scholarly journals EDUKASI TEHNIK ASEPTIK SEDIAAN STERIL BAGI TENAGA KESEHATAN DI FASILITAS PELAYANAN KESEHATAN KABUPATEN SUMBA TIMUR NTT

Author(s):  
Dewi Isadiartuti ◽  
Sugiyartono Sugiyartono ◽  
Retno Sari ◽  
Muh Agus S Rijal ◽  
Dini Retnowati

The Government through Permenkes 72/2016 on Pharmaceutical Services Standards in Hospitals has provided guidance on the regulation of pharmaceutical service standards. Pharmaceutical services in the field of management of sterile preparations is one aspect that receives attention, because it will affect the quality of services provided to sufferers. East Sumba Regency is one of the East Nusa Tenggara provinces located in Eastern Indonesia. East Sumba Regency has a large enough population but health workers in health care facilities have limitations in getting the latest information. To answer this condition, training was held in collaboration with IAI PC East Sumba. The aim of the training is to increase the knowledge and skills of aseptic techniques for sterile preparations for health workers in health care facilities so that the quality of health services can be improved. The training was given in the form of lectures consisting of compatibility and stability material for parenteral preparations and dispensing materials for sterile preparations followed by the practice of aseptic techniques for sterile preparations. The training activity was attended by 49 participants consisting of pharmacists, nurses, midwives and pharmaceutical technical personnel who worked in hospitals, health services, health centers, clinics, and pharmacies in Sumba (East, Central and West). From the results of the evaluation of the activity, it was known that the participants gained knowledge and increased knowledge about the basic principles of aseptic techniques and there was an increase in the participants' understanding of the material provided.abstrakPemerintah melalui Permenkes 72/2016 tentang Standar Pelayanan Kefarmasian di Rumah Sakit telah memberikan arahan mengenai pengaturan standar pelayanan kefarmasian. Pelayanan kefarmasian di bidang pengelolaan sediaan steril merupakan salah satu aspek yang mendapat perhatian, karena akan memengaruhi mutu pelayanan yang diberikan kepada penderita. Kabupaten Sumba Timur merupakan salah satu wilayah propinsi Nusa Tenggara Timur yang terletak di Indonesia Bagian Timur. Kabupaten Sumba Timur memiliki jumlah penduduk yang cukup besar akan tetapi tenaga kesehatan di fasilitas pelayanan kesehatan memiliki keterbatasan dalam mendapatkan informasi terbaru. Untuk menjawab kondisi tersebut diadakan pelatihan bekerjasama dengan IAI PC Sumba Timur. Tujuan pelatihan adalah untuk meningkatkan pengetahuan dan ketrampilan tehnik aseptik sediaan steril bagi tenaga kesehatan di fasilitas pelayanan kesehatan agar mutu pelayanan kesehatan dapat meningkat. Pelatihan diberikan dalam bentuk ceramah terdiri dari materi kompatibilitas dan stabilitas sediaan parenteral dan materi dispensing sediaan steril dilanjutkan dengan praktek tehnik aseptik sediaan steril. Kegiatan pelatihan diikuti 49 peserta yang terdiri dari apoteker, perawat, bidan dan tenaga teknis kefarmasian yang bekerja di Rumah Sakit, Dinas Kesehatan, Puskesmas, Klinik, dan Apotek sedaratan Sumba (Timur, Tengah, dan Barat). Dari hasil evaluasi kegiatan diketahui peserta mendapatkan penyegaran ilmu dan peningkatan wawasan tentang prinsip dasar tehnik aseptik dan terdapat peningkatan pemahaman peserta terhadap materi yang diberikan.

2021 ◽  
Vol 2 (6) ◽  
pp. 2260-2266
Author(s):  
Rini Susanti ◽  
Victor E. D Palapessy

BPJS and Non BPJS dependent patients have the same rights as other general patients to receive satisfying services just like other health care facilities. Considering that, this new program from the government in the health sector is aimed at controlling the quality and costs of health, so that it can be accessed by all levels of society, as well as having good prospects for hospitals and other health care facilities. Thus, hospitals are responsible for being able to provide satisfying and quality services so that they can be chosen by the community, both BPJS and non BPJS participants. The purpose of this study was to compare the quality of BPJS and Non BPJS dependent health services on the satisfaction of inpatients in health care facilities in the Riau Archipelago. This type of research is quantitative using a cross-sectional approach. The sample in this study was 60 people. The instrument used is a questionnaire. Data analysis in this study used the independent t-test. The results of the study found that there were significant differences between the quality of health services for the BPJS and Non BPJS respondent groups. And there is a significant difference between the satisfaction of inpatients in the BPJS and Non BPJS respondent groups. It is hoped that this research can be a reference for future research.


Author(s):  
Nurhayati Nurhayati ◽  
Hadi Siswoyo ◽  
Lucie Widowati ◽  
Ondri Dwi Sampurno ◽  
Delima Delima ◽  
...  

Abstrak Saat ini pelayanan kesehatan tradisional semakin berkembang maju. Griya sehat merupakan fasilitas pelayanan kesehatan tradisional (fasyankestrad) komplementer. Di Indonesia, saat ini banyak terdapat fasilitas pelayanan kesehatan tradisional griya sehat, namun tidak semua griya sehat yang ada di masyarakat sesuai dengan persyaratan yang ditetapkan oleh Kementerian Kesehatan Republik Indonesia. Tujuan penelitian ini adalah untuk memperoleh gambaran penyelenggaraan fasilitas pelayanan kesehatan tradisional griya sehat yang ada di Indonesia. Disain penelitian ini adalah potong lintang. Sampel penelitian ini adalah fasilitas pelayanan kesehatan tradisional griya sehat yang memenuhi kriteria inklusi dan eksklusi penelitian. Data penelitian diperoleh melalui wawancara dan observasi terhadap 21 griya sehat yang dikunjungi. Hasil penelitian menunjukkan bahwa menurut kepemilikan griya sehat terdapat 7 milik pemerintah dan 14 milik swasta. Menurut perizinan, terdiri dari 3 UPT pusat, 4 UPT daerah, 10 rekomendasi dinas kesehatan, dan 4 griya sehat belum memiliki perizinan. Ada beberapa jenis pelayanan kesehatan tradisional yang diberikan di setiap griya sehat, terdiri dari 16 herbal, 15 akupunktur, 15 akupresur/pijat, 16 lainnya seperti spa, bekam, totok, fisioterapi. Tenaga yang melakukan pelayanan terdiri dari 16 tenaga kesehatan, 11 tenaga kesehatan tradisional. Pengelola dan penanggung jawab pelayanan fasyankestrad terdiri dari 4 tenaga kesehatan tradisional dan 17 tenaga kesehatan dan lainnya. Pendekatan pelayanan terdiri dari 14 promotif, 18 preventif, 21 kuratif, 16 rehabilitatif, dan 2 paliatif. Penyelenggaraan fasyankestrad komplementer griya sehat masih harus dilengkapi, khususnya terkait perizinan, standar sarana prasarana, standar operasional pelayanan, sistem pelaporan dan pengawasan oleh dinas kesehatan kabupaten/kota. Perlu dilakukan sosialisasi ketentuan standar fasilitas griya sehat kepada penyelenggara sesuai pedoman kementrian kesehatan, termasuk tentang kebutuhan pendidikan dan pelatihan bagi tenaga kesehatan tradisional. Kata kunci: pelayanan kesehatan, tradisional, griya sehat Abstract In recent years, traditional health services are growing forward. Griya Sehat is a complementary traditional health service facility. In Indonesia, there are many traditional health care facilities as griya sehat, but not all are in accordance with the requirements set by the Ministry of Health of the Republic of Indonesia. The purpose of this study was to describe the implementation of traditional health care facilities as griya sehat in Indonesia. The design of this study is cross-sectional. The sample of this study is a traditional health care facility that meets inclusion and exclusion criteria. The quantitative data was collected through interviews and observation of the infrastructure in 21 visited griya sehat. The results showed that according to ownership there were 7 government-owned and 14 private (individual)-owned. The license was 3 from the central government, 4 from the district government, 10 from the health office, and 4 did not have a license. There are several types of traditional health services provided in griya sehat, consisting of 16 herbs, 15 acupuncture, 15 acupressure/massage, 16 others such as spa, cupping, full-blooded, physiotherapy. The managers and the people in charge were 4 traditional health workers, and 17 were other health workers. The service approach consists of 14 promotive, 18 preventive, 21 curative, 16 rehabilitative, and 2 palliatives. The implementation of a complementary traditional health service facility must still be completed, particularly in relation to the license, infrastructure facilities, standard operating procedures, reporting systems, and supervision by district/city health office. It is necessary to socialize the provisions on the standard for griya sehat facilities to the providers in accordance with the ministry of health guidelines, including the need for education and training for traditional health workers. Keywords: health service, traditional, griya sehat


2021 ◽  
Vol 4 (2) ◽  
pp. 232-238
Author(s):  
Andi Nailah Amirullah ◽  
Yuliani ◽  
Nurhidayat

Health care facilities are expected to provide satisfactory services in hospitals. Have not being able to provide the maximum service expected by service users is the problem often faced by hospitals. Where the main assessment of the quality of health services is patient satisfaction. Based on a preliminary study at the RS Hikmah Makassar, it was found that more people were dissatisfied with health services. The purpose of this study was to find out the factors related to BPJS service satisfaction in BPJS Health participants at Hospital Hikmah of Makassar. The research design used Cross-Sectional. The population is 426 people. The sample in this study were some participants who used BPJS cards in Hospital Hikmah Of Makassar as many as 81 people, taking samples by purposive sampling technique. This research was conducted in May - June 2019. Data was collected with Questioner and analysed with the Chi-Square test. The results showed that there was a relationship between BPJS administration services, doctors and nurses services, supporting examination services and drug services with the satisfaction of BPJS services for BPJS Health participants in Hospital Hikmah of Makassar. The study suggested to health workers provide patients with a more friendly attitude and attention to patients recipients of health services.


Author(s):  
Irwansyah Reza Mohamad

As a result of the violation of Human Rights ( HAM ) in the health care field can cause harm to people who are in desperate need of adequate provision of health services, so that the necessary law enforcement efforts against violators in health services for the community. It is intended to assure the protection of the public with regard to the violation of the right to obtain health care. In the health sector the perpetration of these violations of human rights can involve leaders of health care facilities or health workers who practice or work in health care facilities as opposed to health care legislation. This research aims to determine the result of the violation of human right in health care, so that the right to health is not achieved and law enforcement against infringement in terms of aspects of health care human rights. The specific objective is to determine the laws governing the right to obtain medical care and enforcement of violations in health care.Akibat terjadinya pelanggaran Hak Asasi Manusia (HAM) di bidang pelayanan kesehatan dapat menimbulkan kerugian bagi masyarakat yang sangat membutuhkan pemenuhan pelayanan kesehatan yang memadai, sehingga diperlukan upaya penegakan hukum terhadap pelaku pelanggaran dalam pelayanan kesehatan bagi masyarakat. Hal ini dimaksudkan untuk memberikan jaminan perlindungan bagi masyarakat berkaitan dengan pelanggaran atas hak untuk memperoleh kesehatan. Di bidang kesehatan terjadinya perbuatan pelanggaran hak-hak asasi manusia dapat melibatkan pimpinan fasilitas pelayanan kesehatan atau tenaga kesehatan yang melakukan praktik atau pekerjaan pada fasilitas pelayanan kesehatan yang bertentangan dengan undang-undang kesehatan. Penelitian bertujuan untuk menentukan akibat terjadinya pelanggaran hak asasi manusia dalam pelayanan kesehatan, sehingga pemenuhan hak atas kesehatan tidak tercapai dan penegakan hukum terhadap pelanggaran dalam pelayanan kesehatan ditinjau dari aspek hak asasi manusia dan tujuan khususnya yaitu untuk mengetahui peraturan perundang-undangan mengatur mengenai hak dalam memperoleh pelayanan kesehatan dan penegakan terhadap pelanggaran dalam pelayanan kesehatan.


2000 ◽  
Vol 39 (3) ◽  
pp. 213-234 ◽  
Author(s):  
Syed Mubashir Ali

This study is undertaken to test whether or not there exists gender bias in health care utilisation of sick children in Pakistan. Overall, the results are encouraging, as medical consultation has been sought for by a very high proportion (79 percent) of sick children. Moreover, there do not appear to be significant differences by gender in health care utilisation, be it curative or preventive. This is so in spite of the fact that many studies on various gender-related issues in Pakistan have generally shown significant gender bias in favour of male children. Thus one may conclude that parental altruism prevails at least in the provision of health care to sick children. However, the extent and magnitude of effect varies by geographical, socio-economic, and demographic characteristics of the mother. In view of these findings, efforts should be made to minimise gender differentials among various categories of people so that children living in any circumstances may have equal opportunity of health care utilisation. This will be possible when health care facilities are easily accessible to all. The Lady Health Workers Programme of the Government of Pakistan is a major positive step in this regard. Under this programme, health care facilities are provided at people’s door-step. The expansion of this programme will be extremely beneficial in helping parents to provide health care facilities to sick children, both male and female.


Author(s):  
Aaron Asibi Abuosi ◽  
Mahama Braimah

Purpose The purpose of this study was to examine patient satisfaction with the quality of care in Ghana’s health-care facilities using a disaggregated approach. Design/methodology/approach The study was a cross-sectional national survey. A sample of 4,079 males and females in the age group of 15-49 years were interviewed. Descriptive statistics, principal component analysis and t-tests were used in statistical analysis. Findings About 70 per cent of patients were satisfied with the quality of care provided in health-care facilities in Ghana, whereas about 30 per cent of patients were fairly satisfied. Females and insured patients were more likely to be satisfied with the quality of care, compared with males and uninsured patients. Research limitations/implications Because data were obtained from a national survey, the questionnaire did not include the type of facility patients attended to find out whether satisfaction with the quality of care varied by the type of health facility. Future studies may, therefore, include this. Practical implications The study contributes to the literature on patient satisfaction with the quality of care. It highlights that long waiting time remains an intractable problem at various service delivery units of health facilities and constitutes a major source of patient dissatisfaction with the quality of care. Innovative measures must, therefore, be adopted to address the problem. Originality/value There is a paucity of research that uses a disaggregated approach to examine patient satisfaction with the quality of care at various service delivery units of health facilities. This study is a modest contribution to this research gap.


PEDIATRICS ◽  
1994 ◽  
Vol 93 (4) ◽  
pp. 569-569
Author(s):  
J. F. L.

The direct costs of Canada's national health insurance are not as troublesome as the distortive effect they have on health care delivery. Health care facilities have been forced to cut back severely on their capital expenditures, thus depleting the availability of advanced medical equipment. As a result, many patients must seek advanced treatment elsewhere. According to a recent study reported in the New England Journal of Medicine, nearly one-third of Canada's doctors have sent patients outside the country for treatment during the past five years. About 10% of all British Columbia residents requiring cancer therapy have been sent to the U.S. In Toronto, because the government doesn't provide enough money for personnel, 3,000 beds have been removed from service, while thousands of patients are on waiting lists for admission. Even where advanced equipment is available, bureaucratic absurdities prevent proper use. According to the April issue of "Fraser Forum," dogs at York Central Hospital in metropolitan Toronto were able to get CAT scans immediately while humans were put on a waiting list. The reason? Canadian patients are not allowed to pay for CAT scans, and the procedure costs too much to operate more than a few hours a day for nonpaying customers. Dog owners, on the other hand, were permitted to pay to use it. The user fees paid by the dog owners allowed the machine to operate longer, thus more human patients could be scanned. When this information was released, instead of considering user fees for humans, the Canadian government banned the tests for dogs!


PEDIATRICS ◽  
1981 ◽  
Vol 68 (5) ◽  
pp. 677-683
Author(s):  
R. Giel ◽  
M. V. de Arango ◽  
C. E. Climent ◽  
T. W. Harding ◽  
H. H. A. Ibrahim ◽  
...  

To ascertain the frequency of mental disorders in Sudan, Philippines, India, and Colombia, 925 children attending primary health care facilities were studied. Rates of between 12% and 29% were found in the four study areas. The range of mental disorders diagnosed was similar to that encountered in industrialized countries. The research procedure involved a two-stage screening in which a ten-item "reporting questionnaire" constituted the first stage. The study has shown that mental disorders are common among children attending primary health care facilities in four developing countries and that accompanying adults (usually the mothers) readily recognize and report common psychologic and behavioral symptoms when these are solicited by means of a simple set of questions. Despite this, the primary health workers themselves recognized only between 10% and 22% of the cases of mental disorder. The results have been used to design appropriate brief training courses in childhood mental disorders for primary health workers in the countries participating in the study.


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