scholarly journals PELAKSANAAN PERATURAN PEMERINTAH NOMOR 18 TAHUN 2016 DI RSUD KARAWANG

2019 ◽  
Vol 4 (2) ◽  
pp. 206
Author(s):  
Siti Nursanti ◽  
Yanti Tayo ◽  
Wahyu Utamidewi

Government regulations related to regional apparatus number 18 of 2016 changed the status of regional public hospitals from regional technical institutions to limited regional service units under the Karawang District Health Office. Decentralization of the health sector entered a new era, Government Regulation number 18 of 2016 made the Health Service the only government agency that deals with the health sector from starting to Promotive, preventive, curative and rehabilitative efforts. The purpose of this study was to determine the communication activities of the Karawang District Health Office in the application of Government Regulation number 18 of 2016. This study used a qualitative research method with a case study approach. Karawang Regency, and Chairperson of the Karawang Regency Hospital Supervisory Board. The results of this study are internal communication from the top down or the bottom up is easier to do both directly, and indirectly, direct communication is done by superiors by telephone and then followed up using official letters.

2018 ◽  
Vol 7 (2.29) ◽  
pp. 660
Author(s):  
Siti Nursanti ◽  
Susanne Dida ◽  
Mien Hidayat ◽  
Irvan Afriandi

Amendment to Government Regulation number 18 of 2016 begins with the issuance of Law Number 23 Year 2014 on Regional Instrument Organization to replace Law no.  32 year 2014.  In this study, researchers used qualitative methods with  Case Study approach, the researchers considered this method is very appropriate that best describe the phenomenon in political communication research related to post-implementation of Government Regulation No.  18 of 2016.  Ability to provide rich portraits which is the main benefit of case studies.  The research reader should be made to feel as if you were there with you in your research, see what you see, summarize what you have concluded. This research was conducted in Public Hospital Karawang regency.  In this study researchers found that: 1. Hospital changed the status that was originally Regional Technical Institute into Limited Service Unit Region under the health service 2. The Director is a physician or dentist whose functional status is then given an additional duty to become the Director of the Hospital 3. The Health Office is a member of the hospital supervisory board as well as the operational operator of the hospital has resulted an overlapping coordination in organizational communication  


2018 ◽  
Vol 1 (2) ◽  
pp. 47-49 ◽  
Author(s):  
Anjupa Shrestha ◽  
S. Sharma

Introduction: Abortion was legalized in Nepal in September 2002. Only a trained and listed provider can provide abortion services at a health. For many women, especially in developing countries like Nepal, safe abortion may not be available, affordable or accessible despite the liberalization of abortion law. The aim of this study was to determine the status of abortion in Jumla. Methods: This retrospective study was conducted from the record of District Health Office; Jumla from the month of Ashad 2074 to Jestha 2075. Total Enumerative sampling technique was used. Data of public health sector and Marie Stopes Center, Jumla were retrieved and analyzed in terms of frequency, rate, and percentage. Results: Total 1196 women have received abortion services and abortion rate was 36.077 per 1000 (15-49 Years women). Most of the women(90%) were more than 20 years of age and majority of women (82%) chose medical method for abortion service. Majority (88.62%) have used Post abortion family Planning services. Conclusions: The abortion rate of Jumla was still high. Nine out of ten women who received abortion services were more than 20 years of age. Women preferred medical method rather than surgical method for abortion service. Nearly one tenth women had not used any post abortion family planning method.


2019 ◽  
Vol 7 (2) ◽  
pp. 94
Author(s):  
Hasim As'ari

The purpose of this study is to distinguish the organizational structure performance of the Natuna District Health Office as a regional government organization that carries out the health sector authority in border areas or outermost islands in Indonesia. The research used descriptive method in a qualitative approach and involved 12 informants which were analyzed in depth so as to explain the exact performance of the organizational structure. The results of the study explain that as an area that faces pressure from problems that are different from other regions in Indonesia, Natuna regency always allocates the good financial resources. However, the organizational structure performance which describes the organization and also the management still requires serious attention and continuous improvement efforts.


2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Dewi Wulandari ◽  
Ayu Virahani

Increasing the scope of public health services is carried out by utilizing the potential and available resources, including those in the community. In accordance with one of the Puskesmas functions, namely the community empowerment center, the puskesmas is tasked with empowering the community in the health sector, namely through the Community-Based Health Efforts (UKBM) with one of the real forms being the Pesantrean Health Post (Poskestren). This study aims to obtain an overview of the implementation of the poskestren in boarding schools in the area of Semarang District Health Office. This research is a descriptive observational study with a secondary data study obtained from health promotion and community empowerment data reports collected from 2017 to 2019 by the Semarang District Health Office. The population in this study were all boarding schools reported in the working area of Semarang Regency in 2017-2019. The sample in this study is a boarding school that already has a poskestren in the working area of Semarang Regency in 2017-2019. The research data was then analyzed descriptively. The results obtained are an increase in the number and activities of implementing the poskestren from 2017-2019.


2019 ◽  
Vol 34 (s1) ◽  
pp. s65-s65
Author(s):  
Madelina Ariani ◽  
Yurianto Achmad ◽  
Kamarruzzaman Kamarruzzaman ◽  
Ina Agustina ◽  
Bella Donna ◽  
...  

Introduction:Indonesia’s road traffic fatality rate stands at 15.3 per 100,000 people, compared to 17 in the Southeast Asia region. Traffic fatalities are predicted to increase by 50%, becoming the third leading contributor to the global burden of disease by 2020. Indonesian police reported that 575 people died and 2,742 road accidents occurred during Eid-al-Fitr 2015. The problem is increasing rapidly in Indonesia, particularly during Ramadan. Policy makers need to recognize this growing problem as a public health crisis to prevent mass casualty incidents.Aim:To assess the health system preparedness with regard to road traffic accidents during 2017 Eid-al-Fitr homecoming in West Java, Central Java, East Java, and Lampung.Methods:The project started with an interview and observation followed by stakeholder analysis to assess the level of preparedness. This qualitative and quantitative research was conducted one month prior to Eid-al-Fitr homecoming 2017. The instruments were evaluated for policy, organization, communication, procedure, contingency plan, logistics, facility and human resources, financing, monitoring, evaluation, coordination, and socialization.Results:The levels of preparedness were moderate (B) for West Java, East Java, and Lampung, but high (A) for Central Java. Levels of preparedness based on district health office indicators were high for coordination, but low for a contingency plan. Levels of preparedness based on hospitals and primary health care were high for logistics and human resources, but low for a contingency plan and financing.Discussion:The findings indicated a moderate level (B) of health sector preparedness. Benchmark information from this research will provide information for further training in contingency planning, particularly for the district health office.


2019 ◽  
Vol 2 (2) ◽  
pp. 139
Author(s):  
Firdausi Ramadhani ◽  
Ririh Yudhastuti ◽  
Sri Widati

Based on data from Bangkalan District health profile in 2010, total DHF cases were 709 cases. In 2011 there was a decline in cases, namely 226 people and one person died. In 2012 there was a surge in 397 cases and six people were declared dead (Bangkalan District Health Profile 2010-2012). Bangkalan District Health Office has sought various programs to deal with dengue cases. This study aims to determine the knowledge and implementation of the Eradication of Mosquito Nests. Using qualitative methods with a case study approach. Data collection was carried out during the period of April-June 2017. The population is in part of the community living in Kamal Sub-district. Data was collected through interviews with housewives from Kamal Village, community leaders and Puskesmas officers. From the results of the study it was found that public knowledge about 3M Plus DHF and PSN was still low. Communities are more familiar with fogging and larvacide to combat dengue than the 3M Plus PSN program. The low implementation of 3M Plus PSN and the lack of information on 3M Plus DBD and PSN. As a recommendation, the relevant parties should immediately take strategic and technical steps in implementing the 3M Plus PSN as the main approach in DHF control. Facilitating partnerships between communities and the government and seeking community participation in tackling DHF through PSN mobilization activities. Expanding access to information about 3M Plus DHF and PSN, not only in schools but also covering all levels of society.Berdasarkan data profil kesehatan Kabupaten Bangkalan tahun 2010  kasus DBD total penderita sebanyak 709 kasus. Pada tahun 2011 sempat mengalami penurunan kasus yaitu dengan jumlah 226 penderita dan satu orang dinyatakan meninggal. Pada tahun 2012 kembali mengalami  lonjakan  yaitu 397 kasus dan enam orang dinyatakan meninggal (Profil Kesehataan Kabupaten Bangkalan 2010-2012). Dinas Kesehatan Kabupaten Bangkalan sudah mengupayakan berbagai program untuk mengatasi kasus DBD.             Penelitian ini bertujuan untuk mengetahui pengetahuan dan pelaksanaan Pemberantasan Sarang Nyamuk. Menggunakan metode kualitatif dengan pendekatan studi kasus. Pengumpulan data dilakukan selama periode Bulan April-Juni 2017. Populasinya sebagian masyarakat yang tinggal di Kecamatan Kamal. Data dikumpulkan melalui wawancara dengan ibu rumah tangga Desa Kamal, tokoh masyarakat dan petugas Puskesmas. Dari hasil penelitian ditemukan bahwa pengetahuan masyarakat tentang DBD dan PSN 3M Plus masih rendah. Masyarakat lebih mengenal fogging dan larvasida untuk menanggulangi DBD daripada program PSN 3M Plus. Rendahnya pelaksanaan PSN 3M Plus dan minimnya informasi mengenai DBD dan PSN 3M Plus. Sebagai rekomendasi, sebaiknya pihak terkait segera mengambil langkah strategis dan teknis dalam pelaksanaan PSN 3M Plus sebagai pendekatan utama dalam pengendalian DBD. Memfasilitasi  kemitraan antara masyarakat dan pemerintah serta mengupayakan partisipasi masyarakat dalam menanggulangi DBD melalui kegiatan penggerakan PSN. Memperluas akses informasi tentang DBD dan PSN 3M Plus, bukan hanya di sekolah namun juga mencakup seluruh lapisan masyarakat.


2007 ◽  
Vol 2 (1) ◽  
pp. 39
Author(s):  
Nia Aryani Rahmaniawati

Pembiayaan kesehatan bidang kesehatan di Kabupaten Bogor yang diperoleh dari berbagai sumber dianggap besar, tetapi derajat kesehatan dari tahun ke tahun tidak beranjak banyak. Padahal pada era desentralisasi peningkatan tersebut seharusnya menyentuh pelayanan langsung kepada masyarakat. Tujuan penelitian ini adalah mengetahui sumber dana pemerintah, besar dana yang telah dianggarkan, realisasi alokasi anggaran kesehatan yang diberikan pe- merintah. Penelitian dibatasi pada biaya kesehatan yang dikelola oleh Dinkes, Badan Rumah Sakit Daerah Cibinong dan Ciawi dengan menggunakan sumber data sekunder berbagai dokumen anggaran tahun 2003-2005. Ditemukan bahwa bidang kesehatan merupakan APBD Kabupaten, tetapi proporsi anggaran kesehatan tertinggi tahun 2005 (9,8%) lebih rendah dari kesepakatan bupati/walikota (15%). Sumber pendanaan kesehatan berasal dari Anggaran Pendapatan dan Belanja Daerah (APBD) Kabupaten dan Propinsi, Anggaran Pendapatan dan Belanja Negara (APBN) Pinjaman Luar Negeri (PLN), Bantuan Luar Negeri (BLN) serta bantuan natura obat dengan proporsi terbesar APBD Kabupaten. Penggunaan dana bidang kesehatan lebih besar pada belanja publik, proporsi berdasar line item lebih banyak untuk biaya operasional, Berdasar unit pengelola dinas kesehatan cenderung pada bidang yankes, Biaya Unit unit kerja terbesar adalah rumah sakit umum daerah. Berdasar fungsi yankes lebih besar pada fungsi kuratif. Realisasi anggaran yang telah direncanakan belum terlaksana sesuai dengan jadwal yang telah ditetapkan.Kata kunci: Pembiayaan kesehatanAbstractFunding for health development in Bogor District from different sources is considered as relatively big, however, improvement in health status has been limited for years. In the decentralization era, improvement in health status should reach direct public services. This study objective is to understand funding sourced from government, budgeting and allocation, as well as the realization of budget and allocation plan of health funding from government. The study is limited to health funding managed by District Health Office, Cibinong and Ciawi Hospitals using 2003-2005 budget documents as secondary data.The study found that health sector is included in the District Budget Plan (APBD) with highest proportion of health budget was in 2005 (9.8%) which was still lower than Head of District’s stated commitment (15%). Health funding came from Province and District Budget Plans (APBD), National Budget Plan (APBN), grants and loans, and medicinal supplies with District Budget Plan as the highest contributor. Health funding is mainly allocated for public spending, while line item proportion is mainly found in operational cost. Based on implementing unit, health service units received most funds with local hospitals as highest receivers, and therefore, more emphasis on curative function. The realization schedule have not been promptly implemented as planned. from management system related to health sector.Key word: Health funding


2019 ◽  
Vol 11 (1) ◽  
pp. 39-46
Author(s):  
Aryani Pujiyanti ◽  
Dimas Bagus Wicaksono Putro ◽  
Arief Mulyono

Leptospirosis control in Pati Regency cannot rely on the general health sector alone, however, it is needed collaboration between the cross-program in leptospirosis control and the relevant sectors. This study aimed to describe the level of leptospirosis knowledge of the health and the cross-sectors officers in Pati Regency, Central Java Province through the assessment activity. A cross-sectional method was used in the present study. A total of 32 people consisting of the  the health and the cross-sectors officers was used as research subjects. They attended the dissemination of leptospirosis held in April 2018 . The instrument used was a questionnaire and the data collection was performed using the questionnaire technique. The data were analyzed descriptively using fisher exact analysis.  The results showed that most respondents had a good level of leptospirosis knowledge. There was no significant positive correlation between resondents' knowledge with age, education level, gender, and type of institution. Respondents understood that environmental factors and the presence of rats played a major role in leptospirosis transmission in Pati District. However, most respondents were lack of knowledge on the role of non-rats as leptospirosis reservoirs. The knowledge of leptospirosis prevention was focused on on self-protecting against bacterial contact from the environment  rather than efforts of rodents control and the use of gloves when treating animals. The District Health Office is recommended to provide the health education on leptospirosis issues for both the cross programs and across sectors officer, particularly how to control rats and the role of non-rats as   leptospirosis reservoirs.


Author(s):  
◽  
Fazli Syam BZ ◽  

This study aims to analyze the performance rating of the West Aceh District Health Office through 4 perspectives using the Balanced Scorecard approach as a measuring tool. The study approach is quantitative approach. The data analysis method used in this study is to calculate the ratio from the four perspectives of the balance scorecard to measure performance. The results of the study show that the performance of the financial perspective during 2016, 2017 and 2018 is not good. The service perspective shows a good performance value for 3 consecutive years. In 2016 and 2018 for internal bussines processes perspective internally shows the results of the performance was good, but for 2017 the results showed a quite good performance. Meanwhile, the human resource perspective shows that only in 2017 the West Aceh District Health Office performed well, but in 2016 and 2018 the results of the study showed that the performance was quite good. Overall the accumulated value of performance measurement balanced scorecard of DHO Aceh Barat showed healthy performance for 2 years (showing 2,8 points in 2016 and 2,9 points in 2017 with healthy performance category standard values ≥ 2,8 points) but for 2018 the results show less healthy performance (showing 2.7 points).


Author(s):  
Nursalim Nursalim ◽  
Mappeaty Nyorong ◽  
Asriwati Amirah

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.


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