scholarly journals Penanganan Balita Gizi Buruk di Puskesmas Provinsi Banten, Jawa Barat, Kalimantan Barat, dan Nusa Tenggara Timur

2019 ◽  
pp. 175-183
Author(s):  
Astuti Lamid ◽  
Nova Sri Hartati ◽  
Fitriana Fitriana ◽  
Srilaning Driyah
Keyword(s):  
Content Analysis ◽  
Health Center ◽  
Group Discussion ◽  
Health Centre ◽  
Health Centers ◽  
Severe Malnutrition ◽  
Center Staff ◽  
Depth Interview ◽  
Therapeutic Food ◽  
Mix Methods

Abstrak Masalah balita gizi buruk cenderung menurun pada tahun 2018, namun di beberapa daerah kasus gizi buruk meningkat menjadi KLB. Salah satu penanganannya melalui pemulihan di puskesmas. Tujuan penelitian ini untuk mengetahui sejauh mana penanganan gizi buruk dilakukan oleh tenaga kesehatan puskesmas dan kader posyandu. Desain penelitian menggunakan pendekatan mix methods, berlokasi di Kalimantan Barat, Banten, Jawa Barat dan Nusa Tenggara Timur. Dua kabupaten dipilih dari masing-masing provinsi, selanjutnya dari tiap kabupaten diambil satu puskesmas yang banyak kasus gizi buruk. Informan penelitian adalah Tenaga Pelaksana Gizi (TPG) puskesmas dan kader posyandu. Data yang dikumpulkan meliputi pelayanan gizi dan kesehatan, makanan terapi, dan penyuluhan serta peranan kader. Cara pengumpulan data dengan wawancara, in-depth interview dan diskusi kelompok terarah. Analisis data kuantitatif disajikan secara deskriptif dan kualitatif dengan content analysis. Hasil penelitian menunjukkan sebagian besar puskesmas di daerah penelitian menangani gizi buruk dengan cara rawat jalan. Belum semua TPG puskesmas mendapat pelatihan gizi buruk, hanya sebagian puskesmas menggunakan makanan terapi sedangkan lainnya menggunakan makanan tambahan yang tidak sesuai dengan pedoman. Dukungan sebagian kader dalam penanganan gizi buruk di puskesmas berupa penemuan kasus gizi buruk dan merujuknya, membagikan PMT ke rumah balita. Penanganan balita gizi buruk di puskesmas belum optimal karena tidak didukung dengan ketersediaan input berupa makanan terapi dan belum semua TPG mendapat pelatihan gizi buruk. Pelatihan gizi buruk untuk tenaga puskesmas perlu ditingkatkan dan sistem pengadaan makanan terapi di daerah perlu diperbaiki, agar kualitas pelayanan gizi buruk menjadi lebih baik. Kata kunci: gizi buruk, TPG, PMT, sistem pengadaan, pelayanan kesehatan Abstract The problem of severe malnutrition children under five years old tends to decline in 2018. One of the treatment measures was through recovery at the health center. The purpose of this study was to evaluate the extent to which severe malnutrition children was handled by health center nutrition officer and posyandu cadre. Mix methods approach was used as research design and the study was located in West Kalimantan, Banten, West Java and East Nusa Tenggara Provinces. Two districts were chosen, then one health center from each district was selected based on the highest severe malnutrition cases. The informants were nutrition officer of health center and posyandu cadres. The data collected were nutrition and health services, therapeutic food, counseling, and the role of cadres. Data was collected through interview, in-depth interview, and focus group discussion. Quantitative data analysis was presented descriptively and qualitative data was presented with content analysis.The majority of health centers handled severe malnutrition children in outpatient treatment setting. Not all nutrition officer of health centre have received training in handling severe malnutrition. Only some health centers used therapeutic food while others used supplementary foods that was not recommended. The support of cadre was seen in the form of finding cases of malnutrition and distributing supplementary food to the malnourished children’s homes. The handling of malnourished children in health centers was not optimal, because it was not supported by the availability of therapeutic food and not all nutrition officer have been trained. For recommendations, nutrition training for health center staff needs to be increased and the system for provision therapeutic food in the regions needs to be improved in order to improve the quality of nutrition services. Keywords: severe malnutrition, health center nutrition officer, mix methods, indepth interview, content analysis

scholarly journals ANALISIS PAKET MANFAAT PELAYANAN TRANSFUSI DARAH DI FASILITAS KESEHATAN TINGKAT PERTAMA (FKTP) PADA PERATURAN PRESIDEN NO. 12 TAHUN 2013 PASAL 22 (STUDI IMPLEMENTASI KEBIJAKAN DI KOTA SURABAYA)

2018 ◽  
Vol 21 (2) ◽  
pp. 104-113
Author(s):  
Hidayad Heny Sholikhah ◽  
Wahyu Dwi Astuti
Keyword(s):  
Content Analysis ◽  
Blood Transfusion ◽  
Health Center ◽  
Group Discussion ◽  
Health Centers ◽  
Blood Transfusions ◽  
Referral Service ◽  
Technical Requirements ◽  
Blood Transfusion Service ◽  
Presidential Decree

Background: The need for blood services in Indonesia are still high. These were related to the high number of maternal deaths from hemorrhage during and after childbirth. The National Health Insurance (JKN) provide great opportunities for ensuring the needs of the community blood transfusion services. Presidential Decree No. 12 of 2013 article 22 paragraph 1a.6 mentioned that blood transfusions became one of the health care benefi ts package in the fi rst degree. The purpose of this study to analyze the benefi ts package in the regulation of blood transfusion services, especially in health centers. Methods: This study was conducted in Surabaya. The analysis was performed on the results of Focus Group Discussion with actor implementing policies (health center, Indonesian Cross Red/PMI, Hospitals, and BPJS), by content analysis. Results: The blood transfusion services benefi t package had not been able to do in Health Center (Puskesmas/FKTP), especially Puskesmas in Surabaya. Package benefi ts of blood transfusion services confl ict with other policies. Theauthority to give a blood transfusion was not a health center (puskesmas) but the hospital. The technical requirements of medical support blood transfusion services in health centers did not according to the standard. Referral service was the most likely carried out by the health center when encountered cases of maternal urgency requiring blood transfusions. Conclusion: Package benefi ts of blood transfusion services in Presidential Decree No. 12 of 2013 article 22 contradicted by other policies already set. Availability of medical requirements that support these services had not been fulfilled. Blood transfusion services could not currently be implemented in Puskesmas Surabaya. Recommendation: The content of Presidential Decree no. 12 of 2013 article 22 requires the revision, that the blood transfusion service could only be carried out in health facilities provided medical technical requirements, both human resources and supporting infrastructure. Abstrak Latar Belakang: Kebutuhan pelayanan darah di Indonesia masih tinggi. Ini terkait masih tingginya jumlah kematian ibu akibat perdarahan saat dan pascamelahirkan. Jaminan Kesehatan Nasional (JKN) memberikan peluang terjaminnya kebutuhan masyarakat terhadap pelayanan transfusi darah. Peraturan Presiden (Perpres) no. 12 tahun 2013 pasal 22 ayat 1a.6 menyebutkan bahwa transfusi darah menjadi salah satu paket manfaat di pelayanan kesehatan tingkat pertama. Tujuan kajian untuk menganalisis paket manfaat pelayanan transfusi darah di puskesmas dalam Perpres tersebut. Metode: Kajian ini merupakan studi implementasi kebijakan Perpres no. 12 tahun 2013 yang dilakukan di Surabaya. Analisis dilakukan terhadap hasil FGD dengan aktor pelaksana kebijakan (Puskesmas, PMI, Rumah sakit, dan BPJS), secara content analysis. Hasil: Paket manfaat pelayanan transfusi darah belum dapat dilakukan di FKTP, khususnya Puskesmas di Surabaya, karena bertentangan dengan perundang-undangan yang lebih tinggi dan ditetapkan sebelumnya. Pemberian transfusi merupakan kewenangan rumah sakit. Persyaratan teknis medis penunjang pelayanan transfusi darah di puskesmas belum memenuhi standar. Puskesmas hanya berwenang merujuk ketika menjumpai kasus kegawatan maternal yang memerlukan transfusi darah. Kesimpulan: Pelayanan transfusi darah dalam Perpres no. 12 tahun 2013 pasal 22 kontradiktif dengan kebijakan lain. Pelayanan transfusi darah belum dapat dilaksanakan di Puskesmas Kota Surabaya, karena belum memenuhi persyaratan tranfusi darah yang aman. Rekomendasi: Isi Perpres no. 12 tahun 2013 pasal 22 perlu direvisi, bahwa pelayanan transfusi darah hanya dapat dilakukan di fasilitas kesehatan yang memenuhi persyaratan teknis medisnya, SDM dan sarana prasarana penunjangnya.

scholarly journals Foreldres erfaringer med utfylling av ASQ kartleggingsskjema i forbindelse med to års konsultasjonen på helsestasjonen - en kvalitativ studie

2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Linda Herigstad ◽  
Kari Glavin
Keyword(s):  
Child Health ◽  
Health Center ◽  
Health Centre ◽  
Health Centers ◽  
Screening Tools ◽  
User Perspective ◽  
Qualitative Research Methodology ◽  
Depth Interviews ◽  
Child Health Centers ◽  
Parents Experiences

Parents' experiences of completing the ASQ tool at the two-year consultation at the Child Health Center – a qualitative studyThis study has investigated the user perspective of parent-based screening tools at Child Health Centers. Age & Stage Questionnaires (ASQ) are used at the two years consultation at Child Health Centers. The aim was to explore parents experience of completing the ASQ tool at two years consultation at the Child Health Center. We used qualitative research methodology with in-depth interviews with parents. The findings show that parents felt positive to fill in the ASQ form. The study also shows a large variation in how parents experienced how the tool was used at the Child Health Centre. The parents' experiences are discussed against theory and other research in the field. The findings are also discussed in light of the purpose of implementing screening tools and results of previous studies in the field. The study concludes that there are many challenges related to the implementation of the tool in the service, and more research is needed in this area.

scholarly journals Pemanfaatan Posyandu Lansia di Kota Pariaman

2009 ◽  
Vol 3 (5) ◽  
pp. 224
Author(s):  
Yullie Mulyadi
Keyword(s):  
Health Center ◽  
Employment Status ◽  
Group Discussion ◽  
The Elderly ◽  
Age Group ◽  
Positive Perception ◽  
Analysis Technique ◽  
Depth Interview ◽  
Interview Methods ◽  
Integrated Health

Pemanfaatan Posyandu Lansia di Wilayah Kerja Puskesmas Naras Kota Pariaman 2007 masih sangat rendah yaitu 13,23% dari standar pelayanan minimal (SPM) Kota Pariaman 40%. Penelitian ini untuk mendapatkan informasi yang mendalam tentang pemanfaatan posyandu lansia serta faktor yang mendorong dan menghambat dalam pemanfaatan posyandu lansia di Kota Pariaman pada 2008. Menggunakan data primer dengan metode wawancara mendalam dan diskusi kelompok terarah. Informan berjumlah 53 orang, terdiri dari 24 orang informan yang memanfaatkan posyandu lansia, 24 orang informan yang tidak memanfaatkan posyandu lansia dan 5 orang informan kunci. Data dianalisis dengan teknik analisis isi dengan validasi hasil penelitian dilakukan triagulasi sumber dan metode. Penelitian ini menunjukkan adanya perbedaan pemanfaatan posyandu lansia berdasarkan kelompok umur, jenis kelamin dan status pekerjaan. Dalam mengatasi masalah tersebut perlu adanya penyuluhan tentang posyandu lansia secara intensif dalam upaya meningkatkan pengetahuan masyarakat akan tujuan, sasaran dan kegiatan posyandu lansia.Kata kunci : Pemanfaatan, posyandu, lansiaAbstractThe utilization of integrated health posts for elderly in the working area of Naras Health Center of Pariaman City was still low (13.23%) in 2007. The number was lower than Minimal Service Standard (SPM) that was 40%. The study aimed to obtain the information of the utilization of the integrated health posts for the elderly and factors supported and constrained the utilization of integrated health posts for the elderly in the working area of Naras Health Center of Pariaman City in 2008. Data was collected using focus group discussion and in-depth interview methods. The number of informants in this study was 53 persons consisted of 24 persons who utilized the integrated health posts for the elderly, 24 persons who did not utilize post, and 5 persons as key informants. Data was analyzed using content analysis technique and in order to test the validity of study result, triangulation in both method and source was employed. The study revealed that utilization of integrated health posts for elderly differed by age group of the elderly, gender (women), and employment status. The informants utilized the integrated health posts for the elderly had a good knowledge and positive perception on activities and advantages of the integrated health posts for the elderly. Keywords: Utilization, integrated health posts, elderly

scholarly journals Designing an Empowerment Model for Iranian Health Centre Managers: A comprehensive study

2020 ◽  
Vol 15 (4) ◽  
pp. 28-41
Author(s):  
Fatemeh Yousef Yaghoobi ◽  
Leila Riahi ◽  
Seyed Jamaleddin Tabibi ◽  
Mahmood Mahmoodi Majdabadi Farahani
Keyword(s):  
Factor Analysis ◽  
Health Center ◽  
Self Efficacy ◽  
Psychological Factors ◽  
Health Centre ◽  
Assessment System ◽  
Working Environment ◽  
Health Centers ◽  
Final Model ◽  
Organizational Value

OBJECTIVES: Empowering managers plays a crucial role in developing the capabilities and competencies of individuals to improve the continuous performance of health center organizations. The purpose of this study is to design a model of empowerment of health center managers in Iran during 2018-2019. DESIGN: In this applied, exploratory and cross-sectional study, human resource empowerment components were extracted by reviewing the literature and interviewing subject specialists. Then, the conceptual model of the research was designed and the questionnaire was formulated and validated. Data were collected by filling out a questionnaire from a total of 416 managers of health centers selected by stratified random sampling. The collected data were analyzed using descriptive statistics and confirmatory and exploratory factor analysis. RESULTS: In the final model of empowerment of health center managers, five factors were identified as effective factors. The standardized regression coefficients among the contextual, self-efficacy, managerial, organizational-value, and psychological factors with empowerment were 0.98, 0.95, 0.92, 0.90, and 0.76, respectively. The results of confirmatory factor analysis indicate the suitability of the final model of health center managers’ empowerment. CONCLUSIONS: Due to the influence of contextual, self-efficacy, managerial, organizational-value, and psychological factors in the model approved in this study, the health system senior managers can have a systemic approach to issues. In addition, they can improve managers’ abilities by employing a continuous self-assessment system in health centers, applying the proposed model, improving administrative infrastructure and working environment, paying attention to organizational culture, reward system, participatory management, information sharing, continuous training, and modeling.

scholarly journals Status gizi berhubungan dengan kejadian ISPA pada balita di Wilayah Kerja Puskemas Wonosari I Kabupaten Gunungkidul 2014

2016 ◽  
Vol 3 (2) ◽  
pp. 113
Author(s):  
Wahyu Febriyanto ◽  
Ircham Mahfoedz ◽  
Mulyanti Mulyanti
Keyword(s):  
Nutritional Status ◽  
Respiratory Infections ◽  
Health Centre ◽  
Total Sample ◽  
Health Centers ◽  
Inductive Method ◽  
Severe Malnutrition ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling

<p><strong>ABSTRACT</strong></p><p><em><strong>Background</strong>: The health of children still become a serious concern because child health status reflects the health of the nation. Acute respiratory infections (ARIs) is one of the problem that often occurred in toddler. Healthy life style such as dietary adequacy can support the prevention of the ARIs.</em></p><p><em><strong>Objectives</strong>: To know the association between nutritional status with ARIs incidence of toddler in Wonosari I Health Centers Working Area of Gunungkidul 2014.</em></p><p><em><strong>Methods</strong>: This was an analytical (inductive) method with cross sectional design. The study was conducted in May-June 2014. Samples were selected by used purposive sampling with total sample 43 respondents. Subject were toddler who visit in health centre. Data were taken from secondary datas in Wonosari I Health Centers Working Area of Gunungkidul. Data were analyzed by chi-square formula.</em></p><p><em><strong>Results</strong>: As many as 1 toddler (2,4%) had severe malnutrition and 7 toddlers (16,7%) had undernutrition. While, as many as 10 toddlers (23,8%) have ARIs. Chi-square analyzed showed that there was association between nutritional status with ARIs incidence (r=222,41, p=0,000).</em></p><p><em><strong>Conclusions</strong>: There was an association between nutritional status with ARIs incidence in Wonosari I Health Centers Working Area of Gunungkidul.</em></p><p><strong>KEYWORDS</strong><em>: </em><em>acute respiratory incidence (ARIs), nutritional status, toddler</em></p><p><strong>ABSTRAK</strong></p><p><em><strong>Latar belakang</strong>: Kesehatan anak masih menjadi perhatian serius dikarenakan derajat kesehatan anak mencerminkan derajat kesehatan bangsa. Infeksi saluran pernapasan akut (ISPA) merupakan masalah kesehatan yang sering terjadi pada anak. Pola hidup sehat pada anak mendukung pencegahan penyakit</em><br /><em>ISPA, salah satunya dengan terpenuhinya nutrisi.</em></p><p><em><strong>Tujuan</strong>: Mengetahui hubungan antara status gizi dengan kejadian ISPA pada balita di Wilayah Puskesmas Wonosari I Kabupaten Gunungkidul</em></p><p><em><strong>Metode</strong>: Penelitian ini menggunakan metode penelitian analitik (induktif) dengan pendekatan cross sectional. Penelitian dilaksanakan pada bulan Mei-Juni 2014. Lokasi penelitian di Wilayah Kerja Puskesmas Wonosari I Kabupaten Gunungkidul. Subjek adalah balita yang berkunjung ke Puskesmas Wonosari I Kabupaten Gunungkidul. Sampel penelitian diambil menggunakan teknik purposive sampling berjumlah 43 responden. Data yang digunakan adalah data sekunder yang didapatkan dari data Puskesmas Wonosari I.</em></p><p><em><strong>Hasil</strong>: Sebanyak 1 balita (2,4%) mengalami gizi buruk dan 7 balita (16,7%) dengan gizi kurang. Sebanyak 10 balita (23,8%) mengalami ISPA. Hasil analisis chi-square menunjukkan adanya hubungan antara status gizi dengan kejadian ISPA (r=22,241, p=0,000).</em></p><p><em><strong>Kesimpulan</strong>: Ada hubungan antara status gizi dengan kejadian ISPA pada balita di Wilayah Puskesmas Wonosari I Kabupaten Gunungkidul.</em></p><p><strong>KATA KUNCI</strong><em>: </em><em>kejadian ISPA, status gizi, balita</em></p>

scholarly journals HEALTH PROBLEMS AMONG THE ELDERLY AT MAJALAYA PUBLIC HEALTH CENTERS (PUSKESMAS) WEST JAVA-INDONESIA

2019 ◽  
Vol 2 (1) ◽  
pp. 6-13
Author(s):  
Agiesta Sephya Shobarina ◽  
Aat Sriati ◽  
Iwan Shalahuddin
Keyword(s):  
Public Health ◽  
Health Center ◽  
Medical Records ◽  
Health Centre ◽  
The Elderly ◽  
Health Problems ◽  
Health Centers ◽  
West Java ◽  
Public Health Centre ◽  
Public Health Center

ABSTRACT Background: Elderly Health problems can lead to decline in elderly body functions and become a factor that improves health problems. As a result, many elderly people come to public health services every day with the same complaints and different complaints.Purpose: to recognize the description of health problems among the elderly at Majalaya  public health centers (Puskesmas) West Java-IndonesiaMethods: A descriptive research with documentation study. The object of research is medical records of elderly who went to public health center during the last 1 year from April 2017 until March 2018. The number of samples is 3899 elderly based on elderly visit number gained by total sampling technique. The technique of data collection is through elderly medical records at Majalaya Public Health Centre during  the last 1 year. This research uses frequency distribution and proportion analysis.Results: Showed that almost all elderly came independently without being escorted by their families and hypertension was the highest-ranking health problems experienced by elderly (40,9%) others were rheumatoid atritis (14,9%), cough  and flu (8.2%) , gastritis (7,9%) and chepalgia (7.6%) , they were the 5th highest health problems experienced by the elderly at Majalaya Public Health center during the last 1 year.Conclusion: Among 22 health problems that are experienced by elderly, hypertension is the most common problem complained by elderly. It is recommended that health care workers optimize services regarding the handling and treatment of chronic health problems among elderly.

scholarly journals Covid-19 Vaccination Maternal Services for Pregnant Women in the Work Area of Telaga Community Health Centers

2021 ◽  
Vol 2 (4) ◽  
pp. 56-69
Author(s):  
Harismayanti Harismayanti ◽  
Rona Febriyona ◽  
St. Surya Indah Nurdin ◽  
Mukmin Wadila Rahim ◽  
Delanti Mahmud ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Health Center ◽  
Community Health Centers ◽  
Sampling Technique ◽  
Health Centers ◽  
Narrative Form ◽  
Snowball Sampling ◽  
Work Area ◽  
Depth Interview ◽  
Body Response

This study aims to provide an overview of how the covid-19 vaccination service for pregnant women in the work area of the Telaga Health Center. This study uses a qualitative method that focuses on ANC services with in-depth interview techniques, data analysis is carried out descriptively and presented in narrative form. This research was carried out in the working area of the Telaga Health Center from September 2021 to November 2022. The informants in this study were pregnant women in the Telaga Health Center working area as many as 7 participants and 2 key informants were the program coordinator midwives. With a snowball sampling technique. The results of the study found that there were 5 themes that described Covid-19 vaccination services for pregnant women, namely Socialization of Covid-19 Vaccination for pregnant women, Issue of KIPI for Covid-19 Vaccination, Supporting Factors for Successful Vaccination in Pregnant Women, Body Response of Pregnant Women after Covid-19 Vaccination. 19, and Covid-19 Vaccination Requirements for Pregnant Women. The mandatory output in this research is the publication of research results in one of the international journals.

scholarly journals Budaya Kehamilan Dan Persalinan Pada Masyarakat Baduy, Di Kabupaten Lebak, Tahun 2018

2019 ◽  
Vol 22 (3) ◽  
Author(s):  
Vita Kartika ◽  
Asep Kusnali ◽  
Rozana Ika Agustiya
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Action Research ◽  
Focus Group ◽  
Group Discussion ◽  
Health Centre ◽  
Mortality Rates ◽  
Care Staff ◽  
Health Care Staff ◽  
Pregnancy And Childbirth

Maternal and infant mortality rates in Lebak District are still high. Pregnancy and maternity culture that rooted in Baduy community be one of those catalytic factors that increase mortality rates. Intervention research based on Baduy culture itself was intended to reduce the maternal and neonatal mortality rates. The purpose of the research was to get more information about pregnancy and childbirth behaviors in the Baduy community combined with the concept of modern health services. Participation Action Research (PAR) was used as the method in this research. Data were collected by in-depth interview and Focus Group Discussion (FGD). Informants were chosen purposively consisting of Health Care Centres in Baduy, elders (kokolot), and infl uencers in Baduy Tribe. The method of data analysis uses content analysis. This research indicated that Baduy Tribes were very obedient in their norms including the process of pregnancy and maternity. They often delivered a baby without any help from the health centre or midwife. They still asked shaman for help because they believed that shaman had power to heal people. This delivery behaviour triggered a limitation for a mother to get proper health treatment. We should not also neglect the fact that geographically, Baduy Tribes live in the uphill areas. Both factors were the main reasons why women in Baduy did not get proper delivery treatment and ended up dying because of complications. Effective communications are required between health care staff and the Baduy community to decrease the mortality rate both for mothers and infants in Baduy. Abstrak Tingkat kematian ibu dan bayi di Kabupaten Lebak, Provinsi Banten masih cukup tinggi. Salah satu faktor yang menyebabkan tingginya tingkat kematian tersebut adalah budaya pada masa kehamilan dan persalinan pada masyarakat Baduy, sehingga diperlukan upaya penurunan angka kematian ibu dan bayi melalui intervensi kesehatan berbasis budaya. Tujuan penelitian adalah menggali lebih dalam perilaku kehamilan dan persalinan pada masyarakat Baduy yang dipadukan dengan konsep pelayanan kesehatan modern. Penelitian ini menggunakan pendekatan Participatory Action Research (PAR). Pengumpulan data melalui wawancara mendalam dan diskusi kelompok terarah (focus group discussions/FGD). Informan dipilih secara purposive terdiri dari Dinas Kesehatan Kabupaten Lebak, Puskesmas, para ketua adat, tokoh masyarakat, dan kokolot serta informan penting lainnya yang berpengaruh di masyarakat Baduy. Metode analisis data menggunakan analisis isi (content analysis). Hasil penelitian menunjukkan bahwa masyarakat Baduy sangat patuh dalam melaksanakan norma-norma dalam masa kehamilan dan persalinan di kehidupannya. Hal ini tergambar dari masih banyaknya persalinan yang dilakukan sendiri tanpa penolong, baik oleh dukun paraji maupun tenaga medis, kecuali terdapat penyulit dalam persalinan meminta bantuan tenaga medis. Kedudukan dukun paraji dalam masyarakat Baduy sangat dihormati dan berpengaruh karena dianggap memiliki kemampuan yang bisa memberikan pertolongan pengobatan ketika sakit. Kepatuhan dan ketaatan pada budaya serta faktor geografi s menyebabkan terbatasnya kesempatan ibu hamil pada masyarakat Baduy untuk mendapat pertolongan secara medis di fasilitas kesehatan terutama pada saat mengalami penyulit dalam proses persalinan. Diperlukan pendekatan dengan komunikasi efektif dan kerjasama yang sinergis antar tenaga kesehatan dengan para lintas program dan lintas sektor pada masyarakat Baduy untuk meningkatkan derajat kesehatan ibu dan bayi.

Pelayanan Publik Pada Pusat Kesehatan Masyarakat Kecamatan Marpoyan Damai Pekanbaru Tahun 2013

2016 ◽  
Vol 13 (1) ◽  
pp. 22
Author(s):  
Wan Asrida ◽  
Rafni Puspita Pohan
Keyword(s):  
Public Health ◽  
Qualitative Methods ◽  
Health Center ◽  
Public Services ◽  
Health Centre ◽  
Turnaround Time ◽  
Employee Health ◽  
Health Centers ◽  
The Public ◽  
The City

Public Services of Public Health Centers at the Sub District MarpoyanDamai in the City of Pekanbaru year 2013-2014. Purpose of this study was todetermine the Public Services in Public Health Centers at the District MarpoyanDamai in City of Pekanbaru and what are the factors that obstruct the services. Thisresearch used qualitative methods, research that provides an explanation of data isdone through the process of preparation, presentation of data, observation, interviewtechniques, and Documentation. The result of this research. concluded that the PublicService is still not optimal given employee health centers. Can be seen from thestandard indicators of public services according to kepmenpan No. 63 of 2003,service procedures are difficult, long turnaround time of service, limited serviceproducts, facilities and infrastructure is not yet complete, and then the employeecompetence of Health Centre, who do not show a friendly attitude to patients.Keywords : Public Services, Obstruction Factors, Public Health Center (PHC)

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