scholarly journals DETERMINANTS OF THE UTILIZATION OF OUTPATIENT AMONG CHILD IN INDONESIA

2019 ◽  
Vol 10 (1) ◽  
pp. 67-73
Author(s):  
Lindia Herawati ◽  
Haerawati Idris
Keyword(s):  
Developing Countries ◽  
Health Service ◽  
Health Services ◽  
Parental Education ◽  
Design Research ◽  
Secondary Data ◽  
Outpatient Services ◽  
Cross Sectional ◽  
Family Approach ◽  
The Government

Background: Child’s health becomes the government concern in developing countries. Improving child’s health is a challenge for developing countries due to poor health care. Children tend to need more health services as they are more susceptible to various diseases. This study was aimed to determine the determinants influencing outpatient services utilization on children in Indonesia.  Method: This research was a descriptive with cross-sectional design research using quantitative approach. The data were obtained from secondary data of the Indonesian Family Life Survey (IFLS) 2014. The dependent variable was the number of health service visits on children. In this study, the samples were 2,472 0-14 years old individuals selected according to inclusion and exclusion criteria. The data were analyzed using binomial negative regression. Result: The study found out that child using health services at least one outpatient visit in the last 4 weeks was 75.77%.   Woman, perception of ill, parental formal employment, parental education (high), economic status were statistically related to utilization of health service for outpatient Conclusion: The perception of ill greatly affects the children in outpatient health service utilization, it is expected that government gives policy by family approach as the effort of family member caring, health protection and improvement especially for child.

scholarly journals Utilization of Pre-travel Health Services Among Kenyan International Travelers in Jomo Kenyatta Airport Conducted From 2nd August to 30th September 2017

2018 ◽  
Vol 6 (3) ◽  
pp. 110-120
Author(s):  
Grace Wacuka Kihika ◽  
Eddy Okoth Odari ◽  
Joseph Mutai ◽  
Augustine Gatimu Njuguna
Keyword(s):  
Health Service ◽  
Health Services ◽  
Disease Transmission ◽  
Health Department ◽  
Systematic Sampling ◽  
Cross Sectional ◽  
Travel Health ◽  
The Government ◽  
Set Up ◽  
Systematic Sampling Method

Introduction: The geographical movement of people from one area to another poses the threat of transmission of infectious diseases. Kenya is among the vulnerable countries when it comes to disease transmission, because it is a major transport hub in East Africa, yet data on the availability and uptake of pre-travel health services is limited. Methods: A cross-sectional descriptive study was conducted to determine the uptake of pre-travel health services. The systematic sampling method was used to obtain a sample size of 384 travelers among those in the waiting lounge prior to departure; four key informants were chosen purposively. A self-administered questionnaire was used for data collection. The results of data analysis are presented in the form of tables, graphs, charts, and text. Results: The majority of respondents (70.6%) knew of at least one health service offered to international travelers in Kenya. The most sought-after pre-travel health service was vaccination (70.97%), but very few (13.93%) travelers sought pre-travel health advice on how to stay healthy while abroad. The majority of travelers were positive about pre-travel health services. The Port Health Department focuses more on the health of international arrivals as opposed to departures; there are no functional travel health clinics. Conclusion: The results indicated that the government pays little attention to departing international travelers. Therefore, it is important for the government to develop policies, guidelines, and structures that will ensure that pre-travel health services are received by travelers prior to departure. Travel clinics need to be set up to increase the uptake of pre-travel health services. Moreover, further research should be conducted.

scholarly journals Reliability and Security in the Implementation of Digital Health Service Application with the Application of "Reliability Certification or Electronic Certification" based on Indonesian Law

2021 ◽  
Vol 8 (3) ◽  
pp. 417-438
Author(s):  
Charles Hanif
Keyword(s):  
Health Service ◽  
Health Services ◽  
Web Application ◽  
Health Workers ◽  
Digital Health ◽  
Rapid Change ◽  
Secondary Data ◽  
Legal Responsibility ◽  
Potential Problems ◽  
The Government

Societies are always changing rapidly. Initially, societies recognize ordinary health services. Now, people acknowledge web application based digital health services. This rapid change raises potential problems such as the sale of illegal drugs, user data theft, and illegal health workers. Unfortunately, the government has not provided actions to respond the issues quickly. There is no law that underlies the implementation of web application. It increases the possibility of other potential problems. Therefore, it is necessary to question the reliability and security of the implementation of the application and the form of legal responsibility of the organizer. This study used a normative juridical method, which is carried out by examining secondary data as the main study material. The study reveals that the reliability and security in the implementation of applications both as an electronic system and as a health service facility can still be optimized. There are two forms of legal responsibility for the application operator, namely liability in the form of obligations and in the form of sanctions.

scholarly journals The Satisfaction of Patient and Interest to Re-Using Health Services in Kandang Public Health Center Bengkulu

2017 ◽  
Vol 24 (1) ◽  
pp. 28-34
Author(s):  
Susilo Wulan ◽  
Desliana Desliana
Keyword(s):  
Patient Satisfaction ◽  
Health Service ◽  
Health Services ◽  
Health Center ◽  
Health Care Services ◽  
Community Health Center ◽  
Sampling Technique ◽  
Good Health ◽  
Cross Sectional ◽  
The Government

Puskesmas as the first-level provider of health services belonging to the government must prioritize the provision of quality health services, affordable, fair and equitable. The quality of good health services will create patient satisfaction and loyalty. The purpose of this study was to study the Relationship of Patient Satisfaction with Interest in Reusing Health Service in Puskesmas Kandang Kota Bengkulu.Is an analytic survey research using Cross Sectional approach. The population of this study were all the patients who visited and recorded in the register book pukesmas Kandang town Bengkulu August 2016. Sampling technique using Accidental Sampling. Measurement of patient satisfaction and interest in reusing health care services was measured using a questionnaire. Data analysis using univariate test, bivariate test using chi square test (χ2). Results From 54 patients who came to Puskesmas Kandang there were Patients who were satisfied with the health service at Puskesmas Kandang Kota Bengkulu as many as 34 patients (63.0%), Patients interested in reusing health services at Bengkulu City Kandang Community Health Center as many as 38 people patients (70.4%). There is a significant correlation between patient satisfaction and interest in re-utilizing health service in Puskesmas Kandang Kota Bengkulu with medium category. Keywords: health service, interest, patient  satisfaction

scholarly journals Analisis Sebaran Tenaga Kesehatan Puskesmas di Indonesia berdasarkan Peraturan Menteri Kesehatan Nomor 75 Tahun 2014 tentang Puskesmas

2018 ◽  
Vol 4 (2) ◽  
pp. 114 ◽  
Author(s):  
Yuni Sari Romadhona ◽  
Kemal N. Siregar
Keyword(s):  
Health Service ◽  
Health Services ◽  
Health Workers ◽  
Health Centre ◽  
Secondary Data ◽  
Health Care Facilities ◽  
Public Health Services ◽  
Chi Square ◽  
Persistent Problem ◽  
The Government

The persistent problem faced by Indonesia is in adequate in number and maldistribution of health workers in Primary Health Centre (PHC) has resulted in disrupted health services to the community. The aims of this study is describe health workers in ratio PHC per 100,000 population and health workers distributionbyregions. This research is descriptive analytic. The data used are secondary data from the health workers in government health care facilities in the district/city and province in Indonesia collected by Sub Centre data and information of health ministry in June 2018 and analyzed using the chi-square. The fact that inadequate numbers and maldistributionare remaining problems of health workers in PHC. The ratio of physiciansis 10,17, midwifes 84,73, nurses 83, Public health services 11,09 and nutritionists 8,30 per 100,000 populations while Government standards are higher. Maldistributions of health workers in PHC occurred in central and east regions of Indonesia. The highest number of health workers at PHC in Indonesian is midwives and nurses, while the smallest workforce is dentists.  As in adequate numbers and maldistribution are the remaining problems of health workers in PHC, the recruitment of health workers should fulfil the community needs, geographic and avalaibility of health services. Providing the government scholarship to the locals in health schools with commitment to work for local government after graduation is one of the solution for this problem. E-health service is another solution, health service consultation can be carried out effectively and efficiently with remote health experts by taking the advantage of the internet.

scholarly journals CORRELATION BETWEEN SMOKE-FREE AREAS AND SMOKING BEHAVIOR IN INDONESIA

2020 ◽  
Vol 8 (2) ◽  
pp. 117
Author(s):  
Mohamad Anis Fahmi
Keyword(s):  
Public Awareness ◽  
Smoking Behavior ◽  
Secondary Data ◽  
Computer Application ◽  
P Value ◽  
Cross Sectional ◽  
Positive Correlation ◽  
The Government ◽  
Cross Sectional Design ◽  
The Impact

Background: Low public awareness of the impact of smoking makes the implementation of smoke-free areas (KTR) difficult. Smoke-free areas aim to protect the public from the direct and indirect effects of smoking. Purpose: This study aimed to analyze the correlation between the application of smoke-free areas and the prevalence of active and ex-smokers in Indonesia. Method: This study implemented a cross-sectional design, using secondary data from the Riskesdas 2018 on active and ex-smokers. KTR application data were obtained from the Profile of Non-Communicable Diseases in 2016. A Pearson product-moment test was conducted by a computer application to determine the correlation coefficient (r). This coefficient was used to describe the level of correlation between the two variables; significance was determined as a p value of 5%. Results: This study showed that the average application of KTR throughout Indonesia was 50.83%, active smokers comprised 23.49% of the population, and ex-smokers comprised 4.94%. Most active smokers were in Java and Sumatra, while the majority of ex-smokers were in Java and Sulawesi and the majority of KTR was in Java. This study shows that there is a positive correlation between KTR application and the percentage of ex-smokers (r = 0.46; p value = 0.01). Conclusion: There is a positive correlation between the application of KTR and an increase in ex-smokers. The government needs to increase the application of KTR policies.

scholarly journals Disparity in Maternal Health Services Among the Different Geopolitical Zones in Nigeria

2017 ◽  
Vol 11 (1) ◽  
Author(s):  
Abubakar Sadiq Umar ◽  
Chinaro Kennedy ◽  
Hebatullah Tawfik ◽  
Daniel M. N. Okenu
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Secondary Data ◽  
Maternal Health Services ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Health Delivery ◽  
Delivery Services ◽  
The Difference ◽  
Antenatal Visits

Although the use of antenatal and other skilled maternal health delivery services in Nigeria was reported to be on the increase, this research explored whether geopolitical zone of residence and place of domicile are associated with the number of antenatal visits and place of delivery. A quantitative cross-sectional study based on secondary data from the Demographic and Health Survey was used to examine the relationship between women’s geopolitical zone of residence, place of domicile (rural/urban), and the number of antenatal visits (categorized as fewer than four or four or more) and delivery (home or health facility). A total of 33,385 women aged 15–49 years were recruited from 888 clusters spread across all the 36 states and the federal capital territory of Nigeria using a stratified two stage proportionate to size cluster design. A higher proportion of women from the South West and North Central zones had made four or more antenatal care visits compared to the other geopolitical zones. The difference was statistically significant even after controlling for differences in education, income, ethnicity, religion, autonomy, and place of domicile (adjusted odd ratio = 2.062; 95% confidence interval [1.897, 2.241]; <em>p </em>< .05). Healthcare policy makers should consider the potential impact of geopolitical zones and place of domicile to enable the development of an all-inclusive strategy to robustly address maternal health services in Nigeria.

scholarly journals Membangun Komunikasi dalam Sinergi Pelayanan Kesehatan di Kabupaten Bandung

2020 ◽  
Vol 14 (1) ◽  
pp. 17-28
Author(s):  
Ditha Prasanti ◽  
Ikhsan Fuady ◽  
Sri Seti Indriani
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Active Role ◽  
Communication Process ◽  
Public Health Services ◽  
District Health ◽  
The Government ◽  
The One ◽  
The Village

The "one data" policy driven by the government through the Ministry of Health is believed to be able to innovate and give a new face to health services. Of course, the improvement of health services starts from the smallest and lowest layers, namely Polindes. Starting from this policy and the finding of relatively low public health service problems, the authors see a health service in Polindes, which contributes positively to improving the quality of public health services. The health service is the author's view of the communication perspective through the study of Communication in the Synergy of Public Health Services Polindes (Village Maternity Post) in Tarumajaya Village, Kertasari District, Bandung Regency. The method used in this research is a case study. The results of the study revealed that public health services in Polindes are inseparable from the communication process that exists in the village. The verbal communication process includes positive synergy between the communicator and the communicant. In this case, the communicators are village midwives, village officials, namely the village head and his staff, the sub-district health center, and the active role of the village cadres involved. In contrast, the communicant that was targeted was the community in the village of Tarumajaya. This positive synergy results in a marked increase in public services, namely by providing new facilities in the village, RTK (Birth Waiting Home).   Kebijakan “one data” yang dimotori oleh pemerintah melalui Kementerian kesehatan diyakini mampu membuat inovasi dan memberikan wajah baru terhadap layanan kesehatan. Tentunya, perbaikan layanan kesehatan tersebut dimulai dari lapisan terkecil dan terbawah yakni Polindes. Berawal dari kebijakan tersebut dan masih ditemukannya masalah pelayanan kesehatan publik yang relatif rendah, penulis melihat sebuah layanan kesehatan di Polindes, yang memberikan kontribusi positif dalam peningkatan kualitas layanan kesehatan masyarakat. Pelayanan kesahatan tersebut penulis lihat dari perpektif komunikasi melaui penelitian Komunikasi dalam Sinergi Pelayanan Kesehatan Publik Polindes (Pos Bersalin Desa) di Desa Tarumajaya, Kecamatan Kertasari, Kabupaten Bandung ini dilakukan. Metode yang digunakan dalam penelitian ini adalah studi kasus. Hasil penelitian mengungkapkan bahwa pelayanan kesehatan publik di Polindes, tidak terlepas dari adanya proses komunikasi yang terjalin di desa tersebut. Proses komunikasi verbal tersebut meliputi sinergitas positif antara pihak komunikator dan komunikan. Dalam hal ini, komunikator tersebut adalah Bidan Desa, Aparat Desa yakni Kepala Desa beserta staffnya, Puskesmas tingkat kecamatan, serta peran aktif dari para kader desa yang terlibat. Sedangkan komunikan yang menjadi target adalah masyarakat di desa Tarumajaya. Sinergitas positif tersebut menghasilkan peningkatan pelayanan publik yang nyata, yaitu dengan adanya penyediaan fasilitas baru di desa, RTK (Rumah Tunggu Kelahiran).

scholarly journals Analisis Hubungan Sikap dan Pengetahuan Keluarga dengan Penerapan Program Indonesia Sehat dengan Pendekatan Keluarga

2020 ◽  
Vol 5 (1) ◽  
pp. 13
Author(s):  
Ifon Driposwana Putra ◽  
Ulfa Hasana
Keyword(s):  
Public Health ◽  
The Other ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Family Approach ◽  
Low Degree ◽  
The Government ◽  
The Relationship ◽  
Improve Health

<p><em>The government has proclaimed Healthy Indonesia Program with Family Approach (PIS-PK), aiming to improve health level of its people; howeverthe implementation is far from satisfying and not equally distributed so that there is still a low degree of public health. This study aims to analyze the relationship between attitudes and family knowledge with the adoption of the Healthy Indonesia Program with a family approach in Pekanbaru. The type of research is descriptive correlation with cross sectional approach. The sample in this study was 100 families. The result of bivariate analysis showed that there was a significant correlation between family’s attitudes toward PIS-PK, with p value of 0.018. On the other hand, it also showed that there was no significant correlation between family’s knowledge toward PIS-PK, with p value only 0.159. It is hoped that this study can be used as leaning materials, references for health officers, as well as suggestions regarding the implementation of PIS-PK</em></p><p><em><em>Pemerintah telah membuat Program Indonesia Sehat melalui penedekatan keluarga (PIS-PK) dengan tujuan agar meningkatnya derajat kesehatan masyarakat, namun dalam penerapannya masih belum maksimal dan merata sehingga masih terdapat derajat kesehatan masyarakat yang masih rendah. Penelitian ini bertujuan untuk menganalisis hubungan sikap dan pengetahuan keluarga dengan penerapan Program Indonesia Sehat dengan pendekatan keluarga di Pekanbaru. Jenis penelitian desktiptif korelasi dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah 100 Keluarga. Hasil analisis bivariat didapatkan bahwa ada hubungan yang signifikan antara sikap keluarga dengan penerapan PIS-PKmdengan p value adalah 0,018. Didapatkan juga bahwa tidak ada hubungan yang signifikan antara pengetahuan keluarga dengan penerapan PIS-PK dengan nilai p value adalah 0,159. Hasil penelitian ini dapat dijadikan bahan ajar dan menjadi acuan oleh petugas kesehatan serta menjadi masukan untuk dalam penerapan PIS-PK</em></em></p>

scholarly journals HUBUNGAN PENDIDIKAN, AKSES PELAYANAN KESEHATAN DAN DUKUNGAN KELUARGA DENGAN PEMANFAATAN PELAYANAN KESEHATAN PENDERITA TB PARU BTA+ DI PUSKESMAS JANTI KOTA MALANG

2019 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Alfreda Dinayu Purbantari ◽  
Roesdiyanto Roesdiyanto ◽  
Nurnaningsih Herya Ulfah
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Health Center ◽  
Family Support ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Education Access ◽  
Utilization Of Health Services ◽  
Access To Health

Abstract: Tuberculosis (TB) is a contagious disease that is still the world's attention, Until now, there is not a single country that is free of TB (Kemenkes 2011). Public Health Center (puskesmas) Janti is a puskesmas where the number of TB BTA+ sufferers increases every year while the number of treatment success rate at Puskesmas Janti decreases every year. In 2013 is 96%, in 2014 is 87,50% and in 2015 is 85,37%. Increasing the number of patients and decreasing the number of success rates of treatment indicates that the utilization of health services is less. This study aims to find out the relationship of Education, Health Service Access and Family Support with Health Service Utilization of BTA+ Pulmonary TB Patients at Public Health Center (puskesmas) Janti Malang. The design of this study is quantitative correlation with samples of all patients with TB Paru + BTA who are still doing treatment at Puskesmas Janti in September 2016 until April 2017. The analysis used correlation test and logistic regression test with cross sectional approach. The results of the research analysis found that there is a significant relationship between education, access to health services and family support together with the utilization of health services of patients Tb Paru BTA+. Based on the results of determination coefficient R2 (Nagelkerke) of 0.619, this means that education (X1), access to health services (X2), and family support (X3) has contributed 61.9% to the utilization of health services of patients with TB Paru BTA+ at Puskesmas Janti.Keywords: education, access, family support, health service utilizationAbstrak: Tuberkulosis (TB) adalah penyakit menular yang masih menjadi perhatian dunia, hingga saat ini, belum ada satu negara pun yang bebas TB (Kemenkes 2011). Puskesmas Janti adalah satu puskesmas yang berada di Kota Malang dengan jumlah pasien TB Paru BTA+ yang paling tinggi dan meningkat setiap tahun diantara puskesmas yang lain di Kota Malang, sedangkan jumlah angka keberhasilan pengobatan di Puskesmas Janti mengalami penurunan setiap tahun. Tahun 2013 sebesar 96%, pada tahun 2014 sebesar 87,50% dan pada tahun 2015 sebesar 85,37%. Peningkatan jumlah penderita dan penurunan jumlah angka keberhasilan pengobatan menunjukkan bahwa pemanfaatan pelayanan kesehatan kurang. Penelitian ini bertujuan untuk mengetahui Hubungan Pendidikan, Akses Pelayanan Kesehatan dan Dukungan Keluarga dengan Pemanfaatan Pelayanan Kesehatan Penderita TB Paru BTA+ di Puskesmas Janti Kota Malang. Rancangan penelitian ini adalah kuantitatif korelasional dengan sampel seluruh penderita TB Paru BTA+ yang masih melakukan pengobatan di Puskesmas Janti pada bulan September 2016 sampai dengan April 2017. Analisis menggunakan uji korelasi dan uji regresi logistik dengan pendekatan cross sectional. Hasil analisis penelitian di dapatkan ada hubungan yang dignifikan antara pendidikan, akses pelayanan kesehatan dan dukungan keluarga secara bersama-sama dengan pemanfaatan pelayanan kesehatan penderita Tb Paru BTA+. Berdasarkan hasil koefisien determinasi R2 (Nagelkerke) sebesar 0,619, hal ini berarti bahwa pendidikan (X1), akses pelayanan kesehatan (X2), dan dukungan keluarga (X3) memiliki kontribusi sebesar 61,9% terhadap pemanfaatan pelayanan kesehatan penderita TB Paru BTA+ di Puskesmas Janti.Kata Kunci:    pendidikan, akses pelayanan kesehatan, dukungan keluarga, pemanfaatan pelayanan kesehatan penderita TB Paru BTA+

scholarly journals Factors Related to Symptoms in Patients Suspect Covid-19 in The Public Health Center Kebayoran Baru in March – June 2020

2021 ◽  
Vol 1 (1) ◽  
pp. 907-922
Author(s):  
Tri Wahyuni ◽  
Suherman Suherman ◽  
Nazarwin Saputra ◽  
Istianah Surury
Keyword(s):  
Diabetes Mellitus ◽  
Heart Disease ◽  
Health Center ◽  
Community Health Center ◽  
High Mobility ◽  
Secondary Data ◽  
Chi Square ◽  
Cross Sectional ◽  
The World ◽  
The Government

The world is undergoing the new pandemic named COVID-19 of early 2020 announced in China and all over the world and infect more than 10 million people in the world (incidence rate 1.3). Indonesia has the number of cases 28.818 per June 04, 2020, with a CFR of 6%, the highest in Southeast Asia. Besides confirming the case, the suspect like ODP, PDP, and OTG should also be monitored. Although the number of cases and suspects in the Kebayoran Baru district is not the highest in South Jakarta, as the center of South Jakarta where many offices and high mobility, and the population is not as much as another district, so the possible transmission of COVID-19 in Kebayoran Baru still high. To find out the relationship between age, sex, comorbid hypertension, diabetes mellitus, and heart disease with the severity of symptoms in COVID-19 suspect of Kebayoran Baru district March – June 2020. The design of this study used cross-sectional secondary data of COVID-19 suspect monitoring in Community Health Center Kebayoran Baru. Analysis with chi-square 0.005. Statistical results of COVID-19 suspects in the Kebayoran Baru district are 44% having symptoms. The research suggests that a significant relationship between age, hypertension comorbid, diabetes mellitus comorbid, and heart disease with the symptoms. While sex has no significant relation with symptoms. The government should have more attention to protect people that having comorbid such as hypertension, diabetes mellitus, or heart disease.

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