Articles

FAKTOR PENYEBAB KEMATIAN BAYI DI WILAYAH KERJA PUSKESMAS NGOMBOL KABUAPTEN PURWOREJO (STUDI KASUS TAHUN 2015) Andriani, Arinta Riza; Sriatmi, Ayun; Jati, Sutopo Patria
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 1 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Infant mortality is infants death who aged 0 to 11 months. Infant Mortality Rate Purworejo from year to year has increased (in 2013 amounted to 11.54/1000 kh and 2014 amounted to 12.55/1000 kh), and still higher than IMR Central Java (10.41/1,000 kh). Region of Ngombol?s PHC is one areas that experienced high infant mortality and increased for 2 years. This study aims to determine direct and indirect causes of infant mortality in area of Ngombol?s PHC. Research method using qualitative descriptive which retrospective. Research sample are main informant consisted of 11 women whose babies died in 2014, and informant triangulation head of PHC, midwife coordinator, and 3 village midwife. Research variables consisted of maternal factors, infant, environmental, and health services. Direct causes of infant mortality in Ngombol region on 2014 was LBW, asphyxia and congenital abnormalities. Age of mother at risk (> 30 years) was found in maternal LBW infants and asphyxia. Almost all women had experience pregnancy complications such as hypertension, HB less, KEK. All mothers get exposure chemical smoke from her husband. Almost all informants have cage attached to house. Quality of antenatal, childbirth and neonate care still less than optimal, both in terms service providers and community. Most mothers do not know pregnant women class program because less socialization. GSIB program is not running as a cross-sectoral support is lacking. Conclusion this study is indirect causal factor of infant mortality in Ngombol region dominated by factors maternal age, pregnancy complications, environment exposure, and health services quality.
APLIKASI FUNGSI MANAJEMEN PENGELOLA LAYANAN KOMPREHENSIF BERKESINAMBUNGAN HIV-IMS PUSKESMAS DI KOTA SEMARANG TAHUN 2014 Utami, Intan Rahayu; Sriatmi, Ayun; Wigati, Putri Asmita
Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 1 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
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Humman Immunodeficiency Virus (HIV) in the city of semarang experienced an increase from 427 cases in 2011 be 520 cases in 2012 and 430 cases in 2013. This research aims to analyze the application of Comprehensive Ongoing Service management function of HIV-IMS in health center. This research is descriptive research that uses qualitative approach. The collection of data using interview method to 4 main informant and 5 triangulation informant. The results of this research showed that the planning function has been going including identification of problems, analyze risk of factors and the preparation of action plan, The function of organizing for the establishment of the implementing team have been done during the training activities but there are still some positions/expertise that does not exist, for the formulation of job networking activities are already well corresponding with the duties and function. The implementation function of training activities has already been given, but there is still some training that has not been given in accordance with that stated in the manual implementation of LKB-HIV-STI. Supervisory function consists of internal supervision and external supervision from the Distric Health Office. Conclusion from this research the aplication of management fuction have been done in this service management and suggestion for the Distric Health Office is to do the supervision regularly.
ANALISIS IMPLEMENTASI KEBIJAKAN PERATURAN DAERAH NOMOR 2 TAHUN 2015 TENTANG KESELAMATAN IBU DAN ANAK DI KOTA SEMARANG Oktaviani, Fara Aulia; Suryoputro, Antono; Sriatmi, Ayun
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 1 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
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Regional Regulation of Semarang Number 2 of 2015 on Maternal and Child Safety is a policy to resolved the high of maternal and child mortality rate. The implementation of this policy has not been optimum because midwives in the health facilities have not known about the regulation. The purpose is to analyze the policy implementation of  Regional Regulation on Maternal and Child Safety.The type of this research is descriptive qualitative. The data collection was done through indepth interviews on DKK Semarang, Puskesmas with the lowest and highest mortality rate, and RSUD K.R.M.T Wongsonegoro. The subjects are Head of KIA DKK, midwife coordinator of Puskesmas, and midwife of Hospital, as the main informant and the triangulation ie, Head of Public Health of DKK, Head of Puskesmas, Head of Perinatalogy Inpatient, and policy target. The data analysis using content analysis methods. The variable is  the implementation of Maternal and Child Safety Regulation which seen from the characteristics of the problem, policy characteristics, and environment characteristics.The result shows that the implementation still has constraints on its socialization, due to the dissolution of the information delivery, the method is ineffective, Perwal has not been released yet, and the limited budget. The characteristics of the problems constrained by the perception of health workers have not considered the regulation is effective enough and large target populations complicate the implementation. The characteristic of the policy is hampered by the minimal understanding of health workers about the purpose of the regulation and the lack of midwives. Communication and coordination in the delivery of regulation information has not been optimum because of the low motivation and commitment of Puskesmas to deliver it through meetings. The environmental characteristics are hampered by the socio-economic condition, especially the underprivileged people whose limited at understanding the regulation. Utilization of media in the dissemination of regulation information still minimal. Support of Legal Section is still lacking because it has not prioritized Perwal in its agenda
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PROGRAM PEMBERIAN KAPSUL VITAMIN A PADA IBU NIFAS OLEH BIDAN DESA DI WILAYAH DINAS KESEHATAN KABUPATEN SLEMAN Susilowati, Apriliana; Sriatmi, Ayun; Arso, Septo Pawelas
Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 2 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
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One of the objectives the policy implementation function is to identify accurately the actual factors that influence the success or failure the implementation a program of health policy. The presence indicator of vitamin A coverage performance figures for post partum mothers by midwives in the area of Sleman District Health Office has increased significantly from 2009 to 2012. It was necessary to investigate the factors that influence the successful implementation of vitamin A supplementation program for puerperal women by midwives in the Sleman District Health Office by using a model approach to the implementation of public policy theory Van Meter and Van Horn. The method used quantitative method with cross sectional approach. Samples 47 midwives who met the inclusion criteria. Data collection tool was a questionnaire. From the research that the factors studied were working guidelines, resources, supervision , communication, attitude of the implementers and support environment Percentage of start is greatest successive environmental factors support midwives as executor implementation of programs ( 74.5 % ) very influential in supporting the implementation of the program, a factor goes supervision of stakeholders ( 63.8 % ) midwives feel less supervision goes well , a factor working guidelines of the program ( 61.7 % ), communication between program managers ( 61.7 % ), the attitude factor implementing the program ( 53.2 % ), and the factor of resources of the program ( 51.1 % ), implementation of vitamin A supplementation programs for post-partum mothers by midwives in the area of Sleman District Health Office is generally viewed from the six factors are still below the standard that is equal to 53.2 %. Respondents who consider the passage of program implementation of vitamin A supplementation for postpartum mothers are already well.
ANALISIS HUBUNGAN KUALITAS PELAYANAN PUBLIK RAWAT JALAN DENGAN KEPUASAN PASIEN BPJS (STUDI KASUS DI RSUD UNGARAN KABUPATEN SEMARANG) Nofitri, Mela; Sriatmi, Ayun; Fatmasari, Eka Yunila
Jurnal Kesehatan Masyarakat (e-Journal) Vol 8, No 1 (2020): Jurnal Kesehatan Masyarakat (E-Journal)
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One form of public service is health services. Ungaran Regional General Hospital is one of the public service providers that aims to provide quality services for the community. Every year Ungaran Regional Hospital always experiences an increase in the number of patients, especially BPJS patients, namely in 2014-2016 as many as 64.8%. The increasing number of outpatient visits is not proportional to the satisfaction obtained by patients. This research is a survey research with quantitative methods. The population in the study were all BPJS outpatient polyclinic at Ungaran District Hospital with a sample size of 100 patients representing each sub-poly outpatient service. The results showed that there was a relationship between the dimensions of outpatient public service quality and patient satisfaction at Ungaran Regional Public Hospital BPJS, namely the tangible dimension of service with a p-value of 0.001 and a correlation of 0.320, the reliability dimension with a p-value of 0.004 and a correlation of 0.201, the responsiveness dimension with the p-value 0.013 and correlation 0.247, assurance dimension with p-value 0,000 and correlation 0.508, empathy dimension with p-value 0,000 with correlation 0.460.Based on the results of the study, the researcher recommends optimizing online registration services that are separated between general patients and BPJS patients, providing adequate seat facilities in the waiting room for registration, creating a service flow scheme that is easy for patients to understand and placing in the registration section, placing suggestion boxes in strategic places and easy to reach, and improving communicative services between officers and patients.
ANALISIS BUDAYA ORGANISASI PUSKESMAS SEBAGAI BADAN LAYANAN UMUM DAERAH (BLUD) DI KOTA SEMARANG Shidiq, M. Abdurrahman; Sriatmi, Ayun; Arso, Septo Pawelas
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 2 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
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Community Health Center is required to provide excellent healthcare service  to community.   Since late 2014 Health Department of Semarang City  have prepared all Community Health Center in Semarang to implement BLUD with a view to improve the quality of healthcare service. The organizational and management transformation of Community Health Care also accompanied by transformation in organizational culture. The purpose of this study is to determine the readiness of community Health Center organizational culture in implementing BLUD policy. The study used qualitative descriptive with interview guide as an data colleting tool. The main informants numbered 4 are head of the community health center. Triangulans informants numbered 8 are medic and non medic staff in each of community health care.  The variables of this study are innovation and taking risk culture, attention to detail culture, outcome oriented culture, person oriented culture, team oriented culture, aggressiveness culture, and stability. The result of the research, community health center need to improve rewarding aspect in innovation and taking risk culture. Community health care need to improve attention to detail culture focusing on commitment to standard operational procedures (SOP). Community health center have good outcome oriented culture however need to improve infrastructure used to accommodate patient aspiration. Community health care has good team oriented culture. Community health care need to improve rewarding aspect on aggressiveness culture. Staff and head of community health center are open to change. Therefore, community health care organizational culture is not quite ready yet to implementing BLUD policy.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN PEMANFAATAN JAMINAN PERSALINAN DI WILAYAH KERJA PUSKESMAS TANJUNG PURI KABUPATEN SINTANG TAHUN 2013 Rudiansyah, -; Suryawati, Chriswardani; Sriatmi, Ayun
Jurnal Kesehatan Masyarakat (e-Journal) Vol 2, No 3 (2014): Jurnal Kesehatan Masyarakat (e-Journal)
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Jampersal is afinancial guarantees delivery services hat include prenatal care, delivery assistance, postpartum care including family planning services, postpartum and newborn careby health workersat health facilities. Jampersal maternity coverage in PHC Tanjung Puri in 2011 accounted for 36% and 24% coverage in 2012. The purpose of this study to determine Knowing the factors related to the utilization Jampersalin Puskesmas PuriTanjung Sintang.  This research uses quantitative research withex planatory approach recearch, population in this studyis the total number of women giving birth with 498 people then the samples were taken by 90 respondent sandusing purposive sampling method. Data analysis using Chi Square with assignificance level of 5% or 0,05. Results of this study indicate that as many as four factors related and 2 unrelated factors. Obtained from statistical test p-value = needs (0,037), affordability (0,172), availability (0,871), socialization (0,0029), knowledge (0,005), attitude (0.007), age (0,422), education (1,000), job (1,000), income (0,902). This study suggests that factors related to the utilization of Jampersal are needed, socialization, knowledge and attitudes, while factors that are not related to the utilization of Jampersal is affordability and availability. Puskesmas Puri Tanjung suggestions to improve the performance of health services, especially service delivery and Sintang DHO advised to make out reach programs to the community through counseling and seminars or by distribution of leaflets about the labor insurance program
ANALISIS KINERJA TENAGA SURVEILANS KESEHATAN (GASURKES) PROGRAM KESEHATAN IBU DAN ANAK DI KOTA SEMARANG Armaya, Prisma; Sriatmi, Ayun; Arso, Septo Pawelas
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 4 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
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In 2015 Semarang ranked second with cases of maternal deaths in Central Java with 35 cases in 2015. One of the efforts undertaken by the Health Department of Semarang in efforts to reduce maternal deaths in the city of Semarang was to recruit Tenaga Surveilans Kesehatan (Gasurkes) KIA. Gasurkes duty to perform data collection and assistance to pregnant women routinely until parturition. This study aims to analyze the performance of Gasurkes KIA seen on several variables such as knowledge and skills, resources, leadership, supervision, compensation, job design and structure, perception, and motivation. This research is a qualitative with in-depth interviews conducted in Gasurkes KIA, midwife coordinator, Semarang City Health Department, and for postpartum mothers. The results showed that the Gasurkes KIA overall performance is still not optimal seen from assisting pregnant women and postpartum mothers are not in accordance with the provisions Gasurkes. KIA still lack of skills in communication and coordination. There are problems in the system of monetary transport compensation to the Gasurkes KIA. midwife coordinator leadership is still lacking, leading to misunderstandings between midwife coordinator with Gasurkes KIA in its teritory. Motivation of Gasurkes KIA still limited from the support of family and co-workers, the lack of appreciation of the organization and working conditions are less favorable. To overcome these problems, the Semarang City Health Office should immediately implement training on communication techniques and good extension. Fixing the system of compensation money for transport by health centers, and improve coordination between the KIA Gasurkes Bikor. Make SOP to implement socialization Provide mentoring pregnant women about the existence Gasurkes KIA. Gasurkes KIA need to improve the quality of assistance so that pregnant women believe and would be accompanied Gasurkes KIA.
PEMANFAATAN PELAYANAN KB-MKJP OLEH PASANGAN USIA SUBUR KELOMPOK MASYARAKAT MISKIN DI KECAMATAN TEMBALANG KOTA SEMARANG Pangestika, Windiana Wahyu; Sriatmi, Ayun; Winarni, Sri
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 5 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
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Population growth is the main problem of population in Indonesia. Indonesia?s TFR is 2,6 children, while the TFR of the poor communities is larger, 3 children. The goverment program to control the rate of population growth is Family Planning (KB) by encouraging the community to use the Long-Term Contraception Method (MKJP). Tembalang District is the region which has the lowest number of KB-MKJP participants in Semarang City, in 2015 coverage is 6,75%, in 2016 is 7,15% and 6,12% in 2017, this coverage is far from goverment target, 65,2%. The purpose of this study is to identify and analyze the factors related to the utilization of KB-MKJP services by Fertile Age Couples (PUS) in the poor communities. The type of this study is quantitative research with analytic survey design and cross sectional approach. The population is PUS in the poor communities, with 94 samples selected based on simple random sampling. The results of this study by using Rank Spearman test indicate that the related variables to the utilization of KB-MKJP services are the age (p value 0,047), the number of children alive (p value 0,000), the occupation (p value 0,004), believe in KB-MKJP (p value 0,000), knowledge of KB-MKJP (p value 0,034), access to health services (p value 0,000), and the necessity perception of KB MKJP (p value 0,001). The lack of PUS knowledge about KB-MKJP is one of the main factors in the utilization of KB-MKJP services for the low poor communities. Expansion of the reach family planning safaris and increasing promotion of KB-MKJP is needed to increasing the number of KB-MKJP utilization.
SOSIALISASI PROGRAM JAMINAN KESEHATAN NASIONAL OLEH TIM BADAN PENYELENGGARA JAMINAN SOSIAL KEPADA PASIEN DI RSUD RAA SOEWONDO KABUPATEN PATI Rejeki, Rika; Arso, Septo Pawelas; Sriatmi, Ayun
Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 1 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
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BPJS  is a law-based health insurance provider in Indonesia formed based on Constitution Number 40/2004 and Constitution Number 24/2011. The purpose of the socialization is to educate people about the JKN program. The result of the early survey is that 8 of the 10 patients are known to have not understood the JKN program. This research is intended to describe the socialization of JKN program by BPJS team to patients in RSUD RAA Soewondo Pati, while the research subjects are the main informants and triangulation informants. The methods of data collecting of the research are deep interview and documentation, while data analysis consists of data transcript, data reduction, data serving, and deduction. The result of this research indicates that : material presented on socialization is about benefits, membership requirements, and registration groove, there have not been specified human resources for socialization of JKN program, the fund and facilities needs for the socialization of JKN program have been covered by RSUD RAA Soewondo Pati that room, banners, posters, and leaflets, socialization methods consists of enlightening and face to face education, planning process, consists of human resources for conducting socialization, facilities, audience determining, strategy and methods making, and the material that will be conveyed, coordination of BPJS team in the form of meeting, while coordination between BPJS Kesehatan and BPJS team in the form of meeting and intensive communication by phone, patients knowledge?s are known to have increased after socialization of JKN program. The recommendations of this research are adding of and training for workers of JKN program, repair of room in ticket hole, redesigning of and material adding to leaflet, planning strategy and methods improvement and resources requirement, and BPJS team coordination improvement.
Co-Authors - Rudiansyah Adriana Egam, Adriana Adriana Palimbo, Adriana Agustin, Nur Laili Ajeng Retno Yunita, Ajeng Retno Alifa Rizqia Rachmawati, Alifa Rizqia Ana Puji Astuti Ananda Suryo Adi Prayogo, Ananda Suryo Adi Anastasia Wulandari, Anastasia Andini Aridewi, Andini Anneke Suparwati Annisa Rahmawati Antono Suryoputro Apoina Kartini Apriliana Susilowati, Apriliana Arina Noor Eka Rachmawati, Arina Noor Eka Arinta Riza Andriani, Arinta Riza Asih Dwi Astuti, Asih Dwi Atik Mawarni Aulia Nur Hidayati Bina Kurniawan Budiyanti, Rani Tiyas Budiyanti, Rani Tyas Cahya Tri Purnami Chriswardani Suryawati Dewi, Rosmala Kurnia Eka Yunila Fatmasari, Eka Yunila Elisabeth Samaran, Elisabeth Emy Shinta Dewi, Emy Shinta Fachrudin, Nur Millati Hanifah Farid Agushybana Fatmasari, Yunila Feby Rahmawati, Feby Firdiah, Mutia Rizqa Fretes, Elzina De Gotama, Sabrilla Putri Hamida H. Siregar Handayani, Rini Oktaviani Hardi Warsono HARTINI HARTINI Hermawati Hermawati, Hermawati Husnan Khair, Muhammad Dyas Husnan Khair, Muhammad Dyas Imaroh, Rida Krita Indah Kurniawati Intan Rahayu Utami, Intan Rahayu Ira Yusnita, Ira Joyo Minardo Karyono Karyono Khasna Fikriya, Khasna Krisnamurti Krisnamurti Kunsianah Kunsianah Kurniasari, Ade Kusumastuti, Wulan Kusumastuti, Wulan Laksmono Widagdo Linda Ismawati, Linda Lucia Ratna Kartika Wulan Maharani, Celica Triulfah Mahudin, Ronald Margaretha Triana, Margaretha Martha Irene Kartasurya Martini Martini Maulina, Inna Maynisa Puspita Kusuma Wardani, Maynisa Puspita Miftahul Mualimah, Miftahul Mumpuni Sari Kusumastuti Muslimah Muslimah Mya Rosiana Nikie Astorina Yunita Dewanti Nila Nafisatul Izzah Ninik S, Cicilia Nofitri, Mela NOVA LISTIANA Novitaria, Wiwid Oktaviani, Fara Aulia Pamundhi, Trianita Eka Pangestika, Viona Febya Pangestika, Windiana Wahyu Pramana, Jhovia Aloedya Prisma Armaya, Prisma Puji Hastuti Putri Asmita Wigati Putri Asmita Wigati Putri, Indana Aziza Putri, Nurfrida Pratomo Rahayu, Risa Ramli, Dian Hasanah Rika Rejeki, Rika Risa Tri Anggraeni, Risa Tri Riski Malimpa, Riski RIZCARACHMAKURNIA, NAFIZTA Rohana, Arum Rosalinda Trajuningtyas, Rosalinda Rosmila Tuharea, Rosmila Saraswati, Meytri Saroni, Ahmad Septo Pawelas Arso Shidiq, M. Abdurrahman Siswati, Antonia Novika Sokhiyatun Sokhiyatun, Sokhiyatun Sri Achadi Nugraheni Sri Rahayu Sri Rulihari, Sri Sri Winarni Sulastri Sulastri Sutopo Patria Jati Sutopo Patria Jati Sutopo Patriajati, Sutopo Syamsulhuda BM Telussa, Falentine Lidya Tio Dora Ultaria S., Tio Dora Tirtaningrum, Dwi Ayu Tjahjono Kuntjoro Uzhma, Lathifah Safaatul Vivin Fitria Anggraeni, Vivin Fitria Wardana, Irana Eka Yokbeth Kareth, Yokbeth Youke A. Supit, Youke A. Yunianto, Iwan Zahroh Shaluhiyah