scholarly journals Health Promotion and Medical Services on Health Services Through Performance at Tajuncu Health Center (Puskesmas)

2021 ◽  
Author(s):  
M Chairul Basrun Umanailo

This analysis aims to define and evaluate the effects of health promotion and medical services on health services through success at the Tajuncu Health Centre, Soppeng Regency. This research used the causality design and quantitative method used at the Tajuncu Health Center, Soppeng Regency. This research sample was 100 health workers and nurses at the Tajunju Health Center, Soppeng Regency. The sampling procedure was carried out using an objective sampling technique. The analysis included all demographics as a sample. Data collection was carried out by observation, interviews, questionnaires, and documentation. Analysis of data using route analysis. The findings revealed that the degree of health promotion carried out by the Tajuncu Health Center in Soppeng Regency improved the awareness and ability of the population on the value of receiving health knowledge or education. Puskesmas related to sickness suffered by the group. Health promotion, which is well carried out, is due to the good results of health staff and health programs. Also, patient facilities are factors that decide the improvement of health services. The medical services are sufficient and proportionate to the specialty's level and specialization level. The social care given can be seen by advancing public health, early diagnosis and adequate consideration, prevention of injury, and successful recovery. Indirectly, success is a potent mediator between emergency care and health services.

Author(s):  
Wafaun Nisa ◽  
Imran Imran ◽  
Agussabti Agussabti

Knowledge of emergencies is very important for health workers, because this affects actions when they provide health services for disaster victims. This study aims to determine the level of knowledge and differences in the level of knowledge of emergencies in health workers at Pidie Jaya General Hospital and Meureudu Health Center. Quantitative research with purposive sampling technique for 150 health workers for each Pidie Jaya General Hospital and Meureudu Health Center. The level of knowledge of emergencies was assessed from scor on a total of 30 questionnaire statements containing questions about Airway, Breathing and Circulation, Triage, Basic Life Assistance. The level of emergency knowledge is in the Very Low category, which is as much as 50%, namely 75 respondents in Pidie Jaya Hospital health workers and as many as 50%, namely 75 respondents at the Meureudu Health Center health personnel. There is no difference in knowledge between health workers at Pidie Jaya General Hospital and Meureudu Health Center. The knowledge of hospital health workers is 57.2% while the Puskesmas is 63.2%, while the triage is 54.7% of the health staff of the hospital and 52.7% of the health personnel of the health center. The Basic Life Discharge indicator for hospital health workers was 63.0% and Puskesmas 61.4%. Health workers at Pidie Jaya General Hospital and Meureudu Health Center are still not ready to handle the victims of the disaster because they have very low knowledge of the emergency.


2019 ◽  
Vol 1 (3) ◽  
pp. 76-83
Author(s):  
Helmi M. Bolla ◽  
Yoseph Kenjam ◽  
Tadeus A. L. Regaletha

Service Quality can be obtained if what is expected by the patient to the service provider is in accordance with the patient's requirements. This study aims to determine the quality of patient health services by health workers at the Sonimanu health center in 2019. The sample in this study was all In patients with a total sample of 73 people the sampling technique in this study was totally sampling. Data collection was carried out with 20 items of hope and reality questionnaire, which is a quantitative description of this type of study. The analysis conducted is univariate using Importance Performance Analysis. The results of this study indicate that the value of conformity between expectations and quality of inpatient services of health workers to the tangible dimension is 97.28% (Very Satisfied), reliably 95.27% (Very Satisfied), responsiveness 86.38% (Satisfied), assurance 98.14% (Very Satisfied), empathy 97.21% (Very Satisfied). There is one attribute of inadequate quality of service that is a good nutrition officer providing and helping patients with dietary needs (58.42%), it is expected that the health staff at the Sonimanu health center need to prioritize and be more responsive in paying attention to the rights or needs of Inpatients. It is recommended that the quality of inpatient health services by health workers need to be further improved, especially in the dimension of responsiveness.


2019 ◽  
Vol 22 (3) ◽  
Author(s):  
Iin Nurlinawati ◽  
Rosita Rosita ◽  
Sefrina Werni

Referral System for Individual Health Services states that health services are conducted in stages according to medical needs, starting from basic, second, and then third level health . The BPJS standard on the referral ratio limitation from health center to hospital is 15%. A total of 22 out of 32 health centers (69%) in Depok have referral ratios above 15%. This study was to identify factors infl uencing high referral ratios at health centers in Depok..This study was implemented from March to October 2017 by cross sectional design. The population was 32 health centers in Depok. Samples were health centers in Depok registered by BPJS as FKTP. There were 12 health centers, each 6 with high and low referrals. The sample of health workers were providers such as: doctors and dentist, heads of health centers and health offi ces. The results showed that the most referenced disease was a refraction disorder, unspecifi ed. Most primary health care with a high referral ratio (> 15%) did not have the required compulsory services at the primary health care, especially emergency and laboratory services (66.7%). The type of health personnel was less than that at Permenkes 75 of 2014 (83.3%). Facilities and infrastructure in health center were out of standards. Less drugs supplies also affected to referral. Suggestion: The government needs to provide more types of services, numbers of health workers and infrastructure in order to support the capacity of the health centre as well as better services . Abstrak Sistem Rujukan Pelayanan Kesehatan Perorangan menyebutkan bahwa pelayanan kesehatan dilaksanakan secara berjenjang sesuai kebutuhan medis, dimulai dari pelayanan dasar ke pelayanan kesehatan tingkat kedua berlanjut ke tingkat ketiga. Standar BPJS mengenai batasan rasio rujukan puskesmas ke pelayanan kesehatan tingkat lanjut maksimal 15%. Sebanyak 22 puskesmas (69%) dari 32 puskesmas di Kota Depok yang memiliki rasio rujukan diatas 15%. Penelitian ini bertujuan untuk memberikan gambaran faktor yang mempengaruhi rasio rujukan tinggi di puskesmas Kota Depok. Penelitian dilaksanakan pada bulan Maret sampai Oktober 2017. Metode yang digunakan adalah cross sectional (potong lintang). Populasi penelitian sebanyak 32 puskesmas di Kota Depok. Sampel yang diambil adalah puskesmas Kota Depok yang telah terdaftar pada BPJS sebagai FKTP sebanyak 12 puskesmas, 6 puskesmas dengan rujukan tinggi dan 6 puskesmas dengan rujukan rendah. Sampel tenaga kesehatan yang diwawancara meliputi pemberi pelayanan (dokter dan dokter gigi), kepala puskesmas dan Kepala Bidang Yankes Dinas Kesehatan. Hasil penelitian menunjukkan bahwa penyakit yang paling banyak dirujuk adalah disorder of refraction, unspecifi ed (kelainan refraksi mata). Sebagian besar puskesmas dengan rasio rujukannya tinggi (>15%) tidak memiliki kelengkapan pelayanan yang wajib ada di puskesmas terutama pelayanan gawat darurat dan laboratorium (66,7%). Jenis tenaga kesehatan kurang dari jumlah yang ada berdasarkan Permenkes 75 tahun 2014 (83,3%). Sarana dan prasarana belum sesuai dengan standar yang harus ada di puskesmas. Obat-obatan yang tidak tersedia di puskesmas menjadi salah satu alasan melakukan rujukan. Saran: Pemerintah harus selalu berupaya melengkapi jenis pelayanan, tenaga kesehatan dan sarana prasarana di puskesmas, agar kemampuan puskesmas dalam memberikan pelayanan menjadi lebih baik lagi.  


2019 ◽  
Vol 7 (2) ◽  
pp. 85-95
Author(s):  
Sri Astutik Andayani ◽  
Husnul Khotimah ◽  
Sry Desy ◽  
Arif Eko Trilianto ◽  
Hefniy Razaq

Implemented posyandu elderly there are obstacles that often faced is low visit, one of cause factor is low of knowledge of elderly so that beneficiary of posyandu elderly still not maximal. The purpose of this research is to know the influence of health promotion about elderly posyandu by use audio visual media toward liveliness of elderly in following elderly posyandu. The design use in this research is Quasy Experimental with pretest-posttest with control design. This research was conducted at Maesan Bondowoso health center with 55 respondents with total sampling technique. This analysis used Wilcoxon and Mann-Whitney test. The results showed that health promotion was effective to increase the member of ekderly visit to the elderly health center with p value 0,000. Keywords  : Health Promotion, Elderly Health Centre, elderly active


1995 ◽  
Vol 25 (2) ◽  
pp. 69-74 ◽  
Author(s):  
Elvira Beracochea ◽  
Rumona Dickson ◽  
Paul Freeman ◽  
Jane Thomason

A study was carried out to assess the quality of case management of malaria, malnutrition, diarrhoea and acute respiratory tract infections in children in rural primary health services in Papua New Guinea. In particular, the study focused on the knowledge and skills of different categories of rural health workers (HW) in history taking, examination, diagnosis, treatment and patient education. Quality criteria were defined and health centre (HCW) and aidpost workers' (APWs) knowledge and practices were assessed. Primary health workers' (PHW) knowledge of case management was weak, but in all cases better than their actual practice. History taking and examination practices were rudimentary. HWs tended not to make or record diagnoses. Treatment knowledge was often incorrect, with inappropriate or insufficient drugs prescribed, being worst at aidpost level. These findings raise serious questions about the effectiveness of providing health services through small, isolated health units. Far greater attention must now be directed to focus on the institutionalization of problem-based training, continuous supportive supervision and maintenance of clinical skills and provision of essential drugs, supplies and equipment to ensure that rural health workers (RHW) can provide sound care.


2018 ◽  
Vol 3 (1) ◽  
pp. 92
Author(s):  
Hilda Hidayat

The role of health promotion is very important in anticipating the behavior of the public to know, willing and able to mobilize mothers to Posyandu. But, the process of behavioral change in society is not easy, it is seen at the Nanggalo Health Center which has a rate visit new mothers to Posyandu is 43.2% and highest 77.1% in Puskesmas Lubuk Buaya with a target of 80%. The research has done in February until August 2015 was conducted using qualitative research methods, the research location in Nanggalo Health Center and Lubuk Buaya Health Centre in Padang City. The qualitative data was collected using interview guideline to 6 informants, document analysis and observation. Qualitative data processing by triangulation. At Nanggalo and Lubuk Buaya Health Centre there is no technical rule, financial resources, and Region Budget Income and Health Operational Financial. At Nanggalo Health Centre, Health Promotion Officer as posyandu officer, and then at Lubuk Buaya Health Centre Health Promotion Officer as activity coordinator. Lubuk Buaya Posyandu stay at citizen home and facilities are available but in Nanggalo hasn’t. Partnership and empowerement Lubuk Buaya Health Centre run as expected compare Nanggalo Health Centre cause of that the mother to visit posyandu almost reach of target. Health Centre make technical rule and decision letter to hold posyandu training, and health promotion manual direction.Keywords : Analysis Health Promotion (Advocacy, Partnership, Community Empowerment), Visit Mother Toddler


Author(s):  
Dipta Kanti Mukhopadhyay ◽  
Sujishnu Mukhopadhyay ◽  
Nivedita Das ◽  
Tarun Kumar Sarkar ◽  
Fasihul Akbar ◽  
...  

Background: Community empowerment is the process and outcome where community itself is able to identify, prioritize health problems and address them. It has been considered as the key strategy for scalability and sustainability of health services. Objectives: To explore the status of community empowerment in health in rural areas in West Bengal, India and the interplay of different stakeholders. Methods: A cross-sectional, qualitative study was conducted in 2017 – 2018 among the people residing in rural areas of Birbhum district in West Bengal, India who utilized the public health system (lay informants), formal and informal leaders of the community, community level health workers and peripheral health staff (key informants). Three community blocks, two sub-centers from each block and one village from each sub-center were selected randomly. In-depth interviews were conducted among 36 lay and 36 key informants using Laverack’s nine dimension model of community empowerment. Framework analysis was done to summarize data. Results: Participation of people was restricted to awareness and utilization of existing health services. Unmet aspiration for greater participation was noted among a small section of the community. They were mostly fitted to the role of beneficiaries. Functioning of village level organization to promote communitization as envisaged in national health programmes was largely deficient. The community health workers acted as the most peripheral appendages of formal health system rather than the health activists to empower community regarding community’s health. Conclusion: Although, every national health programme advocated community empowerment, the current status and the process of empowerment in health is in nascent stage.


2021 ◽  
Vol 9 (1) ◽  
pp. 13-32
Author(s):  
Rizkiyani Istifada ◽  
Etty Rekawati ◽  
Wiwin Wiarsih

Nurses have an important task in the strategy of intervention to reduce of Non-Communicable Diseases (NCD)’ incidence. Community health nurses have tried to control the problem of NCD. However, the incidence of NCD has not decreased as expected. The promotion and prevention of non-communicable diseases are one of the efforts to control PTM. This study aims to explore the experience of nurses in implementing the strategies of NCD’ promotive and preventive. This study used a qualitative descriptive phenomenological design. A total of 16 community health nurses were selected using purposive sampling. The inclusion criteria of this study were (1) nurses who served at the community health center for a minimum of 6 months, (2) performed individual health services in the community health center and carried out family visits and services in the community. The data were analyzed using Colaizzi's approach. This research was approved by the Committee of Ethics in the Faculty of Nursing, Universitas Indonesia. This study resulted in five strategies of nurses implementing to NCD’ promotion and prevention, include (1) health education, (2) partnership with community health workers, (3) coordination, (4) stand with the community, (5) monitoring the change of behavior in the community. Nurses’ experience of NCD’s promotion and prevention in the community health center still needs improvement to achieve holistic and comprehensive health services. Nurses should be attention to the preparation of themselves before implementing the promotion and prevention, such as preparation of the topic, communication with colleagues and communities, and doing a partnership with multisectoral.


2016 ◽  
Vol 32 (12) ◽  
pp. 481
Author(s):  
Candra Candra ◽  
Lutfan Lazuardi ◽  
Mubasysyir Hasanbasri

Absenteeism among primary health center workers: an analysis of the 2012 IFLS in Eastern IndonesiaPurposeThe study aimed to determine the determinants for absence of health centre employees in urban and rural areas in the eastern Indonesian region using data IFLS East 2012.MethodsThis study was a quantitative research using secondary data analysis of Indonesian family life survey (IFLS) East 2012 with health professionals using a cross-sectional design. The population was all health workers in seven provinces in Eastern Indonesia (Nusa Tenggara Timur, East Kalimantan, South East Sulawesi, Maluku, North Maluku, Papua, West Papua). The research sample totaled 1809 health workers. Analysis used STATA version 12.ResultsThe results of bivariable analysis on the variables gender, type of health worker, tenure, health center locations showed a significant relationship with absenteeism the health center employee. The results showed from the multivariable analysis showed higher odds ratio at rural health centers versus urban locations with absenteeism of health center employee, but there was no significant difference.ConclusionThe absenteeism of health center employees is influenced by various multi-factors especially gender, types of health worker, tenure and health center locations. Increased capacity in the management by health center managers, broader authority to enforce discipline, and monitoring by the community is expected to decrease absenteeism of health center employees.


2021 ◽  
Vol 2 (4) ◽  
pp. 32-44
Author(s):  
Elya Rosa ◽  
Razia Begum Suroyo ◽  
Aida Fitria

workers which includes physical and mental health to get mothers and babies who are healthy during pregnancy, childbirth and postpartum. Data from the Medan Deli Health Center shows that in 2019 the K1 coverage is only (87%) and K4 only (66%), while the target of K1 and K4 coverage is 100% respectively. Many factors are thought to be the cause of not achieving coverage of antenatal care (ANC) implementation. The purpose of this study was to analyze the factors that influence the implementation of ANC in pregnant women. This type of research is a mix method with quantitative and qualitative approaches. The study population was 195 people, with the Slovin formula taken a sample of 66 people. Quantitative analysis was univariate, bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level ( = 0.05). The qualitative analysis was analyzed by means of reduction, data display and verification. The results showed the variables that influenced the implementation of antenatal care (ANC) in pregnant women in the work area of ​​the Medan Deli Public Health Center in 2020, namely knowledge p = 0.032, attitude p = 0.018, parity p = 0.008, health services p = 0.016, husband support p = 0.026 and support for health workers p = 0.041. The unrelated variable was job status p = 0.269. The most dominant variable was the health service variable which had a value of Exp (B) = 12.048, meaning that respondents who received health services had 12 times the chance of implementing antenatal care compared to respondents who did not get health services. The conclusion of this research is that the implementation of antenatal care in pregnant women is influenced by knowledge, attitudes, parity, health services, husband support and support from health workers. It is hoped that health workers, especially midwives, will provide good IEC about the implementation of antenatal care to every pregnant woman and carry out more frequent home visit activities and provide advice to the puskesmas to re-attach the standby husband and cooperate with local regional leaders


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