scholarly journals Analisis Pembiayaan Kesehatan Bersumber Pemerintah di Kabupaten Bogor

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 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 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):  
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.


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.


2020 ◽  
Vol 17 (12) ◽  
pp. 5605-5612
Author(s):  
A. Kaliappan ◽  
D. Chitra

In today’s world, an immense measure of information in the form of unstructured, semi-structured and unstructured is generated by different sources all over the world in a tremendous amount. Big data is the termed coined to address these enormous amounts of data. One of the major challenges in the health sector is handling a high-volume variety of data generated from diverse sources and utilizing it for the wellbeing of human. Big data analytics is one of technique designed to operate with monstrous measures of information. The impact of big data in healthcare field and utilization of Hadoop system tools for supervising the big data are deliberated in this paper. The big data analytics role and its theoretical and conceptual architecture include the gathering of diverse information’s such as electronic health records, genome database and clinical decisions support systems, text representation in health care industry is investigated in this paper.


2021 ◽  
Vol 5 (1) ◽  
pp. 49-56
Author(s):  
Rahmad Suryawan Ura ◽  
Yuly Peristiowati

Typhoid fever is a disease that is prone to occur in Indonesia, because of the characteristics of the climate that is very prone to diseases related to the seasons. The purpose of this study is to analyze factors related to the incidence of typhoid fever in the Working Area of the Jayawijaya District Health Office. The research design used is quantitative analytics method using quantitative data. The type of approach used is case control. The population is 74 patients with typhoid fever. The large sample taken as many as 37 respondents, with a large comparison of samples between the number of respondents in the case group is 37 respondents, and 37 respondents as a control group, so the total number of samples is 74 respondents. Sampling techniques used in this study is a simple random sampling technique. Based on the results of the study, it is known that there is no relationship between age and the incidence of typhoid fever in the Working Area of the Jayawijaya District Health Office. Chi-square test result obtained p-Value Sig (0.445) > α (0.05). While it is known that there is a relationship between the level of knowledge, the level of education, hygiene of individual respondents with the incidence of typhoid fever in the Work Area of the Health Office of Jayawijaya Regency. Chi-square test results obtained p- value (0.000) < α (0.05) and environmental sanitation with the incidence of Typhoid Fever in the Work Area of the Jayawijaya District Health Office. Chi-square test result obtained p-value (0.001) < α (0.05). Based on the results of the study is expected to increase kinship with patients as well as by providing health services visits to the patient's home.


2010 ◽  
Vol 15 (26) ◽  
Author(s):  
H Roggendorf ◽  
A Mankertz ◽  
R Kundt ◽  
M Roggendorf

On 15 March 2010, a case of measles was reported to the District Health Office in Essen. In total 71 cases occurred from 15 March to 19 May (four cases hospitalised), with the majority linked to a Waldorf school. Only one case had been vaccinated twice, two cases had been vaccinated once. Immediate and consequent exclusion of non-immune children from classes for two weeks as well as the adjacent spring break prevented the wider spread of the virus.


2020 ◽  
Vol 8 (2) ◽  
pp. 67
Author(s):  
Kiki Famalasari

Pendahuluan : Difteri adalah suatu infeksi yang disebabkan oleh bakteri Corybacterium diphteriae, yang menyerang selaput lendir pada hidung dan tenggorokan, serta dapat mempengaruhi kulit. Penyakit ini sangat menular dan termasuk infeksi serius yang berpotensi mengancam jiwa.Tujuan : Penelitian ini bertujuan untuk menganalisis pola distribusi kasus difteri di Kabupaten Bojonegoro pada tahun 2009– 2019 (Agustus 2019).Metode : Penelitian ini dilakukan pada tanggal l5 Agustus-18 September 2019 di Kabupaten Bojonegoro. Penelitian ini adalah penelitian deskriptif dengan menggunakan data sekunder berupa laporan bulanan kasus difteri yang dilaporkan oleh Puskesmas atau Rumah Sakit di Wilayah kerja Dinas Kesehatan Kabupaten Bojonegoro dan hasil wawancara dengan Kepala Seksi Surveilans dan Imunisasi, serta Penanggungjawab Program Surveilans Difteri di Dinas Kesehatan Kabupaten Bojonegoro.Hasil : Hasil penelitian menunjukkan bahwa berdasarkan usia kasus difteri di Kabupaten Bojonegoro tertinggi terjadi pada kelompok usia 5-9 tahun (29,16%). Berdasarkan jenis kelamin sebagian besar terjadi pada jenis kelamin laki-laki (61,84%). Berdasarkan status imunisasi, kejadian difteri terjadi pada kelompok usia < 1tahun. Berdasarkan tempat, kejadian difteri di Kabupaten Bojonegoro sering terjadi di Kecamatan Bojonegoro. Berdasarkan waktu, kejadian difteri terjadi pada periode Januari-Maret dan Agustus-Desember.Kesimpulan : Kasus penyakit difteri di Kabupaten Bojonegoro dari tahun 2009 sampai dengan Agustus 2019 cenderung fluktuatif. Pada tahun 2009 hingga tahun 2012 kasus difteri di Kabupaten Bojonegoro mengalami peningkatan yang signifikan dan mengalami penurunan di tahun 2013 dan 2014. Kemudian pada tahun 2015, kasus difteri mengalami peningkatan kembali dan penemuan kasus terbanyak ada di tahun 2018 yaitu sebanyak 15 kasus.Penderita difteri paling banyak adalah anak usia 5-9 tahun yaitu sebanyak 21 anak. Beberapa penderita difteri memiliki riwayat imunisasi yang tidak lengkat maupun yang tidak pernah imunisasi sama sekali. Sedangkan penemuan kasus difteri terbanyak sering terjadi pada laki-laki.ABSTRACTBackground: Diphtheria is an infection caused by the Bacterium Corybacterium diphteriae, which attacks the mucous membranes of the nose and throat,then can affect the skin. This disease is very contagious and includes serious infections that are potentially life-threatening. Objectives: This study to analyze the distribution patterns of diphtheria cases in Bojonegoro Regency in 2009 - 2019 (August 2019). Methods This research was conducted on August 5-September 18, 2019 in Bojonegoro Regency. This research is a descriptive study using secondary data in the form of monthly reports of diphtheria cases reported by Puskesmas or Hospitals in the Work Area of the Bojonegoro District Health Office and the results of interviews with the Head of the Surveillance and Immunization Section, and the Person in Charge of the Diphtheria Surveillance Program at the Bojonegoro District Health Office. Result: The results showed that the highest age of diphtheria cases in Bojonegoro District occurred in the 5-9 years age group (29.16%). Based on sex, the majority occurred in male sex (61.84%). Based on immunization status, the incidence of diphtheria occurs in the age group <1 year. Based on location, diphtheria events in Bojonegoro Regency often occur in Bojonegoro District. By time, diphtheria events occurred in the January-March and August-December periods. Conclusions: Cases of diphtheria in Bojonegoro Regency from 2009 to August 2019 tended to be volatile. In 2009 until 2012 diphtheria cases in Bojonegoro Regency experienced a significant increase and decreased in 2013 and 2014. Then in 2015, diphtheria cases increased again and the most cases found were in 2018 which were 15 cases. The most diphtheria sufferers many are children aged 5-9 years, as many as 21 children. Some diphtheria sufferers have a history of immunizations that are not complete or have never been immunized at all. Whereas most cases of diphtheria are often found in men.


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