Dina Dewi Anggraini, Windhu Purnomo, Bambang Trijanto
Anemia is a major cause of bleeding. And iron defi ciency is a major cause of anemia. Pregnant women have a high risk of iron defi ciency anemia. The prevention of iron defi ciency anemia is done through an iron supplementation program with a daily dosing of 1 consecutive tablet for at least 90 days during pregnancy. Fe1 and Fe3 coverage at Primary Health Care of Kediri City South Region is 69.81% and 66.29%. This coverage is still below the target program 95% of 2014. This study to analyze the infl uence of interaction of pregnant mother with health worker on compliance to consume iron tablet (Fe) and anemia in pregnant mother at Primary health Care of Kediri City South Region. Analytical observation with cross sectional design. The population consists of 63 trimester pregnant women III. With a simple random sampling technique, a sample of 34 trimester pregnant women III who have received 90 iron tablets (Fe). Data were obtained from questionnaires, Maternal and Child Health books, and in-depth interviews. Data analysis using ordinal regression and binarylogistic regression. Hypothesis of research that there is infl uence of interaction of pregnant woman with health worker to compliance consume iron tablet (Fe) at pregnant mother at Primary Health Care of Kediri City South Region. There was an effect of interaction of pregnant women with health workers with good category and suffi cient compared to the less category of compliance of pregnant women consuming iron tablet (Fe) (p = 0.000 < 0.05), and there was considerable compliance effect compared with non compliance iron tablet (Fe) to anemia in pregnant mother (p = 0.012 < 0.05). The better the interaction of pregnant women with health workers, the more likely the pregnant women to obediently consume iron tablets (Fe) to prevent anemia during pregnancy. Abstrak Anemia merupakan penyebab utama terjadinya perdarahan. Dan kekurangan zat besi merupakan penyebab utama terjadinya anemia. Ibu hamil mempunyai risiko yang tinggi untuk mengalami anemia defi siensi besi. Penanggulangan anemia defi siensi besi dilakukan melalui program pemberian suplemen zat besi dengan dosis pemberian sehari sebanyak 1 tablet berturut-turut minimal selama 90 hari selama kehamilan. Cakupan Fe1 dan Fe3 di Puskesmas Kota Wilayah Selatan Kota Kediri yaitu sebesar 69,81% dan 66,29%. Cakupan ini masih berada di bawah target program tahun 2014 yaitu sebesar 95%. Penelitian ini untuk menganalisis pengaruh interaksi ibu hamil dengan tenaga kesehatan terhadap kepatuhan mengonsumsi tablet besi (Fe) dananemia pada ibu hamil di Puskesmas Kota Wilayah Selatan Kota Kediri. Observasi analitik dengan rancang bangun cross sectional. Populasi terdiri dari 63 ibu hamil trimester III. Dengan teknik simpel random sampling, sampel sebanyak 34 ibu hamil trimester III yang telah mendapatkan 90 tablet besi (Fe). Data diperoleh dari kuesioner, buku Kesehatan Ibu dan Anak, dan wawancara yang mendalam. Analisis data dengan menggunakan regresi ordin
{"title":"INTERAKSI IBU HAMIL DENGAN TENAGA KESEHATAN DAN PENGARUHNYA TERHADAP KEPATUHAN IBU HAMIL MENGONSUMSI TABLET BESI (Fe) DAN ANEMIA DI PUSKESMAS KOTA WILAYAH SELATAN KOTA KEDIRI","authors":"Dina Dewi Anggraini, Windhu Purnomo, Bambang Trijanto","doi":"10.22435/HSR.V21I2.346","DOIUrl":"https://doi.org/10.22435/HSR.V21I2.346","url":null,"abstract":"Anemia is a major cause of bleeding. And iron defi ciency is a major cause of anemia. Pregnant women have a high risk of iron defi ciency anemia. The prevention of iron defi ciency anemia is done through an iron supplementation program with a daily dosing of 1 consecutive tablet for at least 90 days during pregnancy. Fe1 and Fe3 coverage at Primary Health Care of Kediri City South Region is 69.81% and 66.29%. This coverage is still below the target program 95% of 2014. This study to analyze the infl uence of interaction of pregnant mother with health worker on compliance to consume iron tablet (Fe) and anemia in pregnant mother at Primary health Care of Kediri City South Region. Analytical observation with cross sectional design. The population consists of 63 trimester pregnant women III. With a simple random sampling technique, a sample of 34 trimester pregnant women III who have received 90 iron tablets (Fe). Data were obtained from questionnaires, Maternal and Child Health books, and in-depth interviews. Data analysis using ordinal regression and binarylogistic regression. Hypothesis of research that there is infl uence of interaction of pregnant woman with health worker to compliance consume iron tablet (Fe) at pregnant mother at Primary Health Care of Kediri City South Region. There was an effect of interaction of pregnant women with health workers with good category and suffi cient compared to the less category of compliance of pregnant women consuming iron tablet (Fe) (p = 0.000 < 0.05), and there was considerable compliance effect compared with non compliance iron tablet (Fe) to anemia in pregnant mother (p = 0.012 < 0.05). The better the interaction of pregnant women with health workers, the more likely the pregnant women to obediently consume iron tablets (Fe) to prevent anemia during pregnancy. \u0000Abstrak \u0000Anemia merupakan penyebab utama terjadinya perdarahan. Dan kekurangan zat besi merupakan penyebab utama terjadinya anemia. Ibu hamil mempunyai risiko yang tinggi untuk mengalami anemia defi siensi besi. Penanggulangan anemia defi siensi besi dilakukan melalui program pemberian suplemen zat besi dengan dosis pemberian sehari sebanyak 1 tablet berturut-turut minimal selama 90 hari selama kehamilan. Cakupan Fe1 dan Fe3 di Puskesmas Kota Wilayah Selatan Kota Kediri yaitu sebesar 69,81% dan 66,29%. Cakupan ini masih berada di bawah target program tahun 2014 yaitu sebesar 95%. Penelitian ini untuk menganalisis pengaruh interaksi ibu hamil dengan tenaga kesehatan terhadap kepatuhan mengonsumsi tablet besi (Fe) dananemia pada ibu hamil di Puskesmas Kota Wilayah Selatan Kota Kediri. Observasi analitik dengan rancang bangun cross sectional. Populasi terdiri dari 63 ibu hamil trimester III. Dengan teknik simpel random sampling, sampel sebanyak 34 ibu hamil trimester III yang telah mendapatkan 90 tablet besi (Fe). Data diperoleh dari kuesioner, buku Kesehatan Ibu dan Anak, dan wawancara yang mendalam. Analisis data dengan menggunakan regresi ordin","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2018-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43842206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adolescents were prone’s ages to the risk behaviors. Health’s promotion was be the efforts to reduce adolescent involvement in their risk behaviors. Selected of health promotion’s media will increase the adolescents’ knowledge. The aim of the study were to determine the adolescents’ opinion about interactive’s puppet show as a health’s promotion on adolescents’ risk behaviors. The methods of the study were qualitative research with rapid assesment and use the opinion’s questionnaires as a tool. The study was conducted during the Interactive’s Puppet Show and held at Graha Indrapura Surabaya on November 2014. Samples of the study were high school’s students who present at the event. The results showed that 40 from 42 students gave their satisfi ed opinions about the interactive’s puppet show as a health’s promotion medium. The show for them as new thing, consider a very creative, interesting, funny, providing motivation and knowledge to youth-related issues as cigarettes, drugs and promiscuity. Opinions of respondents which were related to the issues were varied. The study concluded that adolescents gave positive’s opinions about puppets show and interactivediscussions as a health promotion’s medium. Adolescents had good responses to get knowledge about their problem. and interactive’s puppet show as health’s promotion models could be enjoyed and understood the content that were delivered to the audience. A good health’s promotion that could be accepted by adolescents were need to consider the topic and new alternative media for them. By holding adolescents as an equal partners was indispensable in delivered health’s promotion messages that were associated with adolescent problem itself. Abstrak Usia remaja merupakan usia rentan terhadap paparan perilaku berisiko. Promosi kesehatan adalah salah satu upaya untuk mengurangi keterlibatan remaja dalam perilaku berisiko. Pemilihan media promosi kesehatan yang tepat akan meningkatkan pengetahuan remaja. Penelitian ini bertujuan untuk mengetahui pendapat remaja terhadap pertunjukan wayang interaktif sebagai sarana promosi kesehatan tentang perilaku berisiko pada remaja. Penelitian menggunakan metode kualitatif dengan penilaian cepat melalui angket. Penelitian dilakukan saat pertunjukan Wayang Interaktif di Graha Indrapura pada bulan November 2014. Sampel adalah siswa Sekolah Menengah Atas atau yang sederajat yang menghadiri acara tersebut. Hasil penelitian menunjukkan bahwa 40 dari 42 siswa/siswi sekolah yang hadir menyatakan puas dengan pertunjukan wayang interaktif sebagai media promosi kesehatan. Pertunjukkan tersebut dianggap hal baru bagi remaja, kreatif, menarik, lucu, memberikan motivasi dan pengetahuan kepada remaja terkait masalah rokok, narkoba dan pergaulan bebas. Semua responden berpendapat bahwa permasalahan rokok, narkoba dan pergaulan bebas merupakan perilaku negatif, dengan alasan yang sangat bervariasi. Kesimpulannya remaja memberikan pendapat yang positif terhadap promosi kesehatan me
{"title":"PERTUNJUKAN WAYANG INTERAKTIF SEBAGAI SARANA PROMOSI KESEHATAN REMAJA TENTANG ROKOK, NARKOBA DAN PERGAULAN BEBAS","authors":"Weny Lestari, Suci Wulansari","doi":"10.22435/HSR.V21I2.262","DOIUrl":"https://doi.org/10.22435/HSR.V21I2.262","url":null,"abstract":"Adolescents were prone’s ages to the risk behaviors. Health’s promotion was be the efforts to reduce adolescent involvement in their risk behaviors. Selected of health promotion’s media will increase the adolescents’ knowledge. The aim of the study were to determine the adolescents’ opinion about interactive’s puppet show as a health’s promotion on adolescents’ risk behaviors. The methods of the study were qualitative research with rapid assesment and use the opinion’s questionnaires as a tool. The study was conducted during the Interactive’s Puppet Show and held at Graha Indrapura Surabaya on November 2014. Samples of the study were high school’s students who present at the event. The results showed that 40 from 42 students gave their satisfi ed opinions about the interactive’s puppet show as a health’s promotion medium. The show for them as new thing, consider a very creative, interesting, funny, providing motivation and knowledge to youth-related issues as cigarettes, drugs and promiscuity. Opinions of respondents which were related to the issues were varied. The study concluded that adolescents gave positive’s opinions about puppets show and interactivediscussions as a health promotion’s medium. Adolescents had good responses to get knowledge about their problem. and interactive’s puppet show as health’s promotion models could be enjoyed and understood the content that were delivered to the audience. A good health’s promotion that could be accepted by adolescents were need to consider the topic and new alternative media for them. By holding adolescents as an equal partners was indispensable in delivered health’s promotion messages that were associated with adolescent problem itself. \u0000Abstrak \u0000Usia remaja merupakan usia rentan terhadap paparan perilaku berisiko. Promosi kesehatan adalah salah satu upaya untuk mengurangi keterlibatan remaja dalam perilaku berisiko. Pemilihan media promosi kesehatan yang tepat akan meningkatkan pengetahuan remaja. Penelitian ini bertujuan untuk mengetahui pendapat remaja terhadap pertunjukan wayang interaktif sebagai sarana promosi kesehatan tentang perilaku berisiko pada remaja. Penelitian menggunakan metode kualitatif dengan penilaian cepat melalui angket. Penelitian dilakukan saat pertunjukan Wayang Interaktif di Graha Indrapura pada bulan November 2014. Sampel adalah siswa Sekolah Menengah Atas atau yang sederajat yang menghadiri acara tersebut. Hasil penelitian menunjukkan bahwa 40 dari 42 siswa/siswi sekolah yang hadir menyatakan puas dengan pertunjukan wayang interaktif sebagai media promosi kesehatan. Pertunjukkan tersebut dianggap hal baru bagi remaja, kreatif, menarik, lucu, memberikan motivasi dan pengetahuan kepada remaja terkait masalah rokok, narkoba dan pergaulan bebas. Semua responden berpendapat bahwa permasalahan rokok, narkoba dan pergaulan bebas merupakan perilaku negatif, dengan alasan yang sangat bervariasi. Kesimpulannya remaja memberikan pendapat yang positif terhadap promosi kesehatan me","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2018-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42467759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The need for blood services in Indonesia are still high. These were related to the high number of maternal deaths from hemorrhage during and after childbirth. The National Health Insurance (JKN) provide great opportunities for ensuring the needs of the community blood transfusion services. Presidential Decree No. 12 of 2013 article 22 paragraph 1a.6 mentioned that blood transfusions became one of the health care benefi ts package in the fi rst degree. The purpose of this study to analyze the benefi ts package in the regulation of blood transfusion services, especially in health centers. Methods: This study was conducted in Surabaya. The analysis was performed on the results of Focus Group Discussion with actor implementing policies (health center, Indonesian Cross Red/PMI, Hospitals, and BPJS), by content analysis. Results: The blood transfusion services benefi t package had not been able to do in Health Center (Puskesmas/FKTP), especially Puskesmas in Surabaya. Package benefi ts of blood transfusion services confl ict with other policies. Theauthority to give a blood transfusion was not a health center (puskesmas) but the hospital. The technical requirements of medical support blood transfusion services in health centers did not according to the standard. Referral service was the most likely carried out by the health center when encountered cases of maternal urgency requiring blood transfusions. Conclusion: Package benefi ts of blood transfusion services in Presidential Decree No. 12 of 2013 article 22 contradicted by other policies already set. Availability of medical requirements that support these services had not been fulfilled. Blood transfusion services could not currently be implemented in Puskesmas Surabaya. Recommendation: The content of Presidential Decree no. 12 of 2013 article 22 requires the revision, that the blood transfusion service could only be carried out in health facilities provided medical technical requirements, both human resources and supporting infrastructure. Abstrak Latar Belakang: Kebutuhan pelayanan darah di Indonesia masih tinggi. Ini terkait masih tingginya jumlah kematian ibu akibat perdarahan saat dan pascamelahirkan. Jaminan Kesehatan Nasional (JKN) memberikan peluang terjaminnya kebutuhan masyarakat terhadap pelayanan transfusi darah. Peraturan Presiden (Perpres) no. 12 tahun 2013 pasal 22 ayat 1a.6 menyebutkan bahwa transfusi darah menjadi salah satu paket manfaat di pelayanan kesehatan tingkat pertama. Tujuan kajian untuk menganalisis paket manfaat pelayanan transfusi darah di puskesmas dalam Perpres tersebut. Metode: Kajian ini merupakan studi implementasi kebijakan Perpres no. 12 tahun 2013 yang dilakukan di Surabaya. Analisis dilakukan terhadap hasil FGD dengan aktor pelaksana kebijakan (Puskesmas, PMI, Rumah sakit, dan BPJS), secara content analysis. Hasil: Paket manfaat pelayanan transfusi darah belum dapat dilakukan di FKTP, khususnya Puskesmas di Surabaya, karena bertentangan dengan peru
背景:印度尼西亚对血液服务的需求仍然很高。这与产妇在分娩期间和分娩后因出血而死亡的人数众多有关。国民健康保险为确保社区输血服务的需求提供了巨大的机会。2013年第12号总统令第22条第1a款。6 .提到输血已成为第一个RST学位的一揽子保健福利之一。本研究的目的是分析在输血服务的监管，特别是在卫生中心的福利包。方法:本研究在泗水市进行。通过内容分析，对与政策执行者(卫生中心、印度尼西亚红十字会/PMI、医院和BPJS)进行焦点小组讨论的结果进行了分析。结果:输血服务福利包在卫生中心(Puskesmas/FKTP)，特别是在泗水市的Puskesmas不能做到。输血服务的一揽子福利与其他政策相冲突。负责输血的机构不是医疗中心，而是医院。卫生中心医疗支持输血服务的技术要求不符合标准。当遇到需要输血的产妇紧急情况时，保健中心最有可能提供转诊服务。结论:2013年第12号总统令第22条规定的输血服务一揽子福利与其他已制定的政策相矛盾。支持这些服务的医疗条件没有得到满足。泗水市目前无法提供输血服务。建议:总统令的内容。2013年第12号决议第22条要求进行修订，即输血服务只能在提供医疗技术要求、人力资源和辅助基础设施的卫生设施中进行。【摘要】拉塔·贝拉康:Kebutuhan pelayanan darah di Indonesia, masih tinggi。我是说，我是说，我是说，我是说，我是说，我是说，我是说，我是说，我是说，我是说，我是说。Jaminan Kesehatan national (JKN)成员kan peluang terjaminya kebutuhan masyarakat terhadap pelayanan transfusi darah。Peraturan Presiden (Perpres) no。12 tahun 2013 pasal 22 ayat 1a。6 menyebutkan bahwa transfusi darah menjadi salah satu paket manfaat di pelayanan kesehatan tingkat pertama。土juan kajian untuk menganalis paket manfaat pelayanan transdarah di puskesmas dalam Perpres terbut。方法:在研究中采用了kbijakan方法。2013年7月12日，泗水。分析dilakukan terhadap hasil FGD dengan aktor pelaksana kebijakan (Puskesmas, PMI, Rumah sakit, dan BPJS)， secara含量分析。[中文]:Paket manfaat pelayanan transfusi darah beluman dapat dilakukan di FKTP, khususnya Puskesmas di Surabaya, karena bertentangan dengang perundang-undangan lebih tinggi dan ditetapkan sebelumnya。Pemberian输血merupakan kewenangan rumah sakit。Persyaratan teknis mediis penunjang pelayanan transfusan darah di puskesmas belum memuhi标准。Puskesmas hanya berwenang merujuk ketika menjumpai kasus kegawatan母羊memerlukan输血darah。Pelayanan transfusi darah dalam Perpres no。12 tahun 2013 pasal 22 kontradiktif dengan kebijakan lain。在泗水，我想说的是，我想说的是，我想说的是，我想说的是，我想说的是，我想说的是，我想说的是，我想说的是，我想说的是，我想说的是，我想说的是。推荐:Isi perpreno。12 tahun 2013 pasal 22 perlu divisi, bahwa pelayanan transfusi darah hanya dapat dilakukan di fasilitas kesehatan yang memenuhi perayanan teknis medinya, SDM dan sarana prasarana penunjangnya。
{"title":"ANALISIS PAKET MANFAAT PELAYANAN TRANSFUSI DARAH DI FASILITAS KESEHATAN TINGKAT PERTAMA (FKTP) PADA PERATURAN PRESIDEN NO. 12 TAHUN 2013 PASAL 22 (STUDI IMPLEMENTASI KEBIJAKAN DI KOTA SURABAYA)","authors":"Hidayad Heny Sholikhah, Wahyu Dwi Astuti","doi":"10.22435/hsr.v21i2.317","DOIUrl":"https://doi.org/10.22435/hsr.v21i2.317","url":null,"abstract":"Background: The need for blood services in Indonesia are still high. These were related to the high number of maternal deaths from hemorrhage during and after childbirth. The National Health Insurance (JKN) provide great opportunities for ensuring the needs of the community blood transfusion services. Presidential Decree No. 12 of 2013 article 22 paragraph 1a.6 mentioned that blood transfusions became one of the health care benefi ts package in the fi rst degree. The purpose of this study to analyze the benefi ts package in the regulation of blood transfusion services, especially in health centers. Methods: This study was conducted in Surabaya. The analysis was performed on the results of Focus Group Discussion with actor implementing policies (health center, Indonesian Cross Red/PMI, Hospitals, and BPJS), by content analysis. Results: The blood transfusion services benefi t package had not been able to do in Health Center (Puskesmas/FKTP), especially Puskesmas in Surabaya. Package benefi ts of blood transfusion services confl ict with other policies. Theauthority to give a blood transfusion was not a health center (puskesmas) but the hospital. The technical requirements of medical support blood transfusion services in health centers did not according to the standard. Referral service was the most likely carried out by the health center when encountered cases of maternal urgency requiring blood transfusions. Conclusion: Package benefi ts of blood transfusion services in Presidential Decree No. 12 of 2013 article 22 contradicted by other policies already set. Availability of medical requirements that support these services had not been fulfilled. Blood transfusion services could not currently be implemented in Puskesmas Surabaya. Recommendation: The content of Presidential Decree no. 12 of 2013 article 22 requires the revision, that the blood transfusion service could only be carried out in health facilities provided medical technical requirements, both human resources and supporting infrastructure. \u0000Abstrak \u0000Latar Belakang: Kebutuhan pelayanan darah di Indonesia masih tinggi. Ini terkait masih tingginya jumlah kematian ibu akibat perdarahan saat dan pascamelahirkan. Jaminan Kesehatan Nasional (JKN) memberikan peluang terjaminnya kebutuhan masyarakat terhadap pelayanan transfusi darah. Peraturan Presiden (Perpres) no. 12 tahun 2013 pasal 22 ayat 1a.6 menyebutkan bahwa transfusi darah menjadi salah satu paket manfaat di pelayanan kesehatan tingkat pertama. Tujuan kajian untuk menganalisis paket manfaat pelayanan transfusi darah di puskesmas dalam Perpres tersebut. Metode: Kajian ini merupakan studi implementasi kebijakan Perpres no. 12 tahun 2013 yang dilakukan di Surabaya. Analisis dilakukan terhadap hasil FGD dengan aktor pelaksana kebijakan (Puskesmas, PMI, Rumah sakit, dan BPJS), secara content analysis. Hasil: Paket manfaat pelayanan transfusi darah belum dapat dilakukan di FKTP, khususnya Puskesmas di Surabaya, karena bertentangan dengan peru","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2018-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47075736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-08-28DOI: 10.22435/hsr.v21i2.314.90-96
Dwi Hapsari Tjandra, Rofingatul Mubasyiroh, I. Dharmayanti
The success of Healthy Indonesia Program with Family Approach is well measured by Healthy Family Index (HFI). The numbers of twelve indicators of HFI were decided as the marker of family health status. National Institute of Health Research and Development Ministry of Health has created Public Health Development Index (PHDI) which purpose to measure individual health status in certain area before the HFI is formed. To resolve health problems in both indices should be through joining program interventions. This analysis aims to determine what indicators are expected to provide leverage on both indices, thus more targeted indicators can be obtained as a program priority. Basic Health Research 2013 data is used as the compilers of PHDI and HFI in 497 districts/cities. The data has been processed to be an indicator per district/city and then analyzed using linear regression test. There are fi ve priority indicators that have a leverage on both indices that is access to clean water, access to sanitation, health care insurance ownership, family planning program, and birth delivery by health worker in health facility. The model for adjusting HFI has a correlation value of 0.932, while the correlation for PHDI is 0.796. It is expected that intervention on these fi ve indicators will increase the HFI and PHDI, therefore the goal for becoming a healthy Indonesia can be achieved. It needs a cross-sector collaboration to build health care facilities that support health of the community. Abstrak Keberhasilan Program Indonesia Sehat (PIS) dengan Pendekatan Keluarga (PK) diukur dengan Indeks Keluarga Sehat (IKS). Jumlah IKS yang telah disepakati terdiri dari 12 indikator sebagai penanda status kesehatan sebuah keluarga. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan (Balitbangkes) telah menyusun Indeks Pembangunan Kesehatan Masyarakat (IPKM) yang berfungsi mengukur status kesehatan individu pada suatu wilayah sebelum IKS terbentuk. Penyelesaian masalah kesehatan pada kedua indeks tersebut harus dilakukan intervensi program yang sejalan. Analisis ini bertujuan untuk mengetahui indikator apa saja yang dapat memberikan daya ungkit pada kedua indeks, sehingga dapat diperoleh indikator yang lebih mengerucut untuk dijadikan prioritas program. Data yang digunakan adalah data Riset Kesehatan Dasar (Riskesdas) tahun 2013 sebagai penyusun IPKM dan IKS pada 497 kabupaten/kota. Uji statistik menggunakan data yang sudah dianalisis menjadi indikator per kabupaten/kota. Berdasarkan uji regresi linier, terdapat lima indikator yang dapat menjadi prioritas untuk memberikan daya ungkit pada kedua indeks yaitu akses air,akses sanitasi, kepemilikan jaminan kesehatan, program keluarga berencana, dan persalinan oleh nakes di faskes. Model untuk perubahan IKS mempunyai nilai korelasi sebesar 0,932, sedangkan nilai korelasi perubahan IPKM sebesar 0,796. Diharapkan jika dilakukan intervensi pada lima indikator tersebut akan meningkatkan IKS dan IPKM, sehingga tujuan
健康家庭指数(HFI)很好地衡量了“健康印尼方案”与“家庭方法”的成功程度。确定家庭健康指数的12个指标的数量作为家庭健康状况的标志。卫生部国家卫生研究和发展研究所制定了公共卫生发展指数(PHDI)，目的是在公共卫生发展指数形成之前衡量某些地区的个人健康状况。要解决这两个指标的健康问题，应通过联合规划干预措施。该分析旨在确定哪些指标有望对这两个指标提供杠杆作用，从而可以获得更有针对性的指标，作为计划的优先事项。《2013年基本卫生研究》数据被用作497个区/市的PHDI和HFI的编制数据。数据已被处理为每个区/市的指标，然后使用线性回归检验进行分析。有五个优先指标对这两个指数都有影响，即获得清洁水的机会、获得卫生设施的机会、医疗保险所有权、计划生育方案和卫生机构卫生工作者接生。调整HFI模型的相关值为0.932，调整PHDI模型的相关值为0.796。预计对这五项指标的干预将提高人类健康指数和人均发展指数，从而实现成为一个健康的印度尼西亚的目标。它需要跨部门合作，建立支持社区健康的卫生保健设施。摘要Keberhasilan Program Indonesia Sehat (PIS) dengan Pendekatan Keluarga (PK) diukur dengan Indeks Keluarga Sehat (IKS)。Jumlah IKS yang telah disepakati terdiri dari 12指标sebagai penanda状态kesehatan sebuah keluarga。巴丹Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan (Balitbangkes) telah menyusun Indeks penbangunan Kesehatan Masyarakat (IPKM) yang berfungsi mengukur status Kesehatan个人pada suatu wilayah sebelum IKS terbentuk。penelesaian masalah kesehatan padkedua指数较低，但harus dilakakan干预计划杨斯嘉兰。分析中国经济发展水平指标中国经济发展水平指标中国经济发展水平指标中国经济发展水平指标中国经济发展水平指标中国经济发展水平指标中国经济发展水平指标中国经济发展水平优先方案。数据yang digunakan adalah数据Riset Kesehatan Dasar (Riskesdas) tahun 2013 sebagai penyusun IPKM dan IKS pada 497 kabupaten/kota。Uji统计孟古纳坎数据杨苏达日分析孟古纳坎指标按kabupaten/kota。Berdasarkan uji regresi linier, terapapatmenjadi优先级，成员kan daya ununtuk paadkedua indeks, yitusakisitasi, kepemilikan jamininkesehatan, program keluarga berencana, dan persalinanlehakesdikes。模型untuk perubahan IKS mempunyai nilai korelasi sebesar 0,932, sedangkan nilai korelasi perubahan IPKM sebesar 0,796。Diharapkan jika dilakukan干预帕达利亚指标，但akan meningkatkan IKS dan IPKM, seingga tujuan menjadi印度尼西亚帕达利亚。Kerja sama lintas部门untuk penyediaan pembangunan fasilitas kesehatan yang mendukung kesehatan masyarakat。
{"title":"PENCAPAIAN INDONESIA SEHAT MELALUI PENDEKATAN INDEKS PEMBANGUNAN KESEHATAN MASYARAKAT DAN INDEKS KELUARGA SEHAT","authors":"Dwi Hapsari Tjandra, Rofingatul Mubasyiroh, I. Dharmayanti","doi":"10.22435/hsr.v21i2.314.90-96","DOIUrl":"https://doi.org/10.22435/hsr.v21i2.314.90-96","url":null,"abstract":"The success of Healthy Indonesia Program with Family Approach is well measured by Healthy Family Index (HFI). The numbers of twelve indicators of HFI were decided as the marker of family health status. National Institute of Health Research and Development Ministry of Health has created Public Health Development Index (PHDI) which purpose to measure individual health status in certain area before the HFI is formed. To resolve health problems in both indices should be through joining program interventions. This analysis aims to determine what indicators are expected to provide leverage on both indices, thus more targeted indicators can be obtained as a program priority. Basic Health Research 2013 data is used as the compilers of PHDI and HFI in 497 districts/cities. The data has been processed to be an indicator per district/city and then analyzed using linear regression test. There are fi ve priority indicators that have a leverage on both indices that is access to clean water, access to sanitation, health care insurance ownership, family planning program, and birth delivery by health worker in health facility. The model for adjusting HFI has a correlation value of 0.932, while the correlation for PHDI is 0.796. It is expected that intervention on these fi ve indicators will increase the HFI and PHDI, therefore the goal for becoming a healthy Indonesia can be achieved. It needs a cross-sector collaboration to build health care facilities that support health of the community. \u0000Abstrak \u0000Keberhasilan Program Indonesia Sehat (PIS) dengan Pendekatan Keluarga (PK) diukur dengan Indeks Keluarga Sehat (IKS). Jumlah IKS yang telah disepakati terdiri dari 12 indikator sebagai penanda status kesehatan sebuah keluarga. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan (Balitbangkes) telah menyusun Indeks Pembangunan Kesehatan Masyarakat (IPKM) yang berfungsi mengukur status kesehatan individu pada suatu wilayah sebelum IKS terbentuk. Penyelesaian masalah kesehatan pada kedua indeks tersebut harus dilakukan intervensi program yang sejalan. Analisis ini bertujuan untuk mengetahui indikator apa saja yang dapat memberikan daya ungkit pada kedua indeks, sehingga dapat diperoleh indikator yang lebih mengerucut untuk dijadikan prioritas program. Data yang digunakan adalah data Riset Kesehatan Dasar (Riskesdas) tahun 2013 sebagai penyusun IPKM dan IKS pada 497 kabupaten/kota. Uji statistik menggunakan data yang sudah dianalisis menjadi indikator per kabupaten/kota. Berdasarkan uji regresi linier, terdapat lima indikator yang dapat menjadi prioritas untuk memberikan daya ungkit pada kedua indeks yaitu akses air,akses sanitasi, kepemilikan jaminan kesehatan, program keluarga berencana, dan persalinan oleh nakes di faskes. Model untuk perubahan IKS mempunyai nilai korelasi sebesar 0,932, sedangkan nilai korelasi perubahan IPKM sebesar 0,796. Diharapkan jika dilakukan intervensi pada lima indikator tersebut akan meningkatkan IKS dan IPKM, sehingga tujuan ","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2018-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68512155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dating violence is a kind of violence that still debatable among the lawyers. It is due to there has not yet specific articles in the law such as Law number 23/2004 of women and child’s protection in domestic crime as well as Law number 23/2002 about child’s protection. The purpose of this study was to understand problems related to dating violence to strengthen the policy analysis of women’s protection under the laws. The methods was reviewing of policy and laws related documents and interviewed with the victims as well as partners or executors to understand the evidence. A qualitative analysis was implemented with snow-balling sample selection. Yogyakarta was selected as the study location considering that it has a huge population of colleges which the well known place of ‘kota pelajar’. The phenomenon of dating violence brings about psycho-social and health implication such as un-safe, feeling worry up until suicide trial. In addition un-expected pregnancy and risks of sexual transmitted infection become a serious thread related to un-negotiable power of the victims over the executor lead to inferior position of women when they ask the partners to use condom to prevent pregnancy. ABSTRAK Kekerasan dalam berpacaran (dating violence) merupakan salah satu bentuk kekerasan yang masih menjadi perdebatan di kalangan praktisi hukum, mengingat korban kekerasan dalam berpacaran tidak terlindungi oleh peraturan perundang- undangan yang secara spesifik telah disahkan oleh pemerintah, seperti UU no. 23 Tahun 2004 Tentang perlindungan perempuan dan anak terhadap KDRT serta UU no. 23 Tahun 2002 tentang perlindungan anak. Penelitian ini menggunakan metode pengkajian perundang-undangan serta studi kualitatif sebagai pendamping kajian akan dilakukan pada mahasiswa di sekitar kampus yang bertujuan Mengkaji peran lintas sektoral dalam perlindungan masyarakat, terkait kekerasan, khususnya penanganan kekerasan dalam berpacaran di lingkungan kampus di DI Yogyakarta. Fenomena Kekerasan dalam berpacaran ini memiliki implikasi yang luas baik secara psikososial maupun kesehatan dimana kasus-kasus kekerasan ini berakibat pada mengalami kecemasan hingga keinginan untuk melakukan percobaan bunuh diri sedangkan pada kesehatan kekerasan dalam berpacaran terutama pada kekerasan seksual korban sangat berisiko mengalami kehamilan tidak diinginkan (KTD) tertular penyakit seksual menular. Terkait rendahnya daya tawar korban dalam hubungan dengan pelaku, menimbulkan korban memiliki posisi yang lebih inferior ketika meminta pelaku menggunakan alat kontrasepsi pencegah kehamilan (kondom).
约会暴力是一种在律师中仍有争议的暴力。这是因为法律中还没有具体的条款，例如关于在家庭犯罪中保护妇女和儿童的第23/2004号法律以及关于保护儿童的第23/2002号法律。本研究的目的是了解与约会暴力有关的问题，以加强对法律保护妇女的政策分析。方法是审查政策和法律相关文件，并与受害者以及合作伙伴或执行人面谈，以了解证据。采用滚雪球抽样法进行定性分析。日惹被选为研究地点，考虑到它拥有大量的大学，而众所周知的地方是“kota pelajar”。约会暴力现象带来的心理社会和健康的影响，如不安全，感觉焦虑，直到自杀的审判。此外，意外怀孕和性传播感染的风险成为一个严重的线索，与受害者对执行人的不可谈判的权力有关，导致妇女在要求伴侣使用避孕套避孕时处于劣势地位。【摘要】约会暴力(dating violence)，即约会暴力(dating violence)，即约会暴力(dating violence)，即约会暴力(dating violence)。2004年7月23日，Tentang perlingdungan perempuan dan anak terhadap KDRT seru no. 1。2002年7月23日，天津。Penelitian ini menggunakan mede penkajian perundang-undangan serta studi kalitati sebagai pendamjian akan dilakukan patada mahasiswa di sekitar kampus yang bertujuan Mengkaji perkalkalam dalam perlindungan masyarakat, terkait kekerasan, khususnya penanganan kekerasan dalam berpacaran di lingkungan kampus di日惹。现象:Kekerasan dalam berpacaran ini memoriliki implikasi yang luas baik secaran psikassan dimana kasus-kasus Kekerasan ini berakiban pada mengalami kekemasan ingingan untuk melakakan percobaan bubui sedangkan pada kekeasan dalam berpacaran terutama pada Kekerasan seksual korban sanat berisiko mengalami kehamilan tiakakan diinginkan (KTD) tertturi penyakit sesual menular。Terkait rendahnya daya tawar korban dalam hubungan dengan pelaku, menimbulkan korban memiliki posisi yang lebih较差的ketika meminta pelaku menggunakan alat kontrasepsi penegah kehamilan(王国)。
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Within the last few years there have been an increasing number of patients with end stage renal desease (ESRD). But the increase is not offset by the amount of the maximum service ESRD therapy. Compared with countries in the world, a renal transplant in Indonesia is still far behind. One of the hurdles is still weak due to regulatory support renal transplant in Indonesia. This article aims to look at the policy issues become an obstacle in the implementation of a renal transplant in Indonesia. This paper uses methods of regulatory reviews and articles related to a renal transplant. The analysis shows that the legal basis for a renal transplant in the form of existing legislation. However, the absence of specific regulations for a renal transplant and the decease donor in the form of technical instructions and guidelines for implementation rules became one of the obstacles in the development of renal transplantation in Indonesia. Renal transplants are covered by government funding, but still found gaps allocation of the amount of financing required a renal transplant so that implementation of clinical pathways on budgetary renal transplant is needed. ABSTRAK Dalam kurun waktu beberapa tahun belakangan ini telah terjadi peningkatan jumlah penderita penyakit ginjal kronis (PGK) stadium akhir di Indonesia. Namun meningkatnya jumlah tersebut belum diimbangi dengan pelayanan yang maksimal terhadap terapi PGK stadium akhir. Dibandingkan dengan negara di dunia, transplantasi ginjal di Indonesia masih jauh tertinggal. Salah satu hambatannya adalah disebabkan masih lemahnya dukungan regulasi transplantasi ginjal di Indonesia. Tulisan ini bertujuan untuk melihat permasalahan kebijakan yang menjadi kendala dalam pelaksanaan transplantasi ginjal di Indonesia. Tulisan ini menggunakan metode review peraturan dan artikel terkait transplantasi ginjal. Hasil analisa menunjukkan bahwa payung hukum terhadap transplantasi ginjal dalam bentuk perundang-undangan sudah ada. Namun, belum adanya peraturan spesifik terhadap transplantasi ginjal dan donor jenazah dalam bentuk petunjuk teknis dan pedoman peraturan pelaksanaannya menjadi salah satu kendala dalam pengembangan transplantasi ginjal di Indonesia. Transplantasi ginjal sudah ditanggung pembiayaannya oleh pemerintah, namun masih ditemukan kesenjangan alokasi besaran pembiayaan transplantasi ginjal sehingga diperlukan penerapan clinical pathways transplantasi ginjal pada penyusunan anggaran transplantasi ginjal.
在过去的几年中，有越来越多的患者患有终末期肾病(ESRD)。但这一增加并没有被ESRD治疗的最大服务量所抵消。与世界上其他国家相比，印度尼西亚的肾移植手术还远远落后。由于印度尼西亚对肾移植的监管支持，其中一个障碍仍然薄弱。这篇文章的目的是看看政策问题，成为在印度尼西亚实施肾移植的障碍。本文采用与肾移植相关的法规审查和文章的方法。分析表明，现行的法律依据是肾移植的形式立法。然而，由于缺乏以技术说明和实施细则的形式对肾移植和死亡供体进行具体规定，这成为印度尼西亚肾移植发展的障碍之一。肾移植由政府资助，但在肾移植所需资金的分配上仍存在差距，因此需要在预算肾移植上实施临床途径。摘要:Dalam kurun waktu bebertu tahun belakangan ini telah terjadi peningkatan jumlah penderita penyakit ginjal kronis (PGK)体育场，akhir di Indonesia。Namun meningkatnya jumlah tersebut belum diimbangi dengan pelayanan yang maksimal terhadap terapi PGK体育场akhir。Dibandingkan dengan negara di dunia, transplantasi ginal di Indonesia masih jauh tertinggal。印度尼西亚:Salah satu hambatannya adalah disebabkan masih lemahnya dukungan regulasi transplantation of genhal。tuisan ini bertujuan untuk melihat permasalahan kebijakan yang menjadi kendala dalam pelaksanaan transplantation ginjal di Indonesia。图里桑，孟古纳坎，研究方法综述。哈西尔分析menunjukkan bahwa payung hukum terhadap移植性器官dalam bentuk perundang undangan sudah ada。Namun, belum adanya peraturan spifik hahaperplantasi ginginal，捐赠者jenazah dalam bentuk petunjuk teknis danpeturan peraksanaannya menjadi salah satu kendala dalam pengembangan transplantasi ginginal，印度尼西亚。Transplantasi ginjal sudah ditanggung pembiayaannya oleh pemerintah, namun masih ditemukan kesenjangan alokasi besaran pembiayaan Transplantasi ginjal seingga diperlukan penapan临床途径(临床途径)
{"title":"KEBIJAKAN TRANSPLANTASI GINJAL DI INDONESIA","authors":"Makassari Dewi","doi":"10.22435/HSR.V21I1.97","DOIUrl":"https://doi.org/10.22435/HSR.V21I1.97","url":null,"abstract":"Within the last few years there have been an increasing number of patients with end stage renal desease (ESRD). But the increase is not offset by the amount of the maximum service ESRD therapy. Compared with countries in the world, a renal transplant in Indonesia is still far behind. One of the hurdles is still weak due to regulatory support renal transplant in Indonesia. This article aims to look at the policy issues become an obstacle in the implementation of a renal transplant in Indonesia. This paper uses methods of regulatory reviews and articles related to a renal transplant. The analysis shows that the legal basis for a renal transplant in the form of existing legislation. However, the absence of specific regulations for a renal transplant and the decease donor in the form of technical instructions and guidelines for implementation rules became one of the obstacles in the development of renal transplantation in Indonesia. Renal transplants are covered by government funding, but still found gaps allocation of the amount of financing required a renal transplant so that implementation of clinical pathways on budgetary renal transplant is needed. \u0000ABSTRAK \u0000Dalam kurun waktu beberapa tahun belakangan ini telah terjadi peningkatan jumlah penderita penyakit ginjal kronis (PGK) stadium akhir di Indonesia. Namun meningkatnya jumlah tersebut belum diimbangi dengan pelayanan yang maksimal terhadap terapi PGK stadium akhir. Dibandingkan dengan negara di dunia, transplantasi ginjal di Indonesia masih jauh tertinggal. Salah satu hambatannya adalah disebabkan masih lemahnya dukungan regulasi transplantasi ginjal di Indonesia. Tulisan ini bertujuan untuk melihat permasalahan kebijakan yang menjadi kendala dalam pelaksanaan transplantasi ginjal di Indonesia. Tulisan ini menggunakan metode review peraturan dan artikel terkait transplantasi ginjal. Hasil analisa menunjukkan bahwa payung hukum terhadap transplantasi ginjal dalam bentuk perundang-undangan sudah ada. Namun, belum adanya peraturan spesifik terhadap transplantasi ginjal dan donor jenazah dalam bentuk petunjuk teknis dan pedoman peraturan pelaksanaannya menjadi salah satu kendala dalam pengembangan transplantasi ginjal di Indonesia. Transplantasi ginjal sudah ditanggung pembiayaannya oleh pemerintah, namun masih ditemukan kesenjangan alokasi besaran pembiayaan transplantasi ginjal sehingga diperlukan penerapan clinical pathways transplantasi ginjal pada penyusunan anggaran transplantasi ginjal.","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2018-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48173484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Over the past few years, Timor Tengah Selatan donated the highest number of maternal mortality and infant mortality rates for NTT Province compared to other districts/ cities. In 2012, in Timor Tengah Selatan 25 mother died and as many as 93 children, including infants died. This study is a qualitative study aimed to determine community’s role in attemp to improve maternal health status at Timor Tengah Selatan. Data collection was conducted during March-November 2012 through in-depth interviews and focus group discussions. The result showed that there is community participation of cadres and community leaders as a motivator in improving maternal health status in South Central Timor district. They have also been doing their role in formulating policy in their village such as the agreement that no more birth process is done at home especially by the only help of traditional birth attendant. Their efforts did not mean without the support of health care facilities and good infrastructure. We need a facilitation from health personnel as facilitator for cadres and community leaders and development for better infrastructure. ABSTRAK Selama beberapa tahun terakhir, Kabupaten Timor Tengah Selatan menyumbang angka tertinggi kematian ibu dan kematian bayi bagi Provinsi NTT dibandingkan dengan kabupaten/ kota yang lain. Pada tahun 2012, di Kabupaten Timor Tengah Selatan 25 ibu meninggal dunia dan sebanyak 93 anak termasuk bayi meninggal dunia. Penelitian ini merupakan penelitian kualitatif yang bertujuan untuk mengetahui peran serta masyarakat dalam meningkatkan status kesehatan maternal di kabupaten Timor Tengah Selatan. Pengumpulan data dilakukan selama bulan Maret–November 2012 dengan cara melakukan wawancara mendalam dan focus group discussion. Penelitian menunjukkan bahwa ada peran serta masyarakat yaitu kader dan tokoh masyarakat sebagai motivator dalam meningkatkan status kesehatan maternal di kabupaten Timor Tengah Selatan. Selain itu kader dan tokoh masyarakat mempunyai peran dalam menyusun kebijakan tingkat desa dalam hal ini yaitu adanya kesepakatan bahwa tidak ada lagi proses kelahiran yang dilakukan di rumah apalagi hanya dengan bantuan dukun bersalin. Upaya mereka tidaklah berarti tanpa dukungan fasilitas pelayanan kesehatan dan infrastruktur wilayah yang baik. Perlu pendampingan yang berkesinambungan dari tenaga kesehatan sebagai fasilitator bagi kader dan tokoh masyarakat serta pembangunan infrastruktur yang lebih baik.
{"title":"PERAN SERTA MASYARAKAT DALAM MENINGKATKAN STATUS KESEHATAN IBU DI KABUPATEN TIMOR TENGAH SELATAN","authors":"Indah Pawitaningtyas, Herti Windya Puspasari","doi":"10.22435/HSR.V21I1.94","DOIUrl":"https://doi.org/10.22435/HSR.V21I1.94","url":null,"abstract":"Over the past few years, Timor Tengah Selatan donated the highest number of maternal mortality and infant mortality rates for NTT Province compared to other districts/ cities. In 2012, in Timor Tengah Selatan 25 mother died and as many as 93 children, including infants died. This study is a qualitative study aimed to determine community’s role in attemp to improve maternal health status at Timor Tengah Selatan. Data collection was conducted during March-November 2012 through in-depth interviews and focus group discussions. The result showed that there is community participation of cadres and community leaders as a motivator in improving maternal health status in South Central Timor district. They have also been doing their role in formulating policy in their village such as the agreement that no more birth process is done at home especially by the only help of traditional birth attendant. Their efforts did not mean without the support of health care facilities and good infrastructure. We need a facilitation from health personnel as facilitator for cadres and community leaders and development for better infrastructure. \u0000 \u0000ABSTRAK \u0000Selama beberapa tahun terakhir, Kabupaten Timor Tengah Selatan menyumbang angka tertinggi kematian ibu dan kematian bayi bagi Provinsi NTT dibandingkan dengan kabupaten/ kota yang lain. Pada tahun 2012, di Kabupaten Timor Tengah Selatan 25 ibu meninggal dunia dan sebanyak 93 anak termasuk bayi meninggal dunia. Penelitian ini merupakan penelitian kualitatif yang bertujuan untuk mengetahui peran serta masyarakat dalam meningkatkan status kesehatan maternal di kabupaten Timor Tengah Selatan. Pengumpulan data dilakukan selama bulan Maret–November 2012 dengan cara melakukan wawancara mendalam dan focus group discussion. Penelitian menunjukkan bahwa ada peran serta masyarakat yaitu kader dan tokoh masyarakat sebagai motivator dalam meningkatkan status kesehatan maternal di kabupaten Timor Tengah Selatan. Selain itu kader dan tokoh masyarakat mempunyai peran dalam menyusun kebijakan tingkat desa dalam hal ini yaitu adanya kesepakatan bahwa tidak ada lagi proses kelahiran yang dilakukan di rumah apalagi hanya dengan bantuan dukun bersalin. Upaya mereka tidaklah berarti tanpa dukungan fasilitas pelayanan kesehatan dan infrastruktur wilayah yang baik. Perlu pendampingan yang berkesinambungan dari tenaga kesehatan sebagai fasilitator bagi kader dan tokoh masyarakat serta pembangunan infrastruktur yang lebih baik.","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2018-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44225793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Currently, Indonesian people interest in pilgrimage is higher. The dense number of Umrah pilgrims may be at risk of transmission of the disease especially from endemic areas such as meningitis. Since 2002, the Saudi Arabian government has issued a policy requiring meningitis vaccination in both pilgrims and umrah, but there is still little problem in the provision of MM vaccination for Umrah pilgrims. This paper aims to determine the implementation of meningitis vaccination services for Umrah pilgrims in Indonesia. Data collection was done by indepth interview and focus group discussion to stakeholders related to the implementation of Umrah health service and supported by secondary data. The research was conducted at KKP Soekarno-Hatta Airport, Tangerang, Banten. Implementation of the Meningococcus ACYW-135 meningitis vaccine should be carried out at the designated Port Health Office (KKP) or Government Hospital, vaccination is done at least 1 month before the scheduled departure time. KKP is an institution that has the authority to issue International Certificate Vaccination (ICV) as a condition of issuance of Umrah visa from Saudi Arabia. But in the field there are many fraudulent ICV publishing done by some irresponsible umrah travels. ABSTRAK Saat ini, minat masyarakat terhadap ibadah umrah semakin tinggi. Padatnya jumlah Jemaah umrah dapat berisiko terjadinya penularan penyakit terutama yang berasal dari daerah endemis seperti meningitis. Sejak tahun 2002, pemerintah Arab Saudi mengeluarkan kebijakan yang Mewajibkan vaksinasi meningitis pada Jemaah haji maupun umrah, namun masih ditemukan adanya sedikit masalah dalam pemberian vaksinasi Meningitis Meningococcus untuk Jemaah umrah. Tulisan ini bertujuan untuk mengetahui pelaksanaan pelayanan vaksinasi meningitis bagi Jemaah umrah di Indonesia. Pengambilan data dilakukan dengan indepth interview dan focus group discussion kepada stakeholder terkait pelaksanaan pelayanan kesehatan umrah serta didukung oleh data sekunder. Penelitian dilakukan di KKP bandara Soekarno-Hatta, Tangerang, Banten. Pelaksanaan penyuntikan vaksin Meningitis Meningococcus ACYW-135 wajib dilaksanakan di Kantor Kesehatan Pelabuhan (KKP) atau Rumah Sakit Pemerintah yang telah ditunjuk, vaksinasi dilakukan minimal 1 bulan sebelum jadwal keberangkatan. KKP merupakan institusi yang mempunyai kewenangan menerbitkan International Certificate Vaccination (ICV) sebagai syarat penerbitan visa umrah dari Arab Saudi. Namun di lapangan banyak ditemukan penerbitan ICV palsu yang dilakukan oleh beberapa travel umrah yang tidak bertanggung jawab.
目前，印尼人对朝圣的兴趣较高。人数众多的朝觐朝圣者可能面临疾病传播的风险，特别是从脑膜炎等流行地区传播疾病的风险。自2002年以来，沙特阿拉伯政府颁布了一项政策，要求朝圣者和朝觐朝圣者接种脑膜炎疫苗，但在为朝觐朝圣者提供脑膜炎疫苗方面仍然没有什么问题。本文旨在确定实施脑膜炎疫苗接种服务的朝觐朝圣者在印度尼西亚。数据收集是通过对与实施朝觐保健服务有关的利益攸关方进行深入访谈和焦点小组讨论来完成的，并得到二手数据的支持。这项研究是在万丹Tangerang的KKP苏加诺-哈达机场进行的。接种ACYW-135脑膜炎球菌疫苗须在指定的港口卫生处或政府医院进行，接种时间须在预定出发时间最少一个月前完成。KKP是一个有权签发国际疫苗接种证书(ICV)的机构，作为沙特阿拉伯签发朝觐签证的条件。但在这一领域，有许多虚假的ICV出版是由一些不负责任的朝圣之旅完成的。【摘要】【摘要】植物、植物、植物、植物、植物的生长发育。Padatnya jumlah Jemaah umrah Jemaah berisiko terjadinya penularan penyakit terutama yang berasal dari daerah endemis perti脑膜炎。Sejak tahun 2002, peremerintah阿拉伯沙特阿拉伯mengeluarkan kebijakan yang Mewajibkan vaksinasi脑膜炎paad Jemaah haji maupun umrah, namun masih ditemukan adanya sedikit masalah dalam pemberian vaksinasi脑膜炎脑膜炎球菌untuk Jemaah umrah。tuisan ini bertujuan untuk mengetahui pelaksanaan pelayanan vaksinasi脑膜炎bagi Jemaah umrah di Indonesia。Pengambilan data dilakukan dengan深度访谈和焦点小组讨论kepada利益相关者terkait pelaksanaan pelayanan kesehatan umrah serta didukung oleh data sekunder。Penelitian dilakukan di KKP bandara Soekarno-Hatta, Tangerang，万丹。脑膜炎脑膜炎球菌ACYW-135 (KKP)是一种罕见的脑膜炎球菌，是一种罕见的脑膜炎球菌，是一种罕见的脑膜炎球菌。KKP merupakan机构yang mempunyai kewenangan menerbitkan国际疫苗接种证书(ICV)Namun di lapangan banyak ditemukan penerbitan ICV palsu yang dilakukan oleh beberberapa旅行umrah yang tidak bertanggung jawab。
{"title":"ANALISIS KEBIJAKAN PELAYANAN VAKSINASI MENINGITIS JEMAAH UMRAH DI INDONESIA","authors":"Rustika Rustika, Herti Windya Puspasari, Asep Kusnali","doi":"10.22435/HSR.V21I1.96","DOIUrl":"https://doi.org/10.22435/HSR.V21I1.96","url":null,"abstract":"Currently, Indonesian people interest in pilgrimage is higher. The dense number of Umrah pilgrims may be at risk of transmission of the disease especially from endemic areas such as meningitis. Since 2002, the Saudi Arabian government has issued a policy requiring meningitis vaccination in both pilgrims and umrah, but there is still little problem in the provision of MM vaccination for Umrah pilgrims. This paper aims to determine the implementation of meningitis vaccination services for Umrah pilgrims in Indonesia. Data collection was done by indepth interview and focus group discussion to stakeholders related to the implementation of Umrah health service and supported by secondary data. The research was conducted at KKP Soekarno-Hatta Airport, Tangerang, Banten. Implementation of the Meningococcus ACYW-135 meningitis vaccine should be carried out at the designated Port Health Office (KKP) or Government Hospital, vaccination is done at least 1 month before the scheduled departure time. KKP is an institution that has the authority to issue International Certificate Vaccination (ICV) as a condition of issuance of Umrah visa from Saudi Arabia. But in the field there are many fraudulent ICV publishing done by some irresponsible umrah travels. \u0000ABSTRAK \u0000Saat ini, minat masyarakat terhadap ibadah umrah semakin tinggi. Padatnya jumlah Jemaah umrah dapat berisiko terjadinya penularan penyakit terutama yang berasal dari daerah endemis seperti meningitis. Sejak tahun 2002, pemerintah Arab Saudi mengeluarkan kebijakan yang Mewajibkan vaksinasi meningitis pada Jemaah haji maupun umrah, namun masih ditemukan adanya sedikit masalah dalam pemberian vaksinasi Meningitis Meningococcus untuk Jemaah umrah. Tulisan ini bertujuan untuk mengetahui pelaksanaan pelayanan vaksinasi meningitis bagi Jemaah umrah di Indonesia. Pengambilan data dilakukan dengan indepth interview dan focus group discussion kepada stakeholder terkait pelaksanaan pelayanan kesehatan umrah serta didukung oleh data sekunder. Penelitian dilakukan di KKP bandara Soekarno-Hatta, Tangerang, Banten. Pelaksanaan penyuntikan vaksin Meningitis Meningococcus ACYW-135 wajib dilaksanakan di Kantor Kesehatan Pelabuhan (KKP) atau Rumah Sakit Pemerintah yang telah ditunjuk, vaksinasi dilakukan minimal 1 bulan sebelum jadwal keberangkatan. KKP merupakan institusi yang mempunyai kewenangan menerbitkan International Certificate Vaccination (ICV) sebagai syarat penerbitan visa umrah dari Arab Saudi. Namun di lapangan banyak ditemukan penerbitan ICV palsu yang dilakukan oleh beberapa travel umrah yang tidak bertanggung jawab.","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2018-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47766678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sendy Ayu Mitra Uktutias, N. Pratiwi, Windhu Purnomo
Basic Health Research Results (Riskesdas) conducted by the Ministry of Health shows that the coverage of K4 during the last 3 years in 2010–2013 is the year 2010 by 86.85% and the year 2013 of 87.48%. The lack of utilization of ANC by pregnant women is associated with many factors, one of which is the lack of awareness of pregnant women about the importance of pregnancy care. The purpose of this study analyzed the influence of awareness of the situation of pregnant women with the frequency of antenatal visits. The research method was analytic observational with cross sectional study design. The study sample was 38 pregnant women who lived in the working are at waru public health center’s. The sampling technique using simple random sampling. Data collection using primary data by questionnaire and secondary data with the instrument KIA book. Data were processed and analyzed by using frequency distribution and inferential analyze of linier regression with a significance level of 5% (p = 0.05). The results of linear regression analysis in pregnant women showed significant value of β 0.684 (β > 0.500), that the awareness of the situation had an effect on the frequency of antenatal care. A good situation awareness is a necessary process to influence the decision to act, it is a pregnancy test and can be seen the frequency of antenatal care of a pregnant woman. This conclusion Waru public health center’s is a health clinic located in the highlands. Still less maximal antenatal care visits because of the support and access to antenatal care. It is suggested to raise awareness of pregnant women situation through family involvement, husband as reinforcement factor in support of improvement of antenatal care examination.
{"title":"PENGARUH KESADARAN SITUASI IBU HAMIL DENGAN FREKUENSI KUNJUNGAN ANTENATAL DI WILAYAH KERJA PUSKESMAS WARU KABUPATEN PAMEKASAN TAHUN 2016","authors":"Sendy Ayu Mitra Uktutias, N. Pratiwi, Windhu Purnomo","doi":"10.22435/HSR.V21I1.89","DOIUrl":"https://doi.org/10.22435/HSR.V21I1.89","url":null,"abstract":"Basic Health Research Results (Riskesdas) conducted by the Ministry of Health shows that the coverage of K4 during the last 3 years in 2010–2013 is the year 2010 by 86.85% and the year 2013 of 87.48%. The lack of utilization of ANC by pregnant women is associated with many factors, one of which is the lack of awareness of pregnant women about the importance of pregnancy care. The purpose of this study analyzed the influence of awareness of the situation of pregnant women with the frequency of antenatal visits. The research method was analytic observational with cross sectional study design. The study sample was 38 pregnant women who lived in the working are at waru public health center’s. The sampling technique using simple random sampling. Data collection using primary data by questionnaire and secondary data with the instrument KIA book. Data were processed and analyzed by using frequency distribution and inferential analyze of linier regression with a significance level of 5% (p = 0.05). The results of linear regression analysis in pregnant women showed significant value of β 0.684 (β > 0.500), that the awareness of the situation had an effect on the frequency of antenatal care. A good situation awareness is a necessary process to influence the decision to act, it is a pregnancy test and can be seen the frequency of antenatal care of a pregnant woman. This conclusion Waru public health center’s is a health clinic located in the highlands. Still less maximal antenatal care visits because of the support and access to antenatal care. It is suggested to raise awareness of pregnant women situation through family involvement, husband as reinforcement factor in support of improvement of antenatal care examination.","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2018-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46509351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pharmacy services is one of health care facilities is essential and support services medical care in the era of national health insurance. This study aims to determine the relationship of the quality of pharmaceutical services and outpatient satisfaction in the era of national health insurance. This study is a review of five studies that were taken from google scholar with topics related to quality pharmacy services and patient satisfaction, especially outpatients with the aim to see the relationship between the two topics. Satisfaction outpatient pharmacy services to be measured from five aspects: the tangible (direct evidence / physical), reliability (reliability), responsiveness (responsiveness), assurance (assurance), empathy (hospitality / caring). Outpatient satisfaction with the services of pharmacy measured from five aspects of service quality. There are three research which states that the satisfaction of outpatients have a low value at the time of drug services (reliability). There are two results of the study which states that satisfaction of outpatients have a low value on the guarantee (assurance). Increasing satisfaction with time outpatient drug services can be reached by making work system more simple, adding pharmacy workers, educating consumers about the services provided. While the increase in outpatient satisfaction about the assurance can be reached by increasing the amount of drug in the recipe included in BPJS dependents and ensure the availability of drugs. ABSTRAK Pelayanan kefarmasian merupakan salah satu sarana layanan kesehatan yang sangat penting dan menunjang layanan perawatan medik pada era jaminan kesehatan nasional. Penelitian ini bertujuan untuk mengetahui hubungan mutu pelayanan kefarmasian dan kepuasan pasien rawat jalan pada era jaminan kesehatan nasional. Penelitian ini merupakan review dari 5 penelitian yang diambil dari google scholar dengan topik yang terkait dengan mutu pelayanan farmasi dan kepuasan pasien khususnya pasien rawat jalan dengan tujuan untuk melihat hubungan kedua topik tersebut. Hasil penelitian menunjukkan kepuasan pasien rawat jalan terhadap pelayanan kefarmasian dapat diukur dari 5 aspek yaitu tangible (bukti langsung/ fisik), reliability (keandalan), responsiveness (daya tanggap), assurance (jaminan), empathy (keramahan/ kepedulian). Terdapat tiga hasil penelitian yang menyatakan bahwa kepuasan pasien rawat jalan mempunyai nilai rendah pada waktu layanan obat (reliability) serta dua hasil penelitian yang menyatakan bahwa kepuasan pasien rawat jalan mempunyai nilai rendah pada jaminan (assurance). Penelitian ini menyimpulkan bahwa peningkatan kepuasan pasien rawat jalan terhadap waktu layanan obat dapat ditempuh dengan cara membuat sistem kerja yang lebih sederhana, menambah petugas farmasi, edukasi konsumen tentang layanan yang diberikan. Sedangkan peningkatan kepuasan pasien rawat jalan terhadap jaminan (assurance) dapat ditempuh dengan cara meningkatkan jumlah obat dalam resep ya
药房服务是全民健康保险时代医疗保健必不可少的辅助服务机构之一。本研究旨在探讨全民健保时代的药学服务品质与门诊病人满意度的关系。本研究是对谷歌学者关于优质药房服务与患者满意度，特别是门诊患者满意度的五项研究进行综述，旨在了解这两个主题之间的关系。门诊药房服务满意度要从五个方面进行衡量:有形(直接证据/实物)、可靠性(可靠性)、响应性(responsiveness)、保证性(assurance)、移情性(hospitality / caring)。门诊患者对药房服务的满意度从服务质量的五个方面来衡量。有三项研究表明，门诊患者在药物服务时的满意度值较低(可靠性)。研究结果表明，门诊患者满意度对保证(保证)的价值较低。通过简化工作制度、增加药学人员、对消费者进行药学知识教育等措施，提高门诊药品服务的满意度。而通过增加BPJS患者处方中所含药物的数量，保证药物的可得性，可以提高门诊患者对保障的满意度。【摘要】【中文摘要】【中文摘要】【中文摘要】【中文摘要】【中文摘要】【中文摘要】【中文摘要】【中文摘要】【中文摘要】【中文摘要】【中文摘要】【中文摘要】【中文摘要】【中文摘要】【中文摘要】【中文摘要】【中文摘要】Penelitian ini bertujuan untuk mengetahui hubungan mutu pelayanan kefarmasian dan kepuasan pasen rawat jalan pada era jaminan kesehatan national。Penelitian ini merupakan review dari 5 Penelitian yang diambil dari bbbbi学者dengan topik yang terkait dengan mutu pelayanan farmasi dankepuasan pasen khususnya pasen rawat jalan dengan tujuan untuk meliha hubungan kedua topik tersebut。Hasil penelitian menunjukkan kepuasan pasien jalan terhadap pelayanan kefarmasian dapat diukur dari 5种语言:有形(bukti langsung/ fisik)、可靠(keandalan)、响应(daya tanggap)、保证(jaminan)、共情(keramahan/ kepedulian)。Terdapat tiga hasil penelitian yang menyatakan bahwa kepuasan pasen rawat jalan mempunyai nilai rendah pada waktu layanan obat(可靠性)serta dua hasil penelitian yang menyatakan bahwa kepuasan pasen rawat jalan mempunyai nilai rendah pada jaminan(保证)。Penelitian ini menypulkkan bahwa peningkatan kepuasan pasien rawat jalan terhadap waktu layanan obat dapat dempuh dengan卡拉系统kerja yang lebih sederhana, menambah petugas farmasi, edukasi konsumen tentang layanan yang diberikan。Sedangkan peningkatan kepuasan pasien rawat jalan terhadap jaminan(保证)dapat ditempuh dengan cara meningkatkan jumlah obat dalam resep yang masuk dalam tanggungan BPJS dan menjamin ketersediaan obat。
{"title":"KAJIAN MUTU PELAYANAN KEFARMASIAN DAN KEPUASAN PASIEN RAWAT JALAN PADA ERA JAMINAN KESEHATAN NASIONAL","authors":"Lukman Prayitno, S. Suharmiati","doi":"10.22435/HSR.V21I1.91","DOIUrl":"https://doi.org/10.22435/HSR.V21I1.91","url":null,"abstract":"Pharmacy services is one of health care facilities is essential and support services medical care in the era of national health insurance. This study aims to determine the relationship of the quality of pharmaceutical services and outpatient satisfaction in the era of national health insurance. This study is a review of five studies that were taken from google scholar with topics related to quality pharmacy services and patient satisfaction, especially outpatients with the aim to see the relationship between the two topics. Satisfaction outpatient pharmacy services to be measured from five aspects: the tangible (direct evidence / physical), reliability (reliability), responsiveness (responsiveness), assurance (assurance), empathy (hospitality / caring). Outpatient satisfaction with the services of pharmacy measured from five aspects of service quality. There are three research which states that the satisfaction of outpatients have a low value at the time of drug services (reliability). There are two results of the study which states that satisfaction of outpatients have a low value on the guarantee (assurance). Increasing satisfaction with time outpatient drug services can be reached by making work system more simple, adding pharmacy workers, educating consumers about the services provided. While the increase in outpatient satisfaction about the assurance can be reached by increasing the amount of drug in the recipe included in BPJS dependents and ensure the availability of drugs. \u0000 \u0000ABSTRAK \u0000Pelayanan kefarmasian merupakan salah satu sarana layanan kesehatan yang sangat penting dan menunjang layanan perawatan medik pada era jaminan kesehatan nasional. Penelitian ini bertujuan untuk mengetahui hubungan mutu pelayanan kefarmasian dan kepuasan pasien rawat jalan pada era jaminan kesehatan nasional. Penelitian ini merupakan review dari 5 penelitian yang diambil dari google scholar dengan topik yang terkait dengan mutu pelayanan farmasi dan kepuasan pasien khususnya pasien rawat jalan dengan tujuan untuk melihat hubungan kedua topik tersebut. Hasil penelitian menunjukkan kepuasan pasien rawat jalan terhadap pelayanan kefarmasian dapat diukur dari 5 aspek yaitu tangible (bukti langsung/ fisik), reliability (keandalan), responsiveness (daya tanggap), assurance (jaminan), empathy (keramahan/ kepedulian). Terdapat tiga hasil penelitian yang menyatakan bahwa kepuasan pasien rawat jalan mempunyai nilai rendah pada waktu layanan obat (reliability) serta dua hasil penelitian yang menyatakan bahwa kepuasan pasien rawat jalan mempunyai nilai rendah pada jaminan (assurance). Penelitian ini menyimpulkan bahwa peningkatan kepuasan pasien rawat jalan terhadap waktu layanan obat dapat ditempuh dengan cara membuat sistem kerja yang lebih sederhana, menambah petugas farmasi, edukasi konsumen tentang layanan yang diberikan. Sedangkan peningkatan kepuasan pasien rawat jalan terhadap jaminan (assurance) dapat ditempuh dengan cara meningkatkan jumlah obat dalam resep ya","PeriodicalId":42108,"journal":{"name":"Buletin Penelitian Sistem Kesehatan","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2018-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46890627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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