scholarly journals The Regional Health Sovereignty Performance at the External Border Islands in Republic of Indonesia

2019 ◽  
Vol 7 (2) ◽  
pp. 94
Author(s):  
Hasim As'ari

The purpose of this study is to distinguish the organizational structure performance of the Natuna District Health Office as a regional government organization that carries out the health sector authority in border areas or outermost islands in Indonesia. The research used descriptive method in a qualitative approach and involved 12 informants which were analyzed in depth so as to explain the exact performance of the organizational structure. The results of the study explain that as an area that faces pressure from problems that are different from other regions in Indonesia, Natuna regency always allocates the good financial resources. However, the organizational structure performance which describes the organization and also the management still requires serious attention and continuous improvement efforts.

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Dewi Wulandari ◽  
Ayu Virahani

Increasing the scope of public health services is carried out by utilizing the potential and available resources, including those in the community. In accordance with one of the Puskesmas functions, namely the community empowerment center, the puskesmas is tasked with empowering the community in the health sector, namely through the Community-Based Health Efforts (UKBM) with one of the real forms being the Pesantrean Health Post (Poskestren). This study aims to obtain an overview of the implementation of the poskestren in boarding schools in the area of Semarang District Health Office. This research is a descriptive observational study with a secondary data study obtained from health promotion and community empowerment data reports collected from 2017 to 2019 by the Semarang District Health Office. The population in this study were all boarding schools reported in the working area of Semarang Regency in 2017-2019. The sample in this study is a boarding school that already has a poskestren in the working area of Semarang Regency in 2017-2019. The research data was then analyzed descriptively. The results obtained are an increase in the number and activities of implementing the poskestren from 2017-2019.


2018 ◽  
Vol 11 (1) ◽  
pp. 65-73
Author(s):  
Siti Qorrotu Aini

ENGLISHSchizophrenic patients are used to experiencing relapse after completing treatment in psychiatric hospital. The aim of research was to find the causes of relapse in schizophrenic patients. The type of research was qualitative. The subjects in this research were five persons who formerly schizophrenic patients and experienced relapse. Primary data were obtained through interviews and observations, while secondary data were gained from the document Pati District Health Office and the relevant references. Data analysis used descriptive method. The results showed that the cause of relapse in patients with schizophrenia are: 1) pressure life events, such as being abandoned by spouse, thinking about the wedding preparations with ex-wife (remarriage) and the failure of marriage planning 2) lack of family role because of lack of knowledge, and lack of economic sources, 3) uncompliance and irregularity on medication, 3) the limitations of medicine and health clinic personnel assistance. INDONESIAPenderita Skizofrenia seringkali mengalami kambuh setelah selesai menjalani masa perawatan di rumah sakit jiwa. Tujuan penelitian adalah untuk mengetahui penyebab kambuh pada penderita skizofrenia. Jenis penelitian yang digunakan adalah penelitian kualitatif. Subjek dalam penelitian ini berjumlah lima penderita skizofrenia dan pernah dinyatakan sembuh kemudian mengalami kekambuhan. Data primer diperoleh dari wawancara dan observasi. Data sekunder diperoleh dari dokumen Dinas Kesehatan Kabupaten Pati dan referensi yang relevan. Analisa data dalam penelitian ini menggunakan metode deskriptif. Hasil penelitian menunjukkan bahwa penyebab kekambuhan pada subjek penderita skizofrenia yaitu 1) Tekanan peristiwa kehidupan, diantaranya ditinggalkan pasangan, memikirkan persiapan pernikahan dengan mantan istri (rujuk) dan gagal menikah; 2) Kurangnya peran keluarga karena kurangnya pengetahuan, dan kurangnya ekonomi keluarga; 3) Ketidakpatuhan dan ketidakteraturan minum obat; dam 4) Keterbatasan obat dan pendampingan tenaga puskesmas.


2017 ◽  
Vol 12 (1) ◽  
pp. 118
Author(s):  
Habibatin Nurul Fajriyah

Surveillance pneumonia is a process of regular monitoring against pneumonia and increased risk of pneumonia. The purpose of this study was to determine the input system pneumonia surveillance in Health Office (DHO) Lamongan. Data were obtained from interviews with officers indept holder DHO program pneumonia in Lamongan and reinforced with indept interview to the health center. The pneumonia study conducted by descriptive method and approach that is input surveillance systems that include data sources and types of data, infrastructure, resources and sources of funding. Implementation of a surveillance system in Lamongan district health office is still not well seen from the input that data sources are from the health office health centers, inadequate infrastructure, resources do not meet the needs, and lack of financial resources. Based on the results of research advice given was increased coordination with the health centers, the use of an online system for reporting to the health office, filing budget, quality improvement officer with the holding of training.Keywords: surveillance systems, system input, data sources and types of data, infrastructure, resources, and source of fundszzzz


2020 ◽  
Vol 6 (1) ◽  
pp. 80-85
Author(s):  
Tasya Citra Mulia ◽  
Henny Maria Ulfa ◽  
Tona Doli Silitonga

The monthly reporting of Dengue Hemorrhagic Fever (DHF) at the Puskesmas must be sent to the Indragiri Hulu District Health Office so that it can be evaluated to reduce the number of cases of Dengue Hemorrhagic Fever (DHF). The purpose of this study was to find out whether the evaluation of monthly reporting of Dengue Hemorrhagic Fever (DHF) was carried out at the Indragiri Hulu District Health Office. This type of research is descriptive with a qualitative approach, namely by describing and explaining the implementation of the Puskesmas Dengue Hemorrhagic Fever P2 (DBD) Evaluation Program at the Indragiri Hulu District Health Office in 2019.The results of the study on the implementation of the P2 DBD Evaluation report, namely, there are still a number of Puskesmas whose content of P2 DBD reports is still incomplete, there are still a number of Puskesmas that deliver reports past the specified period, evaluation of DHF P2 reporting programs in Puskesmas conducted by the District Health Office Indragiri Hulu in the form of meetings in the quarterly period at the Health Office discusses all programs, but special evaluations on the P2 DBD program have not run efficiently, and written policies have not been available for the Indragiri Hulu District Health Office or the Puskesmas. The policy is still under construction.The conclusion is the evaluation of the P2 DBD program reporting at the Indragiri Hulu District Health Office has been carried out, but it has not been maximized. Evaluation carried out by the Health Office is an evaluation of all programs in the Puskesmas, for special evaluation on the P2 DBD reporting not yet available. It is said to be not maximal because the evaluations carried out have not been consistent, because sometimes evaluations are carried out within three months, or within four months, and there is no policy to carry out the evaluation activities. So it is advisable to make a policy and carry out a socialization about evaluating the Puskesmas DHF monthly report.


2017 ◽  
Vol 2 (3) ◽  
pp. 213-230
Author(s):  
M.S. Ghazi Alkhairy ◽  
Yusuf Zaenal Abidin ◽  
Dewi Sadiah

Penelitian ini bertujuan untuk mengetahui peran (Wilayah pengaruh), peran pimpinan dalam mengarahkan program, serta peran pimpinan dalam mengawasi program kegiatan untuk meningkatkan kualitas dakwah santri di Pondok Pesantren Cipari. Metode yang digunakan dalam penelitian ini adalah menggunakan metode deskriptif, melalui pendekatan kualitatif. Peran pimpinan Pondok Pesantren Cipari dalam mengarahkan proses pendidikan guna meningkatkan kualitas dakwah santri terus dikembangkan, hal tersebut terlihat dari terus berjalannya kegiatan-kegiatan para santri untuk menunjang kemampuan dalam berdakwah dan hal tersebut tercermin dalam salah-satu kegiatan pondok pesantren yaitu muhadharah yang rutin dijalankan setiap minggunya. Peran pimpinan Pondok Pesantren Cipari dalam mengarahkan program terlihat pada proses pengorganisasian yang menghasilkan sebuah rumusan struktur organisasi dan pendelegasian wewenang dan tanggung jawab, pola yang dibangun sangat khas, musyawarah untuk mufakat selain pemimpin pun menjalankan fungsinya sebagai penentu kebijakan. Proses pengawasan yang biasa dilakukan di Pondok Pesantren Cipari dengan mengambil jalannya pelaksanaan kegiatan, mengukur keberhasilan dan kegagalannya dengan standar sebagaimana yang telah di tetapkan. The purpose of this research is to know the role (the region of influence), the role of leadership in directing the program, and the role of the leader in supervising the program of activities to improve the quality of preaching santri in Pondok Pesantren Cipari. The method used in this research is to use descriptive method, through qualitative approach The role of the leadership of Pondok Pesantren Cipari in directing the process of education in order to improve the quality of da'wah santri continues to be developed, it can be seen from the continuous activities of the santri to support the ability in da'wah and it is reflected in one of the activities of boarding school that is muhadharah routinely run every week. The role of the leadership of Pondok Pesantren Cipari in directing the program is seen in the organizing process which resulted in a formulation of organizational structure and delegation of authority and responsibility, a pattern that is built very distinctive, deliberation to consensus other than the leader also performs its function as a policy maker. The usual surveillance process at Pondok Pesantren Cipari by taking the course of the implementation of the activity, measuring its success and failure with the standard as it has been set.  


2019 ◽  
Vol 34 (s1) ◽  
pp. s65-s65
Author(s):  
Madelina Ariani ◽  
Yurianto Achmad ◽  
Kamarruzzaman Kamarruzzaman ◽  
Ina Agustina ◽  
Bella Donna ◽  
...  

Introduction:Indonesia’s road traffic fatality rate stands at 15.3 per 100,000 people, compared to 17 in the Southeast Asia region. Traffic fatalities are predicted to increase by 50%, becoming the third leading contributor to the global burden of disease by 2020. Indonesian police reported that 575 people died and 2,742 road accidents occurred during Eid-al-Fitr 2015. The problem is increasing rapidly in Indonesia, particularly during Ramadan. Policy makers need to recognize this growing problem as a public health crisis to prevent mass casualty incidents.Aim:To assess the health system preparedness with regard to road traffic accidents during 2017 Eid-al-Fitr homecoming in West Java, Central Java, East Java, and Lampung.Methods:The project started with an interview and observation followed by stakeholder analysis to assess the level of preparedness. This qualitative and quantitative research was conducted one month prior to Eid-al-Fitr homecoming 2017. The instruments were evaluated for policy, organization, communication, procedure, contingency plan, logistics, facility and human resources, financing, monitoring, evaluation, coordination, and socialization.Results:The levels of preparedness were moderate (B) for West Java, East Java, and Lampung, but high (A) for Central Java. Levels of preparedness based on district health office indicators were high for coordination, but low for a contingency plan. Levels of preparedness based on hospitals and primary health care were high for logistics and human resources, but low for a contingency plan and financing.Discussion:The findings indicated a moderate level (B) of health sector preparedness. Benchmark information from this research will provide information for further training in contingency planning, particularly for the district health office.


Author(s):  
Niar Afdhal Luthfi

The deficit experienced by Health Social Security Fund (Dana Jaminan Sosial/DJS) Kesehatan encourages the Government to look forward to the alternative policies that are focused on efforts to strengthen DJS Kesehatan revenues and expenditure efficiency. In 2018, the Government implemented policies of the obligation to use the Cigarette Tax and General Allocation Fund (DAU) intercept (for local government who have National Health Security (JKN) arrears to cover the DJS Kesehatan deficit. The purpose of this study is to see the effectiveness of the obligation to use cigarette tax and DAU intercept in reducing the DJS Kesehatan deficit. The method used is a comparative descriptive method with a quantitative approach using secondary data and information from BPJS Kesehatan. From the analysis, we found that the policy of using cigarette tax and DAU intercept is not effective enough in overcoming the DJS Kesehatan deficit. The other impact is the potency to increase the number of Regional Health Security (Jamkesda) participants registered within the regional government and increase the compliance of regional governments in paying JKN contributions.


2015 ◽  
Vol 10 (1) ◽  
pp. 93
Author(s):  
Devi Yulianti ◽  
Dedy Hermawan

<p>This research is about the design of organization structure to create the effective public organization which is located in PT. Perkebunan Nusantara VII (Persero) Lampung.  This research is aimed to describe and analyze the relation between the design of organization structure of PTPN VII (Persero) with the company goals in creating the effective corporation. This study used qualitative approach with descriptive method.  The data was collected using documentation tehcnique and the data analysis was using reduction and conclusion technique. The results of this research were three main points. First, PTPN VII (Persero) has used the divisional structure.  Second, there were some alterations in divisional structure each year from 2008 until 2012. Third, the divisional structure of PTPN VII (Persero) hasn’t been able to support the achievement of company goals so that this corporation is no yet effective. The conclusion of this research is that the design of organization structure of PTPN VII (Persero) is not effective to reach the company goals.</p><p> </p><p>Keywords: organization, organization structure, and organization effectiveness. </p>


2007 ◽  
Vol 2 (1) ◽  
pp. 39
Author(s):  
Nia Aryani Rahmaniawati

Pembiayaan kesehatan bidang kesehatan di Kabupaten Bogor yang diperoleh dari berbagai sumber dianggap besar, tetapi derajat kesehatan dari tahun ke tahun tidak beranjak banyak. Padahal pada era desentralisasi peningkatan tersebut seharusnya menyentuh pelayanan langsung kepada masyarakat. Tujuan penelitian ini adalah mengetahui sumber dana pemerintah, besar dana yang telah dianggarkan, realisasi alokasi anggaran kesehatan yang diberikan pe- merintah. Penelitian dibatasi pada biaya kesehatan yang dikelola oleh Dinkes, Badan Rumah Sakit Daerah Cibinong dan Ciawi dengan menggunakan sumber data sekunder berbagai dokumen anggaran tahun 2003-2005. Ditemukan bahwa bidang kesehatan merupakan APBD Kabupaten, tetapi proporsi anggaran kesehatan tertinggi tahun 2005 (9,8%) lebih rendah dari kesepakatan bupati/walikota (15%). Sumber pendanaan kesehatan berasal dari Anggaran Pendapatan dan Belanja Daerah (APBD) Kabupaten dan Propinsi, Anggaran Pendapatan dan Belanja Negara (APBN) Pinjaman Luar Negeri (PLN), Bantuan Luar Negeri (BLN) serta bantuan natura obat dengan proporsi terbesar APBD Kabupaten. Penggunaan dana bidang kesehatan lebih besar pada belanja publik, proporsi berdasar line item lebih banyak untuk biaya operasional, Berdasar unit pengelola dinas kesehatan cenderung pada bidang yankes, Biaya Unit unit kerja terbesar adalah rumah sakit umum daerah. Berdasar fungsi yankes lebih besar pada fungsi kuratif. Realisasi anggaran yang telah direncanakan belum terlaksana sesuai dengan jadwal yang telah ditetapkan.Kata kunci: Pembiayaan kesehatanAbstractFunding for health development in Bogor District from different sources is considered as relatively big, however, improvement in health status has been limited for years. In the decentralization era, improvement in health status should reach direct public services. This study objective is to understand funding sourced from government, budgeting and allocation, as well as the realization of budget and allocation plan of health funding from government. The study is limited to health funding managed by District Health Office, Cibinong and Ciawi Hospitals using 2003-2005 budget documents as secondary data.The study found that health sector is included in the District Budget Plan (APBD) with highest proportion of health budget was in 2005 (9.8%) which was still lower than Head of District’s stated commitment (15%). Health funding came from Province and District Budget Plans (APBD), National Budget Plan (APBN), grants and loans, and medicinal supplies with District Budget Plan as the highest contributor. Health funding is mainly allocated for public spending, while line item proportion is mainly found in operational cost. Based on implementing unit, health service units received most funds with local hospitals as highest receivers, and therefore, more emphasis on curative function. The realization schedule have not been promptly implemented as planned. from management system related to health sector.Key word: Health funding


2019 ◽  
Vol 11 (1) ◽  
pp. 39-46
Author(s):  
Aryani Pujiyanti ◽  
Dimas Bagus Wicaksono Putro ◽  
Arief Mulyono

Leptospirosis control in Pati Regency cannot rely on the general health sector alone, however, it is needed collaboration between the cross-program in leptospirosis control and the relevant sectors. This study aimed to describe the level of leptospirosis knowledge of the health and the cross-sectors officers in Pati Regency, Central Java Province through the assessment activity. A cross-sectional method was used in the present study. A total of 32 people consisting of the  the health and the cross-sectors officers was used as research subjects. They attended the dissemination of leptospirosis held in April 2018 . The instrument used was a questionnaire and the data collection was performed using the questionnaire technique. The data were analyzed descriptively using fisher exact analysis.  The results showed that most respondents had a good level of leptospirosis knowledge. There was no significant positive correlation between resondents' knowledge with age, education level, gender, and type of institution. Respondents understood that environmental factors and the presence of rats played a major role in leptospirosis transmission in Pati District. However, most respondents were lack of knowledge on the role of non-rats as leptospirosis reservoirs. The knowledge of leptospirosis prevention was focused on on self-protecting against bacterial contact from the environment  rather than efforts of rodents control and the use of gloves when treating animals. The District Health Office is recommended to provide the health education on leptospirosis issues for both the cross programs and across sectors officer, particularly how to control rats and the role of non-rats as   leptospirosis reservoirs.


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