scholarly journals Analyzing of implementation maternal audit program in community health center: a qualitative study

2021 ◽  
Author(s):  
Fityah U. Atiyah ◽  
Sri Sundari ◽  
Elsye M. Rosa
Keyword(s):  
Data Collection ◽  
Maternal Mortality ◽  
Community Health ◽  
Health Center ◽  
Health Workers ◽  
Community Health Center ◽  
Sampling Technique ◽  
Learning Material ◽  
Audit Process ◽  
Audit Program

Background: Maternal audits are part of quality control that is routinely carried out and aims as an essential learning material in evaluating maternal services in an area so that the expected outcome is a decrease in maternal mortality in an area. The maternal audit program that is carried out will undoubtedly benefit health facilities that provide services in the maternal sector, such as primary, secondary, and tertiary health facilities.Methods: This study used a qualitative case study method with a purposive sampling technique. The data collection technique was carried out by interviewed using the in-depth interview method, and triangulation was carried out using observation and document review.Results: The community health center has contributed to implementing maternal audits, starting from the data collection process, participating in district audit forums, and implementing the recommendations. Four factors influence the implementation of the maternal audit program at the community health center in reducing maternal mortality, namely the knowledge of health workers, the involvement of health workers in the community health center in the audit process, the recommendations for the results of the audit process and the implementation of follow-up on the results of the audit recommendations at the community health center.Conclusions: The maternal audit program can reduce maternal mortality and improve the maternal and child service system at the community health center level, although there are still several obstacles in implementing the recommendations of the audit results.

scholarly journals FAKTOR RISIKO STUNTING PADA BALITA

2021 ◽  
Vol 3 (1) ◽  
pp. 33-45
Author(s):  
Winarni Hamzah ◽  
Haniarti Haniarti ◽  
Rini Anggraeny
Keyword(s):  
Data Collection ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Sampling Technique ◽  
Survey Method ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
The World

Stunting is one of the nutritional problems experienced by toddlers in the world today. In 2017, 22.2% of children under five in the world were stunted. Indonesia is included in the third country with the highest prevalence in the Southeast Asia region, the prevalence of children under five with stunting in Indonesia in 2005-2017 was 36.4%. Aims to determine the risk factors for stunting in children under five in the working area of ​​the Baraka Community Health Center, Enrekang Regency. This study used the analytical survey method with the Cross Sectional Study approach using the simple random sampling technique, which means that the sample taken is where each element or member of the population has the same opportunity to be selected as the sample. The sample size in this study was taken using the Slovin formula. The location was carried out in the working area of ​​the Baraka Community Health Center, Enrekang Regency. The research time was 1 month. The sample in this study amounted to 94 people with the process of data collection and data collection was carried out by interview techniques. The results showed that exclusive breastfeeding (p = 0.002), complementary breastfeeding (p = 0.002) had a relationship with the incidence of stunting, while there was no relationship between LBW (p = 0.106), gestational age (p = 0.303), and maternal nutritional status ( KEK) (p = 0.229) with the incidence of stunting.

scholarly journals PENGARUH FAKTOR PENENTU PERILAKU IBU DALAM PEMBERIAN IMUNISASI DASAR PADA BAYI DI WILAYAH KERJA PUSKESMAS KOSIK PUTIH KABUPATEN PADANG LAWAS UTARA TAHUN 2019

2020 ◽  
Vol 3 (1) ◽  
pp. 299-312
Author(s):  
Fera Natalia Sembiring ◽  
Tarsyad Nugraha ◽  
Linda Hernike Napitupulu
Keyword(s):  
Community Health ◽  
Health Center ◽  
Health Workers ◽  
Community Health Center ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Knowledge Variable

Immunization has proven to be one of the most important public health efforts. The report of the Kosik Putih Health Center in North Padang Lawas Regency in 2016 recorded a complete basic immunization achievement of 52 babies (63.9%) from the baby target of 76 babies and in 2017 amounted to 59 babies (73.8%) from the baby target of 80 babies. The purpose of this study was to study the determinants that influence mothers in giving immunizations to infants in the working area of ​​the Kosik Putih Health Center in Padang Lawas Utara Regency in 2019. Study design used an analytical survey with a cross sectional study approach. The population in this study were all mothers who brought their babies for basic immunization in the working area of ​​Kosik Putih Community Health Center in North Padang Lawas Regency in 2019 totaling 59 mothers. The sampling technique uses the entire population as samples (total sampling). Data analysis used univariate, bivariate and multivariate analysis with logistic regression. The results of this study indicate the sig value on the knowledge variable (p=0.003), attitudes (p=0.018), socio-cultural (p=0.271), availability of health facilities (p=0.376), affordability of health facilities (0.472), personnel support health (p=0.030) and husband's support (p=0.725). The variable with the greatest Exp (B) value is knowledge (39,565). The variables that influence behavior in providing basic immunization to infants in the working area of ​​Kosik Putih Community Health Center, North Padang Lawas Regency in 2019 are knowledge, attitudes and support of health workers and the most influential variable is knowledge.     Abstrak Imunisasi telah terbukti sebagai salah satu upaya kesehatan masyarakat yang sangat penting . Laporan Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2016 tercatat capaian imunisasi dasar lengkap sebesar 52 bayi (63,9%) dari sasaran bayi sebesar 76 bayi dan tahun 2017 sebesar 59 bayi (73,8%) dari sasaran bayi sebesar 80 bayi. Tujuan dari penelitian ini untuk mengetahui faktor penentu yang memengaruhi perilaku ibu dalam pemberian imunisasi dasar pada bayi di wilayah kerja Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2019. Jenis penelitian menggunakan survei analitik dengan pendekatan cross sectional study. Populasi dalam penelitian ini adalah seluruh ibu yang membawa bayinya untuk imunisasi dasar yang ada di wilayah kerja Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2019 berjumlah 59 ibu. Teknik pengambilan sampel menggunakan seluruh populasi menjadi sampel (total sampling).. Analisis data menggunakan analisis univariat, bivariat dan multivariat dengan regresi logistik. Hasil penelitian ini menunjukkan nilai sig pada variable pengetahuan (p= 0,003), sikap (p=0,018), sosial budaya (p=0,271), ketersediaan fasilitas kesehatan (p=0,376), keterjangkauan fasilitas kesehatan (0,472), dukungan tenaga kesehatan (p=0,030) dan dukungan suami (p=0,725). Variabel dengan nilai Exp (B) terbesar adalah pengetahuan (39,565). Variable yang mempengaruhi perilaku dalam pemberian imunisasi dasar pada bayi di wilayah kerja Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2019 adalah pengetahuan, sikap dan dukungan tenaga kesehatan dan variabel yang paling berpengaruh adalah pengetahuan.

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 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 Hubungan antara Perilaku Sanitasi Lingkungan dengan Kejadian Demam Berdarah Dengue (DBD) di Wilayah Kerja Puskesmas Tarus

2020 ◽  
Vol 2 (2) ◽  
pp. 15-23
Author(s):  
Rusmini Marslan Arsyad ◽  
Engelina Nabuasa ◽  
Enjelita M. Ndoen
Keyword(s):  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Environmental Sanitation ◽  
Study Approach

DHF is one of the widespread  infectious diseases in Indonesia, with an increased infected number of sufferers. DHF case is closely related to environmental sanitation, wich causes the availability of breeding places for the Aedes aegypti mosquito vectors. The study was to determine the relationship between environmental sanitation behavior and the case of DHF in the working area of the Tarus Community Health Center in 2020. The study design was descriptive-analytical with a cross-sectional study approach. The sample was_99 respondents taken by simple random sampling technique. Data was collected from interviews and analyzed using the Chi-square test. The results showed that the varuabels of  knowledge (p = 0.000), attitudes (p = 0.021), and actions to environmental sanitation (p = 0.000) were related to the DHF case. The Tarus Community Health Center should increase outreach activities and family empowerment efforts related to the prevention and control of DHF.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN PENGGUNAAN ANTIBIOTIKA UNTUK TERAPI PNEUMONIA

2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini
Keyword(s):  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Sampling Technique ◽  
Dominant Factor ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Under Five

ABSTRAKPneumonia merupakan penyebab banyak kematian balita di dunia. Selama tahun 2016 terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value= 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin lakan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin.Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti sembuh, komunikasiABSTRACTPneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value= 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined.Key words: Compliance, pneumonia, discipline, healing suggestion, communication

scholarly journals GAMBARAN PENGETAHUAN WANITA USIA SUBUR (WUS) TENTANG KONTRASEPSI IUD DI WILAYAH KERJA PUSKESMAS DANUREJAN 1 KOTA YOGYAKARTA

2019 ◽  
Vol 6 (2) ◽  
pp. 155-161
Author(s):  
Dechoni Rahmawati ◽  
Siti Solikhah
Keyword(s):  
Data Analysis ◽  
Health Service ◽  
Community Health ◽  
Health Center ◽  
Quantitative Research ◽  
Birth Rate ◽  
Community Health Center ◽  
Sampling Technique ◽  
Community Health Service ◽  
Level Of Knowledge

Background: The high birth rate in Indonesian is one of the major problems and requires special attention, the population increased in 2015 amounted to 255, 461, 686 people, the population in Indonesian is fourth after China, India, and Unite States (Depkes Indonesian, 2015). Data from the health service DIY, acceptors of IUD is the the lowest number in Yogyakarta , located in community health service Danurejan I as many as 215 acceptor Objectives: The aim of this study is to know the knowledge of women fertile about contraception in community health center Danurejan 1 Yogyakarta. Methods: Research design used was a descriptive quantitative research. The sampling technique used purposive sampling with the total of responden as many as 73. Data analysis used analysis univariat. Result: the result of this research shows that based on level knowledge WUS about contraception of IUD be categorized the level of knowledge as good is 50 responden (68.5%). In the category of enough of knowledge was 21 respondents ( 28.8%) and lack of knowledge as lack is 2 respondents (2.7%). Conclusion: Based on the result of this research which had done showed that WUS knowledge about IUD contraception in community health center Danurejan 1 Yogyakarta mostly of responden having good knowledge as many as 50 responden (68.5%) Keywords: Knowledge, Women Fertile (WUS), IUD Contraception

scholarly journals Knowledge Level and Anemia Incidence of Pregnant Mother in Working Area of Tanjung Kemuning Public Health Center Kaur District

2017 ◽  
Vol 24 (3) ◽  
pp. 37-44
Author(s):  
Santoso Ujang Effendi ◽  
Buyung Keraman ◽  
Andrek Sarnandes
Keyword(s):  
Pregnant Women ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Sampling Technique ◽  
Iron Nutrition ◽  
Primary Data ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
The Impact

The impact of the incidence of anemia in pregnant women who have less knowledge during pregnancy are abortion, preterm labor, fetal and uterine disorders, low birth weight (LBW), and high maternal mortality. This study aimed to study the relationship between the level of knowledge with the incidence of anemia in pregnant women at Tanjung Kemuning Community Health Center Kaur District. This type of research was Descriptive Correlation and the design used was Cross Sectional. The data in this study used the primary data obtained by distributing questionnaires. The population in this study was all pregnant women who checked pregnancy and did not check their pregnancy at Tanjung Kemuning Community Health Center of Kaur Regency from January to June 2016 as many as 66 pregnant women. Sampling technique are Total Sampling and obtained sampel counted 35 respondents. Data analysis was done by univariate and bivariate analysis with Chi-Square test and to know closeness using Contingency Coefficient (χ2) statistic test. The result of the research showed that there were 14 respondents (40.0%) of good knowledge, and 19 respondents (54,3%) did not experience anemia. There was a significant relationship between knowledge with the incidence of anemia in pregnant women in working area of Tanjung Kemuning Community  Health  Center Kaur District with a close category. Suggestion for Tanjung Kemuning  Community  Health Center Kaur District                   to increase the intake of iron nutrition in pregnant women by doing  health promotion about  anemia  and giving  iron  tablets  to pregnant  woman. Keywords : anemia, knowledge, pregnant women

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.

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