scholarly journals Quality of health services during the pandemic COVID-19 (Descriptive study at the Pontap community health center in Palopo City)

2021 ◽  
Vol 8 (4) ◽  
pp. 1578
Author(s):  
Adam Badwi ◽  
Periyenti Ba'ru
Keyword(s):  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Quantitative Research ◽  
Health Workers ◽  
Community Health Center ◽  
Public Health Services ◽  
Good Communication ◽  
The One

Background: During the COVID-19 pandemic that has hit the world including the Indonesia since March 2020, it may not reduce the quality of public health services at the Community Health Center for visiting people on the one hand, however, on the other hand, it is still necessary to prioritize the safety of patients and health workers. Health services at the Community Health Center during the Covid-19 Pandemic will be very different from the situation before COVID-19.Methods: The research was conducted using quantitative research with a descriptive approach which was carried out at the Pontap Community Health Center, Palopo City for 3 months, namely September to November 2020.The population in this study were all patients who visited the Pontap Community Health Center in Palopo City at the time of the study with a sample of 130 people who were determined using purposive sampling technique.Results: The results of the study showed the reliability of health workers in the good category was 93.8%, the health worker assurance in the good category was 90.0%, tangibles displayed by health workers was more in the good category, namely 88.5%, empathy for health workers was 93.8%, good responsiveness of 90.0%.Conclusions: So it is concluded to provide recommendations, namely for health workers to maintain professionalism at work, especially during the COVID-19 pandemic and increase their attention to patients in terms of building good communication between health workers and the public.

scholarly journals Factor Affecting the Utilization of Family Planning Program Services

2021 ◽  
Vol 2 (2) ◽  
pp. 41-50
Author(s):  
Melda Andriani ◽  
Megawati Megawati ◽  
Asriwati Asriwati ◽  
Lucia Lastiur
Keyword(s):  
Family Planning ◽  
Community Health ◽  
Health Center ◽  
Mixed Methods Research ◽  
Quantitative Methods ◽  
Family Planning Program ◽  
Health Workers ◽  
Community Health Center ◽  
Planning Program

Family planning to spacing or planning the number and distance of pregnancies using contraception. Data on active family planning participants based on the type of contraception at the Pasie Raya Community Health Center in 2019 was 39.4%, there was no increase in the coverage of active KB participants based on the type of contraception in 2018 of 49.4%. The aim is to find out what are the factors that influence the use of family planning program services for women in the working area of ​​the Pasie Raya Community Health Center. This type of research is a combination research (mixed methods research) combining or combining quantitative methods and qualitative methods with Accidental Sampling sampling techniques on 90 samples and 5 informants. Quantitative data were analyzed using univariate, bivariate and multivariate logistic regression tests. The results of the study showed the influence of knowledge, information sources, culture, family support and support from health workers on the utilization of family planning program services. Based on the multivariate analysis, the support variable for health workers is the dominant variable, while the results of the qualitative analysis on key informants and supporters can be concluded that women have taken advantage of the Kb service program, but most of the women do not understand and understand the benefits that are obtained from the family planning program. The conclusion from the health workers is very important in the utilization of family planning program services. It is recommended that the Health Office conduct more evaluations of family planning services at the Puskesmas. It is necessary to improve the quality of Kb services by including health workers in training.

scholarly journals LOWER PERCEIVED-STIGMATIZATION BY HEALTH WORKERS AMONG HIV-AIDS PATIENTS OF KEY POPULATION BACKGROUNDS

2020 ◽  
Vol 8 (2) ◽  
pp. 90
Author(s):  
Jihan Qonitatillah ◽  
Samsriyaningsih Handayani ◽  
Ernawati Ernawati ◽  
Musofa Rusli
Keyword(s):  
Quality Of Life ◽  
Community Health ◽  
Health Center ◽  
Health Workers ◽  
Community Health Center ◽  
People Living With Hiv ◽  
Key Population ◽  
Living With Hiv ◽  
Hiv Aids

The stigma of people living with HIV-AIDS (PLWHA) by health workers may have a broad impact, so it is necessary to identify the factors that influence the occurrence of stigma. Identification of factors that cause a decrease in stigmatization by health workers will have an impact on improving the quality of life of people with HIV, increasing compliance with medication, and ultimately reducing the incidence of HIV infection itself. The purpose of this study was to analyze factors related to PLWHA’s perception of stigma among health workers in the community health center.  This research applied a cross-sectional design using interviews. Ninety-four patients from the Infectious Disease Intermediate Care of Dr. Soetomo Hospital Surabaya, a tertiary level hospital, were interviewed. The stigma perception was assessed using a questionnaire modified from the Standardized Brief Questionnaire by Health Policy Project with Cronbach’s Alpha of 0.786. The data were simultaneously analyzed with binary multiple regressions on IBM SPSS Statistics 22.0 for Windows software. There were 30 out of 94 patients with key population backgrounds, and most population was injecting drug users (IDUs) and female sex workers (FSWs). PLWHA perceived most stigmatized community health workers when they drew blood, provided care, and considered they were involved in irresponsible behavior. There were relationships between age(p=0.008), marital status(p=0.013), and the history of key population (p=0.006)to people living with HIV-AIDS (PLWHA)’s perception of stigma among health workers in East Java community health center. Future research on factors influencing HIV-related stigma is needed to improve patients’ quality of life.

scholarly journals How Do The Community Health Nurses’ Experience in The Strategies of Non-Communicable Disease (NCD) Promotion and Prevention?

2021 ◽  
Vol 9 (1) ◽  
pp. 13-32
Author(s):  
Rizkiyani Istifada ◽  
Etty Rekawati ◽  
Wiwin Wiarsih
Keyword(s):  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Health Workers ◽  
Communicable Disease ◽  
Community Health Center ◽  
Communicable Diseases ◽  
Non Communicable Diseases ◽  
Community Health Nurses ◽  
Individual Health Services

Nurses have an important task in the strategy of intervention to reduce of Non-Communicable Diseases (NCD)’ incidence. Community health nurses have tried to control the problem of NCD. However, the incidence of NCD has not decreased as expected. The promotion and prevention of non-communicable diseases are one of the efforts to control PTM. This study aims to explore the experience of nurses in implementing the strategies of NCD’ promotive and preventive. This study used a qualitative descriptive phenomenological design. A total of 16 community health nurses were selected using purposive sampling. The inclusion criteria of this study were (1) nurses who served at the community health center for a minimum of 6 months, (2) performed individual health services in the community health center and carried out family visits and services in the community. The data were analyzed using Colaizzi's approach. This research was approved by the Committee of Ethics in the Faculty of Nursing, Universitas Indonesia. This study resulted in five strategies of nurses implementing to NCD’ promotion and prevention, include (1) health education, (2) partnership with community health workers, (3) coordination, (4) stand with the community, (5) monitoring the change of behavior in the community. Nurses’ experience of NCD’s promotion and prevention in the community health center still needs improvement to achieve holistic and comprehensive health services. Nurses should be attention to the preparation of themselves before implementing the promotion and prevention, such as preparation of the topic, communication with colleagues and communities, and doing a partnership with multisectoral.

scholarly journals Hubungan Pemberian Konseling oleh Petugas Kesehatan dengan Pemilihan Metode Kontrasepsi Jangka Panjang (MKJP) di Puskesmas Pakuan Baru

2021 ◽  
Vol 10 (2) ◽  
pp. 294
Author(s):  
Ria Febrina
Keyword(s):  
Family Planning ◽  
Community Health ◽  
Health Center ◽  
Quantitative Research ◽  
Health Workers ◽  
Statistical Tests ◽  
Community Health Center ◽  
Poverty Line ◽  
P Value

An increase in population can lead to poverty, economic inequality in the population which is usually measured by the proportion of households with income below the poverty line. One of the government's efforts to control the rate of population growth is through the implementation of a family planning program (KB) for fertile age couples age (PUS) using contraception. The use of long term contraception methods is still very low, of the total number of active family planning participants, only 17.45% of them use long term contraception methods. Meanwhile, 81.23% were non- long term contraception methods family planning users and 1.32% used traditional family planning. Jambi Province only 1.9% uses long term contraception method. Based on data obtained from the Jambi City Health Office in 2018 the number of IUD KB participants was 2,032, 1,252 implants, 542 MOW people, 16 MOP people from 20 community health center in Jambi City, Pakuan Baru community health center none of the active family planning participants which uses long term contraception method. This study was to determine the relationship of counseling by health workers with the choice of long-term contraceptive method at Pakuan Baru Community Health Center, Jambi City. This type of quantitative research with a descriptive design. Respondents who were active family planning participants who visited the Pakuan Baru community health center were taken using accidental sampling. The data collection technique was done by filling out a questionnaire. The data were processed using fisher exact statistical tests. The results of the study most of the respondents used long term contraception method of 24 (57.1%), there was a relationship between the provision of counseling and the choice of long term contraception method with a p-value: 0.001 and there was no relationship between the provision of counseling media by health workers and the selection of long term contraception method with a p-value: 0.068.

scholarly journals Penilaian Kualitas Pelayanan Puskesmas dengan Model Donabedian: Studi Kasus Puskesmas di Kota Depok

2009 ◽  
Vol 4 (1) ◽  
pp. 24
Author(s):  
Dian Ayubi
Keyword(s):  
Patient Satisfaction ◽  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Community Health Center ◽  
Donabedian Model ◽  
Assess Quality ◽  
Process Attribute

Perkembangan stuktur sosio-demografi penduduk dan infrastruktur Kota Depok yang pesat berpengaruh terhadap masalah kesehatan yang semakin kom-pleks. Pada era desentralisasi, Dinas Kesehatan Pemerintah Kota Depok dituntut memberikan pelayanan kesehatan masyarakat yang berkualitas antara lain melalui pelayanan kesehatan tingkat primer di puskesmas. Penelitian ini bertujuan menganalisis mutu pelayanan puskesmas dan hubungan struktur dan pro-ses terhadap hasil pelayanan puskesmas, kepuasan pelanggan. Survey di rumah responden dilakukan pada bulan Maret 2004, dalam wilayah kerja enam puskesmas kecamatan di Kota Depok. Populasi adalah semua penduduk yang bermukim di wilayah kerja Puskesmas Kecamatan se-Kota Depok. Sampel adalah 300 rumah tangga yang tersebar di setiap kelurahan wilayah kerja masing-masing puskesmas kecamatan dengan responden ibu rumah tangga. Analisis dilakukan dengan pendekatan Structure, Process dan Outcome berdasarkan penilaian pasien. Penelitian ini menemukan nilai median atribut mutu struktur, proses dan kepuasan pelanggan adalah 75; 71,4 dan 75,0. Variasi pada dimensi struktur lebih lebar daripada dimensi proses. Secara bersama-sama, ada hubungan statistik yang bermakna antara struktur dan proses terhadap hasil di puskesmas kecamatan di Kota Depok. Aspek atribut struktur pelayananpuskesmas yang dinilai pelanggan perlu perbaikan adalah kelengkapan sarana, sedangkan untuk atribut proses adalah waktu tunggu pendaftaran. Kata kunci: Model donabedian, kepuasan pelangganAbstractRapid growth of sociodemographic and infrastructure in Depok City has influenced the complexity of health problems. In the decentralization era, one of community health center function is to provide quality primary health care. The aim of this study is to assess quality of health services that was provided by sub-district community health center based on Donabedian Model (Stucture Process Outcome). Survey was conducted in six sub-district community health centers. Data were collected using questionnaires. Respondents were interviewed in their home during March 2004. Samples covered 300 households in six areas. Median of stucture, process and outcome atributes of health services is 75, 71.4 and 75.0. Variation of stucture attribute is wider than process attribute. This study found there is a statistically significant correlation between structure and process attributes to outcome (patient satisfaction) of community health center services. In the structure attribute, equipment or facility aspect of community health center is needed to be improved while for process attribute, it isthe aspect of waiting time in admission. Keywords : Donabedian model, patient satisfaction

scholarly journals Pengembangan Indeks Mutu Pelayanan Kesehatan Puskesmas

2019 ◽  
Vol 29 (3) ◽  
Author(s):  
Hadjar Siswantoro ◽  
Hadi Siswoyo ◽  
Nurhayati Nurhayati ◽  
Delima Tie ◽  
Annisa Rizky Afrilia ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Structural Equation ◽  
Quality Index ◽  
Multinomial Logistic Regression ◽  
Community Health Center ◽  
Convenience Sampling

Abstract Community health center (Puskesmas) as the front line in health services must improved their quality continuously. Therefore, Puskesmas need strong tools to measure their quality. The tool must be used both by the Puskesmas itself and by the health agency. This study aims to develop a reliable quality measurement tool in the form of Health Service Quality Index (HSQI). This study is a cross-sectional and observational. Data collection was conducted in June–October 2017 in. 200 community centers selected by convenience sampling, by assessing the completeness of regulations and documents; observations, simulations, and interviews. The questionnaire consisted of 344 scoring elements (SE) derived from the results of the content vaidity test and the feasibility of answers to questions 776 of the SE accreditation instruments. Data analysis in this study used Structural Equation Modelling (SEM) and multinomial logistic regression analysis. The results of validity and reliability test for construct variables based on Malcolm Baldrige concept of 344 SE showed 179 valid SE with alpha cronbach > 0.8 and r > 0.75. Next to the 179 SE, an SEM is conducted to obtain the first alternative Health Services Quality Index (HSQI) consisting of 88 SE. For these 88 SE the content validity and suitability of the references tests were conducted to obtain a second alternative of HSQI consisting of 18 SE. Finally, multinomial logistic regression was carried out which resulted in 85.4% conformity for the first alternative (88 SE) and 76.7% for the second alternative (18 SE) on the results of the accreditation assessment (basic, intermediate, primary, and plenary). The HSQI can describe the quality of services with a predictive power of over 76% on the result of Puskesmas accreditation, so that the index can be used by community health center to assess the quality of their services more quickly and more easily. Abstrak Pusat Kesehatan Masyarakat (Puskesmas) sebagai barisan terdepan dalam pelayanan kesehatan harus meningkatkan mutunya terus menerus. Oleh karena itu, puskesmas membutuhkan alat yang kuat untuk mengukur kualitasnya. Alat tersebut harus dapat digunakan baik oleh puskesmas sendiri maupun oleh Dinas Kesehatan. Studi ini bertujuan untuk mengembangkan alat ukur mutu yang reliabel dalam bentuk Indeks Mutu Pelayanan Kesehatan (IMPK). Penelitian ini merupakan penelitian observasional secara potong lintang. Pengumpulan data dilakukan pada bulan Juni–Oktober 2017 pada 200 puskesmas penelitian yang dipilih secara convenience sampling, dengan cara menilai kelengkapan regulasi, kelengkapan dokumen, pengamatan, simulasi, dan wawancara. Kuesioner terdiri atas 344 elemen penilaian (EP) yang berasal dari hasil uji validitas isi dan visibilitas jawaban dari pertanyaan 776 EP instrumen akreditasi. Analisis data penelitian ini menggunakan Structural Equation Modeling (SEM) dan analisis regresi secara multinomial logistik. Hasil dari uji validitas dan reliabilitas terhadap variabel konstruk berdasarkan konsep Malcolm Baldrige terhadap 344 EP, menunjukkan 179 EP yang valid dengan alpha cronbach > 0,8 dan r > 0,75. Selanjutnya terhadap 179 EP ini dilakukan analisis SEM sehingga didapatkan IMPK alternatif pertama terdiri dari 88 EP. Terhadap 88 EP ini dilakukan uji validitas isi dan kesesuaiannya dengan referensi sehingga didapatkan IMPK alternatif kedua terdiri dari 18 EP. Akhirnya, dilakukan analisis regresi multinomial logistik yang menghasilkan kesesuaian 85,4% untuk alternatif pertama (88 EP) dan 76,7% untuk alternatif kedua (18 EP) terhadap hasil penilaian akreditasi (dasar, madya, utama, dan paripurna). IMPK ini dapat menggambarkan mutu layanan dengan kekuatan prediksi di atas 76% terhadap hasil akreditasi puskesmas, sehingga indeks tersebut bisa digunakan oleh puskesmas untuk menilai mutu layanannya dengan lebih cepat dan lebih mudah.

scholarly journals PERSEPSI KLIEN TERHADAP FAKTOR-FAKTOR YANG MEMPENGARUHI PEMANFAATAN LAYANAN RAWAT JALAN DI PUSKESMAS KLABANG KABUPATEN BONDOWOSO

2020 ◽  
Vol 8 (2) ◽  
pp. 53-68
Author(s):  
Wilda Maghfiroh
Keyword(s):  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Quantitative Research ◽  
Community Health Center ◽  
National Health System ◽  
Sampling Technique ◽  
Outpatient Services ◽  
Good Service ◽  
The Public

Health services is most closely related to when someone needs health services and how far the effectiveness of these services. This study aims to analyze the factors that influence clients in utilizing outpatient services at Klabang Community Health Center, Bondowoso District. Quantitative research design with a Cross. With a sample of 245 respondents taken with accidental sampling technique. The tool used was a questionnaire, which then carried out a bivariate and multivariate analysis to determine the factors that influence the client in the use of outpatient services at the Klabang Community Health Center in Bondowoso district. The results of the statistic test found that service facilities, nurse or midwife services, service fees, doctor services, ease of information and health insurance regulation systems significantly affected the utilization of outpatient services. Community perceptions of good service from the community health center give a deep impression and cause motivation to be able to take advantage of the health services provided. If the public knows that service delivery is by what is expected, trust and satisfaction will increase. The Public Health Center as one type of first-level health service facility has an important role in the national health system, specifically the health efforts subsystem.

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