scholarly journals Hubungan Status Akreditasi Puskesmas dengan Capaian Program Antenatal Care

2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Agus Dwi Harso ◽  
Hadjar Siswantoro ◽  
Armaji Kamaludi Syarif

Abstract One of the government’s efforts to reduce MMR, which is still high, is the implementation of the Antenatal Care (ANC) program at the primary health center (PHC). Besides, the government also accredits PHC to improve the quality of health services starting in 2015, so it is hoped that ANC achievements will increase. This study aims to determine the relationship between accreditation status and ANC achievements in PHC. The study design was cross-sectional with a sample of 103 accredited PHC. The distribution of PHC samples is seen based on the 2013 Public Health Development Index (IPKM) categorized as low, medium, and high. Analysis of the relationship between accreditation status and the K4 achievement program used the chi-square test. The results of this study indicate that the majority of the PHC in the sample are distributed in areas with a high and medium IPKM areas. The relationship between accreditation status and K4 achievement showed a value of p = 0.034. The logistic regression results showed that when compared with primary - complete accredited PHC, basic PHC had OR = 0.224 (95% CI: 0.064 - 0.786) with p = 0.020 to the proportion of K4 achievements. Meanwhile, the middle PHC had OR = 0.517 (95% CI: 0.146 - 1.828) with a p-value = 0.306. This study concludes that the accreditation status of PHC is related to the proportion of K4 achievements. The proportion of K4 achievements increases with the increase in the level of PHC accreditation. A basic accredited PHC has a chance to achieve K4 by 0.224, lower than a primary – complete accredited PHC. There was no significant difference between middle accredited PHC with primary - complete PHC for the proportion of K4 achievement Abstrak Salah satu upaya pemerintah menurunkan AKI yang masih tinggi adalah dengan pelaksanaan program Antenatal Care (ANC) di puskesmas. Selain itu, pemerintah juga melakukan akreditasi puskesmas untuk meningkatkan mutu pelayanan kesehatan yang dimulai tahun 2015, sehingga diharapkan capaian ANC meningkat. Penelitian ini bertujuan untuk mengetahui hubungan status akreditasi terhadap capaian ANC di puskesmas. Desain penelitian ini adalah crosssectional dengan sampel penelitian sebanyak 103 puskesmas terakreditasi. Sebaran sampel puskesmas dilihat berdasarkan Indeks Pembangunan Kesehatan Masyarakat (IPKM) tahun 2013 dengan dikategorikan sebagai IPKM rendah, sedang, dan tinggi. Analisis hubungan status akreditasi dengan program capaian K4 digunakan uji chi-square. Hasil dari penelitian ini menunjukkan mayoritas puskesmas yang menjadi sampel terdistribusi pada wilayah dengan IPKM tinggi dan sedang. Hasil analisis chi-square hubungan antara status akreditasi dengan ketercapaian K4 menunjukkan nilai p=0,034. Hasil regresi logistik menunjukkan bahwa jika dibandingkan dengan puskesmas terakreditasi utama-paripurna, puskesmas terkareditasi dasar mempunyai OR = 0,224 (95%CI: 0,064 - 0,786) dengan nilai p = 0,020 terhadap proporsi capaian K4. Sedangkan puskesmas terkareditasi madya mempunyai OR = 0,517 (95% CI: 0,146 - 1,828) dengan nilai p = 0,306. Kesimpulan penelitian ini adalah status akreditasi puskesmas berhubungan dengan proporsi capaian K4. Proporsi capaian K4 meningkat seiring meningkatnya satus akreditasi puskesmas. Puskesmas terakreditasi dasar mempunyai peluang untuk tercapaianya K4 sebesar 0,224 lebih rendah dibandingkan puskesmas terakreditasi utama - paripurna. Tidak ada perbedaan yang signifikan antara puskesmas terakreditasi madya dengan puskesmas terakreditasi utama-paripurna terhadap proporsi capaian K4.

2021 ◽  
Vol 5 (2) ◽  
pp. 8
Author(s):  
Riris Andriati ◽  
Fenita Purnama Sari Indah ◽  
Aisyah Aisyah

Compliance with hemodialysis therapy is one of the important things to note, if the patient is not compliant, it can cause a buildup of harmful substances in the body and if left unchecked, it can lead to death. The purpose of this study was to determine the relationship between adherence to undergo hemodialysis therapy with the quality of life of patients with chronic renal failure in the Hemodialysis Unit of the Jakarta Hajj Hospital. This research method is a quantitative study using primary data (questionnaires) and using cross-sectional research. Data collected by using questionnaires. The number of samples were 54 people who were in the hajodialysis unit at the Jakarta Hajj Hospital for the past three months. The results of the study of 54 respondents who have moderate compliance there are 11 people (20.4%), and good compliance a number of 43 people (79.%), in general patients obedient. While from the aspect of quality of life, there were 6 respondents (11.1%) who experienced less quality of life, 35 people had a moderate quality of life (75.%) and 13 people (24.1%) had a good quality of life, in general the quality of life of patients was moderate. After analyzing the relationship between adherence to undergo hemodialysis with quality of life using the Chi Square test p value = 0.468˃0.05, meaning that Ho is accepted, so it can be concluded that there is no relationship between adherence to hemodialysis with the quality of life of patients at Jakarta Hajj Hospital .ABSTRAKKepatuhan menjalani terapi hemodialisa merupakan salah satu hal yang penting untuk diperhatikan, jika pasien tidak patuh dapat menyebabkan terjadinya penumpukan zat-zat berbahaya dalam tubuh dan apabila hal tersebut dibiarkan maka dapat mengakibatkan kematian. Tujuan penelitian untuk mengetahui hubungan antara kepatuhan menjalani terapi hemodialisa dengan kualitas hidup pasien gagal ginjal kronik di Unit Hemodialisa RS Haji Jakarta. Metode penelitian ini merupakan penelitian kuantitatif dengan menggunakan data primer (kuisioner) dan memakai metode penelitian cross-sectional. Data yang dikumpulkan dengan cara menggunakan kuisioner. Jumlah sampel  sebanyak 54 orang yang berada di unit hemodialisa Rumah Sakit haji Jakarta selama tiga bulan terakhir. Hasil penelitian dari 54 responden yang memiliki kepatuhan sedang terdapat 11 orang (20.4 %), dan kepatuhan baik sejumlah 43 orang (79.6 %), secara umum pasien patuh. Sementara dari aspek kualitas hidup diperoleh  responden  yang  mengalami  kualitas  hidup  kurang sejumlah 6 orang (11.1%), kualitas hidup sedang sejumlah 35 orang (75.%)  dan  kualitas  hidup  baik  13 orang  (24.1%), secara umum kualitas hidup pasien sedang. Setelah dilakukan analisa hubungan antara kepatuhan menjalani hemodialisa dengan kualitas hidup dengan menggunakan uji Chi Square diperoleh p value = 0.468˃0.05,  artinya Ho diterima, sehingga dapat disimpulkan tidak ada hubungan antara kepatuhan menjalani hemodialisa dengan kualitas hidup pasien di Rumah Sakit Haji Jakarta.


Author(s):  
Citra Hadi Kurniati

Midwives play an important role in the process of health care, especially antenatal care services (ANC). The quality of midwife services determines the success of the service process. The perception of pregnant women when they come for a pregnancy is related to their availability to return to Antenatal Care examination. This study aims to determine the quality of midwives in ANC services on the perception of pregnant women. This type of research uses observational analytic research, where researchers are directed to explain a situation or situation. The time approach used is cross sectional. Analysis was conducted to test the quality of midwives in providing ANC services to the perception of pregnant women. Analysis of the data in research with ordinal and scale variables is non-parametric statistics. Hypothesis testing using the Chi Square Test. The results showed that there was no relationship between the quality of midwives on perceptions of pregnant women with a p value of valeu> 0.05 with an X × count of 0.325. The conclusion of this study is that there is no relationship between the quality of midwives in providing ANC services to the perception of pregnant women


2021 ◽  
Vol 4 (1) ◽  
pp. 23-27
Author(s):  
Indi Ivana ◽  
Murniati Murniati ◽  
Noor Rochmah Ida Ayu Trisno Putri

Introduction: Adolescent are very interested in gadgets that make it easier for them to carry out various social activities. One of the problems that can arise from gadget overuse is decreased quality of sleep. The purpose of this study was to determine the relationship between gadget usage behavior and adolescent sleep quality. Methods: Cross-sectional design was used in this study. Ninety-nine respondents had chosen with a proportionate stratified random sampling. Analysis was done by Chi square test. Results: Data analysis showed that 84.8% of the respondents were categorized as gadget addiction and 80.8% of the respondents experienced poor sleep quality. The relationship between gadget usage and sleep quality was significant with a p-value of 0.0001. Conclusion: There was a relationship between gadget usage and sleep quality in adolescents, in which gadget dependency had poorer quality of sleep.


Author(s):  
Wargustini Wargustini

ABSTRACK  This study aimed to determine the knowledge, motivation, leadership, incentives / rewards, and education with the performance of midwives in Antenatal Care Services (ANC) at health centers in the country Palembang, this study uses observational analytic study design "cross sectional" with 48 midwives sample using the formula, by conducting interviews and questionnaires. There are 15 respondents have less knowledge has an 31.25% lower performance. Results obtained by chi-square test p-value = 0.04 (p <0.05) and Rφ = 0.288 means that there is a connection with the performance of midwife knowledge, the closeness of the relationship is low, motivation midwives obtained value ρ = 0.017 and Rφ = 0.466 means that there is a relationship the performance of average -midwife with the relationship, clinic leaders leadership values obtained ρ = 0.00 and Rφ = 0.28  means that there is a relationship with the midwives' work closeness of the relationship is low. Chi-square test results obtained by the value of the incentive factor ρ = 0.019 = 0.328 declared value Rφ no relationship with the midwives' work closeness of the relationship is average. Factors education obtained ρ = 0.021 and the value of Rφ = 0.041 means that there is a relationship with the midwives' work closeness of the relationship being. Four chief centers are expected to consider factors - factors related to the performance of midwives that knowledge, motivation, leadership, incentives, and education.         ABSTRAK Penelitian ini bertujuan untuk mengetahui faktor pengetahuan, motivasi kerja, kepemimpinan, insentif / imbalan, dan  pendidikan yang berhubungan dengan kinerja bidan pada pelayanan Antenatal Care ( ANC ) di Puskesmas Sekota Palembang, penelitian ini menggunakan penelitian observasi analitik dengan rancangan “cross sectional study” dengan jumlah sampel 48 bidan dengan menggunakan rumus, dengan melakukan wawancara dan kuesioner. Terdapat 15 responden memiliki pengetahuan kurang 31,25 % memilki kinerja rendah. Hasil uji chi-square diperoleh nilai p=0,04 ( p< 0,05) dan Rφ = 0,289 berarti ada hubungan pengetahuan dengan kinerja bidan, dengan keeratan hubungan rendah, motivasi bidan diperoleh nilai ρ=0,017 dan Rφ=0,466 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan sedang, kepemimpinan pemimpin puskesmas diperoleh nilai ρ=0,00 dan Rφ = 0,28 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan rendah. Hasil uji chi-square faktor insentif diperoleh nilai ρ = 0,019 nilai Rφ = 0,328 menyatakan ada hubungan dengan kinerja bidan dengan keeratan hubungan rendah. Faktor pendidikan diperoleh nilai ρ = 0,021 dan Rφ = 0,41 berarti ada hubungan dengan kinerja bidan dengan keeratan hubungan sedang. Diharapkan keempat kepala puskesmas memperhatikan faktor – faktor yang berhubungan dengan kinerja bidan yaitu pengetahuan, motivasi kerja, kepemimpinan, insentif, dan pendidikan.        


Author(s):  
Zulchaidir K Lewenussa

In 2020 the spread of Covid-19 from person to person will be the main source of transmission, so the spread will become more aggressive. The enormous ability of this virus to infect and spread is evidenced by the note that so far there are still many people infected with Covid-19 with an increasing number. Cases in Indonesia also continue to increase, until March 29, 2020, there have been 1,115 cases with 102 deaths, while the largest number of cases of the COVID-19 outbreak in Yogyakarta is in Bantul district, Banguntapan sub-district with a total ODP of 150 people, PDP (1 died, 1 recovered, 6 are positive, and 24 are still under surveillance). To determine the relationship between COVID-19 prevention behavior and quality of life in Dusun Mutihan RT 5 Wirokerten, Banguntapan, Bantul, Yogyakarta. This type of research is a quantitative descriptive study with a cross-sectional approach. The sampling technique in this study was random sampling with as many as 65 samples taken. Based on the statistical results using the chi-square test, it was obtained X2 count of 28.502a, a P value of .000 (P-0.10) which indicates that there is a relationship between covid-19 prevention behavior and quality of life in Mutihan village rt 05 Banguntapan Bantul Yogyakarta. There is a relationship between Covid-19 prevention behavior and quality of life in Dusun Mutihan Rt 5 Wirokerten, Banguntapan, Bantul, Yogyakarta.


2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD


2021 ◽  
Vol 12 (2) ◽  
pp. 487
Author(s):  
Tauseef AMAN ◽  
Mussawar SHAH ◽  
Humera JAMAL ◽  
Younas KHAN ◽  
Muhammad ARIF ◽  
...  

The major objective of this study was to measure the association between various interventions and Chitral Gole National Park (CGNP) role in preservation of bio-diversity and socio-economic uplift. A sample size of 346 respondents was randomly selected from total population of 3326 from the 4 selected villages on the basis of close proximity. A conceptual framework including dependent variable social development and independent variable tourism development were taken. The data were analyzed through frequency and percentage distribution. Moreover, Chi-square test was applied to know the relationship between dependent and independent variables at bi-variate level. In bi-variate analysis a highly significant (P=0.000) relation was found between CGNP is main source of promoting tourism in Chitral,tourists do any impacts upon local community in terms of increased business activities, local culture is safeguarded despite influx of tourists in the area, tourism produced employment opportunities, and social development. Qualitative data supported the empirical findings, however tourism brings economic opportunities at micro and macro level, but unfortunately CGNP is not as satisfactory regarding generating income since its establishment. The government should ensure to make such polices pertaining to the entrance fee, provides accommodation services on payment to the tourists and to reserve the entrance fee or any other form of taxes to ensure CGNP to spend on self-sustaining basis by ensuring refinement in the procedures as well.


2021 ◽  
Vol 11 (02) ◽  
pp. 54-59
Author(s):  
Syed Adeel Ahmed ◽  
Safia Anwar ◽  
Imtiaz ul Haq

Objective: To investigate the implication of quality of obturation and coronal restoration on periapical tissue in failed endodontically treated teeth. Study Design and Setting: This cross-sectional research was performed in the Operative Department of BUMDC on 187 patients reporting with root canal failure from March 2019 to August 2019. Methodology: Patients of both genders aged between 20-60 years were considered for this study. Single and multirooted teeth indicated for repeated endodontic treatment due to under filled, overfilled obturation, voids in obturation, absence and presence of coronal restoration were included. One operator carried out clinical examination of the teeth and periapical radiograph was taken for each patient by using E-Speed film and evaluated by the same operator using an illuminated viewer box. SPSS 17 for windows software was used for data entering and chi- square test was applied for statistical calculation of the outcomes. Results: Total n=187 endodontic treated failed teeth were evaluated, out of which 52.9% were of females and 47.1% to males. The number of obturations with acceptable length were 81(43.3%), with adequate density were 107 (57.2%) and with consistent taper were 116(62%). Periapical lesion was observed in 118(63.1%) cases. Quality of obturation significantly affects the periapical health. Cross tabulation showed a significant association (p-value <0.000) between inadequate coronal restoration and changes in periapical area. Conclusion: The successful prognosis of the root canal treatment relies on the good quality of obturation and adequate coronal filling.


Author(s):  
Cokorda Istri Ariwidyastuti ◽  
P.P. Januraga ◽  
Dyah Pradnyaparamita Duarsa

Background and purpose: Patient satisfaction, including on radiography services, is an important component of health care provision. Surveys on patient satisfaction have been carried out particularly in government hospitals, but a more detailed study to determine the relationship between patient satisfaction with the responsiveness of service providers has yet to be carried out. This study aims to determine the relationship between the six domains of responsiveness of service providers and outpatient satisfaction at three conventional radiography facilities in Denpasar.Methods: Study was conducted by cross-sectional survey of 158 respondents selected consecutively in three conventional radiography services, namely a government hospital, a private hospital and a private radiology clinic. Data were collected through interviews using modified questionnaires on responsiveness from WHO. Data were analyzed by univariate, bivariate (chi-square test) and multivariate logistic regression method.Results: Univariate analysis indicated that patient satisfaction was 69% but still below the minimum service standards (>80,0%). Multivariate analysis showed that factors associated with satisfaction were the domain of attention (AOR= 3.77; 95%CI: 1.62-8.76), the quality of infrastructure (AOR=4.57; 95%CI: 1.61-12.93) and communication (AOR=6.30; 95%CI: 1.75-22.64).Conclusion: Patient satisfaction was generally still below the standard. Domains of responsiveness associated with patient satisfaction were the quality of infrastructure, level of attention and communication skills of service providers.


2020 ◽  
Vol 4 (3) ◽  
pp. 100-111
Author(s):  
Vita Camelia ◽  

Stunting is a children growth problem that occurs a result of chronic malnutrition in the first 1000 days of life. The indicator of stunting is using the height measurement according to age HFA (Height for Age) under -2 SD based on the WHO growth standard curve according to sex. The impacts of stunting are the occurrence of growth disorders, barriers to development and the risk of metabolic disorders in adulthood. One of the risk factors for stunting is history of quality and quantity Antenatal Care (ANC). This study aimed to determine the relationship between quality and quantity history of ANC visits and stunting in toddlers aged 24-59 years in Pujon District Malang Regency. The method used in this research was observational analytic by using cross-sectional design. The population of this study was all mothers who have children aged 24-59 months that were conducted in January 2020. Ninety eight respondents taken by purposive sampling as the sample of the research. The data was obtained by filling out questionnaires and KIA books, then analyzed with chi-square test (α = 0.05). The results showed that there was a significant relationship in quality (p-value = 0.004) and quantity (p-value = 0.003) toward stunting.


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