Yennike Tri Herawati
Bagian Administrasi dan Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Jember

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Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Antenatal oleh Ibu Hamil di Wilayah Kerja Puskesmas Tempurejo Kabupaten Jember Tahun 2013 (Correlated Factors of Antenatal Services Utilization by Pregnant Women at Community Health Center of Tempurejo, Mardiyah, Ulul Lailatul; Herawati, Yennike Tri; Witcahyo, Eri
Pustaka Kesehatan Vol 2, No 1 (2014)
Publisher : Pustaka Kesehatan

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Abstract

Antenatal care is a governmental program as part of efforts to reduce maternal mortality. Indicators of success for prenatal care is K4 scope. Tempurejo Health Center has the lowest coverage of K4 in Jember in 2012 with its percentage is 61.38%, less than the target (94%). The purpose of this study was to analyze correlated factors of antenatal services utilization by pregnant women at Community Health Center of Tempurejo which includes knowledge, attitudes, beliefs, availability of health care, service of 10T, affordability, worker’s service, and family support. This study is a cross sectional analytic design. Samples are 87 pregnant women who stay in the working area Tempurejo Health Center with the age of pregnancy of the 2nd and 3rd trimester. Collecting data using questionnaires and analyzed using correlation SomersD with Confidence Interval 95%. The results showed correlation between knowledge, attitudes, service of 10T, affordability, worker’s service and family support officer with antenatal services utilization. However, there was no correlation between beliefs and availability of health care with antenatal services utilization. Keywords: pregnant women, antenatal care, utilization
GAYA HIDUP SEKSUAL WARIA NON PEKERJA SEKS KOMERSIAL KOTA SEMARANG Rokhmah, Dewi; Herawati, Yennike Tri
IKESMA Vol 6, No 2 (2010)
Publisher : FKM - UNEJ

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Abstract

Being transvestites is not merely bringing a biological problems, but also psychological and sociological. Most transvestites were having a low self concept due to their confusion on their sexual identity. The ambiguity place them isolated from community. Social pressure forms stigmatization and discrimination toward thisgroup of people, which lead them to have more risky sexual practice. This study aims to analize the sexual life style of non-commercial transvestites in Semarang. It was a qualitative study involved informants aged 25-54. Most of them reconstruct their face and body in order to maximize their sexual appeal as a female. Most of respondents were having steady single or married partner. However, the status was not limiting them to have sexual relationship with others. Less respondent found their partner from chatting, hang-out in a hot spot (cebongan), and using gigolos services. All the respondents only needed a few of time to finally engage in sexual intercourse with their partner. First sight, first date and sexual intercourse were occurred in a quick encounter. The reasons of having sexual intercourse (anal and or oral sex) were to show their love to their partner and just for fun. They were mostly prefer anal or oral sex, however, some of them also practicing petting with “es gosrok” style of commonly called clamping style. Although most of them negotiate with their partner to use condom, there were some of them were not because they did not practicing penetration anal sex. Keywords : transvestites, non-commercial, sexual lifestyle, sexual script
COST BENEFIT ANALYSIS ANTARA PEMBELIAN ALAT CT-SCAN DENGAN ALAT LASER DIODA PHOTOCOAGULATOR DI RSD BALUNG JEMBER Nuryadi, Nuryadi; Herawati, Yennike Tri; Triwardhani, Rafida
IKESMA Vol 10, No 1 (2014)
Publisher : FKM - UNEJ

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Cost benefit analysis is an economic analysis that is used to evaluate economic resources usage so that the scarce economic resources can be used efficiently. In 2014, Balung General Hospital suggests some program to central government in order to support operational activity in Balung General Hospital. However, not all suggestions can be realized because the limitation of fund given by government. The purpose of the research is doing calculation of Cost benefit analysis between suggestion of CT-Scan device purchasing or suggestion of Laser dioda photocoagulator in Balung General Hospital of Jember. This research is quantitatif descriptive with analysis unit in Radiology Installation and Eye Poly. Based on the calculation of each step of Cost benefit analysis, we know that each suggestion has different Benefit-Cost Ratio (BCR) value where BCR value of Laser dioda photocoagulator device purchasing suggestion is 0,858 that is bigger than BCR value of CT-Scan device purchasing suggestion which is 0,078. Based on the BCR value, so the first prioritized suggestion is the Laser dioda photocoagulator that brings bigger benefit for Balung General Hospital of Jember.   Keywords: Cost Benefit Analysis, BCR (Benefit Cost Ratio), CT-Scan, Laser dioda photocoagulator
Analisis Stakeholder dalam Kebijakan Pemenuhan Fasilitas Kesehatan Tingkat Pertama pada Program Jaminan Kesehatan Nasional di Kabupaten Jember (Stakeholder Analysis in Compliance Policy of The First-Level Health Facilities in National Health Insurance at Yuliansyah, Mohammad Alfian; Nuryadi, Nuryadi; Herawati, Yennike Tri
Pustaka Kesehatan Vol 4, No 1 (2016)
Publisher : Pustaka Kesehatan

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Decree of President No. 12 in 2013 explained that The Government and Local Government had a responsibility for availability of health facilities and implementation of health services in National Health Insurance. The first level-health facilities which had been collaborated with Social Assurance Agency in Health were 97. Based on ratio, the number of the first level-health facilities in Jember were less. The shortage was The governments resposibility based on Decree of President No. 12 in 2013.This research aims to analize of stakeholder policy in compliance policy of the first level-health facilities in National Health Insurance at Jember.This research was descriptive research with mixed methods approach. The result explained that Social Assurance Agency in Health of Jember needed to get cooperation with 230 doctors and 35 primary health care or clinics. Social Assurance Agency in Health of Jember had a big power to get cooperation with the first-level health facilities which be available in Jember during get a cooperation with doctors and available clinics also invite other investors to build a new clinics. The first level-health facilities, specially clinics and doctor had a rights to have cooperation or not with Social Assurance Agency in Health. Keywords: Policy, Stakeholder, The First-Level of Health Facilities, UHC
DISASTER PREPAREDNESS AT PUBLIC HEALTH CENTER (PHC) BY SCORING ANALYSIS OF GENERAL ASPECTS, HEALTH CARE, SURVEILLANCE, ENVIRONMENTAL SANITATION AND LOGISTICS Prasetyowati, Irma; Herawati, Yennike Tri; Wahjudi, Pudjo
UNEJ e-Proceeding 2016: Proceeding of 1st International Conference on Medicine and Health Sciences (ICMHS)
Publisher : UNEJ e-Proceeding

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Preparedness according to the Constitution ofIndonesia No. 24 2007 on Disaster Management is aseries of activities done in order to anticipatedisasters through the organization as well as throughappropriate and useful activities. The disastermanagement in Indonesia adopts the paradigm ofrisk reduction, disaster management which aims toimprove the ability of communities to manage andreduce the risk of disaster to society the disastersubjects. This prevention is focused on pre-disasterphase to minimize the risks (BNPB, 2009). Jember islocated at the altitude 0-3330 meters above the sealevel. Its area with the altitude of 100-500 metersabove the sea level is the largest area, 1240.77 km²or 37.68% of total area of Jember. Meanwhile, thenarrowest area is the area with a height of over2,000 meters above the sea level with 31, 34 km² or0.95% of the area of Jember. Jember has atopographic character of fertile plains canyon in theCentral and South parts and is surrounded bymountains that extends to the boarder of East andWest. The area of South West has a plateau with aheight of 0-25 meters above the sea level, while theNortheast area, which borders with Bondowoso, andthe Southeast area bordering Banyuwangi has over1,000 meters above the sea level (PPSP 2012).Based on the geographical conditions, the potentialdisasters that may occur are such as, floods,landslides and tsunami. The potential disaster isinfluenced by Jember topography consisting ofplains, mountains, and beaches. The data fromJember Health Department in 2011 showed thatthere were 21 of 31 Districts potentially disaster mayhappen.When the disaster happens, it causes humancasualties and property losses. The human casualtiescause insecurity to the health status of affectedpeople and communities living around the disasterarea. Therefore, the acceleration of the handling ofthe victim is not only necessary in emergencyresponse, but also it should be emphasized on theprepared efforts carried out as early as possible, sothat the number of casualties can be minimized.Preparedness is a shared responsibility ofstakeholders, central government, localgovernments, communities and the business world.The role has been written in constitution No. 242007 about Disaster Management.One of the responsible stakeholders in implementingpreparedness activities is Public Health Center (PHC).PHC functions as the central driver of health insight,family and community empowerment center, andthe first level health care center which is qualifiedand affordable. Especially, on the third function, itincludes aspects of public health and personal healthservices including handling the emergency patient inthe community. (Community Health, Department ofHealth, 2005).
Analisis Kesiapan Pengguna dan Pengaruhnya terhadap Penerimaan SIK Lumajang sebagai Sistem Informasi Manajemen Puskesmas Shofwan, Imam; Witcahyo, Eri; Herawati, Yennike Tri
Jurnal Kedokteran dan Kesehatan Vol 14, No 1 (2018): JURNAL KEDOKTERAN DAN KESEHATAN
Publisher : Faculty of Public Health, Universitas Muhammadiyah Jakarta

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Data tim pengelola Sistem Informasi Kesehatan (SIK) Lumajang Dinas Kesehatan Kabupaten Lumajang menyebutkan bahwa permasalahan dalam pemanfaatan SIK yaitu puskesmas atau pengguna yang belum siap dan menerima aplikasi SIK Lumajang. Hanya 11 dari 25 puskesmas yang telah memanfaatkan aplikasi SIK Lumajang sebagai aplikasi sistem informasi manajemen di puskesmas. Penelitian ini bertujuan untuk mengidentifikasi kesiapan pengguna dan pengaruhnya terhadap penerimaan aplikasi SIK Lumajang sebagai aplikasi sistem informasi manajemen puskesmas di Kabupaten Lumajang dengan konsep teori TRI dan TAM. Penelitian ini adalah penelitian kuantitatif dengan rancangan cross sectional, dilakukan di 11 Puskesmas yang telah memanfaatkan aplikasi SIK Lumajang. Pengambilan data menggunakan metode wawancara dengan kuesioner dan dokumentasi SIK Lumajang bulan September 2016 sampai dengan Oktober 2017. Sampel sebanyak 54 responden diambil dengan teknik multistage random sampling. Data yang dikumpulkan berupa tingkat kesiapan pengguna sistem informasi manajemen di puskesmas sebagai variabel bebas, serta data persepsi kegunaan, persepsi kemudahan, sikap terhadap penggunaan teknologi, niat perilaku menggunakan teknologi, perilaku atau penggunaan teknologi sesungguhnya sebagai variabel terikat. Uji bivariat dianalisis menggunakan uji regresi linier sederhana. Hasil penelitian menunjukkan bahwa pengaruh antar variabel penelitian seluruhnya berpengaruh positif dan signifikan (p<0.05) sesuai dengan teori yang ada. Variabel dengan pengaruh terbesar terdapat pada niat perilaku menggunakan terhadap penggunaan teknologi sesungguhnya. Kata kunci: kesiapan pengguna; puskesmas; SIK lumajang
Analisis Stakeholder dalam Kebijakan Pemenuhan Fasilitas Kesehatan Tingkat Pertama pada Program Jaminan Kesehatan Nasional di Kabupaten Jember (Stakeholder Analysis in Compliance Policy of The First-Level Health Facilities in National Health Insurance at Yuliansyah, Mohammad Alfian; Nuryadi, Nuryadi; Herawati, Yennike Tri
Pustaka Kesehatan Vol 4 No 1 (2016)
Publisher : UPT Penerbitan Universitas Jember

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Abstract

Decree of President No. 12 in 2013 explained that The Government and Local Government had a responsibility for availability of health facilities and implementation of health services in National Health Insurance. The first level-health facilities which had been collaborated with Social Assurance Agency in Health were 97. Based on ratio, the number of the first level-health facilities in Jember were less. The shortage was The government's resposibility based on Decree of President No. 12 in 2013.This research aims to analize of stakeholder policy in compliance policy of the first level-health facilities in National Health Insurance at Jember.This research was descriptive research with mixed methods approach. The result explained that Social Assurance Agency in Health of Jember needed to get cooperation with 230 doctors and 35 primary health care or clinics. Social Assurance Agency in Health of Jember had a big power to get cooperation with the first-level health facilities which be available in Jember during get a cooperation with doctors and available clinics also invite other investors to build a new clinics. The first level-health facilities, specially clinics and doctor had a rights to have cooperation or not with Social Assurance Agency in Health. Keywords: Policy, Stakeholder, The First-Level of Health Facilities, UHC
Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Antenatal oleh Ibu Hamil di Wilayah Kerja Puskesmas Tempurejo Kabupaten Jember Tahun 2013 (Correlated Factors of Antenatal Services Utilization by Pregnant Women at Community Health Center of Tempurejo, Mardiyah, Ulul Lailatul; Herawati, Yennike Tri; Witcahyo, Eri
Pustaka Kesehatan Vol 2 No 1 (2014)
Publisher : UPT Penerbitan Universitas Jember

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Abstract

Antenatal care is a governmental program as part of efforts to reduce maternal mortality. Indicators of success for prenatal care is K4 scope. Tempurejo Health Center has the lowest coverage of K4 in Jember in 2012 with its percentage is 61.38%, less than the target (94%). The purpose of this study was to analyze correlated factors of antenatal services utilization by pregnant women at Community Health Center of Tempurejo which includes knowledge, attitudes, beliefs, availability of health care, service of 10T, affordability, worker’s service, and family support. This study is a cross sectional analytic design. Samples are 87 pregnant women who stay in the working area Tempurejo Health Center with the age of pregnancy of the 2nd and 3rd trimester. Collecting data using questionnaires and analyzed using correlation Somers'D with Confidence Interval 95%. The results showed correlation between knowledge, attitudes, service of 10T, affordability, worker’s service and family support officer with antenatal services utilization. However, there was no correlation between beliefs and availability of health care with antenatal services utilization. Keywords: pregnant women, antenatal care, utilization
Analisis SWOT di Instalasi Gawat Darurat (IGD) Rumah Sakit Fathma Medika Gresik untuk Meningkatkan Kunjungan Tahun 2016 (SWOT Analysis in the Emergency Room (ER) of Fathma Medika Hospital Gresik in Order to Increasing Visits 2016) Amaliah, Nurika; Herawati, Yennike Tri; Witcahyo, Eri
Pustaka Kesehatan Vol 5 No 2 (2017)
Publisher : UPT Penerbitan Universitas Jember

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Trauma Center is one of Fathma Medika Hospital’s featured services to handle the trauma patients in the hospital. Trauma Center is closely related to the ER where ER is a major gateway entry of patients with emergency conditions to prevent the risk of disability and death to respond time for 5 minutes and definitive time &lt;2 hours. In addition, data showed that the number of patient visits in ER of Fathma Medika Hospital in period of January-December 2015 did not achieve the set targets. Therefore, the matter will be examined using SWOT approach to determine a strategy that could be recommended to improve traffic based on the analysis. The purpose of this study is to analyze the strength, weakness, opportunity, and threat in the ER. This type of research is descriptive with the number of respondents as many as 12 people during October 2016. The results showed that the strength of internal components include human resources, facilities, promotion, planning, organizing, implementing, and monitoring and evaluation while the weaknesses are and the amount of service tariff visit. External components into opportunities are the government policy, social, and economic while the threat is competitive. The conclusion of this study is IGD RS Medika Fathma Gresik get a score of internal and external 0.796 and 0.817 are in the first quadrant so that the strategies are rapid and aggressive growth. Keywords : Planning Strategy, SWOT Analysis, Emergency Room &nbsp;
Pengambilan Keputusan dalam Pelaksanaan Rujukan Puskesmas sebagai Fasilitas Kesehatan Tingkat Pertama (Decision Making in the Refferal Implementation at Public Health Center as First Level Health Facility) Purwati, Estik Ikka Indah; Nuryadi, Nuryadi; Herawati, Yennike Tri
Pustaka Kesehatan Vol 5 No 2 (2017)
Publisher : UPT Penerbitan Universitas Jember

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Abstract

Public health center is a first level of health facility which collaboration with health care and social security agency must be organize a comprehensive health care. Based on P-Care application at 30 public health centers in district jember obtained 1 public health center which has not the disease refferal rate data as (100%), 12 public health center as (5%), 10 public health center as (5-10%) and 7 public health center over (10%). Based on these data can been conclusion that the disease refferal data which can be handled is still high and the refferal implementaion which is not appropiate at public health center in district jember. The purpose of this study was to identified decision making process in public health center refferal implementation which were not appropriate as first level of health facility.These study was a descriptive. This study was held at 29 public health centers in district Jember on February-March 2016. Sample of these study was 29 health centers. Result showed that of 29 public health center (100%) identified having problem of the refferal which were not appropriate. All public health center in district jember make data collection. All public health center make alternative solution development. All public health center make problem solving evaluation. All public health center make the best alternative election. Alternative preferred by public health center as the best alternative was education and motivation. Keywords: Decision Making, Refferal &nbsp;