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FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN PEMANFAATAN ULANG PUSKESMAS SANTUN LANSIA KARANGDORO KOTA SEMARANG TAHUN 2016 Setyarini, Reni; Arso, Septo Pawelas; Suparwati, Anneke
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 2 (2017): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Mannered elderly program is a development program of the government for health care of elderly who was launched in 2003. One of the health centers  who does the program is Karangdoro mannered elderly center. Courtesy visit to the Karangdoro mannered elderly center is still bellow the target of DKK. In 2015, elderly visitors in Karangdoro mannered elderly center less than 50% from the total elderly registered in health center and still fluktuative. The aim of research to analyze the factors - factors related to interest reuse of Karangdoro mannered elderly centers. This type of research is explanatory research study with cross sectional study design. The population is the elderly who have been using services in health centers totaled 1,704 and sampling technique is accidental sampling obtained a sample of 100 respondents. The analysis of the data was employed univariate and bivariate analysis with Chi Square Test. The results showed that the variables associated with reuse in Karangdoro mannered elderly center is counter service (p value 0.001), inspection service (p value 0.001) and service facilities (p value 0.001). Variables that are not associated are knowledge (p value 0.093), the means of financing (p value 0.664), distance (p value 0.878), transportation costs (p value 0.622), and family support (p value 0.075). Suggestion for health centers that are committed to putting the elderly in the service counters, priority to services to the elderly except for emergency patients, and providing a means of friendly elderly.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KINERJA BIDAN DESA DALAM PELAKSANAAN PROGRAM ASI EKSKLUSIF DI KABUPATEN KEBUMEN Arifin, Jafar; Wigati, Putri Asmita; Suparwati, Anneke; Arso, Septo Pawelas
Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 2 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Angka kematian bayi dapat diturunkan dengan meningkatkan program ASI Eksklusif. Cakupan ASI Eksklusif Kabupaten Kebumen adalah 51,37%, 56,98%, dan 62,79% pada tahun 2011, 2012, dan 2013. Cakupan ASI Eksklusif tersebut masih rendah jika dibandingkan dengan Standar Nasional sebesar 80%. Hasil survei pendahuluan dengan 8 bidan desa menunjukkan bahwa semua bidan desa tidak pernah melakukan kunjungan ke rumah Ibu hamil dan tidak membentuk kelompok pendukung ASI (KP-ASI). Sebanyak 3 bidan desa tidak mensosialisasikan pengertian, manfaat dan kerugian susu formula. Penelitian bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kinerja bidan desa dalam pelaksanaan program program ASI Eksklusif di Kabupaten Kebumen. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross sectional. Sampel adalah 82 bidan desa dari total 460 bidan desa. Analisis bivariat dilakukan dengan menggunakan uji chi square. Hasil analisis bivariat menunjukan bahwa ada hubungan antara persepsi kompensasi (p =0,028) dan motivasi (p=0,008) dengan kinerja bidan desa dalam pelaksanaan program ASI Eksklusif. Sedangkan faktor yang tidak berhubungan adalah pengetahuan (p =0,162), persepsi kepemimpinan (p= 0,829), sarana dan prasarana (p =0,279), dan  persepsi supervisi (p = 0,079). Disarankan kepada Dinas Kesehatan untuk membuat SOP pelaksanaan program ASI Eksklusif untuk bidan desa dan bidan koordinator meningkatkan supervisi baik secara kuantitas maupun kualitas.
ANALISIS IMPLEMENTASI INTEGRASI JAMINAN KESEHATAN DAERAH(JAMKESDA) KE DALAM JAMINAN KESEHATAN NASIONAL (JKN) DI PROVINSI JAWA TENGAH Maulidna, Nuraini; Wigati, Putri Asmita; Suparwati, Anneke
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 4 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Act number 40 year 2004about  SJSN is an attempt to build a Universal Health Coverage (UHC) in 2019.  The implemention of medical insurance which is currently happen is not suitable with the policy so formed Jamkesda into JKN. But, since the beginning of January 2016, there are 12 district s/ towns not integrated yet into JKN from 35 districts/towns in Central Java Province. The purpose of this research is to analysis the implemention of the integration Jamkesda to JKN in Central Java. The research is qualitative study by descriptive approach. Data collection is carried out by Indepth Interview and secondary data collection that related. The first informant are representatives of Health provincial health office Central Java , Social Affairs representative Central Java Province , and Bappeda Central Java Province. The validity test of triangulation with the Klaten Health Office and the Semarang city's Health Office. The result of this researches known that the province of central java doesn?t have an indicator for the implementation of the integration Jamkesda to JKN. From the aspect of communication, there are those who do not care about coordination, strategy which is Juknis undelivered well, and the budget which is lacking the sufficient number of target participants. Bureaucratic structure has been good enough but the SOP of Jamkesda integration to JKN not yet available. The suggestion for this researches are consistency participants,carry out advocacy efforts, emphasizes an understanding of regulation, establish SOP integration, collect data more intens,and recommendation for research of policy impact.
ANALISIS IMPLEMENTASI PROSEDUR PELAYANAN KOORDINASI MANFAAT DI RS ROEMANI MUHAMMADIYAH Rizal, Anggiyara Dayu; Wigati, Putri Asmita; Suparwati, Anneke
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 4 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Roemani Muhammadiyah Hospital is an advanced level referrasl health facility in Semarang that has been joined BPJS Kesehatan. The procedures of Coordination Of Benefit (COB) that implemented in Roemani Muhammadiyah Hospital were not optimal. It was because of some obstacles in communication, resource, disposition, and bureaucracy structure. This study was aimed to analyze the implementation of Coordination Of Benefit service procedures in Roemani Muhammadiyah Hospital. This study was a qualitative research that using indepth interview and observational method. Main informants are the policy implementor, those are head of insurance service sub-division, head of finance sub-division, finance division staff, and admission staff. The validity test used source triangulation to the head of Hospital?s JKN team and head of finance and accounting division. The findings of this study showed that the communication was not integrated, BPJS Kesehatan did not do socialization, less of written guidelines, and the policies were lack of consistance. The quality of human resource was not optimal. The staff disposition has been good by showing their each commitment. Bureaucracy structure was not good, because SOP of Coordination Of Benefit was not available, overlapping job, and the role of  Hospital?s JKN team was not optimal. The suggestions were internal policy and SOP making, build integrated communication system, training for the staffs, optimalizing role of Hospital?s JKN team.
ANALISIS PENGEMBANGAN KARIR JABATAN FUNGISIONAL PENELITI DI BALAI LITBANG GANGGUAN AKIBAT KEKURANGAN IODIUM (GAKI) MAGELANG TAHUN 2013 Zainuddin, -; Suryawati, Chriswardani; Suparwati, Anneke
Jurnal Kesehatan Masyarakat (e-Journal) Vol 2, No 3 (2014): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Pengembangan karir merupakan bentuk pengembangan SDM. Peneliti sebagai ujung tombak Balai Litbang GAKI mengalami beberapa hambatan dalam pengembangan karir yaitu kesempatan melaksanakan penelitian yang  masih kurang, penelitian dengan penunjukan, pelatihan belum sesuai kebutuhan, dan  sulitnya publikasi jurnal terakreditasi. Tujuan penelitian adalah mendeskripsikan jabatan fungsional peneliti dan aspek pengembangan karir meliputi keadilan karir, dukungan pimpinan, kesadaran tentang kesempatan, minat pegawai, dan kepuasan karir. Penelitian ini merupakan penelitian kualitatif dengan pendekatan deskriptif. Pengumpulan data dengan indepth interview. Informan utama adalah staf fungsional peneliti di Balai Litbang GAKI Magelang yang berstatus calon peneliti sebanyak 4 orang dan peneliti sebanyak 8 orang. Uji validitas dengan triangulasi sumber kepada Kepala Balai Litbang GAKI Magelang dan Ketua tim TP2U. Pelaksanaan tugas pokok sudah sesuai dengan pedoman LIPI, kompetensi minimal sudah tercapai, TP2U belum memantau angka kredit secara rutin, belum ada kebijakan dan prosedur yang mengatur kesempatan penelitian, penelitian dengan penunjukan belum memenuhi harapan peneliti, kendala bahasa dalam publikasi jurnal internasional, kurangnya sarana buku literatur dan dana. Disarankan TP2U memantau perolehan angka kredit peneliti secara berkala, perlu adanya prosedur dalam pengembangan kesempatan penelitian, perlu kompetisi untuk pengembangan diri, perlu pembinaan khusus publikasi ilmiah pada jurnal internasional, organisasi meningkatkan sarana dan dana untuk mendukung pengembangan karir peneliti
ANALISIS PELAKSANAAN SISTEM PELAYANAN OBSTETRI DAN NEONATAL EMERGENSI DASAR (PONED) DI PUSKESMAS SITANGGAL KABUPATEN BREBES Fortunita Mia, Valentina Ayumy; Suparwati, Anneke; Suryoputro, Antono
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 4 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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PONED is a health service to cope with cases of emergency obstetric and neonatal at the primary healthcare center level. Brebes that has the highest maternal mortality rate in recent years set 22 the primary healthcare center become PONED in 2015, one of which is Sitanggal. This purpose of this study is to describe and analyze the system implementation of PONED in the primary healthcare center Sitanggal from the aspects of input, process, output, feedback and environment. The type of observational study is a qualitative research with indepht interview. The study population were 4 key informants consisted of one team PONED (1 doctor and 2 nurses) with the heads of primary healthcare centers and 6 informants triangulation consisted of the kabid kesga DKK Brebes, 3 officers PONED (midwife) and 2 targets of PONED. The result shows that in the system implementation of PONED, from the aspect of input, there was no the assertiveness rules and an installed SOP as reference in PONED, there was a shortage of staff, there was only doctor in the morning shift, there was no specialized administrative staff, the condition of facilities and infrastructure were not supported the implementation of PONED yet. From the aspect of the process, there was no written document about organizing of PONED, some staffs did not obey the rules and another non-health staff still doubles as an staff in the primary healthcare center, the staff commitment was still difficult, there was no complete reporting document about the implementation of PONED in DKK. The aspect of output, the service by PONED in the primary healthcare center Sitanggal was low. From the aspect of feedback, there was no special evaluation that perfomed routinely by PONED. From the aspect of the environment, the support from the related parties was not maximed: The recommended suggestion are: to further reinforce the existing rules, the need for training and apprentice, procurement of equipment and better medicine, fostering the commitment to all related parties, reschedule the picket schedule, the need for coaching and routine evaluation in the implementation of PONED.
ANALISIS IMPLEMENTASI KEBIJAKAN ASI EKSKLUSIF DI TINGKAT KABUPATEN KEBUMEN TAHUN 2013 Dewi, Ayunovita; Suparwati, Anneke; Suryawati, Chriswardani
Jurnal Kesehatan Masyarakat (e-Journal) Vol 2, No 1 (2014): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Kabupaten Kebumen adalah salah satu Kabupaten di Jawa Tengah yang cakupan ASI Eksklusifnya masih 54,6 %. Kabupaten Kebumen juga belum mempunyai suatu regulasi daerah tentang ASI Eksklusif.  Hal ini berakibat pelaksanaan ASI Eksklusif belum maksimal.  Permasalahan dalam implemetasi kebijakan ASI Eksklusif di Kabupaten Kebumen terdapat pada aspek komunikasi, sumber daya, disposisi dan struktur birokrasi. Tujuan penelitian adalah menganalisis implementasi kebijakan ASI Eksklusif di tingkat Kabupaten Kebumen.  Penelitian ini merupakan penelitian kualitatif dengan metode pendekatan observasional dan menggunakan wawancara mendalam dengan teknik pengumpulan data. Informan utama adalah Kepala DKK, Kabid Yankes, Kasie Gizi, Bagian Hukum Sekertariat Kabupaten Kebumen, Kepala Puskesmas Bonorowo dan Kuwarasan. Uji validitas dengan triangulasi sumber kepada Disnakertransos, Dikpora, TIM Penggerak PKK, BPPKB Kabupaten Kebumen dan PT. Sampoerna. Hasil penelitian menunjukkan bahwa pada aspek komunikasi sudah dilakukan dengan intensitas yang belum rutin. Pada aspek sumberdaya, ketersediaan dana Kabupaten masih kurang dan sarana prasarana berupa ruang menyusui harus difungsikan. Pada aspek disposisi masih kurangnya dukungan dari lintas sektor di Kabupaten Kebumen, masih adanya tenaga kesehatan yang bekerja sama dengan produsen susu formula dan penggunaan ruang menyusui yang belum maksimal. Pada aspek struktur birokrasi tidak terdapat petunjuk pelaksanaan yang khusus, yang dibuat oleh Dinas Kesehatan dan tidak ada Perda tentang ASI Eksklusis sedangkan Perda adalah peraturan tertinggi di tingkat daerah yang bisa mengikat semua kalangan masyarakat. Disarankan bagi Dinas Kesehatan segera membuat Perda dan menyelesaikan penyusunan Peraturan Bupati ASI eksklusif yang jelas dan rinci . Bagi Dinas Kesehatan dan kepala Puskesmas disarankan untuk melakukan supervisi dan monitoring ke tenaga kesehatan khususnya terkait dengan penggunaan ruang menyususi, dan sanksi terhadap bidan yang bekerja sama dengan produsen susu formula.
HUBUNGAN PERSEPSI IBU TENTANG MUTU PELAYANAN DENGAN MINAT PEMANFAATAN ANTENATAL CARE DI PUSKESMAS PADANGSARI Anggraeni, Vivin Fitria; Suparwati, Anneke; Sriatmi, Ayun
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 1 (2017): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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ANC service at Primary Health Center of Padangsari Semarang city is still far from expectations due to the persistence of disinterest pregnant women to the examination of the ANC that felt takes a long time, the officer is less thorough when doing the inspection, and giving an explanation of the action the inspection did not detail. ANC quality standards are seen from 5 quality dimension such as reliability, responsiveness, assurance, empathy, and tangible. Goal achievement of ANC is measured by how much interest to visit ANC in health center. The aim of this research is to measure the perception about ANC quality with interest to use ANC service in Health Center of Padangsari. The method of this research was using Explanatory Research with Cross Sectional approach. The population in this research was 82 peoples with 50 peoples as sample research. The analysis of the data was using univariate and bivariate analysis with Chi Square Test. The results show that the perception of reliability has relationship with the interest in ANC utilization (p-value = 0.005). Perception of responsiveness has relationship with the interest in ANC utilization (p-value = 0.000). Perception of insurance has relationship with the interest in ANC utilization (p-value = 0.000). Perception of empathy has a relationship with the interest in ANC utilization       (p-value = 0.000). Perception of tangible has relationship with the interest in ANC utilization (p-value = 0.000). Based on these results, it is necessary to improve the quality inspection 10T, ANC service speed, ANC clear examination result, and encouragement for regular inspection.
Factors Related to the Work Performance of Midwives in the IUD Contraception Service in Primary Healthcare Centers of Surabaya City Anggasari, Yasi; Kartasurya, Martha Irene; Suparwati, Anneke
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 (180.434 KB) | DOI: 10.14710/jmki1210323

Abstract

The decrease of IUD active family planning participants’ coverage in Surabaya in the last three years, from 12.27% to 6.1%, became a special attention for Surabaya district health office. The decrease was caused by inadequate work performance of midwives in implementing IUD contraception service in the primary healthcare centers in Surabaya area. Objective of the study was to analyze factors related to the work performance of midwives in the IUD contraception service in the primary healthcare centers of Surabaya city area. This was an analytical- observational study using cross sectional approach. Study population was all midwives in the primary healthcare centers in Surabaya city who provide family planning service, and who had attended in CTU training (362 midwives). Study subjects were 78 respondents, and they were selected using proportional stratified random sampling method. Data collection was conducted through structured interview and observation. Multiple linear regression tests were applied in the data analysis. Results of the study showed that work performance of midwives in the IUD contraception service in Surabaya city area was in a good category (55.1%). Midwives’ knowledge on IUD contraception service specifically on screening and counseling before insertion was insufficient (82.1%). Motivation of midwives was good (55.1%). Midwives attitude regarding IUD contraception service was not supportive (51.3%). Perception of midwives towards head of primary healthcare center leadership was good (52.6%). Midwives perception on remuneration they received was good (53.8%). Facilities to support IUD contraception service were available (53.8%).Motivation, attitude, and perception on the leadership were associated with midwives’ work performance. However, knowledge, perception of remuneration, and facilities were not associated with midwives’ work performance in the IUD contraception service. Motivation and perception on the leadership, in common, were associated with midwives’ work performance in the IUD contraception service.Suggestions for district health office was to perform supervision directly and periodically, to evaluate and monitor the implementation of program in every primary healthcare center, and to provide permission for midwives who want to take further study.
Analysis on Policy Implementation of Exclusive Breastfeeding for Working Women in South Kalimantan Province Henderawaty, Riny; Kartasurya, Martha Irene; Suparwati, Anneke
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 (396.707 KB) | DOI: 10.14710/jmki2110350

Abstract

Coverage of exclusive breastfeeding in the South Kalimantan province was still low (51.18%); itwas lower than the national target (80%).The number of working mothers in this province wasrelatively high and it was increasing in the last several years. Policies concerning breastfeedingduring working time in the work place, such as decrees, government regulations, and commonregulation from three ministers had been established. However, a number of institutions had notobeyed the policies. Objective of the study was to explain the implementation of exclusive breastfeeding for working mothers in South Kalimantan Province.This was a qualitative study. Data collection was done through in-depth interview and observation.Study respondents/subjects were a head of women empowerment section of the women empowermentand child protection institution (BPPPA), a head of human resource section of the labor andtransmigration department, and a head of nutrition section of South Kalimantan province healthoffice. Those respondents were considered as main informants. Triangulation informants were leadersof government institutions and leaders of companies. Content analysis method was applied in thedata analysis.Results of the study showed that a number of institutions had not provided lactation room in the workplace. No communication was done among BPPPA, Disnakertrans, and province health office. Workinggroup from those three institutions had not been established. Only one of three private institutions hadreceived information regarding the policies. No funding was allocated, human resource and specificfacilities to implement policies were not provided. All executors supported the policies. Specific districtgovernment regulations concerning exclusive breastfeeding had not been established.In conclusion, implementation of exclusive breastfeeding policy for working mothers in SouthKalimantan province was not done properly. It was caused by no specific local governmentregulations concerning exclusive breastfeeding.