrative synthesis was conducted of findings from studies published between January 2019 and August 2024. Of the 250 articles initially identified, 10 studies met the inclusion criteria. These studies demonstrated a positive relationship between internal marketing and various aspects of service quality. Key findings included the significant role of internal marketing in improving employee satisfaction, organizational loyalty and patient care. Effective internal marketing practices are associated with improved service quality and competitive advantage for hospitals. Internal marketing plays an important role in improving hospital service quality by creating a positive work environment and increasing employee engagement. Although evidence supports its effectiveness, the success of internal marketing strategies depends on the organization's commitment to communication, training, rewards and empowerment. Further research should focus on longitudinal studies and explore internal marketing practices in various healthcare contexts

Background: Infant mortality is one of the priority problems in the field of maternal and child health in Indonesia until now. All health issues in the Sustainable Development Goals (SDG's) are integrated into goal number 3. In the city of Surabaya, the total number of infant deaths has shown a decreased trend in the last 3 years, but in the number of infant deaths, including deaths within the neonatal period, the number continued to increase during 2018-2020. The target of neonatal visits in the working area of Puskesmas X Surabaya is one of the causes of the infant mortality rate during the neonatal period in the city of Surabaya having increased in 2018-2019, especially in the working area of Puskesmas X Surabaya which makes the Puskesmas rank second in the number of neonatal deaths in Surabaya in 2019. Objectives: To analyze factors related to the use of neonatal services in the working area of Puskesmas X Surabaya. Methods: This type of research was an analytical observational study with a quantitative approach. The design of this research used cross-sectional studies. The sampling technique used in this study was probability sampling. Results: From the research conducted, it was shown that there was no significant relationship between family resource and community resource with the use of neonatal services by mothers of infants, judging from statistical tests using the Chi-square test, the p-value obtained was more than α=0,05. Conclusions: The enabling characteristics of the baby's mother, such as insurance ownership, family income, husband support, family support, health worker support, and accessibility, were not related to the use of neonatal services by the baby's mother in the work area of Puskesmas X Surabaya.

Patient safety is a top priority in healthcare services, including in the prevention of identification errors. Accurate patient identification is one of the Patient Safety Goals mandated by the Joint Commission International (JCI) 2024. The issue addressed in this study is the low compliance of nurses with patient identification procedures at Hospital X in Banyuwangi Regency. This study aims to analyze the relationship between nurses’ attitudes and tuning with compliance in implementing patient identification. A quantitative approach with a cross-sectional design was used. Data on attitudes and tuning were collected through questionnaires, while compliance data were obtained from direct observations of 91 randomly selected nurses. The analysis showed a significant relationship between nurses’ attitudes and compliance with patient identification (p = 0.006), whereas tuning did not show a significant relationship (p = 1.00). Although most nurses had a positive attitude, inconsistencies were found between their attitudes and actions in the field. Therefore, it is recommended that practice-based training be provided, strict supervision by head nurses implemented, and patient identification technologies such as barcodes or Radio Frequency Identification (RFID) be utilized as innovations to improve compliance with procedures.

Introduction: This study assesses hospital readiness in maternal referral hospitals six months after the onset of the pandemic, aiming to inform future public health emergency responses. Methods: A descriptive and exploratory mixed-methods design was employed. Surveys and focus group discussions were conducted with 127 hospitals in the COVID-19 maternal referral hospitals by the East Java Provincial Government using the modified WHO hospital readiness checklist for COVID-19 2020. Quantitative data were analyzed descriptively, and qualitative data from focus group discussions were thematically analyzed to get deeper insights into the challenges faced by hospitals. Results: A total of 105 hospitals (83%) responded to the survey. While PPE supplies were largely adequate, gaps in infrastructure, including negative-pressure rooms, isolation areas, and diagnostic capacity, persisted. Financial constraints, particularly delays in the National Health Insurance Scheme (BPJS Kesehatan) claims, further strained hospital operations. FGDs revealed that PCR delays, staffing shortages, and underdeveloped referral coordination systems hindered the delivery of maternal services. Conclusions: Strengthening maternal referral systems requires improving diagnostic capabilities, investing in essential infrastructure, and ensuring timely financial reimbursement. Collaborative efforts among the Ministry of Health, BPJS Kesehatan, and healthcare facilities are crucial to enhancing maternal healthcare resilience during future public health emergencies.

Dukungan lebih lanjut terhadap deteksi kasus dan pengobatan ibu hamil diperlukan untuk dapat meningkatkan pencapaian program menurunkan AKI (Angka Kematian Ibu) di Kabupaten Kediri. Pada tahun 2022 cakupan K1 dan K4 di Kabupaten Kediri berada di bawah rata-rata provinsi serta cakupan pertolongan persalinan oleh tenaga kesehatan Kabupaten Kediri berada pada peringkat terendah kedua di Provinsi Jawa Timur dengan cakupan hanya mencapai angka 81%. Untuk itu peran kader dan volunteer dalam pendampingan ibu hamil dan nifas sangat diperlukan. Tujuan pengabdian kepada masyarakat ini adalah untuk meningkatkan kemampuan yang meliputi pengetahuan, keterampilan, serta pemahaman kader dan volunteer mengenai pelaksanaan pendampingan ibu dan anak di Kabupaten Kediri. Metode yang digunakan dalam pengabdian kepada masyarakat ini adalah ceramah, diskusi, tanya jawab, dan roleplay kepada kader dan volunteer pendampingan. Kegiatan capacity building dilaksanakan secara hybrid pada tanggal 11-12 Juli 2024 di Auditorium RSUD Simpang Lima Gumul Kediri dan Zoom meeting. Kegiatan ini diawali dengan pre-test, pemberian materi, roleplay, serta post-test. Hasil dari kegiatan didapatkan peningkatan kemampuan kader dan volunteer dari nilai rata-rata pre-test 56,71 meningkat menjadi 79,14 pada post-test, artinya terdapat peningkatan pengetahuan sebesar 22,43% setelah peserta diberikan materi serta pelatihan KAP.

Background This study applied geographical standards (coverage distance) and demographic standards to investigate the capabilities of primary healthcare facilities to cover the largest area of the study area and the service area that can be accessed. This study was conducted to find out the sufficient number of primary healthcare (PHC) centers required to provide healthcare services to the entire community. Methods Data was obtained by applying geographic information system (GIS) techniques to analyze primary care facilities using the demographic and geographic standards for primary care facilities. Results PHC centers cover 79% of the study area according to the geographical standard. The study area needs 41 additional centers to cover the shortfall in service provision per the demographic and geographic standards. Conclusions A significant deficiency in the number of primary care centers found in the study area compared to the large population at the geographical and demographic standards level.

Latar Belakang: Penurunan Angka Kematian Bayi (AKB) dan peningkatan status gizi menjadi indikator pembangunan kesehatan di Indonesia. Hal tersebut berkaitan erat dengan pemberian ASI eksklusif pada bayi. Di Kabupaten Tuban, capaian ASI eksklusif mengalami penurunan dari tahun 2019 ke 2020, dengan capaian 79,5% menjadi 76,7%. Keberhasilan dalam meningkatkan capaian ASI eksklusif melibatkan beberapa faktor, yaitu faktor individu dan faktor komunitas di lingkungan tempat tinggal ibu. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh variabel karakteristik ibu bayi, sikap, kepercayaan, norma sosial, stigma, dan budaya di lingkungan tempat tinggal ibu dengan variabel tindakan pemberian ASI eksklusif pada bayi di Wilayah Kerja Puskesmas X Tuban. Metode: Penelitian menggunakan penelitian analitik dengan metode yang digunakan adalah penelitian observasional. Penelitian ini menggunakan rancang bangun cross sectional. Sampel pada penelitian ini adalah sebanyak 110 ibu yang memiliki bayi usia 7-12 bulan dengan menggunakan metode proportional sampling. Hasil: Hasil penelitian menunjukkan variabel faktor individu berpengaruh terhadap pemberian ASI eksklusif, memperoleh nilai Chi-Square hitung>Chi-Square table (23,121>14,067) dan nilai signifikansi sebesar 0,002. Subvariabel faktor individu yang berpengaruh terhadap pemberian ASI eksklusif adalah usia, pengeluaran, dan pengetahuan. Variabel faktor komunitas berpengaruh terhadap pemberian ASI eksklusif, memperoleh nilai Chi-Square hitung7,815) dan nilai signifikansi sebesar 0,008. Subvariabel faktor komunitas yang berpengaruh terhadap pemberian ASI eksklusif adalah budaya. Kesimpulan: Kesimpulan penelitian ini adalah perilaku pemberian ASI eksklusif yang dilakukan oleh ibu kepada bayi dipengaruhi oleh beberapa faktor, antara lain yaitu faktor individu dan faktor komunitas.

Background: Patient Safety Incidents (PSI) in hospitals are adverse events that need to be reported for effective identification and risk management, aiming to prevent reoccurrence of incidents. However, not all incidents are documented, as evidenced by the discrepancy in the number of phlebitis reported by employees as well as Infection IPCLN at three hospitals. Aims: Provide recommendations to improve employee Personal Attitude towards reporting PSI at three hospitals owned by Company A. Methods: The method adopted was a cross-sectional research design; data were collected from three hospitals owned by company A and tested using multiple logistic regression statistics tests. Data on Phlebitis reported from January to July 2018 at three hospitals owned by Company A was used. Furthermore,135 respondents were taken from the service installations of the three hospitals. The Lameshow formula and proportional random sampling are applied to determine the sample. Results: The variables of error orientation (p = 0.001; β = 0.349), behavioral belief (p = 0.008; β = 0.234), and perceived behavioral control (p = 0.003; β = 0.222) had a positive and significant effect on the personal attitude of employees reporting PSI. Conclusion: Two approaches were recommended to improve the personal attitude of employees in reporting PSI. Keywords: Hospital, Patient safety incidents, Personal attitude, Underreporting

Postpartum maternal deaths have always been more than 50% of total maternal deaths from 2016-2021, and the realization of visits by postpartum mothers at Community Health Centers has also not met the target. The low number of visits is due to the fact that postpartum mothers still need strong encouragement and motivation. Midwives have the role of providing information, education and monitoring the condition of postpartum mothers, so midwives need support from social competence and good partnerships with various parties. This research aims to analyze the influence of social competence, which includes social awareness and social skills, on midwife partnerships in postnatal care services. The research design is observational analytic with a cross-sectional time approach. The research location was carried out at 63 Community Health Centers, Surabaya City, Indonesia with a sample of 100 midwives taken using Proportional Stratified Random Sampling. The variables measured are social awareness, social skills and partnerships through distributing questionnaires. Data were analyzed using the chi-square test. This research has gone through an ethical review with number 085/HRECC.FODM/III/2022. The research results showed that the social awareness competency and social skills of midwives related to postnatal care services had a good percentage rating (93%, 81%, 98%). The quality of midwife partnerships in providing postnatal care services is influenced by social awareness (p= 0.04 & PR= 0.714x), but not influenced by social skills (p=0.345). If midwives' social awareness is better, the quality of midwife partnerships will be better. Therefore, midwives must be able to establish good relationships and be more open in communicating with colleagues or other work units when serving postpartum mothers.