scholarly journals Barriers in Tuberculosis Treatment in Rural Areas (Tengger, Osing and Pandalungan) in Indonesia Based on Public Health Center Professional Workers Perspectives: a Qualitative Research

Jurnal NERS ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 62
Author(s):  
R Endro Sulistyono ◽  
Tantut Susanto ◽  
Rr Dian Tristiana
Keyword(s):  
Public Health ◽  
Health Care ◽  
Qualitative Research ◽  
Health Center ◽  
Rural Areas ◽  
Phenomenological Approach ◽  
Health Care Facilities ◽  
Public Health Center ◽  
Short Course ◽  
The Government

Introduction: Tuberculosis (TB) is still one of the main health problems in Indonesia. Various efforts have been made by the government to handle the TB problem in Indonesia, one of which is implementing a direct observed therapy short course (DOTS) program. However, the handling of TB disease in Indonesia, especially in rural areas is still not optimal. This study aims to explore barriers to the handling of TB in rural areas from the perspective of public health center professionals.Methods: This study is a qualitative research with a phenomenological approach. Sampling was done by purposive sampling with a sample of 8 participants. Data is collected through focus group discussions. Thematic analysis is carried out using colaizi step.Results: This study obtained two themes. Theme 1 is the barriers in the aspect of TB patients and Theme 2, which is barriers from the aspect of health care facilities.Conclusion: This study obtained two themes. Theme 1 is the barriers in the aspect of TB patients and Theme 2, which is barriers from the aspect of health care facilities.

scholarly journals Barriers in Tuberculosis Treatment in Rural Areas (Tengger, Osing and Pandalungan) in Indonesia Based on Public Health Center Professional Workers Perspectives: a Qualitative Research

Jurnal NERS ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 62
Author(s):  
R Endro Sulistyono ◽  
Tantut Susanto ◽  
Rr Dian Tristiana
Keyword(s):  
Public Health ◽  
Health Care ◽  
Qualitative Research ◽  
Health Center ◽  
Rural Areas ◽  
Phenomenological Approach ◽  
Health Care Facilities ◽  
Public Health Center ◽  
Short Course ◽  
The Government

Introduction: Tuberculosis (TB) is still one of the main health problems in Indonesia. Various efforts have been made by the government to handle the TB problem in Indonesia, one of which is implementing a direct observed therapy short course (DOTS) program. However, the handling of TB disease in Indonesia, especially in rural areas is still not optimal. This study aims to explore barriers to the handling of TB in rural areas from the perspective of public health center professionals.Methods: This study is a qualitative research with a phenomenological approach. Sampling was done by purposive sampling with a sample of 8 participants. Data is collected through focus group discussions. Thematic analysis is carried out using colaizi step.Results: This study obtained two themes. Theme 1 is the barriers in the aspect of TB patients and Theme 2, which is barriers from the aspect of health care facilities.Conclusion: This study obtained two themes. Theme 1 is the barriers in the aspect of TB patients and Theme 2, which is barriers from the aspect of health care facilities.

scholarly journals PENGARUH PERILAKU SISWA SD TERHADAP KUNJUNGAN PEMELIHARAAN KESEHATAN GIGI DAN MULUT

2020 ◽  
Vol 2 (1) ◽  
pp. 14
Author(s):  
Raudhatul Jannah ◽  
Mappeaty Nyorong ◽  
Yuniati Yuniati
Keyword(s):  
Public Health ◽  
Health Care ◽  
Qualitative Research ◽  
Health Center ◽  
Parental Support ◽  
Dental Health ◽  
Research Approach ◽  
Chi Square ◽  
Public Health Center ◽  
Purposive Sampling

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p align="center"><strong>Abstrak</strong></p><p> </p></td></tr></tbody></table></div><p>Masalah kesehatan gigi terutama pada anak di Indonesia mencapai 93 %. Berdasarkan survey awal yang dilakukan oleh peneliti di Puskesmas Sentosa baru dengan melihat data sekunder diketahui bahwa pencapaian target tentang kesehatan gigi belum mencapai 80 %. Adapun tujuan  penelitian ini yaitu untuk menganalisis pengaruh perilaku siswa SD terhadap kunjungan pemeliharaan kesehatan gigi di Puskesmas Sentosa Baru. Jenis penelitian ini merupakan penelitian kuantitatif dengan menggunakan cross sectional. Penelitian dilakukan di wilayah kerja Puskesmas Sentosa Baru kota Medan. Sampel kuantitatif diperoleh dengan menggunakan teknik purposive sampling sebanyak 95 siswa. Sedangkan Informan pada peenlitian kualitatif berjumlah 3 orang siswa. Untuk menganalisis data kuantitatif digunakan uji Chi Square dan regresi logistik dan kualiatif dilakukan dengan observasi dan wawancara. Berdasarkan hasil penelitian kuantitatif diketahui bahwa ada 5 variabel yang memengaruhi siswa SD dalam kunjungan pemeliharaan kesehatan gigi dan mulut di Puskesmas Sentosa Baru yaitu pengetahuan, sikap, dukungan orangtua, dukungan guru, dukungan teman sebaya. Kesimpulan dalam penelitian ini yaitu bahwa variabel yang paling berpengaruh terhadap kunjungan pemeliharaan di Puskesmas Sentosa Baru yaitu dukungan guru. Sehingga disarankan agar guru dapat memberikan dukungan yang penuh kepada siswa agar siswa bersedia berkunjung ke Puskesmas Sentosa Baru untuk melakukan pemeliharaan kesehatan.</p><p> </p><p>Kata kunci: Perilaku, Kunjungan Pemeliharaan Gigi dan Mulut</p><p>Abstract</p><p>Dental health problems especially in children in Indonesia still very alarming 93%. Based on an initial survey conducted in the Sentosa Baru Public Health Center by looking at secondary data it was known that the achievement of targets on dental health has not reached 80%. The general purpose of this studied IS to analyzed the influence of students still low behavior on dental health service visits at the Sentosa Baru Public Health Center  The types of research was a mix methods with an explanatory research approach. Quantitative samples were obtained using a purposive sampling technique of 95 students. While the informants in qualitative research were 3 students. To analyzed quantitative data the Chi Square test was used and logistic and qualitative regression was carried out by observation and interview. Based on the results of quantitative research, it was known that there was 5 variables that affect elementary students in dental and oral health care visits at the Sentosa Baru Public Health Center, namely knowledge, attitudes, parental support, teacher support, and peer support. Based on qualitative research results, it was obtained that 2 informants experienced cavities and dirty teeth. The conclusion is that the most influential variable on maintenance visits at the Sentosa Baru Public Health Center is teacher’s support. So it was suggested that teachers can provide full support to students are willing to visit the Sentosa Baru Public Health Center to examing their teeth and mouths problems performing health care.</p><p> </p>Keywords: Behavior, Maintenance Visit Dental and Mouth

scholarly journals Hubungan Pengetahuan dan Sikap Ibu Postpartum tentang Persalinan di Fasyankes dengan Pemilihan Pertolongan Persalinan

2018 ◽  
Vol 18 (3) ◽  
pp. 522
Author(s):  
Ratu Kusuma
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Center ◽  
Health Care Facilities ◽  
Healthcare Facilities ◽  
Public Health Center ◽  
The Public ◽  
Care Facilities ◽  
Postpartum Mothers ◽  
Selection Of

Safe childbirth is childbirth that helped by health personnel in health care facilities. Coverage of childbirth in health care facilities in Jambi province did not reach strategic plan target yet (77.00%), achievement (63.03%), Jambi city (93.86%) and the public health center did not reach target province yet (90%) that is the public health center Talang Bakung (79.00%) and Pal Merah II (78.00%). This study aimed to determine the correlation of knowledge and postpartum mothers attitude about childbirth in health care facilities with a selection of helping in childbirth at the public health center Talang Bakung. This is an analytic descriptive research; with total populations were 32 postpartum mothers, it used total sampling technique. Instrument test was conducted at the public health center Pal Merah II toward 10 postpartum mothers; an instrument used demographic data instrument, knowledge instrument, attitude instrument, and selection of helping in childbirth instrument, with fisher exact test and contingency coefficient. The findings indicated that there is no significant correlation between knowledge and attitudes of childbirth in healthcare facilities with a selection of helping in childbirth with each score p is (p=0.444 p=1.000), contingency coefficient (p=0.399, p=1.000). It is concluded that knowledge and attitude of the postpartum mother about childbirth in healthcare facilities did not affect in a selection of childbirth place chosen by the mother. For the next researcher to research about childbirth in healthcare facilities with the different method.

scholarly journals The Design of Medical Waste Treatment in Public Health Center (MWT-P) for Reducing Total Bacteria Count in Banjarbaru

2020 ◽  
Vol 12 (4) ◽  
pp. 254
Author(s):  
M. Irfa'i ◽  
Arifin Arifin ◽  
Ferry Kriswandana ◽  
Imam Thohari
Keyword(s):  
Public Health ◽  
Health Care ◽  
Waste Management ◽  
Health Center ◽  
Waste Treatment ◽  
Medical Waste ◽  
Health Care Facilities ◽  
Management Tool ◽  
Public Health Center ◽  
Care Facilities

Introduction: The increase in medical waste in health service facilities in Indonesia is linearly consistent. The quantity of medical waste that causes a complex problem is a high cost of processing clinical waste. Legislation requires medical or clinical waste to be processed not to cause nosocomial and other environmental pollution. Medical or clinical waste treatment requires excessive technology and very high processing expenses. Processing medical waste requires innovation in processing medical waste to be applied easily in health care facilities (Public Health Center). Method: This research was conducted by simulating variations in the stages of processing medical waste used to be the Experiment Pre and Post Test only without Control Group design. Simulation variations used include contact time Chlorine (5 minutes, 10 minutes) and Chlorine Dose Variation (25 ppm, 50 ppm). This research was conducted in the Public Health Center of the City of Banjarbaru in 2018. Result and Discussion: The content of bacteriological numbers in medical waste before processing is, on average, 1,973 MPN / 100 ml; after being treated with MWT-P, the bacteria is reduced to 4 MPN/100 ml. The content of the liquid waste bacterial number of the final processing decreases to 0 MPN/100 ml. Conclusion: The study results concluded that the use of MWT-P decreases the quantity of medic or clinical waste microorganisms or bacteria. The final waste processing with MWT-P resulted in the number of medical waste bacteria in the treatment reaching zero. MWT-P is a low cost and easy to perform medical or clinical waste management tool. MWT-P is a stage of the B3 waste management framework, especially medical waste, in health care facilities.

scholarly journals Factors Influencing the Utilization of Childbirth Services in Health Care Facilities at UPTD Anggaberi Health Service Center, Konawe District

2021 ◽  
Vol 8 (4) ◽  
pp. 298
Author(s):  
Murti Wuryani ◽  
Arni Evayanti
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Service ◽  
Health Center ◽  
Family Income ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Bivariate Analysis ◽  
Public Health Center ◽  
Care Facilities

The childbirth coverage in health facilities (PF) at UPTD Anggaberi Public Health Center  in 2017 has reached 72.6%, and increased in 2018 by 76.18%. At district level, the PF indicator at UPTD Anggaberi Public Health Center  has exceeded the target in Konawe District by 59,37%, however but the 80% target achievement of PF at the UPTD Anggaberi Public Health Center  has not been achieved<sup>6</sup>. Seeing this, the coverage of PF at the UPTD Anggaberi Public Health Center , there are still labors that are not performed in health facilities, so that it can affect the achievement of PF at the UPTD Anggaberi Public Health Center , Konawe District. The aim of the study was to analyze factors that influence utilization of health care facilities at the UPTD Anggaberi Public Health Center. This research is an analytical study with a cross sectional approach. The research instrument used was a structured questionnaire on the factors that affect the utilization of labor service in health care facilities. The number of samples was 51 women who had labor at the Anggaberi Health Center. Bivariate analysis was done with chi square test and multivariate analysis with logistic regression test. The results showed the six factors (education (p = 0.041) and work (p = 0.019) family income (p = 0.041) and accessibility (p = 0.021) husband support (p = 0.011) and health personnel support (p = 0.011) ) on the use of childbirth services in health care facilities at the UPTD Anggaberi Public Health Center , Konawe District. The multivariate results show that all independent variables in this study have a significance limit of p-value ≤ 0.25, so it can be concluded that there is an influence among each independent variable (education, occupation, income, accessibility, husband's support and support of health workers) with the dependent variable. (utilization of childbirth services in health service facilities). Health care centers are expected to improve the partnership with traditional midwife (dukun beranak) within their work area so that the dukun can become well trained and they can collaborate in every childbirth

scholarly journals ANALISIS PELAKSANAAN PROGRAM PENGENDALIAN DEMAM BERDARAH DENGUE (DBD) DI PUSKESMAS KARYA WANITA KOTA PEKANBARU

2021 ◽  
Vol 1 (2) ◽  
pp. 443-456
Author(s):  
Qory Ayunitami ◽  
Herlina Susmaneli ◽  
Christine Vita Gloria Purba
Keyword(s):  
Public Health ◽  
Aedes Aegypti ◽  
Health Center ◽  
Age Groups ◽  
Control Process ◽  
Control Program ◽  
Hemorrhagic Fever ◽  
Public Health Center ◽  
Dengue Disease ◽  
The Government

Demam Berdarah Dengue (DBD) merupakan salah satu jenis penyakit menular yang disebabkan oleh virus dengue yang ditularkan melalui gigitan nyamuk Aedes Aegypti. Penyakit DBD dapat muncul sepanjang tahun dan dapat menyerang seluruh kelompok umur. Puskesmas Karya Wanita merupakan daerah yang endemis yaitu daerah yang mudah terjangkit penyakit dalam jumlah besar salah satunya penyakit DBD. Upaya dari pemerintah untuk mengatasi penularan penyakit DBD dengan melakukan program pengendalian DBD. Program pengendalian ini berupa pemberantasan sarang nyamuk, penyelidikan epidemiologi dan penggulangan fokus. Kegiatan ini mempunyai tujuan utama diantaranya untuk menurunkan angka kesakitan, menurunkan angka kematian, dan mencegah terjadinya KLB penyakit DBD. Tujuan penelitian ini untuk menganalisis pelaksanaan program pengendalian DBD di Puskesmas Karya Wanita Kota Pekanbaru tahun 2020. Penelitian ini merupakan penelitian kualitatif deskriptif dengan pendekatan studi kasus. Subjek penelitian ini terdiri dari 1 informan kunci yaitu Kepala Puskesmas, 2 informan utama yaitu Pemegang Program DBD, Petugas Promosi Kesehatan, dan 2 informan pendukung yaitu Kader dan Masyarakat. Teknik yang digunakan dalam penelitian ini adalah wawancara mendalam dengan menggunakan bantuan pedoman wawancara serta analisis data dilakukan secara deskriptif dan disajikan dalam bentuk narasi . Hasil penelitian ini menunjukkan bahwa pelaksanaan program pengendalian DBD belum optimal, hal ini disebabkan oleh kurangnya dana untuk melaksanakan program ini, dan juga masih kurangnya partisipasi masyarakat dalam melakukan program Pemberantasan Sarang Nyamuk (PSN). Diharapkan kepada pihak puskesmas agar dapat bekerjasama dengan pihak terkait seperti Dinas Kesehatan Kota/Provinsi dan lintas sektor dalam pendanaan untuk semua kegiatan pengendalian DBD dan lebih memotivasi masyarakat agar ikut serta dalam proses pengendalian DBD. Dengue Hemorrhagic Fever (DHF) is a type of infectious disease caused by the dengue virus which is transmitted through the bite of the Aedes Aegypti mosquito. DHF can appear throughout the year and can affect all age groups. Karya Wanita Public Health Center is an endemic area, namely an area that is easily infected by large numbers of diseases, one of which is DHF. Efforts from the government to overcome the transmission of dengue disease by implementing a dengue control program. This control program takes the form of eradicating mosquito nests, epidemiological investigations and focus repetition. This activity has the main objective of reducing morbidity, reducing mortality, and preventing outbreaks of dengue fever. The purpose of this study was to analyze the implementation of the DHF control program at  Karya Wanita Public health center Pekanbaru City in 2020. This research is a descriptive qualitative research with a case study approach. The subjects of this study consisted of 1 key informant, namely the Head of the Puskesmas, 2 main informants, namely the DBD Program Holder, a Health Promotion Officer, and 2 supporting informants namely Cadres and the Community. The technique used in this research is in-depth interviews using interview guides and data analysis is done descriptively and presented in narrative form. The results of this study indicate that the implementation of the DHF control program is not optimal, this is due to the lack of funds to implement this program, and also the lack of community participation in carrying out the Mosquito Nest Eradication (PSN) program. It is hoped that the public health center will be able to collaborate with related parties such as the City / Provincial Health Office in funding for all DHF control activities and to further motivate the community to participate in the DHF control process

Spatial distribution of public health care facilities in rural areas of Nalanda district, Bihar

2020 ◽  
Vol 66 (4) ◽  
pp. 387-399
Author(s):  
Anand Kumar ◽  
◽  
Dhiraj Kumar Sharma ◽  
Satya Prakash ◽  
Ram Sakal Yadava ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Spatial Distribution ◽  
Community Development ◽  
Rural Areas ◽  
Graphical Representation ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Location Quotient ◽  
Care Facilities

At this critical juncture of time when the whole world is facing a health care emergency due to the occurrence of (SARS-CoV-2) pandemic. It becomes necessary to critically evaluate public health care facilities and their availability to common people to tackle the ongoing crisis rationally. In this regard, this paper tries to study the spatial distribution of public health care facilities and their availability in rural areas of Nalanda district. Location quotient, Lorenz curve and Gini's coefficient have been worked out to find unequal concentration, availability and distribution of public health care facilities across the study area. To show the concentration and distribution of health care facilities over space maps have been drawn on ArcGIS. MS Excel and Word have been used for showing the availability of health care facilities through graphical representation and for tabulation purposes. This paper concludes that community development blocks surrounding district headquarter have a higher concentration and larger availability of rural public health care facilities in comparison to peripheral community development blocks of the study area.

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 affecting health care facility utilization in rural areas of Lucknow district

2018 ◽  
Vol 5 (5) ◽  
pp. 1766
Author(s):  
Vinita Shukla ◽  
Pratibha Gupta
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Facility ◽  
Rural Areas ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Public And Private ◽  
Background Population

Background: Population is increasing rapidly so with the limited resources government alone cannot cater the health of whole population. Private health sector is equally important for the improvement of health of the people. In view of these facts the present study was planned to assess the utilization of health care services (both public and private) and to assess the reasons for visiting that particular health facility (public or private).Methods: Study was cross sectional for 1 year period. Total sample size was 1024. In the present study only rural area was taken. By using multistage stratified random sampling 6 villages were selected and sample came out as 516. Data was analyzed by stata software version -12 for windows and chi square test.Results: 50% respondents visited public, 38% private and 10% visited others (charitable, pharmacies etc.). 62% respondents belonged to lower socio economic status preferred public health care facility. The main reason for visiting public health facility was free services and for private was got cure earlier from that heath facility. Majority of people visited any health facility for illness. (344 out of 516) and 50% of them visited for respiratory diseases. For chronic illness majority (60%) preferred public health care facility.Conclusions: Both public and private health care facilities should be made well equipped and affordable so that people can make choices and not forced to choose particular health facility.

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