scholarly journals Evaluation of DHF Surveillance Based on Attributes in Pasuruan District

2019 ◽  
Vol 3 (1) ◽  
pp. 62-66
Author(s):  
Ahmad Zamzam Hariro ◽  
Chatarina Umbul Wahyuni ◽  
Supa’at Setia Hadi

Dengue Hemorrhagic Fever (DHF) is one of health problems in Pasuruan that the number of sufferers was increase. Those problems would not actually happen if the surveillance gose well. The purpose of this study was to describe the problem of DHF surveillance based on attributes as well as provide an alternative solution. This research was a descriptive study with evaluation study design. This study was conducted in 16 Public Health Centers and health office of Pasuruan District. Data were collected through interviews with DHF officers in 16 PHC and health office of Pasuruan District, using questionnaires, and document analysis against DHF data reports. The problems was not simple in feedback, not acceptable in feedback, and not on time in feedback because the feedback only give every 3 months. Data was not representative because data can’t describe population based on time and place. Data was unstable because there were 41.25% respondent that loss of data. Provide personal computers for program officers is needed to keep the data from lost and always available. Motivate the public health centers to form an independent jumantik cadre with funding sources from public health center or sub district for optimal PSN and data reports. Keywords: DHF, Surveillance, Attributes

2018 ◽  
Vol 6 (2) ◽  
pp. 149
Author(s):  
Nurul Hidayatul Ulumiyah

Background: Patient safety is an indicator of health service quality that becomes an important issue although data of patient safety incident at primary health care are not always accurate in Indonesia. Public health center is a health service facility that implements patient safety to improve the health service quality as stated in Health Ministry Law Republic of Indonesia Number 36 Year 2009.Aim: The aim of this study was to identify the implementation of patient safety to improve the service quality.Method: Data collection techniques used were observation, interview, and literature study. The research was done at a public health center in Surabaya from January to February 2018.Results: The results showed that the implementation of patient safety at the public health center was adjusted to the accreditation standard of the public health center. However, there are still some obstacles and shortcomings in the fulfillment of patient safety standards, so it is necessary to optimize the implementation of patient safety from all stakeholders.Conclusion: It can be concluded that public health centers should provide safe and qualified services to achieve healthy disctrict. The public health centers also need to improve the patient safety according to Health Ministry Law Republic of Indonesia Number 36 Year 2009.Keywords: health service quality, patient safety, public health center


2021 ◽  
Vol 9 (E) ◽  
pp. 1200-1206
Author(s):  
Muhammad Rizki Ashari ◽  
Irma Apriani ◽  
Firmansyah Firmansyah ◽  
Fitrianty Sutady Lanyumba

BACKGROUNDS: Tuberculosis is an infectious disease caused by Mycobacterium Tuberculosis. The case in Indonesia rank third with the highest number of TB case in the world. There were 511,873 cases of tuberculosis of all types in 2018. Based on data from the Palu Health Office, the TB cases in Palu in 2018 were still high numbered 557 cases. In 2019, Nosarara Public Health Center had the lowest case finding among the 13 health centers in Palu with 17 TB case findings. The absence of a laboratory in Nosarara Public Health Center for examining sputum samples affected the output in program implementation. AIM: The aim of this study is to evaluate the Control of Tuberculosis in the Discovery of Tuberculosis Cases in Nosarara Public Health Center Palu. MATERIALS AND METHODS: This research used qualitative method with a case study approach. The research informants were 6 people selected through purposive sampling technique. RESULTS: The results summarizes the following : the input aspect in terms of human resources in quantity and quality is inadequate because TB program holders have multiple tasks so that they are not maximal in carrying out their duties and have never attended training, sufficient funds, inadequate facilities and infrastructure, and methods according to guidelines. CONCLUSION: The process of planning, organizing, implementing and supervising has not been maximal, meanwile the output of TB case detection (22%) has not yet reached the predetermined target (80%).It is expected that the Public Health Center will add more health personnel, complete facilities and infrastructure in order to maximize program implementation to achieve predetermined targets.


2021 ◽  
Vol 2 (1) ◽  
pp. 12-16
Author(s):  
Eza Yuliarni ◽  
Nurhayati Siregar ◽  
Yofa Sukmawati

Introduction: Indonesia is one of the developing countries with a high under-five mortality rate due to the rough handling of Integrated Management of Childhood Illness (IMCI). Diseases that cause death can generally be treated at the hospital level, but it is still difficult at the public health center level. Public Health Centers have implemented (IMCI). Suppose they meet the criteria for implementing/implementing the IMCI approach at least 60% of the number of visits by sick toddlers. This study aimed to describe the knowledge and motivation of IMCI implementers regarding the implementation of IMCI at Lubuk Buaya Public Health Center, Padang, in 2014. Method: This research is descriptive. This research was conducted at the Lubuk Buaya Health Center Padang in May 2014. The population in this study were all IMCI implementers who were actively working at the Lubuk Buaya Public Health Center, Padang, with 37 people. Sampling with total sampling technique and analyzed univariately. Results: From 37 staff implementing IMCI, it was found that 31 (83.8%) staff had implemented IMCI well, 36 (97.3%) staff had high knowledge, and 23 (62.2%) staff had high motivation. Conclusions: This study shows that the knowledge and motivation of IMCI implementers are good in implementing IMCI. It is hoped that every IMCI implementer will further increase knowledge about IMCI and its performance so that all sick toddlers get the best IMCI services to prevent death in these toddlers.


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


2019 ◽  
Vol 6 (5) ◽  
pp. 485
Author(s):  
Andy Hidayat Jatmika ◽  
Royana Afwani ◽  
Nadiyasari Agitha

<p> </p><p>Saat ini sistem pengolahan data pasien layanan KIA di semua puskesmas di kota Mataram masih dikerjakan dengan  cara  konvensional  atau  belum  memanfaatkan teknologi sistem informasi. Permasalahan yang muncul dari pihak puskesmas adalah lambatnya proses pelayanan pasien yaitu dalam hal pendataan pasien dan pencarian data pasien, serta tingginya  tingkat  kesalahan  dalam  pengolahan  data  pasien  misalnya data  pendaftaran,  data  pemeriksaan,  dan data rujukan. Permasalahan dari sisi pasien adalah pasien harus datang ke puskesmas jika ingin mendaftar, pasien harus mendaftar sebagai pasien baru lagi jika ke puskesmas yang berbeda, pasien masih menggunakan buku KIA untuk mendapatkan informasi dan melihat catatan hasil konseling yang memiliki resiko rusak atau hilang, serta pasien kesulitan untuk melakukan monitoring terhadap perawatan kesehatannya. Keberadaan teknologi <em>cloud</em> <em>computing</em> dengan layanan <em>Software as a Service (SaaS)</em> dapat memberikan solusi untuk permasalahan tersebut. <em>SaaS</em> merupakan model bisnis untuk menyampaikan aplikasi dalam bentuk layanan. <em>SaaS</em> untuk sistem PKIA akan sangat berguna bagi puskesmas dalam mengelola data pasien, sedangkan bagi pasien akan mempermudah mendapatkan informasi dan mempercepat proses layanan. Tujuan penelitian ini adalah membuat rancangan <em>SaaS</em>  untuk sistem PKIA dimana nantinya seluruh Puskesmas di Kota Mataram yang telah tergabung dalam <em>community</em> <em>cloud</em> <em>computing</em> memiliki keseragaman sistem dalam mengelola data pasien dan dapat diakses dari puskesmas mana saja. Terdapat dua metode yang digunakan pada penelitian ini yaitu (1) analisis layanan bisnis, (2) analisis kebutuhan sistem, dan (3) analisis <em>service oriented architecture</em>. Data yang digunakan dalam penelitian ini diambil saat dilakukan observasi langsung dan pengumpulan data di puskesmas wilayah Mataram. Hasil akhir penelitian ini berupa (1) <em>prototype</em> model layanan bisnis PKIA puskesmas yang digambarkan dalam bentuk <em>use case diagram</em> sebagai bagian dari<em> </em>layanan <em>SaaS</em> serta (2) <em>prototype</em> <em>web service.</em> Berdasarkan hasil wawancara dengan pihak Puskesmas yang terdiri dari bidan dan petugas, hasil rancangan ini telah sesuai dengan apa yang diharapkan.  Perancangan ini diharapkan dapat dijadikan dasar dalam implementasi perangkat lunak sistem PKIA puskesmas se-Kota Mataram berbasis <em>cloud</em> SaaS.</p><p> </p><p><em><strong>Abstract</strong></em></p><p class="Abstract"><em>Currently, patient data processing system of PKIA services in public health centers in Mataram city is still doing conventional way that is not yet utilize information technology. The problems that arise from public health centers are: a long service process which includes patient data collection and patient data retrieval, and the number of errors in the processing of patient data, such as registration data, examination data, and referral data. Problems from the patient that the patient must come if will do the registration, must register as new patient if to the different public health centers, still use the manual book to get information and see the record of counseling results that have the risk of damaged or lost, and difficulty in monitoring health care. The existence of cloud computing technology with Software as a Service (SaaS) can provide solutions to these problem. SaaS is a business model for delivering applications in the form of services. SaaS for PKIA will be very useful for public health center to manage patient data, patient will be more efficient easier to get service and get information. The purpose of this research is to design the SaaS for PKIA system where the public health center in Mataram City which is incorporated in community cloud  has uniform system in managing data.. This research uses three methods: (1) business service analysis, (2) system requirement analysis, and (3) service oriented architecture analysis. The data used in this research was taken when doing observation and data collection at public health center of Mataram city. The results of this research are (1) prototype of PKIA business service model which is described in the form of use case diagram as part of SaaS service and (2) prototype of  web service. Based on the results of interviews conducted with the Public Health Center, the results of this design were as expected. This design can be used as a basis in the implementation of software on the system of PKIA based on cloud SaaS.</em></p><p><em><strong><br /></strong></em></p>


2020 ◽  
Vol 6 (2) ◽  
pp. 63-69
Author(s):  
Muhammad Ikhsan Akbar ◽  
La Ode Ali Imran Ahmad

Background: The availability of general practitioners in the public health center is still an important spotlight regarding the uneven distribution.Objective: The purpose of this study is to find out the total needs of general practitioners at public health centers, specifically at the Public Health Center of Tampo and Wapunto in Muna District.Methods: This study used a descriptive approach using health workload method analysis. Observation sheets were used for collecting data. Workload burden analysis was used by establishing health facilities and types of health human resources, setting available work time, setting workload components and time norms, calculating workload standards, supporting task standards and supporting task factors, and also calculating the needs of general practitioners.Results: The Public Health Center of Tampo lacked two general practitioners, and the Public Health Center of Wapunto lacked one general practitioner.Conclusion: The Public Health Centers of Tampo and Wapunto in Muna district need additional general practitioners in the efforts of providing optimal service particularly in preventive, promotive, curative and rehabilitative to the community. 


2020 ◽  
Vol 19 (01) ◽  
pp. 4-9
Author(s):  
Andi Alim ◽  
Arlin Adam ◽  
Benyamin Dimi

  Malaria is a disease that attacks humans, birds, apes and other primates, reptiles and rodents, which is caused by protozoan infections of the genus Plasmodium and is easily recognized from the symptoms of fever (chills) and prolonged fever. Until now, Indonesia is still one of the countries at risk of Malaria because 80% of districts/cities in Indonesia are Malaria-endemic. The objective to be achieved in this study is to see a description of the incidence of Malaria in Denemani health centre based on the characteristics of the patient's age, sex of the patient, occupation and place of residence of the patient. The study design was a descriptive study obtained by a sample of 642 respondents. The results showed that there were more Malaria sufferers at the age of 24-35 years as many as 264 patients (41.1%), more Malaria sufferers in the female sex as many as 323 people (50.3%), Malaria sufferers more in patients who were work as private employees, 410 people (63.9%). More Malaria sufferers found living in urban areas, amounting to 447 patients (69.6%). Based on these conclusions it is suggested to the relevant parties that seeing the problems in the Public Health Center in Denemani, especially in adult polyclinics, it does not rule out the possibility that the number of Malaria sufferers will increase every day. This needs to be prevented so there are not to increase continuously. Keywords: Malaria, age, gender, occupation, place of residence ABSTRAK Malaria adalah penyakit yang menyerang manusia, burung, kera dan primata lainnya, hewan melata dan hewan pengerat, yang disebabkan oleh infeksi protozoa dari genus Plasmodium dan mudah dikenali dari gejala meriang (panas dingin menggigil) serta demam berkepanjangan. Hingga kini, Indonesia memang masih menjadi salah satu negara yang berisiko Malaria karena 80% kabupaten/ kota di Indonesia endemis Malaria. Tujuan yang ingin dicapai dalam penelitian ini adalah untuk melihat gambaran angka kejadian Malaria di Puskesmas Denemani berdasarkan karakteristik umur penderita, jenis kelamin penderita, pekerjaan dan tempat tinggal penderita. Desain penelitian adalah penelitian deskriptif diperoleh sampel sebanyak 642 responden. Hasil penelitian menunjukkan bahwa penderita Malaria lebih banyak pada usia 24-35 tahun yaitu sebanyak 264 penderita (41,1%), penderita Malaria lebih banyak pada jenis kelamin perempuan sebanyak 323 orang (50,3%), penderita Malaria lebih banyak pada penderita yang bekerja sebagai pegawai swasta yaitu 410 orang (63,9%). Penderita Malaria lebih banyak ditemukan yang tinggal di daerah perkotaan, yaitu sebesar 447 penderita (69,6%). Berdasarkan kesimpulan tersebut maka disarankan kepada pihak-pihak terkait bahwa melihat permasalahan di Puskesmas Denemani, khususnya di poli dewasa, maka tidak menutup kemungkinan, semakin hari jumlah penderita Malaria semakin meningkat. Hal ini perlu dicegah jangan sampai terjadi peningkatan secara terus-menerus. Kata Kunci: Malaria, umur, jenis kelamin, pekerjaan, tempat tinggal


2020 ◽  
Vol 15 (2) ◽  
pp. 138-146
Author(s):  
Oktarianita Oktarianita ◽  
Nopia Wati ◽  
Henni Febriawati

One of the strategies for early detection and monitoring of risk factors for Non-Infection Diseases (PTM) is the implementation of Posbindu PTM. Still included in the low category regarding the achievement of the total number of patients checking the basic and primary posbindu for non infection diseases (covering all posbindu activities) which is below the 50% target of 20.2%. This study aims to determine the perceptions of posbindu participants about the implementation of Posbindu for non infection diseases. This research is a descriptive study with a qualitative approach in March-August 2020 through in-depth interviews with 5 informants and 3 triangulations using interview, observation and documentation guidelines. The research focuses on the perspectives of the Posbindu participants about the implementation of Posbindu for non infection diseases at public health center of in the Beringin Raya Bengkulu City.The results showed that the implementation of Posbindu used a 5-table system (registration, height measurement, weighing, recording by cadres then to the medical team for blood pressure, blood sugar, cholesterol and uric acid checks, consultation by Posbindu officers and cadres was carried out once a month at residents' homes. The implementation has been running according to the public health center SOP. Service quality is generally good, but the community's enthusiasm is still low in participating in Posbindu, there are participants who are still afraid to have their health checked at Posbindu, there are things that are felt to be less than optimal in service where people feel less satisfied because only examination but no medicine, insufficient examination tools and the implementation of Posbindu held during working hours A referral system has been implemented if a participant is at risk of being asked to go to the puskesmas for treatment.Salah satu strategi untuk deteksi dini dan pemantauan faktor risiko Penyakit Tidak Menular (PTM) yaitu pelaksanaan Posbindu PTM. Masih termasuk katagori rendah mengenai capaian jumlah keseluruhan pasien melakukan pengecekan pada posbindu PTM dasar dan utama (meliputi semua kegiatan posbindu) yakni dibawah target 50% sebesar 20,2%. Penelitian ini bertujuan untuk mengetahui persepsi peserta posbindu tentang pelaksanaan kegiatan Posbindu PTM di wilayah Kerja Puskesmas Beringin Raya Kota Bengkulu. Penelitian ini merupakan penelitian deskriptif dengan pendekatan kualitatif pada Maret-Agustus 2020 melalui wawancara mendalam terhadap 7 informan dan 3 triangulasi dengan menggunakan pedoman wawancara, pengamatan dan dokumentasi. Penelitian berfokus pada perspsi peserta posbindu tentang pelaksanaan kegiatan Posbindu PTM di Wilayah Kerja Puskesmas Beringin Raya Kota Bengkulu.Hasil Penelitian menunjukan Pelaksanaan Posbindu menggunakan sistem 5 meja (Pendaftaran, Tinggi badan, berat badan, pencatatan oleh kader selanjutnya pemeriksaan tekanan darah, gula darah, cek kolesterol, dan asam urat, konsultasi oleh petugas dan kader posbindu dilaksanakan satu bulan sekali di rumah warga. Pelaksanaan telah berjalan sesuai SOP Puskesmas. Kualitas pelayanan pada umumnya sudah baik, namun masih rendahnya antusias masyarakat mengikuti posbindu, ada peserta yang masih merasa takut memeriksakan kesehatannya ke posbindu, ada hal yang dirasakan masih kurang maksimal dalam pelayanan dimana masyarakat merasa kurang puas karena hanya pemeriksaan tapi tidak ada obat, alat pemeriksaan tidak cukup serta pelaksanaan posbindu diadakan pada jam kerja. Sistem rujukan telah dilakukan jika ada peserta yang berisiko akan disuruh pengobatan ke puskesmas. Diharapkan melakukan pendekatan langsung ke masyarakat dan kader sehingga mampu memberikan kesadaraan bahwa Posbindu ini adalah bagian dari pemantauan kesehatan masyarakat.


Author(s):  
Ajeng Dyah Pythaloka ◽  
Darmawansyah . ◽  
Muhammad Asdar

Background: Customer (patient) satisfaction in health services is very important to note because it can describe the quality of services in the health service. This study aims to determine the level of performance assesment of public health centers relating to the quality of public health centers service, management of public health centers and health services based on patient satisfaction in the public health center in Parepare, South Sulawesi.Methods: The research method is quantitative with survey research to determine the level of reseach results on public health centers about patient satisfaction.Results: The results of the study indicate that performance assessment is in the form of the quality of service possessed by the public health center obtained an average performance value of 8.8 with a good performance category. Management of the public health center obtained an average performance value of 8.9 with a good performance category. Health services obtained an average performance value of 90.7% with sufficient performance categories. Customer satisfaction obtained an average value of 71.1% in the good category.Conclusions: Service quality of public health center has a good performance, health center management has good performance, health services have sufficient performance, customer satisfaction has a good category. So that the average performance of the public health center has results comparable to the results of customer satisfaction, which is a good category.


Author(s):  
Siti Nurfadilah H ◽  
◽  
Riris Andono Ahmad ◽  
◽  

ABSTRACT Background: On 24 November 2015, public health center Kokap 2 reported an outbreak of suspected measles in the village of Hargowilis. In Kokap District, outbreaks of suspected measles have never occurred in school-age children in the last three years. This study aims to ascertain the suspected measles outbreaks and identify risk factors, sources, and transmission routes. Subjects and Method: This was a matched case control study conducted from November 2015 to January 2016, in Hargowilis Village, Central java. A Sample of 21 who has the main clinical symptoms suspected of measles such as: fever, rash and followed by one of the symptoms of cough, flu, and red eyes (cases) and classmates who did not have case-like symptoms (control) were selected by snowball sampling. The data were analyzed using McNemar’s test and logistic regression. Results: Five out of ten sera tested were positive for rubella. There were 21 total cases. None of the pregnant women was a rubella case. Most of the patients were male (61.90%) with ages ranging from 5 to 11 years (71.43%) and were served at the public health center (80.95%). The case index is a student who travels in the District of Wates. The highest number of cases was at week 46 of 2015 (9 cases). Bivariate analysis showed that contact history (OR = 0.14; 95% CI 0.03 to 0.39; p = <0.001) and age (OR = 0.06; 95% CI 0.00 to 0.24; p = <0.001) were risk factors for this Rubella outbreak. Conclusion: There has been an outbreak of rubella in the village of Hargowilis, Yogyakarta. Public health centers are recommended to provide information to the public about rubella. Health workers need to take all blood serum cases to confirm outbreak. Public health centers are suggested to strengthen the surveillance system for measles and rubella. Keywords: Rubella, risk factors, Public health center, outbreaks Correspondence: Siti Nurfadilah H. Center for Health Policy and Management (PKM) Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta. Email: [email protected]. Mobile: 085255987009 DOI: https://doi.org/10.26911/the7thicph.01.20


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