scholarly journals Analisis Pelaksanaan Program Kemitraan Bidan dan Dukun Ditinjau Dari Aspek Input, Proses dan Output di Wilayah Dinas Kesehatan Kabupaten Fakfak Provinsi Papua Barat

2016 ◽  
Vol 4 (3) ◽  
pp. 163-168
Author(s):  
Elzina De Fretes ◽  
Hardi Warsono ◽  
Ayun Sriatmi
Keyword(s):  
Health Center ◽  
Health Workers ◽  
Program Planning ◽  
Community Leaders ◽  
Religious Leaders ◽  
District Health Office ◽  
District Health ◽  
Birth Attendants ◽  
Health Report ◽  
Papua Barat

Number of midwives in Fakfak District in 2012 was 108 persons. Number of Traditional Birth Attendants (TBAs) was 191 persons consisted of 79 (41%) trained TBAs and 112 (59%) untrained TBAs. The TBAs had an important role in delivery process because number of them was higher than number of midwives. Therefore, coverage of delivery process helped by health workers had not achieved the target. This research aimed to analyze the implementation of the partnership program between midwives and TBAs viewed from the aspects of input, process, and output at Fakfak District Health Office. This was qualitative research with descriptive-explorative approach by conducting indepth interview. Subjects were midwives and TBAs who had been partnering. Data were analysed using a content analysis. The input aspect showed that: 1) Implementers, midwives and TBAs only knew partnership in helping delivery; 2) Specific allocation funds for the program was not available. The funds was from Operational Support for Health but it was still not sufficient; 3) Specific means for the program was not available. The current means is from health center and village polyclinic but it is still limited. Furthermore, the process aspect revealed that: 1) Program planning, midwives and TBAs collected data of pregnant women, maternal, postpartum women, and number of TBAs; 2) The implementation was not good because midwives were not available when needed by TBAs and there was difficult to access. Socialization for cross-program (community leaders and religious leaders) and internship for TBAs had not been done yet due to insufficient fund; 3) Recording and reporting especially about partnership activities had not been done yet and only used a form on a Maternal and Child Health report. Regarding the output aspect, as many as 195 (89%) from 219 TBAs had not been partnered. Coverage of K1, K4, and delivery process helped by health workers from 2011 to 2012 decreased gradually. As a suggestion, District Health Office and Health Center need to maintain partnership by recruiting midwives, providing means, allocating fund, socializing to community leaders, and funding TBAs’ daughter or grandchild to study midwifery.

scholarly journals Implementation of Management of Pulmonary Tuberculosis with the Directly Observed Treatment Short course Strategy

2022 ◽  
Vol 2 (4) ◽  
pp. 130-142
Author(s):  
Nursalim Nursalim ◽  
Mappeaty Nyorong ◽  
Asriwati Amirah
Keyword(s):  
Health Center ◽  
Health Workers ◽  
Health Sector ◽  
Case Finding ◽  
District Health Office ◽  
District Health ◽  
Pulmonary Tb ◽  
Remote Areas ◽  
Short Course ◽  
Directly Observed Treatment

The purpose of this study was to describe the implementation of pulmonary TB disease management with the DOTS strategy at the Jagong Health Center, Central Aceh Regency.The implementation of Pulmonary TB Management with the DOTS (Directly Observed Treatment Shortcourse) strategy in the working area of the Jagong Health Center, Central Aceh Regency has been maximized. by facilitating and providing motivation so that patients want treatment in a complete and integrated manner, case detection can be carried out by health workers or cadres who have been given training to recognize the symptoms of pulmonary TB. The distribution of drugs is distributed to each puskesmas in Central Aceh Regency, from the Puskesmas the drugs are arranged directly by P2TB officers then given directly to the PMO or the patient himself. PMO performance has never been given special training about treatment, PMO only received direction from P2TB Pulmonary officers. Recording and reporting carried out at the Jagong Health Center includes case finding, treatment, and recovery. Suspected pulmonary TB will be recorded and then monitored until the results of the examination have been obtained. Recording and reporting will be reported every month in a meeting at the Central Aceh District Health Office. For the Central Aceh Regency government to further enhance the development and improvement of infrastructure in the health sector so that health services are more easily accessible to people in remote areas.

Optimalisasi Kemitraan Dukun dengan Bidan di Wilayah Kerja Puskesmas Mamba Kabupaten Manggarai Timur Provinsi Nusa Tenggara Timur

2021 ◽  
Vol 4 (6) ◽  
pp. 1459-1464
Author(s):  
Maria Sriana Banul ◽  
Silfia A.N. Halu ◽  
Yuliana Suryati ◽  
Maria Fridolin Kawu
Keyword(s):  
Health Center ◽  
Health Workers ◽  
Traditional Healers ◽  
Traditional Birth Attendants ◽  
Birth Attendants ◽  
Work Area ◽  
Delivery Assistance ◽  
Working Together ◽  
Discussion Question ◽  
Partnership Program

ABSTRAK Kepercayaan masyarakat Manggarai Timur terhadap dukun sebagai penolong persalinan masih cukup tinggi. Program kemitraan dukun dengan bidan merupakan salah satu cara untuk mencegah terjadinya pertolongan persalinan oleh dukun. Program ini sebagai salah satu strategi untuk meningkatkan cakupan pertolongan persalinan oleh tenaga kesehatan. Kegiatan ini dilakukan untuk meningkatkan program kemitraan dukun dengan bidan di Wilayah Kerja Puskesmas Mamba Kabupaten Manggarai Timur, sehingga cakupan pertolongan persalinan oleh dukun tidak terjadi lagi. Kegiatan ini diikuti oleh kepala puskesmas, dukun, dan bidan setempat. Motode yang digunakan adalah melalui edukasi dengan penyajian materi menggunakan metode ceramah, diskusi, tanya jawab serta pembagian leaflet dan lembar balik kepada peserta. Semua peserta yang ikut dalam kegiatan ini sangat antusias dan aktif dan mampu memahami materi yang disampaikan. Peserta bersama bidan dan pemerintah setempat berkomitmen untuk bekerja sama dalam meningkatkan program kemitraan dukun dan bidan ini. Diharapkan, dengan kegiatan ini cakupan pertolongan persalinan oleh dukun tidak terjadi lagi. Kata Kunci: Kemitraan, Dukun, Bidan, Persalinan  ABSTRACT The trust of the East Manggarai community towards traditional healers as birth attendants is still quite high. The shaman's partnership program with the midwife is one way to prevent birth assistance by shamans. This program is one of the strategies to increase the coverage of delivery assistance by health workers. This activity was carried out to improve the traditional healer's partnership program with midwives in the Mamba Health Center Work Area, East Manggarai Regency so that the coverage of delivery assistance by traditional birth attendants would no longer occur. This activity was attended by the head of the health center, traditional healers, local midwives, and pregnant women. The method used is through education by presenting the material using lecture, discussion, question and answer methods, and distributing leaflets and flipcharts to participants. All participants who took part in this activity were very enthusiastic and active and were able to understand the material presented. Participants together with midwives and the local government are committed to working together in improving this partnership program between traditional healers and midwives. It is hoped that with this activity the coverage of delivery assistance by traditional birth attendants will not occur again.  Keywords: Partnership, traditional healers, midwives, childbirth

CURRENT STATUS OF PHYSICAL ACTIVITY AND SOME FACTORS RELATED TO ENOUGH PHYSICAL ACTIVITY IN DIABETES AT LONG HO DISTRICT HEALTH CENTER, VINH LONG PROVINCE IN 2021

2021 ◽  
Vol 62 (6) ◽  
Author(s):  
Luu Thi Phuong Thao ◽  
Nguyen Thi Dao
Keyword(s):  
Physical Activity ◽  
Health Center ◽  
Local Governments ◽  
Health Workers ◽  
Current Status ◽  
Multivariable Logistic Regression Analysis ◽  
Diabetic Patients ◽  
Average Intensity ◽  
District Health ◽  
Cross Sectional

Objectives: To determine the rate of physical activity and some associated factors between adequate physical activity and understanding, barriers, and support from family and friends in diabetic patients at the Long Ho district Health Center in Vinh Long province in 2021. Subjects and research methods: A cross-sectional descriptive study with analysis. The toolkit is based on the GPAQ (Global Physical Activity Questionnaire) questionnaire and related research [9]. Results and discussions: Patients with incorrect knowledge about diabetes accounted for 53%, with sufficient physical activity 43.6%. The results of multivariable logistic regression analysis showed that there were relationship between sufficient physical activity and age (p<0.05), barriers including exercise taking a long time, remote locations, and a lack of facilities (p<0.05) and the patient was still confident in futures activities even when the weather was bad (OR = 0.486, p<0.05). The family and friends had not supported (OR= 0.317, p<0.05). Conclusions and recommendations: Patients need to sufficient physical activity as recommended with an average intensity of 150 minutes/week. It is necessary to update the knowledge of diabetes as well as the knowledge of sufficient physical activity from health workers, family and friends. Local governments should construct cultural houses and playgrounds to make it easier for patients to participate in activities.

scholarly journals Kompetensi Bidan Puskesmas dalam Meningkatkan Pelayanan Antenatal (Studi Kasus di Puskesmas Tambak Rejo, Surabaya)

2019 ◽  
Vol 7 (1) ◽  
pp. 1-8
Author(s):  
Andy Asmara
Keyword(s):  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Health Workers ◽  
Perinatal Care ◽  
Community Health Center ◽  
Community Empowerment ◽  
District Health ◽  
Soft Skill ◽  
Birth Attendance

The daily facts indicated that an individual is the key factor to achieve organization’s success. Every organization with its best performance is always related to its human resources’ balanced competency. The midwife has role, function, and competencies to provide maternal services for women. The midwife’s role is not only a doer, but also an organizer, an educator, and a researcher. Therefore, the midwife is expected to focus on prevention and health promotion aspect with basis of partnership, and community empowerment collaboration with other health workers in order to be readily prepare the health services for anyone who is in need.This was qualitative research method with case study approach. The informant was the midwives of Tambakrejo Community Health Center of Surabaya. According to the data of antenatal care attendance, trained birth attendance, and perinatal care, there were 859 pregnant women, 581 persons on phase of K1 (67.64%), and 551 persons on phase of K4 (64.14%). The birth attendances by trained birth attendants are 513 people (62.56%), while perinatal care recorded 570 people attending the health service (69.51%). The data indicated the performance by the midwives of Tambakrejo Community Health Center categorized in the lowest position among 63 community health centers in Surabaya. The result showed poor soft skill competency and poor hard skill competency on midwives. In conclusion, poor soft skill competency including personal competence and social competence should be trained and developed by obstetrics and gynecology specialist of Soewandhi Public Hospital of Surabaya. The study suggested Surabaya District Health Office needs to conduct training of technology information and computer in order to increase the service quality and to solved the problem related to hard skill competencies on technology and computer skill. 

scholarly journals Penyakit Skabies Berhubungan Dengan Personal Hygiene Masyarakat

2020 ◽  
Vol 17 (1) ◽  
pp. 1
Author(s):  
Elma Mentaya ◽  
Noraida Noraida ◽  
Abdul Khair
Keyword(s):  
Health Center ◽  
Case Control Study ◽  
Case Control ◽  
Personal Hygiene ◽  
P Value ◽  
Liquid Soap ◽  
District Health Office ◽  
District Health ◽  
Chi Square ◽  
Control Study

Based on the Hulu Sungai Tengah District Health Office report, scabies continues to exist and is a problem that must to resolved immediately. The working area of the Pagat Health Center, which is one of the sub-districts in Hulu Sungai Tengah, experienced the highest increase in scabies cases. The purpose of this study was to determine personal hygiene relations include bathing habits and habit of using soap together with scabies in the working area of the Pagat Health Center. This type of research uses a retrospective approach (case-control study), which compares the behaviour of the sick group with a lively group associated with the incidence of scabies. The sample of this research is 30 people. Data will be analyzed using the x2 test (Chi-square). The results of this study indicate there is a relationship between bathing habits with the incidence of scabies P-value = 0.026 <α = 0.05, there is a relationship between the use of soap with the prevalence of scabies P-value = 0.024 <α = 0.05. Suggestions such as providing health education with excellent and correct bathing methods, using liquid soap or antiseptic soap.

scholarly journals Evaluation Of Integrated Management Implementation In Hospital In The Health Center Of Sleman D.I Yogyakarta District

2020 ◽  
Vol 8 (2) ◽  
pp. 152
Author(s):  
Casnuri Casnuri ◽  
Puspito Panggih Rahayu
Keyword(s):  
Public Health ◽  
Health Center ◽  
Health Workers ◽  
Integrated Management ◽  
Research Result ◽  
Integrated Approach ◽  
Health Care Facilities ◽  
District Health ◽  
Public Health Center ◽  
Live Births

<p>Integrated Management of Sick Toddler (MTBS) is an integrated approach whose governance is carried out on sick toddlers with outpatient facilities. MTBS is used as a service standard for sick infants and toddlers as well as a guideline for nursing staff (midwives and nurses) especially in primary health care facilities. In 2006 the MTBS program socialization and training for puskesmas staff were conducted, where each puskesmas was represented by 1 medical staff and 2 paramedics. MTBS aims to reduce morbidity and mortality due to diarrhea, pneumonia, DHF and infections. IMR in Sleman Regency is better than the national target. In 2015 there were 14,134 live births and 51 (3.61%) stillbirths. This tends to decrease from 2014 when the number of live births was 14,406 with 67 infant deaths (4.65%). The death was caused by diarrhea, pneumonia, DHF and infections. This shows that there is still a need to increase the role of cross-program and cross-sectoral efforts to reduce infant mortality, which is to evaluate the implementation of IMCI or MTBM in the Sleman D.I Yogyakarta Public Health Center.</p><p><strong>Research Purpose </strong>investigate the factors in the implementation of IMCI at the Sleman D.I Yogyakarta Public Health Center.</p><p><strong>Research Methods </strong>is descriptive qualitative. The main Informantts were 25 MTBS officers, 25 Puskesmas heads, and 1 Kasie Kesga District Health Office, Sleman D.I Yogyakarta with in-depth interviews.</p><p><strong>Research result: </strong>All puskesmas in Sleman Regency have implemented MTBS services according to service procedures with different achievements in each puskesmas. This is due to the disorderly officers in conducting data recapitulation. The achievement of the MTBS program in Sleman Regency was 65.39%.<strong></strong></p><p><strong>Conclusion</strong>: The MTBS program at the Sleman district health center has been implemented well due to several factors, namely Human Resources, both the number of trained health workers and the quality of the competencies of health workers, leadership support in the form of facilities and infrastructure, as well as funding support in increasing competence.</p><p> </p><p> </p>

scholarly journals Factors Related of Diabetes Mellitus Type II in Kebon Jeruk District

2020 ◽  
Vol 11 (3) ◽  
pp. 199-209
Author(s):  
Devi Angeliana Kusumaningtiar ◽  
Nur’Aulia Baharuddin
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Family History ◽  
Health Center ◽  
Health Workers ◽  
Diabetes Mellitus Type ◽  
Type Ii ◽  
District Health ◽  
Cross Sectional ◽  
Diabetes Mellitus Type Ii

Diabetes mellitus is a condition that increases blood sugar levels that are chronic as a result of a disruption of body metabolisms such as fat, carbohydrate, and protein due to a deficiency of the hormone insulin. The main problem in people with DM is the occurrence of complications, especially the complications of chronic DM, which is the main cause of morbidity and mortality in DM patients. This study aims to analyze relationship between family history, age, gender, physical activity, obesity, hypertension to the incidence of Diabetes Mellitus type II. This research is a quantitative research type and uses a cross-sectional design. This research was conducted at the Kebon Jeruk District Health Center in West Jakarta in 2018, with a sample size of 77 samples or respondents. Independent variables included family history, age, gender, physical activity, obesity, and hypertension. The dependent variable is type II diabetes mellitus. Analysis of the relationship between the two variables was measured using the chi-square test. The results showed an association between life history, age, physical activity, and obesity with the incidence of type II DM in Kebon Jeruk District Health Center in 2018. It is recommended that people who have a family history of DM to immediately detect DM disease and apply a healthy lifestyle, carry out physical activities for at least 15-20 minutes every day, health workers are also advised to continue to conduct health education related to DM disease.

scholarly journals KARAKTERISTIK KADER DAN EVALUASI PELAKSANAAN KEGIATAN POSYANDU DIWILAYAH KERJA PUSKESMAS PEMBANTU KURAO KECAMATAN NANGGALO KOTA PADANG TAHUN 2019

2020 ◽  
Vol 5 (3) ◽  
pp. 854
Author(s):  
Ety Aprianti ◽  
Sri Suciana ◽  
Fery Musharyadi ◽  
Yona Firdali Ranti ◽  
Desi Noviayanti
Keyword(s):  
Information System ◽  
Health Center ◽  
Health Workers ◽  
Secondary Data ◽  
Health Issues ◽  
Specific Training ◽  
District Health ◽  
Work Area ◽  
Social Gathering ◽  
Age Category

<p>Posyandu is a health service organized by, from, for and with the community. Padang DKK 2016 Puskesmas pembantu Kurao has a low Posyandu level. The purpose of this study was to find out the description of the implementation of the Kurao posyandu activity in the Working Area of Nanggalo Health Center in 2019.</p><p>The purpose of this study was to find out how the Posyandu Cadre Characteristics and Evaluation of Posyandu Activity Implementation in the Work Area of the Kurao Sub-District Health Center in Nanggalo. This research is a quantitative and qualitative study using primary and secondary data obtained from Health Officers, cadres and the community who come to posyandu</p><p>The results obtained were more than half of respondents (56.6%) with the age category 26-45 years. Most respondents (80%) were married or married. More than half of respondents (63.4%) with &lt;5 years old category. Most respondents (83.4%) with a secondary education level category. More than half of respondents (76.6%) in the category of not working or housewives</p><p>A total of 11 posyandu are under the working area of the Kurao Preparation of information on Posyandu implementation is carried out 1 day before the implementation of Posyandu and preparation of facilities, the infrastructure has been completed. In the implementation of posyandu activities, there was an ineffectiveness in the implementation of the fourth table because not all cadres understood and were able to provide counseling materials related to health issues, because not all cadres received specific training. Cadres only get information through regular monthly meetings at cadre social gathering events. The Posyandu Information System has been arranged in detail. Policies, preparation, implementation and Posyandu Information System in the work area of the Kurao sub-pustu have not been prepared and implemented in full, there are still shortcomings. With this research, it is recommended that health workers in the Puskesmas be able to provide training and refreshment to cadres and be able to complete all the deficiencies that exist in the implementation of the posyandu activities</p><pre> </pre>

scholarly journals IMPLEMENTASI PROGRAM ASI EKSKLUSIF DI PUSKESMAS ALAI KECAMATAN TEBING TINGGI BARAT KABUPATEN KEPULAUAN MERANTI TAHUN 2020

2020 ◽  
Vol 4 (2) ◽  
pp. 235-241
Author(s):  
Welly Sando ◽  
Dami Yanthi ◽  
Muhammad Dedi Widodo ◽  
Tengku Khairani
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Health Center ◽  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Community Health Center ◽  
Observational Research ◽  
Research Subjects ◽  
District Health ◽  
Public Health Center

Implementation is the implementation of laws in which various actors, organizations, procedures, and techniques work together to carry out policies in an effort to achieve policy objectives or policy programs. Exclusive breastfeeding coverage The Meranti Islands District Health Office experienced the lowest exclusive breastfeeding coverage in 2019, namely Alai Community Health Center, which is 25% where the achievement of the exclusive Breastfeeding Program (ASI) in Meranti Islands Regency in 2019 is 50% and still far from the national target of 80%. This study aims to determine the implementation of the exclusive breastfeeding program at Alai Public Health Center, Tebing Tinggi Barat District, Meranti Islands Regency in 2020. This type of qualitative research uses observational research. When the research was conducted in June-August at the Alai Public Health Center, Tebing Tinggi Barat District, Meranti Islands Regency. The research subjects were the head of the puskesmas (IK1), pregnant women (IU1), PJ KIA (IP1), and posyandu cadres (IP2). Data analysis is used by systematically arranging the interview guidelines, then processing the data, data from observations are identified to describe each variable, a summary will be presented in narrative form. The results of this study indicate that the policies in the exclusive breastfeeding program have been implemented but the coverage of exclusive breastfeeding is still low because many pregnant women do not follow the recommendations that have been given by health workers in counseling such as the benefits of breastfeeding. It can be concluded that health workers in the policy of the exclusive breastfeeding program provide counseling to pregnant women and approach pregnant women in order to achieve an exclusive breastfeeding program. It is recommended that the head of the Alai Community

scholarly journals Analysis of Factors Influencing Work Stress on the Health Service Rapid Action Team during the Covid-19 Pandemic in Barru Regency

2021 ◽  
Vol 6 (3) ◽  
pp. 38-45
Author(s):  
Andi Sunarti ◽  
H. Jalil Genisa ◽  
Yusuf .
Keyword(s):  
Health Service ◽  
Interpersonal Relationships ◽  
Work Stress ◽  
Fast Moving ◽  
Health Workers ◽  
Total Sample ◽  
Bivariate Analysis ◽  
District Health Office ◽  
District Health ◽  
Cross Sectional

Work stress is the pressure of the mind of work that is felt when the demands faced exceed the strength contained in the worker. During the current COVID-19 pandemic, the workload of health workers has become very high compared to normal conditions, the ongoing emergency caused by Covid-19 has put health services under strong pressure. This study aims to determine the factors that cause work stress in the Barru District Health Office's fast-moving team. The research method used is quantitative with an analytical approach to cross-sectional study design, with a total sample of 65 people from the Covid-19 rapid response team taken by total sampling. used univariate and bivariate analysis using test Chi square. The results of the study found that there was something that affected work stress, namely the workload of the health department's fast-moving team during the COVID-19 pandemic handling Covid-19 (p = 0.010). While other variables did not affect work stress, namely the effect of work (p = 0.000), the influence of interpersonal relationships (p = 0.010), and the effect of work professionalism (p = 0.000) on the health service rapid movement team during the pandemic-19. The conclusion of this study is that there are those that affect work stress, namely the workload of the fast-moving team handling Covid-19, while the variables that do not affect work stress are the influence of work, the influence of interpersonal relationships, and the influence of work professionalism, on the fast-moving team handling Covid-19 It is recommended that the Barru District Health Office harmonize the work atmosphere at the Barru District Health Office, through activities in outdoor and outbound order to be able to maintain group and interpersonal relationships, and make rules that bind the fast-moving team to deal with Covid-19, especially the office. Barru Regency's health is related to additional tasks under certain conditions so that the leadership gives sanctions to the fast-moving team who do not work professionally in dealing with the covid-19 outbreak. Keywords: Work stress, and the Covid-19 Handling Team.

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