J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan
Penerapan SIMRS merupakan salah satu komponen yang penting dalam penerapan pengolahan rekam medis... more Penerapan SIMRS merupakan salah satu komponen yang penting dalam penerapan pengolahan rekam medis. Pada RSD Balung Kabupaten Jember penerapan SIMRS masih belum berjalan dengan optimal seperti keterlambatan memasukkan data rekam medis pasien pada SIMRS dan sikap pengguna atau admin SIMRS yang lupa menginput data pasien ke SIMRS. Hal ini menunjukkan sikap pengguna yang kurang memiliki kesadaraan dalam penggunaan SIMRS. Tujuan penelitian ini adalah menganalisis penerimaan SIMRS terutama pada pengguna SIMRS RSD Balung Kabupaten Jember dengan menggunakan pendekatan Technology Acceptance Model (TAM). Metode yang digunakan yaitu analitik dengan pendekatan cross sectional dengan teknik pengumpulan data wawancara dan observasi. Analisis data penelitian ini menggunakan analisis univariat dan analisis bivariat dengan uji regresi linier sederhana. Hasil penelitian ini mengetahui, ada pengaruh persepsi kemudahan terhadap persepsi sikap menggunakan SIMRS, ada pengaruh persepsi kemudahan terhadap ...
Puskesmas adalah unit pelaksana teknis Dinas Kesehatan Kabupaten yang keberadaannya sangat pentin... more Puskesmas adalah unit pelaksana teknis Dinas Kesehatan Kabupaten yang keberadaannya sangat penting di masyarakat. Kinerja organisasi puskesmas di Kabupaten Jember tahun 2012 masih sangat rendah. Salah satu faktor yang dapat mempengaruhi kinerja organisasi adalah budaya organisasi. Tujuan penelitian ini adalah untuk menganalisis hubungan antara profil budaya organisasi (menggunakan pendekatan Competing Values Framework) dengan kinerja organisasi puskesmas di Kabupaten Jember tahun 2012. Penelitian ini merupakan penelitian analitik dengan pendekatan cross sectional. Penentuan sampel dalam penelitian ini menggunakan teknik proportionate stratified random sampling, dengan besar sampel sejumlah 33 Puskesmas (723 responden). Analisis data menggunakan uji korelasi Lambda (α=0,05). Hasil penelitian menunjukkan bahwa jenis budaya dominan Puskesmas pada budaya hierarchy sebanyak 78,79%, clan sebanyak 12,12%, market sebanyak 9,09%, dan adhocracy sebanyak 0%. Hasil uji korelasi Lambda menunjukkan terdapat hubungan antara budaya organisasi dan kinerja organisasi puskesmas di Kabupaten Jember (0,045 < α) dengan tingkat penurunan kesalahan sebesar 62,50%.
Es Krim Kelor: Produk Inovasi sebagai Upaya Pencegahan Stunting dalam 1000 Hari Pertama Kehidupan... more Es Krim Kelor: Produk Inovasi sebagai Upaya Pencegahan Stunting dalam 1000 Hari Pertama Kehidupan (HPK). Tepung daun kelor yang diolah menjadi es krim kelor mengandung zat gizi yang tinggi, terutama protein dan kalsium. Es krim kelor merupakam salah satu inovasi produk pangan lokal dalam upaya penanggulangan stunting. Mitra adalah Usaha Kecil Menengah (UKM) “Kesilir Marongghi Center Community (KM-2C)” yang mengalami masalah dalam pengembangan produk dan penjualan tepung daun kelor. Hasil penelitian ketua tim pengusul, menyatakan bahwa tepung daun kelor dapat diolah menjadi es krim kelor dengan penambahan tepung kelor 25 gram. Solusi pengolahan produk inovasi es krim kelor dilaksanakan melalui beberapa metode, yaitu: (1) pelatihan produksi; (2) pendampingan pengurusan P-IRT/SP; (3) pelatihan manajemen pembiayaan usaha dan pemasaran; (4) pendampingan produksi hingga pemasaran. Kegiatan ini dapat membantu permasalahan yang dihadapi mitra. Target dan luaran yang diharapkan telah tercapa...
Jember is one of the districts with high MMR (102/100.000 live births) and IMR (23/1000 live birt... more Jember is one of the districts with high MMR (102/100.000 live births) and IMR (23/1000 live births) at 2015 in East Java. This indicates that the service utilization Antenatal Care (ANC) in the existing health care facilities in Jember still not optimal. Most of the causes of health care utilization that occurred in the community affected by the behavior of the model of society in choosing and utilizing the health service. Identify the distribution of respondents' knowledge and attitudes about the MCH services. The study is a descriptive observational study with cross sectional design. The unit of analysis of this study is the entire women who have earned MCH services, with a sample of 29 respondents. Respondents assess the health services provided are good (96.6%), whereas the components of MCH services, materials and medicine, counseling, care of infants and toddlers and the availability of staff each got a good assessment of 96.6%, laboratory services and physical facilities...
By increasing human population, the problem of waste is become a serious problem in urban communi... more By increasing human population, the problem of waste is become a serious problem in urban communities. Surabaya is the second largest city produce waste as much as 8,700 m3/day. Alternative solutions in dealing with municipal waste are waste management based on community’s participation. The purpose of this study was to determine the public perception in community-based waste management. Type of research is an observational by comparing between assisted and unassisted areas. Sample on research is 1000 people. Analyze technique used are descriptive and analytical. The results showed that respondents in assisted areas who have perception suggest in a way to handling municipal waste is sorting and processing at point of source (household/ neighborhood) are 72.6% (range 52.9 – 89.0%). The amount is higher than in the control/ unassisted areas, which only 43.9% respondents (34.8 – 76.2%) who have the same perception. Chi-square test result demonstrated the value of P = 0,000 which is sma...
Puger is the largest fish producing sub-district in Jember district, which also has a prevalence ... more Puger is the largest fish producing sub-district in Jember district, which also has a prevalence of high nutritional problems. During this time there are “mitra” who are a group of fish processors and marketers (POKLAHSAR) namely "Ekonomi Puger Bahari (EPB)" and "Duta Tongkol" who try to explore the potential of fish in Puger District. Tuna fish abon produced by “mitra” has a soft texture (srundeng like) so that it is less preferred by consumers therefore this paper argues that there's a need to add banana blossoms as a compound, does not have P-IRT (product permit), and the marketing of the product is not optimal. The author believes that if there is a need for development in terms of products implemented in several respects, among others: 1) Training on modified abon production; 2) Management of P-IRT; 3) Training in business financing and marketing management; 4) Production and marketing assistance. This activity can help partner problems. Expected targets...
Lead is one of the air pollutants that have implications for human health. The use of lead can st... more Lead is one of the air pollutants that have implications for human health. The use of lead can still be found as an additive in the fuel octane rating, altough by limited levels. The driver is one of the groups that are exposed by lead and because it is has along half life, blood lead can accumulate in the bone and give adverse health effects. The objectives of study are to identify blood lead levels and reviewing policies respondent organizations in the prevention of lead exposure. The study is a descriptive observational study with cross sectional design. The unit of analysis of this study is the entire driver TV lane at Surabaya with a sample of 29 respondents. The results showed blood lead levels mostly distributed at ≤ 10μg/dl (72.4%). Distribution of the average value of the levels of lead in the blood of the respondents (8.74 ±1.80μg/ dl) has a minimum value of 5.480μg/dl and 11.784μg/dl on maximum value. According to the information showed that organizational has minimum eff...
Background & Objective: Based on Bondowoso’s Performance Assessment of Public Health Care in 2014... more Background & Objective: Based on Bondowoso’s Performance Assessment of Public Health Care in 2014 through 2016, there is one aspect of the Performance Assessment of Public Health Care that always belongs to the low performance, it is the aspect of health care coverage. The level of health care coverage significantly affect life expectancy. Life expectancy is one indicator in determining backward region. Based on Presidential Decree No. 131 in 2015 Bondowoso established as a backward region in East Java at the first place. This study aimed to analyze the correlation between motivation, job satisfaction and organizational commitment of program managers with health care coverage at Public Health Care in Bondowoso 2017. Material and Method : This study used analytic research with cross–sectional approach. Population of this research were 101 program managers with total sample were 81 respondent. Result : An association between motivation (p value = 0.000 <0.05), job satisfaction (p v...
Based on formative study in 2015, there were 98% of inhabitants who haven’t register as a partici... more Based on formative study in 2015, there were 98% of inhabitants who haven’t register as a participant in National Health Insurance (NHI) at Silo Sub district. From unregistered participant, 46.9% haven’t received information about NHI, while 29.2% showed their dissatisfaction about primary health services. In general, incomes still to be main factor of NHI participation. The objectives of the study were analyze correlation between total incomes with Willingness to Pay (WTP) and based on their education level and socialization they had. The type of study was analytic and involved 98 respondents. The result showed there were positively correlated between total incomes with WTP (rs= 0.462; p=0.000), even though relationship statistically was only shown in uneducated level group (rs= 0.704; p=0.002), senior high school and higher (rs= 0.716; p=0.003) and also socialized group (rs= 0.571; p=0.000). The recommendations are optimize socialization of NHI to informal groups, middle groups an...
National Health Insurance (NHI) is a part of the National System of Social Insurance which is est... more National Health Insurance (NHI) is a part of the National System of Social Insurance which is estabilished by Social Agencies of Health. One of the problems in NHI is corporations membership. All employers such as State-Owned Enterprise (BUMN), large, medium or small scale corporations are the target member of NHI, at least by January 1st 2015, but this target has yet to be actualized. The number of corporation in Jember, by February 2017, has reached 2451 and only 954 corporations were registered (38,92%). The objectives of this study was to assess corporations decision on NHI membership. The study applied qualitative case study. Informant determination technique uses purposive sampling. The results showed that the components of input was not appropriate. Knowledge, perception on product characteristics and need of informants were low, reference group posed significant influence on the corporations decision making in taking part in NHI. The decision making process has yet optimal i...
Background: Workload can affect the work productivity of the outpatient claim officers. The purpo... more Background: Workload can affect the work productivity of the outpatient claim officers. The purpose of this study was to calculate the workload and the number of outpatient claim officers’ needs at Insurance Installation of Regional General Hospital based on the Health Workload Analysis method. Method: This study was descriptive study carried out through observational survey with 9 respondents in carrying out their activities in the Insurance Installation of Sidoarjo Regional Hospital. Result: The results showed that the most frequently used of activity time between productive activities and unproductive activities by file receiver staffs was the use of unproductive activities. Meanwhile, the most frequent use of activity time by coding, costing, outpatient monitoring and evaluation coordinators staffs was the use of time for productive activities. Conclusion: The calculation of the need for outpatient claim officers by using Health Workload Analysis was 10 people.
The highest prevalence of malnutrition cases is in Gorontalo District which is 3.2% in 2018 and t... more The highest prevalence of malnutrition cases is in Gorontalo District which is 3.2% in 2018 and the highest public health center in the Tibawa area is 4.2% in cases of malnutrition and underfives carrying a red line are 4.7% and 2 toddlers do not gaining weight for 3 times in a row The results of growth and development monitoring were carried out at the posyandu until September 2018. This study aims to analyze the effect of nutrition assistance with media booklets to improve the knowledge and practices of hamlet heads in determining the nutritional status of children under five. The research method was quasi-experimental with pre -post, sample selection with a total sample of 77 respondents,37 interventions and 40 controls.The results showed that there were no significant differences in knowledge of the treatment and control groups before the pre intervention (p=0.857). There were significant differences in knowledge before and after the intervention group pos1 (p=0,000) and post2 (...
One of factors that affected maternal death are skill and ability of delivery. According tothe da... more One of factors that affected maternal death are skill and ability of delivery. According tothe data of Health Department of Jember District , the numbers of childbirth helped bytraditional birth attendance at the subdistrict area of Bangsalsari Community HealthCenter were 165 in 2012 and 102 childbirth in 2013. The goal of study was to describethe role of traditional birth attendance in the implementation of Midwife and TraditionalBirth Attendance Partnership in pregnancy and delivery period in BangsalsariCommunity Health Center, Jember District. The study was a qualitative study with haveinvolving 11 informants by Purposive technique. The result showed that traditional birthattendance have did some of their roles in pregnancy and delivery period. Pregnantmother have motivate traditional birth attendance to do check pregnancy and deliveryprocess to midwife but some of them did not have go to midwife to check pregnancy andpreferred to choose traditional birth attendance as their deli...
Prosiding Seminar Nasional "Peran Keilmuan Kesehatan Masyarakat dalam Pembangunan Kependuduk... more Prosiding Seminar Nasional "Peran Keilmuan Kesehatan Masyarakat dalam Pembangunan Kependudukan setelah Pencanangan MDG's" Sabtu, 16 Nopember 2013 - Hotel Panorama Jember
Bondowoso is districts in East Java with the third lowest HDI, which amounted to 65.39 with a lif... more Bondowoso is districts in East Java with the third lowest HDI, which amounted to 65.39 with a lifeexpectancy of 63.95 years. It shows that access to health is still limited. According to theseconditions, it needs for a review the implementation of the National Health Insurance policy. Theobjective of this study was to analyze the preparedness and perception of Bondowosocommunity for the National Health Insurance (NHI) policy. This type of research is observationaldescriptive with quantitative approach. The sample was 192 respondents with multistage randomsampling technique. Data was obtained through interviews using a questionnaire, and thenanalyzed using univariate and presented descriptively. Research shows that respondents aged40-49 years (39.1%), male sex (68.8%) with a high school education level / equivalent (55.2%).Resources owned television (97.4%). However, respondents get information NHI fromneighbors / friends (54.1%), respondents felt the need to have health insurance fo...
Stroke merupakan salah satu penyakit katastropik yang menjadi penyebab kematian paling banyak di ... more Stroke merupakan salah satu penyakit katastropik yang menjadi penyebab kematian paling banyak di Indonesia. Kota Probolinggo merupakan kota dengan prevalensi stroke tertinggi kedua di Jawa Timur. Prevalensi dan kematian akibat stroke ini terus meningkat di RSUD dr. Mohamad Saleh Kota Probolinggo. Stroke merupakan penyakit berbiaya tinggi dan secara komplikasi dapat membahayakan jiwa, sehingga dibutuhkan pengelolaan pembiayaan yang tepat untuk menjamin efektifitas dan efisiensi pelayanan kesehatan penyakit ini. Oleh karena itu, perlu dilakukan studi mengenai cost of treatment yang mengukur biaya perawatan per episode layanan dari stroke. Tujuan penelitian ini untuk mengetahui gambaran perhitungan cost of treatment pada penderita stroke peserta BPJS di RSUD dr. Mohamad Saleh Kota Probolinggo. Studi ini merupakan studi evaluasi ekonomi parsial, dimana bertujuan untuk mendeskripsikan suatu objek biaya tanpa ada perbandingan terhadap intervensi lain yang dilakukan di RSUD dr. Mohamad Sa...
AbstrakKesehatan Ibu dan Anak (KIA) merupakan permasalahan kesehatan yang belum tuntas di Indones... more AbstrakKesehatan Ibu dan Anak (KIA) merupakan permasalahan kesehatan yang belum tuntas di Indonesia. Ibu dan anak adalah anggota keluarga yang perlu mendapatkan perhatian serta prioritas dalam usaha penyelenggaran kesehatan. Tahun 2012 terdapat enam provinsi yang menjadi fokus pemerintah dalam mengatasi permasalahan kematian ibu yang salah satunya Jawa Timur. Kabupaten Jember menjadi salah satu Kabupaten di Jawa Timur yang masih mengalami permasalahan KIA. Penambahan anggaran dalam upaya peningkatan kesehatan ibu dan anak belum berjalan secara optimal di Kabupaten Jember. Oleh karena itu, perlu dilakukan penelitian dengan pendekatan Health Account terkait KIA di Kabupaten Jember. Jenis penelitian yang digunakan adalah penelitian deskriptif. Unit analisis pada penelitian ini adalah intitusi yang melakukan kegiatan langsung maupun tidak langsung terhadap program KIA pada tahun 2018 dengan fokus anggaran yang berada pada tingkat daerah. Hasil penelitian menunjukkan pola belanja pada se...
Data tim pengelola Sistem Informasi Kesehatan (SIK) Lumajang Dinas Kesehatan Kabupaten Lumajang m... more Data tim pengelola Sistem Informasi Kesehatan (SIK) Lumajang Dinas Kesehatan Kabupaten Lumajang menyebutkan bahwa permasalahan dalam pemanfaatan SIK yaitu puskesmas atau pengguna yang belum siap dan menerima aplikasi SIK Lumajang. Hanya 11 dari 25 puskesmas yang telah memanfaatkan aplikasi SIK Lumajang sebagai aplikasi sistem informasi manajemen di puskesmas. Penelitian ini bertujuan untuk mengidentifikasi kesiapan pengguna dan pengaruhnya terhadap penerimaan aplikasi SIK Lumajang sebagai aplikasi sistem informasi manajemen puskesmas di Kabupaten Lumajang dengan konsep teori TRI dan TAM. Penelitian ini adalah penelitian kuantitatif dengan rancangan cross sectional, dilakukan di 11 Puskesmas yang telah memanfaatkan aplikasi SIK Lumajang. Pengambilan data menggunakan metode wawancara dengan kuesioner dan dokumentasi SIK Lumajang bulan September 2016 sampai dengan Oktober 2017. Sampel sebanyak 54 responden diambil dengan teknik multistage random sampling. Data yang dikumpulkan berupa t...
J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan
Penerapan SIMRS merupakan salah satu komponen yang penting dalam penerapan pengolahan rekam medis... more Penerapan SIMRS merupakan salah satu komponen yang penting dalam penerapan pengolahan rekam medis. Pada RSD Balung Kabupaten Jember penerapan SIMRS masih belum berjalan dengan optimal seperti keterlambatan memasukkan data rekam medis pasien pada SIMRS dan sikap pengguna atau admin SIMRS yang lupa menginput data pasien ke SIMRS. Hal ini menunjukkan sikap pengguna yang kurang memiliki kesadaraan dalam penggunaan SIMRS. Tujuan penelitian ini adalah menganalisis penerimaan SIMRS terutama pada pengguna SIMRS RSD Balung Kabupaten Jember dengan menggunakan pendekatan Technology Acceptance Model (TAM). Metode yang digunakan yaitu analitik dengan pendekatan cross sectional dengan teknik pengumpulan data wawancara dan observasi. Analisis data penelitian ini menggunakan analisis univariat dan analisis bivariat dengan uji regresi linier sederhana. Hasil penelitian ini mengetahui, ada pengaruh persepsi kemudahan terhadap persepsi sikap menggunakan SIMRS, ada pengaruh persepsi kemudahan terhadap ...
Puskesmas adalah unit pelaksana teknis Dinas Kesehatan Kabupaten yang keberadaannya sangat pentin... more Puskesmas adalah unit pelaksana teknis Dinas Kesehatan Kabupaten yang keberadaannya sangat penting di masyarakat. Kinerja organisasi puskesmas di Kabupaten Jember tahun 2012 masih sangat rendah. Salah satu faktor yang dapat mempengaruhi kinerja organisasi adalah budaya organisasi. Tujuan penelitian ini adalah untuk menganalisis hubungan antara profil budaya organisasi (menggunakan pendekatan Competing Values Framework) dengan kinerja organisasi puskesmas di Kabupaten Jember tahun 2012. Penelitian ini merupakan penelitian analitik dengan pendekatan cross sectional. Penentuan sampel dalam penelitian ini menggunakan teknik proportionate stratified random sampling, dengan besar sampel sejumlah 33 Puskesmas (723 responden). Analisis data menggunakan uji korelasi Lambda (α=0,05). Hasil penelitian menunjukkan bahwa jenis budaya dominan Puskesmas pada budaya hierarchy sebanyak 78,79%, clan sebanyak 12,12%, market sebanyak 9,09%, dan adhocracy sebanyak 0%. Hasil uji korelasi Lambda menunjukkan terdapat hubungan antara budaya organisasi dan kinerja organisasi puskesmas di Kabupaten Jember (0,045 < α) dengan tingkat penurunan kesalahan sebesar 62,50%.
Es Krim Kelor: Produk Inovasi sebagai Upaya Pencegahan Stunting dalam 1000 Hari Pertama Kehidupan... more Es Krim Kelor: Produk Inovasi sebagai Upaya Pencegahan Stunting dalam 1000 Hari Pertama Kehidupan (HPK). Tepung daun kelor yang diolah menjadi es krim kelor mengandung zat gizi yang tinggi, terutama protein dan kalsium. Es krim kelor merupakam salah satu inovasi produk pangan lokal dalam upaya penanggulangan stunting. Mitra adalah Usaha Kecil Menengah (UKM) “Kesilir Marongghi Center Community (KM-2C)” yang mengalami masalah dalam pengembangan produk dan penjualan tepung daun kelor. Hasil penelitian ketua tim pengusul, menyatakan bahwa tepung daun kelor dapat diolah menjadi es krim kelor dengan penambahan tepung kelor 25 gram. Solusi pengolahan produk inovasi es krim kelor dilaksanakan melalui beberapa metode, yaitu: (1) pelatihan produksi; (2) pendampingan pengurusan P-IRT/SP; (3) pelatihan manajemen pembiayaan usaha dan pemasaran; (4) pendampingan produksi hingga pemasaran. Kegiatan ini dapat membantu permasalahan yang dihadapi mitra. Target dan luaran yang diharapkan telah tercapa...
Jember is one of the districts with high MMR (102/100.000 live births) and IMR (23/1000 live birt... more Jember is one of the districts with high MMR (102/100.000 live births) and IMR (23/1000 live births) at 2015 in East Java. This indicates that the service utilization Antenatal Care (ANC) in the existing health care facilities in Jember still not optimal. Most of the causes of health care utilization that occurred in the community affected by the behavior of the model of society in choosing and utilizing the health service. Identify the distribution of respondents' knowledge and attitudes about the MCH services. The study is a descriptive observational study with cross sectional design. The unit of analysis of this study is the entire women who have earned MCH services, with a sample of 29 respondents. Respondents assess the health services provided are good (96.6%), whereas the components of MCH services, materials and medicine, counseling, care of infants and toddlers and the availability of staff each got a good assessment of 96.6%, laboratory services and physical facilities...
By increasing human population, the problem of waste is become a serious problem in urban communi... more By increasing human population, the problem of waste is become a serious problem in urban communities. Surabaya is the second largest city produce waste as much as 8,700 m3/day. Alternative solutions in dealing with municipal waste are waste management based on community’s participation. The purpose of this study was to determine the public perception in community-based waste management. Type of research is an observational by comparing between assisted and unassisted areas. Sample on research is 1000 people. Analyze technique used are descriptive and analytical. The results showed that respondents in assisted areas who have perception suggest in a way to handling municipal waste is sorting and processing at point of source (household/ neighborhood) are 72.6% (range 52.9 – 89.0%). The amount is higher than in the control/ unassisted areas, which only 43.9% respondents (34.8 – 76.2%) who have the same perception. Chi-square test result demonstrated the value of P = 0,000 which is sma...
Puger is the largest fish producing sub-district in Jember district, which also has a prevalence ... more Puger is the largest fish producing sub-district in Jember district, which also has a prevalence of high nutritional problems. During this time there are “mitra” who are a group of fish processors and marketers (POKLAHSAR) namely "Ekonomi Puger Bahari (EPB)" and "Duta Tongkol" who try to explore the potential of fish in Puger District. Tuna fish abon produced by “mitra” has a soft texture (srundeng like) so that it is less preferred by consumers therefore this paper argues that there's a need to add banana blossoms as a compound, does not have P-IRT (product permit), and the marketing of the product is not optimal. The author believes that if there is a need for development in terms of products implemented in several respects, among others: 1) Training on modified abon production; 2) Management of P-IRT; 3) Training in business financing and marketing management; 4) Production and marketing assistance. This activity can help partner problems. Expected targets...
Lead is one of the air pollutants that have implications for human health. The use of lead can st... more Lead is one of the air pollutants that have implications for human health. The use of lead can still be found as an additive in the fuel octane rating, altough by limited levels. The driver is one of the groups that are exposed by lead and because it is has along half life, blood lead can accumulate in the bone and give adverse health effects. The objectives of study are to identify blood lead levels and reviewing policies respondent organizations in the prevention of lead exposure. The study is a descriptive observational study with cross sectional design. The unit of analysis of this study is the entire driver TV lane at Surabaya with a sample of 29 respondents. The results showed blood lead levels mostly distributed at ≤ 10μg/dl (72.4%). Distribution of the average value of the levels of lead in the blood of the respondents (8.74 ±1.80μg/ dl) has a minimum value of 5.480μg/dl and 11.784μg/dl on maximum value. According to the information showed that organizational has minimum eff...
Background & Objective: Based on Bondowoso’s Performance Assessment of Public Health Care in 2014... more Background & Objective: Based on Bondowoso’s Performance Assessment of Public Health Care in 2014 through 2016, there is one aspect of the Performance Assessment of Public Health Care that always belongs to the low performance, it is the aspect of health care coverage. The level of health care coverage significantly affect life expectancy. Life expectancy is one indicator in determining backward region. Based on Presidential Decree No. 131 in 2015 Bondowoso established as a backward region in East Java at the first place. This study aimed to analyze the correlation between motivation, job satisfaction and organizational commitment of program managers with health care coverage at Public Health Care in Bondowoso 2017. Material and Method : This study used analytic research with cross–sectional approach. Population of this research were 101 program managers with total sample were 81 respondent. Result : An association between motivation (p value = 0.000 <0.05), job satisfaction (p v...
Based on formative study in 2015, there were 98% of inhabitants who haven’t register as a partici... more Based on formative study in 2015, there were 98% of inhabitants who haven’t register as a participant in National Health Insurance (NHI) at Silo Sub district. From unregistered participant, 46.9% haven’t received information about NHI, while 29.2% showed their dissatisfaction about primary health services. In general, incomes still to be main factor of NHI participation. The objectives of the study were analyze correlation between total incomes with Willingness to Pay (WTP) and based on their education level and socialization they had. The type of study was analytic and involved 98 respondents. The result showed there were positively correlated between total incomes with WTP (rs= 0.462; p=0.000), even though relationship statistically was only shown in uneducated level group (rs= 0.704; p=0.002), senior high school and higher (rs= 0.716; p=0.003) and also socialized group (rs= 0.571; p=0.000). The recommendations are optimize socialization of NHI to informal groups, middle groups an...
National Health Insurance (NHI) is a part of the National System of Social Insurance which is est... more National Health Insurance (NHI) is a part of the National System of Social Insurance which is estabilished by Social Agencies of Health. One of the problems in NHI is corporations membership. All employers such as State-Owned Enterprise (BUMN), large, medium or small scale corporations are the target member of NHI, at least by January 1st 2015, but this target has yet to be actualized. The number of corporation in Jember, by February 2017, has reached 2451 and only 954 corporations were registered (38,92%). The objectives of this study was to assess corporations decision on NHI membership. The study applied qualitative case study. Informant determination technique uses purposive sampling. The results showed that the components of input was not appropriate. Knowledge, perception on product characteristics and need of informants were low, reference group posed significant influence on the corporations decision making in taking part in NHI. The decision making process has yet optimal i...
Background: Workload can affect the work productivity of the outpatient claim officers. The purpo... more Background: Workload can affect the work productivity of the outpatient claim officers. The purpose of this study was to calculate the workload and the number of outpatient claim officers’ needs at Insurance Installation of Regional General Hospital based on the Health Workload Analysis method. Method: This study was descriptive study carried out through observational survey with 9 respondents in carrying out their activities in the Insurance Installation of Sidoarjo Regional Hospital. Result: The results showed that the most frequently used of activity time between productive activities and unproductive activities by file receiver staffs was the use of unproductive activities. Meanwhile, the most frequent use of activity time by coding, costing, outpatient monitoring and evaluation coordinators staffs was the use of time for productive activities. Conclusion: The calculation of the need for outpatient claim officers by using Health Workload Analysis was 10 people.
The highest prevalence of malnutrition cases is in Gorontalo District which is 3.2% in 2018 and t... more The highest prevalence of malnutrition cases is in Gorontalo District which is 3.2% in 2018 and the highest public health center in the Tibawa area is 4.2% in cases of malnutrition and underfives carrying a red line are 4.7% and 2 toddlers do not gaining weight for 3 times in a row The results of growth and development monitoring were carried out at the posyandu until September 2018. This study aims to analyze the effect of nutrition assistance with media booklets to improve the knowledge and practices of hamlet heads in determining the nutritional status of children under five. The research method was quasi-experimental with pre -post, sample selection with a total sample of 77 respondents,37 interventions and 40 controls.The results showed that there were no significant differences in knowledge of the treatment and control groups before the pre intervention (p=0.857). There were significant differences in knowledge before and after the intervention group pos1 (p=0,000) and post2 (...
One of factors that affected maternal death are skill and ability of delivery. According tothe da... more One of factors that affected maternal death are skill and ability of delivery. According tothe data of Health Department of Jember District , the numbers of childbirth helped bytraditional birth attendance at the subdistrict area of Bangsalsari Community HealthCenter were 165 in 2012 and 102 childbirth in 2013. The goal of study was to describethe role of traditional birth attendance in the implementation of Midwife and TraditionalBirth Attendance Partnership in pregnancy and delivery period in BangsalsariCommunity Health Center, Jember District. The study was a qualitative study with haveinvolving 11 informants by Purposive technique. The result showed that traditional birthattendance have did some of their roles in pregnancy and delivery period. Pregnantmother have motivate traditional birth attendance to do check pregnancy and deliveryprocess to midwife but some of them did not have go to midwife to check pregnancy andpreferred to choose traditional birth attendance as their deli...
Prosiding Seminar Nasional "Peran Keilmuan Kesehatan Masyarakat dalam Pembangunan Kependuduk... more Prosiding Seminar Nasional "Peran Keilmuan Kesehatan Masyarakat dalam Pembangunan Kependudukan setelah Pencanangan MDG's" Sabtu, 16 Nopember 2013 - Hotel Panorama Jember
Bondowoso is districts in East Java with the third lowest HDI, which amounted to 65.39 with a lif... more Bondowoso is districts in East Java with the third lowest HDI, which amounted to 65.39 with a lifeexpectancy of 63.95 years. It shows that access to health is still limited. According to theseconditions, it needs for a review the implementation of the National Health Insurance policy. Theobjective of this study was to analyze the preparedness and perception of Bondowosocommunity for the National Health Insurance (NHI) policy. This type of research is observationaldescriptive with quantitative approach. The sample was 192 respondents with multistage randomsampling technique. Data was obtained through interviews using a questionnaire, and thenanalyzed using univariate and presented descriptively. Research shows that respondents aged40-49 years (39.1%), male sex (68.8%) with a high school education level / equivalent (55.2%).Resources owned television (97.4%). However, respondents get information NHI fromneighbors / friends (54.1%), respondents felt the need to have health insurance fo...
Stroke merupakan salah satu penyakit katastropik yang menjadi penyebab kematian paling banyak di ... more Stroke merupakan salah satu penyakit katastropik yang menjadi penyebab kematian paling banyak di Indonesia. Kota Probolinggo merupakan kota dengan prevalensi stroke tertinggi kedua di Jawa Timur. Prevalensi dan kematian akibat stroke ini terus meningkat di RSUD dr. Mohamad Saleh Kota Probolinggo. Stroke merupakan penyakit berbiaya tinggi dan secara komplikasi dapat membahayakan jiwa, sehingga dibutuhkan pengelolaan pembiayaan yang tepat untuk menjamin efektifitas dan efisiensi pelayanan kesehatan penyakit ini. Oleh karena itu, perlu dilakukan studi mengenai cost of treatment yang mengukur biaya perawatan per episode layanan dari stroke. Tujuan penelitian ini untuk mengetahui gambaran perhitungan cost of treatment pada penderita stroke peserta BPJS di RSUD dr. Mohamad Saleh Kota Probolinggo. Studi ini merupakan studi evaluasi ekonomi parsial, dimana bertujuan untuk mendeskripsikan suatu objek biaya tanpa ada perbandingan terhadap intervensi lain yang dilakukan di RSUD dr. Mohamad Sa...
AbstrakKesehatan Ibu dan Anak (KIA) merupakan permasalahan kesehatan yang belum tuntas di Indones... more AbstrakKesehatan Ibu dan Anak (KIA) merupakan permasalahan kesehatan yang belum tuntas di Indonesia. Ibu dan anak adalah anggota keluarga yang perlu mendapatkan perhatian serta prioritas dalam usaha penyelenggaran kesehatan. Tahun 2012 terdapat enam provinsi yang menjadi fokus pemerintah dalam mengatasi permasalahan kematian ibu yang salah satunya Jawa Timur. Kabupaten Jember menjadi salah satu Kabupaten di Jawa Timur yang masih mengalami permasalahan KIA. Penambahan anggaran dalam upaya peningkatan kesehatan ibu dan anak belum berjalan secara optimal di Kabupaten Jember. Oleh karena itu, perlu dilakukan penelitian dengan pendekatan Health Account terkait KIA di Kabupaten Jember. Jenis penelitian yang digunakan adalah penelitian deskriptif. Unit analisis pada penelitian ini adalah intitusi yang melakukan kegiatan langsung maupun tidak langsung terhadap program KIA pada tahun 2018 dengan fokus anggaran yang berada pada tingkat daerah. Hasil penelitian menunjukkan pola belanja pada se...
Data tim pengelola Sistem Informasi Kesehatan (SIK) Lumajang Dinas Kesehatan Kabupaten Lumajang m... more Data tim pengelola Sistem Informasi Kesehatan (SIK) Lumajang Dinas Kesehatan Kabupaten Lumajang menyebutkan bahwa permasalahan dalam pemanfaatan SIK yaitu puskesmas atau pengguna yang belum siap dan menerima aplikasi SIK Lumajang. Hanya 11 dari 25 puskesmas yang telah memanfaatkan aplikasi SIK Lumajang sebagai aplikasi sistem informasi manajemen di puskesmas. Penelitian ini bertujuan untuk mengidentifikasi kesiapan pengguna dan pengaruhnya terhadap penerimaan aplikasi SIK Lumajang sebagai aplikasi sistem informasi manajemen puskesmas di Kabupaten Lumajang dengan konsep teori TRI dan TAM. Penelitian ini adalah penelitian kuantitatif dengan rancangan cross sectional, dilakukan di 11 Puskesmas yang telah memanfaatkan aplikasi SIK Lumajang. Pengambilan data menggunakan metode wawancara dengan kuesioner dan dokumentasi SIK Lumajang bulan September 2016 sampai dengan Oktober 2017. Sampel sebanyak 54 responden diambil dengan teknik multistage random sampling. Data yang dikumpulkan berupa t...
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