scholarly journals The Readiness for Implementation of Financial Management Patterns of Regional Public Services Agency at Public Health Center

2021 ◽  
Vol 4 (2) ◽  
pp. 191-206
Author(s):  
Evada Dewata ◽  
Hadi Jauhari

The purpose of the study is to determine the readiness of Lais public health center and Teluk Kijing public health center of Musi Banyuasin District, South Sumatra Indonesia, in managing finances of regional public service agencies (BLUD). Time of research from March-July 2021. Used the types of descriptive qualitative research to review the documents, observation, and in-depth interviews to the research subject as many as 10 (ten) informants. The triangulation technique is used in testing the validity of the data. The research result showed that Lais public health center and Teluk Kijing public health center were ready to implement the financial management pattern of BLUD, which can be seen from the results of input analysis, process, and output from the analysis of stakeholder, related commitment, knowledge and responsibilities, funding (money), infrastructure (materials) and methods, in addition, substantive requirements, technical requirements, and administrative requirements have been carried out. The results of this study have implications related to the preparation and continuation of the implementation of the BLUD Public Health Center financial management pattern. Based on its limitation, it is still possible for other local governments who have the same contextual conditions to use these results as an input when preparing the BLUDs financial management pattern.

2020 ◽  
Vol 8 (2) ◽  
pp. 152
Author(s):  
Casnuri Casnuri ◽  
Puspito Panggih Rahayu

<p>Integrated Management of Sick Toddler (MTBS) is an integrated approach whose governance is carried out on sick toddlers with outpatient facilities. MTBS is used as a service standard for sick infants and toddlers as well as a guideline for nursing staff (midwives and nurses) especially in primary health care facilities. In 2006 the MTBS program socialization and training for puskesmas staff were conducted, where each puskesmas was represented by 1 medical staff and 2 paramedics. MTBS aims to reduce morbidity and mortality due to diarrhea, pneumonia, DHF and infections. IMR in Sleman Regency is better than the national target. In 2015 there were 14,134 live births and 51 (3.61%) stillbirths. This tends to decrease from 2014 when the number of live births was 14,406 with 67 infant deaths (4.65%). The death was caused by diarrhea, pneumonia, DHF and infections. This shows that there is still a need to increase the role of cross-program and cross-sectoral efforts to reduce infant mortality, which is to evaluate the implementation of IMCI or MTBM in the Sleman D.I Yogyakarta Public Health Center.</p><p><strong>Research Purpose </strong>investigate the factors in the implementation of IMCI at the Sleman D.I Yogyakarta Public Health Center.</p><p><strong>Research Methods </strong>is descriptive qualitative. The main Informantts were 25 MTBS officers, 25 Puskesmas heads, and 1 Kasie Kesga District Health Office, Sleman D.I Yogyakarta with in-depth interviews.</p><p><strong>Research result: </strong>All puskesmas in Sleman Regency have implemented MTBS services according to service procedures with different achievements in each puskesmas. This is due to the disorderly officers in conducting data recapitulation. The achievement of the MTBS program in Sleman Regency was 65.39%.<strong></strong></p><p><strong>Conclusion</strong>: The MTBS program at the Sleman district health center has been implemented well due to several factors, namely Human Resources, both the number of trained health workers and the quality of the competencies of health workers, leadership support in the form of facilities and infrastructure, as well as funding support in increasing competence.</p><p> </p><p> </p>


2021 ◽  
Vol 1 (1) ◽  
pp. 9-15
Author(s):  
Nur Alfi Fauziah ◽  
Riting Yuliasari ◽  
Hellen Febriyanti

Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by SARS-CoV-2. Based on data from the Lampung Provincial Health Office (2020), four patients who are pregnant have been confirmed positive for COVID-19. At Gilang Tunggal Makarta Public Health Center of West Tulangbawang Regency (2020) there is 1 pregnant woman aged 22 years old and who has a history of having travelled from DKI Jakarta to be confirmed positive for COVID-19. The purpose of this research is to know the correlation between knowledge and pregnant women attitudes with covid-19 prevention behaviours on new habits adaptation in the working area of Gilang Tunggal Makarta Public Health Center West TulangBawang Regency in 2021. This type of research is quantitative by applying an analytic research design with a cross-sectional approach, the population is all pregnant women as many as 34 people, the total sample size from the population. Univariate data analysis used a percentage frequency distribution and bivariate used the chi-square test. The research result showed that the frequency distribution of pregnant women knowledge was higher in the unfavourable category as many 20 people (58.8%), the pregnant women attitude were higher in the negative category as many as 19 people (55.9%) and the prevention behaviour of COVID-19 was higher in the unfavourable category amounted to 21 people (61.8%). The results of the chi-square test showed a correlation between knowledge (p-value = 0.000 0.05) and behavior (p-value = 0.001 0.05) with COVID-19 prevention behavior on new habits adaptation. It is hoped that health workers will be more active in socializing COVID-19 prevention behaviour through direct counselling on demonstration methods accompanied by discussion using leaflets or brochures using interesting pictures and writing also using simple language.


2021 ◽  
Vol 3 (3) ◽  
pp. 305-316
Author(s):  
Reny Marischa Putri ◽  
Bambang Setiaji ◽  
Ferizal Masra ◽  
Endang Budiati

Hypertension is dubbed the silent killer because this disease has no specific symptoms, hypertension can attack anyone, and at any time, and can cause degenerative diseases, to death. According to several studies, people with hypertension are 12 times more likely to have a stroke and 6 times more likely to have a heart attack. Hypertension is usually not realized by the public because the symptoms are not clear and resemble health complaints in general. Patients only find out that they have hypertension after checking their blood pressure, or after the onset of other diseases. Type of research is quantitative, analytical survey research design with Cross Sectional approach. The research population of all residents aged over 45 years who live in Bandar Lampung City based on data from the population and civil registration office of Bandar Lampung city in 2020 as many as 424,183 people, with the Proportional Random Sampling technique as many as 216 people. In this study, researchers used interview techniques using questionnaires. Data analysis used Chi Square statistical test and Logistics Regression. The research was carried out on March 2021. Research result there was a correlation between caffeinee (p-value = 0.022, and OR = 1.951), smoking habits (p-value = 0.017, and OR = 2.006) obesity (p-value = 0.000, and OR = 3.580), physical activity (exercise) (p-value = 0.012, and OR = 2.078) with the incidence of hypertension in Bandar Lampung City in 2021. Obesity variable is the dominant factor that is most related to the incidence of hypertension in Bandar Lampung City in 2021 (p-value = 0.000, and OR = 32,891). This can be done by holding regular counseling at the Posyandu for the elderly and holding regular exercise programs at the Public Health Center, namely doing morning exercises with the community every Friday. Furthermore, leaflets can be distributed about hypertension when exercising at the Public Health Center, as well as posting posters about the importance of maintaining a healthy diet, maintaining an ideal body weight and exercising regularly in places that are easily accessible by the community, such as at the market, at the village hall. or at the community meeting hall. 


2015 ◽  
Vol 34 (2) ◽  
pp. 46-58
Author(s):  
Donie Ajian Veronica ◽  
Arif Widyanto ◽  
Budi Triyantoro

Dengue Hemorrhagic Fever (DHF) disease is an infection disease caused by Dengue virustransmitted primarily through bites of Aedes aegypti. Based on the Purwokerto Selatan Public HealthCenter repotrs the number of dengue cases incedence from January to December 2013 recorded 92cases.The research objective was to describe physical house environment factors of DHF patients atdistrict Purwokerto Selatan Public Health Center like height of place, rainfall, ilumination, air temperatur,air humidity, kind of breeding place, and mosquito larva density (C.I, H.I, B.I, ABJ). The sample caseswere all patients with dengue in the public health center Purwokerto Selatan 2013.The research result shows from 77 patient was observation as subyek of cases DHF with agebetween 11-15 years old are 14 people (18,18%), 66,23 % are man with total 51 people, 46, 75 % arestudents with total 36 people. Height of places average are 74 meters from surface of the sea. Rainfall3.940 mm. Average of ilumination for part in the house 130 lux, part out of the house 443 lux. Average airtemperature for part in the house 31oC, part out of the house 32oC. Average air humidity part in thehouse 66%, part out of the house 62%. Total container was found are 285 container. C.I=2,45%,H.I=9,09%, B.I=9,09%, dan ABJ=90,0%.Kind of breeding place was found are basin for bath, place for clean water, vase, dispenser,refrigerator, pail, aquarium, pond, second objects, and container for drink bird. Mosquito larva density C.Iborder fill from WHO, (≤ 5%), border fill from WHO H.I (≤ 10%), B.I border fill from WHO (≤ 50%), andABJ border fill from WHO (≥ 95%) because of that be needed do restraint for mosquito larva. Give asuggestion to all people for do


2016 ◽  
Vol 17 (3) ◽  
pp. 177
Author(s):  
Sik Sumaedi ◽  
Medi Yarmen

<p>Abstrak<br />Penelitian ini bertujuan untuk menganalisis citra dan perceived value Puskesmas tersertifikasi ISO 9001, dalam hal ini adalah sebuah Puskesmas di Kota Bogor. Metodologi penelitian yang digunakan adalah metodologi penelitian kuantitatif. Pengumpulan data dilakukan dengan metode survei. Responden penelitian sebanyak 157 pengguna Puskesmas yang menjadi obyek penelitian. Hasil penelitian menunjukkan bahwa penilaian pengguna terhadap citra sebuah Puskesmas tersertifikasi ISO 9001 di Kota Bogor adalah sebesar 5,26, yang menunjukkan citra Puskesmas tersebut baik. Penilaian pengguna terhadap perceived value sebuah Puskesmas tersertifikasi ISO 9001 di Kota Bogor adalah sebesar 5,41, yang menunjukkan perceived value Puskesmas tersebut baik. Nilai hubungan perceived value dan citra pada sebuah Puskesmas tersertifikasi ISO 9001 di Kota Bogor adalah sebesar 0,601 yang berarti berkorelasi positif dan kuat.<br />Kata kunci: ISO 9001, puskesmas, citra, perceived value, pengguna.</p><p><br />Abstract<br />This research aims to analyse the image and perceived value of an ISO 9001 certified Public Health Center in Bogor. The research methodology applied is quantitative research methodology. The data collection was performed through survey. The research respondents are 157 users of the Public Health Center. The research result showed that the user evaluation value on the image of the Public Health Center is 5.26, which means the image is good. The user evaluation value on the perceived value of the Public Health Center is 5.41, which means the perceived value is good. The value of the correlation between perceived value and image is 0.601, which means those variables strongly and positively correlated.<br />Keywords: ISO 9001, public health center, image, perceived value, image.</p>


2020 ◽  
Vol 5 (1) ◽  
pp. 31-34
Author(s):  
KRISTINA PASKANA

ABSTRAKBadan Kesehatan Dunia (WHO) menyatakan bahwa angka kejadian Berat Badan LahirRendah (BBLR) merupakan indikator masalah kesehatan publik, diantaranya kesehatanibu, malnutrisi, dan buruknya fasilitas kesehatan (Riskesdas, 2018). Upaya memaksimalkankebutuhan nutrisi saat hamil berguna untuk menekan kejadian BBLR (Kemenkes RI, 2019).Tujuan penelitian ini untuk mengetahui hubungan lingkar lengan atas ibu hamil trimesterIII dengan berat bayi lahir di Puskesmas Seginim. Metodologi penelitian menggunakansurvei analitik dengan pendekatan cross sectional. Populasi yaitu seluruh ibu post partumperiode April-Juni 2019 berjumlah 51 orang. Data dianalisis menggunakan chi-square. HasilPenelitian : ibu dengan LILA < 23,5 sebagian besar melahirkan bayi berat lahir < 2.500 grsebesar 11,8%, dan ibu dengan LILA > 23,5 sebagian besar melahirkan bayi dengan berat> 2.500 gr sebesar 74,5%. Uji statistik chi-square menunjukkan 15,3 dan nilai ρ = 0,000 <ά = 0,05. Maknanya: Ada hubungan LILA ibu hamil trimester III dengan berat bayi lahir diPuskesmas Seginim Tahun 2019.Kata kunci : berat bayi lahir, kurang energi kronik, lingkar lengan atasAbstractThe World Health Agency (WHO) states that, the incidence rate of BBLR in population levelis an indicator of public health problems, including maternal health, malnutrition, and poorhealth facilities (Riskesdas, 2018). Maximizing nutritional needs during pregnancy is doneto minimize the incidence of BBLR (Kemenkes RI, 2019). The purpose of the study knows therelationship of upper arm circumference III trimester pregnant women with baby birth inSeginim Public Health Center. The research methodology uses an analytical survey with across sectional approach. The population is entire post-partum mother of April to June 2019,amounting to 51 people. Data analyzed using Chi-square. Research result: Mother with LILA< 23.5 mostly gave birth weight baby birth < 2,500 gr by 11.8%, and mother with LILA > 23.5mostly give birth to a baby with weight > 2,500 gr of 74.5%. The Chi-square statistical testshows 15.3 and the value ρ = 0.000 < ά = 0.05. Meaning: There is a link between the upperarm circumference of the III trimester of pregnant women with the weight of babies born inSeginim Public Health Center in 2019 years.Keyword: baby birth weight, less chronic energy, upper arm circumference


2018 ◽  
Vol 6 (1) ◽  
pp. 61
Author(s):  
Inka Kartika Ningsih

In 2013, DIY AIDS prevalence was 23,75 %. ODHA has touched 72,6%, based on age class 25-49 years old peak. PMTCT programs was done to prevent HIV to infect children from their mother. This research was qualitative descriptive research which have implement grounded theory. This research was conducted in Independent Midwifery Clinic in Kota Yogyakarta on March-June 2014. Research subject was  midwifes in Independent Midwifery Clinic, mother pregnancy patient of the Independent Midwifery Clinic, midwife coordinator of primary public health care center, and family health care sector in health care Department of Kota Yogyakarta. The first respondent has been taken a sample by snowball sampling. Research instrument was use manual interview  and the data were collect with in depth interview. Data analysis is done using content analysis and data validation using triangle source. Research result is that PMTCT in ANC doesn’t work effective in Independent Midwifery Clinic Yogyakarta because PMTCT couldn’t work their program without midwife and primary public health center. The mother pregnancy have been send to get ANC Terpadu in primary public health center. Counseling and bergaining about HIV diagnostic. Cadre and all of public sector of this region can involved in this program.  Keywords: antenatal care, HIV, PPIA


2020 ◽  
Vol 17 (2) ◽  
pp. 159
Author(s):  
WISNU TRI PAMUNGKAS ◽  
INDIRA RA ◽  
IRMA ANDRIANI PASARIBU

<p><strong>Abstrak</strong></p><p><strong>Latar Belakang : </strong>Prevalensi Hipertensi di Indonesia semakin meningkat mencapai 25,8% pada penduduk berusia 18 tahun keatas.  Amlodipin merupakan salah satu pilihan obat untuk terapi Hipertensi yang termasuk golongan Calsium Channel Blocker (CCB). Penggunaan obat antihipertensi sendiri merupakan salah satu faktor risiko yang menyebabkan sindroma mata kering.</p><p><strong>Tujuan : </strong>Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan obat antihipertensi terhadap sindroma mata kering pada penderita Hipertensi di wilayah kerja Puskesmas Jagir kota Surabaya.</p><p><strong>Metode penelitian : </strong>Penelitian ini adalah penelitian observasional analitik dengan metode cross-sectional. Subyek pada penelitian ini adalah 48 responden yang didapatkan dibagi kedalam 2 kelompok yakni, kelompok minum obat antihipertensi &gt;6 bulan dan tidak minum obat. Dilakukan pengisian kuesioner DEQ-5 dan pemeriksaan schirmer I.</p><p><strong>Hasil penelitian : </strong>Analisa deskriptif dari tes schirmer I frekuensi sindroma mata kering lebih tinggi pada responden yang mengkonsumsi obat antihipertensi dari pada responden yang tidak minum obat antihipertensi. Hasil analisa statistik menggunakan uji chi-square signifikansinya yaitu sebesar &lt;0,001 atau dapat dikatakan bahwa p&lt;α (0,05), menunjukkan ada pengaruh pemberian obat antihipertensi terhadap sindroma mata kering yang berdasarkan tes Schirmer pada pasien Hipertensi di wilayah kerja puskesmas Jagir  kota Surabaya.</p><p><strong>Simpulan : </strong>Penggunaan obat antihipertensi berpengaruh terhadap sindroma mata kering pada penderita hipertensi di wilayah kerja Puskesmas Jagir kota Surabaya</p><p><strong>Kata Kunci : </strong>Sindroma mata kering, obat antihipertensi, hipertensi</p><p><strong> </strong></p><p><strong>Abstract</strong></p><p><strong>Background: </strong>Hypertension prevalence in Indonesia is increasing to reach 25.8% in the population aged 18 years and over. Amlodipine is one of the drugs for hypertension therapy which is included in the Calcium Channel Blocker (CCB) class. The use of antihypertensive medication itself is one of the risk factors that cause dry eye syndrome.</p><p><strong>Purpose</strong>: This study aims to determine the effect of the use of antihypertensive drugs on dry eye syndrome in patients with hypertension at Jagir Public Health Center in Surabaya working area.</p><p><strong>Methods:</strong> This study was an observational analytic study with a cross-sectional method. The subjects in this study were 48 respondents found divided into 2 groups namely, the group taking antihypertensive drugs&gt; 6 months and not taking medication. The DEQ-5 questionnaire was completed and Schirmer I was examined.</p><p><strong>Results:</strong> Descriptive analysis of the Schirmer I test for the frequency of dry eye syndrome was higher in respondents who took antihypertensive drugs than those who did not take antihypertensive drugs. The results of statistical analysis using the chi-square test of significance that is equal to &lt;0.001 or it can be said that p &lt;α (0.05), indicates there is an effect of antihypertensive drug administration on dry eye syndrome based on the Schirmer test in hypertension patients at Jagir Public Health Center in Surabaya..</p><p><strong>Conclusion:</strong> The use of antihypertensive drugs has an effect on dry eye syndrome in patients with hypertension at the Jagir Public Health Center in Surabaya</p><strong>Keywords:</strong> Dry eye syndrome, antihypertensive drugs, hypertension


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