Ratna Dwi Wulandari
Department of administration and health Policy, Faculty of Public Health, Universitas Airlangga

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THE ROLE OF “MY VILLAGE MY HOME” IN THE KNOWLEDGE AND ATTITUDES OF INTEGRATED HEALTH POST CADRES AND MOTHERS Nurwitasari, Anasiya; Syahrul, Fariani; Megatsari, Hario; Wulandari, Ratna Dwi; Hargono, Arief; Chalidyanto, Djazuli; Pathak, Yashwant Vishnupant
Jurnal Berkala Epidemiologi Vol 8, No 1 (2020): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V8I12020.1-7

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Background: The percentage infants with complete basic immunization is still below the minimum target of immunization coverage. The immunization coverage survey showed that complete basic immunization and valid dose immunization status in Surabaya City is still below the international averages. Purpose: The purpose of the study was to describe the knowledge and attitudes of cadres and mothers with children ? 2 years towards My Village My Home (MVMH) in the City of Surabaya, Indonesia Methods:  Sampling was done by simple random sampling method. Samples were grouped into exposed groups and unexposed groups. The sample comparison was 1: 2. The respondents of the exposed group were 20 cadres and 20 mothers who had received MVMH training. The respondents of the unexposed group were 40 cadres and 40 mothers who did not receive training. Data collection was done using interviews. The study was conducted in 30 Health Centers. Results: Most cadres in the group who had received training or had not received training had good knowledge, but in the group that had not received training there were 5% of cadres who had poor knowledge. Both mothers in the group of cadres who had received training or had not, had good knowledge, but in the group of cadre that had not received training as much as 10% of mothers had poor knowledge. Both cadres and mothers had a good attitude. Conclusion: Both cadres and mothers in two groups had good knowledge and attitude. Cadres who have good knowledge and attitude towards MVMH have the potential to apply MVMH to the community.
PENGARUH PELAKSANAAN AKREDITASI PUSKESMAS TERHADAP KEPUASAN PASIEN Wulandari, Ratna Dwi; Ridho, Ilham Akhsanu; Supriyanto, S.; Qomaruddin, M. Bagus; Damayanti, Nyoman Anita; Laksono, Agung Dwi; Rassa, Alida Nella Fedelina
Media Kesehatan Masyarakat Indonesia Vol 15, No 3: SEPTEMBER 2019
Publisher : Faculty Of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.892 KB) | DOI: 10.30597/mkmi.v15i3.6195

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Sejak diberlakukannya kebijakan Jaminan Kesehatan Nasional (JKN), seluruh puskesmas di Indonesia wajib mengikuti akreditasi. Melalui akreditasi, diharapkan kualitas pelayanan puskesmas semakin meningkat, salah satu diantaranya dapat dilihat dari peningkatan kepuasan pasien. Penelitian ini dilakukan untuk menganalisis pengaruh akreditasi terhadap kepuasan pasien. Penelitian ini merupakan penelitian observasional dengan rancang bangun cross-sectional, yang dilakukan kepada 90 pasien puskesmas yang pernah berkunjung ke puskesmas sebelum dan sesudah akreditasi. Sampel diambil secara accidental sampai memenuhi kuota yang ditetapkan untuk tiap puskesmas. Uji Paired-Sample T Test dilakukan untuk melihat signifikansi perbedaan skor kepuasan sebelum dengan sesudah akreditasi. Hasil penelitian menunjukkan terdapat perbedaan skor kepuasan yang signifkan antara sebelum dengan sesudah akreditasi untuk dimensi mutu responsiveness, credibility, competence, communication, security, access, courtesy, understanding customer dan tangibles. Dimensi reliability tidak ditemukan perbedaan yang signifikan. Sedangkan khusus untuk dimensi understanding cutomer terjadi penurunan skor kepuasan sesudah akreditasi. Dengan demikian dapat disimpulkan bahwa akreditasi berpengaruh terhadap kepuasan pasien. Oleh karena itu, penting bagi puskesmas memperbaiki sistem pelayanannya terutama terkait dengan pemenuhan janji layanan yang telah ditetapkan sebagai sasaran mutu. Penyebaran informasi kepada masyarakat harus ditingkatkan, agar masyarakat menjadi mengetahui adanya akreditasi yang dijalankan oleh puskesmas.
RECOMMENDATIONS FOR POSYANDU UTILIZATION IMPROVEMENT AMONG MOTHERS OF UNDER-FIVE CHILDREN BASED ON TOTAL CUSTOMER SACRIFICES ANALYSIS Mukaromah, Nurul Hidayatul; Wulandari, Ratna Dwi
Jurnal Administrasi Kesehatan Indonesia Vol 3, No 1 (2015)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.749 KB) | DOI: 10.20473/jaki.v3i1.1489

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ABSTRACT                The coverage of under-five children weighed is an indicator of community participation in Posyandu. During 2012 until 2014, Puskesmas Kenjeran had not reached the target of this indicator. The objective of this study is to arrange recommendations for Posyandu utilization improvement based on total customer sacrifice analysis. This was a quantitative analytical study with observational approach and cross sectional design. The sampling was calculated by using multistage random sampling method. The interviews through instrument were conducted to 112 respondents to obtain information on Posyandu utilization and respondents sacrifice required to utilize Posyandu. The results showed that respondents thought time was the greatest sacrifice among monetary, energy, and psychological sacrifices. Spearman correlation test on any sacrifice required showed significant correlation (p<0.05), except for monetary sacrifice.This study concluded that even total customer sacrifices was very small, but the huge expense of time spent still made respondents to be less likely to utilize Posyandu. Therefore, efforts are needed to reduce the magnitude of the sacrifice required by community utilizing Posyandu in Puskesmas Kenjeran area. Keywords: Posyandu utilization, total customer sacrifices, under-five children                    weighed
ASSESSMENT OF COORDINATION BETWEEN UNITS IN HOSPITAL BY HIGH PERFORMANCE WORK PRACTICES Sari, Intan Permata; Wulandari, Ratna Dwi
Jurnal Administrasi Kesehatan Indonesia Vol 3, No 2 (2015)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (69.023 KB) | DOI: 10.20473/%J. Vol%V. No.%I. 2015. Hal.%P

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ABSTRACTThe survey about coordination in hospital showed that the coordinaton between units have low score including the lack of communication and problem solving between units. The objectives of this study is to describe coordination in hospital considered by high performance practices that consist of 5 items : selection for cross-functional teamwork, rewards for cross-functional teamwork, cross-functional teamwork conflict resolution, cross-functional meetings, and cross-functional boundary spanner. This research is descriptive study using cross sectional design. Samples or respondents are 16, selected using purposive sampling according to the units which their function and job still related with the medical service in the hospital. The result showed that there are a specific criteria to select their employee. The most responden said that education level is the most important criteria for the selection. There is a reward for the best employee those are trophy and some money given to the best employee and the best group of the months. There is conflict resolution through the meeting with the supervisor and director to discuss their problems. There is functional meeting that is weekly report, and there is boundary spanner to coordinated with the other unit if they have problems. This study conclude that coordination in hospital can complete four items of performance work practice, but aspect cross-functional meetings still not working properly. Therefore, it needs to be repaired because this meeting is important to discuss about development of the medical service in this hospital.Keywords :Coordination, high performance work practices, medical service
ASSESSMENT OF HEALTH CENTERS AND HOSPITALS ABOUT THE EFFECTIVENESS OF MATERNAL REFERRAL SYSTEM IN SURABAYA DISTRICT Yonara, Stevie; Wulandari, Ratna Dwi
Jurnal Administrasi Kesehatan Indonesia Vol 3, No 2 (2015)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.287 KB) | DOI: 10.20473/%J. Vol%V. No.%I. 2015. Hal.%P

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ABSTRACT More than 80.0% maternal deaths occured in hospital in Surabaya between 2012-2014. Most of them who died in hospital were referral patients from midwife, private clinics, and public health centers. This study assessed the effectiveness of maternal referral system based on perspective of public health centers and hospitals in Surabaya. This was a descriptive cross sectional study. Samples were 43 public health centers in Surabaya and two main referral destination hospitals. Data was collected by interviewing one representative midwife in each public health center and hospital. This study showed that a total of 81.4% health centers assess that maternal referral system in Surabaya District was quite effective. While, one of the hospital assessed quite effective, and the other assessed less effective. The reason was because public health centers difficulty to contacting hospitals about referral, hospitals often rejected referral case, pregnant women often do self-referral to hospital, and incompatibility referral reason by most of public health centers. So it was necessary to repair maternal referral system at Surabaya based on identification of each variables in effectiveness of maternal referral system.Keywords: effectiveness, hospitals, maternal refferal system, public health center
Rencana Implementasi Kebijakan Promosi Kesehatan di Rumah Sakit Universitas Airlangga Gumilang, Bintang; Wulandari, Ratna Dwi
Jurnal Administrasi Kesehatan Indonesia Vol 4, No 1 (2016)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (133.923 KB) | DOI: 10.20473/jaki.v4i1.2016.48-56

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Hospital is a health institution that provide comprehensive health service which is including aspects of promote, preventive, curative, and also rehabilitative. To achieve the goal, the government has been releasedRegulation of the Minister of Health Number 4 Year 2012 about Technical Instructions of Health Promotion in Hospital. In means by all hospitals must implement health promotion in their institution. Based on the earliersurvey, the implementation of the regulation of Health Promotion Hospital (PKRS) in the Universitas Airlangga Hospital was considered less than optimal. The purpose of this research was to analyze the planning factor ofHPH policy implementation. The number of respondents are seven which chosen by purposive sampling. This research was conducted by deep interview and observation method. The results showed that the planning ofPKRS unit has not been prepared as it should be as set out in the regulations. There is neither strategic planning nor operational planning. Unit PKRS not yet have a systematic and structured organization. Qualification ofhuman resources in general are already qualified, but need additional quantity. PKRS unit does not have special health worker health promotion.Keywords: health promotion hospital, implementation, planning, policy
Pelaksanaan Supervisi Imunisasi Campak di Puskesmas Wilayah Surabaya Utara Anggraini, Dian Febrina; Wulandari, Ratna Dwi
Jurnal Administrasi Kesehatan Indonesia Vol 4, No 1 (2016)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (129.341 KB) | DOI: 10.20473/jaki.v4i1.2016.1-8

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Measles is one of endemic diseases in East Java especially in north Surabaya, the home of specific ethnic which resist of immunization. Surabaya District Health Office targeted their Measles immunization is above 90%,but unfortunately this target are never been reached. The purpose of this study was to analyze the management process of immunization program, especially the supervision. The guidance of supervision is regulated in HealthMinister Regulation number 42, on 2013. Supervision is involved performance standard setting, monitoring and corrective action. This is a quantitative study with descriptive and cross sectional design. The sampling wascalculated by using simple random sampling. The interviews through open and close question were conducted to 38 Managers of Immunization program in Public Health Centre. The result showed that the implementation ofsupervision has implemented by guidance the supervision of immunization programme. The study showed that only 2.63% or just one of Public Health Centre has already supervised by District Health Office and 5.26% or twoPublic Health Centres has supervised three times and suit with guidance implementation of general supervision. From this study, it is important for District Health Office to add new person as Supervisor and Public HealthCentres and ensure that its supervision follow the supervision guidance.Keywords: Measles immunization, North Surabaya, supervision
Beban Kerja Subyektif dan Obyektif Tenaga Farmasi Rawat Jalan di Rumah Sakit Setiawan, Vreza Budi; Wulandari, Ratna Dwi
Jurnal Administrasi Kesehatan Indonesia Vol 4, No 1 (2016)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (160.22 KB) | DOI: 10.20473/jaki.v4i1.2016.28-36

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In 2014 patient visits to pharmacy services increased 75% from the previous year. Man power in the pharmacy unit was not comparable with the number of pharmacy service.The availability of human resources isinadequate when being compared to the number of outpatient pharmacy visits, therefore it influenced the respon time up to 43,91% for non paten drugs which as not in accordance with the standart services minimum pharmacy services. This data indicate that there was overload capacity on man power in outpatient pharmacy unit. The purpose of this study was to show wordload category on man power in outpatient pharmacy unit, particularly to pharmacists and assistants pharmacists. This was quantitative descriptive study. There were 26 samples consisting of 1 pharmacist, 16 asisstants pharmacists in depo 1 and 9 asisstants pharmacists in depo 5 outpatient pharmacy unit. Data collected by observation for 2 week in working hours. Result of the study was pharmacicts and assitants pharmacists in depo 1 had subjective and objective workload in overload category while depo 5 inmoderate category.Keywords: subjective and objective workload, pharmacicts and assitants pharmacists, work sampling
Analisis Motivasi Terhadap Kinerja Kader Posyandu Berdasarkan Teori Victor Vroom Husniyawati, Yeni Rahmah; Wulandari, Ratna Dwi
Jurnal Administrasi Kesehatan Indonesia Vol 4, No 2 (2016)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (147.519 KB) | DOI: 10.20473/jaki.v4i2.2016.126-135

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The coverage of under-five children weighed at Posyandu represent the level of participation mothers in Posyandu activities. During three-year period, the coverage of under-five children weighed at Posyandu Puskesmas Sidotopo Wetan Surabaya City has not reached the target. It is also the responsibility of cadres. The object of this study was to to analyze the effect of motivation on the performance of health cadres based on Victor Vroom expectancy theory motivation in Posyandu Puskesmas Sidotopo Wetan Kota Surabaya. This research was an analytic observational research with quantitative approach. Design was cross sectional. Sampling was done by using simple random sampling method. The results showed that the performance varied health cadres that was lacking, enough and good. Level of health cadres motivation was high. Health cadres had high score of expectancy, instrumentally, and valency.Ordinallogistic regression analys was showed the influence of motivation (p-value = 0.000) on the performance of cadres (p-value <α (0.05)). In conclusion, motivation influenced the performance of health cadres in Posyandu Puskesmas Sidotopo Wetan Surabaya City.Keywords:motivation, performance, health cadres, posyandu, victor vroom
Pengaruh Kepuasan Kerja Terhadap Komitmen Karyawan Rumah Sakit Mata Undaan Surabaya Ningkiswari, Intan Ayu; Wulandari, Ratna Dwi
Jurnal Administrasi Kesehatan Indonesia Vol 5, No 2 (2017)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (74.168 KB) | DOI: 10.20473/jaki.v5i2.2017.162-167

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Preliminary survey result showed the number of employees knowledge about the event held by Undaan Eye Hospital in Surabaya reached 52,8%. It means more than 20% employees are not aware of activity outside the work which that number can affect to decreasing employee commitment to the organization. Job satisfaction factors divided into 5 there are pay satisfaction, promotion, coworker, supervisor and the job characteristic. The aim of this study is to analyze the influence job satisfaction to employee commitment. Observational analytic was used in this research with the cross sectional design. The data was obtained through questionnaire with simple random sampling involving 62 employees as the sample of this research. The data obtained were analyzed using logistic regression test univariate (α=0,05) to examine the influence of Job satisfaction to employee commitment. The test result indicates that job satisfaction significantly influenced employee commitment at significance value of 0,02. Job satisfaction factors that there are influences toward employee commitment are employee’s pay satisfaction (sig=0,001), promotion (sig=0,005), supervisor (sig=0,004) and job characteristic (sig=0,001). On the other hand, the employee’s coworker satisfaction does not influence the employee commitment.Keywords: employee commitment, job satisfaction, job satisfaction factors.