scholarly journals Penyelenggaraan Upaya Kesehatan Masyarakat (UKM) Esensial di Puskesmas Terpencil dan Sangat Terpencil

Author(s):  
Sefrina Werni ◽  
Iin Nurlinawati ◽  
Rosita Rosita

Abstrak Setiap puskesmas harus menyelenggarakan Upaya Kesehatan Masyarakat (UKM) esensial tanpa melihat kriteria puskesmas. UKM esensial meliputi 5 jenis pelayanan, yaitu promosi kesehatan; kesehatan lingkungan; kesehatan ibu, anak, dan keluarga berencana; pelayanan gizi; dan pencegahan dan pengendalian penyakit. Tujuan dari penelitian ini dilakukan untuk memberikan gambaran pelaksanaan UKM esensial di puskesmas terpencil dan sangat terpencil di wilayah Indonesia. Data diperoleh dari hasil survei lokasi calon penempatan tim Nusantara Sehat Tahun 2016 sebanyak 131 unit puskesmas terdiri dari 74 puskesmas terpencil dan 57 puskesmas sangat terpencil. Hasil penelitian menunjukkan terdapat 87,0 persen puskesmas melaksanakan 5 jenis pelayanan esensial dan masih terdapat puskesmas yang hanya melaksanakan 3 jenis pelayanan yaitu sebesar 1,5 persen. Pelayanan kesehatan lingkungan merupakan jenis UKM esensial yang paling banyak tidak dapat diselenggarakan oleh puskesmas. Belum semua jenis tenaga kesehatan ada di puskesmas terpencil dan sangat terpencil. Terkait dengan pelaksanaan UKM esensial jenis tenaga yang masih kurang di daerah terpencil dan sangat terpencil yaitu dokter, tenaga kesling, tenaga pelaksana gizi dan tenaga kesehatan masyarakat. Peningkatkan kemampuan Puskesmas untuk menyelenggarakan UKM esensial secara menyeluruh baik di puskesmas terpencil maupun puskesmas sangat terpencil, perlu didukung dengan tenaga yang memiliki kompetensi sesuai dengan jenis UKM esensial. Abstract Every health center must organized an essential public health effort (essential UKM’s), without looking at the health center’s criteria. Essential UKM’s are consist of five programs, namely health promotion; environmental health; health of maternal, child, and family planning; nutrition services; and prevention and control of diseases. The purpose of this study is to get an overview of the implementation of the essential UKM’s in remote areas and very remote health centers. Data obtained from the survey of Healthy Archipelago team based placement in 2016, as many as 131 units of health centers, consisting of 74 remote area health centers and 57 very remote area health centers. Result of this study showed that 87,0 percent health centers organize a complete 5 programs of essential UKM’s, but there are 1,5 percent of health center that only organize three programs of essential UKM’s. Environmental health was an essential program that most would be un-organized by health center. Not all types of health workers are in remote and very remote health clinics. Associated with the implementation of essential UKM’s, personnels that are still lacking in remote and very remote areas is doctor, environmental health, nutritionist and public health. To improve the ability of the health center organized a complete essential UKM’s throughly both health center in remote areas and very remote areas, need to be supported by of human resources for health who have appropriate competence with essential UKM’s.

2020 ◽  
Vol 4 (4) ◽  
pp. 643-648
Author(s):  
Maksuk ◽  
Lukman

The cadres of public health center  have an important role in managing of households in the community, therefore it is important to improve skills to manage such waste so that the waste can be utilized and beneficial. The method of managing household waste in this activity uses the concept of Pilah – Kumpul - Manfaat - Untung (PKMU) to reduce the volume of household waste and provide benefits to the community. Participants involved in this activity were health workers, kader of community health centers and the community of RT 14 and RT 33. The Achievement targets in this activity were to improve the ability of health workers and cadres to manage of household waste, use of household waste for the planting of medicinal plants, families and the formation of independent care working groups for batra activities in health center and the formation of waste bank managers. The results of this activity show that cadres and the community can use household waste as compost, in addition, household waste such as plastic can be reused. The follow up of this activity is the formation of a waste bank manager at the location of the activity.


2021 ◽  
Vol 6 (9) ◽  
pp. 1629-1635
Author(s):  
Evina Widianawati ◽  
Widya Ratna Wulan ◽  
Ika Pantiawati ◽  
Edi Jaya Kusuma

Insufficient use of Excel menus and formulas has been observed among certain medical personnel at Sokaraja 1 Health Center. Similar reports were also obtained for SPSS, QGIS and Rapidminer. The purpose of this study is to strengthen the use of statistical software by health workers to improve information management. An action research methodology was applied, subsequently the training was conducted using Google Meet and relevant statistical software e-module media, Ms Excel, SPSS, QGIS, and Rapidminer for 6 consecutive sessions. The results showed that knowledge and skills increased by 104 and 100%, respectively. These performances confirmed that the statistical software trainings were very significant in facilitating the operations of health workers, with enhanced knowledge and skills.


2020 ◽  
Vol 2020 ◽  
Author(s):  
Agussalim

Hypertension is a disease that usually occurs in the circulatory system which can cause an increase in blood pressure above the normal value, which exceeds 140/90 mmHg. The intention of this study aims to understand the relationship between lifestyle and the incidence of hypertension in Antang Makassar Public Health Center in 2018. This research method uses quantitative analytic motives using a cross sectional approach with a population of 46 people and a sample of 36 respondents. This research was conducted on July 14-16 June. The method used is simple random sampling and the tool used to obtain data is a questionnaire. The scale used is Liker and Guttmann scale with univariate, bivariate analysis and chi-square test with significant a = 0, 05. The results of this study indicate there is a relationship between lifestyle and the incidence of hypertension in the Makassar Antang Health Center with P = 0, 01 smaller than the value of a = 0.05. Suggestions are for hypertensive patients, namely the need to check their health routinely to health workers in order to know the development of blood pressure and obtain information from health workers.


2019 ◽  
Vol 5 (2) ◽  
pp. 100-103
Author(s):  
Mestika Rija Helti ◽  
Suriani ◽  
Zakiah

Measles and rubella can have a negative impact on children's health in Indonesia, so the government has implemented an MR vaccination campaign (MMR VIS - Indonesia, 2012). The MR (Measles Rubella) vaccine provides benefits such as protecting children from disability and death due to complications of pneumonia, diarrhea , brain damage, deafness, blindness and congenital heart disease. There were 83 confirmed cases of CRS in 2015-2016 of which 77% suffered from heart defects, 67.5% suffered from cataracts and 47% suffered from deafness (Ditjen P2P, 2016). The research objective was the Effect of Promotion of Health Workers on the Improvement of Rubella Measles Immunization at the Bandar Khalipah Public Health Center in 2019. This type of research is descriptive analytic with a cross sectional approach with a sample size of 18, it is recommended to carry out promotions. The sampling technique is purposive sampling technique. The research instrument uses leaflet sheets. Univariate analysis using Microsoft Excel. The results showed that the total coverage of rubella measles immunization prior to promotion at the Bandar khalipah health center 2019 was 340 (7.8%) in the "decreased" category and after promotion the total coverage of rubella measles immunization at the Bandar khalipah puskesmas was 367 (8, 6%) are in the “increasing” category. So that there is an effect of promotion of health workers on increasing the provision of rubella measles immunization at the Bandar khalipah public health center in 2019. Conclusion in this study there is an effect of promotion of health workers on increasing rubella measles immunization, so that health workers can use promotion as an effort to support government programs, coverage of immunization rubella measles 95%.


2019 ◽  
Vol 3 (1) ◽  
pp. 30
Author(s):  
Ajeng Dyah Pythaloka ◽  
Muhammad Yusri Abadi ◽  
Darmawansyah Darmawansyah

Implement health efforts both public health efforts are first rate and first rate individual health efforts are needed health center management be integrated and continuous in order to produce the performance of Public Health Center effective and efficient. This study aims to find out about the picture of the level of achievement of performance results pertaining to quality health center health center services, management of health centers and health care Public Health Center Madising Na Mario Pare-pare. This research method is quantitative descriptive method, whereby it purports to describe the level of achievement of the performance results of health centers. From the research achievement of quality performance owned health center services obtained an average value of 9,7 performance with good performance categories. Public Health Center management obtained an average performance score of 10 with a good performance categories. Health services obtained the value of the average performance of 70,9% with less performance categories. Therefore, efforts to improve the performance of health centers needed professional human resources and improvement of health facilities, especially the budget required.


2020 ◽  
Vol 8 (2) ◽  
pp. 152
Author(s):  
Casnuri Casnuri ◽  
Puspito Panggih Rahayu

<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>


Author(s):  
Muswandar Muswandar ◽  
Purnawan Junadi

Abstract. Law No. 36 of 2014 is a comprehensive law for health professionals. In that regulation, all health graduates that wish to practice their trade must have a letter of registration (STR). That policy also separated environmental health from public health. This was the reason why we decided to evaluate the policy that is related to public health professionals. This evaluation was a retrospective analysis that used in-depth interviews and literary research, respectively as primary and secondary data. From this research we discovered that public health graduates is has their own profession. And to obtain the right to practice their trade, they must pass the competence standard test. However, according to other regulations, only vocational or professional education graduates can participate in the test. Since there currently are no professional education institutions available for public health professionals, Minister of Health Regulation No. 41/2013 takes over. According to this law, all public health graduates will be provided an STR until there is a professional education institution. We also discovered that environmental health should NOT be separated from public health, since it is a large part of it. And therefore, the law must be amended. Abstrak. Undang-undang (UU) No. 36 Tahun 2014 mengatur tenaga kesehatan secara komprehensif. Dalam UU tersebut, semua tenaga kesehatan yang berpraktek wajib memiliki surat tanda registrasi (STR). Kebijakan juga telah memisahkan kesehatan lingkungan dari kesehatan masyarakat (kesmas). Oleh karena itu peneliti tertarik untuk melakukan evaluasi kebijakan khususnya terhadap konten kebijakan yang berhubungan dengan tenaga kesmas. Evaluasi isi kebijakan ini dilakukan dengan analisis retrospektif yang menggunakan wawancara mendalam dan telaah literatur sebagai data primer dan sekunder. Dari penelitian ini diketahui bahwa tenaga kesehatan masyarakat layak disebut sebagai sebuah profesi. Untuk mendapatkan STR, tenaga kesmas harus lulus ujian kompetensi. Tetapi, menurut peraturan yang berlaku, yang dapat mengikuti ujian kompetensi adalah lulusan pendidikan vokasi atau profesi. Namun, karena belum adanya pendidikan profesi untuk tenaga kesmas, maka untuk sementara Peraturan Menteri Kesehatan Nomor 41 Tahun 2013 digunakan sebagai solusi. Dimana semua lulusan institusi kesmas akan mendapatkan STR hingga terdapat institusi pendidikan yang menyelenggarakan pendidikan profesi. Selain itu ditemukan bahwa kesling sebenarnya merupakan bagian yang penting dari kesmas, baik dalam literatur maupun pendapat para ahli. Sehingga sebaiknya dilakukan revisi atau amandemen untuk UU tersebut.


2018 ◽  
Vol 6 (2) ◽  
pp. 149
Author(s):  
Nurul Hidayatul Ulumiyah

Background: Patient safety is an indicator of health service quality that becomes an important issue although data of patient safety incident at primary health care are not always accurate in Indonesia. Public health center is a health service facility that implements patient safety to improve the health service quality as stated in Health Ministry Law Republic of Indonesia Number 36 Year 2009.Aim: The aim of this study was to identify the implementation of patient safety to improve the service quality.Method: Data collection techniques used were observation, interview, and literature study. The research was done at a public health center in Surabaya from January to February 2018.Results: The results showed that the implementation of patient safety at the public health center was adjusted to the accreditation standard of the public health center. However, there are still some obstacles and shortcomings in the fulfillment of patient safety standards, so it is necessary to optimize the implementation of patient safety from all stakeholders.Conclusion: It can be concluded that public health centers should provide safe and qualified services to achieve healthy disctrict. The public health centers also need to improve the patient safety according to Health Ministry Law Republic of Indonesia Number 36 Year 2009.Keywords: health service quality, patient safety, public health center


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