scholarly journals Pemanfaatan Fasilitas Pelayanan Kesehatan Pemerintah dan Swasta di Kabupaten Sleman

2011 ◽  
Vol 5 (4) ◽  
pp. 178
Author(s):  
Anita Sulistyorini ◽  
Purwanta Purwanta

Di Sleman, masyarakat yang memanfaatkan fasilitas pelayanan kesehatan swasta (52%) lebih tinggi daripada yang memanfaatkan fasilitas kesehatan pemerintah (37,6%). Fenomena ini diduga berhubungan dengan kebijakan kesehatan. Penelitian ini bertujuan mengetahui pola pemanfaatan fasilitas pelayanan kesehatan pemerintah dan swasta oleh keluarga di Kabupaten Sleman serta berbagai faktor yang mempengaruhinya. Penelitian denganrancangan studi cross sectional ini dilakukan di 13 kecamatan terpilih di Kabupaten Sleman. Teknik pengambilan sampel yang digunakan adalah cluster sampling dua tahap menghasilkan jumlah sampel penelitian 240 responden dari 30 cluster. Instrumen pengumpulan data yang digunakanadalah kuesioner yang sebelumnya telah disiapkan. Metoda uji chi-square digunakan untuk melihat hubungan antara pemanfaatan fasilitas pelayanan kesehatan pemerintah dan swasta dengan status ekonomi, persepsi akses ke fasilitas pelayanan kesehatan, persepsi kualitas pelayanan kesehatan, serta persepsi sehat sakit. Angka pemanfaatan fasilitas pelayanan kesehatan milik pemerintah dan swasta oleh masyarakat di Kabupaten Sleman ternyata sama tinggi yaitu lebih dari 90%. Pemanfaatan fasilitas pelayanankesehatan pemerintah berhubungan bermakna dengan persepsi aspek waktu pelayanan kualitas pelayanan kesehatan (p value = 0,019). Fasilitas pelayanan kesehatan swasta berhubungan bermakna dengan persepsi aspekbiaya kesehatan kualitas pelayanan kesehatan (p value = 0,005). Disimpulkan bahwa pemanfaatan fasilitas pelayanan kesehatan milik pemerintah maupun swasta oleh keluarga di Kabupaten Sleman dipengaruhi oleh persepsi kualitas pelayanan kesehatan.Kata kunci: Pemanfaatan, fasilitas pelayanan kesehatan, pemerintah, swasta.AbstractIn Sleman, the private health service facilities is utilized higher ( 52%) than those of public facilities ( 37,6%). This phenomenon is assumed to be brought about by health policy. This research is aimed at studying the pattern of private and public health services facilities utilization in Sleman Regency and the factors influence it. A cross-sectional survey was carried out in 13 selected districts of Sleman Regency. Two steps cluster sampling was administered giving 30 clusters and 240 households as respondents. Chi-square test was used to identify association between private and public health services utilization and economical level; the perception of services facilities’s accesibility; the perception of health services quality also the perception of family health and healthy illness perception. Both private and public health services facilities in Sleman Regency were equally utilized (>90)%. Utilization of public health services facilities has significant correlation with perception towards health services quality, especially services time (p valu e = 0,019). The private health services facilities has a significant correlation with the family perception towards health services quality, especially health cost (p value = 0,005). It is concluded that the family perception towards quality of health services influence the pulic and private health services facilities utilization.Keywords: Utilization, health services facilities, public, private

2021 ◽  
Vol 7 (2) ◽  
pp. 274-278
Author(s):  
Eneng Resti ◽  
Riska Wandini ◽  
Rilyani Rilyani

SUPPLYING ASI (MP-ASI) COMPLEMENTARY FOOD ASSOCIATED WITH STUNTING EVENTS IN BABIES Background: The prevalence of children under five with stunting in Indonesia in 2017 (36.4%) according to the 2018 Basic Health Research Lampung, which was ranked 24th out of 32 provinces in Indonesia, namely 27.3% with the highest incidence in Way Kanan (36.07%) being the lowest are in Metro City (14.75%). One of the factors causing stunting is the provision of complementary feeding (MP-ASI) which is not fulfilled in terms of time, frequency and type of food given to toddlers.Purpose: To knowing the relationship between complementary feeding (MP-ASI) and the incidence of stunting in mothers who have the characteristics of children aged 7-24 months at Public Health Services (Puskesmas) Hanura Teluk Pandan Pesawaran Regency 2020.Methods: This type of quantitative research used a cross sectional design and the population of this study were mothers who had children aged 7-24 months in the Hanura Public Health Center with 41 respondents using total sampling technique. The instrument in this study used a questionnaire sheet and the determination of stunting by calculating the Z-Score PB / U <-2SD, bivariate analysis using the Chi-Square test.Results: The statistical test of complementary feeding (MP-ASI) Chi-Square obtained P-Value = 0.000 with an Odd Ratio value of 0.083.Conclusion: There is a relationship between complementary feeding (MP-ASI) with the incidence of stunting in children under five at the working area of Public Health Services (Puskesmas) Hanura Teluk Pandan District, Pesawaran Regency in 2020. Suggestions will further improve the community outreach program, especially for mothers who have a toddler to prevent stunting in the future. Keywords : Stunting, complementary feeding, toddlers ABSTRAK Pendahuluan: Prevalensi balita stunting di Indonesia pada tahun 2018 adalah 30,8% menurut Riset Dasar Kesehatan tahun 2018 Lampung menjadi peringkat ke-24 dari 32 provinsi di Indonesia yaitu 27,3% dengan kejadian tertinggi di Way Kanan 36,07% sedang yang terendah terdapat di Kota Metro 14,75%. Salah satu faktor penyebab stunting adalah pemberian makanan pendamping ASI (MP-ASI) yang tidak terpenuhi baik dari waktu, frekuensi serta jenis makanan yang diberikan kepada balita.Tujuan: Untuk mengetahui hubungan pemberian makanan pendamping ASI (MP-ASI) dengan kejadian stunting pada ibu yang memiliki karakteristik balita usia 7-24 bulan di wilayah kerja Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran Tahun 2020.Metode: Jenis penelitian kuantitatif dengan menggunakan rancangan cross sectional dan populasi dari penelitian ini yaitu ibu yang memiliki balita usia 7-24 bulan di wilayah kerja Puskesmas Hanura dengan jumlah responden 41 orang dengan teknik total sampling. Instrumen dalam penelitian ini dengan menggunakan lembar kuesioner dan penentuan stunting dengan perhitungan Z-Score PB/U <-2SD analisis bivariat dengan menggunakan uji Chi-Square.Hasil: Uji statistik pemberian makanan pendamping ASI (MP-ASI) Chi-Square didapat P-Value = 0.000 sehingga P-Value< α (0,000 <0,05) maka H0 ditolak dengan nilai Odd Ratio0.083.Kesimpulan: Terdapat hubungan pemberian makanan pendamping ASI (MP-ASI) dengan kejadian stunting pada balita di wilayah kerja Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran Tahun 2020. Saran agar Puskesmas Hanura Kecamatan Teluk Pandan Kabupaten Pesawaran semakin meningkatkan program penyuluhan kepada masyarakat terutama pada ibu yang memiliki balita untuk mencegah terjadinya stunting dikemudian hari. Kata kunci   : Stunting, MP-ASI, Balita


2019 ◽  
Vol 13 (2) ◽  
pp. 184-193
Author(s):  
Teguh Pribadi ◽  
Karyanto Karyanto ◽  
Yansuri Yansuri

ABSTRACT : BODY IMAGE AND DAY‐TO‐DAY SOCIAL INTERACTION  IN PATIENTS WITH PULMONARY TUBERCULOSIS, LAMPUNG-INDONESIABackground: Tuberculosis (TB) is a contagious disease caused by TB (Mycobacterium tuberculosis), most germs invade the lungs, but can also attack other organs. Pre-survey results conducted on October 30, 2017 on 10 families whose family members suffered from Pulmonary TB obtained as many as 7 people (70%) less interacting with the social environment because of changes in body posture, so ashamed to interact with others.Purpose: Knowing that the relationship of self-image with social interaction among patients with tuberculosis at Public Health Services Negeri Agung Waykanan 2018.Methods: This research was a quantitative research and used cross sectional approach. The population in this research was the patient with tuberculosis and the sample of 36 respondents. Data collection using questionnaire sheet. Analysis of data with univariate (average) and bivariate using test (Chi Square).Results : Finding that 25 (69.4%) had a poor self-image, of 27 (75.0%) of respondents had poor social interaction.  The correlation of self-image with social interaction with p-values of 0.012 and OR 8.800.Conclusion: There was correlation between self-image with social interactions among patient with tuberculosis at Public Health Services  Negeri Agung Waykanan 2018. Suggested to the management of Public Health Services (Puskesmas) to be held counseling about tuberculosis to prevent isolation patient in his self.Keywords : Self-image, social interaction, tuberculosisPendahuluan: Tuberkulosis (TBC) merupakan penyakit menular langsung yang disebabkan oleh kuman TBC (Mycobacterium tuberculosis), sebagian besar kuman menyerang ke paru, tetapi dapat juga menyerang organ tubuh lainnya. Hasil pra survey yang dilakukan tanggal 30 Oktober 2017 pada 10 keluarga yang anggota keluarganya menderita TB Paru didapatkan sebanyak 7 orang (70%) kurang berinteraksi dengan lingkungan social karena perubahan dari bentuk tubuhnya yang menjadi sangat kurus, sehingga malu untuk berinteraksi dengan orang lain, sedangkan sebanyak 3 orang (30%) tetap berinteraksi dengan lingkungan disekitarnya.Tujuan: Diketahui  hubungan gambaran diri dengan interaksi social pada penderita TB Paru di wilayah kerja UPT Puskesmas Negeri Agung Kabupaten Way Kanan tahun 2017.Metode : Penelitian ini merupakan penelitian kuantitatif menggunakan pendekatan cross sectional. Populasi dalam penelitian ini adalah penderita penyakit TB Paru sebanyak 96 orang, sampel 36 responden. Pengumpulan data menggunakan lembar kuesioner. Pengolahan data editing, coding, entri data, melakukan teknika alisis. Analisis data dengan secara univariat (rata-rata) danbivariat menggunakan uji (Chi Square).Hasil: Didapatkan 25 (69,4%) memiliki gambaran diri buruk dan sebanyak 11 (30,6%) memiliki gambaran diri yang baik,  27 (75,0%) responden  buruk dalam berinteraksi sosial dan sebanyak 9 ( 25,0%) responden baik dalam berinteraksi sosial, dengan p-value 0,012 dan OR 8,800.Simpulan: Ada hubungan gambaran diri dengan interaksi sosial pada penderita Tuberkulosis Wilayah kerja UPT Puskesmas Negri Agung Kabupaten Waykanan tahun 2018. Disarankan kepada manajemen Pelayanan Kesehatan Masyarakat (Puskesmas) untuk diadakan penyuluhan tentang tuberkulosis untuk mencegah pasien isolasi dalam dirinya.


2021 ◽  
Vol 1 (2) ◽  
pp. 31-37
Author(s):  
Dewi Puspa Cipta Utami

Introduction: The role of the family is the specific behavior expected by someone in the family member. Anxiety is a fear that is not clear and is not supported by the situation. Objective:  To Know the Relationship of Family Role to the Level of Anxiety in the Elderly in Hamlet 01 Kukusan Beji-Depok Method: The research method uses analytics with a cross-sectional approach. The study population was 288 people with a sample of 81 respondents using the Slovin formula. In the sampling technique using cluster sampling. Results: The results showed that the respondents with a bad family role as many as 41 (50.6%) anxiety levels of the middle aged were 59 (72.8%). The results of statistical tests using the chi-square test indicate that there is a significant or significant relationship between the role of the family and the level of anxiety of the elderly with a value of p-value 0.01. Conclusion: It was concluded that there was a relationship between the role of the family and the level of anxiety of the elderly in the Hamlet 01 Kukusan Beji District Depok City.


2020 ◽  
Vol 8 (2) ◽  
pp. 105-114
Author(s):  
Ainul Mardhiah ◽  
Nova Hasbani Prima Dewi ◽  
Aminy Aminy

The family planning program also aims to improve the quality of the family in order to generate a sense of security, peace and hope of a better future in realizing the prosperity of birth and inner happiness. Allegedly the factor causing EFA participation in the family planning program is characteristic. The purpose of this research is to know the relationship of attitude and characteristic of Elderly Age Couple (PUS) with participation in family planning program at UPT Puskesmas Sungai Raya Sungai Raya District, East Aceh regency 2018. The research design used was analytic survey with cross sectional design. The population of this study is all Pairs Age of Fertile located in Work Area UPT Sungai Raya Public Health Service Center in January to December 2017 which amounted to 1897 people. Sampling using Slovin formula, obtained as many as 95 samples. The study was conducted from 7-17 July 2018 using questionnaires by interview. Statistical test using chi-square test. Result of research indicate that majority of fertile couple couples (PUS) participate in family planning program as much as 67 respondents (70,5%). Statistically there is relationship of attitude and characteristic of Elderly Age Couple (EFA) with non participation in family planning program in Working Area of UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh Regency 2018 with p value <0,1. It is recommended that the family planning program holders in UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh District to invite cross-sectoral figures to hold meetings to create mini workshop plans at least once a month to increase the participation of the Elderly Age Couple (PUS) in family planning programs. Keyword : Family Planning Program, Attitudes, CharacteristicsABSTRAKProgram KB juga bertujuan untuk meningkatkan kualitas keluarga agar dapat timbul rasa aman, tentram, dan harapan masa depan yang lebih baik dalam mewujudkan kesejahteraan lahir dan kebahagiaan batin. Diduga faktor yang menyebabkan ketidakikutsertaan PUS dalam program KB adalah karakteristik. Tujuan penelitian ini untuk mengetahui hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan keikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018. Desain penelitian yang digunakan adalah survei analitik dengan rancangan bedah lintang. Populasi dari penelitian ini adalah seluruh Pasangan Usia Subur yang berada di Wilayah Kerja UPT Puskesmas Sungai Raya pada bulan Januari sampai dengan Desember tahun 2017 yang berjumlah 1.897 orang. Pengambilan sampel menggunakan rumus Slovin, didapatkan sebanyak 95 sampel. Penelitian dilaksanakan dari tanggal 7-17 Juli tahun 2018 menggunakan kuesioner dengan cara wawancara. Uji statistik menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa mayoritas Pasangan Usia Subur (PUS) ikut serta dalam program KB yaitu sebanyak 67 responden (70,5%). Secara statistik ada hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan ketidakikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018 dengan p value < 0,1. Sebaiknya pemegang program KB di UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur agar mengajak tokoh lintas sektor agar mengadakan pertemuan untuk membuat rencana loka karya mini setidaknya satu bulan sekali untuk meningkatkan keikutsertaan Pasangan Usia Subur (PUS) dalam program KB.Kata Kunci : Program KB, Sikap, Karakteristik


Author(s):  
Evi Rosita ◽  
Siti Nurnaningrum

There are about 2.8 million incident of perineal rupture in maternal physiological labor. In 2050,it is estimated that the incidence of perineal rupture can be 6.3 million if it is not accompanied by a good midwifery care. In 2016, in Trawas, there was (89%) perineal rupture in primiparas and (57%) perineal rupture in multiparas. Perineal rupture incidences due to parity were still very high. This study aims to analyze the relationship between parity and the incidence of perineal rupture . It is quantitative studyusing a cross sectional approach, by using analysis of physiological maternity women  medical record data from January to April 2017 of 130 peoplein Trawas Public Health Center, Mojokerto Regency.The dataanalysis used was Chi - Square , indicated by p value = 0,000 with ɑ = 0,05. It means that the value of p <ɑ, so H1 is accepted. It can be concluded that there is a relationship between parity and the incidence of perineal rupture on physiological maternity women in Trawas Public Health Center,Mojokerto Regency. Midwives can apply collaboration with patients and their families to have physical and psychologicalpreparation with an alternative of hypnobirthing methods.


Author(s):  
Brain Guntoro ◽  
Kasih Purwati

Hypertension is one of the number one causes of death and disability in the world. Hypertension contributes nearly 9.4 million deaths from cardiovascular disease each year. Hypertension can cause undesirable effects, it needs good handling, one of them is by doing a hypertension diet. To carry out a hypertension diet requires knowledge, lack of knowledge can increase risk factors for hypertension. This study aims to determine the relationship of the level of knowledge about hypertension diet to the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City. This research method is an analytic observational with a cross-sectional approach conducted at the Baloi Permai Public Health Center Batam City 2018. Sampling technique is a total sampling with a sample of 64 people in 2018 determined by inclusion and exclusion criteria. The results of the study were analyzed with frequency distribution and then tested with the Chi-square test. Based on the results of this study indicate that of the 64 respondents found elderly who have a good level of knowledge are 41 people (64.1%), 48 people (75.0%) have an age range between 60-70 years. 27 people (42.2%) elderly have the last high school education and 40 people (62.5%) have jobs as entrepreneurs. Elderly people who have normal blood pressure are 40 people (62.5%), and those affected by hypertension are 24 people (37.5%). The elderly who have a family history of hypertension is 21 people (32.8%) and those who do not have a history of hypertension are 43 people (67.2%). Chi-Square Test analysis results show the significance value p = 0.009. This number is significant because the p-value is smaller than the significance level (α) ≤ 5% (0.05), so H0 is rejected and Ha is accepted. Therefore it can be concluded that there is a significant relationship about the level of knowledge about the hypertension diet to the incidence of hypertension in the elderly. From the results of this study it was concluded that there was a relationship between the level of knowledge about the hypertension diet and the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City in 2016.


2016 ◽  
Vol 2 (3) ◽  
pp. 106
Author(s):  
Ardhiyani Muslimah ◽  
Nur Indah Rahmawati

<p>Family Planning (FP) participation is the most important thing in the family planning program in Indonesia. Based on the baseline study, family planning participations in 6 in Argomulyo village covered 533 couples (59.22 %) of 900 total couple of reproductive age. Knowledge is one of the factors that causes reproductive age couples to join the family planning program. Knowledge is used as the basis of actions to solve problems and this was the result of knowing after the people recognice an object. Knowledge about family planning is expected to cause the participation of reproductive age couples in the family planning program. The purpose of this study was to analyze the relationship between the knowledge level of family planning participation in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta 2014. Study design was observational analytic with cross sectional aproach. Technique sampling used was total sampling of reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta resulted on 907 respondents. Data was colected by interview using the questionnaire. The analysis used was chi-square. The result of chi-square test showed a p-value 0.318&gt;(0.05) and coefficients contingency of 0.05 so knowledge level had no relationship with FP participation. Knowledge level was 71.00% good, while the highest participation of family planning in the majority of with fair level enough was 68.8%, in addition, the highest proportion of couples who did not participate in FP program was 41.8%. In Conclusion, there was no significant relationship between the knowledge level about family planning and the participation of the family planning in reproductive age couples in Argomulyo village, Sedayu, Bantul, Yogyakarta year 2014.</p>


2021 ◽  
Author(s):  
Kristina W. Kintziger ◽  
Kahler W. Stone ◽  
Meredith Jagger ◽  
Jennifer A. Horney

Abstract Background Funding and staff formerly dedicated to routine public health tasks (e.g., responding to communicable and non-communicable diseases, investigating foodborne outbreaks, conducting routine surveillance) and services (e.g., environmental health, substance abuse, maternal-child health) may no longer be available in many public health departments due to the COVID-19 response. The objective of this study was to assess the extent to which staffing for essential public health services has been redirected to the COVID-19 response. Methods This is a cross-sectional study using a survey distributed through the Qualtrics platform. Individuals (N = 298) working in public health across governmental and academic public health departments in the U.S. during the ongoing COVID-19 pandemic response were surveyed. Survey items measured multiple domains including professional experience (i.e., training, years of experience, content expertise, job functions), mental and physical health status (i.e., generalized anxiety, depression, burnout), and career plans (i.e., pre-pandemic vs. current career plans). Results The total number of content expertise areas and programmatic functions covered by individual public health workers increased between January and September of 2020, with 26% (73 of 282) of respondents reporting an increase in both. The total number of respondents working in infectious disease and preparedness remained constant, while declines were reported in program evaluation (-36%) and health education (-27%) and increases were reported in disease investigation (+ 35%). Conclusions The provision of many essential public health functions and tasks have been limited or eliminated while the U.S. public health workforce responds to the COVID-19 pandemic. These findings highlight opportunities for funding and professional development of public health systems, both during and after the COVID-19 response, to help ensure the continuity of essential public health services, staffing sustainability, and preparedness for future public health emergencies in the U.S. Trial registration: Not applicable.


2019 ◽  
Vol 5 (1) ◽  
pp. 9
Author(s):  
Dewi Ratnasari Dewi Ratnasari ◽  
Patmawati Patmawati

Diare merupakan salah satu penyebab utama kesakitan dan kematian hampir diseluruh negara berkembang. Semua kelompok usia bisa diserang diare tetapi penyakit berat dengan kematian terjadi pada balita. Penelitian ini bertujuan mengetahui Hubungan Tindakan Ibu Terhadap Kejadian Diare pada Balita Di Desa Duampanua Kecamatan Anreapi Kabupaten Polewali Mandar. Jenis penelitian ini adalah kuantitatif menggunakan desain cross sectional terhadap 70 ibu sebagai sampel yang dipilih menggunakan cluster sampling. Analisis data dengan univariat untuk mendeskripsikan karakteristik responden dan bivariat dengan menggunakan uji chi square. Hasil penelitian menunjukkan bahwa responden yang menggunakan sumber air bersih untuk membuat susu formula tidak memenuhi syarat lebih banyak yang menderita diare yaitu 64,3% dengan nilai  p value=0,000, responden dengan sterilisasi botol susu tidak baik lebih banyak mengalami diare yaitu 45,7% dengan nilai  p value=0,000,  dan responden dengan cara penyajian makanan tidak memenuhi syarat lebih banyak mengalami diare yaitu 47,1% dengan nilai p value=0,120. Analisis statistik diperoleh bahwa sumber air bersih yang digunakan untuk membuat susu formula dan sterilisasi botol susu terdapat hubungan yang signifikan dengan kejadian diare pada balita, sedangkan cara penyajian makanan, tidak ada hubungan yang signifikan terhadap kejadian diare pada balita. Disarankan kepada masyarakat pengguna botol susu pada balita diharapkan senantiasa mencuci tangan dengan baik dan selalu memperhatikan kesterilan botol susu balita guna menghindari balita dari resiko kejadian diare.


Sign in / Sign up

Export Citation Format

Share Document