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Journal : Archive of Community Health (Arc.Com.Health)

PEMETAAN BERDASARKAN LOKASI DAN JUMLAH PESAING PUSKESMAS PERAWATAN DI KABUPATEN GIANYAR YANG BERSTATUS BLUD SEBAGAI DASAR PENYUSUNAN STRATEGI BISNIS Indrayathi, Putu Ayu; Hari Mulyawan, Ketut; Novi Trisna Dewi, Putu
ARCHIVE OF COMMUNITY HEALTH Vol 3 No 1 (2016)
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

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Abstract

Community health care center (Puskesmas) as gate keeper is the first level of health care that is closest to the people. Since January 2010, several puskesmas which provide inpatient care in Kabupaten Gianyar has become public service agencies (BLUD) to improve quality and access to health care services for community During the implementation of such policy, it is important to review its effectiveness especially with so many competitors in the community. This study was a cross-sectional descriptive study. Research carried out in existing health facilities competitors in the work area BLUD community health care centers in Gianyar.  Mapping was conducted using GIS and processed by the Epi Info system. The results showed that the four community health care centers in Gianyar treatments have different levels of competition. Puskesmas Ubud I has a very high density of competition, while Puskesmas Tegallalang II has very little of competition. The implementation of such policy in Puskesmas Payangan and Puskesmas Tegallalang II is considered very effective because far from city and rarely finding a competitor health facilities. This research recommend the community health care center to improve the promotion about existence of health care centers and quality of health care services so that communities in the solid area of competitor can switch utilize community health care center services.
PERSEPSI PENGGUNA LAYANAN KESEHATAN PRIMER MENGENAI KUALITAS PELAYANAN PADA PUSKESMAS BADAN LAYANAN UMUM DI KABUPATEN GIANYAR Listyowati, Rina; Indrayathi, Putu Ayu; Sri Nopiyani, Ni Made
ARCHIVE OF COMMUNITY HEALTH Vol 3 No 1 (2016)
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

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Abstract

One of the reasons for establishing Public Service Agency (BLU) policy at Community Health Care Centers is the number of complaints for poor quality services. This policy was implemented in January 2010 by the Gianyar Government in every Community Health Care Center in Gianyar.  This is the realization of the Gianyar Government's attention in improving the quality of the Community Health Care Center Services.  This study aims to determine the public perception of the quality of services provided by the Community Health Care Center in Gianyar District. This study was a cross-sectional analytic study and conducted at four Community Health Care Centers with BLUD?s status in Gianyar District with 105 respondents selected by multistage random sampling method. The data collection included survey questionnaires and analyzed descriptively by chi square test. The results showed that overall the respondents had a "good" perception towards the elements of Community Health Care Center services with BLU status in Gianyar District. However, there are three elements that were "perceived as poor" comprising responsiveness (14.3%), accuracy (11.4%) and environmental comfort (12.4%). The results of the chi square test showed that there were significant differences between the age factors with the respondent perceptions of service quality in Community Health Care Center with BLU status (p = 0.004), but gender, education level and occupation did not have a meaningful relationship. This research suggests that the Health Office should increase the intensity of coaching and facilitation of procedures related to the Community Health Care Center so that the expected performance of attendant care becomes more patterned.
GAMBARAN IMPLEMENTASI PROGRAM JAMINAN KESEHATAN NASIONAL DI RUMAH SAKIT IBU DAN ANAK HARAPAN BUNDA TAHUN 2016 Rahayu, Pande Made Sri; Indrayathi, Putu Ayu
ARCHIVE OF COMMUNITY HEALTH Vol 4 No 1 (2017): Juni (2017)
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

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Abstract

ABSTRACT In an effort to achieve Universal Health Coverage in 2019, all health providers are expected to work together including private provider. RSIA Harapan Bunda as one of the secondary health facilities, in collaboration with BPJS Kesehatan starting in March 2015. The aim of this research was to find out the description of the implementation of the JKN program at RSIA Harapan Bunda. This research is a qualitative descriptive design research. Data collection is done by in-depth interviews with respondents who have been determined by purposive sampling method as many as 13 people. The study found that, RSIA Harapan Bunda need for 6 months in order to implement and receive JKN patients. Preparation of the establishment of a team responsible for implementing JKN in hospitals and facilities. Nominal gains during the 1 year implementation have not yet been obtained, only the community is getting to know RSIA Harapan Bunda so that patient visits increase. Medical staff provide the same service to general patients and JKN user patients, based on the SOP set by the hospital. Medical support staff have been trained in the use of the INA-CBGs program in hospitals. Patients as recipients of health services were greatly helped by the JKN program. The procedure for obtaining health services is known, but there are still patients who do not understand well so there is a misunderstanding with the hospital registration officer. Socialization to unite the perceptions and commitments of each component of the hospital so that all employees can understand this program and know what things should be sought to realize cost effective health services. Keywords: Implementation, National Health Insurance, RSIA
AKSEPTABILITAS, UTILISASI DAN ADOPSI UPAYA PENANGGULANGAN HIV MELALUI KADER DESA PEDULI AIDS DARI PERSPEKTIF MASYARAKAT DI KOTA DENPASAR Nopiyani, Ni Made Sri; Kurniati, Desak Putu Yuli; Indrayathi, Putu Ayu; Listryowati, Rina
ARCHIVE OF COMMUNITY HEALTH Vol 2 No 2 (2013)
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

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Abstract

Village AIDS Cadres (KDPA) Program has been conducted in Denpasar district since 2010. Despite the importance of community participation for a successful community based program, no research has been conducted to explore community perception regarding KDPA program.This research is aimed to explore community perceptions regarding acceptability, utilization, and adoption of the KDPA program from community perspective.The design used in this research is descriptive with qualitative data collection method through six focus group discussions in six villages in Denpasar. Data was analysed using thematic analysis.KDPA is well-accepted as it is perceived as an important issue to be tackled in the community. However, many opinions arise concerning who should be given the role "cadre". Lack of program introduction to the community, also high stigma and discrimination resulted in low utilization of the program. Villages with active KDPA have conducted a variety of HIV-related activities rarely carried out by the less active villages. There is Lack of community participation on HIV-related activities. Inequity of access to HIV information exists between adults and teenagers, between men and women, and between the member of traditional and non-traditional hamlets. Program adoption is hampered by the lack of commitment of village authorities and limited resources of KDPA program.The utilization and adoption of KDPA program are sub-optimal. Introduction of KDPA program to the community and provision of program resources should be improved.