scholarly journals Gambaran Penggunaan Obat Antidiare di 3 Puskesmas Kabupaten Barito Selatan

2018 ◽  
Vol 1 (1) ◽  
pp. 44-46
Author(s):  
Nurul Chusna ◽  
Evi Mulyani ◽  
Ahmad Asmadi

Diarrhea is a disease characterized by an increase in the frequency of defecation more than three times a day accompanied by changes in shape and consistency of feces of patients. Bacterial, viral or parasitic infections can cause diarrhea. This study aimed to determine the profile of the use of antidiarrheal drugs for one semester in 3 South Barito District Health Centers namely Bangkuang Health Center, Sababilah Health Center, and Buntok Health Center. The results showed that there were differences in the use of drugs in each Health Center. Based on the type of drug that is most widely used, namely for the Bangkuang Health Center was Zink (1300 prescription), for Sababilah Health Center was Metronidazole (1350 prescription), and for Buntok Health Center was Cotrimoxazole (4650 prescriptions). Based on the age of patients aged 18-60 years for Bangkuang Health Center as many as 120 people, 279 people for Sababilah Health Center, and 315 people for Buntok Health Center. Based on male and female sex, for Bangkuang Health Center were 98 males and 167 females, for Sababilah Health Center were 233 males and 258 females, and for Buntok Health Center were 298 males and 398 females. Further research needed for a long time regarding the use of antidiarrheal drugs in other Health Centers.

2016 ◽  
Vol 4 (2) ◽  
pp. 129-138 ◽  
Author(s):  
Viera Juniver Thenu ◽  
Eko Sediyono ◽  
Cahya Tri Purnami

Purworejo District Health Office (DHO) has developed Health Center Management Information System (HCMIS) to provide quick, precise, and accurate information for supporting the process of decision making and the policy of services at Health Center. However, there was still any empty forms and did not use the system. To standardize Health Information System, Ministry of Health has released a concept of Generic SIKDA. Therefore, the system applied by Purworejo DHO needs to be evaluated using the method of HOT fit. This was qualitative research using indepth interview and direct observation. Main informants were nine data operators and informants for triangulation purpose was six persons from health centers and five persons from DHO. Furthermore, data were analyzed using content analysis. The result of this research revealed that the application of HCMIS at Purworejo DHO was equal to Generic SIKDA. The system had been applied routinely but there was no a guidance book and training. Number of human resources was sufficient. However, there needed to make an implementer team of Health Information System in accordance with competency. There was no routine monitoring and current budget was not sufficient to maintain hardware to support the system. Quality of the system used was good, easy to use, and available of menu to communicate data. Unfortunately, quality of resulted information had still been inaccurate and incomplete because it did not cover data of services at Subsidiary Health Centers (SHC) and Village Health Posts (VHP). The lateness of services was related to a funding procedure. HCMIS at Purworejo DHO was equal to Generic SIKDA but it had not been used to make a decision. As a suggestion, DHO needs to conduct training, monitor, and provide hardware and a network. Meanwhile, Health Centers needs to make a commitment for applying the HCMIS maximally by SHC and VHP.


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
SUPRIANDI SUPRIANDI

Public Health Centers is a technical implementation unit under the District Health Agency that is responsible to conduct health development in a region. To achieve the development vision and mission in health, Health Centers are supported by sufficient resources such as capital, material, machine and human resources. Based on the evaluation of health center performance in 2014, all are good. The condition described for the performance of employees of Health Centers in East Lombok analyzed based on the presence list showed that the level of participation is 98%. The performance and satisfaction of health centers may be affected by the good compensation in Health Centers.This research is aimed at determining the effect of compensation on the performance of employees through the work satisfaction in health centers in East Lombok. This research is a explanatory qualitative study. The samples were 70 respondents selected through cluster random sampling and the data were analyzed using Path Analysis.The research showed that (1) Compensation does not affect directly the performance of employees; (2) Compensation affects directly the work satisfaction of employees; (3) Work satisfaction affects directly the performance of employees; (4) Compensation has direct effect on the performance of employees of Health centers through work satisfaction in East Lombok.Keywords: Compensation, Work Satisfaction, Performance.


2019 ◽  
Vol 21 (4) ◽  
Author(s):  
Mugeni Sugiharto ◽  
Rika Sertiana Oktami

Sanitation clinic is an innovative health promotion program that is useful to tackle environmental-based diseases. Sanitation clinic activities such as counseling, home care and health interventions. This study aims to know of sanitation clinic activities at Gucialit and Gambut Public Health Center in tackling environment-based illness (PBL). Descriptive research type, using secondary data from sanitation clinic and health profi le of district health offi ce of Lumajang and Banjar 2014-2016, accompanied by indepth interview on information. Sanitation clinic activities obtained at Gucialit and Gambut Public Health Center such as counseling, home care and health intervention are going well. The internal referral system functions optimally, so patient visits at sanitation clinics increase. The existence of sanitation clinics in the Gucialit and Gambut Public Health Centers is very benefi cial in overcoming environmental-based diseases. Every Public health centers is important to carry out sanitation clinics, to support promotive services in tackling environment-based diseases. Abstrak Klinik sanitasi merupakan inovatif program promosi kesehatan yang bermanfaat untuk menanggulangi penyakit berbasis lingkungan. Kegiatan klinik sanitasi seperti konseling, kunjungan rumah (home care) dan intervensi kesehatan. Penelitian ini bertujuan untuk mengetahui kegiatan klinik sanitasi di Puskesmas Gucialit dan Puskesmas Gambut dalam menanggulangi penyakit berbasis lingkungan. Jenis penelitian deskriptif, menggunakan data sekunder laporan klinik sanitasi dan Profil Kesehatan Dinas Kesehatan Kabupaten Lumajang dan Kabupaten Banjar tahun 2014–2016, disertai indepth interview pada informan. Kegiatan klinik sanitasi yang diperoleh di Puskesmas Gucialit dan Puskesmas Gambut seperti konseling, pada tindak lanjut (home care) dan intervensi kesehatan berjalan dengan baik. Sistem rujukan internal berfungsi optimal,sehingga kunjungan pasien di klinik sanitasi meningkat. Keberadaan klinik sanitasi di Puskesmas Gucialit dan Gambut sangat bermanfaat menanggulangi penyakit berbasis lingkungan. Setiap Puskesmas penting untuk melaksanakan klinik sanitasi, untuk mendukung pelayanan promotif dalam menanggulangi penyakit berbasis lingkungan.


2008 ◽  
Vol 5 (2) ◽  
pp. 91
Author(s):  
Shafwan Shafwan ◽  
Hari Kusnanto ◽  
Anis Fuad

Background: Improved nutritional status is needed throughout the life cycle including children under five. Of age in formulating suitable policies for nutrition improvement program, decision makers require relevant information about nutritional status of the community. The implementation of health information system at District of Majene is not yet optimum. There are some problems such as inaccurate data, inconsistent or unreliable data, delay in data reporting, and processing and presentation of data are rarely made, reporting is done as routine disregarding data quality, there is no feedback from the health office and so on. Decentralization has offered an opportunity for the health center to make its own policy in optimizing nutrition improvement program. However, health centers at District of Majene have never made decisions based on evidence.Objective: The study aimed to get an overview of data and information management of nutritional status of children under five comprising availability, processing, presentation of data, and the decision making of nutrition program at the health centers of District of Majene.Method: This was a descriptive case study with qualitative method. Subjects of the study were nutrition staff of the health centers, head of health centers, and head of nutrition section of district health office with health centers and head of health office as analysis units. Data were obtained through indepth interview, focus group discussion, questionnaire, observation, and documentation.Results: Data and information on nutritional status of children under five years of age were available in all health centers; however format of reporting was unavailable. Data in LB3 accurate, in FIII/gizi and SKDN were inaccurate because there was data manipulation and cadres had limited skills. Data were not valid because there was no signature of head of the health center in the report. Data in FIII/gizi and SKDN reliable, in LB3 not reliable  because there was no coordination among staff. Data in SKDN were completed, in FIII/gizi and LB3 incomplete because some of the forms were blank. Data were not provided timely due to less commited cadres, geographical factors, and lack of pressure from the health office. Data were accessible because staff were active in maintaining records. Data were processed manually and presented in the form of narratives, tables and graphs. Decisions made were socialization, counseling, growth monitoring and comple- mentary breastfeeding distribution monitoring. However, they were not based on data so that reports were only made as routine activities.Conclusion: Data and information on nutritional status of children under five years of age were available at the health centers with quality data in every format of reporting of various kinds. Data and information were processed manually and presented in the form of narratives, tables, and graphs. Decisions made were socialization, counseling, growth monitoring, and complementary breastfeeding distribution monitoring. Decisions made were not based on data available.


2019 ◽  
Vol 10 (1) ◽  
pp. 15-24
Author(s):  
Atik Ruli Winarti

ABSTRACT Background: The population of DKI Jakarta is 10,377,186 people and it is estimated that in DKI Jakarta there are 11,415 cases of schizophrenia. Newly discovered, recorded and handled during 2017 were 4,690 cases. The prevalence of schizophrenia in DKI Jakarta in 2017 is 1.1 / 1000. This study aims to visualize descriptively the prevalence of schizophrenia in South Jakarta Administrative city. Methods: The method of study was cross sectional. The population of all schizophrenia cases obtained from the recording of medical records in 10 sub-district health centers during 2017 was 1,641 patients. Characteristics seen were gender, age, place of residence, patients treated at the health center and those referred to and regular treatment of schizophrenic patients. Results: The highest prevalence rate in Kebayoran Baru was 11.4/10,000, the largest proportion of 1,641 schizophrenia cases in South Jakarta Administrative City as much as 14% came from Tebet, the highest proportion of male sex was 73% in Tebet, the highest female in Mampang Prapatan by 45%, the proportion of schizophrenia cases was highest in the age 26-45 was 56%, the proportion of schizophrenia in Tebet treated in Puskesmas was 84%, referred to the Hospital as much as 16%, who were not regularly treated at the Puskesmas in 2017 was 56 %. Conclusion: The largest proportion of schizophrenia is at the age 26-45 in Cilandak Subdistrict, Cilandak Community Health Center handles schizophrenia more because early detection of mental disorders is better than other regions, Jagakarsa Health Center is further strengthened to handle schizophrenia cases. Keywords: Urbanization, Schizophrenia, Prevalence   ABSTRAK Latar Belakang: Jumlah penduduk DKI Jakarta sebesar 10.377.186 jiwa dan diperkirakan di DKI Jakarta terdapat 11.415 kasus skizofrenia. Yang baru ditemukan, tercatat dan ditangani selama tahun 2017 sebanyak 4.690 kasus. Angka prevalensi skizofrenia di DKI Jakarta tahun 2017 adalah 1.1/1000. Penelitian ini bertujuan untuk mengetahui gambaran secara deskriptif prevalensi skizofrenia di Kota Administrasi Jakarta Selatan. Metode: Desain studi yang digunakan dalam penelitian ini adalah cross sectional. Populasi semua kasus skizofrenia yang didapatkan dari pencatatan rekam medis di 10 Puskesmas Kecamatan selama tahun 2017 sebanyak 1.641 pasien. Karakteristik yang dilihat adalah jenis kelamin, umur, tempat tinggal, pasien yang diobati di Puskesmas dan yang dirujuk serta keteraturan berobat pasien skizofrenia. Hasil Penelitian: Prevalensi rate tertinggi di Kebayoran Baru yaitu 11.4/10.000, proporsi terbesar dari 1.641 jumlah kasus skizofrenia di Kota Administrasi Jakarta Selatan sebanyak 14% berasal dari Tebet, proporsi jenis kelamin laki-laki tertinggi yaitu 73% di Tebet, tertinggi perempuan di Mampang Prapatan sebesar 45%, proporsi kasus skizofrenia tertinggi pada kelompok umur 26-45 tahun yaitu sebanyak 56%, proporsi skizofrenia di Tebet yang diobati di Puskesmas sebanyak 84%, dirujuk ke RS sebanyak 16%, yang tidak teratur berobat ke Puskesmas selama tahun 2017 sebanyak 56%. Kesimpulan: Proporsi skizofrenia terbesar ada pada kelompok umur 26-45 tahun berada di Kecamatan Cilandak, Puskemas Cilandak lebih banyak menangani skizofrenia karena program pendeteksiaan dini gangguan jiwa lebih bagus daripada wilayah lain, Puskesmas Jagakarsa lebih diperkuat lagi untuk menangani kasus skizofrenia. Kata Kunci: Urbanisasi, Skizofrenia, Prevalensi    


Author(s):  
Dewi Oktavia

Semua fasilitas pelayanan kesehatan wajib menyelenggarakan rekam medis, termasuk puskesmas. Dengan pelayanan rekam medis yang berkualitas pasien akan merasa puas, khususnya  karena  pasien  dilayani  dengan  cepat,  tepat  dan  aman  oleh  pihak puskesmas. Permasalahan yang sering ditemui pada bagian penyimpanan rekam medis adalah terjadinya misfile maupun duplikasi nomor rekam medis. Akibatnya, berkas rekam medis pasien lama sulit ditemukan sehingga proses pencarian berkas rekam medis pasien di rak penyimpanan membutuhkan waktu yang cukup lama. Tujuan pelaksanaan Pengabdian Kepada Masyarakat (PKM) agar sistem penyimpanan rekam medis menjadi optimal dalam rangka peningkatan kualitas pelayanan rekam medis pasien rawat jalan di Puskesmas Padang Pasir. Metode yang digunakan berupa sosialisasi tentang optimalisasi sistem penyimpanan rekam medis di Puskesmas Padang Pasir. Sebelum sosialisasi, dilakukan pre-test dan setelah sosialisasi dilakukan kegiatan post-test dengan tujuan mengetahui tingkat pemahaman mitra tentang materi sosialisasi. PKM ini dilakukan pada tanggal 9 bulan Agustus 2019 di Puskesmas Padang Pasir. Peserta dari kegiatan PKM ini adalah semua petugas rekam medis di Puskesmas Padang Pasir sebanyak 6 (enam) orang. Hasil dari kegiatan PKM ini adalah adanya peningkatan pengetahuan mitra tentang penyimpanan rekam medis dari nilai rata-rata 45 menjadi 85 point. Kata Kunci : Kualitas, Pengabdian, Penyimpanan, Puskesmas, Rekam Medis ABSTRACT All health service facilities are required to hold medical records, including public health centers. With a quality medical record service, patients will feel satisfied, especially because patients are served quickly, precisely and safely by the community health centers. The problem that is often encountered in the medical records storage is the occurrence of misfiling and duplication of medical record numbers. As a result, old patient medical record files are difficult to find, so the process of searching a patient's medical record file on a storage rack takes quite a long time. The purpose of the implementation of Community Service (PKM) so that the medical record storage system becomes optimal to improve the quality of outpatient medical record services at the Padang Pasir Health Center. The method used in the form of socialization about optimizing the medical record storage system at the Padang Pasir Health Center. Before the socialization, a pre-test was carried out and after the socialization, a post-test was carried out to know the level of understanding of partners about the material of the socialization. This PKM was held on August 9, 2019, at the Padang Pasir Communuty Health Center. The participants of this PKM activity are all 6 medical records officers at the Padang Pasir Health Center. The result of this PKM activity was an increase in partner knowledge about medical record storage from an average value of 45 to 85 points. Keywords: Quality, Service, Storage, Community Health Centers, Medical Records


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.


2021 ◽  
Vol 1 ◽  
pp. 117-127
Author(s):  
Erna Erviana ◽  
Yulian Wahyu Permadi ◽  
Wulan Agustin Ningrum ◽  
Ainun Muthoharoh

AbstractManagement of pharmaceutical preparations is a series of activities involving aspects of planning, procurement, receipt, storage, distribution, destruction and withdrawal, control and administration of drugs that are managed optimally to ensure the achievement of determination of the amount and type of pharmaceutical supplies. The purpose of this study was to evaluate the management of pharmaceutical preparations and medical consumables in health centers in Pekalongan Regency based on the Technical Instructions for Pharmaceutical Services at Puskesmas in 2019. The method used in this study was a quantitative method with descriptive quantitative analysis using simple techniques. random sampling consisting of 30 respondents from pharmacy staff in 17 health centers in Pekalongan Regency who met the inclusion criteria. The research instrument used a questionnaire with univariate analysis. The results showed that the management of pharmaceutical preparations and medical consumables (BMHP) in the planning category was very good (100%), the procurement category was very good (76.7%), the acceptance category was very good (100%), the storage category was very good (100 %), very good category distribution (90%), very good withdrawal and annihilation category (100%), very good category control (93.3%) and very good category administration stage (100%). The conclusion of this study is that the implementation of the management of pharmaceutical preparations and medical consumables (BMHP) in district health centers is in accordance with the Technical Guidelines for Pharmaceutical Service Standards at Health Centers in 2019, therefore pharmaceutical staff in each health center must always improve pharmaceutical service standards in order to prosper. high public health.Keywords: Technical Guidelines; for Pharmaceutical Services; Public health center AbstrakPengelolaan sediaan farmasi merupakan suatu rangkaian kegiatan yang menyangkut aspek perencanaan, pengadaan, penerimaan, penyimpanan, pendistribusian, pemusnahan serta penarikan, pengendalian dan administrasi obat yang dikelola secara optimal untuk menjamin tercapainya ketetapan jumlah dan jenis perbekalan farmasi. Tujuan dari penelitian ini adalah untuk mengevaluasi pengelolaan sediaan farmasi dan bahan medis habis pakai di puskesmas yang ada di Kabupaten Pekalongan berdasarkan Petunjuk Teknis Pelayanan Kefarmasian di puskesmas tahun 2019. Metode yang digunakan dalam penelitian ini adalah metode kuantitatif yang bersifat deskriptif analisis kuantitatif dengan menggunakan teknik simple rundom sampling yaitu sejumlah 30 responden tenaga kefarmasian dalam 17 puskesmas di Kabupaten Pekalongan yang memenuhi kriteria inklusi. Instrumen penelitian ini menggunakan kuesioner dengan analisis univariat. Hasil penelitian menunjukan pengelolaan sediaan farmasi dan bahan medis habis pakai (BMHP) pada perencanaan kategori sangat baik (100%), pengadaan kategori sangat baik (76,7%), penerimaan kategori sangat baik (100%), penyimpanan kategori sangat baik (100%), pendistribusian kategori sangat baik (90%), penarikan dan pemusnahan kategori sangat baik (100%), pengendalian kategori sangat baik (93,3%) dan tahapan administrasi kategori sangat baik (100%). Kesimpulan pada penelitian ini bahwa pelaksanaan pengelolaan sediaan farmasi dan bahan medis habis pakai (BMHP) di puskesmas Kabupaten telah sesuai dengan Petunjuk Teknis Standar Pelayanan Kefarmasian di Puskesmas Tahun 2019, oleh karena itu tenaga kefarmasian di setiap puskesmas harus selalu meningkatkan standar pelayanan kefarmasian guna untuk mensejahterakan kesehatan masyarakat yang tinggi.Kata kunci: Petunjuk; Teknis; Pelayanan; Kefarmasian; Puskesmas


2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Febriyeni Febriyeni

<pre>Chronic Energy Deficiency is a situation where the nutritional status someone is on the Less Good Condition. Among the 22 health centers in the district of Lima Puluh Kota, CED highest coverage at the health center are Banja Laweh Namely Case 17 (16.50%) of 103 pregnant mothers. Preliminary Survey of 10 pregnant women at health centers Banja Laweh, note 4 people (40%) of them suffered CED. Based on the findings of interviews stating Not pregnant women know the importance of the size upper arm circumference on Against her pregnancy, in addition to pregnant women consume no food Diversified, because lust Eating Less and Economics not sufficient. Objectives for review determine factors related to the occurrence of Chronic energy deficiency on pregnant women. Methods descriptive analytic with cross sectional approach. Data collection is done on Date in January-February 2017. CASE is a whole population of pregnant women in the region are working Health Center Banja Laweh Year 2017, amounted to 55 people, with sampling total sampling. Operating data analysis using univariate and bivariate statistical test Chi Square. Results of univariate analysis 87,3% of respondents experienced Genesis not CED, (60,0%) High Knowledge, (56,4%) Economy High, and 61,8% of Eating Well. Bivariate analysis known Relationship of Knowledge (p = 0.013 and OR = 12,000, Economics (p = 0.035 and OR = 10,000), and Diet (p = 0.019 and OR = 13,200) with the Genesis CED pregnant women. Can be concluded that the factors related to the occurrence of CED pregnant women is Science, Economics and the Diet. Expected to conduct monitoring of the health center and Supervision of pregnant women at risk Against The Genesis CED, so the negative impact of the CED can be addressed early on.</pre>


Author(s):  
Wulan Citra Sari, Ana Safitri Wulan Citra Sari, Ana Safitri

ABSTRAK   Pneumonia masih merupakan masalah kesehatan yang penting karena menyebabkan kematian bayi dan balita yang cukup tinggi yaitu kira-kira satu dari empat kematian yang terjadi. Tujuan penelitian ini adalah diketahuinya hubungan antara umur balita dan pengetahuan ibu dengan kejadian pneumonia pada balita di Puskesmas Cambai tahun 2016. Penelitian ini menggunakan metode Survey Analitik dengan pendekatan Cross Sectional. Populasi pada penelitian ini adalah semua ibu yang membawa atau memeriksakan balitanya yang umur < 5 tahun di Puskesmas Cambai tahun 2016, pada saat penelitian. Pengambilan sampel tersebut secara Non Random dengan teknik Accidental Sampling. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan ada hubungan antara umur balita dan pengetahuan ibu dengan kejadian pneumonia pada balita di Puskesmas Cambai tahun 2016. Dari hasil penelitian ini, peneliti berharap petugas pelayanan kesehatan dapat meningkatkan pelayanan kesehatan bayi dan balita di Puskesmas Cambai , serta lebih sering melaksanakan penyuluhan tentang pneumonia dan penyuluhan mengenai makanan 4 sehat 5 sempurna, agar terciptanya balita sehat.     ABSTRACT Pneumonia is an important health problem because it causes the death of infants and toddlers are quite high, roughly one in four deaths. The purpose of this study is known huubungan between toddler age and maternal knowledge with pneumonia incidence in infants in health centers Cambai 2016. This study used a survey method with the Analytical cross-sectional approach. The population in this study were all mothers who carry their babies or check the age < 5 years at Health Center Cambai in 2016, at the time of the study. The sampling is non- random with accidental sampling technique. Data analysis was done using univariate and bivariate statistical test Chi - Square with significance level α = 0.05. The results of this study showed association between maternal age and knowledge toddlers with pneumonia incidence in infants in Health Center Cambai in 2016. From these results, researchers expect health care workers to improve health services in health centers babies and toddlers Cambai, and more frequently to conduct information about pneumonia and counseling about 4 healthy 5 perfect food , in order to create a healthy toddler.


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