scholarly journals Asesmen Pengendalian Corona Virus Diseases-19 (Covid-19) di Kota Palu Provinsi Sulawesi Tengah

2021 ◽  
Vol 49 (1) ◽  
pp. 37-46
Author(s):  
Anis Nurwidayati ◽  
Junus Widjaja ◽  
Hayani Anastasia ◽  
Samarang Samarang ◽  
Meiske Elisabeth Koraag ◽  
...  

The current outbreak of the Corona Virus Diseases-19 (COVID-19) has also threatened the people in Palu, Central Sulawesi. Kelurahan, as part of the Regional Government system, has been in direct contact with the community in dealing with the COVID-19 pandemic. If there is no serious handling by the local government, it is feared that there will be an increase in uncontrolled cases that exceed the capacity and capacity of health facilities. The information about the readiness of kelurahan, the effectiveness of the border post, Community Health Center (Puskesmas), surveillance, and the community knowledge regarding COVID-19 are necessary to be identified. Data were collected through interviews with structured questionnaires and a list of depth-interview. The study was conducted out from May to November 2020 in Palu. The results showed that 97,8% of the kelurahan in Palu has already carried out the indicators stated in the technical guidance of COVID-19 control issued by the Ministry of Home Affairs. The border posts, which a new post designated to prevent and control the transmission of COVID-19 from outside Palu, have effectively suppressed the spread of COVID-19. There was a problem regarding the COVID-19 surveillance, specifically in data reporting and epidemiology investigation. The community health centers have conducted an education about COVID-19 and provide service for expecting mothers and newborns. Also, the community knowledge regarding COVID-19 has shown to be good. Keywords: COVID-19, kelurahan, border post, surveillance, community health center, knowledge, Palu Abstrak Corona Virus Diseases-19 (COVID-19) juga mengancam kesehatan masyarakat di Kota Palu, Provinsi Sulawesi Tengah. Kelurahan sebagai sistem pemerintahan daerah langsung bersentuhan dengan masyarakat dalam menghadapi pandemi COVID-19. Apabila tidak dilakukan penanganan secara serius oleh pemerintah daerah, dikhawatirkan akan terjadi peningkatan kasus yang tidak terkendali melebihi kemampuan dan kapasitas fasilitas kesehatan. Informasi mengenai kesiapan kelurahan, efektivitas pos di perbatasan, Puskesmas, surveilans, pengetahuan, perlu diketahui. Pengumpulan data dilakukan melalui wawancara dengan kuesioner terstruktur maupun panduan wawancara mendalam. Penelitian dilakukan di Kota Palu pada Bulan Mei – November 2020. Hasil penelitian menunjukkan bahwa 97,8% kelurahan di Kota Palu sudah melaksanakan parameter yang disebutkan dalam buku pedoman penanganan COVID-19 yang dikeluarkan oleh Kementerian Dalam Negeri. Pos Penanganan dan Pencegahan COVID-19 di Perbatasan Kota Palu efektif menekan penyebaran COVID-19. Terkait surveilans COVID-19 di Kota Palu ditemukan permasalahan dalam pelaporan data dan penyelidikan epidemiologi. Puskesmas telah melakukan penyuluhan dan pelayanan bayi baru lahir sesuai dengan Petunjuk Teknis Pelayanan Puskesmas Pada Masa Pandemi COVID-19. Pengetahuan masyarakat tentang COVID-19 sudah baik. Kata kunci: COVID-19, Kelurahan, Pos Pencegahan, Surveilans, Puskesmas, Pengetahuan, Palu

2019 ◽  
Vol 7 (1) ◽  
pp. 1-8
Author(s):  
Andy Asmara

The daily facts indicated that an individual is the key factor to achieve organization’s success. Every organization with its best performance is always related to its human resources’ balanced competency. The midwife has role, function, and competencies to provide maternal services for women. The midwife’s role is not only a doer, but also an organizer, an educator, and a researcher. Therefore, the midwife is expected to focus on prevention and health promotion aspect with basis of partnership, and community empowerment collaboration with other health workers in order to be readily prepare the health services for anyone who is in need.This was qualitative research method with case study approach. The informant was the midwives of Tambakrejo Community Health Center of Surabaya. According to the data of antenatal care attendance, trained birth attendance, and perinatal care, there were 859 pregnant women, 581 persons on phase of K1 (67.64%), and 551 persons on phase of K4 (64.14%). The birth attendances by trained birth attendants are 513 people (62.56%), while perinatal care recorded 570 people attending the health service (69.51%). The data indicated the performance by the midwives of Tambakrejo Community Health Center categorized in the lowest position among 63 community health centers in Surabaya. The result showed poor soft skill competency and poor hard skill competency on midwives. In conclusion, poor soft skill competency including personal competence and social competence should be trained and developed by obstetrics and gynecology specialist of Soewandhi Public Hospital of Surabaya. The study suggested Surabaya District Health Office needs to conduct training of technology information and computer in order to increase the service quality and to solved the problem related to hard skill competencies on technology and computer skill. 


2019 ◽  
Author(s):  
Stephanie Loo ◽  
Chris Grasso ◽  
Jessica Glushkina ◽  
Justin McReynolds ◽  
William Lober ◽  
...  

BACKGROUND Electronic patient-reported outcome (ePRO) systems can improve health outcomes by detecting health issues or risk behaviors that may be missed when relying on provider elicitation. OBJECTIVE This study aimed to implement an ePRO system that administers key health questionnaires in an urban community health center in Boston, Massachusetts. METHODS An ePRO system that administers key health questionnaires was implemented in an urban community health center in Boston, Massachusetts. The system was integrated with the electronic health record so that medical providers could review and adjudicate patient responses in real-time during the course of the patient visit. This implementation project was accomplished through careful examination of clinical workflows and a graduated rollout process that was mindful of patient and clinical staff time and burden. Patients responded to questionnaires using a tablet at the beginning of their visit. RESULTS Our program demonstrates that implementation of an ePRO system in a primary care setting is feasible, allowing for facilitation of patient-provider communication and care. Other community health centers can learn from our model in terms of applying technological innovation to streamline clinical processes and improve patient care. CONCLUSIONS Our program demonstrates that implementation of an ePRO system in a primary care setting is feasible, allowing for facilitation of patient-provider communication and care. Other community health centers can learn from our model for application of technological innovation to streamline clinical processes and improve patient care.


2017 ◽  
Vol 3 (6) ◽  
pp. 765-770
Author(s):  
Iin Wahyuni ◽  
Noor Pramono ◽  
Titi Suherni ◽  
Melyana Nurul Widyawati

Objective: This study aimed to examine the pregnancy exercise during the third trimester of pregnancy on duration of the first and second stage of labor in primigravida at the Community Health Center of Sukamaju, Bandar lampung, Indonesia.Methods: This study employed a quasy experimental design with posttest-only non-equivalent control group. This study was conducted from 8 January 2017 to 12 February 2017 at the Community Health Center of Sukamaju. Forty-eight primigravida mothers were selected using consecutive sampling, with 24 assigned in the experiment and control group. Data were analyzed using Mann whitney and Chi square test.Results: The average duration of the first stage of labor in the experiment group was 495 minutes and in the control group was 685 minutes (p= 0.000); while the average duration of the second stage of labor in the experiment group was 42.5 minutes and in the control group was 68.75 minutes (p=0.000).Conclusion: There was a statistically significant difference in the duration of the first and second stage of labor between experiment and control group. It is expected for midwives in the community health centers to implement pregnancy exercise program to help mothers in accelerating the delivery process.


2017 ◽  
Vol 48 (1) ◽  
pp. 78-89 ◽  
Author(s):  
Sean J. Haley ◽  
Susan Moscou ◽  
Sharifa Murray ◽  
Traci Rieckmann ◽  
Kameron Wells

Adolescent experimentation with alcohol, tobacco, or other drugs is commonplace, and limited access to screening and treatment services poses a significant public health risk. This study identified alcohol, tobacco, and other drug services available for adolescents at community health center sites in New York. A survey was distributed to medical and behavioral health directors across 54 community health center organizations serving 255 primary care adolescent sites. One third of sites required adolescent screening for substance use disorders (SUDs). Twenty-eight percent of sites said all/nearly all (80%-100%) and 12% said most (60%-79%) adolescents actually were screened. On-site tobacco cessation treatment and substance abuse counseling were offered at 53% and 14% of sites, respectively. Multilevel models suggested that community health center organizations positively influenced sites’ adolescent SUD screening and tobacco treatment. Additional investment in adolescent behavioral health screening and treatment is needed to reduce alcohol, illicit drug, or tobacco use among the underserved.


Responsive ◽  
2021 ◽  
Vol 3 (3) ◽  
pp. 167
Author(s):  
Enceng Sakti Alamsyah ◽  
Ratna Meisa Dai ◽  
Deasy Silvya Sari

Keberadaan kebijakan tentang BPJS Kesehatan, idealnya, membawa perubahan positif untuk kesehatan masyarakat. Bagi Pusat Kesehatan Masyarakat (Puskesmas) sebagai fasilitas kesehatan tingkat pertama, implementasi Kebijakan tentang BPJS merupakan hal yang urgen. Artikel ini bertujuan menelaah implementasi kebijakan BPJS Kesehatan di Pusat Kesehatan Masyarakat Kopo, Kecamatan Kutawaringin Kabupaten Bandung. Teori yang digunakan adalah model Van Metter dan Van Horn. Penelitian ini menggunakan pendekatan kualitatif dengan metode deskriptif. Pengumpulan data meliputi studi dokumentasi, observasi, dan wawancara. Teknik analisis data menggunakan reduksi data, penyajian data, verifikasi data, dan penarikan kesimpulan.Penulis menemukan bahwa Puskesmas Kopo telah menjalankan implementasi kebijakan Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan. Puskesmas Kopo memiliki tenaga Kesehatan yang memahami tujuan kebijakan BPJS Kesehatan sehingga mereka patuh terhadap klausa-klausa kebijakan yang ada. Mereka juga mumpuni menangani kasus-kasus yang menjadi tanggung jawab fasilitas kesehatan tingkat I dengan kecenderungan sikap yang antusias dalam mengimplementasikan kebijakan BPJS Kesehatan. Puskesmas Kopo melakukan hubungan yang intens dengan Kantor BPJS dalam implementasi kebijakan BPJS. Dari aspek lingkungan ekonomi, sosial, dan politik, Masyarakat di wilayah kerja Puskesmas Kopo memiliki tingkat kepeduliaan terhadap program BPJS Kesehatan. kepedulian ini muncul dari kesadaran dan realita bahwa program BPJS Kesehatan mampu meningkatkan taraf kesehatan masyarakat tanpa membedakan dari jenis-jenis profesi. Meski demikian, keberadaan pimpinan yang mampu mengontrol koordinasi antar unit sangat diperlukan karena implementasi kebijakan ini melibatkan banyak unit serta kendala-kendala teknis di lapangan kerap terjadi.  Ideally, the existence of a policy on BPJS Kesehatan will bring positive changes to public health. For the Community Health Center (Puskesmas) as a first-level health facility, the implementation of the BPJS Policy is urgent. This article aims to examine the implementation of the BPJS Health policy at the Kopo Community Health Center, Kutawaringin District, Bandung Regency. The theory used is the Van Metter and Van Horn model. This study uses a qualitative approach with descriptive methods. Data collection includes documentation study, observation, and interviews. The author found that the Kopo Health Center had implemented the Health Social Security Administration (BPJS) policy. Kopo Puskesmas have health personnel who understand the objectives of BPJS Health policies so that they comply with existing policy clauses. They are also capable of handling cases that are the responsibility of level I health facilities with a tendency to be enthusiastic in implementing BPJS Health policies. The Kopo Puskesmas maintains an intense relationship with the BPJS office in implementing BPJS policies. From the aspects of the economic, social and political environment, the people in the working area of the Kopo Health Center have a level of concern for the BPJS Health program. This concern arises from the awareness and reality that the BPJS Kesehatan program is able to improve the level of public health regardless of the types of professions. However, the existence of a leader who is able to control coordination between units is very much needed because the implementation of this policy involves many units and technical problems in the field often occur.


Author(s):  
Y. Gabriel Maniagasi ◽  
Thahir Haning ◽  
Rakhmat Rakhmat ◽  
Nurdin Nara

Puskesmas (Community Health Center) is a public organization that is tasked with providing the best health services to the people who live in 139 villages and 5 sub-districts in Jayapura Regency. In fact, Community Health Center are not optimally performing their duties and functions because they experience delays in their human resources, supporting facilities, poor management of Community Health Center, no clear regulatory support and a lack of budget availability to support Community Health Center operations in their services. The problem in this research is How to Strengthen the Organizational Capacity of Puskesmas in Improving Health Services in Jayapura District? The purpose of this study was to analyze the Strengthening of Public Health Center Organizational Capacity in improving health services in Jayapura Regency. This research is expected to contribute to the Jayapura Regency Government, through the Health Office and in particular for Community Health Center as regional technical implementation units to improve the Organizational Capacity in Improving Health Services in Jayapura Regency. The results showed that the Organizational Capacity of Puskesmas can be improved by strengthening management governance, incentive systems, facilities, leadership, organizational culture, communication, and organizational structure.


Author(s):  
Cindra T. Yuniar ◽  
Kusnandar Anggadiredja ◽  
Alfi N. Islamiyah

According to Indonesia’s result of Basic Health Research of 2013, prevalence of acute respiratory infection in 2007 and 2013 were not different (25.5% and 25.0%, respectively). Identifying the cause of acute pharyngitis is a key point in determining the optimal treatment. The main purpose is to evaluate the rational use of drugs and its irrational impact as well as the correlation of the drug use with the incidence and prevalence of acute pharyngitis. This study was a descriptive and observational study, carried out retrospectively and concurrently at two community health centers located in Bandung and Cimahi, Indonesia. There were 80.01% over prescription of antibiotics, with a total of 8.98% is non-treatment option, and 62.43% irrational used of corticosteroids. The incidence and prevalence of acute pharyngitis at one health center in Bandung were 2.45% and 2.31%, respectively, with irrationality rate of 83.82%. Those recorded at one health center in Cimahi were 2.11% of incidence and 2.00% of prevalence with irrational rate of 91.29%. It can be concluded that there were still irrational use of medicines in the treatment of acute pharyngitis in community health center. The higher incidence and prevalence might indicate the declining health services quality.


2021 ◽  
Vol 3 (1) ◽  
pp. 16
Author(s):  
Dewi Setyawati ◽  
Mei Yolla Ningrum

Community compliance in taking measures to prevent transmission of COVID-19 must be based on good knowledge about COVID-19 so that it can break the chain of transmission of COVID-19. The objective of this research to determine the relationship between the level of community knowledge about COVID-19 with compliance to prevent COVID-19 at the Community Health Center of Jati Kudus. This study used a quantitative analysis with a cross-sectional approach. The population was 115 people treated at Community Health Center of Jati Kudus with range aged 17-35 years, then got 89 respondents were obtained using the purposive sampling technique. The instrument used was a questionnaire. From the results of univariate data testing, 65 respondents (73%) had good knowledge of COVID-19, while those who had sufficient knowledge were 24 people (27%). The results showed that all respondents complied with the prevention measures for COVID-19 with a percentage of 100%. Based on the bivariate test result, it was found that there was a relationship between the level of knowledge and compliance in preventing transmission of COVID-19 with a p-value of 0.034 and r (correlation coefficient) of 0.225. It can be concluded that there was a relationship between the level of public knowledge about COVID-19 and compliance with COVID-19 prevention at the Pubic Health Center of Jati Kudus.


2019 ◽  
Vol 2 (02) ◽  
pp. 90-94
Author(s):  
Rosmala Nur ◽  
Muh. Ryman Napirah ◽  
Nafilah . ◽  
Radiah . ◽  
Nurhaya S. Patui ◽  
...  

Vasectomy method has 99% success in preventing pregnancy. Among 13 community health centers in 2017, the widest number of vasectomy contraception users recorded in Bulili Community Health Center with 37 people (57,81%). The studi aims to discover of several factors of contraception use, such as education, knowledge, and family support. This research is a descriptive quantitative. The sample of this research is 37 men, particularly husbands, who are older than 35 years old and have 2 children. In collecting the sample, this research uses total sampling method. The data collection method is done by observation and interview. Furthermore, the obtained data are analyzed statistically by showing frequency distribution in each variable. The research showed that vasectomy contraception based on education (64,9%), knowledge (89,2%), and family support (94,6%) in this area is good. Consequently, citizens are expected to willingly accept information from health worker related to men’s KB


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