Cahya Tri Purnami
Medical Record and Health Information Department, Polytechnic Health Ministry of Semarang

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ANALISIS PELAKSANAAN KONSELING KONTRASEPSI OLEH BIDAN DI WILAYAH DINAS KESEHATAN KOTA SURAKARTA Widayati, Rina Sri; Widagdo, Laksmono; Purnami, Cahya Tri
GASTER Vol 11, No 1 (2014): FEBRUARI
Publisher : GASTER

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Abstract

Latar Belakang: Keberhasilan program KB dapat ditempuh dengan strategi perencanaan pola kontrasepsi yang rasional diperlukan kompetensi petugas terhadap pelaksanaan konseling yang merupakan inti dari program KB. Sebagian besar dalam pelaksanaaan konseling kontrasepsi tidak menjelaskan konseling KB sesuai Standar Operating Prosedur (SOP) yaitu dengan langkah SATUTUJU. Tujuan penelitian ini adalah menganalisis hubungan karakteristik program dengan pelaksanaan konseling kontrasepsi oleh bidan di wilayah Dinas Kesehatan Kota Surakarta. Metode penelitian survey analitik dengan pendekatan cross sectional. Sampel penelitian ini adalah bidan yang memberikan pelayanan konseling kontrasepsi sebanyak 117 diwilayah Dinas Kesehatan Kota Surakarta. Pengumpulan data dilakukan menggunakan angket. Analisa dilakukan secara univariat, bivariat dengan uji Pearson Correlation dan multivariat dengan Regresi Linier. Hasil penelitian dapat disimpulkan secara univariat masih ditemukan bidan yang belum memahami klien, memperhatiakan kebutuhan klien , persiapan media bila diperlukan saja sekitar (15,4%) menjelaskan panjang lebar dengan istilah medis, tidak memperhatikan sikap klien, penggunaan ABPK sebesar (17,9) , mengatakan tidak ada waktu untuk istirahat, tidak ada waktu pendokumentasian sebesar (11,1%), pekerjaan yang banyak kadang membuat mereka menghindar dari pekerjaan (16,2%) dan tidak mengidentifikasi pedoman KB, evaluasi pelaksanaan dan evaluasi SOP sebesar (17,1%).Simpulan Secara bivariat variabel yang berhubungan dengan pelaksanaan kompetensi bidan (nilai p=0,044,r= -0,187), motivasi kerja bidan (nilai p=0,0001, r=0,347), supervisi oleh pimpinan (nilai p=0,006, r=0,250), dan secara multivariat yang memiliki pengaruh paling besar adalah motivasi dengan (nilai p = 0,0001). Kata Kunci: Konseling Kontrasepsi, Program KB, Karakteristik Program, Pelayanan Kontrasepsi.
PENGEMBANGAN SISTEM INFORMASI PENDAFTARAN RAWAT JALAN RUMAH SAKIT JIWA DAERAH PROVINSI KEPULAUAN BANGKA BELITUNG RIKI, DWI; Dharmawan, Yudhy; Agushybana, Farid; Purnami, Cahya Tri
Jurnal Kesehatan Masyarakat (e-Journal) Vol 8, No 1 (2020): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Pendaftaran pasien rawat jalan Rumah Sakit Jiwa Daerah Provinsi Kepulauan Bangka Belitung masih menggunakan sistem manual. Berdasarkan analisa PIECES ditemukan permasalahan seperti petugas pendaftaran pasien rawat jalan memerlukan waktu lebih dari standar yang ditetapkan oleh kemenkes untuk proses pendaftaran pasien. Petugas juga mengalami kesulitan ketika mencari kembali data pasien karena penyimpanan basis data pasien berupa kartu. Selain itu, data pasien rawat jalan yang tidak lengkap karena tidak ada peringatan pada saat input data pasien. Tujuan penelitian adalah mengembangkan sistem iinformasi ipendaftaran rawat ijalan yang idapat digunakan iuntuk imendukung ipelayanan yang lebih optimal. Pengembangan sistem informasi ini dapat mendeteksi jumlah pasien jiwa dan pasien umum. Selain itu dapat melihat langsung jumlah sepuluh penyakit terbanyak perperiode. Pengujian sistem menggunakan uji black box. Metode ini berfokus pada masukkan data dan tampilan sistem, sehingga jika masukkan data tidak sesuai dengan apa yang diharapkan maka sistem gagal. Hasil pengujian menggunakan black box menunjukkan sistem pendaftaran rawat jalan dapat berjalan dengan baik. Analisis data dilakukan analisis bivariat (t-test). Hasil uji T perbedaaan waktu pendaftaran sebanyak dua ratus dua belas pasien menunjukkan ?=0,001 (?<0,05). Hasil uji coba pengembangan sistem informasi rawat jalan menunjukkan pendaftaran pasien membutuhkan waktu selama tiga menit dan kelengkapan data pasien seratus persen.
Nurses Registration Information System Development to Support Web-Based Guidance and Control Force Nurse by Assembly Health Workers Central Java Province Windari, Adhani; Purnami, Cahya Tri; Agushybana, Farid
Jurnal LINK Vol 8, No 2 (2012): Mei 2012
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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Abstract

Banjarkerta, a village in district Karanganyar, Purbalingga, is a central village of mattress craftsman with textile waste materials as a substitute for cotton. One of negative impacts in consequence of work for the craftsmen is lung function disorder, which is caused by dust of textile waste. The other risk factors are age, work period, Body Mass Index, use of masks, smoking habits, and history of pulmonary disease.The purpose of this study was to find out the risk factors for lung function disorder in craftsmen of mattress in Banjarkerta, Purbalingga, year 2011.This research was conducted with cross sectional approach, observing 85 respondents, using random sampling techniques. The data collected was obtained by measurements (dust variables, BMI, lung capacity) and interviews (age variables, gender, work period, smoking behavior, and history of pulmonary disease). The collected data is then presented in tabular and narrative. The data analysis is done by analyzing tables and cross-table analysis, using the calculation of Ratio Prevalence  (RP).The results of this study is that there is lung function disorder in mattress craftsman, with the normal criteria (23.5%), the only restriction or obstruction (15.3%), the combined restriction and obstruction (61.2%). Factors associated with lung function disorder are age (RP = 1,220); gender (RP = 3.137); working hour (RP = 1,333); the custom of wearing masks (RP = 1.319) and a history of pulmonary disease (RP = 1.502). Factors not associated with risk of lung function disorder are work period (RP = 0.611);, BMI (RP = 0.807 and smoking habits; (RP = 0.583). Indoor levels of airborne dust in the home industry (26,656 and 80,000 ìg/Nm3 ìg/Nm3), already far exceeds the Threshold Limit Value (TLV) which allowed for the air space of industry, that is 10,000 ìg/Nm3.  Researchers gave suggestions for the craftsmen to wear a mask that is good and right, and to get occupational health monitoring by the Health Center / Department of Health.
The Corelation between Perception of Leadership Practice and Perception of Service Quality by Medical and Paramedical Staff in Perinatal Room Kraton Hospital, Pekalongan Purwadi, Moh. Hasyim; Sudiro, Sudiro; Purnami, Cahya Tri
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 1 (2013): April 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1378.12 KB) | DOI: 10.14710/jmki1110313

Abstract

Perinatal service is one of eminent services in Kraton Hospital. Limitation of trained staff andless completeness of equipment as well as less leadership supports for “infant caringhospital” has been problems in the perinatal service in Kraton Hospital.ResearchObjective was to analyze influence of leadership practice perception to service qualityperception in perinatal room Kraton Hospital. Type of research was observationalquantitative analytic, with cross sectional approach. Data collection used questioner andobservation. Sample was total population. Those were all medical staff and paramedical staffin perinatal room Kraton Hospital, totally 36 respondents. Data analysis used Pearsonproduct moment correlation and Rank Spearman followed by logistic regression. Resultsshowed that perception of challenging process of leadership practice had category good(58.3%); inspiring of shared vision had category moderate (58.3%); empowering others hadcategory good (63.9%); become a model had category moderate (52.8%); driving spirit hadcategory good (50%); and perception of quality of services had category good (55.6%).There was a correlation between challenging process of leadership practices (ρ=0.832;p=0.0001); inspiring shared vision ( =0.78, p=0.0001); driving spirits ( =0.615,p=0.0001) and become a model ( =0.445, p=0.007) and perception of quality of perinatalservices. There was no correlation between perception of empowering others of leadershipand (ρ=0.252, p=0.139). Logistic Regression analysis showed that perception of inspiringshared vision of leadership had the greatest influence to perception of perinatal qualityservices (exp β = 84.5), followed by driving spirit of leadership (exp β = 22,8) and become amodel (exp β = 6,4).
Factors Related to the Midwaves’ Work Performance on Anemic Pregnant Women Manegement in Singkawang City, Kalimantan Barat Nasla, U. Evi; Widagdo, Laksmono; Purnami, Cahya Tri
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 2 (2013): Agustus 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1235.312 KB) | DOI: 10.14710/jmki1210319

Abstract

WHO estimates that approximately 40 % of maternal death in developing countries areassociated with anemia in pregnancy. Anemia in pregnancy is often called a "potential danger tomother and child", there for requires serious attention of all relevant parties, especially in healthcare. Detection of cases of anemia in pregnancy has not been conducted in accordance with thestandard management of anemia in pregnancy. There for it is necessary to analyze the factorsthat affect the performance of midwives in the management of anemia in pregnancy inSingkawang. The general objective of the study to determine the factors that affect theperformance of midwives in the management of anemia in pregnancy in Singkawang. Typeanalytic approach Retrospective survey research. The study population is the entire area of thehealth center midwife Singkawang totaling 110 people. The sample as many as 52 people from 5 regions Singkawang Health Center. The independent variables of knowledge, infrastructure,leadership , motivation and communication. The dependent variable performance of midwives inthe management of anemia in pregnancy. Data were collected by interviews using a structuredquestionnaire and observation. Data analyisis using the Spearman rank and logistic regression.The results of the study the majority of midwives aged between 20-35 years (63.5 %), educationDIII/DIV/S1 Midwifery (90.4 %), service life ≥ 10 years (55.8 %). Performance categorizedeither midwives (59.6 %), good knowledge (51.9 %), the complete infrastructure (53.8 %), goodleadership (63.5 %), good motivation (55.8 %), good communication (53.8 %). Allindependentvariables (knowledge, infrastructure, leadership, motivation and communication) has a value ofρ&lt; 0,05, which means there is a connection with the performance of midwives in themanagement of anemia in pregnancy. Results of multivariate analysis , the variables that affectthe performance of midwives in the management of anemia in pregnancy is knowledge (ρ=0.002)and leadership (ρ=0.006).
Factors Affecting Village Midwives Work Performance in Conducting Early Detection of High Risk Pregnancy in the Antenatal Care in South Bengkulu District Yunita, Harlen; Kuntjoro, Tjahjono; Purnami, Cahya Tri
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 2 (2013): Agustus 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (672.887 KB) | DOI: 10.14710/jmki1210320

Abstract

Antenatal care provided health service for pregnant women and their fetuses according to theminimum standard of 7T, and minimum of four examinations during pregnancy. These standardswere intended to assure protection to pregnant women, such as risk factors early detection,complication prevention and management. Based on the coverage of maternal and children localarea monitoring (PWS-KIA), maternal and infant mortality rates, and preliminary survey tovillage midwives, it was concluded that work performance of village midwives was stillinadequate. Objective of this study was to identify factors affecting work performance of villagemidwives in conducting early detection of high risk pregnancy in the antenatal care. This was anexplanatory research with cross sectional approach. Data were collected using structuredquestionnaire and observation. Study population was village midwives. Samples consisted of 93respondents who were selected using simple random sampling technique. Results of the studyshowed that 73.1% of village midwives’ age were in the range of 25-35 years old, and 37.6% ofvillage midwifes duration of work were in the range of 36-60 months. Bivariate analysis withcross tabulation and Pearson Product Moment test indicated that variables related to workperformance were knowledge (p= 0.000), motivation (p= 0.004), perception on supervision ofcoordinator midwives (p= 0.016), and perception on workload (p= 0.047). Multivariate analysisusing multivariate logistic regression test indicated common effect of knowledge and facilitiesvariables with significance value of 0.000 and r 2 = 0.394; it meant that 39.4% of workperformance variable could be explained by variation of those two variables. District healthoffice is expected to provide training, to complete facilities for village midwives before startingto work in the village; to form team or committee as a consultation place. Puskesmas is expectedto complete documentation facilities; head of puskesmas and coordinator midwives are advisedto actively doing supervision.
Factors Related to Work Performance of Village Midwives in Applying Informed Choice and Informed Consent in Contraception Service in North Minahasa District Donsu, Amelia; Purnami, Cahya Tri; Tjondrorini, Tjondrorini
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 2 (2013): Agustus 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (637.973 KB) | DOI: 10.14710/jmki1210327

Abstract

Application of informed choice and informed consent constituted an effort to increasecoverage and quality of family planning (KB) service. Application of informed choice andinformed consent in North Minahasa district was not optimum. It could be seen from the factsthat coverage of active KB participants decreased in the last four years, and the number ofpeople who dropped out from using contraceptive device increased. Objective of the studywas to analyze factors related to work performance of village midwives in applying informed choice and informed consent in contraception service in North Minahasa district. This was anobservational-analytical study with cross sectional approach. Data were collected throughinterview guided by questionnaire. Study population was 100 village midwives in NorthMinahasa. Fifty respondents were selected randomly from all primary healthcare centersvillage midwives who fulfilled inclusion and exclusion criteria. Chi-square test and logisticregression were applied in the data analysis. Results of the study showed that mean ofrespondents’ age was 34 years, mean of respondents’ duration of work was 11 years, andmost of respondents’ education was D III Kebidanan. Motivation, facilities, perception onworkload, and work performance were good. However, knowledge was still insufficientspecifically on understanding term for counseling step ‘SATUTUJU’ and on the method to fillinformed consent form. Supervision was still inadequate due to no routine supervisionactivity. Factors related to work performance were motivation (ρ= 0.048), facility (ρ= 0.001),and perception on supervision (ρ= 0.001). Factor that, in common, influenced workperformance were perception on supervision (ρ= 0.001). Motivation, facility, and perceptionon supervision were related with work performance of village midwives in applying informedchoice and informed consent in the contraception service. The strongest factor affecting workperformance was perception on supervision.
Correlation between Quality of Nutritional Workers Services and Patient’s Satisfaction in Nutritional Services for Inpatient at Kajen General Hospital of Pekalongan District Wigiantoro, Eko; Kartasurya, Martha Irene; Purnami, Cahya Tri
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 3 (2013): Desember 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1079.875 KB) | DOI: 10.14710/jmki1310333

Abstract

Nutritionist services to third-class inpatients in Kajen district general hospital (RSUD) of Pekalongandistrict were not according to what was expected. This was cause by unsatisfaction of patients or theirfamily members regarding: meals that were not served in time; meal presentation that was notinteresting; and nutritional staffs who did not care, were not responsive, and were unpolite. Objectiveof this study was to identify association between perception on service quality of nutritional staffs andpatient satisfation toward nutritional service in the third-class inpatient rooms.This was an analytical survey with cross sectional approach. Data were collected through interviewguided by structured questionnaire. Independent variables were perception on validity,responsiveness, assurance, emphaty, and direct evidences. Dependent variable was patient satisfactory toward nutritional services. The number of study samples was 135 subjects selectedusing consecutive sampling. Data analysis was done by applying Spearman Rank correlation forbivariate analysis, and by applying multiple linier regression for multivariate analysis.Results of the study showed that 59.3% of respondent’s perception on validity were good; 61.5% ofrespondent’s perception on responsiveness were good; 56.3% respondent’s perception on assurancewere good; 50.4% respondent’s perception on empathy were good, 65.2% of respondent’s perceptionon direct evidence were good; and 58.5% of respondent’s satisfaction were satisfactory towardnutritional service. Results of bivariate analysis showed significant associations between patientsatisfaction toward nurtritional service and validity, responsiveness, assurance, empathy, and directevidence (p&lt; 0.05). Result of multivariate analysis showed that the most influencing factor towardpatient satisfaction was perception on the direct evidence (B= 0.230). Hospital management issuggested to improve customer service assistance and training to nutritional staffs
Evaluation on the Implementation of Ten Steps to Successful Breast Feeding by Midwives at Doctor Ramelan Naval Hospital Surabaya Krisnamurti, Krisnamurti; Purnami, Cahya Tri; Sriatmi, Ayun
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 3 (2013): Desember 2013
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (539.756 KB) | DOI: 10.14710/jmki1310337

Abstract

Establishment of the 10 steps to be success in breastfeeding (LMKM) was a government effort toimprove exclusive breastfeeding program. Ten LMKM information had been displayed in dr. Ramelannavy hospital (RSAL) Surabaya; however, there was no special policy regarding exclusivebreastfeeding. Therefore, midwives were still giving formula milk (PASI) to infants in the integratedcare room. In general, the objective of this study was to evaluate the implementation of 10 steps tobe success in breastfeeding (LMKM) by midwives in RSAL dr. Ramelan Surabaya.This was a qualitative study with descriptive explorative approach. Main informants were 7 midwivesin the pregnancy policlinic, delivery room, and integrated care room. Triangulation informantswere 3 midwives as chief of the room, one supervisor midwives, and 3 patients. Data were collectedthrough in-depth interview and documentation study. Interactive model was applied in the data analysis. Steps on the interactive model included data collection, data reduction, data display, andconclusion drawing.Results of the study showed that ten LMKM had not been implemented properly. Not all midwivesexplained correctly breastfeeding benefits and breastfeeding technique; midwives still gave formulamilk to infants in the integrated care room; breastfeeding support group (KP-ASI) had not beenformed yet. Only a small portion of midwives who had attended lactation management training;and it caused an insufficient self-motivation among midwives.Written policy regarding exclusive breastfeeding is needed. All midwives are expected to attend inlactation management training; it will optimize the implementation of 10 LMKM. Strong policyregarding the existence of formula milk is needed.
Evaluation on Integerated Health Post Monitoring Process by Health Workers in Singkawang City Primary Healthcare Centers,West Kalimantan Sulistyawati, Dwi; Widagdo, Laksmono; Purnami, Cahya Tri
Jurnal Manajemen Kesehatan Indonesia Vol 2, No 1 (2014): April 2014
Publisher : S2 IKM FKM UNDIP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (346.139 KB) | DOI: 10.14710/jmki2110344

Abstract

Infant mortality rate (IMR) in Singkawang in 2011 was high, 9/1000 live births (absolute number ofdeath was 44). In the integrated health service post (Posyandu), basic services that would reduceIMR were nutritional program and diarrhea control. The development of posyandu in Singkawangin 2011 was not optimal, and the total number of active posyandu was 9.7% of 134 units. Cases ofunder-five children with ‘below the red line (BGM)’ and with severe malnutrition found in theposyandu in 2011 were still low; it was 5.1% and 1.09% respectively from all cases in the field.Policy regarding posyandu in Singkawang was to delegate supervision activity to local midwives.Problems faced by midwives in the posyandu supervision were the implementation of supervisionfor 5 tables was not optimal, home visits were rarely conducted, cadres had difficulty in conductingeducation activities, and funding for posyandu supervision was insufficient.This was a qualitative study. Main informants were midwives supervisors, and triangulationinformants were cadres, mothers who participated in the posyandu, and coordinator of posyandu.Data collection was done by conducted in-depth interview using interview guidelines. Method ofanalysis used was content analysis.Results of the study showed that there was inappropriate implementation of coordination meeting;supervision of posyandu information system (SIP) and supervision of reporting and recording werenot properly done; this supervision was only between posyandu coordinator and cadres; it did notinclude midwives who were the supervisors of the posyandu. Young health workers who served inthe posyandu made posyandu participants uncomfortable. The participants of posyandu felt thathealth workers had insufficient experiences. There was a tribe that was reluctant to have theirchildren immunized in the posyandu. Health workers from the main puskesmas came late; no properplace for posyandu was provided; health workers who had not received training, and there was nojob description and work procedure in the supervision of posyandu.Coordination among health workers are needed specifically for posyandu coordinator and midwivesin the field during supervision, and it includes relative young health workers; an approach to keypersons are needed; time management for puskesmas workers is required to avoid they come late inthe posyandu; appropriate place for posyandu should be provided together with the community;training and formulation of policies related to posyandu supervision are required.