scholarly journals IMPLEMENTASI KEBIJAKAN BADAN PENYELENGGARA JAMINAN SOSIAL KESEHATAN DI PUSKESMAS KOPO KECAMATAN KUTAWARINGIN KABUPATEN BANDUNG

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):  
Sayati Mandia

Puskesmas merupakan fasilitas pelayanan kesehatan yang menyelenggarakan upaya kesehatan masyarakat dan upaya kesehatan perseorangan tingkat pertama. Dalam melaksanakan tugasnya puskesmas berwenang untuk untuk melaksanakan pencatatan dan pelaporan kesehatan pasien serta melakukan evaluasi terhadap mutu dan cakupan pelayanan kesehatan. Pencatatan dan pelaporan pasien dapat dilihat dari berkas rekam medis pasien. Rekam medis pada sarana kesehatan non rumah sakit wajib disimpan sekurang-kurangnya untuk jangka waktu dua tahun terhitung dari tanggal terakhir pasien berobat. Setelah batas waktu penyimpanan dilampaui maka rekam medis dapat dimusnahkan. Puskesmas Kuranji merupakan salah satu puskemas di kota padang yang berlamat dikecamatan Kuranji. Berdasarkan hasil wawancara dengan petugas rekam medis, hingga saat ini Puskesmas Kuranji belum melakukan retensi dan pemusnahan berkas rekam medis sedangkan ruangan penyimpanan hanya ada satu. Berdasarkan pemaparan masalah di atas, maka pengabdi bermaksud untuk melakukan sosialisasi dan praktik langsung mengenai retensi dan pemusnahan berkas rekam medis di Puskesmas Kuranji Kota Padang. Target dan luaran dari pelaksanaan kegiatan pengabdian kepada masyarakat adalah kegiatan ini dapat dijadikan sebagai bahan pertimbangan untuk pelaksanaan retensi dan penghancuran berkas rekam medis. Target kedepannya agar sosialisi ini dapat digunakan sebagai dasar kegiatan retensi dan penghancuran berkas rekam medis. Kata Kunci: Puskesmas, Retensi, Pemusnahan, Rekam Medis ABSTRACT Public health center (PHC) is a health service facility that organizes public health efforts and first-level individual health efforts. In carrying out its duties PHC is authorized to carry out the recording and reporting of patient health and to evaluate the quality and scope of health services. Patient recording and reporting can be seen from the patient's medical record file. Medical records in non-hospital healthcare facilities must be kept for at least two years from the date the patient was treated. After the storage time limit is exceeded, the medical record can be destroyed. The Kuranji Community Health Center is one of the public health centers in the city of Padang which is well-known in the Kuranji sub-district. Based on the results of interviews with medical record officers, up to now the Kuranji Community Health Center has not retained and destroyed medical record files while there is only one storage room. Based on the explanation of the problem above, the service intends to conduct socialization and direct practice regarding the retention and destruction of medical record files at the Kuranji Health Center in Padang City. The target and output of the implementation of community service activities is that this activity can be used as consideration for the implementation of retention and destruction of medical record files. The future target is that this socialization can be used as a basis for retention and destruction of medical records. Keywords: Puskesmas, Retention, Destruction, Medical Record


2020 ◽  
Vol 2 (2) ◽  
pp. 20-32
Author(s):  
Edo Muhammad ◽  
Tri Joko ◽  
Nurjazuli Nurjazuli

Some of the waste produced by community health centers is hazardous waste and can pose a number of health and environmental risks if management is not in accordance with the requirements. This study aims to evaluate the conditions for managing solid medical waste in the Cianjur Regency community health center. This type of research is a qualitative descriptive study. The results of the study show that the public health center with the HR condition is quite 90% and less 10%. Public health center with budget conditions in good category 73.3%, and quite 26.7%. Community health center with a condition of facilities and infrastructure of less than 50% category, and quite 50%. Community health centers with SOP conditions in the category of both 90%, and less than 10%. Public health center with conditions for sorting and storing good categories of 46.7%, and enough of 53.3%. all community health centers have sufficient conditions for collecting medical waste. Community health center with conditions for transporting medical categories of waste both 60%, enough 26.7%, and less 13.3%. Community health center with temporary storage conditions medical waste is quite 83.3%, and less 16.7%. a public health center whose medical waste management officers had experienced an accident of 13.3%, whose officers had never had an accident of 86.7%. The conclusion of this study is that most public health center medical waste management is in accordance with the requirements, which are not yet appropriate are aspects of HR, facilities and infrastructure, sorting, use of PPE and Temporary Storage Places.


Author(s):  
Siti Nur Asyah Jamillah Ahmaad ◽  
◽  
Dina M.S Henukh ◽  

ABSTRACT Background: The length of fertility after stopping the use of DMPA injection takes an average of 4 to 10 months, while the FP implant takes 1 to 3 months. This study aimed to analyze the difference in duration of fertility return at 3-month injection contraceptive post acceptors (DMPA) and implant contraception at Baumata Health Center. Subjects and Method: This was an analytic study with a cross sectional design. The study was conducted in Baumata Community Health Center, Kupang Regency from November to December 2019. A sample of 40 post-acceptors for injection and implant family planning was selected by sampling technique. The dependent variable was Length of return of fertility. The independent variables were post acceptors for injection and implant family planning. The data were collected by questionnaire and tested by Mann-Whitney test. Results: Length of return to fertility in post-acceptors of injection family planning mothers at Baumata Public Health Center (Mean= 7.65; SD= 2.23). The return of fertility to post-acceptor implant family planning mothers at Baumata Community Health Center, Kupang Regency (Mean= 3.05; SD= 0.99). It was statistically significant (p< 0.001). Conclusion: Based on the tests that have been carried out, it can be concluded that there is a difference in the duration of return of fertility in mothers of injection and implant family planning post acceptors at Baumata Community Health Center, Kupang Regency. Keywords: injection and implant family planning post acceptors, duration of return of fertility Correspondence: Siti Nur Asyah Jamillah Ahmad. Study Program in Diploma-III, Universitas Citra Bangsa, Kupang. Jl. Manafe No. 17 Kayu Putih, Oebobo district, East Nusa Tenggara, Indonesia. E-mail: [email protected]. Mobile: 085338191820 DOI: https://doi.org/10.26911/the7thicph.03.36


2021 ◽  
Author(s):  
Yusriadi Yusriadi

This research was conducted at the Public Health center inpatient room in Bissapu District, Bantaeng Regency. The sample used a purposive sampling method, namely sampling based on specific considerations or criteria. All models were 79 respondents in the Public Health center inpatient room in Bissapu District, Bantaeng Regency, which consisted of 2 health centers, namely the Bissapu Community Health Center and the Campagaloe Community Health Center. The data collection method used is direct interviews with the parties involved with the problem being discussed and giving questionnaires to nurses following the research. Data analysis was performed using descriptive analysis and path analysis. The results of the study show that: (1) competence and work environment affect work motivation in the Public Health center inpatient room in Bissapu District, Bantaeng Regency; (2) competence and work environment affect work productivity in the Public Health center inpatient room in Bissapu District, Bantaeng Regency; (3) work motivation affects work productivity in the Public Health center inpatient room in Bissapu District, Bantaeng Regency; (4) competence and work environment affect work productivity through work motivation in the Public Health center inpatient room in Bissapu District, Bantaeng Regency.


2015 ◽  
Vol 1 (1) ◽  
pp. 133-142
Author(s):  
Nur Rokhman ◽  
Savitri Citra Budi ◽  
Nuryati Nuryati

Dlingo I Community Health Center used Integrated Health Information System (IHIS) as software to support patient services. Besides IHIS, Dlingo I Community Health Center also used P-Care to records data service of BPJS patients. There are some technical problems related to the use of IHIS and P-Care. Community service has been held in Dlingo I Community Health Center to give a training and assistance for the officers. In early stage we analyzed the problems and the needs of Dlingo I Community Health Center officers with observation and interview. Some problems has been found like the lack of responsiveness of P-Care and the server that temporary down. There are also some feature in IHIS that didn’t meet the officer expectation.  From the problems mentioned above, Vocational College of Universitas Gadjah Mada held a training and assistance related to the use of P-Care and IHIS. As an output from this activity we also make a recommendation for the development of community health center information system in the future. The officers claimed that they are satisfied with the training and the assistance.


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


BISMA ◽  
2019 ◽  
Vol 13 (3) ◽  
pp. 181
Author(s):  
Rizkiy Shofiah ◽  
Dewi Prihatini ◽  
Sebastiana Viphindrartin

Public health centers are the spearhead in the implementation of health services in Indonesia. Public health centers are the first level facilities that seek promotive and preventive services to achieve health status. The provision of health services must be supported by adequate health personnel to support the functioning of the community health center. In accordance with its function, public health centers must have at least five promotive and preventive personnel, namely laboratory, pharmaceutical, nutrition, public health, and sanitation analysts. The availability of health human resources (HRH) for public health centers, especially laboratory analysts, nutrition, public health, and sanitation, is still not evenly distributed in the Jember district health centers. HRK planning in Jember Regency is still focused on medical personnel. This research is an exploratory research with a qualitative approach that aims to determine the HRH planning process, especially the promotive and preventive public health centers. The informants in this study were the head of the public health center administration as part of staffing and additional informants, namely analysts, nutrition, public health, and sanitation staff. Based on the results of the study, public health centers still need personnel such as analysts, nutrition, and sanitation. The results of interviews with informants indicated that the community health center did not have a special HRH planning team. In the planning process, the community health center only carried out an analysis of the HRH needs and then submitted them to the Health Office which had an important role in the planning process to meet the HRH needs of the community health center. As an executor, the community health center can only accept the applicable policies. Public health centers cannot do their own recruits because of budget constraints. This is one of the obstacles that hinders community health centers in HRH planning. Another obstacle in the planning process is waiting for a decision from the Health Office to meet HRH needs and the use of forecasting methods that are not yet clear. This causes, there is no common perception among policy makers. Keyword: Public health center, HRH planning, preventive and promotive.


Author(s):  
Ani Sutriningsih ◽  
◽  
Chatarina Umbul Wahyuni ◽  
Setya Haksama ◽  
◽  
...  

ABSTRACT Background: Indonesia’s disaster management context uses a system called Pentahelix, which is defined as a more optimal framework for activities and jobs. The community health center is the front line that plays a significant role in the preparedness and management of disaster victims. The aim of this study is to review the resilience of disaster management in community health center. Subjects and Methods: This was a narrative review. Sources of data in this study come from articles obtained through PubMed, Science Direct, and Scopus databases. The keywords used were “disaster” OR “emergency” AND “resilience” AND “hospital” OR “healthcare” OR “health care”. The inclusion criteria consisted of: (1) articles published in English; (2) research or review articles; (3) publication from 2014-2019. Results: Based on the available articles, it was found that the resilience of public health centers was generally identified in 5 aspects, namely physical toughness, social resilience, institutional toughness, infrastructure resilience, and vulnerability. Conclusion: Community health center resilience is needed to ensure that community health center will be resilient, safe and will continue to operate in the event of an emergency or disaster. Keywords: resilience, community health center, disaster Correspondence: Ani Sutriningsih. Faculty of Health Sciences, Universitas Tribhuwana Tunggadewi Malang/ Doctoral Program, Faculty of Public Health, Universitas Airlangga, Surabaya. Email: [email protected] DOI: https://doi.org/10.26911/the7thicph.04.12


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