scholarly journals Evaluasi Program Pemberian Makanan Tambahan Pemulihan (PMT-P) terhadap Status Gizi Buruk Balita di Puskesmas Oepoi Kota Kupang

2019 ◽  
Vol 1 (3) ◽  
pp. 111-118
Author(s):  
Wihelmus Kopong Doren ◽  
Tadeus A. L. Regaletha ◽  
Dominirsep O. Dodo

Toddlers are the group most vulnerable to experiencing nutritional problems, especially malnutrition problems such as thin, short, and malnutrition. Malnutrition in children also affects the cognitive abilities and intelligence of children. Malnutrition casse always found in the Oepoi Health Center from 2016-2018. In 2016 there were 124 people, in 2017 there were 88 people and in 2018 there were 46 people. The program to reduce malnutrition, namely PMT-P, nutritional supplementation in the form of food additives in the form of biscuits with special formulations and fortified with vitamins and minerals given to infants and toddlers aged 6-59 months with thin category. This study aims to evaluate the implementation of supplementary feeding programs for the recovery of the nutritional status of children under five in the working area of Kupang City Oepoi Health Center in terms of Input, Process and Output aspects. This type of research is descriptive with 6 research informants. The results showed that: input for the number of malnutrition workers, Puskesmas needed 1 community health worker, lack of equipment in the laboratory section had to ask for procurement from the City or Provincial Health Office and funds for MT distribution were not yet available, the planning process was good but the implementation was good from distribution, monitoring and recording / reporting, there are still problems with monitoring because it is found that there are other family members eating MT packages, the outputs are not on target and the program coverage also has not reached the specified performance indicators. Suggestions for the government of the City of Kupang, especially the Health Office of the City of Kupang to provide facilities and infrastructure that is lacking at the health center, while for the Oepoi Community Health Center should provide counseling about the importance of PMT-P so that the MT given on target.

2020 ◽  
Vol 7 (3) ◽  
pp. 161
Author(s):  
Dintya Ivantarina ◽  
Lina Ratnawati

<p><em>The utilization of postpartum maternal services in a complete manner in several regions still has not reached the target that has set by the government. Some factors that affect the coverage of comprehensive postpartum service is mother characteristics. The purpose of this research is to determine the characteristics of mothers who affect the low coverage of comprehensive postpartum service in the working area of Community Health Center of Kayen Kidul in Kediri Regency from January to August year 2019. This research was conducted in September 2019 in the working area of Kayen Kidul Community Health Center of in Kediri Regency. The design of the research used is analytical observational with a case control approach. The sampling techniques used are random sampling clusters. The samples in this study were mothers who had finished their postpartum period (more than 6 weeks to 9 months after giving birth). Independent variables are characteristic of mothers while dependent variables are coverage of the comprehensive postpartum service. Collection of data using data collection sheets with structured interview techniques and medical records in the form of maternal and child health books. Then the data is processed and analyzed univariate, bivariate and multivariate. Statistical results of bivariate statistics showed that the work (P = 0.023), pregnancy complications (P = 0.026), labor complications (P = 0.03) and the type of childbirth (P = 0.01) have an influence on the low coverage of comprehensive postpartum service. Multivariate statistical test results using binomial logistic regression obtained results in the omnibus table having P = 0.006 (P&lt;0.05) which means the model is worth analysed. The significance value in the Hosmer and Lemeshow Test table of 0.074 (p&gt;0.05) has the meaning of acceptable models and hypothesis testing can be performed. The value of Nagelkerke R Square 0.278 means the characteristic mother of age (P = 0.047) and the type of childbirth (P = 0.037) has an effect of 27.8% on the low coverage of the comprehensive postpartum service. The public health policy program should aim to improve the coverage of the comprehensive postpartum service by observing the characteristics of mothers in the region, namely the characteristics of maternal age and type of delivery</em></p><p> </p>


2021 ◽  
pp. 139-150
Author(s):  
Isyatun Mardhiyah Syahri ◽  
Badaruddina Badaruddina ◽  
Surya Utamaa ◽  
Zulfendri Zulfendri

This study aims to describe the collaboration of stakeholder roles and analyzes the influence of government, Micro & Small businesses and workers to improve the performance of Occupational Health and Safety (OHS) officers in community health center. The study is a survey with a cross-sectional design to measure the influence of stakeholders' role on the performance of occupational health efforts. The study sample was 80 people, namely all OHS officers from the community health center (CHC) in the city of Medan. The independent variables in this study are the role of government (X1), the role of micro and small business (X2), the role of the workers (X3) and the performance of OHS officers is the dependent variable. Data collection is perfomed using a questionnaire that has been validated with interval scales 1 - 5. Hypothesis testing is based on using structural equation modeling path analysis and analysis is performed using PLS-SEM, Smart PLS 3.0. Direct test results show that the government has not played a significant role in Micro & Small Business and the role of workers. The government only plays a significant role in the performance of OHS officers. Micro & Small businesses significantly influence workers' role, but it has not significantly affected OHS officers' performance. The role of workers significantly influences the performance of OHS officers. Test results indirectly show the critical role of collaboration between stakeholders. Although it has not shown a significant effect, there is an increase in the significant value on the performance of officers. The finding confirms the need for seriousness and the importance of collaboration among stakeholders. The research needs to be expanded by involving all OHS officers up to sub-health centers, and other districts/cities with the same characteristics. The study has only investigated at community health center. Policy recommendations are given for managing an integrated occupational health service program in community health center involving all stakeholders in Medan.


Author(s):  
Sayati Mandia

Puskesmas merupakan fasilitas pelayanan kesehatan yang menyelenggarakan upaya kesehatan masyarakat dan upaya kesehatan perseorangan tingkat pertama. Dalam melaksanakan tugasnya puskesmas berwenang untuk untuk melaksanakan pencatatan dan pelaporan kesehatan pasien serta melakukan evaluasi terhadap mutu dan cakupan pelayanan kesehatan. Pencatatan dan pelaporan pasien dapat dilihat dari berkas rekam medis pasien. Rekam medis pada sarana kesehatan non rumah sakit wajib disimpan sekurang-kurangnya untuk jangka waktu dua tahun terhitung dari tanggal terakhir pasien berobat. Setelah batas waktu penyimpanan dilampaui maka rekam medis dapat dimusnahkan. Puskesmas Kuranji merupakan salah satu puskemas di kota padang yang berlamat dikecamatan Kuranji. Berdasarkan hasil wawancara dengan petugas rekam medis, hingga saat ini Puskesmas Kuranji belum melakukan retensi dan pemusnahan berkas rekam medis sedangkan ruangan penyimpanan hanya ada satu. Berdasarkan pemaparan masalah di atas, maka pengabdi bermaksud untuk melakukan sosialisasi dan praktik langsung mengenai retensi dan pemusnahan berkas rekam medis di Puskesmas Kuranji Kota Padang. Target dan luaran dari pelaksanaan kegiatan pengabdian kepada masyarakat adalah kegiatan ini dapat dijadikan sebagai bahan pertimbangan untuk pelaksanaan retensi dan penghancuran berkas rekam medis. Target kedepannya agar sosialisi ini dapat digunakan sebagai dasar kegiatan retensi dan penghancuran berkas rekam medis. Kata Kunci: Puskesmas, Retensi, Pemusnahan, Rekam Medis ABSTRACT Public health center (PHC) is a health service facility that organizes public health efforts and first-level individual health efforts. In carrying out its duties PHC is authorized to carry out the recording and reporting of patient health and to evaluate the quality and scope of health services. Patient recording and reporting can be seen from the patient's medical record file. Medical records in non-hospital healthcare facilities must be kept for at least two years from the date the patient was treated. After the storage time limit is exceeded, the medical record can be destroyed. The Kuranji Community Health Center is one of the public health centers in the city of Padang which is well-known in the Kuranji sub-district. Based on the results of interviews with medical record officers, up to now the Kuranji Community Health Center has not retained and destroyed medical record files while there is only one storage room. Based on the explanation of the problem above, the service intends to conduct socialization and direct practice regarding the retention and destruction of medical record files at the Kuranji Health Center in Padang City. The target and output of the implementation of community service activities is that this activity can be used as consideration for the implementation of retention and destruction of medical record files. The future target is that this socialization can be used as a basis for retention and destruction of medical records. Keywords: Puskesmas, Retention, Destruction, Medical Record


2021 ◽  
Vol 13 (2) ◽  
pp. 701-706
Author(s):  
Munaya Fauziah ◽  
Tria Astika Endah Permatasari ◽  
Dadang Herdiansyah ◽  
Noor Latifah ◽  
Ma’mun Murod Albarbasy ◽  
...  

Undernutrition in urban areas remains a serious public health problem in Indonesia. The study aimed to find out what factors were related to the nutritional status of children under five in the working area of the Limo Community Health Center, Limo District. Depok City, Indonesia in 2019. This research was conducted in June-July 2019 using a cross-sectional study design with a sample of 118 mothers who have toddlers aged 6-59 months in the Limo Health Center work area in 2019. The sampling technique used simple random sampling. The analysis was performed using chi-square (α = 0.05). Undernutrition is defined as the condition of children under five which is determined based on the anthropometric index measurement results of body weight for age with a Z- score of -2 SD to ≤ -3 SD, while good nutrition is at a Z-score of -2 SD to 2 SD. As a result, the prevalence of undernutrition was 16.1%. As much as 50% of the respondents had high school education and mothers with low education were 32.2%. The results showed a prevalence of working mothers (13.6%), family income < Rp. 4,600,000 (52.5%), mothers with low knowledge (25.4%), male children (53.4%), poor parenting (3.4%), and mothers who did not use health services properly (3.4%). There was a significant relationship between maternal education (p = 0.004; OR: 4,813; 95% CI: 1,711-13,537), family income (p = 0.006; OR: 6.145; 95% CI: 1.68-22.43), and maternal knowledge (p = 0.007; OR: 4.389; 95% CI: 1.57-12.23) with the nutritional status of children under five in the working area of the Limo Community Health Center. The suggestion is that the Limo Community Health Center make a program to increase the knowledge capacity of mothers regarding the nutrition of their children.


2018 ◽  
Vol 3 (1) ◽  
pp. 9
Author(s):  
Innana Mardhatillah ◽  
Yaslis Ilyas

Data and information on the health profile of Indonesia in 2016 showed only 29.5% of infants receive exclusive breastfeeding until 6 months, the low level of exclusive breastfeeding made the government issue a regulation on exclusive breastfeeding in Government Regulation Number 33 of 2012. The study aimed to analyze the policy implementation of exclusive breastfeeding at Cicalengka Community Health Center. The study used qualitative analysis with in-depth interview method, focus group discussion and literature study. The result of this study shows that breastfeeding policy implementation in health centers is not optimal, as seen from the low coverage of exclusive breastfeeding. Socialization of the policy has not been done as a whole, the time and task division is unclear and has no special budget and the standard operating procedures is not really used in carrying out the policy. Communication is the most influential factor in the implementation of the policy. There is no support and commitment from all employees in the implementation of exclusive breastfeeding policy. The suggestion is to consistently socialize to employees and the public, carry out supervision in an effort to secure the policy, run the Standard Operating Procedure (SOP), allocate budget activities in 2018, create a memorandum of understanding with other agencies, and Self-assessment and program evaluation absolutely must do continuously.


2020 ◽  
Vol 4 (2) ◽  
pp. 131 ◽  
Author(s):  
Suharto Suharto ◽  
Fitriani Pramita Gurning ◽  
Muchti Yuda Pratama ◽  
Emdat Suprayitno

One of the diseases that is now considered a problem that has received enough attention from the government is HIV and AIDS. Talking about HIV and AIDS means it discusses health issues that are currently quite sensitive to talk about. This relates to the unique nature of this disease. Besides the case which is like an iceberg phenomenon, namely the spread of HIV and AIDS cases that cannot be predicted at the initial phase and also has not found a cure to cure it. The purpose of this study is to obtain in-depth data on the implementation of HIV/AIDS policies in the Model Health Center, whether the policies made by the government run well or not in the field. This research uses a qualitative research method with descriptive research type on June 28, 2019, by interviewing informants and distributing questionnaires. As for the total overall value of the Government Policy Implementation is 235. The value of the implementation of government policies, amounting to 78.33% of the 100% expected results. The overall total value of HIV and AIDS is 83. HIV/AIDS counts in the working area of the Exemplary Health Center, which is 92.22% of the 100% expected results. Conclusions policy implementation has been going well and has been socialized to the community and health services, people at risk and sufferers of  HIV/AIDS in the work area of the Community Health Center already has its own organization where this organization is expected to help achieve the goals of this HIV/AIDS program, and to achieve this goal the Community Health Center conducts activities in the form of mobile clinics where the exemplary Community Health Center goes directly to conduct examinations to the community, and in terms of treatment for patients so far it can be said to be in good category and runs smoothly but there are obstacles where sufferers continue to do things that can trigger the development of the HIV virus although in addition patients continue to take drugs to inhibit and minimize the development of the HIV virus.


2020 ◽  
Vol 35 (1) ◽  
pp. 100
Author(s):  
Deavicris Ari Senda ◽  
Caecilia Wahyu Estining Rahayu ◽  
Christina Heti Tri Rahmawati

<p>The aim of this research is to find out the effect of financial literacy level and demographic factors on investment decision on government employees in Kalibawang Community Health Center, Kulon Progo, Yogyakarta. The population of this research is the government employees in Kalibawang Community Health Center, 29 of them are treated as the sample of this research. The sampling technique used in this research is purposive sampling. The respondents are those who  have  been  doing  investment. The data used in this research are collected with questionnaires. The data analysis technique used in this research is the Chi Square test. The result shows that financial literacy does not affect investment decision. However, out of the demographic factors, only age, income and investment experience affect  investment decision. Meanwhile, the others demograpic factors such as gender and education do not affect investment decision.</p>


2017 ◽  
Vol 13 (1) ◽  
pp. 7-12
Author(s):  
Fahrini Yulidasari ◽  
Fauzie Rahman ◽  
Puspa Rani

Exclusive breastfeeding is the most important nutrition for baby until 6 months old without any food or drinks addition. Based on Basic Health Research (Riskesdas) 2013, in Indonesia mother who exclusively breastfeeding her baby was still low only 38% while the government policy is targeting 80% in 2010. Furthermore, there was only 13,46% breastfeeding coverage in Sungai Ulin community health center in August 2015. The main factors that cause low exclusive breastfeeding coverage such as health worker support and culture of breastfeeding provision. The objective of this research is to determine correlation between health workers support and culture of breastfeeding with status of exclusive breastfeeding in the area of Sungai Ulin Community Health Center. This research used observational analytic method with case-control design, conducted in 2016. The sample in this study were mothers who have baby aged 6-12 months with 23 as cases (non-exclusive breastfeeding) and 46 as controls (exclusive breastfeeding) or the ratio of 1:2 was determined using the hypothesis test 2 proportion formula. The research used simple random samping technique using univariate and bivariate analysis with Chi-square test with 95% confidence level. The results showed there was correlation between health workers support (p-value = 0,013, OR = 6,271) and culture of exclusive breastfeeding provision (p-value = 0,0001, OR = 8,906) with status of exclusive breastfeeding.


Author(s):  
Gabe Gusmi Aprilla

According to the recapitulation of the utilization of Community Health Center inpatient services in Depok in 2016-2018, it was very low. The results of an initial survey in October 2018 conducted by Community Heath Center  researchers who only served inpatients in only 3 districts, while 1 sub-district had not served general inpatients since one year ago. Of the three sub-districts, only 1 sub-district has inpatients, while others sometimes do not have an in-patient visit within one month. Sukmajaya Community Health Center was appointed to serve general inpatient care, basic neonatal obstetric services and care for malnourished children. Because of the low number of inpatient visits in the city of Depok, the researchers were interested in knowing the strengths and weaknesses as well as the opportunities and threats of the Sukmajaya Community Health Center. This study used a qualitative method conducted in February 2020 with in-depth interviews using interview guidelines and voice recording devices. Interviews were conducted with the Head of the Community Health  Center, Head of Administration, Responsible for Inpatients, Doctors and Nurses. As a result, Sukmajaya Community Health Center was unable to compete with Private Hospitals because private hospitals had better health personnel and infrastructure than Sukmajaya Community Health Center. Besides that, the number of private hospitals in the city of Depok is large and the location is easy to reach, so people prefer hospitals with more convenient facilities.


2019 ◽  
Vol 1 (1) ◽  
pp. 42-57
Author(s):  
Siti Soekiswati ◽  
Absori Absori

Purpose of the study: This article aims to discuss the paramedic doctoroid practices in primary health care in Community Health Center conducted by paramedic doctors.Methodology: This research is socio-legal research; research on law application, viewing law acting as law in action, which involves the interrelation between law and social institutions.Main Findings: Delegation of duty policies under the roof of paramedic doctoroid practices in health services in Community Health Center. This research is a socio-legal aimed at uncovering the phenomenon of paramedic doctoroid practices.Applications of the study: The current study provides criticism for the government in creating inconsistent policies, poor supervision, and law enforcement behind doctoroid practice persistence.Novelty/Originality of the study: the concept of law enforcement is based on the philosophy of the first principle of Pancasila as the Indonesian ideology, transcendental-based law enforcement.


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